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Exam 1 : NUR204/ NUR 204 (New 2024/ 2025
Update) Leadership & Management |
Questions and Verified Answers| 100%
Correct| A Grade – Fortis
QUESTION
The nurse manager is discussing the purpose of the National Quality Indicators (NDNQI). Which statement by the nurse manager is appropriate? Answer: "The NDNQI sets the standards for nursing care."
QUESTION
The nurse manager is discussing the pre-election union organization with a group of staff nurses. Which statement by the nurse manager would be appropriate? Answer: "I am willing to meet with any staff member to discuss the collective bargaining process.
QUESTION
Which action by the nurse manager would best demonstrate workforce advocacy Answer: Implement a new staffing tool
QUESTION
Which action by the nurse demonstrates leadership behaviors? Answer: Performing daily huddles to organize accomplishments
QUESTION
The nurse manager is developing a retention program to decrease the turnover rate of nurses on a medical-surgical unit. Which factor associated with an increase in the turnover rate of nurses should the nurse manager address? Select all that apply. One, some, or all responses may be correct. Answer:
- Role tension
- Lack recognition
- Work-home conflict
- Job strain
- Poor team cohesion
QUESTION
The nurse manager is reviewing future employment opportunities for nurses. Which factor affects nurse employment? Select all that apply. One, some, or all responses may be correct Answer:
- Increasing age of the older population
- Technology advances
- Retiring workforce
- Need for preventing care
- Advanced practice education
QUESTION
Which is mandatory topic for an arbitration meeting with union and management. Select all that apply. One, some, or all responses may be correct Answer:
ecosystems model. Which action demonstrates a workforce design component? Answer: Reviewing the routine tasks performed program
QUESTION
A graduate nurse is interviewing for a position at a hospital that operates in a state with right-towork laws. How do the laws impact employment? Answer: Allow employees to choose to join a union
QUESTION
The nurse manager is implementing a workflow change on a unit with a staff nurse who is perceived as an informal leader. When working with the informal leader, which action should the nurse manager take first? Answer: Obtain input on how to implement the change
QUESTION
A group of nurses is initiating the process of collective bargaining to organize a union at a hospital. Which action should the nurse take first Answer: Hold an election process with all direct-care nurses
QUESTION
A nurse was recently promoted to the role manager. The nurse
understands that formal authority is determined by which group? Answer: Organization leader
QUESTION
Which describes the nursing benefits of working at a Magnet recognized hospital? Answer: autonomy
QUESTION
The nurse manager is reviewing the literature to identify interventions that support the retention of older nurses. Which intervention would be most appropriate for the nurse manager to implement Answer: Purchase of mechanical client lifts
QUESTION
The nurse manager implemented a bedside reporting process. Which action by the nurse manager demonstrates transformational leadership? Answer: Waiting for feedback from staff about
QUESTION
A staff nurse is attending a meeting about forming a union. Which statement would be most appropriate for the nurse to make to the union leaders?
QUESTION
According to the national survey trends in nursing, which factor is most concerning for nurses Answer: Effect on personal health
QUESTION
Which setting is anticipated to have slow growth in employment opportunities for nurses? Answer: hospitals
QUESTION
The nurse manager is reviewing the current trends in workplace research. Which finding has validated the value and contribution of nurses? Answer: Preventing hospital readmissions
QUESTION
The nurse manager on a medical-surgical unit is assigning care to a nurse who floated from the labor and delivery unit. Which client would best to assign to the labor and delivery nurse? Answer: The client post appendectomy with a prescription for ambulation
QUESTION
The chief nursing officer is comparing two different brands of needle devices to purchase for a hospital system. Which describes the best action by the chief nursing office Answer: Request input from a group of nurses
QUESTION
Which action would promote the nurse manager's technical practice? Answer: a shift once a month to perform direct-client care
QUESTION
The nurse manager is working with a group of college administrators to address a regional nursing shortage. Which challenge will most affect enrollment in nursing programs? Answer: Lack of qualified faculty
QUESTION
An explosion just occurred at the local factory and hundreds of employees have sustained varying degrees of injury. Which type of nursing leadership is most effective in this situation? Answer: Autocratic
QUESTION
QUESTION
Health problems are linked too Answer: long hours in diabetes, cardiovascular disease, depression, sleep disturbances, and physical injuries
QUESTION
Ergonomic injuries Answer: Use lift
QUESTION
Steps in staffing Answer: Determine the number and types of staff needed on the basis of goals and budget requirements
QUESTION
Sources of dissatisfaction SATA Answer:
- Supervisors who are uninvolved, unavailable, and not present in the work setting
- Tolerance for bullying and incivility
- Poor communication and unclear expectation
- Vague, inconsistent rules and regulations
QUESTION
Positive reinforcement
Answer: Acting how you demonstrate to your staff
QUESTION
Two bullying questions and it says one is on a nursing level Answer:
- Implementing a zero-tolerance policy, building a robust training
- Creating a safe environment
- Managers must address bullying by keeping a record of any bullyin
QUESTION
Covert aggression includes Answer: shunning or physically turning away from someone, not assisting a person when asked, or talking behind someone's back to peers and patients
QUESTION
Shared governance provides Answer: an organizational framework for nurses in direct care to engage in creating and sustaining an optimal nursing practice and work environment, ensuring that nurses are active participants in decision-making and have shared accountability for the outcomes of those decisions
QUESTION
Mandatory overtime and signing an authorization card what are that? Answer: Serve as legal representation
QUESTION
Referent power Answer: comes from the follower's identification with the leader. Referent leaders are admired and respected and able to influence other nurses because of their desire to emulate them. When people identify that they like you they want to strive to be like you. They have power because people want to be like them. They're respected when they're able to influence other nurses
QUESTION
Expert power Answer: Expert power is based on knowledge, skills, and information. For example, nurses who have expertise in areas such as physical assessment or technical skills, or who keeps up with current information on important topics will gain respect from others.
QUESTION
Formal leader Answer: will have legitimate power based on authority generated by the company they work for. You are the boss and that is your authority.
QUESTION
Informal leaders Answer: can influence others by maintaining a positive attitude, solving problems, or improving the wok environment.
QUESTION
Transformational leaders Answer: They are trying to transform you. They are trying to make a better version of you because that makes the entire work environment better
- Identify and clearly communicate vision and direction
- Empower the work group to accomplish goals and achieve the vision
- Impart meaning and challenge to work
- Are admired and emulated
- Provide mentoring to individual staff members based on need
QUESTION
Democratic/participative Answer:
- They try to involve you and want you to plan and develop ideas
- Encourage staff participation in decision-making
- Involves staff in planning and developing new ideas and programs
- Communicates effectively, and provides regular feedback
- Works well with competent, highly motivated people
QUESTION
Laissez-Fair Answer:
- Does not provide guidance or direction
- Unable or unwilling to make decisions
- Does not provide feedback
- Initiates little change
- Communicated by memos or email
- May work well with professional, competent, and highly motivated people
QUESTION
Autocratic/Authoritative
QUESTION
Moving stage Answer: is when you've identified the unfreezing stage and that there is a problem to solve. The change agent clarifies the need to change, explore alternatives, define goals and objectives, plans the change, and implements the change plan. The change agent's responsibilities are:
- Identify areas of support and resistance
- Set goals and objectives
- Include everyone affected in the planning
- Develop an appropriate change plan with target date
- Implement the change plan
QUESTION
The refreezing stage Answer: is when the change agent integrates the change into the organization so that it becomes recognized as the status quo. If the refreezing stage is not completed, people may drift into old behaviors. The change agent's responsibilities are to: Require compliance with the changed processes
- Find ways to engage staff to support the change
- Adopt new policies that may be required to support the change
- Support and encourage others until the change is viewed no longer as new, but as part of the status quo and is well integrated into daily work.
- 3 questions on all three
QUESTION
Which medical condition is most the common cause of nurses leaving the profession? Answer: Chronic back pain
QUESTION
The nurse manager is reviewing the collective bargaining process. Which describes a goal of the collective bargaining process? Answer: Equalize power
QUESTION
Which factor is identified as the most likely cause of complications related to failure to rescue? Answer: Inadequate staffing
QUESTION
The nurse manager is reviewing the federal legislature related to labor laws. The National Labor Relations Board (NLRB) providers employees with which right? Answer: Ability to self-organize
QUESTION
According to the trend in workforce challenges, which factor has contributed to a decrease in the nursing shortage? Answer: Economic recessions
QUESTION
Which nurse manager demonstrates expert primary power source necessary to motivate staff?
QUESTION
The graduate nurse is interviewing for a position with a nurse manager. Which question by the nurse would best assess for the safe staffing of the unit? Answer: "What is the frequency of floating to other units?
QUESTION
Which question is appropriate for the nurse to ask when deciding to accept a staffing assignment on another unit? Answer: "Can I have a description of the characteristics of each client?"
QUESTION
Which action by the nurse best demonstrates that of a whistle- blower? Answer: Reporting to the regulatory agency about the documentation of procedures that were not performed.
QUESTION
What should the RN do when asked to accept a patient assignment that he or she may feel unqualified to manage? Answer:
- Determine whether he or she is familiar with the types of patients being assigned
QUESTION
What workplace factor has been found to contribute to the nursing shortage? Answer: An aging nursing workforce
QUESTION
What is the key to organizational success for health care facilities? Answer: Making effect to retaining practicing professional nurses
QUESTION
According to the needlestick safety and prevention act which statement is true concerning needle safety? Answer: Employers are required to document how and where a sharps injury occurred, including the brand of device that was involved
QUESTION
A nurse is concerned about a trend in the hospital to regularly "float" nurses to different areas of the hospital based on staff shortages regardless of recent experience in caring for the population on the unit. When deciding to accept a "safe harbor". What is meant by safe harbor Answer: It is written a notice about recurrent staffing issues that allows nurses to continue to care for patients placed in their care but protects their nurse's license while an investigation is conducted
QUESTION
