Effective Leadership and Management in Nursing 8th Edition

Sullivan, Effective Leadership and Management, 8/e Chapter 1 Question 1 Type: MCSA A nurse manager is participating in the health care organizations strategic planning committee. Which factor is the primary driving force and controlling factor in new initiatives this committee might recommend? 1. Cost of care 2. Access to care 3. Availability of

4. Women still outnumber men in nursing. Correct Answer: 2 Rationale 1: The average age of the registered nurse is 46 years, and while the number of RNs under age 30 is increasing, more RNs are retiring than are entering the profession. Rationale 2: The demand for nurses is increasing because

Question 23 Type: MCMA The administrators of a small hospital are revising its disaster plan. What should be the primary focus of this plan? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Preparing for a surge of casualties

Sullivan, Effective Leadership and Management, 8/e Chapter 2 Question 1 Type: MCSA Using the classical organizational theory model, what would be the most appropriate method for the nurse to voice concern over unfair client workload assignments? 1. Circulate a petition to all staff seeking support for change in assignment policy and present the

3. The nurse-to-client ratio is 4 to 1. 4. The primary nursing model is used for care. Correct Answer: 2 Rationale 1: Organizational climate is based on physical attributes and policy and procedure. Private rooms are an example of organizational climate. Rationale 2: Organizational culture is based on norms and traditions

A health care organization is using the quality concepts of lean thinking and decentralization as part of their redesign efforts. Which initiatives would this organization undertake? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Any changes to

Sullivan, Effective Leadership and Management, 8/e Chapter 3 Question 1 Type: MCSA The nurse manager tells a newly hired nurse that the unit practices functional nursing. What should the new nurse expect? 1. One nurse has responsibility for all the medications on the unit. 2. One nurse has responsibility for all the

2. The nurse provides the client with the URL for a new website dedicated to self-management of a chronic respiratory disease. 3. The nurse advocates for the client who has decided to forego further dialysis. 4. Client information is entered into an electronic medical record. 5. Information about the operating hours

Question 23 Type: MCMA A hospital is considering implementing the use of critical pathways and case management. Which statements by a nurse would indicate to the nurse manager that more education should be provided? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select

Sullivan, Effective Leadership and Management, 8/e Chapter 4 Question 1 Type: MCSA A nurse is working in a unit with several less-experienced nurses. Which attribute displayed by the senior nurse would make her leadership of the less-experienced nurses most effective? 1. Strong belief that the leader is accountable for actions taken by

Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 4-6: Describe what makes a leader successful. Question 13 Type: MCSA An accreditation visitor observes the following situations in a health care organization. Which situation would this visitor interpret and document as evidence of the shared governance type of shared leadership? 1. Nurses working in

As a result of retirements, resignations, and reorganization, a nurse became nurse manager of a high-acuity unit 3 months after being licensed. The manager struggles with the responsibilities of the position and is often unable to make decisions. Which component of the AONE management competencies does this nurse probably lack? 1.

Sullivan, Effective Leadership and Management, 8/e Chapter 5 Question 1 Type: MCSA The new chairperson of the nursing department has determined that the facultys teaching is stagnant and outmoded. The chairperson would like to encourage the faculty to adopt more innovative teaching strategies. According to Lewin, what is the first step in

The CEO of the hospital approaches the chief nurse with a request that the nurse act as the primary change agent in the implementation of a new hospital-wide policy. Why would the nurse be a good choice for this assignment? 1. Nurses thrive on transition and work best in such circumstances.

Question 24 Type: MCSA The nurse manager is facilitating change to a new documentation system in the unit. If the manager wants to use the most common method to overcome resistance to the change, which strategy would be chosen? 1. The manager distributes a handout explaining the new system and how to

Sullivan, Effective Leadership and Management, 8/e Chapter 6 Question 1 Type: MCSA Which situation is an example of the overall goal of quality management in today's health care activities? 1. The nurse manager realizes a policy was ineffective in reducing incidents. 2. The administrator walks around making a list of potential problems. 3.

4. The dashboard is a screen on the electronic medical record that can be accessed for quality improvement information. Correct Answer: 2 Rationale 1: The dashboards in this scenario are not associated with automobiles. Rationale 2: Dashboards are electronic tools that provide ease of access to real-time or retrospective data. Rationale

Question 23 Type: MCMA The leader of a continuous quality improvement (CQI) team has asked that an information packet be distributed to members of the resource group. The secretary would prepare packets for which people? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select

Sullivan, Effective Leadership and Management, 8/e Chapter 7 Question 1 Type: MCSA Which statement reflects the most important use of power in nursing? 1. The nurse manager uses power when evaluating staff. 2. The nurse can use power to impact and improve client care. 3. The nurse uses power in relationships with unlicensed

Type: MCSA Which would be the most effective way for nursing to improve the power of its image? 1. All nurses becoming politically active 2. Dressing, speaking, and acting in a professional manner 3. Motivating others to become nurses 4. Encouraging clients to speak positively about their encounters with nurses Correct

Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Contact officials only when necessary to avoid becoming a bother. 2. Avoid social media contact with officials. 3. Address only one issue in each correspondence. 4. Depend on

Sullivan, Effective Leadership and Management, 8/e Chapter 8 Question 1 Type: MCSA The nurse manager is challenged to find an innovative way to adequately staff the unit and provide quality nursing care. Which ability would be most useful to the nurse in this situation? 1. Creativity 2. Problem solving 3. Brainstorming 4. Decision making

3. Can you help me understand your perspective a little better? 4. I dont think that your concern is necessarily pertinent to this issue. 5. I dont think I can make that decision until I have more information. Correct Answer: 1,3,5 Rationale 1: Curiosity and a willingness to examine underlying

Rationale 1: Exposure to new ideas and a fresh environment outside the facility increases creativity. Rationale 2: Freedom is necessary to support the creative process. Rationale 3: Filling in a spreadsheet is a bureaucratic, regimented strategy that will not foster creativity. Rationale 4: Making creativity an assignment is a sure

Sullivan, Effective Leadership and Management, 8/e Chapter 9 Question 1 Type: MCSA The nurse manager is concerned about a family member's complaint regarding the professional behavior of a nurse on the unit. Which is the most effective method to address this issue? 1. Post a memo to the nursing staff about expected professional

Global Rationale: Cognitive Level: Analyzing Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Nursing Process: Evaluation Learning Outcome: 9-5: Improve your collaborative communication skills. Question 14 Type: MCSA When the nurse manager orders supplies for the unit, which communication mode is best? 1. Telephone 2. E-mail

Question 23 Type: MCMA The nurse is always intimidated when asking a physician to clarify orders. Which statements should the nurse use to help counteract this feeling? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Im sorry, Doctor,

Sullivan, Effective Leadership and Management, 8/e Chapter 10 Question 1 Type: MCSA The nurse manager needs to delegate specific tasks to the charge nurse of the unit. Which action is an appropriate use of delegation? 1. Instructing the charge nurse to assume a client team 2. Asking the charge nurse to discipline a

Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 10-2: Describe how effective delegation benefits the delegator, the delegate, the unit, and the organization. Question 14 Type: MCSA The nurse has attended a how to refresher course on successful delegation. Which statement

Rationale 2: If delegation is done effectively, unit efficiency is increased. Rationale 3: If the manager can get more done because delegation is effective there is a greater chance for career advancement. Rationale 4: There is no evidence that this is the case. Rationale 5: Development is stifled when the staff

Sullivan, Effective Leadership and Management, 8/e Chapter 11 Question 1 Type: MCSA A newly hired nurse is asked to join a group working on unit protocols. This nurse is verbal and dominates the conversation of the group. The group leader identifies the disruption this nurse causes as being from which phenomenon? 1. Status

Question 14 Type: MCSA The nurse manager has been asked to assemble several groups to work on tasks to improve the units performance and client satisfaction scores. This manager would put the fewest people in a group working on which type of task? 1. Additive 2. Disjunctive 3. Divisible 4. Conjunctive Correct Answer:

Rationale 2: Task groups are generally limited to a specific service area. Rationale 3: A task group is charged with accomplishing a specific time-limited assignment. Rationale 4: Task groups are not competing groups. Global Rationale: Cognitive Level: Applying Client Need: Safe Effective Care Environment Client Need Sub: Management of Care

Sullivan, Effective Leadership and Management, 8/e Chapter 12 Question 1 Type: MCMA The nurse manager is facilitating the work of a collaborative team whose mission is to negotiate employment contracts with physicians. The nurse manager does not want to compromise the nurses concerns in favor of the doctors concerns. Which strategies would

Rationale 3: Smoothing includes statements or actions such as complementing ones opponent, downplaying differences, and focusing on minor areas of agreement. Agreeing about the length of lunch break is one such minor area. Rationale 4: The statement the we can get along is a statement of avoidance. Global Rationale: Cognitive

Rationale 2: Avoidance is a covert behavior. Rationale 3: Refusal is an overt act of conflict. Rationale 4: Not being as careful is a covert action. Rationale 5: Apathy is a covert conflict behavior. Global Rationale: Cognitive Level: Analyzing Client Need: Safe Effective Care Environment Client Need Sub: Management of

Sullivan, Effective Leadership and Management, 8/e Chapter 13 Question 1 Type: MCMA Which strategies would decrease the amount of time the nurse manager spends with drop-in visitors to the managers office? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1.

Rationale 4: Getting a job and moving on with life are not goals. A short-term goal statement would be, I want to work and save $5,000 in the next year. Global Rationale: Cognitive Level: Analyzing Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Nursing Process:

Rationale 4: People work on the basis of consequences to the group. Global Rationale: Cognitive Level: Applying Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 13-1: Identify time wasters. Question 24 Type: MCMA As part of a new time management

Sullivan, Effective Leadership and Management, 8/e Chapter 14 Question 1 Type: MCSA The nurse manager tells the staff that this years budget numbers will not change, even if census drops over the rest of the year. How should the staff interpret this information? 1. The budget is a fixed one. 2. The hospital

Standard Text: Correct Answer: 0.12 Rationale : To arrive at this figure, add the number of days off, multiply by 8 hours per shift, and divide by 2080 (number of hours worked yearly by one FTE). 0.12 of an FTE will be added per employee to the salary budget. Global Rationale:

1. The equipment is jointly owned by all units that use it. 2. If clients on the managers unit require the use of this equipment, a portion of the cost will be charged to the unit. 3. The equipment will be rented to the units for use. 4. The nurse manager

Sullivan, Effective Leadership and Management, 8/e Chapter 15 Question 1 Type: MCSA Which step should be taken first when recruiting and selecting nursing staff? 1. Develop a structured interview guide. 2. Become familiar with the position description for the jobs available. 3. Develop a recruitment strategy to attract qualified applicants. 4. Identify potential

2. Negotiation skills 3. Initiative 4. Decision-making skills Correct Answer: 4 Rationale 1: Adaptability focuses on how an experience has affected the nurse and how the nurse handled the situation. Rationale 2: Negotiation skills provide information as to how the nurse was able to compromise in a situation. Rationale 3:

Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. The facts of the history should be presented while maintaining the confidentiality of those involved. 2. The history should briefly be mentioned as some minor problems with staffing.

Sullivan, Effective Leadership and Management, 8/e Chapter 16 Question 1 Type: MCSA A unit requires a great deal of staffing flexibility. To fill this need, the manager should use which strategy? 1. Maximizing the availability of nursing staff 2. Good communication among staff 3. A high RN-skill mix 4. Overlap between shifts Correct

1. There is no overlap of staff. 2. There are not enough nurses working during a 24 hour period of time. 3. This would create discord and confusion with other health care departments. 4. This staffing pattern would not be cost-efficient. Correct Answer: 4 Rationale 1: With 10 hour shifts

1. Demand management 2. Block scheduling 3. Organizational related 4. Patient classification Correct Answer: 4 Rationale 1: Demand management predicts needs over the next few days, not the next shift. Rationale 2: In block scheduling, a set amount of nurses would work during the shift and client acuity would not

Sullivan, Effective Leadership and Management, 8/e Chapter 17 Question 1 Type: MCSA The nurse manager is concerned about the apparent lack of staff motivation to improve client care on a unit. How should this manager use motivational theories to help improve this situation? 1. Choose one theory that the manager thinks best suits

Learning Outcome: 17-4: Describe the benefits of nurse residency programs, career advancement strategies, and leadership development on motivation. Question 14 Type: MCSA The nurse manager tells a newly licensed nurse that having a mentor is a benefit to career development. What should the new nurse expect from a mentorprotg relationship? 1. The protg

Standard Text: Select all that apply. 1. Employees with a long history at the facility are easier to control. 2. This method of developing leaders has proved to be cost-effective. 3. The leadership development can be varied according to the needs of the nurse. 4. When leaders are developed from

Sullivan, Effective Leadership and Management, 8/e Chapter 18 Question 1 Type: MCMA The nurse manager is completing employee evaluations. Which practices should the manager use when doing these appraisals? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Appraising staff

Correct Answer: 1,2,4,5 Rationale 1: Taking notes does save time for the manager when evaluations are written or if other issues come up on the unit. Rationale 2: On a busy unit, the manager must rely on written notes as a reminder of issues that should be discussed with staff. Rationale 3:

Rationale 3: The members of the peer review committee submit a written evaluation to the manager. Rationale 4: The manager also completes an evaluation. Rationale 5: Peer review is often used in self-governance models. Global Rationale: Cognitive Level: Applying Client Need: Safe Effective Care Environment Client Need Sub: Management of

Sullivan, Effective Leadership and Management, 8/e Chapter 19 Question 1 Type: MCMA The nurse manager is coaching an employee who has been late for work three mornings this week. What statements and questions should the manager include in this coaching session? Note: Credit will be given only if all correct choices and no

Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 19-1: Describe how to coach an employee. Question 14 Type: MCSA The staff has complained that a nurse receives frequent personal phone calls, which is a violation of policy. In what manner should the manager address this nurse? 1. Meet with the nurse privately and

A nurse has complained to the human resources (HR) director regarding unfair treatment by the nurses manager. The nurse describes receiving a written warning, unlike other nursing staff who exhibit similar behaviors but are not reprimanded. Which concerns would the HR director discuss with the hospital chief nursing officer? Note: Credit

Sullivan, Effective Leadership and Management, 8/e Chapter 20 Question 1 Type: MCSA The nurse executive and the human resources manager of a hospital meet to discuss the recent increase in nursing turnover. Which statement reflects the best source of information about this increase? 1. What have the exit interviews shown as reasons for

Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. I think we should define excessive absenteeism by total time lost instead of absence frequency. 2. Lets offer a salary increase for those with good attendance. 3. Why

The director of two nursing units is off on medical leave. The morale on these units has decreased over the past year. During the directors absence the chief nurse officer (CNO) notices a marked increase in the staffs morale. This causes the CNO to be concerned about which factor on

Sullivan, Effective Leadership and Management, 8/e Chapter 21 Question 1 Type: MCSA A hospital administrator is investigating why the turnover rate is so high and why it is difficult to attract new nursing employees. Which situation is most likely to have resulted in this problem? 1. The hospital is in a poorer part

Rationale 2: This behavior is unprofessional, but this term is not the most specific one provided. Rationale 3: This behavior is unacceptable, but this term is not the most specific one provided. Rationale 4: This behavior likely does warrant a written warning, but this is not the statement that most

Rationale 3: The manager must remain professional at all times. In this case, when the manager was not professional, an apology is in order. Rationale 4: The manager has made a tactical error and should not send this employee back to work. Global Rationale: Cognitive Level: Applying Client Need: Safe Effective

Sullivan, Effective Leadership and Management, 8/e Chapter 22 Question 1 Type: MCSA A nurse manager is working on a task force to develop policy for man-made disasters. There is some discussion in the committee about whether fire should be included in the policy. Which suggestion by a task force member would be most

Type: MCMA An emergency department has been notified that hundreds of injuries have occurred following the collapse of bleachers at a football game. The emergency department nurses should prepare to make which types of assessments? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard

Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. To assure staff members of their personal safety 2. To evaluate the performance of those involved 3. To initiate any improvements needed 4. To evaluate the overall effectiveness

Sullivan, Effective Leadership and Management, 8/e Chapter 23 Question 1 Type: MCSA A nurse manager is investigating a report made by a staff nurse. The nurses states that a visitor backed the nurse up against a wall and was verbally abusive but did not touch the nurse. How should the manager describe

Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 23-4: Discuss how to respond to a violent incident. Question 14 Type: MCSA The nurse has just been notified that a client is to be admitted from the emergency department (ED) with

1. Keep a safe distance from the visitor. 2. Yell for another nurse to assist with the visitor. 3. Leave the room. 4. Threaten the visitor with assault charges. Correct Answer: 1 Rationale 1: The nurse should recognize threatening behavior and keep a safe distance from the visitor exhibiting the

Sullivan, Effective Leadership and Management, 8/e Chapter 24 Question 1 Type: MCSA The nurse manager is educating staff about the collective bargaining process. Who should this nurse say controls collective bargaining in health care? 1. The judicial system 2. Individual hospitals 3. Nurses unions 4. Federal laws Correct Answer: 4 Rationale 1: The

Type: MCSA A grievance has been filed against a hospital whose nursing staff has just established a union. What is the nurse executives first step? 1. Call the union representative for a meeting to discuss the grievance. 2. Call managers together to discuss the grievance. 3. Notify staff nurses that the

Correct Answer: 2,4,5 Rationale 1: Both staff nurses and supervisory nurses make clinical judgments about client care. Rationale 2: If the nurse makes assignments to a nurse assistant, the nurse has supervisory capacity. Rationale 3: Both staff nurses and supervisors discuss client care with supervising physicians and other physicians. Rationale 4:

Sullivan, Effective Leadership and Management, 8/e Chapter 25 Question 1 Type: MCSA An ICU nurse manager noticed a competent nurse has become forgetful and has made medication errors in the past few months. This type of behavior is unusual for this nurse. What action should the manager take? 1. Issue a written warning

Rationale 4: Compassion fatigue has much more serious symptoms than anxiety. Rationale 5: There is no evidence of post-traumatic stress disorder. Global Rationale: Cognitive Level: Analyzing Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Nursing Process: Assessment Learning Outcome: 25-3: Explain the consequences that

4. The manger is inquiring about other leadership styles the nurse has encountered. Correct Answer: 1 Rationale 1: This nurse manager is in a stressful situation. Assessing whether his or her management or leadership style is helpful or appropriate allows the manager to enhance his or her performance. It is

Sullivan, Effective Leadership and Management, 8/e Chapter 26 Question 1 Type: MCSA A student who is about to graduate is discussing the future with a nursing instructor. The instructor asks the student, What schedule are you interested in working? What organization is near your home? The student says that salary is the

Rationale 4: No one is certain they can complete a degree program. The point is to start. Global Rationale: Cognitive Level: Applying Client Need: Safe Effective Care Environment Client Need Sub: Management of Care Nursing/Integrated Concepts: Nursing Process: Planning Learning Outcome: 26-6: Explain how to find your next job. Question

Rationale 3: The work experience is the most important of these potential entries. Rationale 4: Educational experiences such as graduating with honors should be included in the rsum, but they are not the most important of these potential entries. Global Rationale: Cognitive Level: Analyzing Client Need: Safe Effective Care Environment Client