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Nursing Human Resource Management Exam Solutions - 758 Verified Questions

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Nursing Human Resource Management Exam Solutions

Course Introduction

Nursing Human Resource Management explores the principles and practices involved in effectively managing nursing personnel within healthcare organizations. The course covers topics such as workforce planning, recruitment, selection, retention strategies, performance appraisal, and training and development specific to nursing staff. Emphasis is placed on understanding labor laws, ethical considerations, diversity, and the development of a positive workplace culture. Students also learn about leadership styles, conflict resolution, motivation, and the impact of effective human resource management on patient care quality and organizational efficiency.

Recommended Textbook

Leading and Managing in Nursing Revised Reprint 5th Edition by Patricia S. Yoder

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30 Chapters

758 Verified Questions

758 Flashcards

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Page 2

Chapter 1: Leading, Managing, and Following

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Sample Questions

Q1) A unit manager of a 25-bed medical/surgical area receives a phone call from a nurse who has called in sick five times in the past month.He tells the manager that he very much wants to come to work when scheduled but must often care for his wife,who is undergoing treatment for breast cancer.According to Maslow's need hierarchy theory,what would be the best approach to satisfying the needs of this nurse,other staff,and patients?

A) Line up agency nurses who can be called in to work on short notice.

B) Place the nurse on unpaid leave for the remainder of his wife's treatment.

C) Sympathize with the nurse's dilemma and let the charge nurse know that this nurse may be calling in frequently in the future.

D) Work with the nurse, staffing office, and other nurses to arrange his scheduled days off around his wife's treatments.

Answer: D

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Chapter 2: Patient Safety

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Sample Questions

Q1) After consulting with practice environments about quality and safety concerns in health care,the Dean of Health Programs at US University develops:

A) A nursing program that emphasizes the development of a strong disciplinary identity.

B) Programming that stresses discipline-based research.

C) Partnerships with health care to develop software for reporting of adverse events.

D) An interdisciplinary program for nurses, pharmacists, and medical practitioners that emphasizes collaborative learning teams.

Answer: D

Q2) A survey of safety practices and attitudes at hospital XYZ finds that staff members have concerns about their safety and that of patients.Results from the manager subgroup are likely to be:

A) Similar to staff evaluations of safety.

B) More positive about safety than staff.

C) Less positive about safety than staff.

D) Less positive than senior executives about safety.

Answer: B

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4

Chapter 3: Developing the Role of Leader

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Sample Questions

Q1) Recruiting among the emerging workforce (18- to 35-year-olds)is a challenge for healthcare agencies.Marketing brochures should address the leadership and vision of the healthcare agency.Which of the following workplace environments will attract applicants in the emerging workforce?

A) A highly professional environment

B) A nurturing and receptive environment

C) An environment highlighted by lots of meetings, so staff members can have lots of input

D) A totally online environment, so staff members will not have to interface with uncaring colleagues

Answer: B

Q2) The adage "leaders are born and not made" reflects which of the following ideas around leadership?

A) Management can be taught; leadership depends on abilities.

B) Mentorship is important in developing innate skills of leaders.

C) Leadership is a natural skill that cannot be refined and developed.

D) Succession planning and formal education related to leadership are ineffective.

Answer: A

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Chapter 4: Developing the Role of Manager

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Sample Questions

Q1) While interviewing for a nurse manager position,Ann is asked to give an example of a situation in which she demonstrated leadership.Which of the following examples exemplifies leadership?

A) Through research and investigation of best practice and practice-based evidence, she proposed a change to management of incontinence in elderly patients.

B) She ensures that new policies related to parenteral infusions are implemented consistently within her team.

C) When asked by her students about institutional policies, she readily and patiently interprets policies to facilitate quality care.

D) She organizes the team and delegates responsibilities effectively in providing nursing care.

Q2) A nurse manager's responsibility for financial management involves making budgetary decisions.Budgets that allow the nurse manager to allocate resources at the unit level allow:

A) Minimal nurse manager input.

B) Limited rationale for budgetary requests.

C) Budgetary allocations at the executive nurse level.

D) Budgetary decision making at the point of service (POS).

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Chapter 5: Legal and Ethical Issues

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Q1) With regard to nursing practice,nurse managers are held responsible for

A) Practicing within legal guidelines established under state law and nurse practice acts.

B) Ensuring that nursing staff under their supervision are currently licensed to practice.

C) Referring all errors in nursing judgment to state discipline boards.

D) Ensuring that physicians are properly licensed to provide care on patient care units.

Q2) In a telehealth organization,a nurse who is licensed in New York and Pennsylvania provides teaching to a patient who resides in Pennsylvania.The patient charges that the teaching failed to provide significant information about a potential side effect,which led to delay in seeking treatment and untoward harm.Under which state nurse practice act and standards would this situation be considered?

A) New York

B) Pennsylvania

C) Neither New York or Pennsylvania

D) Both New York and Pennsylvania

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Chapter 6: Making Decisions and Solving Problems

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Sample Questions

Q1) The nurse manager of a rehab unit wants to purchase a new anti-embolic stocking.To make a high-quality decision,the nurse manager would:

A) Involve the rehab staff in the decision.

B) Involve the sales representative.

C) Make the decision alone.

D) Involve administration in the decision.

Q2) The maintenance department wishes to have the nursing lounge renovated,so the lounge will be more "user-friendly." The department asks the nursing staff to make a wish list of everything that they would like to see in the new lounge.This process is an example of which part of the decision-making process?

A) Assessment/Data collection

B) Planning

C) Data interpretation

D) Generating hypotheses

Q3) Decision making is described by the nursing educator as the process one uses to:

A) Solve a problem.

B) Choose between alternatives.

C) Reflect on a certain situation.

D) Generate ideas.

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Page 8

Chapter 7: Health Care Organizations

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Sample Questions

Q1) With the help of a federal grant,the local school nurse has established a spreadsheet that contains relevant nursing data so that she can analyze children's health.School health programs are:

A) Increasingly seen as primary care sites for children.

B) Providing only health education programs for children and their parents.

C) Capable only of providing referrals for health problems to primary care providers.

D) Funded exclusively by local authorities.

Q2) A facility that provides care for patients whose average length of stay is less than 30 days and to patients whose average length of stay is longer than 30 days,and who require inpatient and ambulatory care for addictions,through a spectrum of wellness and illness services and providers,would be considered:

A) A healthcare network.

B) A tertiary care institution.

C) Rehabilitative.

D) Long-term care.

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9

Chapter 8: Understanding and Designing Organizational Structures

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Q1) Which of the following would be the most appropriate mission statement for a nursing center?

A) "At Plentyville, we provide rehabilitative services for addicted adolescents."

B) "Georgiatown provides treatment and prevention services for county residents."

C) "At Heart, our aim is to provide services that lead the nation in health education and research."

D) "At Coeur, we strive to achieve optimal pain management with patients who are experiencing chronic pain."

Q2) In the Unity Healthcare organization,decisions,including those at the unit level,are made by a group of senior executives.Rules for employees are clear,and nursing care is delineated by procedures and protocols.This exemplifies:

A) Transformational leadership.

B) Transactional leadership.

C) Bureaucratic organization.

D) Chaos theory.

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Chapter 9: Cultural Diversity in Health Care

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Sample Questions

Q1) Sarah,RN,complains to you that a male nurse from a different culture sits very close during charting and leans toward her when speaking.In responding to Sarah,you consider that differences across cultures that are relevant to this situation include:

A) Eye contact.

B) Personal space.

C) Harassment.

D) Expressions of feeling.

Q2) A 66-year-old native Chinese patient,hospitalized for a myocardial infarction,asks the nurse manager about seeing his "acupuncture doctor" for treatment of his migraine headache.The best response to this patient would be:

A) "How long have you been using acupuncture treatment?"

B) "Do you think acupuncture relieves your pain satisfactorily?"

C) "What have you told your heart specialist about your migraines and treatment?"

D) "Have you tried nonprescription pain medication or been given a prescription drug for your headaches?"

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Chapter 10: Power, Politics, and Influence

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Sample Questions

Q1) Amy has worked in the dialysis unit on staff for about 12 years.She is frequently consulted by other nursing staff regarding protocols and policies on the unit.What type of power is Amy using?

A) Position power

B) Expert power

C) Personal power

D) Competency power

Q2) One day,at coffee,your co-worker suggests that you and she sit with unit members of the hospital research committee.She suggests that this would be an excellent way to get to know people who share her interest in research.Her actions are an example of:

A) Mentorship.

B) Politics.

C) Networking.

D) Empowerment.

Q3) Literature on oppression in nursing has:

A) Verified the presence of behaviors associated with oppression within nursing.

B) Suggested that nurses are oppressed because of the actions of other groups.

C) Failed to establish that oppression is present in nursing groups.

D) Indicated that nurses use oppression negatively.

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Page 12

Chapter 11: Caring,Communicating,and Managing With Technology

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Sample Questions

Q1) As part of an information technology implementation team,you are implementing a clinical decision support system.Particular considerations for successful implementation of this project include:

A) Ensuring that the system is reliable.

B) Ensuring that patient information is reliable.

C) Developing unique identifiers for individuals.

D) Developing rules that support inferences.

Q2) You are in the process of designing a patient education program that will provide education and monitoring for patients with hypertension.To support your planning,you draw out and present patient data from:

A) A clinical database.

B) Biomedical technologies.

C) E-mail.

D) Internet sources.

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13

Chapter 12: Managing Costs and Budgets

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Sample Questions

Q1) A nurse manager discovers that the actual number of visits per patient in a home health service is 3.8 visits per day when the standard is 5 visits per day.Based on this information,the nurse manager:

A) Concludes that the complexity of care in each visit has arisen.

B) Concludes that patient volume has been decreased.

C) Decides that more information is needed before a conclusion can be reached.

D) Initiates a training session regarding the importance of ensuring that visits are made.

Q2) An example of an initiative that may reduce total healthcare costs would be:

A) Offering nurse practitioner-led clinics that educate parents about nonpharmacologic strategies for managing ear infections.

B) Educating seniors about the comparative costs of medications that are prescribed to them.

C) Lowering copayments for prescription drugs for seniors.

D) Advocating for more readily available MRI services to ensure early diagnosis.

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14

Chapter 13: Care Delivery Strategies

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Sample Questions

Q1) Complex care of acutely ill patients is required on a surgical unit,which utilizes differentiated nursing practice as its model of care delivery.The concept of differentiated nursing practice is based on:

A) Licensure status.

B) Experience in the agency.

C) Leadership capabilities.

D) Education and expertise.

Q2) In an acute care unit,the nurse manager utilizes the functional nursing method as the care delivery model.The nurse manager's main responsibility is the needs of the:

A) Department.

B) Unit.

C) Staff.

D) Patient.

Q3) Case managed care may enhance profit in a for-profit health organization by:

A) Minimizing costs in high resource consumption areas.

B) Combining licensed and non-licensed care providers in delivering patient care.

C) Increasing reimbursement from third-party payers.

D) Reducing the amount of technology used to support clinical decision making.

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15

Chapter 14: Staffing and Scheduling

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Sample Questions

Q1) In reviewing the job description of a nurse manager,the staff becomes aware that a nurse manager's role is complex.Which of the following duties are required of a nurse manager ?

A) Responsibility for nursing benchmarks

B) No responsibility for knowledge of staffing benchmarks

C) Responsibility for planning staffing of UNPs only

D) Preparing a unit budget

E) Changing staffing plans based on service needs

Q2) As the unit manager,you post the staffing plan and compliance reports.This initiative is aimed at:

A) Maintaining unit morale.

B) Complying with national requirements.

C) Demonstrating patient outcomes.

D) Inviting staff participation in decision making.

Q3) A nurse staffing plan takes into account:

A) Specific nurse-to-patient ratios per shift.

B) Participation of nurses in projecting staffing needs.

C) Compensation and benefits for each level of staff.

D) The occupancy load of a unit.

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Page 16

Chapter 15: Selecting, Developing, and Evaluating Staff

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Sample Questions

Q1) As a manager,you are interested in developing behavioral questions for an interview.Knowing that there is team conflict at times on your unit,which of the following questions would satisfy your interest in behavioral questions?

A) "Tell me about a time you were involved in a conflict related to a project. What was your role in the conflict? In the resolution of the conflict?"

B) "If you were to employ one strategy for managing conflict, what would it be?"

C) "What is your preferred style of conflict resolution?"

D) "How effective are you in working in a group? In dealing with conflict?"

Q2) John,a new graduate,reviews the employee evaluation for his new position.The first section requires that he list his own specific objectives to be accomplished.This is an example of:

A) The traditional rating scale.

B) Learning goals, or management by objectives.

C) A forced distribution scale.

D) A behavior-anchored rating scale.

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17

Chapter 16: Strategic Planning, Goal-Setting, and Marketing

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Sample Questions

Q1) After a year,the staff at Pacific Hospital is frustrated,and implementation of evidence-based practice has gone poorly.In responding to this situation,the strategic planning team at Pacific Hospital:

A) Recommends that the mission, objectives, and goals of the hospital be reassessed.

B) Revises the goal statements in the strategic plan.

C) Consults an external team on preparation of materials on evidence-based practice.

D) Holds focus groups with staff to determine what kinds of issues, challenges, and obstacles have occurred in implementation.

Q2) The chief nursing officer has to write a strategic plan.The most difficult stage in the strategic planning process is:

A) Assessment of the external and internal environment.

B) Review of mission statement, goals, and objectives.

C) Identification of strategies.

D) Implementation of strategies.

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18

Chapter 17: Leading Change

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Sample Questions

Q1) Which of the following are examples of application of the Leadership Rounding Tool?

A) "What is working well for you during bedside reporting?"

B) "What has not worked for you today?"

C) "Is there someone on your team who deserves special recognition for her efforts in the implementation?"

D) "Did you have a good vacation?"

Q2) The oncology clinic manager and the educational coordinator asked nursing staff to complete a brief written survey to assess their attitudes and knowledge related to having used the new infusion equipment for 6 weeks.The stage of change in this situation is:

A) Developing awareness.

B) Experiencing the change.

C) Integrating the change.

D) Perceiving awareness.

Q3) The situation in Question 22 is best captured in which theory of change?

A) Chaos

B) Planned change

C) Cybernetics

D) Innovation-decision process

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Page 19

Chapter 18: Building Teams Through Communication and Partnerships

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Sample Questions

Q1) A mediator suggested that the nurse manager and staff members decide on a method to resolve conflicts.It is important to have agreements about how team members will work together because:

A) If there are no agreements, each member will make up his or her own procedures without consensus.

B) People are naturally difficult and will not work well together without such agreements.

C) People will naturally ask for agreements about how to be together.

D) A way to eliminate nonproductive team members must be available.

Q2) From the information presented in this chapter,which of the following statements best defines an accomplished team? Effective teams:

A) Can create a form of synergism in which the outcome is greater than the sum of the individual performances.

B) Do not necessarily need goals, objectives, vision, and a clearly stated purpose.

C) Do not always have effective communication patterns.

D) May or may not have a clear plan that is followed and revisited and has an ongoing evaluation scheme.

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Chapter 19: Collective Action

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Sample Questions

Q1) The chief nursing officer utilizes the hospital's Workplace Advocacy to help the overwhelmed emergency department staff.Workplace Advocacy is designed to assist nurses by:

A) Creating professional practice climates in their institutions.

B) Equipping them to practice in a rapidly changing environment.

C) Negotiating employment contracts.

D) Representing them in labor-management disputes.

Q2) The nurses in the emergency department in Question 23 continue to be concerned about safety levels.As the manager,you ask the nurses to:

A) Register their concerns with senior management.

B) Take their concerns to the local newspaper.

C) Provide accurate, clear, concise data of incidents involving safety.

D) Contact their union to discuss their concerns.

Q3) A Magnet hospital surveys the staff about job satisfaction.This type of environment,in which nurses have authority and autonomy,is linked with:

A) Client satisfaction with the healthcare organization.

B) Organizations with a limited number of nurse managers.

C) Private, specialty organizations in urban areas.

D) Sophisticated academic health sciences universities.

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Page 21

Chapter 20: Managing Quality and Risk

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Sample Questions

Q1) Patient perceptions are useful in:

A) Determining disciplinary actions in QI.

B) Establishing the competitive advantage of QI decisions.

C) Assisting to establish priorities among possible changes to care identified in QI.

D) Establishing blame for poor-quality care.

Q2) A nursing-led classification system that has led to greater reliability and standardization in data utilized for QI processes is:

A) NANDA.

B) AHRQ.

C) NIOSH.

D) Nursing process.

Q3) Hospital ABCD is a Magnet hospital.This designation has been applied to Hospital ABCD because it:

A) Facilitates active staff participation in decision making related to quality nursing care.

B) Has implemented a graduate nurse orientation program.

C) Espouses commitment to excellence in patient care.

D) Is establishing career ladders for nurses.

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22

Chapter 21: Translating Research Into Practice

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Q1) Marie is a long-term staff nurse on the rehab floor.Her unit manager has been eager to adopt evidence-based recommendations related to family-centered care on the unit.Marie's response has been that she rarely has time to provide care to patients,let alone families.An approach that may gain Marie's support of the idea is to:

A) Invite Marie to review the studies for herself.

B) Suggest that she does not need to provide family-centered care.

C) Avoid discussion of the idea with her until she initiates it.

D) Secure the support of her closest colleagues on the unit.

Q2) To help staff nurses adjust to using research in practice,what strategy would the nurse manager use?

A) Attendance at a regional research conference

B) Formal classes in electronic search techniques

C) Establishing a journal club

D) Issuing reports on the adverse consequences of outdated practices

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Chapter 22: Consumer Relationships

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Q1) In orienting new staff nurses to a pediatric intensive care unit,the nurse manager asks the staff nurses to answer the following question: "What is an important consideration in providing information to parents of a critically ill child?"

A) Making sure that they receive complete information during each encounter with a member of the nursing staff

B) Assessing parents' preferences for the amount of information desired

C) Allowing parents to observe key aspects of their child's nursing care

D) Making sure that patient education brochures explaining ICU protocols are readily available

Q2) Corrine,a student nurse,often hears that nurses are gatekeepers and wonders what that term means.As a nurse leader,you explain that this is a reference to the:

A) Assessment and admission of patients into care.

B) Orientation of patients to services once they are admitted.

C) Function of controlling which patients see the physician and which do not.

D) Coordination of care, services, advocacy, and access for patients within the healthcare system.

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Chapter 23: Conflict: the Cutting Edge of Change

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Q1) Jill is the head nurse on a unit in a large hospital.Two of the staff nurses are constantly arguing and blaming each other,and a resolution has not occurred in months.To solve the existing conflict,which is the most desirable conflict resolution?

A) Avoiding

B) Competing

C) Compromising

D) Collaborating

Q2) A group of staff nurses is dissatisfied with the new ideas presented by the newly hired nurse manager.The staff wants to keep their old procedures,and they resist the changes.Conflict arises from:

A) Group decision-making options.

B) Perceptions of incompatibility.

C) Increases in group cohesiveness.

D) Debates, negotiations, and compromises.

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25

Chapter 24: Managing Personalpersonnel Problems

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Q1) Arrange the strategies from Question 16 in the order in which they should occur in progressive discipline.

A) A, B, C, D

B) B, A, C, D

C) C, B, A, D

D) C, A, B, D

Q2) Before terminating an employee,a nurse manger must:

A) Be an expert in all legal aspects of termination and discipline practices.

B) Know the organization's specific policies for addressing disciplinary problems and termination.

C) Function as a counselor for problem employees.

D) Do everything to assist and protect the employee by adjusting standards and policies.

Q3) During unit staff meetings,you observe that Marg rolls her eyes and snorts whenever Julia makes a comment.Your first response as a unit manager is to:

A) Discuss what you have observed with Marg.

B) File immediate documentation in Marg's personnel file.

C) Ask Julie to monitor Marg's behavior during meetings.

D) Ignore the behavior, as Marg is one of your strongest nurses.

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Page 26

Chapter 25: Workplace Violence and Incivility

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Q1) Linda,a staff nurse on nights,yells at Ali,another RN,and tells Ali that she is stupid and can't get anything right.In responding to this situation as head nurse,it is critical that you:

A) Require that Linda attend anger management classes.

B) Investigate to see if Ali did anything to aggravate Linda.

C) Call both immediately into the office in the morning to discuss the situation.

D) Respond to Linda in a way that is consistent with organizational processes and with similar situations.

Q2) Your healthcare organization places a high value on workplace safety and integrates this into all aspects of administrative and patient care processes.As a unit manager,you thoroughly endorse this direction,and during the selection and hiring of new staff,you consistently:

A) Refuse to hire applicants who are pushy during interviews.

B) Thoroughly follow up with all references before offering a position.

C) Ask applicants during the interview if drug or alcohol abuse is a problem.

D) Refuse to interview applicants with sporadic work histories.

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Chapter 26: Delegation: An Art of Professional Practice

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Q1) An RN colleague,who is a long-standing and collaborative member of your team,is performing a complex and novel dressing for the first time for the patient to whom she has been assigned.Which of the following would be the most appropriate communication with her?

A) "How do you usually do this kind of dressing?"

B) "The dressing needs to be done today and tomorrow with the supplies on this cart."

C) "Here is what you need for the dressing, and I will show you what needs to be done."

D) "I know you know what you are doing. Let me know if you have any problems."

Q2) Sarah (Question 21)provides Colleen,her RN colleague with details regarding the patients to whom Colleen has been assigned on the day shift.This is an example of:

A) Accountability.

B) Responsibility.

C) Assignment.

D) Delegation.

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Chapter 27: Role Transition

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Q1) Sarah is a nursing graduate of 5 years who is very confident in her clinical skills.She has taken some certificate courses in leadership and management and has considered beginning a graduate degree with this focus.She is excited about being able to use her knowledge and interest by being hired as a nurse manager.Before beginning her new position,Sarah spends time with her nurse executive to clarify the executive's expectations of her and of the unit that she has been hired to manage.Sarah's actions are important in avoiding role:

A) Ambiguity.

B) Transition.

C) Development.

D) Negotiation.

Q2) An interviewee for a nurse manager position asks for a copy of the organizational chart.Organizational charts provide information about the role component of: A) Expectations.

B) Opportunities.

C) Responsibilities.

D) Lines of communication.

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Chapter 28: Self-Management: Stress and Time

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Q1) The chief nursing officer understands that a nurse manager can exhibit stress that is related to management mistakes.An example of a management mistake is:

A) Achieving excellence on the job.

B) Following others' expectations.

C) Organizing the desktop.

D) Organizing the calendar of events.

Q2) The chief nursing officer listens to nurse managers verbalize their feelings of internal stress.One common source of internal stress seems to be:

A) The death of a loved one.

B) Perfectionism.

C) Getting married.

D) Losing a job.

Q3) Sources of occupational stress in nursing include all except which of the following?

A) Authoritarian leadership

B) Concern about moral wrongdoing by colleagues

C) Multiple changes in a short time

D) Job insecurity

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Chapter 29: Managing Your Career

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26 Verified Questions

26 Flashcards

Source URL: https://quizplus.com/quiz/44804

Sample Questions

Q1) On your curriculum vitae,which of the following is the recommended approach for listing employment and educational history information?

A) 1979 RN Diploma

1985 BScN

2002 MN

B) 2002 Mount Rush Health Center Staff Nurse

1997 Cedar Falls Clinic Staff Nurse

2007 Kilkarney Rehab Center Case Manager

C) 2007 MN

2005 BScN

D) 1997 Sturgeon County Hospital Head Nurse

2002 Sturgeon County Supervisor

2007 Sturgeon County Director

Q2) In preparing for a fair interview process as a hiring manager,you should:

A) Put water out for the candidates.

B) Ensure that you know the names of all candidates.

C) Dress comfortably and professionally.

D) Prepare a schedule of questions to be asked of all candidates.

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Chapter 30: Thriving for the Future

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25 Verified Questions

25 Flashcards

Source URL: https://quizplus.com/quiz/44805

Sample Questions

Q1) Which of the following strategies is most important in developing a strong vision?

A) Seeking out evidence to support trends and out of the box thinking

B) Spending time with others with whom we discuss ideas

C) Setting up focus groups to provide information on current realities

D) Being honest and open about what we think for the future

Q2) Nursing research has indicated that the foundation for becoming a nursing leader is the ability to:

A) Write effectively.

B) Speak two or three languages.

C) Dialogue with others.

D) Think critically.

Q3) A stroke unit experiences numerous changes related to implementation of new technology,a changed nursing care delivery model,and staff turnover within a period of 6 months.Staff members begin to show signs of reluctance to implement any more changes.This exemplifies:

A) A poor relationship between leaders and staff.

B) Lack of knowledge regarding the importance of changes.

C) Striving to achieve stability in the midst of great disequilibrium.

D) The importance of chaos in promoting adherence with established practices.

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