Foundations of Nursing Management
Midterm Exam
Course Introduction
Foundations of Nursing Management introduces students to the core principles, theories, and practices essential for effective management in nursing. The course explores the roles and responsibilities of nurse managers, including leadership styles, delegation, conflict resolution, decision-making, and team building within healthcare environments. Students will learn about organizational structure, quality improvement, ethical and legal considerations, and strategies for promoting safe and efficient patient care. Through case studies and practical applications, this course prepares future nurses to navigate complex healthcare systems and assume leadership positions in various clinical settings.
Recommended Textbook
Nursing Delegation and Management of Patient Care 2nd Edition by Kathleen Motacki RN
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21 Chapters
433 Verified Questions
433 Flashcards
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MSN
Chapter 1: Leadership and Management
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) A nurse leader, according to the American Organization of Nurse Executives ( AONE ), is competent in the areas of (Select all that apply.)
A)knowledge of the health care environment.
B)communication.
C)business management.
D)demanding participation by the staff.
E)providing a financial incentive.
Answer: A, B, C
Q2) The patient care delivery system used by an institution should be based on which fundamental elements? (Select all that apply.)
A)Work allocation
B)Accountability
C)Allocation of resources
D)Mission statement
E)Leadership style
F)Cultural diversity of patients
Answer: A, B, D
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Page 3
Chapter 2: Organizational Structure of Health Care
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) A nurse who is interested in developing clinical decision-making skills would look for a unit that practices which model for health care delivery?
A)Primary nursing
B)Team nursing
C)Functional nursing
D)Case management
Answer: A
Q2) A nurse working on a unit using the primary care delivery model would expect to observe which practice specific to primary care delivery?
A)The UAP measures blood sugar levels on all patients.
B)The RN administers medications to a team of patients.
C)The RN verifies a new order for patient started on an antihypertensive with a blood pressure of 100/60 mm Hg.
D)The RN holds the morning dose of insulin for a patient scheduled for surgery later that day.
Answer: D
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4
Chapter 3: Strategic Management and Planning
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) Organize the following steps in developing a strategic unit-based action plan.
1)Determine specific strategies for each goal.
2)Select goals to be achieved.
3)Define the purpose or mission.
4)Monitor and update the plan
5)Identify resources for accomplishing goals.
A)3, 2, 1, 5, 4
B)2, 1, 3, 4, 5
C)1, 2, 3, 4, 5
D)1, 2, 5, 4, 3
Answer: A
Q2) When referring to the critical success factors (CSFs) that organizations use for developing their strategic plans, the term Quality best describes which characteristic?
A)Quality is a measurement of the product produced.
B)Quality is the value of the service.
C)Quality is the outcome provided when the best people are providing the best service.
D)Quality is a characteristic of the service.
Answer: C
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Chapter 4: Financial Management in Health Care
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Sample Questions
Q1) A community health center leases space from the owner of the building.As the manager develops the budget, they understand this to be a fixed cost.From which of the following would the lease payment be paid?
A)Operating budget
B)Personnel budget
C)Capital budget
D)Cash budget
Q2) In addition to determining the number of patient care hours needed, the nurse manager must also include which other labor costs?
A)Loss of staff positions
B)Vacations and holiday pay
C)Breaks
D)Changes in management
Q3) When evaluating the performance of a budget, the nurse manager can use a variance analysis to explain
A)an increased cost due to market changes.
B)a change in availability of materials.
C)differences between budget and cost.
D)one-time event.
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Page 6
Chapter 5: Healthcare Regulatory and Certifying Agencies
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) The Joint Commission ( TJC ) is a voluntary accrediting agency that is nationally recognized for its performance standards.A hospital accredited by the agency will most likely experience which outcome?
A)Improved patient outcomes
B)Dedicated staff
C)Higher salaries
D)Loss of practicing physicians
Q2) The Joint Commission ( TJC ) has made recommendations for abbreviation use, which have been instituted in most health care facilities.Which abbreviations would the nurse expect to find on the "Do Not Use" list from TJC? (Select all that apply.)
A)Qd
B)Qod
C)Prn
D)NPO
E)STAT
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Chapter 6: Organizational Decision Making and Shared Governance
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8 Verified Questions
8 Flashcards
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Sample Questions
Q1) Which council advances the practice of nursing and fosters the nursing role in patient education through staff and development and evidence-based research initiatives?
A)Nursing Staff Development, Education and Research Council
B)Nurse executive council
C)Advanced practice nurse council
D)Nursing informatics and communication council
Q2) Which council is concerned with the management of resources as defined in the strategic plan and nursing conceptual framework?
A)Nurse Executive Council
B)Unit-Based Council
C)Nursing quality and patient safety council
D)Advanced practice nurse council
Q3) Nursing shared governance models have always focused on
A)physician groups controlling all practice models.
B)nurses and physicians making nursing practice decisions.
C)nurses controlling their professional practice.
D)national accreditors controlling nursing practice decisions.
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Chapter 7: Professional Decision Making and Advocacy
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7 Verified Questions
7 Flashcards
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Sample Questions
Q1) The four major areas of political action in nursing are
A)the workplace, the government, professional organizations and the community.
B)the workplace, the educational institutions, professional organizations and the community.
C)the government, professional organizations and the state regulators, community boards.
D)the government, the community and nursing boards, education board.
Q2) Which of the following is a policy that pertains to the decisions that promote the welfare of the public?
A)Social
B)Health
C)Organizational
D)Public
Q3) Which of the following is a policy that pertains to the governing of workplaces?
A)Social
B)Health
C)Organizational
D)Institutional
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Chapter 8: Communication in the Work Environment
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) Which patient should the charge nurse direct the RN to see immediately after the shift report?
A)Patient with a blood sugar of 240 mg/dL
B)Patient complaining of burning on urination
C)Patient in a Posey vest who is trying to get out of bed
D)Patient with a temperature of 38°C who is scheduled for surgery later that day
Q2) Which of the following are true when communication is effective? (Select all that apply.)
A)The sender is credible.
B)There is clarity.
C)Simple, exact language is used.
D)Slang is used.
E)The receiver rolls her eyes when asked to complete a task.
Q3) A nurse takes a telephone order from a physician.Which procedure is best for the nurse to use to avoid errors?
A)Ask another nurse to listen to the conversation on another telephone.
B)Repeat the order, write the order verbatim, and read the order back to the physician.
C)Ask the physician to come to the unit to write the order.
D)Hold implementation of the order until the order is written by the physician.
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Page 10
Chapter 9: Personnel Policies and Programs in the Workplace
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47 Verified Questions
47 Flashcards
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Sample Questions
Q1) A male nurse is working with female nurses on a unit.One of the female nurses is overheard talking about how cute the male nurse is.The nurse overhearing this comment should be expected to do which of the following?
A)Notify the nurse manager.
B)Tell the male nurse that the female nurse was making inappropriate comments.
C)Nothing, this is not harassment.
D)Warn the nurse that the conversation was overheard.
Q2) A patient admitted with an elevated ST-segment myocardial infarction on oxygen per nasal cannula for his diagnosed influenza is complaining of shortness of breath with an oxygen saturation of 88%.The albuterol treatment provides no relief.What is the next best action by the RN?
A)Increase the oxygen concentration and recheck the saturation after 10 minutes.
B)Obtain a 12-lead ECG.
C)Notify the health care provider.
D)Call the patient's wife to have her sit with him to calm him.
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Chapter 10: Professional Development
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8 Verified Questions
8 Flashcards
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Sample Questions
Q1) You are the charge nurse on a busy medical-surgical unit.You are also the preceptor to a novice nurse.What response would be expected from a nurse in the novice stage of clinical competence development when assigned to perform a morning assessment on a patient?
A)Nurse uses Doppler to obtain pulses on a patient with no palpable peripheral pulses
B)Reporting to the charge nurse that they cannot feel a patient's peripheral pulses and the blood pressure is only palpable
C)Nurse calls for help when she finds the patient with barely palpable blood pressure and hard to arouse
D)Reporting to the charge nurse that she decided to let the patient sleep until the breakfast trays arrive because the patient was sleeping so soundly
Q2) Clinical ladders for nurses are best used in what circumstance?
A)Horizontal advancement for clinicians who wish to stay at the bedside
B)Vertical advancement for management responsibilities
C)Horizontal ladder for nurses with more than 10 years of employment
D)Vertical ladder for nurses with more than 10 years of employment
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Chapter 11: Professional Practice and Care Delivery Models and Emerging Practice Models
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10 Flashcards
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Sample Questions
Q1) According to the Professional Practice Model (PPM) cited in the Clinical Corner section of this chapter, whose theory was used as the basis of the newly created PPM?
A)Newman
B)Nightingale
C)Parse
D)Watson
Q2) The care delivery system is integrated into the professional practice model.What does the care delivery model describe?
A)The manner in which care is delivered, the context of care, and the expected outcomes of care
B)The context of nursing care
C)The expected outcomes of care
D)Care delivery and outcomes
Q3) Who is at the center of care in The University of California Los Angeles Model?
A)The nurse
B)The patient, family, and community
C)The patient and family
D)The nurse and patient
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Chapter 12: Staffing and Scheduling
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36 Flashcards
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Sample Questions
Q1) There are four major types of staffing plans.The decentralized method of staff planning refers to which of the following?
A)The schedule is planned based on the central or core staff.
B)The schedule is planned on each individual unit by the nurse manager.
C)The schedule is planned by the nurses themselves.
D)The schedule is planned by nursing service.
Q2) There are four major types of staffing plans.The self-scheduling method of staff planning refers to which of the following?
A)The schedule is planned based on the central or core staff.
B)The schedule is planned on each individual unit by the nurse manager.
C)The schedule is planned by the nurses themselves.
D)The schedule is planned by nursing service.
Q3) Automated computerized staffing allows for which advantage to the institution?
A)Reduces workload of nurse manager
B)Provides coverage on weekends
C)Uses part-time staff
D)Provides coverage for daily changes in acuity of patients
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Chapter 13: Delegation of Nursing Tasks
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) Which of the following delegations by the RN would require an immediate intervention by the charge RN?
A)A UAP removes the wrist restraints on a patient and provides ROM exercises when giving a bath.
B)An LPN assists a patient back to bed from the bathroom.
C)A UAP replaces the monitor electrodes on a patient after he has taken a shower.
D)An LPN assesses LOC on a stable patient 3 days after surgery.
Q2) Which delegation should a UAP consider to have the highest priority?
A)Obtaining a routine blood glucose level from a patient with diabetes
B)Giving a bath to a patient scheduled for a colonoscopy
C)Feeding a patient who needs assistance doing so.
D)Helping an older adult patient to the bathroom
Q3) Which statement made by the clinical instructor would represent feedback to a student nurse?
A)"Explain to me the actions of this medication before you give it."
B)"Can you explain to me why Mr.W.did not receive a bath this morning?"
C)"Stop the urinary catheter insertion now.You have contaminated the catheter."
D)"You need to use your critical thinking skills when caring for patients."
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Chapter 14: Providing Competent Staff
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19 Flashcards
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Sample Questions
Q1) During unit orientation, a preceptor is used to provide learning and role modeling.Which of the following would one expect to observe in a seasoned nurse preceptor? (Select all that apply.)
A)Teach unfamiliar procedures
B)Teach their way of charting
C)Teach delegation skills
D)Act as a role model
E)Tailor orientation to new nurses' specific needs
Q2) Accrediting agencies require that staff demonstrate competency in their jobs.Annual competency of mandatory skills is evaluated.Which of the following skills should be demonstrated annually in the health care field as required by accrediting agencies?
A)Management of violent patients
B)Fire safety
C)Transport of patients
D)Transcription of orders
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16
Chapter 15: Group Management for Effective Outcomes
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23 Flashcards
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Sample Questions
Q1) When a nurse manager leads a group meeting, which of the following guidelines should be practiced?
A)Strictly adhere to agenda.
B)Establish goals and objectives.
C)Make the meeting seem friendly.
D)Provide snacks.
Q2) Attributes of ineffective teams include which of the following?
A)Respectfully listening
B)Consensus decision-making
C)Leadership is owned by a few who make most of the decisions.
D)Open discussion of disagreements
Q3) Guidelines for performance ratings should meet what criteria?
A)Patient satisfaction comments
B)Quantity of care
C)Mastery of skills
D)Behavioral expectations
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Chapter 16: Hospital Information Systems
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25 Flashcards
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Sample Questions
Q1) Nurse managers play an integral role in the adoption of the hospital's information system.There are three levels of competency in this leadership role.What functions can be observed in the innovator level nurse manager? (Select all that apply.)
A)Stress importance of the ergonomic work station importance
B)Develop and design programs to be used
C)Implement initiatives related to practice
D)Protect the patient's rights to confidentiality
E)Use research in managing the system
Q2) The Pyxis Specialty Station system automates the distribution, management, and control of medications and supplies.An advantage of this system to the patient is which of the following?
A)Accurate charging of supplies
B)Accurate dosage of medications
C)Separate storage for each patient
D)Availability of medications and supplies
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18
Chapter 17: Ethical and Legal Issues in Patient Care
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21 Flashcards
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Sample Questions
Q1) A nurse renewing advanced cardiac life support is practicing which ethical principle?
A)Veracity
B)Fidelity
C)Nonmaleficence
D)Beneficence
Q2) Autonomy is an ethical principle that can be applied to which clinical situation?
A)A nurse acts as a whistleblower in reporting unsafe practices observed on a clinical area.
B)A nurse administers an IV morphine drip for a patient being terminally weaned.
C)A nurse adheres to the HIPAA law when asked to reveal information on a patient to a nurse's family member.
D)A nurse permits a patient to refuse a medication.
Q3) The American Nurses Association ( ANA ) Code of Ethics for nurses is primarily a statement in support of A)patient advocacy.
B)professional membership.
C)missionary work.
D)preventative health care.
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19
Chapter 18: Improving Organizational Performance
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Sample Questions
Q1) "Lean culture" is a term used for the principle of eliminating waste.Which illustrates the principle that nurses must do more with less?
A)Assigning the night shift RN to restock the rooms.
B)Employing a staff member to stock all patient rooms for frequently used supplies.
C)Assigning all nurses to restock their rooms every day.
D)Placing all frequently used supplies in a central location.
Q2) The National Database of Nursing Quality Indicators (NDNQI) has established which of the following goals to assist nurses to make practice changes in order to benefit patients?
A)Patient satisfaction
B)Employee satisfaction
C)Unit-specific measures
D)Medication errors
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Chapter 19: Evidence-Based Practice
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25 Flashcards
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Sample Questions
Q1) A nurse involved in evaluating the validity of research prior to implementation should consider which of the following as the most important hierarchical evidence for effectiveness?
A)Opinions from experts
B)Single observational studies
C)Randomized controlled versus nonrandomized trials
D)Systematic review study
Q2) After piloting an evidence-based clinical practice change, the nurse would (Select all that apply.)
A)institute the change.
B)pilot the project until the desired outcome is achieved.
C)determine applicability for use.
D)incorporate changes into practice.
E)pilot the project until consensus is achieved.
Q3) Harm to patients from medication errors is a component to initiation of research in which of the following ways?
A)Establishing a question
B)Establishing a solution
C)Establishing a population sample
D)Establishing a cost benefit
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Chapter 20: Monitoring Outcomes and the Use of Data for Improvement
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Sample Questions
Q1) Which are benefits to the organization are acquired from greater patient satisfaction?
A)Higher employee satisfaction
B)Lower acuity
C)Higher employee benefits
D)Fewer call lights to answer
Q2) What are the benefits to the organization from greater patient satisfaction? (Select all that apply.)
A)Improvement in quality of patient care
B)Lower patient acuity
C)Lower mortality rates
D)Improved retention
E)Establishing benchmarks against other institutions
Q3) Which hospital data collection result will most likely affect nursing practice?
A)Changes in staffing patterns
B)Changes in patient acuity
C)Introduction of the needleless system
D)Changes to the interview process
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Chapter
Interviewing, Nclex, and Continuing Education
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Sample Questions
Q1) In preparing for the interview, the new nurse should plan to do which of the following?
A)Dress as you would for work.
B)Obtain information about the institution so that you can ask informed questions.
C)Remember to ask about starting salary.
D)Send a thank-you letter after the interview to the manager.
Q2) A nurse manager is legally not allowed to ask the following question:
A)Race
B)When you can begin
C)Past work history
D)University attended
Q3) A nurse manager is legally allowed to ask the following question:
A)Work history
B)Age
C)Number and ages of children
D)Religion
To
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