Professional Issues in Nursing
Exam Materials
Course Introduction
Professional Issues in Nursing explores the complex ethical, legal, and professional challenges faced by nurses in a variety of healthcare settings. The course examines professional standards, regulatory frameworks, advocacy, and accountability, with attention to the evolving role of nurses in interdisciplinary teams. Students analyze contemporary issues such as patient rights, informed consent, cultural competence, and evidence-based practice, while developing skills in ethical decision-making and effective communication. By addressing these critical topics, the course equips future nurses with the knowledge and confidence to navigate professional dilemmas and contribute positively to patient care and the nursing profession.
Recommended Textbook
Leading and Managing in Nursing 6th Edition by Yoder Wise
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30 Chapters
763 Verified Questions
763 Flashcards
Source URL: https://quizplus.com/study-set/676 Page 2
Chapter 1: Leading,Managing,and Following
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/12928
Sample Questions
Q1) During a staff meeting held to discuss developing a mission statement for the unit,the idea of placing patient needs first is:
A)Empowering.
B)A leadership tag.
C)A symbol.
D)A management task.
Answer: B
Q2) Chart audits have revealed significant omissions of data that could have legal and funding guidelines ramifications.As the unit manager,you meet with the staff to discuss audit findings and to find approaches that will address the gaps in charting and achieve desired goals.This is an example of:
A)Leadership.
B)Management.
C)Decision making.
D)Vision.
Answer: B
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Chapter 2: Safe Care The Core of Leading and Managing
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/12929
Sample Questions
Q1) The IOM Health Professions Education report highlighted patient safety concerns as:
A)A normal risk in professional practice.
B)A result of disciplinary silos.
C)A reflection of frontline staff.
D)Related to systems errors.
Answer: B
Q2) During review of back injuries,it is determined that a large number of injuries are occurring in spite of mechanical lifts being used.Furthermore,it is determined that some lifts are outdated.In addressing this concern,the unit manager:
A)Meets individually with nurses who are observed to be using the lifts incorrectly to review the correct procedure.
B)After consultation with the staff about the review, orders new lifts to replace older ones that are malfunctioning.
C)Blames the system for inadequate funding for resources.
D)Reviews the system of reporting incidents to ensure that appropriate reporting is occurring.
Answer: A
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4
Chapter 3: Developing the Role of Leader
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) Kari,a head nurse on the dialysis unit,has been informed during budget planning meetings that budget cuts are likely.She discusses this at the next unit meeting and tells staff members that unless they do their jobs well,their positions may be terminated,and there will be no replacement.Kari is enacting which management style?
A)Transformational
B)Transactional
C)Trusting
D)Truthful
Answer: B
Q2) After being interviewed for the unit manager position,the staff nurse reflects on the interview process.The staff nurse is aware that leadership begins:
A)Within.
B)Through a relationship with a mentor.
C)With the job description.
D)With the chief nursing officer of the organization.
Answer: A
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5
Chapter 4: Developing the Role of Manager
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) The nurse manager is anticipating changes on the unit because of managed care.It is up to the manager to "sell" the staff on this care concept.A goal of managed care that the staff must understand is that managed care is:
A)Grounded in business theory.
B)Useful for long-term patients only.
C)Designed to reduce unit resources and staff.
D)Not concerned with the best interests of clients.
Q2) Nurses on Unit 17 complain that their manager frequently "checks up on them" and encourages little involvement in decision making and yet,during performance reviews,praises them for their outstanding performance.Nurses on Unit 18 indicate that their experience is different from that of nurses on Unit 17.The manager on Unit 18 encourages active involvement in decision making and provides authentic,growth-promoting feedback.The practices on Units 17 and 18 reflect.
A)Differences in the managers' expectations of their role.
B)Shaping of the workplace behavior of employees.
C)Different approaches to cooperation and collaboration.
D)Recognition of institutional priorities.
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Page 6
Chapter 5: Legal and Ethical Issues
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Sample Questions
Q1) A nurse on your inpatient psychiatric unit is found to have made sexually explicit remarks toward a patient with a previous history of sexual abuse.The patient sues,claiming malpractice.Which of the following conditions may not apply in this situation?
A)Injury
B)Causation
C)Breach of duty
D)Breach of duty of care owed
Q2) One means of ensuring that nurses floated to other patient care areas in healthcare organizations are qualified to work in those areas is:
A)Employing additional staff to assist with orientation processes.
B)Cross-educating staff members to other areas of the institution.
C)Transferring patients to units where the staffing pattern is optimal.
D)Orienting staff members to all patient care areas as part of their general orientation to the institution.
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Chapter 6: Making Decisions and Solving Problems
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25 Flashcards
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Sample Questions
Q1) A clinic nurse has observed another nurse deviating from agency policy in performing wound care.The best approach for the clinic nurse to take is to:
A)Stay out of it.
B)Inform the nursing supervisor.
C)Fill out a notification form (incident report).
D)Assess the risk to the client and the agency before proceeding.
Q2) Sue,a nurse manager,has a staff nurse that has been absent a great deal for the past three months.A whistleblower gives some information to Sue indicating that the staff nurse will be resigning and returning to school.Because of this,Sue decides to do which of the following?
A)Immediately fire the staff nurse.
B)Speak to the whistleblower and elicit more information.
C)Speak to the staff nurse and ask her to resign.
D)Do nothing.
Q3) High-quality decisions are most likely to be made in nursing situations when:
A)Team leaders make the crucial decisions.
B)Individuals are advised of the problems.
C)Group size is neither too small nor too large.
D)Members are passively involved.
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Page 8
Chapter 7: Healthcare Organizations
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/12934
Sample Questions
Q1) A nurse manager in a for-profit environment finds it difficult to recruit staff.This difficulty may be most related to aggressive profit goals and:
A)Lower salary compensation for staff.
B)Rising expectations of impoverished and indigent individuals for services.
C)Poor orientation and retention practices for staff.
D)An overwhelming emphasis on accepting learners from health disciplines.
Q2) Which of the following is an outcome of managed care?
A)Shift of patients to outpatient and home health services
B)Less complexity in funding sources
C)Less complexity in rules for consumers to follow
D)Greater consistency in the quality of care
Q3) 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.
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9
Chapter 8: Understanding and Designing Organizational Structures
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/12935
Sample Questions
Q1) In matrix organizational structures,a nurse manager understands that this type of structure:
A)Is a simplified organizational structure.
B)Has both a functional manager and a service or product-line manager.
C)Arranges departments strictly according to function.
D)Promotes harmony in organizational decision making.
Q2) A new director of nursing in a small rural hospital wants to make changes from the traditional model of governance to a shared-governance model.Select the characteristic below that best describes the traditional organizational structure in which a staff nurse is assigned to carry out nursing tasks for clients but is not given the chance to provide input into forming the policies and procedures by which care is delivered or the standards by which care is evaluated:
A)Bureaucratic
B)Decentralized
C)Delegated authority and responsibility
D)Delegated responsibility but no authority
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10
Chapter 9: Cultural Diversity in Health Care
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) As a manager,you are responsible for two separate units: a CCU and a cardiac step-down unit.The organization and relationships on these units are distinct and very different from one another.Your decision has been to support the uniqueness of these units because each is effective in different ways in providing patient care.This approach is consistent with which principle?
A)Transculturalism
B)Cross-culturalism
C)Multiculturalism
D)Acculturation
Q2) During performance appraisal,you praise Xia for her attention and care to nursing details.You suggest that her care would be further enhanced by greater acknowledgment of patients' feelings.Xia bursts into tears and leaves the office.Later,you learn that criticism is perceived as akin to failure in Xia's culture.You reflect on how you could modify your approach in the future to acknowledge different cultural interpretations of feedback.Your response is indicative of:
A)Bias.
B)Cultural awareness.
C)Cultural diversity.
D)Ethnocentricity.
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Page 11
Chapter 10: Power,Politics,and Influence
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/12937
Sample Questions
Q1) Despite repeated invitations by his colleagues to become involved in regional and state nursing practice committees,Tom refuses.His reason is that "nursing committees rarely get anything worthwhile done because of politics and conflicts." According to the text,Tom's view of involvement:
A)Is rare in nursing today.
B)Reflects a fear of power.
C)Reflects the essential process of power.
D)Reflects empowerment and capacity to make his own decisions.
Q2) Literature on oppression in nursing has:
A)Verified the presence of behaviors associated with oppression within nursing.
B)Suggested that oppression leads to bullying but has little or no effect on patient outcomes.
C)Failed to establish that oppression is present in nursing groups.
D)Indicated that nurses use oppression negatively.
Q3) Politics is usually:
A)Confined to legislatures.
B)Seen in dysfunctional workplaces.
C)Found in all social organizations.
D)A representation of self-interest.
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Page 12
Chapter 11: Caring, Communicating, and Managing with Technology
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/12938
Sample Questions
Q1) A recent nursing graduate in a busy emergency department triages a patient who has sustained a large,deep puncture wound in his foot while working at a construction site.He is bleeding and is in pain.The nurse enters the triage data that she has obtained from the patient into a computerized,standard emergency patient classification system.After she enters the assessment data,she notices an alert on the computer screen that prompts her to ask the patient about the status of his tetanus immunization.What system of technology is involved in generating the alert?
A)Clinical decision support
B)WL technology
C)Computerized provider order
D)Electronic health record
Q2) A primary care clinic in a small urban center sees a high volume of cardiology patients.Patients who attend the clinic have smart cards that they use at hospitals,clinics,and emergency departments within that region of the state.A primary benefit of the smart card for these patients would be:
A)Rapid and accurate treatment in emergency situations.
B)Reduced wait times to see specialists.
C)E-mail notification of test results.
D)Readily available information regarding medications.
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Chapter 12: Managing Costs and Budgets
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/12939
Sample Questions
Q1) Within a healthcare environment,where the gap between revenues and costs can mean the difference between sustainability of an organization and nonsustainability of an organization or services,it is critical for nurse managers to:
A)Maintain a clear vision of how to trim healthcare costs.
B)Balance value-added services against costs and revenues.
C)Consistently delete programs that are of high cost.
D)Implement programs that bring in additional revenues.
Q2) The difference between a nurse practitioner's charge of $45 for an office visit and the insurance company's payment of $34 is:
A)A contractual allowance.
B)A profit.
C)A flat rate.
D)Revenue.
Q3) Which of the following are considered variable costs? (Select all that apply.)
A)Salaries for the minimum number of staff
B)Utilities and rent
C)Managed care
D)Supplies
E)Medication and treatment supplies
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Page 14
Chapter 13: Care Delivery Strategies
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/12940
Sample Questions
Q1) The nurse manager at a cardiac rehabilitation unit was asked to select a care delivery model.Which of the following methods would be the most cost-effective?
A)Functional method
B)Case management method
C)Primary care method
D)Team method
Q2) You are the nurse manager of a nursing service organization that provides around-the-clock care to clients in their homes.To achieve maximum reimbursement for a client who is recovering from a hip replacement,the nursing staff most likely will follow the nursing care guidelines presented in the:
A)Nursing care plan.
B)Physician's orders.
C)Critical pathway.
D)Clinical practice guidelines.
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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Page 15
Chapter 14: Staffing and Scheduling
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A nurse manager uses many sources of data when planning the unit's workload for the year.Which of the following data must be considered in the planning?
A)Hours of operation of the unit
B)Trends in acuity on the unit
C)Maximum work stretch for each employee
D)Weekend requirements
Q2) Scheduling is a function of implementing the staffing plan by assigning unit personnel to work specific hours and specific days of the week.To retain nursing staff,the nurse manager must schedule:
A)All weekends off.
B)All holidays off.
C)A variety of scheduling options.
D)Rotating shifts.
Q3) To maintain patient safety,studies suggest that scheduling should avoid:
A)Rotating shifts.
B)Weekends.
C)8-hour shifts.
D)Mandatory overtime.
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16
Chapter 15: Selecting, Developing, and Evaluating Staff
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/12942
Sample Questions
Q1) You have hired a new RN to replace a well-respected and experienced nurse in your outpatient department.The new RN recently graduated and is nervous about stepping into a role that was previously filled by someone who was so competent.You recognize anxiety and set up regular,frequent meetings during which you explore how she is dealing with her anxiety,provide feedback,and discuss strategies/ideas that will enhance her performance.What development approach are you using?
A)Performance appraisal.
B)Counseling.
C)Empowerment.
D)Coaching.
Q2) 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?"
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17
Chapter 16: Strategic Planning, Goal-Setting, and Marketing
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Source URL: https://quizplus.com/quiz/12943
Sample Questions
Q1) Benchmarks in the strategic marketing planning process are useful in:
A)Establishing programs.
B)Setting targets.
C)Rewarding employees.
D)Measuring progress.
Q2) Assessment of the needs of the consumer or client (in developing a strategic marketing plan)focuses on:
A)Present needs only.
B)Present and future needs.
C)The development of surveys.
D)Secondary analysis of existing data.
Q3) A community-based pain management program is being planned for your region.As a coordinator of a home care agency,you have been requested to develop a conceptual framework,mission statement,philosophy,and objectives for the program.In what order will you pursue this endeavor?
A)Objectives, philosophy, and mission statement
B)Philosophy, objectives, and mission statement
C)Philosophy, mission statement, and objectives
D)Mission statement, philosophy, and objectives
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Page 18
Chapter 17: Leading Change
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Sample Questions
Q1) Elizabeth,an RN with approximately 15 years of service on your unit,walks away from one of the learning sessions on IV care and you overhear her telling a colleague that she thought the session was a waste of time because "the unit has been using heparin for years and there has never been any adverse effects." You follow up with Elizabeth and discover that she is really quite angry about the information sessions because she feels that you are implying that "what she has been doing all these years means that she is incompetent and doesn't care about her patients." Your response to her indicates that:
A)Elizabeth will never adopt the change.
B)Elizabeth is insecure in her practice.
C)Elizabeth requires more information about the practice.
D)Change involves emotions.
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.
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Page 19
Chapter 18: Building Teams Through Communication and Partnerships
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Sample Questions
Q1) A nurse manager is experiencing conflicts between herself and staff members.She had tried to develop a team by using a shared leadership model to empower the staff.Staff members are functioning:
A)As a team.
B)Independently.
C)Interdependently.
D)As a group.
Q2) The nurse manager was upset with the staff nurse and said,"You did not understand what I said." Which element in the communication process was she referring to?
A)Feedback between receiver and sender
B)A message channel
C)A receiver who decodes the message
D)A set of barriers that may occur between sender and receiver
Q3) Mobilizing others to accomplish extraordinary things requires what leadership behaviors? (Select all that apply.)
A)Celebrating the successes of others
B)Demonstrating exceptional technical skills
C)Imagining possibilities
D)Establishing a sense of "being in this together"
Page 20
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Chapter 19: Workforce Engagement and Collective Action
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Source URL: https://quizplus.com/quiz/12946
Sample Questions
Q1) Collective action is effective in:
A)Ensuring that needs of nurses are placed ahead of other disciplines.
B)Defining nursing as a profession.
C)Advising patients of the needs of nurses.
D)Amplifying the influence of individuals.
Q2) In looking at an organizational chart for her institution,Jennifer notes that nursing is led at the senior level by a non-nurse executive.Jennifer expresses concern that this is a reflection of how nursing is viewed within the organization.Jennifer's comments reflect:
A)A concern that resource allocation will be made on a business and not a professional model.
B)The dissatisfaction that occurs when lack of autonomy is given to nurses.
C)Concern with the nonadvancement of nursing practice in the institution.
D)An awareness of how organizational culture is reflected in organizational structure.
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Chapter 20: Managing Quality and Risk
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Sample Questions
Q1) The nurse gives an inaccurate dose of medication to a patient.After assessment of the patient,the nurse completes an incident report.The nurse notifies the nursing supervisor of the medication error and calls the physician to report the occurrence.The nurse who administered the inaccurate medication understands that:
A)The error will result in suspension.
B)An incident report is optional for an event that does not result in injury.
C)The error will be documented in her personnel file.
D)Risk management programs are not designed to assign blame.
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) Patient perceptions are useful in:
A)Determining disciplinary actions in QI.
B)Establishing the competitive advantage of QI decisions.
C)Providing one source of data for QI initiatives.
D)Establishing blame for poor-quality care.
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Page 22
Chapter 21: Translating Research into Practice
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Sample Questions
Q1) Which of the following would be most effective in implementing the findings of Dobbins et al.on treating problems associated with bowel motility?
A)Lecture by a nurse practitioner
B)Workshop for surgical nurses that involves discussion of case studies and application of evidence
C)Discussion of the findings on the bulletin boards at the workstation
D)Education of unit opinion leaders regarding the evidence presented in the studies
Q2) A strategic goal developed by the chief nursing officer is to implement an evidence-based practice program.What is an appropriate strategy that can be used by a nurse manager who is beginning to implement an evidence-based practice program?
A)Conducting a review of adverse events and incident reports
B)Soliciting input from staff members
C)Reviewing specialty organization guidelines
D)Identifying patients with extended lengths of stay
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Chapter 22: Consumer Relationships
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Sample Questions
Q1) An example of a factor that would impede a patient's learning is:
A)Poverty.
B)Limited health insurance.
C)Being an older adult.
D)Heavy sedation.
Q2) Which of the following actions best exemplifies advocacy?
A)Developing a list of agencies that will provide free services for the homeless
B)Working in a needle exchange program for individuals in an inner-city environment
C)Acting on behalf of a patient to promote end-of-life wishes to an ethics committee
D)Working in a free clinic for immigrant workers
Q3) As part of performance appraisal,the nurse manager designs strategies to acknowledge staff members.What practices by the nurse manager best acknowledge staff accountability and contribution?
A)Providing new and varied learning experiences for staff members
B)Fostering group cohesiveness through standardization of unit activities
C)Allowing professionals greater influence over their practices
D)Giving recognition for success and support for failure to staff members
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24
Chapter 23: Conflict The Cutting Edge of Change
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Sample Questions
Q1) John is a circulating nurse in the operating room.He is usually assigned to general surgery,but on this day he is assigned to the orthopedic room.He is unfamiliar with the routines and studies the doctor's preference cards before each patient.The fourth patient comes into the room and John prepares a site for a biopsy using a Betadine solution.The surgeon prefers another solution.He notices what John has done and immediately corrects him by rudely insulting John.Which of the following is the most appropriate approach to conflict resolution in this example?
A)Collaboration
B)Compromising
C)Avoiding
D)Withdraw
Q2) Sarah,a staff nurse on your unit,witnesses another nurse striking a patient.Sarah wants to remain friends with her colleague and worries that confrontation with her colleague or reporting her colleague will destroy their relationship.Sarah is experiencing which type of conflict?
A)Intrapersonal
B)Interpersonal
C)Organizational
D)Professional
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Chapter 24: Managing Personal/Personnel Problems
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Sample Questions
Q1) Ellen is a novice nurse on your unit.Even though she has come to you highly recommended,as her supervisor,you have noticed some knowledge and skill deficiencies.These deficiencies have been noticed by her peers as well,who cover for her because she is new and they like her.Which of the following is likely to be the greatest asset to Ellen in improving her performance?
A)Ignore Ellen's errors until she has more experience.
B)Instruct staff to avoid working with Ellen until she learns to how do things herself.
C)Ask Ellen to complete a self-assessment, using a standard skills checklist.
D)Encourage staff to report every behavior of Ellen's that is different from theirs.
Q2) Susan,a new graduate,is upset that so many staff have been absent lately from the unit.She declares to you that all absenteeism could be eliminated with proper management.Your response is based on understanding that:
A)Not all absenteeism is voluntary.
B)High personal control contributes to absenteeism.
C)Direct discussions with employees who have high levels of absenteeism are not recommended.
D)All absenteeism is related to personal issues and needs.
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Page 26
Chapter 25: Workplace Violence and Incivility
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Sample Questions
Q1) Caroline asks family members to leave while she cares for the 16-year-old victim of a recent car accident.The father screams at her and tells her that she has no right to ask his family to leave,and that if she continues to do so,he will "throw her out of the room."
Caroline is shaken and tells her head nurse,who tells her that this kind of thing is just part of the job.The guidance of the head nurse:
A)Is reasonable. No physical violence was involved.
B)Is related to why statistics on violence in health care are likely underreported.
C)Acknowledges the deep distress and fear of the family.
D)Acknowledges the concern of the nurse.
Q2) 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 to discuss the situation.
D)Respond to Linda in a way that is consistent with organizational processes and with similar situations.
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Chapter 26: Delegation An Art of Professional Nursing Practice
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Sample Questions
Q1) You ask Evelyn,a new UNP,to check what is left in Mrs.N.'s inhaler when Evelyn makes visits to Mrs.N.and also to check whether Mrs.N.is receiving any positive effect from the medication.Evelyn reports for 3 weeks that Mrs.N.is using the inhaler and that there is enough medication left in the device.The day of her last visit to Mrs.N. ,Mrs.N.is admitted to the hospital in severe respiratory distress.When she is admitted,she tells the physician that she has not been using the inhaler for 4 weeks.Before assigning Evelyn to Mrs.N.'s care,the most appropriate action of the care coordinator would have been to:
A)Determine Evelyn's educational background and preparation for this role.
B)Ask Evelyn if she has worked with inhalers before and to describe what she knows about them.
C)Advise that if Evelyn has any questions about what to do with the inhaler, she should come to the coordinator.
D)Advise Evelyn that working the inhaler is not really complicated and that she should ask the patient how to check medication levels in the inhaler.
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28
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 finds that she has begun to think negatively about the way nursing care is delivered on her nursing unit.She often wishes that she was back on her old unit and in her familiar staff nurse role.This behavior:
A)Is natural when assuming a new position.
B)Diverts energy from internalization of Sarah's new role.
C)Is justified if practices are deficient on the new unit.
D)Reflects Sarah's astuteness as a clinician.
Q2) A nurse is interviewing for a manager's position.Which of the following actions is considered a role preview?
A)Formal commitment of the employment contract
B)Improving role performance
C)Touring the unit
D)Disillusionment about the expectations of the job
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Chapter 28: Self-Management Stress and Time
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Q1) Social stressors are considered a major factor in the stress nurses experience in the healthcare system.Which of the following is not considered to be a social stressor?
A)High amounts of stress in the nursing home environment
B)Changes in the current healthcare system such as nursing strategies
C)Disruptive behavior coming from physicians and other healthcare workers
D)Stress triggers such as self-criticism and overanalyzing
Q2) "Stress-buffering" behaviors can be elicited to reduce stress.All of the following behavioral coping responses can be used by nurse managers to reduce and manage stress except:
A)Distancing oneself from work.
B)Using cognitive reframing to change irrational thoughts.
C)Refusing a request to sit on a committee to evaluate scheduling software.
D)Exercising regularly.
Q3) As a nurse manager,the one activity you should not overlook is:
A)Posting the yearly rotation schedule.
B)Reviewing vacation requests.
C)Scheduling staffing for holidays 6 months in advance.
D)Anticipating staff sick days.
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Chapter 29: Managing Your Career
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Q1) To enhance team leadership skills for your team leaders,you arrange opportunities for:
A)Certification.
B)Continuing education.
C)Provide opportunities for career networking and support.
D)Volunteerism.
Q2) A cover letter and a résumé together should be no longer than ________ page(s).
A)Two
B)One
C)You should send a thank-you note to the interviewer, indicating appreciation for her time.
D)Three
Q3) The nurse executive at the local hospital began working there 20 years ago and has risen to the highest designation in nursing.This career style is known as:
A)Linear.
B)Spiral.
C)Steady state.
D)Entrepreneurial/transient.
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Chapter 30: Thriving for the Future
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Q1) Nathan tells you that he has selected nursing as a career because many jobs are available and he will have job security.Your best response to Nathan is:
A)"With many young people going overseas, many jobs and options will be available. Stable jobs and job security will be part of the nursing employment market."
B)"The job market for nurses will be diminished with funding cuts to hospitals."
C)"The employment prospects for nurses are positive with many options to choose from. Flexibility and adaptability are essential to income security."
D)"It is unlikely that nursing will survive in the long term with funding cuts and a declining population of seniors."
Q2) To move beyond stereotypical thinking and toward thinking about the future,which of the following would be most consistent with thinking wildly in the Wise Forecast Model?
A)Listing everything that we know about our current situation
B)Defining which practices will remain unchanged and which will change
C)Asking someone with a great deal of experience to share ideas about best practice
D)Challenging current and future practices with questions of "what if?"
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