Nurse Executive Practice
Test Preparation
Course Introduction
Nurse Executive Practice is designed to prepare nursing professionals for leadership roles within healthcare organizations. The course focuses on the development of advanced management skills, strategic planning, and the effective use of resources to influence healthcare policy and improve patient outcomes. Topics include organizational structure, fiscal management, regulatory compliance, human resource leadership, and the implementation of quality improvement initiatives. Through case studies and real-world scenarios, students learn to navigate the complexities of healthcare systems, lead interdisciplinary teams, and advocate for both staff and patients at the executive level.
Recommended Textbook
Leadership and Nursing Care Management 6th Edition by Diane Huber
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27 Chapters
689 Verified Questions
689 Flashcards
Source URL: https://quizplus.com/study-set/1201
Page 2
Chapter 1: Leadership and Management Principles
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/23750
Sample Questions
Q1) A nursing unit has discovered a series of medication errors with regard to a particular computerized physician order set and the calculation within the order. The unit manager has a theory on changes that should be made within the order to decrease the confusion for nursing staff. However, the nurse manager realizes that changes would need to be made with pharmacy input as well as other nursing units within the facility and the multihospital system. Which of the following management theories is exemplified when the nurse manager considers the impact of change on the organization as a whole?
A) Contingency theory
B) Systems theory
C) Complexity theory
D) Chaos theory
Answer: B
Q2) _____ are vital to good leaders because they are able to take the vision of the leader and achieve the determined goals.
A) Managers
B) Motivators
C) Visionaries
D) Followers
Answer: D
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Chapter 2: Change and Innovation
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) A medical-surgical unit utilizes a group of nurses and patient care assistants to determine ways to reduce the number of falls in the unit. They conduct Internet research to locate best practice interventions. They create fall risk alerts in the unit, and they implement hourly rounding to assess the need for toileting. After putting these small changes into place, they will evaluate the data to determine effectiveness. This project is an example of:
A) rapid response teams.
B) Failure Modes and Effects Analysis.
C) root cause analysis.
D) Rapid Cycle Change.
Answer: D
Q2) A hospital system is implementing an electronic health record. The facility conducts education and training for nursing staff, medical staff, and ancillary staff over a period of 6 months. This is an example of:
A) emergent change.
B) planned change.
C) transformation.
D) innovation.
Answer: B
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4
Chapter 3: Organizational Climate and Culture
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) Characteristics of a Magnet hospital include:
A) multidisciplinary collaboration.
B) nursing leader authority.
C) physician control.
D) social worker retention.
Answer: A
Q2) Why is it important for nursing staff to have insight into the culture of their unit? (Select all that apply.)
A) So they can understand religious practices
B) To allow time for peers to access the Internet more often
C) To enable nurses to understand staff behaviors
D) To improve staff communication
E) To allow nursing staff insight into expectations and norms
Answer: C, D, E
Q3) Climate is best defined as the:
A) health and well-being of the structure of a facility.
B) perceptions that individuals have about an environment.
C) style in which individuals treat each other.
D) temperature in the nursing units of an institution.
Answer: B
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Chapter 4: Managerial Decision Making
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26 Flashcards
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Sample Questions
Q1) An intravenous infusion center is considering switching intravenous pumps to another vendor. A team of nurses is gathered to examine the benefits and uses and to conduct a cost analysis of various intravenous pumps. After thoroughly reviewing the data and piloting several intravenous pumps, the team votes to determine which pumps to use. The nurses selected the pump which provides them with the most safeguards for safe infusion delivery. Which type of decision-making tool was used in this process?
A) Simulation
B) Pilot project
C) Data analytics
D) Evidence informed
Q2) Which of these concepts is key to refining clinical judgment capabilities?
A) Critical judgment
B) Reflection
C) Management experience
D) Nursing expertise
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6
Chapter 5: Managing Time and Stress
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26 Flashcards
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Sample Questions
Q1) A new nurse manager is provided with a smartphone in order to efficiently manage her time. What is the most effective method of managing stress related to e-mail?
A) Create an auditory cue that alerts the manager to incoming messages so they can be processed immediately.
B) Set aside time during meetings to read and respond to messages.
C) Schedule blocks of time to tackle e-mail.
D) Delete e-mails that require a lengthier response.
Q2) A new nursing manager is falling behind on the staffing schedule, the monthly budget, and employee evaluations. She says to her director, "I'm working 60 hours per week and I still don't have enough time to do it all." The nursing director suggests which of the following to her?
A) Setting priorities
B) Obtaining additional preceptoring.
C) Scheduling blocks of time for each activity to be accomplished.
D) Giving up management and returning as a regular staff nurse.
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Chapter 6: Legal and Ethical Issues
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Sample Questions
Q1) On admission, the patient was found to have a blood glucose level of 218. The RN knows that except in emergency situations, it is hospital policy to obtain physician's orders before administering any medication. Because the on-call physician did not return the page, the nurse administered insulin according to the common sliding scale. Four hours later, the patient was found nonresponsive in her bed and later died. According to the autopsy, the patient died from heart failure. Her postmortem blood glucose level was 22. Being aware of the hospital policy for medication administration, the patient's blood glucose level presented the nurse with a(n):
A) assessment option.
B) clinical choice.
C) ethical dilemma.
D) moral decision.
Q2) The nursing manager has assumed responsibility for ensuring that tasks within her department are delegated legally and are performed appropriately. In so doing, she has accepted which of the following nursing roles?
A) Ethical
B) Ombudsman
C) Paralegal
D) Supervisor
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Page 8
Chapter 7: Communication Leadership
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) An example of an external variable that may affect communication is:
A) circumstance.
B) personality.
C) thoughts.
D) feelings.
Q2) Interpersonal communication is defined as:
A) the conscious intent by one individual to modify the thoughts or behaviors of others.
B) a combination of written and spoken communication.
C) a theory used to describe a manner of communicating.
D) communication between two or more individuals involving face-to-face interaction.
Q3) The number one cause of preventable medical errors is:
A) hostile work environments.
B) poor communication.
C) ineffective leadership.
D) staff competency.
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Chapter 8: Team Building and Working With Effective Groups
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) In nursing, the reason groups form is:
A) monetary rewards.
B) mandatory obligations.
C) physical needs.
D) professional socialization.
Q2) Group as well as individual accountability exists within a:
A) work group.
B) true team.
C) pseudoteam.
D) committee.
Q3) The stage of group development where control issues arise and disputes or disagreements begin to emerge is the _____ stage.
A) orientation
B) adaptation
C) emergence
D) working
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Page 10
Chapter 9: Delegation in Nursing
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Sample Questions
Q1) The charge nurse is making assignments on a surgical unit. Which client should be assigned to the least experienced nurse?
A) Client who had a vaginal hysterectomy and still has an indwelling catheter
B) Client who had an open cholecystectomy and has gray drainage in the T-tube drainage tube and bag
C) Client who had a hip replacement and stated that something popped while walking
D) Client who had a Whipple procedure and is reporting being thirsty all the time
Q2) The nurse manager determines that communication style is contributing to problems with delegation on her unit. What tool is used to teach principles of communication, leadership, situation monitoring, and mutual support?
A) American Nurses Association (ANA)
B) Agency for Healthcare Quality and Research (AHRQ)
C) Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS)
D) Institute for Healthcare Improvement (IHI)
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11
Chapter 10: Power and Conflict
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26 Flashcards
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Sample Questions
Q1) What are the two major content dimensions of power? (Select all that apply.)
A) Influence
B) Integrity
C) Authority
D) Dominance
E) Control
Q2) A nurse on a medical-surgical floor has been asked to join a research committee. She agrees to this request because of her great admiration for the vice president of nursing. This is an example of _____ dimension of power.
A) dependence
B) relational
C) subversive
D) tactical
Q3) Which of the following are the formal dimensions of power? (Select all that apply.)
A) Social aspect
B) Relational aspect
C) Dependence aspect
D) Independent aspect
E) Sanctioning aspect
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Page 12
Chapter 11: Workplace Diversity
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) According to the National Healthcare Quality and Disparities Report, which group has worse access to health care in America, compared with Whites?
A) Hispanics
B) Asians
C) Blacks
D) American Indians
Q2) Which of these are true regarding millennials in the work environment? (Select all that apply.)
A) They need clear definitions of outcomes.
B) They thrive on deadlines.
C) Most enjoy working on their own.
D) They struggle with multitasking.
E) They lack problem-solving skills.
Q3) Cultural diversity refers to the:
A) variety of cultural or ethnic groups within a society.
B) belief that one's own culture is similar to another's culture.
C) realization that all people in a particular culture have the same beliefs.
D) view that individuals living in a country should speak the native language.
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13
Chapter 12: Organizational Structure
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) The phrase "the buck stops here" best describes which of the following terms?
A) Accountability
B) Authority
C) Responsibility
D) Trustworthiness
Q2) A staff nurse has been working in the neonatal critical care unit for 10 years. She believes that a professional nurse is a lifelong learner. Many staff members come to her for clinical problem solving and advice. This nurse has:
A) decisional authority.
B) formal power.
C) informal power.
D) quantum authority.
Q3) An organizational chart is used to depict: (Select all that apply.)
A) a visual display of the organization s positions.
B) the intentional relationships among positions.
C) open positions within human resources.
D) flow of authority.
E) advisory committees.
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Chapter 13: Decentralization and Shared Governance
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) The primary purpose of unit practice committees in a health care organization is to improve: (Select all that apply.)
A) practice.
B) processes.
C) outcomes.
D) reimbursement.
E) urnover.
Q2) An employee satisfaction survey is conducted annually and shows that nurses in a particular unit are committed to their jobs and feel that they make positive contributions. These nurses are:
A) engaged.
B) disengaged.
C) unproductive.
D) at retirement age.
Q3) Shared governance is a model of organizational structure in which staff nurses are:
A) employed to establish mutual goals with clients.
B) empowered through autonomy and accountability.
C) engaged in problem-solving strategies and techniques.
D) equipped with evaluative thinking methodologies.
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Page 15
Chapter 14: Strategic Management
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27 Flashcards
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Sample Questions
Q1) For organizational strategy to be implemented successfully it must be: (Select all that apply.)
A) specific and inflexible.
B) applied in a timely manner.
C) agreed upon by all stakeholders.
D) executed proficiently and efficiently.
E) aligned with the organizational culture.
Q2) Characteristics of strategic management include: (Select all that apply.)
A) alignment with the external environment.
B) helps identify best practices on the nursing unit.
C) future orientation.
D) engagement of the entire workforce in organizational leadership.
E) use of change management strategies to achieve performance goals.
F) facilitation of decision making with well-communicated decisions.
Q3) Operational choices for action that are made to implement a strategy are called:
A) tactics.
B) objectives.
C) core values.
D) strategic plans.
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Page 16
Chapter 15: Professional Practice Models
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) The conceptual framework and philosophy under which the method of delivery of nursing care is a component is known as:
A) core values.
B) mission statement.
C) care delivery model.
D) professional practice model (PPM).
Q2) A professional practice model is a:
A) conceptual framework and philosophy of nursing within an organization.
B) staffing grid that outlines nursing unit work schedules.
C) mechanism by which care is actually provided to patients and families.
D) blueprint for developing specific measurable objectives and actions.
Q3) An example of a traditional nursing care delivery model is:
A) case management.
B) patient- and family-centered care.
C) transitional care.
D) patient-centered medical home.
Q4) A(n) _____ is the operational mechanism by which care is actually provided to patients and families.
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Chapter 16: Case and Population Health Management
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) Which of the following collaborative processes assesses, plans, facilitates, coordinates, advocates, and evaluates options and services required to meet an individual's comprehensive health needs?
A) Care management
B) Case management
C) Disease management
D) Population health management
Q2) Nursing outreach programs are the core element of:
A) population health management.
B) disease management.
C) case management.
D) care management.
Q3) The Collaborative Care Model of CM is best used for:
A) patients with co-occurring physical and mental health needs.
B) individuals and small systems.
C) hospital-based case management programs focusing on episodic care.
D) the transition of high-risk clients from acute care to community or long-term care settings.
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Chapter 17: Evidence-Based Practice: Strategies for Nursing Leaders
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23 Flashcards
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Sample Questions
Q1) Jenny is an advanced practice nurse on the telemetry unit. How might Jenny's skills be used to contribute to a culture of evidence-based practice? (Select all that apply.)
A) She can facilitate meetings.
B) She can function as team leader.
C) She can assist with problem solving.
D) She can identify potential roadblocks.
E) She can increase her patient load.
Q2) Nurse managers are responsible for developing the unit culture supporting innovation and evidence-based care. The nurse manager can facilitate and support EBP work by: (Select all that apply.)
A) set the staffing schedule.
B) allocate resources as needed.
C) set the expectations for the unit.
D) promote staff questioning practice.
E) encourage and respond to new ideas.
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Chapter 18: Quality and Safety
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Sample Questions
Q1) The improvement process in which an organization measures its strategies, operations, or internal process performance against that of best-in-class organizations within or outside its industry determines how those organizations achieved their performance levels, and uses that information to improve its own performance is known as _____.
Q2) To provide the best care to every patient every day through integrated clinical practice, education, and research is an example of a(n):
A) accountability agreement.
B) mission statement.
C) organizational standard.
D) vision and value proposal.
Q3) The risk manager wants to illustrate the causes that have been leading to an increase in patient misidentification. The most appropriate tool to use is a:
A) pareto chart.
B) control chart.
C) fishbone diagram.
D) detailed flowchart.
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Chapter 19: Measuring and Managing Outcomes
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16 Flashcards
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Sample Questions
Q1) The outcomes concept that emphasizes the multidisciplinary process of providing health care is known as outcomes:
A) maintenance.
B) management.
C) measurement.
D) monitoring.
Q2) The field in health care that aims at a better understanding of the end results of health care practices and interventions is called:
A) patient safety.
B) risk management.
C) outcomes research.
D) quality management.
Q3) Areas of data evaluation on a balanced scorecard include: (Select all that apply.)
A) metrics.
B) key performance indicators.
C) environmental.
D) turnover rates
E) benchmarks
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Chapter 20: Prevention of Workplace Violence
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Sample Questions
Q1) An evaluation of a specific threat of violence and an evaluation of the person making the threat is conducted by ______.
Q2) A common-sense look at the workplace to find existing or potential hazards for workplace violence is:
A) worksite analysis.
B) risk management.
C) administrative rounds.
D) hazard prevention and control.
Q3) A nurse executive is a member of a collaborative committee assigned to revise the violence prevention program. After reviewing the program, the committee has determined that the following components already were included in the existing program: a written plan available to all employees, a system for tracking work-related assaults, and specific strategies for reducing the severity of violent injuries. A primary revision recommended by the committee should be the inclusion of a:
A) detailed description of last year's injuries.
B) list of preferred work injury health care providers.
C) method for evaluating the effectiveness of the program.
D) way to determine whether an employee is at fault.
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Chapter 21: Confronting the Nursing Shortage
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31 Verified Questions
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Sample Questions
Q1) The nursing shortage cycles over the past few decades have been primarily driven by factors including which of the following? (Select all that apply.)
A) Aging of current nurses and inability of hospitals to meet nursing salary demands
B) Younger nurses in the workforce and their preference for non-traditional nursing jobs
C) Significant changes in the health care delivery system as the nation moves into health care reform
D) Aging of the American population and struggles to expand capacity to meet demand for care
E) Lower numbers of students entering nursing as a career
Q2) One of the findings of a study by Aiken and colleagues (2002) was that nurses with the highest nurse-to-patient ratios were more likely to describe feelings of: (Select all that apply.)
A) grief.
B) anger.
C) burnout.
D) job dissatisfaction.
E) emotional exhaustion.
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Chapter 22: Staffing and Scheduling
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Sample Questions
Q1) Community Hospital is having a transient nursing shortage due to a high number of sick calls. The staffing office utilizes the staffing pool to obtain the required number of nurses. The staffing pool may include what types of nurses? (Select all that apply.)
A) Travel nurses
B) Foreign nurses
C) Registry nurses
D) Per diem nurses
E) Full-time nurses
Q2) Assigning individual personnel to work specific hours, days, or shifts and in a specific unit or area over a specified period of time is known as:
A) scheduling.
B) staffing effectiveness.
C) nursing direct-care hours.
D) human resources staffing strategy.
Q3) When the needs and characteristics of the patient clinical unit, or system, are matched with a nurse's competencies, _____ results.
Q4) The amount of work performed by a unit is referred to as its _____.
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24
Chapter 23: Budgeting, Productivity, and Costing Out Nursing
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Sample Questions
Q1) The operating budget covers a specific period, called a _____ year.
A) fiscal
B) budget
C) calendar
D) federal government
Q2) Revenues minus expenses equals:
A) cash flow.
B) expense incurred.
C) income.
D) total reimbursement.
Q3) A measure of the severity of illness of an individual patient or the aggregate patient population on a unit is called _____.
Q4) The manager of a rural, thriving, nurse-managed clinic is considering purchasing equipment to furnish two additional examination rooms. The resource he must consider is the _____ budget.
A) capital
B) expense
C) operating
D) product line
Q5) A(n) _____ is the difference between the budgeted and the actual amounts.
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Chapter 24: Performance Appraisal
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Sample Questions
Q1) The term _____ refers to the inaccuracy in the measurement in favor of or against a person or group, typically in a way that is unfair.
Q2) A newer focus of performance appraisal that has the ability to engage high-performing nurses and motivate people toward even higher levels of performance is:
A) coaching.
B) remedial learning.
C) feedback.
D) peer review.
Q3) Karen is a nurse manager who conducts performance appraisals by observing each nurse for a day and basing the evaluation on that day's performance. This type of bias is known as:
A) halo.
B) leniency.
C) recency.
D) contrast.
Q4) The process by which nurses systematically evaluate the quality of nursing care provided by peers as measured against professional standards is called _____.
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Page 26
Chapter 25: Emergency Management and Preparedness
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Sample Questions
Q1) A health care system's ability to rapidly expand beyond normal capacity to meet an increased demand for qualified personnel, beds, and medical care services in the event of a large-scale emergency or disaster is known as:
A) acuity.
B) surge capacity.
C) mass casualty.
D) natural disaster.
Q2) Which combination of leadership is recommended for chairing an emergency management committee?
A) Chief executive officer and internal medicine physician
B) Chief financial officer and emergency care nurse liaison
C) Representative chief nurse officer and emergency care physician
D) Representative chief information technology officer and critical care physician
Q3) When working with the community, recognizable nomenclature is important for: A) response.
B) education.
C) reporting.
D) communication.
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Chapter 26: Data Management and Clinical Informatics
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Sample Questions
Q1) Effectiveness research:
A) is the study of relationships among health care problems.
B) provides solutions to serious global health care issues.
C) reflects sound, reliable, and valid data that can be examined closely.
D) supplies data that are critical and worthy of gathering.
Q2) Nursing informatics includes the:
A) coding and billing of hospital and physician services.
B) management and communication of data, information, knowledge, and wisdom in nursing practice
C) organization and selection of quality medical information.
D) support and troubleshooting of computer software issues.
Q3) The implementation of an electronic health record (EHR) could enhance patient care by facilitating:
A) communication across the health care continuum.
B) diabetes mellitus education and ongoing care delivery.
C) one-on-one counseling between the provider and the client.
D) physical and occupational therapy dispensing errors.
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Chapter 27: Marketing
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Sample Questions
Q1) The marketing mix of an organization is:
A) an individualized blend of tactics used to achieve goals.
B) guidelines that outline plans to market specific services.
C) patient education materials that also highlight services.
D) various television commercials used to advertise goods.
Q2) What terms are considered to be the four As that influence a buyer's decision to purchase a product or service? (Select all that apply.)
A) Acceptability
B) Accreditation
C) Affordability
D) Accessibility
E) Awareness
Q3) A registered nurse wants to start a primary care clinic in a rural area. Determining the segment of the population that is most likely to use her business is important to consider before she establishes her clinic. This is an example of:
A) positioning.
B) targeting.
C) competition.
D) marketing.
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Page 29