Grohar-Murray TIF
Chapter 7: Overview of Nursing Management
Learning Objective 1:
Explain the traditional management functions of planning, organizing, staffing, directing,
coordinating, and controlling.
1. In nursing management, which function is most important?
1. Planning
2. Staffing
3. Directing
4. Coordinating
2. The nurse managers have developed a plan for an internal float pool of nurses to address the
problem of increasing costs of staffing agencies. The float pool will be used when scheduled
staff nurses call in sick for their shift. What type of planning have these managers done?
1. Strategic
2. Long-range
3. Standing
4. Visionary
3. The nurse manager is analyzing the historical client population of the unit and determining
needed staff when making the next schedule. Which nursing functions would be involved in this
decision? Select all that apply.
1. Controlling
2. Staffing
3. Directing
4. Organizing
5. Planning
4. Which statement indicates that a new nurse manager did not understand how nursing
management differs from management in other industries?
1. “Quality care in relationship with people differentiates nursing management.”
2. “Reaching outcomes specific to a particular client differentiates nursing
management.”
3. “Nursing management must be more flexible because of the fast-changing health
care environment.”
4. “Because we are a product-oriented industry, we must specialize how we
manage.”
5. Which level of management exists in nursing management to be responsible for shift-by-shift
coordination and promotion of quality client care?
1. Middle
2. First
3. Front line
4. Upper
6. Nurses in management have a different goal in mind than do workers other industries’
management. Which statement best exemplifies this goal?
1. “Nurses have so many people to whom they report, management is much more
difficult.”
2. “Nurses have a legal and ethical responsibility for the safety and health of the
public.”
3. “Since nurses work all shifts, the need for seamless care makes nursing
management different.”
4. “Nurses in management must focus on making the most of limited resources
available.”
Learning Objective 3:
Identify at least five key characteristics of effective nurse managers.
7. In a leadership training class, which statement indicates learning has been successful?
1. “Relationship building is essential to be effective in leadership.”
2. “Leadership means I can delegate tasks I do not want to do.”
3. “If I am to be successful in leadership, I should make sure no followers are
friends.”
4. “Maintaining distance from my staff will make me more effective.”
8. Which characteristics are included as key for effective nurse management?
1. Always has an open door policy.
2. Communicates clearly.
3. Stands up for the group.
4. Remains calm regardless of situation.
5. Maintains honesty and fairness.
9. Which situation most closely personifies an effective nurse manager empowering staff?
1. The nurse manager allows the charge nurse to work on the nursing schedule.
2. The nurses on the unit work to find ways to save on unit supplies.
3. The nurse manager uses incentives to help control call-ins.
4. Staff nurses are expected to mentor new staff starting on the unit.
Learning Objective 4:
Discuss the strengths and weaknesses of different systems of nursing care delivery.
10. As the RN team leader, identify all potential challenges of using team nursing to deliver care
to assigned clients. Select all that apply.
1. Delegation and increased accountability
2. Cost savings with staffing needs
3. Continuity of care per team
4. Communication among staff
5. RN time availability to the patient
Cognitive Level: Application
11. Which structure would be the most successful client care delivery system in intensive care
units?
1. Total patient care
2. Functional nursing
3. Team nursing
4. Modular nursing
12. Hospital administrators in an acute care facility hoping to reduce expenditures and improve
patient outcomes would most likely consider which type of client care delivery system?
1. Primary nursing
2. Case management
3. Differentiated practice
4. Functional nursing
13. The nurse manager of the childbirth center has been instructed to implement a cost savings
plan by downsizing nonprofessional staff. Which action is the most important task for the
manager?
1. Reorganize workload and assign tasks.
2. Evaluate outcomes and report to the administration.
3. Plan transitional activities.
4. Inspire staff to commit to the organization goals.
14. An experienced ICU manager is orienting a medical–surgical nurse manager to the
organization. Throughout the day, the ICU manager has a notepad and pen in her pocket, and
makes notes. The new manager inquires why the ICU manager is taking so many notes. Why is
the experienced manager taking notes?
1. Saves time in the long term.
2. Is just the management style.
3. To most effectively address issues
4. Can be used in shift report.
15. A newly hired certified nurse’s aide (CNA) has been 15 minutes late returning from mealtime
4 days this week. The nurse manager coaches the employee and finds that the CNA thought meal
breaks were 45 minutes. What is the most appropriate response from the nurse manager?
1. Document the tardy behavior in the CNA’s record.
2. Have the charge nurse time future meal breaks.
3. Provide a warning, and follow up in 2 weeks.
4. Show the break times in the employee handbook.