

Professional Issues in Nursing Exam Preparation Guide
Course Introduction
Professional Issues in Nursing examines the ethical, legal, and professional frameworks that guide nursing practice in diverse healthcare environments. The course explores topics such as patient advocacy, confidentiality, informed consent, accountability, interprofessional collaboration, cultural competence, and the impact of emerging technologies on healthcare delivery. Students will analyze current healthcare policies, workplace challenges, and the evolving roles and responsibilities of nurses. Emphasis is placed on critical thinking, ethical decision-making, effective communication, and professional development to prepare students for leadership and excellence in the nursing profession.
Recommended Textbook
Leading and Managing in Nursing 7th Edition by Yoder Wise
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31 Chapters
756 Verified Questions
756 Flashcards
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Page 2

Chapter 1: Leading, Managing, and Following
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Q1) The unit is shifting from primary nursing to a team model in an effort to contain costs.Staff members are upset about the change and ask for a meeting to discuss the new model.After hearing their concerns related to reduction in professional autonomy,what is the initial response by the manager to address the concerns?
A) Acknowledge the loss.
B) Explain the reasons for change, emphasizing the need to reduce costs.
C) Repeat the information several times, giving detailed budget overviews.
D) Adjourn the meeting and provide explanation through e-mail.
Answer: A
Q2) As a leader on a rehab unit,the manager encourages all staff members to see themselves as having a role in decision making and quality care.The manager sees their role as involving particular responsibilities in decision making but not as a hierarchal role.What is this view of the role consistent with in this situation?
A) Trait theories
B) Complexity theory
C) Situated theory
D) Emotional intelligence
Answer: B
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Chapter 2: Clinical Safety: The Core of

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Q1) As a nurse manager on the West Surgery Unit,you are interested in increasing patient safety and reducing morbidity and mortality on your unit.What recommendations would be consistent with the IOM The Future of Nursing report?
A) Careful screening of nursing staff for substance use and abuse
B) Increased RN staffing on the unit
C) Salary and benefits that reflect nursing accountabilities
D) Increase in the percentage of baccalaureate-prepared nurses to 80%
Answer: D
Q2) The nurse is educating older adult patients on staying safe in the healthcare system.What information does the nurse include in the teaching?
A) The need to understand and record all medications being taken.
B) Bringing their own linens and other personal items to the hospital.
C) Washing hands frequently while in a healthcare environment and using a hand sanitizer.
D) Following closely the directions and orders of healthcare providers.
Answer: A
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Chapter 3: Legal and Ethical Issues
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Q1) Which ethical principle is primarily involved in informed consent?
A) Veracity
B) Autonomy
C) Beneficence
D) Nonmaleficence
Answer: B
Q2) To satisfy duty of care to a patient,a nurse manager is legally responsible for all of the following except:
A) notifying staff of changes to policies related to medication administration.
B) scheduling and staffing to ensure safe care.
C) delegating in accordance with practice acts.
D) supervising the practice of the physician.
Answer: D
Q3) On your nursing unit,you employ LPNs,RNs,and advanced practice nurses.You will need to be familiar with at least:
A) two nursing practice acts.
B) two nursing practice acts in most states.
C) one nursing practice act.
D) one nursing practice act and a medical act.
Answer: C
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Chapter 4: Cultural Diversity and Inclusion in Health Care
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Q1) In designing programs through your institution to address the health needs of Hispanics in your community,you most likely would develop programs related to:
A) diabetes.
B) cardiovascular disease.
C) cancer.
D) asthma.
Q2) As a nurse manager,you have to be effective in managing a culturally diverse staff.Which of the following nurse manager attributes would assist you in addressing the cultural needs of your staff?
A) Stereotyping of others
B) Respecting others
C) Understanding the importance of language
D) Encouragement of potential in all staff
E) Age bias
F) Disrespect for others
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Chapter 5: Gaining Personal Insight: The Beginning of Being a Leader
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Q1) As a new nurse manager,you are aware of leadership,management,and followership principles.What is the first step to becoming an effective leader?
A) Being an effective follower
B) Taking a class on leadership
C) Taking a class on management
D) Getting an advanced degree
Q2) As a nurse manager and the leader of the unit,you are aware of multiple avenues for learning leadership traits.Which avenues would you pursue for learning leadership traits?
A) Attending professional conferences
B) Reading books on leadership
C) Joining professional organizations
D) Connecting with other leaders in the organization
E) Experiences from new nurses
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Chapter 6: Being an Effective Follower
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Sample Questions
Q1) The definition of leader refers to a person who has ability to guide people.In nursing,the leader does more.What is NOT a role of a leader in nursing?
A) Active listening
B) Open communication
C) Accountability in decisions
D) Tight control of decisions
Q2) The manager of a nursing unit is having difficulty working with a new graduate nurse.The new graduate nurse is excited and full of ideas she wants to try keeps pushing the manager to make changes.The manager decides to provide the new nurse with an opportunity to present an idea to the staff at the next meeting.What is the manager providing the new nurse?
A) Leadership opportunity
B) Working to improve patient care
C) Input to the unit
D) All of the above
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8
Chapter 7: Managing Self: Stress and Time
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Sample Questions
Q1) 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.
Q2) An example of role stress occurs when:
A) the director of the ICU and the manager of the surgical unit wish to hire the same new employee.
B) two part-time staff members are hired to work in a unit, but the job expectations for them are not clear, and the head nurse expresses disappointment in their performance.
C) the nurse manager for the ICU wants to advocate for more staff and finds it difficult to find data to substantiate his proposal.
D) line managers believe that support staff use their technical knowledge to intrude on their authority.
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9

Chapter 8: Communication and Conflict
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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.What is the appropriate approach to conflict resolution in this example?
A) Collaboration
B) Compromising
C) Avoiding
D) Withdraw
Q2) Jane has transferred from the ICU to the CCU.She is very set in the way she makes assignments and encourages her new peers to adopt this method without sharing the rationale for why it is better.This is a good example of a process and procedure that creates which type of conflict?
A) Organizational
B) Intrapersonal
C) Interpersonal
D) Disruptive
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Page 10

Chapter 9: Power,Politics,and Influence
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Q1) The institution where you are a nurse manager has resisted the adoption of a new document management software,citing cost as a concern.You meet with other nurse managers who are in favor of the software and prepare a proposal to take to the senior executive with the goal of persuading the executive to adopt the software.This is an example of:
A) collaboration.
B) a coalition.
C) networking.
D) policy building.
Q2) A nurse manager is experiencing poor staff morale on her unit.While participating in a baccalaureate course,the nurse manager had learned that one of the reasons nurses lack power today is related to the past.In the early decades of the profession,nurses lacked power because:
A) nurses freely chose to defer to physicians and administrators with more education.
B) women lacked legal, social, and political power because of legal and cultural barriers.
C) the first nursing licensure laws prohibited nurses from making most decisions.
D) nurses astutely recognized the risks of grabbing too much power too soon.
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Chapter 10: Healthcare Organizations
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Q1) What would be the most appropriate focus in developing a business plan for a nurse-owned home healthcare service?
A) Programs to educate the community on preparing healthy meals for a limited cost
B) Reduction of injuries from alcohol-related accidents
C) Pain management for patients with low back pain
D) Reduction of falls among seniors
Q2) You are the nurse manager for a not-for-profit health service for the homeless and for drug users in an impoverished neighborhood.As the manager,your concern about sustainability is related to:
A) the possibility of violence.
B) an increase in prescription drugs available for abuse.
C) decisions of the public board.
D) an increase in uncompensated care events.
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Chapter 11: Organizational Structures
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Sample Questions
Q1) With revenue reductions and cost-saving measures,the number of managers has been reduced,this has increased the number of team leaders supervised by managers by as many as three.This change may result in:
A) decreased patient satisfaction.
B) increased efficiency in costs.
C) a more positive perception of managers.
D) little change to manager-staff relationships.
Q2) In the Unity Healthcare organization,communication flows:
A) laterally.
B) bottom to top.
C) top to bottom.
D) intermittently.
Q3) "Georgia Hospital will provide care that is a national example of consumer service" is a:
A) vision statement.
B) statement of philosophy.
C) mission statement.
D) rationale for care.
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13
Chapter 12: Care Delivery Strategies
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Sample Questions
Q1) The nurse case manager is working with a client admitted for end-stage renal disease.The case manager's major goal during this hospitalization for this patient is to:
A) implement the care pathway on admission.
B) provide direct nursing care throughout the hospitalization.
C) supervise the nursing staff members who implement the care map.
D) prevent additional hospitalizations resulting from complications of the client's disease.
Q2) When hiring a case manager for a rehabilitation setting,you would most likely consider a:
A) registered nurse with a master's degree.
B) physiotherapist with a background in stroke rehabilitation.
C) social worker with a background in counseling.
D) health professional with advanced background who is client and outcome focused.
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14

Chapter 13: Staffing and Scheduling
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Sample Questions
Q1) Your healthcare organization has a decentralized system for scheduling.As part of this process,after you have developed a draft schedule,you may need to:
A) seek budgetary approval.
B) balance personal schedules against institutional needs.
C) negotiate the schedule with unit staff.
D) submit the schedule to a centralized staffing office for review.
Q2) To maintain patient safety,studies suggest that scheduling should avoid:
A) rotating shifts.
B) weekends.
C) 8-hour shifts.
D) mandatory overtime.
Q3) A strategy to increase RN staff retention at Valley Hospital includes:
A) better compensation and benefits.
B) clearer position descriptions.
C) lay-offs of nursing assistants.
D) adequate staffing to meet acuity levels.
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Chapter 14: Work Force Engagement Through Collective
Action and Governance
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Sample Questions
Q1) In Hospital STV,senior administration is strongly oriented toward fiscal and social conservatism.The nursing department is deeply concerned with the provision of quality to the community,which includes a high number of poor and unemployed.To accomplish the goals of the nursing department,resources need to be allocated that administration is not able to allocate.Nursing and administration:
A) are engaged in shared governance.
B) are involved in an irreconcilable conflict of interests.
C) represent separate subcultures in the institution.
D) represent union and nonunion conflict.
Q2) Nursing labor-management partnerships:
A) engage nurses at all levels in problem solving for better patient care.
B) require unions and management to negotiate in good faith regarding hours of work and wages.
C) have been shown to have negligible effects on nurse turnover and patient outcomes. D) have typically resulted in increased polarization of nurses and management, leading to formation of collective bargaining units.
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Chapter 15: Making Decisions and Solving Problems
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Sample Questions
Q1) The agency in which you are a nursing leader makes a decision to reduce the number of RN positions in favor of PN positions because agency data suggest that the clients in the agency can receive appropriate care from PN staff.Furthermore,the agency is facing a decline in funding and without restructuring,some clients might not receive services at all.You provide this information on this decision to the staff and ask them to advise you if they have any feedback,concerns,or alternative solutions.This decision-making style is known as:
A) paternalistic.
B) shared.
C) reasoned
D) informative.
Q2) To solve a problem,the nurse manager understands that the most important problem-solving step is:
A) the implementation phase.
B) identification of numerous solutions.
C) accurate identification of the problem.
D) evaluation of the effectiveness of problem resolution.
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Chapter 16: The Impact of Technology
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Sample Questions
Q1) As a nurse manager,you want to institute point-of-care devices on your unit.The rationale that you provide to support the point-of-care devices includes:
A) reduction in incidents of medication error.
B) immediate documentation of care.
C) comparison of patient data with previous data.
D) immediate access to staffing schedules.
Q2) You document your patient's vital signs into a bedside documentation device and are able to compare your patient's vital signs with patients who have similar diagnoses and similar medications,and who are of a similar age.You are accessing:
A) e-mail.
B) telecommunications.
C) a database.
D) technology.
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18
Chapter 17: Delegating: Authority, Accountability,
Responsibility in Delegation Decisions
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Sample Questions
Q1) County Hospital has position descriptions for all staff,including RN Team Leaders.Sarah,a team leader on the rehab unit,assesses the needs of the patients in her area,assesses the skills and backgrounds of each of the individuals on her team,and then assigns and delegates the appropriate care provider to each patient and task.Sarah's activity in the example described is termed:
A) passive delegation.
B) passive accountability.
C) active delegation.
D) active responsibility.
Q2) The unit manager is working in a large metropolitan facility and is told that two UNPs are to be assigned to work with her.Delegation begins with:
A) acknowledging the arrival of the second UNP on the unit.
B) providing clear directions to both UNPs.
C) matching tasks with qualified persons.
D) receiving reports from the prior shift.
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19

Chapter 18: Leading Change
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Q1) The wound care nurse decided to involve those to be affected by change early in the change management process.This can positively result in:
A) coordination.
B) resistance.
C) anticipation.
D) participation.
Q2) 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." According to Havelock (1973),this comment may originate from failure in which phase of the six phases of planned change?
A) Generating self-renewal
B) Choosing the solution
C) Diagnosing the problem
D) Building a relationship
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Chapter 19: Building Effective Teams
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Q1) Trust is an important aspect of helping relationships,therapeutic communications,and the positive communications model.Which statement does not involve or define trust? Trust:
A) involves decisions to manipulate situations to gain advantage over another.
B) is the basis by which leaders facilitate the activities and progress of a team.
C) is low among members and leaders in poorly performing teams.
D) involves what we say and not necessarily what we do.
Q2) By following a shared leadership model,the nurse manager believes that staff members will learn to function synergistically.Some teams function synergistically because members:
A) do not volunteer unwanted information.
B) actively listen to each other.
C) listen to the person who believes he or she is an expert.
D) do not speak unless they are absolutely sure they are correct in their views.
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Chapter 20: Managing Costs and Budgets
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Sample Questions
Q1) Which of the following are considered variable costs?
A) Salaries for the minimum number of staff
B) Utilities and rent
C) Managed care
D) Supplies
E) Medication and treatment supplies
Q2) A nurse manager approves two staff nurses to attend a national conference.When reviewing the budget,the nurse manager looks at which line item?
A) Cash budget
B) Capital budget
C) Operating budget
D) Supply and expense budget
Q3) Which of the following factors is not implicated in rising healthcare costs?
A) Rising expectations of consumers for cure and care
B) Marketing of drugs to consumers
C) Large administrative staffs to process medical billings
D) Rising Medicare costs
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Chapter 21: Selecting, developing, and Evaluating Staff
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Sample Questions
Q1) An outpatient clinic advertised for RN positions.Before authorizing an open position,the nurse manager should:
A) review the position description and performance expectations for the opening.
B) place an ad in the local newspaper and on the telephone job line.
C) review all current applications on file.
D) look for employees within the system who might best fill the position.
Q2) John's performance was satisfactory during the first month,but after that time,he was found to be very inconsistent in the provision of nursing care.One month before the end of the rating period,he cared for a very wealthy and influential client,who is best friends with the clinical manager.This client donated new furniture for the staff lounge in John's name to show appreciation for his care.John's subsequent performance appraisal resulted in outstanding ratings in all areas.This is an example of:
A) a performance rating based on justifiable evidence.
B) a bias related to recent events.
C) the impact of personality on the appraisal of performance.
D) the effective use of a behaviorally anchored rating scale.
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Chapter 22: Person-Centered Care
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Q1) You are involved in designing a clinic for women in an inner-city neighborhood.A goal of this clinic might be:
A) development of services that are identified in various studies as important for this target group.
B) partnership with area city councilors and health professionals to provide services that are consistent with their vision and funding sources.
C) provision of immunization and addictions services and health screening services for women in the area.
D) development of services that have been identified by the women and neighborhood advocates as necessary for their health care.
Q2) The complexity of the healthcare environment for consumers is increased by:
A) falling levels of education among the public.
B) increased levels of poverty.
C) complex compensatory systems and a variety of delivery systems.
D) increased numbers of uninsured or underinsured.
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Chapter 23: Managing Quality and Risk
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Q1) Examples of sentinel events include:
A) forceps left in an abdominal cavity.
B) patient fall, with injury.
C) short staffing.
D) administration of morphine overdose.
E) death of patient related to postpartum hemorrhage.
Q2) A new graduate is asked to serve on the hospital's quality improvement (QI)committee.The nurse understands that the first step in quality improvement is to:
A) collect data to determine whether standards are being met.
B) implement a plan to correct the problem.
C) identify the standard.
D) determine whether the findings warrant correction.
Q3) Hospital ABCD is a Magnet hospital.One reason 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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25

Chapter 24: Translating Research Into Practice
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Q1) The chief nursing officer at a local hospital seeking Magnet status creates staff development classes concerning translation of research into practice (TRIP).What best describes TRIP?
A) Conducting an integrative review of the literature
B) Searching the literature for a systematic review
C) Providing the results of research studies to practitioners
D) Applying strategies that aid in adoption of research in practice
Q2) Which of the following is a meta-analysis?
A) Review of 35 studies on nurse work satisfaction to determine the significance of the aggregated research findings
B) Review of multiple chart audits to determine which errors are being reduced through implementation of evidence-based guidelines
C) RCT comparing the effectiveness of a local anesthetic in reducing the pain of venipuncture in young children
D) Analysis of factors contributing to nurse burnout and dissatisfaction at emergency room sites
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Chapter 25: Managing Personal and Personnel Problems
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Q1) 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.
Q2) A nurse manager understands that the second step in handling an employee with a disciplinary problem is to document the incident.Which of the following is best for documentation of personnel problems?
A) Use of the performance appraisal on an annual basis
B) Notes made immediately after an incident that include a description of the incident, actions taken, plans, and follow-up
C) A tally sheet of medication errors and other specific problems that will be used at annual review
D) Copies of reports, placed in his or her file, of all unusual occurrences involving the employee
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Chapter 26: 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) The chief nursing officer develops a mentoring program to help new staff members adjust to their new jobs.The main purpose of mentoring is:
A) promoting staff retention.
B) promoting staff attrition.
C) developing new role expectations.
D) promoting staff supervision.
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28

Chapter 27: Managing Your Career
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Q1) An experienced staff nurse applies for a distinct position of patient advocate at a new clinic.Based on the various tools available to her,which of the following should she bring to her interview to best present her skills?
A) Résumé
B) Annual evaluations
C) Portfolio
D) Patient advocacy project
Q2) Steady state styles would be most likely in which of the following situations?
A) Small hospital, in an isolated rural setting, with limited hierarchy
B) Large urban teaching hospital
C) Health network with several organizations
D) Travel nurse agency
Q3) A new graduate is seeking a new position in nursing and wants to "sell" herself effectively.The best strategy is to:
A) create a résumé.
B) practice interviewing.
C) call the personnel offices.
D) create a curriculum vitae.
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Chapter 28: Developing the Role of Leader
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Q1) As a senior executive,you are keen to develop your hospital as a learning organization.Part of your purpose in translating this vision into practice is to:
A) retain funding from third-party payers.
B) develop leaders.
C) maintain and/or improve quality of care.
D) stay abreast of new knowledge and evidence.
Q2) While explaining the importance of developing leadership skills among nurses to a group of first-year nursing students,Natalie,a nursing unit manager,emphasizes that:
A) most nurses are not expected to assume leadership roles.
B) the role of nurse leadership is only at the bedside, ensuring that patient care is performed according to established standards.
C) only individuals in formal leadership roles are expected to be leaders.
D) the public depends on nurses to assume leadership in moving consumer advocacy concerns forward.
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Chapter 29: Developing the Role of Manager
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Q1) A manager who is concerned with ensuring that patients on her surgical unit have the necessary information to make informed choices is:
A) practicing legal nursing care.
B) demonstrating respect for patient rights.
C) avoiding risks.
D) likely experiencing staff issues with informed consent.
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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Chapter 30: The Strategic Planning Process
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Sample Questions
Q1) Planning is a process designed to achieve goals in dynamic,competitive environments.As a new manager,what is the first step you will undertake to develop a strategic plan of action for a congestive heart failure program?
A) Search the environment to determine changes that may affect the organization.
B) Appraise the organization's strengths and weaknesses.
C) Identify the major opportunities for and threats to the organization.
D) Identify and evaluate the various strategies available to the organization.
Q2) Which of the following represents a well-written objective?
A) Hospital-acquired infections are reduced, and procedures to reduce infections are implemented.
B) To increase staff satisfaction and to decrease burnout.
C) To increase the health of the community.
D) To implement evidence-based practice on nursing units, as evidenced by adoption of evidence-based processes, by June 1.
Q3) To meet the social and human needs of a target market,it is critical to:
A) assess the needs and priorities of the target market.
B) revise the organization's mission statement to reflect external needs.
C) assess the internal culture and needs.
D) develop highly sophisticated media.
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Page 32

Chapter 31: Thriving for the Future
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/41492
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) Which of the following will require greater attention in the future?
A) Chronic disorders
B) Obstetrical outcomes
C) Prevention of hospital-based errors
D) Team conflict resolution strategies
Q3) 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) focus on day-to-day priorities.
D) think futuristically.
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