Nursing Management
Exam Materials
Course Introduction
Nursing Management is a course designed to equip nursing students with the foundational knowledge and practical skills required to effectively lead, supervise, and coordinate healthcare teams in various clinical settings. The curriculum covers essential management principles, leadership theories, decision-making processes, resource allocation, communication, staff development, and quality improvement initiatives. Students will explore strategies for conflict resolution, ethical and legal considerations in management, and the implementation of evidence-based practices to enhance patient care outcomes. By the end of the course, learners will be prepared to assume leadership roles within nursing, contributing to efficient healthcare delivery and promoting a positive work environment.
Recommended Textbook
Guide to Nursing Management and Leadership 8th Edition by Ann Marriner Tomey
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15 Chapters
375 Verified Questions
375 Flashcards
Source URL: https://quizplus.com/study-set/2090
Page 2
Chapter 1: Communications
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/41654
Sample Questions
Q1) A staff nurse exploded angrily at the charge nurse and said,"I don't have time to turn the client because I have to catch up on my charting." The charge nurse replied,"I want to see you in my office right now!" This is an example of what type of transactional pattern?
A)Adult to adult
B)Child to child
C)Parent to parent
D)Parent to child
Answer: D
Q2) The best response for the nurse manager to use with an angry employee is:
A)"What is wrong?"
B)"You are really inappropriate with your anger."
C)"If you would like to talk,we can go into my office."
D)"I'm not sure why you are angry,but don't take it out on me."
Answer: C
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Chapter 2: Stress Management
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/41655
Sample Questions
Q1) To implement a new staffing schedule based on acuity levels,the nurse manager established time estimates for nursing duties.This is an example of maximizing organizational time by:
A)Planning
B)Organizing
C)Staffing
D)Directing
Answer: A
Q2) Which of the following people is more likely to experience burnout?
A)A nurse who just celebrated her fifth year with the agency
B)A nurse manager who works 50 hours a week
C)A nursing assistant who just returned from vacation
D)A unit secretary who would like to return to school
Answer: B
Q3) Which of the following indicates that the nurse is culturally sensitive?
A)Allowing a Hispanic-American client's extended family into the room
B)Talking loudly to an Asian-American staff nurse
C)Firmly shaking hands with a Native American client
D)Standing face to face with an African-American staff nurse
Answer: A
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Chapter 3: Decision-Making Process and Tools
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) After a brainstorming session on how to implement a new staffing policy,the nurse manager decided to have the staff rank the suggestions in order of most preferred solution after considering whether each suggestion is practical,cost effective,efficient,and effective.Next,the staff prioritized the list,eliminated items,and added others.This is a form of:
A)Visual identification of relationships
B)Checklist method
C)Modeling
D)Self-interrogation checklist
Answer: B
Q2) In the decision-making process,the nurse identifies a problem by:
A)Referring to the standards of practice
B)Using the nurse's own experience
C)Drawing on his or her education
D)Analyzing available information
Answer: D
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5
Chapter 4: Motivation and Morale
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/41657
Sample Questions
Q1) According to Skinner's positive reinforcement theory,a nurse manager needs to evaluate whether the desired results were obtained or not.If the desired results were not obtained,what is the nurse manager's first action?
A)Reassign tasks to different staff members
B)Assess the working environment for interference
C)Request staff to be reassigned to a different unit
D)Reduce the number of hours staff members work
Q2) A nurse manager was having difficulty with the staff.Morale was low because of petty gossiping among the staff and intolerance of each other's behaviors.The nurse manager decided that the best way to handle this situation was to develop self-competence by:
A)Attending a conflict management course
B)Being politically aware
C)Being conscientious
D)Attending a service orientation program
Q3) Which of the following is an example of high organizational morale?
A)A staff nurse enjoys the quality of her work.
B)A staff nurse shows decreased quality of work.
C)A staff nurse is loyal to the profession.
D)A staff nurse has a high rate of absenteeism.
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Chapter 5: Power, Politics, and Labor Relations
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/41658
Sample Questions
Q1) Before an election is scheduled,the union's responsibility is to:
A)Get at least 10% of the nurses to sign individual authorization cards
B)Maximize the number of bargaining units
C)Schedule a preliminary hearing
D)Present solutions to the hospital management
Q2) The nurse managers have been informed that employees have contacted a union and that the union is trying to solicit a show of interest from 30% of employees.The nurse managers suggest what method to help decrease the desire to form a union?
A)Collective bargaining
B)Information technology
C)Participative management
D)Bureaucratic management
Q3) The nurse manager of a nursing home wants to address the legislature regarding the state's position on the opening of new facilities.To be the most effective in communicating this concern,the nurse manager decides to:
A)Call the legislative secretary
B)E-mail a letter to the legislative representative
C)Have a petition signed and mailed to the legislative representative
D)Have a face-to-face meeting with the legislative representative
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Page 7
Chapter 6: Conflict Management and Negotiation
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/41659
Sample Questions
Q1) A nurse manager wanted to use the nominal group process as a team development technique to help resolve conflicts on the unit.The nurse manager asked each staff member to state his or her goal,which the manager then wrote on a chalkboard for all to see.What step of the nominal group process was the nurse manager using?
A)Listing of ideas
B)Round-robin sessions
C)Serial discussions for clarification
D)Preliminary vote
Q2) After a physician reprimanded a staff nurse for not reporting the patient's vital signs,the staff nurse began experiencing a severe migraine headache.The staff nurse then asked the nurse manager if he could take a sick day and leave the unit.The staff nurse was coping with the physician's reprimand by:
A)Displacement
B)Denial
C)Somatization
D)Regression
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Chapter 7: Theories of Leadership and Management Development
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/41660
Sample Questions
Q1) According to Peter Senge's theory,all of the following are disciplines for building a learning organization except:
A)Systems thinking
B)Personal mastery
C)Mental models
D)Emotional competence
Q2) A staff nurse did not agree with the nurse manager about the new staffing policy.What is the best way for the staff nurse to handle the situation effectively?
A)Discuss the disagreement in a public forum
B)Try to develop solutions to the problem
C)Bring up the problem during a Joint Commission survey
D)Tell the nurse manager that the manager's decision was unprofessional
Q3) What might one find in Likert's consultative system that would be less likely in participative management systems?
A)Staff members' ideas are sought.
B)Sometimes an informal organization resists the formal goals.
C)Staff members feel free to discuss their jobs with the manager.
D)Decision making is integrated throughout the organization.
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Chapter 8: Strategic and Operational Planning
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/41661
Sample Questions
Q1) A staff nurse participates in the determination of goals by establishing:
A)Institutional goals and objectives
B)Goals and objectives for the nursing service
C)Unit goals and objectives
D)Outpatient service goals and objectives
Q2) Which of the following individuals or groups influence how institutional goals are determined by the organization?
A)Staff nurses
B)Patient care coordinators
C)Vice president for nursing
D)Board of directors
Q3) At a magnet hospital,the nurses' council committee developed a new policy regarding the implementation of a computerized charting system.This policy can best be described as:
A)Obsolete
B)Originated
C)Appealed
D)Imposed
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10
Chapter 9: Financial Management, Cost Containment, and Marketing
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/41662
Sample Questions
Q1) The nurse manager reviews the unit's budget quarterly.One advantage of such a budget review is that:
A)It is time consuming and expensive
B)Corrective measures can be taken
C)The budget converts organizational performance into monetary values
D)The budget supersedes the agency goals
Q2) The hospital implemented several cost-cutting strategies to keep from closing.One strategy was the support of early retirement.What kind of strategy can the nurse manager use to keep up the morale of the unit?
A)Initiate an across-the-board pay cut to be fair to everyone
B)Acknowledge the staff's good work
C)Encourage staff members to seek other positions for job security
D)Give a pay raise to the remaining employees
Q3) The hospital is promoting a healthy living program for its employees.On what part of cost containment is the hospital focusing?
A)Cost fairs
B)Cost management
C)Cost avoidance
D)Cost reduction
Page 11
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Chapter 10: Organizational Concepts and Structure
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/41663
Sample Questions
Q1) The nurse manager of the unit is responsible for:
A)Encouraging downward communication
B)Establishing a chain of command
C)Facilitating the formal group
D)Modeling the use of centralized power
Q2) A hospital recently hired a quality improvement director whose position can be viewed on the organizational chart.The function of this position in the chain of command is to:
A)Offer counsel on managerial problems
B)Restrain line authority
C)Perform the routine work
D)Serve in an advisory capacity
Q3) One way that nurse leaders who are employed by an organization can best fit into a corporate model instead of a traditional bureaucratic model is to:
A)Meet every 3 months to approve by-laws
B)Increase autocratic leadership
C)Create a network instead of preserving a pyramid
D)Establish vertical communications
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12
Chapter 11: Organizational Culture, Change, and Innovation
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/41664
Sample Questions
Q1) When the hospital merged with another institution,many workers decided to retire instead of remaining to work for the new organization.These employees are said to be:
A)Disengaged
B)Disidentified
C)Disoriented
D)Disenchanted
Q2) The hospital has planned a day of celebration called Cultural Diversity Day.At this celebration,employees of different cultures are allowed to bring their favorite foods to share with other employees.The hospital is demonstrating what stage of intercultural sensitivity?
A)Denial of differences
B)Minimization of differences
C)Adaptation to differences
D)Integration of differences
Q3) One way that administration can handle incompetent executives is to:
A)Hire new managers
B)Move them from line to staff authority
C)Terminate their employment
D)Counsel them toward satisfactory performance
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Page 13
Chapter 12: Selection and Development of Personnel
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/41665
Sample Questions
Q1) The Americans with Disabilities Act of 1990 protects individuals with which of the following disorders?
A)Depression
B)Gender identity disorder
C)Dyslexia
D)Psychoactive substance abuse
Q2) A 40-year-old staff nurse just graduated from an associate degree nursing program and was hired to fill a new position at a local hospital.This staff nurse is progressing through what career stage?
A)Exploration
B)Early career trial and establishment
C)Middle career growth and maintenance
D)Later career plateau and decline
Q3) When hiring a Filipino nurse,a nurse manager needs to guide the nurse's performance by:
A)Assigning the Filipino nurse to care for five or six patients
B)Delegating to the Filipino nurse the task of starting all intravenous lines on the unit
C)Encouraging the Filipino nurse to participate in decision making
D)Assigning the Filipino nurse to perform basic personal care
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Page 14
Chapter 13: Staffing and Scheduling
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) During the 2000s,a paradigm shift occurred in the Magnet Recognition Program.Which of the following was not a part of this shift?
A)The appraisal process moved toward evidence-based practice.
B)Technology moved toward a lower level.
C)Management moved toward a performance management model.
D)The hospital model moved toward a professional business model.
Q2) With advances in technology,the creation of a computer-based and network-based community infrastructure has become increasingly important.Which classification system was developed for community health nursing?
A)International classification of nursing practice
B)North American Nursing Diagnosis Association system
C)Nursing Interventions Classification
D)Omaha classification system
Q3) The Joint Commission calls on hospitals to use which strategy to help address the nursing shortage?
A)Increase patient-nurse ratio
B)Increase mandatory overtime hours
C)Provide management training
D)Provide informal orientation
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Chapter 14: Evaluation and Discipline of Personnel
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) As an employee benefit,the hospital provides tuition assistance for employees who pursue further education for professional development provided they agree to work at least 2 years after they complete their studies.This can be viewed as what type of modification of employee behavior?
A)Reinforcement
B)Shaping
C)Extinction
D)Punishment
Q2) If the nurse manager rates the staff from the best performer to the weakest performer,the manager is using what method of performance management?
A)Anecdotal notes
B)Rating scales
C)Ranking
D)Forced distribution scale
Q3) Hospitals have found that the major reason for disciplinary action is:
A)Employee rebelliousness
B)Lack of socialization on the unit
C)Lack of knowledge about policies and procedures
D)Lack of consistency in writing policies and procedures
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Page 16
Chapter 15: Continuous Quality Improvement, Risk
Management, and Program
Evaluation
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/41668
Sample Questions
Q1) Continuous quality improvement (CQI)is a process carried out by a team that establishes criteria,identifies relevant information,collects and analyzes data,judges quality,takes corrective action,reevaluates,and does public reporting.Criteria are established by developing standards and setting benchmarks.Standards are structure,process,and outcomes.Which of the following is an outcome statement?
A)All nurse managers will have a master's degree in nursing.
B)All beds on the unit will be occupied by the end of the year.
C)Every patient will have a discharge plan before being discharged.
D)No more than 20% of patients with congestive heart failure will be readmitted within 2 months of discharge.
Q2) Deming,who revitalized the Japanese industry with his focus on total quality management (TQM)and continuous quality improvement (CQI),introduced what concept to TQM?
A)Trilogy concept
B)Zero defects concept
C)Plan-do-check-act cycle (PDCA)
D)Quality as conformance concept
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Page 17