Leadership and Management for Nurses: Core Competencies for Quality Care 3rd Edition

Leadership and Management for Nurses, 3e (Finkelman)Chapter 1 Conceptual Base for Leadership and Management1) The nurse manager has asked that all staff nurses develop effective leadership competencies.How should the staff nurses interpret this request?1. This is an unrealistic expectation, because only managers are leaders.2. This is possible if the nurses

17) There have been several patient complaints that the staff members of the unit are disorganized and that "no one seems to know what to do or when to do it." The staff members concur that they don't have a real sense of direction and guidance from their leader. Which type of leadership

Leadership and Management for Nurses, 3e (Finkelman) Chapter 10 Diversity and Disparities in Health Care 1) The Governing Board of the hospital has completed an assessment of the organization's culture. Which findings would lead the Board to determine that the culture is healthy? Select all that apply. 1. There is wide variation in the expectations

13) The healthcare agency is using regular staff meetings to improve its organizational culture and healing environment. What should the nurse leading these meetings encourage? 1. Open discussion, with no feedback 2. An agenda strictly focused on patient care issues 3. Relevant questions, asked respectfully 4. Unanimous staff agreement with agency policies and practices Answer: 3 Explanation:

16) Which statement, made by a nursing student, reflects accurate knowledge of the NAM? 1. It is a governmental organization focused on healthcare. 2. It is the agency that developed the Healthy People initiatives. 3. It is an agency developed to protect the interests of medical doctors and other healthcare professionals. 4. It is a

Leadership and Management for Nurses, 3e (Finkelman) Chapter 11 Consumers and Nurses 1) A committee of hospice nurses at a managed care organization is trying to determine what consumers want and need most. What is the best source of relevant information? 1. The hospice's human resources officer 2. Families of current and recent hospice patients 3.

17) Which statement regarding the authority of a team leader is accurate? 1. The team leader in a healthcare organization has authority equal to those individuals who comprise the administrative staff. 2. The team leader has only as much authority as the team members will allow. 3. The team leader relinquishes authority and control

Leadership and Management for Nurses, 3e (Finkelman) Chapter 12 Developing Interprofessional and Intraprofessional Teams 1) The hospital's strategic building plan calls for the nursing unit to double in size within the next year. How can planning for this increase best be accomplished? 1. A consultant who can gather ideas from all involved while avoiding

15) Initial conflict resolution includes using which strategy? 1. Developing more self-confidence. 2. Avoiding the situation. 3. Questioning throughout the process. 4. Obtaining a neutral third party to assist. Answer: 3 Explanation: 1. This is a by-product of the conflict resolution process. It should not be necessary to wait until self-confidence is developed to address the conflict

Leadership and Management for Nurses, 3e (Finkelman) Chapter 13 Improving Teamwork: Collaboration, Coordination, and Conflict Resolution 1) Which typical response by the nurse indicates the use of effective collaboration skill? 1. Negotiates with others. 2. Avoids competition. 3. Strongly defends own ideas. 4. Attacks to assert own position. Answer: 1 Explanation: 1. Conflicts will arise that could interfere

Leadership and Management for Nurses, 3e (Finkelman) Chapter 14 Effective Staff Communication and Working Relationships 1) The nurse team leader asks the nursing assistant to ambulate a patient after morning care. This is an example of which type of communication? 1. Upward communication 2. Lateral communication 3. Diagonal communication 4. Downward communication Answer: 4 Explanation: 1. Upward communication occurs

17) The hospital has established a nursing work team to develop a new system for delivering shift reports information. Which line of communication will be used for most of this team's work? 1. Upward 2. Downward 3. Lateral 4. Diagonal Answer: 3 Explanation: 1. There will likely be some upward communication as reports are made to superiors, but this

Leadership and Management for Nurses, 3e (Finkelman) Chapter 15 Delegation for Effective Outcomes 1) Which issues should the nurse manager consider related to delegation? Select all that apply. 1. Delegation is a simple task assignment. 2. The manager retains accountability for the project. 3. Someone else will have the responsibility and authority to do the

15) Which statement, made by a nurse, indicates that the nurse needs additional education regarding delegation and the delegation process? 1. "I was hoping you could show me your technique for ambulating patients." 2. "Here is what you can do to help our team care for patients today." 3. "I have always enjoyed doing

16) What are the advantages of using systematic reviews to learn about evidence-based practice issues? Select all that apply. 1. Any inconsistencies in the material are explored. 2. The review increases the strength of cause and effect relationships. 3. Helps to increase efficiency in time between research and clinical implementation. 4. This review proves this

Leadership and Management for Nurses, 3e (Finkelman) Chapter 16 Evidence-Based Practice and Management 1) The high school student is very interested in healthcare research and is trying to decide which healthcare profession to enter. What should this student consider when examining leadership roles in research that nurses can assume? Select all that apply. 1. Nurses

12) Which phrase best explains the Institute of Medicine's (IOM) 21st century rule, "Care based on continuous healing relationships?" 1. Sharing of information 2. Patient-centered care 3. Access is critical 4. Care based on evidence Answer: 2 Explanation: 1. Sharing of information is related to the critical nature of "Shared knowledge and the free flow of information." 2. Patient-centered

Leadership and Management for Nurses, 3e (Finkelman) Chapter 17 Healthcare Quality: A Critical Health Policy Issue 1) The nurse is interested in educating patients to become active participants in their own healthcare. Which information should the nurse review to develop a program for the hospital? 1. "Speak Up: Help Prevent Errors in Your Care." 2.

Leadership and Management for Nurses, 3e (Finkelman) Chapter 18 Implementing Healthcare Quality Improvement 1) Which situation is most likely to result in the nurse making a medication error? 1. The nurse has worked three 12-hour shifts in three days. 2. The nurse uses an online program to access medication information. 3. The nurse insists on

13) The risk manager of a healthcare organization is concerned about the amount of violence against healthcare workers that is occurring nationwide and would like to offer education sessions to staff. Which groups of staff are most at risk for experiencing violence and therefore should receive this education earlier rather than later in

Leadership and Management for Nurses, 3e (Finkelman) Chapter 19 Healthcare Informatics and Technology 1) The nursing student states, "I use information and technology all the time to keep in touch with my friends and family. I didn't know it was used in healthcare, too." Which statements, made by a fellow student, would explain the

17) The large healthcare organization is determined to develop and support technological processes and structures to help nursing staff members manage the data generated in the direct care of patients. Which person would be best for the organization to hire to achieve this goal? 1. A computer programmer 2. A software analyst 3. A nursing

Leadership and Management for Nurses, 3e (Finkelman) Chapter 2 Healthcare Policy, Legal Issues, and Ethics in Healthcare Delivery 1) Which option represents a situation exemplifying the need for nurses to become involved in healthcare policy development? 1. The nurse omitted documentation of a surgical dressing change. 2. The nurse must have a nursing license and

17) A staff nurse in a small, rural hospital is concerned about the future of healthcare in the rural environment. How can this nurse be involved in healthcare policy development? Select all that apply. 1. Join local and national nursing organizations. 2. Contact elected representatives regarding nursing and healthcare. 3. Act as a patient advocate. 4.

Leadership and Management for Nurses, 3e (Finkelman) Chapter 20 Staff Education to Meet Health Professions Core Competencies and Improve Care 1) The Health Professions Education report indicates change is needed in healthcare professions education. What are the core competencies the report identifies? 1. Utilize informatics. 2. Provide patient-centered care. 3. Demonstrate leadership. 4. Work in interprofessional teams. 5. Communicate

Leadership and Management for Nurses, 3e (Finkelman) Chapter 3 Operational and Strategic Planning: Change, Innovation, and Decision Making 1) The manager of a maternal-child health unit announces that the unit will be redesigned to help meet the Institute of Medicine healthcare competencies. What scenario is one that the staff of this unit might expect? 1.

17) What are the common external factors that drive change in a healthcare organization? Select all that apply. 1. Changes in reimbursement by third party payers 2. Changes in the demographics of employees in the facility 3. Changes in local, state, or national laws 4. Changes in professional standards of care 5. Changes in the organization's

Leadership and Management for Nurses, 3e (Finkelman) Chapter 4 Organizational Structure for Effective Care Delivery 1) The organizational analysis documentation describes the organization as one with centralized leadership with a clearly defined organization chart hierarchy. The organization is divided into departments and follows detailed rules and regulation. This organization follows which theories? Select all that

16) The primary physician identifies a healthcare provider to manage the care of a patient on the general medical unit of a hospital. Depending upon the facility, which healthcare provider may fill this role? Select all that apply. 1. Nurse Practitioner Hospitalist 2. Physician Intensivist 3. Physician Hospitalist 4. Registered nurse 5. Clinical Nurse Specialist Intensivist Answer: 1,

Leadership and Management for Nurses, 3e (Finkelman) Chapter 5 Healthcare Economics 1) Choose the options that are examples of the microlevel view of healthcare finance. Select all that apply. 1. Capitation 2. Managed care organization 3. Diagnostic-related groups 4. Budgeting 5. Cost center Answer: 4, 5 Explanation: 1. This is a concept that pertains to the global issues of finance,

13) The vice president of nursing services is completing a budgetary report for the governing board meeting this week. In which category should this nurse place the total expenditure for health benefits for nursing employees? 1. Salary and wages 2. Operations 3. Capital 4. Accounts receivable Answer: 1 Explanation: 1. Salary and wages include all salary and benefits

14) The chief nurse executive of a hospital is often responsible for supervising nurses that do not work only in nursing services. In which other departments might these nurses work? Select all that apply. 1. Diagnostic procedures 2. Finance and budget 3. Material and resource management 4. Infection control 5. Infusion therapy Answer: 1, 4, 5 Explanation: 1. Nurses

Leadership and Management for Nurses, 3e (Finkelman) Chapter 6 Acute Care Organizations: An Example of a Healthcare Organization 1) The nurse has taken an employment position in a healthcare facility that advertises itself as being part of a network. What can the nurse expect in this organization? 1. This hospital is part of a

Leadership and Management for Nurses, 3e (Finkelman) Chapter 7 Public/Community Health: Expansion and Need for Leadership 1) What is the primary message in the NAM report The Future of the Public's Health in the 21st Century? 1. Quality improvement focuses primarily on acute care. 2. Healthcare professionals are prepared for public health. 3. Healthcare inequality is

16) The staff nurse has a question regarding an employment benefit. The nurse manager is unable to answer the question and suggests that the nurse contact the human resources department. The nurse states, "Oh never mind, they are so unfriendly down there and can never help you anyway." This statement reflects what basic

Leadership and Management for Nurses, 3e (Finkelman) Chapter 8 Recruitment and Retention: Meeting Staffing Requirements 1) The nurse who wishes to apply for a job in a healthcare organization is asked to visit the human resources department. What services can the nurse expect to be delivered through this department? Select all that apply. 1. Orientation

Leadership and Management for Nurses, 3e (Finkelman) Chapter 9 Managing Patient-Centered Care 1) The nurse manager is making patient assignments for the shift. What should be the primary guiding factor in these assignments? 1. Number of staff available 2. Skill mix of the staff 3. Patient needs 4. Physical layout of the unit Answer: 3 Explanation: 1. This is

relate to patient-centered care. 15) Which description of a clinical pathway provided by a nursing student would indicate the best understanding of the concept? 1. Clinical pathways are tools to measure patient outcomes. 2. Clinical pathways are the same as nursing care plans. 3. Clinical pathways are developed to use in acute care settings and