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Strategic Planning in Nursing Test Preparation - 756 Verified Questions

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Strategic Planning in Nursing Test Preparation

Course Introduction

This course provides an in-depth exploration of strategic planning principles and their application within nursing and healthcare organizations. Students will learn how to assess internal and external environments, set achievable goals, and develop long-term plans that align with organizational missions and values. Emphasis is placed on leadership skills, evidence-based decision making, stakeholder engagement, and the impact of healthcare policies on strategic initiatives. Through case studies and practical exercises, learners will build skills to effectively design, implement, and evaluate strategic plans that improve patient outcomes and advance nursing practice.

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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Chapter 1: Leading, Managing, and Following

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26 Verified Questions

26 Flashcards

Source URL: https://quizplus.com/quiz/41462

Sample Questions

Q1) The nurse manager wants to increase motivation by providing motivating factors for the nurse on the unit.What action would be appropriate to motivate the staff?

A) Collaborate with the human resource/personnel department to develop on-site daycare services.

B) Provide a hierarchical organizational structure.

C) Implement a model of shared governance.

D) Promote the development of a flexible benefits package.

Answer: C

Q2) According to the complexity theory,what would be the focus of measurement?

A) Cost per hospital day

B) Bed utilization

C) Infection rates

D) Staff morale and budgets

Answer: D

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3

Chapter 2: Clinical Safety: The Core of Leading, managing, and Following

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Sample Questions

Q1) How would a nurse manager and the staff prepare for redesignation as a Magnet Hospital?

A) Commit staff resources over a 6-month period to updating procedure manuals.

B) Educate staff through meetings and training sessions regarding appropriate answers to questions.

C) Prepare a manual that outlines orientation procedures and ensure that all safety issues are addressed.

D) Ensure that there are empirical data to support review of patient outcomes, actions taken, and results of actions.

Answer: D

Q2) What does the SBAR approach to patient safety encourage?

A) Consistency in assessment and practices

B) Continuing education

C) Multidisciplinary approaches

D) Patient feedback

Answer: A

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Chapter 3: Legal and Ethical Issues

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Sample Questions

Q1) The principle that requires nurses to uphold a professional code of ethics,to practice within the code of ethics,and to remain competent is which of the following?

A) Veracity

B) Autonomy

C) Fidelity

D) Honesty

Answer: C

Q2) Three gravely ill patients are candidates for the only available bed in the ICU.As the supervisor,you assign the bed to the patient with the best chance of recovery.This decision reflects which of the following ethical principles?

A) Beneficence

B) Autonomy

C) Veracity

D) Nonmaleficence

Answer: A

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Chapter 4: Cultural Diversity and Inclusion in Health Care

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Sample Questions

Q1) At Health Center XYZ,staff members on the rehabilitation unit have a head nurse who is intolerant of error and publicly chides anyone who makes a mistake.Over time,the rules on the unit dictate that mistakes are hidden and that areas of concern related to the functioning of the unit are discussed in tub rooms and are never openly discussed during periodic meetings.New staff members are quickly made to realize that silence is expected.The situation described is an example of:

A) ethnicity.

B) work environment.

C) work culture.

D) marginalization.

Q2) According to Leininger,"cultural imposition" is a major concern in nursing because nurses have a tendency to impose their values,beliefs,and practices on patients of other cultures.The discussion topic most likely to be without cultural imposition would be: A) abortion.

B) wound management.

C) blood transfusion.

D) advance directives.

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Chapter 5: Gaining Personal Insight: The Beginning of Being a Leader

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Sample Questions

Q1) 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.The manager decides to journal her feelings regarding the new nurse and her feelings.What is the nurse manager practicing in this situation?

A) Leadership

B) Reflection

C) Knowledge

D) Action

Q2) The nurse manager is working with a group of new nurses.The new nurses ask questions about leadership and the role of a manager in leading nursing.The manager shares she has incorporated her core values and beliefs into her role and responsibilities as a nurse manager.What type of leadership has she described?

A) Positional leadership

B) Personal leadership

C) Formal leadership

D) Information leadership

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Page 7

Chapter 6: Being an Effective Follower

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Sample Questions

Q1) In nursing theory,one theorist developed the idea of new nurses progressing to experienced nurses and playing an important role in patient care in all stages.The new nurses follow their role and progress through stages to advanced nurse.Who was this theorist?

A) Dorothea Orem

B) Patricia Benner

C) Ida Jean Orlando

D) Robert E, Kelley

Q2) A staff nurse is taking leadership classes in an advanced degree program with a goal to become a nurse manager.The nurse is studying the leader-follower relationship.What has the nurse discovered as accurate part of the leader-follower relationship?

A) Leaders are also followers.

B) Followers need to linear structures.

C) Followers are submissive in nature.

D) Leaders should dictate to the group.

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8

Chapter 7: Managing Self: Stress and Time

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Sample Questions

Q1) After several months of heavy patient loads in the Emergency Department and inability to secure sufficient and experienced staff,the department is especially taxed by a train accident that brings in many seriously injured individuals.You observe that Rama ignores the requests of several of the injured,even when time is available to care for them and is rude to two older adult patients.You are concerned that Rama is evidencing which state?

A) Hardiness

B) Depression

C) Role ambiguity

D) Depersonalization

Q2) Time management is very essential for the nurse manager.Which of the following is not a good time-management technique?

A) Decide what not to do.

B) Learn to say "No."

C) Learn to delegate.

D) Break down your workload into smaller, manageable tasks.

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9

Chapter 8: Communication and Conflict

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Sample Questions

Q1) The nurse manager is aware that conflict is occurring on her unit; however,she is focused on preparing for a state health department visit,so she ignores the problem.What factor can increase stress and escalate conflict?

A) The use of avoidance

B) An enhanced nursing work force

C) Accepting that some conflict is normal

D) Managing the effects of fatigue and error

Q2) Staff at Valley Hospital are concerned that recent staffing cuts will affect their ability to provide quality patient care,and they express their concerns to senior management.The CEO of Valley Hospital makes the following statement: "We need to contain costs because our funding has been decreased." This is a good example of which of the following conditions that propel a situation toward conflict?

A) Incompatible goals

B) Role conflicts

C) Structural conflict

D) Competition for resources

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Chapter 9: 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) What has the literature on oppression in nursing demonstrated?

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 identified in what areas?

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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11

Chapter 10: Healthcare Organizations

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Sample Questions

Q1) As a nurse manager,you have been asked to assist in designing a subacute facility for open heart patients who require further complex care after hospitalization.In setting up the facility,what would require reassessment?

A) Patients admitted to the facility must have adequate health insurance to cover the services provided.

B) A local nurse education program asks you if nursing students can gain clinical experience with recovering surgical patients in the facility.

C) Public funding will be provided to enable care of patients who have an ordinary course of recovery.

D) The facility is an older house that is more than 30 minutes away from the acute care center.

Q2) What patients would most likely be covered under Medicare?

A) Jim, who lives on the street and has occasional infections

B) Alysha, who is on social assistance and has a 5-year-old daughter with frequent ear infections

C) Karen, a housewife, 45 years of age, whose husband recently abandoned the family D) Dan, who is 68 years of age and in good health

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Page 12

Chapter 11: Organizational Structures

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Sample Questions

Q1) "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.

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.

Q3) In opening a new dialysis unit,the nurse manager has to develop a philosophy for the unit.This philosophy needs to:

A) reflect the culture of the unit and its values.

B) be developed by the nursing manager on the unit.

C) identify the clients that will be served on the unit.

D) replicate the organization's philosophy.

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Page 13

Chapter 12: Care Delivery Strategies

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Sample Questions

Q1) The nurse manager is comparing functional nursing and primary nursing for potential adoption.The nurse manager determines that patient and nurse satisfaction in primary nursing are:

A) similar to those in functional nursing.

B) not of significance in either model.

C) low by comparison with functional nursing.

D) high when compared with functional nursing.

Q2) In considering whether or not to accept a job offer as a nurse manager at a Magnet hospital,you look at an environment that you might encounter as a head nurse at the hospital.You determine that you could expect to:

A) find it difficult to recruit new staff.

B) see rapid turnover of staff on your unit.

C) find nurses who exemplify interest in quality care.

D) find limited interest in excellence in the nursing environment.

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 14

Chapter 13: Staffing and Scheduling

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Sample Questions

Q1) In evaluating weekend mortality rates,the head nurse on the cardiac unit is surprised to find that they are higher than on weekdays.In exploring the reasons for this apparent anomaly,the head nurse focuses on:

A) availability of diagnostic personnel.

B) availability of physicians.

C) communication with on-call providers.

D) acuity level of patients.

Q2) A nurse manager must consider a number of external variables when preparing the personnel budget and projecting the unit's staffing needs.An external variable to be considered is:

A) organizational staffing policies.

B) staffing models.

C) changes in services that will be offered.

D) department of Health licensing standards.

Q3) The difference between staffing and scheduling is that staffing:

A) puts the right person in the right position.

B) puts the right person in the right time and place.

C) refers to the number of nursing hours per patient per day.

D) looks after interpretation of benefits and compensation.

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Page 15

Chapter 14: Work Force Engagement Through Collective

Action and Governance

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25 Flashcards

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Sample Questions

Q1) The Emergency Department staff members are concerned that working long hours without rest puts patient safety at risk.One staff member decides that she will risk her job and become a whistleblower.Whistle-blowing is an appropriate recourse when management:

A) disregards due process when disciplining a nurse.

B) delays responding to repeated efforts to provide safe care.

C) hires nurses who are not a part of the union during a strike.

D) refuses to bargain in good faith with the elected bargaining agent.

Q2) 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.

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Page 16

Chapter 15: Making Decisions and Solving Problems

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Sample Questions

Q1) Several nurses on an adolescent psychiatric unit complain that the teens are becoming unmanageable on the 0700-1900 shift.To resolve this problem,the nurse manager decides that the staff should have a brainstorming session.The goal of brainstorming is to:

A) evaluate problem solutions.

B) critique the ideas of others.

C) generate as many solutions as possible.

D) identify only practical and realistic ideas.

Q2) John Smith,one of three managers at BSG Labs,drafted a policy that would allow his department to do more testing in his lab.This policy included the times for regular collection as well as a new process for emergency laboratory testing.The policy and procedures were never followed.The reason was that:

A) the policy was too lengthy and inundated readers with too much detail.

B) the policy made decisions for other departments in the company.

C) the staff did not believe that the new policy would be effective.

D) testing should not be done in the lab.

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Chapter 16: The Impact of Technology

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Sample Questions

Q1) The clinic nurse has just accessed a client's chart on the computer.The resident comes over and asks her to stay logged on because he needs to add a note to that client's chart.She should say:

A) "No problem. Just log me off when you're done."

B) "I'll put the note in for you. What do you want to say?"

C) "Just make sure that you sign your note because it's under my password."

D) "I'm sorry, but you will have to enter the information using your own password."

Q2) A 39-year-old patient awaits a kidney transplant.Because he must immediately arrange to get to the hospital when a donor kidney is available,it is important that he can be reached anywhere and at any time.To ensure that he receives the message,what type of technology is most effective?

A) Internet

B) Telecommunications

C) WL pager

D) CDS

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18

Chapter 17: Delegating: Authority, Accountability,

Responsibility in Delegation Decisions

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Sample Questions

Q1) During a fire drill,the nurse manager becomes very assertive and directive in her communications with staff.This type of situational leadership depends on:

A) supportive behavior by the leader and immature followers.

B) the development level of the followers and the behavior based on the situation.

C) well-developed followers combined with a strong leader who acts quickly.

D) the leader's ability to evaluate personnel and communicate that evaluation.

Q2) The day shift nurse asks an LPN/LVN to complete a task for a patient.The day shift nurse is engaging in what function?

A) Delegating

B) Assigning

C) Sharing

D) Authorizing

Q3) With delegation,responsibility and accountability remain with the:

A) physician.

B) professional who delegates.

C) individual who receives the delegation.

D) individual who previously performed the task.

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Page 19

Chapter 18: Leading Change

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Sample Questions

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." 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.

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Page 20

Chapter 19: Building Effective Teams

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Sample Questions

Q1) The state of being emotionally impelled,demonstrated by a sense of passion and dedication to a project or event,describes:

A) commitment.

B) control.

C) willingness to cooperate.

D) communication.

Q2) The chief nursing officer decided that the nurse managers need a series of staff-development programs on team building through communication and partnerships.She understood that the nurse managers needed to build confidence in ways of handling various situations.The greatest deterrent to confidence is:

A) lack of clarity in the mission.

B) lack of control of the environment.

C) fear that one can't handle the consequences.

D) fear that the boss will not like one's work.

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21

Chapter 20: Managing Costs and Budgets

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Sample Questions

Q1) In a nurse managers' meeting,the chief nursing officer encourages the managers to brainstorm ways to reduce costs.Nurse managers have the greatest impact on reducing costs by managing:

A) supplies.

B) staffing.

C) fixed costs.

D) medication costs.

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

A) offering nurse practitioner-led clinics that educate parents about non-pharmacologic 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.

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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Page 22

Chapter 21: Selecting, developing, and Evaluating Staff

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Sample Questions

Q1) As part of orientation to your unit,you decide to administer Kolb Learning Style Inventory (LSI)to new staff.The most likely reason for your decision is that the use of Kolb LSI:

A) reduces the cost of orientation.

B) determines if there is fit between learner and organizational values.

C) develops the strengths of the new staff member.

D) enables individualization of learning to the learner's needs.

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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23

Chapter 22: Person-Centered Care

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Sample Questions

Q1) 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.

Q2) Which of the following exemplifies a service orientation for a facility?

A) Staff members on the unit are encouraged to chart details about family support networks.

B) Chart audit reveals that details related to assessment of family history are missing.

C) The palliative care unit organizes a "tree of light" fundraiser each year to highlight the importance of palliative care.

D) A children's preoperative holding area is implemented in response to requests from families and staff nurses for development of an area.

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24

Chapter 23: Managing Quality and Risk

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Sample Questions

Q1) In determining the relationship between injury-producing falls and proposed preventive measures as part of the QI process,a QI team might turn to which of the following for confirmatory evidence?

A) NDNQI

B) NANDA

C) NIOSH

D) AHRQ

Q2) 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.

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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Chapter 24: Translating Research Into Practice

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Sample Questions

Q1) What is a strategy that can be used by a small community hospital with limited resources to develop an evidence-based nursing practice program?

A) Hiring a nurse researcher

B) Partnering with nurse researchers at a local university

C) Subscribing to journals devoted to evidence-based nursing

D) Including research competencies in managers' job descriptions

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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Sample Questions

Q1) All of the following are grounds for immediate dismissal except:

A) failing to pursue further medical help for a patient; patient dies.

B) selling narcotics obtained from the unit supply of narcotics.

C) restraining a patient in bed for 7 hours, unsupervised, as punishment for hitting a staff member.

D) grabbing the unit manager and threatening further physical harm after a poor performance appraisal.

Q2) The nursing director calls a meeting with one of the new unit managers.She is very concerned about a report of substance abuse on the manager's unit,and she reviews the procedures involved in dealing with chemically dependent staff.Which of the following statements would NOT be included in the discussion? "As a manager,you:

A) need to be aware of ADA issues."

B) should check with human resources regarding chemically dependent employees and employment practices."

C) check the nurse practice acts for the state in which the nurse resides."

D) should realize that the nurse is a professional embarrassment and should be kept out of sight of other staff."

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Chapter 26: Role Transition

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Sample Questions

Q1) 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.

Q2) 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.After a year,Sarah successfully transitions into the nurse manager role and considers taking the examination to become a certified nurse executive.Amy advises her that this is not possible because Sarah will need:

A) a graduate degree.

B) at least a nursing diploma.

C) 24 months of experience.

D) 5 years of successful experience.

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Chapter 27: Managing Your Career

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Sample Questions

Q1) Before beginning her own nursing agency,a nurse worked with other temporary nursing agencies in nine states and multiple agencies.She had set a personal goal to start her own agency.What type of motivation does this exemplify in career success?

A) Linear

B) Spiral

C) External

D) Internal

Q2) A well-written letter of resignation is critical to:

A) first announce your intent to resign.

B) formally signal discontent in your current position.

C) maintain a positive relationship with your former organization and colleagues.

D) fulfill your legal obligations as a departing employee.

Q3) 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

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Chapter 28: Developing the Role of Leader

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Sample Questions

Q1) The senior executive praises John for the positive patient evaluations that his unit has received.As an effective leader,John:

A) thanks the senior executive for having confidence in him and celebrates by going out to a special restaurant.

B) points out the impact that the changes he has initiated have had on the unit.

C) advises the senior executive that the mission statement and goals are important to him.

D) points out the contributions of his staff to the outcomes and shares the praise with his staff.

Q2) The new head nurse on G Unit has been the subject of a great deal of discussion and complaining during breaks.She is a competent nurse of tremendous integrity with approximately 30 years' experience.Her predominant method of problem solving and communication is through meetings,which can go over the allotted time.The staff may:

A) be represented by a high number of Baby Boomers.

B) be presenting different generational values and attitudes than the head nurse.

C) be unresponsive to her transactional leadership style.

D) want a leader rather than a manager.

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Page 30

Chapter 29: Developing the Role of Manager

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24 Verified Questions

24 Flashcards

Source URL: https://quizplus.com/quiz/41490

Sample Questions

Q1) 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).

Q2) As a nurse manager,you embrace the usefulness of resources such as Smart Bed.This behavior is important to:

A) budget development.

B) a manager's role.

C) succession planning.

D) encouragement of staff utilization of technology.

Q3) The nurse manager plays a unique role in institutional management in that the nurse manager:

A) encourages shared decision making.

B) models professional nursing behavior.

C) interprets healthcare trends and their impact on revenues.

D) coordinates care and allocates resources.

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Page 31

Chapter 30: The Strategic Planning Process

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25 Verified Questions

25 Flashcards

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Sample Questions

Q1) Northwestern Hospital has decided to implement peer review.As a clinical leader in the Emergency Department,you have overall responsibility for ensuring that this is in place by next month.The most important step in this process is to:

A) provide an educational session for staff on peer review.

B) revise the mission statement, objectives, and performance standards.

C) develop objectives and performance standards with employees.

D) implement objectives and performance standards.

Q2) After an extensive campaign to ensure that the community surrounding Pacific Hospital has been exposed to the emphasis of excellence in clinical care that occurs through the use of evidence,the marketing team finds that the public perception has changed little.This determination is made possible through:

A) marketing surveys.

B) focus groups.

C) informal feedback.

D) comparison of data against benchmarks.

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Chapter 31: Thriving for the Future

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25 Verified Questions

25 Flashcards

Source URL: https://quizplus.com/quiz/41492

Sample Questions

Q1) 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?"

Q2) As a team,you and the staff have determined that there is a need to reduce medication errors on your unit.Together,you developed the questions that you would like addressed and searched the literature for relevant research studies.Based on the evidence,you suggested a change to your practices and now are involved in implementation of these changes.Today,there was a major study released that would significantly change what you have decided to do.What are you and your staff experiencing?

A) Compression complexity

B) Distress

C) Information lag

D) Technology advancement

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