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    Exam Review

    1. After consulting with practice environments about quality and safety concerns in health care, a dean in a health care program implements what to improve quality and safety in health care?
      A)
      An interdisciplinary program for nurses, pharmacists, and medical practitioners that emphasizes collaborative learning teams.
      B)
      Programming that stresses discipline-based research.
      C)
      A nursing program that emphasizes the development of a strong disciplinary identity.
      D)
      Partnerships with health care to develop software for the reporting of adverse events.
    2. A nurse manager must also consider a number of internal variables that will affect staffing patterns. An internal variable to be considered is:
      A)
      consumer expectations.
      B)
      state licensing standards.
      C)
      organizational staffing policies.
      D)
      American Nurses Association.
    3. A nurse manager has decided that she must institute some personal time-management steps to survive work and home life. Her first step should be to:
      A)
      determine what takes up so much of her time and energy.
      B)
      organize her personal and work spaces.
      C)
      determine her personal and professional goals.
      D)
      purchase a handheld personal digital assistant to help remind her of important meetings.
    4. To prepare staffing schedules, a nurse manager needs to calculate paid non-productive time. When calculating paid non-productive time, the nurse manager considers:
      A)
      vacation time, holiday time, and sick time.
      B)
      paid hours minus worked hours.
      C)
      work time, educational time, and holiday time.
      D)
      paid hours minus meeting time.
    Page 1 of 10

    Exam Review

    1. The Emergency Department staff decides to use a collective bargaining model for negotiation rather than a traditional trade union model. A traditional trade union model is characterized by:
      A)
      an ability to resolve complaints.
      B)
      spirit of trust between management and labor.
      C)
      positional conflict.
      D)
      management support of labor's initiatives.
    2. As a nurse manager, you observe a staff nurse who over the past few weeks has become withdrawn and has had several absences due to minor ailments. Your best action would be to:
      A)
      ask the nurse if she is okay during report.
      B)
      refer the nurse to the employee assistance program.
      C)
      ask the nurse to meet with you for a few minutes before she leaves for the day.
      D)
      write a note to the nurse advising her that her work attendance must improve.
    3. The core of leadership is awareness. The text by Don Miguel, The Four Agreements, presents a set of agreements to enhance personal growth and awareness. What is not one of the four agreements?
      A)
      Do not make assumptions.
      B)
      Be impeccable with your word.
      C)
      Take things personally.
      D)
      Always do your best.
    4. As a nurse manager, you are a leader in health care and on the unit you manage. Looking at the larger picture of health care and patient environment on the unit, what is your primary role when evaluating the care provided on your nursing unit?
      A)
      Provide education to the staff of the unit.
      B)
      Assess staff for contentment on unit.
      C)
      Ensure quality patient care on unit.
      D)
      Focus on cost outcomes.
    Page 2 of 10

    Exam Review

    1. The chief nursing officer (CNO) is appointed for the local hospital in a rural area. The nursing committee agreed with the appointment of the new CNO offered the position. What is this type of leadership position considered?
      A)
      Director leadership
      B)
      Personal leadership
      C)
      Informal leadership
      D)
      Formal leadership
    2. The nurse manager is implementing a shared governance model to help with communication and decision making. Although staff members like the concept, change is difficult. Staff nurses feel:
      A)
      less stressed.
      B)
      more communicative.
      C)
      more powerless and devalued.
      D)
      more empowered.
    3. The definition of follower has historically referred to a person who is subservient and submissive. The new principles of followership offer a different perspective. What is NOT considered an attribute of followership in nursing?
      A)
      Critical thinking
      B)
      Patient advocate
      C)
      Independent decision making
      D)
      No influence over leaders
    4. A nurse manager working for a not-for-profit organization should be familiar with the regulations that impact the organization. Not-for-profit organizations:
      A)
      can refuse clients who are unable to pay.
      B)
      pay no taxes.
      C)
      have no paid employees.
      D)
      pay dividends to stockholders.
    Page 3 of 10

    Exam Review

    1. What would be the primary emphasis in designing and implementing a quality, safe healthcare environment?
      A)
      Staffing
      B)
      Informatics
      C)
      Evidence-based practice
      D)
      The patient
    2. A hospital is working toward becoming a Magnet hospital. The chief nursing officer is aware that professional nursing departments in Magnet hospitals will:
      A)
      be entitled to have client care departments.
      B)
      be designed to maintain nursing standards of practice.
      C)
      not be directed by nurses.
      D)
      be virtual organizations.
    3. The manager in the coronary care unit believes an important ethical consideration in performance evaluations is to include the employee's good qualities and give positive direction for professional growth. What ethical principle does this represent?
      A)
      Justice
      B)
      Beneficence
      C)
      Fidelity
      D)
      Nonmaleficence
    4. A local hospital has formed a corporate partnership with a reputable HMO (health maintenance organization). The nurse manager has had to educate staff and personnel about the financial implications of this partnership. An HMO:
      A)
      provides more expensive care than other types of insurance plans.
      B)
      does not pay as much for acute care as other practice plans.
      C)
      pays physicians on a fee-for-service basis.
      D)
      has a centralized administration that directs and compensates physician services.
    Page 4 of 10

    Exam Review

    1. A new graduate nurse has accepted a position in an intensive care unit. The nurse is assigned a preceptor with several years of experience. The new nurse also notices the other staff seek this nurse out for answers to questions and as a resource to the unit. What does the new nurse consider the role of the mentor nurse?
      A)
      A formal leader
      B)
      An informal leader
      C)
      A positional leader
      D)
      An official leader
    2. The core of nursing leadership incorporates integration of unique qualities to include us as individuals. Which is not considered part of leadership integration?
      A)
      Position
      B)
      Leader
      C)
      Nurse
      D)
      Person
    3. A patient refuses a simple procedure that you believe is in the patient's best interest. What two ethical principles are in conflict in this situation?
      A)
      Veracity and fidelity
      B)
      Fidelity and justice
      C)
      Paternalism and respect for others
      D)
      Autonomy and beneficence
    4. The staff members in a local Emergency Department are experiencing stress and burnout as the result of excessive overtime. The staff decides to unionize to negotiate for better working conditions. The increase in unionization within health care may be attributed to the:
      A)
      number of people who are involved in health care.
      B)
      movement from being "blue-collar workers" to being "knowledge workers."
      C)
      excess profits in health care.
      D)
      level of risk that exists for health care.
    Page 5 of 10

    Exam Review

    1. The manager of a nursing unit is having difficulty working with a new graduate nurse. The new graduate nurse is excited and full of ideas she wants to try. The manager decides to journal her feelings regarding the new nurse and her feelings. What is the nurse manager practicing in this situation?
      A)
      Leadership
      B)
      Knowledge
      C)
      Action
      D)
      Reflection
    2. At a second negotiation session, the unit manager and staff nurse are unable to reach a resolution. What is the appropriate next step?
      A)
      Elevate the next negation session to the next manager, one level above.
      B)
      Arrange another meeting in a week's time so as to allow a cooling-off period.
      C)
      Back the unit manager's actions and end the dispute.
      D)
      Insist that participants continue to talk until a resolution has been reached.
    3. A nurse manager of a 20-bed medical unit finds that 80% of the patients are older adults. She is asked to assess and adapt the unit to better meet the unique needs of the older adult patient. Using complexity principles, what would be the best approach to take for implementation of this change?
      A)
      Leverage the hierarchical management position to get unit staff involved in assessment and planning
      B)
      Focus the assessment on the unit and omit the hospital and community environment.
      C)
      Hire a geriatric specialist to oversee and control the project.
      D)
      Engage involved staff at all levels in the decision-making process.
    4. A nurse manager is experiencing poor staff morale on her unit. While participating in a baccalaureate course, the nurse manager had learned that one of the reasons nurses lack power today is related to the past. In the early decades of the profession, nurses lacked power because:
      A)
      nurses freely chose to defer to physicians and administrators with more education.
      B)
      the first nursing licensure laws prohibited nurses from making most decisions.
      C)
      women lacked legal, social, and political power because of legal and cultural barriers.
      D)
      nurses astutely recognized the risks of grabbing too much power too soon.
    Page 6 of 10