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NUR426 Staffing Exam Final with Answers.
- Fiscally responsible method for determining staffing needs -
<<<<<>>>>>>an agreed upon staffing formula based on client acuity
- priority when organizing staffing and scheduling? - <<<<<>>>>>>ensure there is adequate staff to meet the needs of each client
- manager is working to update the organization's staffing and scheduling policies. What principle should they follow? -
<<<<<>>>>>>policies should be written in a way that allows some flexibility
- Manager is applying facility's PCS before beginning of shift. What task should they perform first? - <<<<<>>>>>>appraise the care needs of each client
- term that IDs a system that allows employees t select among variations in work start-time and end-time to meet their personal needs - <<<<<>>>>>>flextime
- legistated minimum staffing ratios - <<<<<>>>>>>they are imposed to improve client care
- Centralized staffing department does not understand the unique needs of the unit, what is the manager's best action? - <<<<<>>>>>>advocate for a change to decentralized staffing
- Manager is implementing PCS. Which variables should the manager
address when implementing PCS? SAAP. - <<<<<>>>>>>- presence of nursing students
-hiring of two graduates as staff
-increase of scheduled medical systems
-large barriers presented by nursing staff
- diverse staffing arrangement will - <<<<<>>>>>>establish a diverse working environment based on experience and technology
- a flextime system has been introduces at a health care facility. The manager should take which action to address the consequences of this staffing system - <<<<<>>>>>>working to promote continuity of care when there are multiple start and end times.
- manager works on a unit that has decentralized self-scheduling system. Manager should: - <<<<<>>>>>>oversee the system carefully to ensure sufficient staff coverage.
- Manager oversees 12 employees, What strategy will motivate these employees? - <<<<<>>>>>>advocate for additional inservices.
- which factor will provide intrinsic motivation? - <<<<<>>>>>>employee's ambition and career aspirations.
- manager can apply Skinner's theory of motivation by performing which action - <<<<<>>>>>>distributing rewards and punishments to influence behavior
- what stretegy best increases the liklihood that a manager's communication will be accurately interpreted? -
<<<<<>>>>>>using more than one mode of communication
- what principle should guide the manager's use of nonverbal
communication? - <<<<<>>>>>>it supercedes verbal
- a manager has recently established a "best practice committee" at the clinic. Which behavior by the committee members suggests that it is in the storming stage? - <<<<<>>>>>>members attempt to impress each other with their credentials
- the RN overhears the NA speaking in a harsh tone to the client with early Alzheimer's memory loss. Which statement by the RN addresses the issue? -
<<<<<>>>>>>"I am concerned about your conversation with the client. It sounded short and impatient."
- A manager is drafting a memo that will be distributed within the org. When using this form of communication, the manager should: -
<<<<<>>>>>>include only essential informationq
- the manager is sitting on a practice committee and has adopted the role of gatekeeper. What action should the manager perform? - <<<<<>>>>>>facilitate and promote participation
- Nurse is caring for client with COPD with new onset of dyspnea. When contacting HCP, the nurse should state diagnosis in which part of SBAR? - <<<<<>>>>>>B- background
- manager is having a difficult conversation with a subordinate whose performance has long been inadequate. The emotional component will most clearly be conveyed by: - <<<<<>>>>>>facial expressions, body movements, gestures
- which action demonstrates compliance with ANA principles for social networking? - <<<<<>>>>>>participating in the development of policies governing online conduct.
- EHR's have been introduces in an org, and the steering committee is ensuring the system meets criteria for meaningful use. This characteristic of the EHR ensures that the system: - <<<<<>>>>>>contains data that has the potential to improve client outcomes.
- nurse is caring for the postop pt whose pain is not being relieved. When using SBAR with the HCP, how should the nurse address A? - <<<<<>>>>>>"The client's pain control might be inadequate because she's been rating it at 9 out of 10 for the past hour."
- What is an innapropriate reason for delegation? - <<<<<>>>>>>the manager does not find the task intellectually challenging.
- a manager needs to delegate some tasks. what consideration should the manager prioritize when ID the appropriate person to give the task? - <<<<<>>>>>>the qualifications of the person regarding the task.
- A nurse-manager delegates many tasks in the course of a day. Which practice should the manager reconsider or discontinue? -
- Which action on the part of a unit's manager demonstrates the mark of a great leader? - <<<<<>>>>>>acknowledging the accomplishments of staff members at the unit meeting.
- A nurse has successfully completed a difficult and complex task that the manager delegated. What is the manager's best action? - <<<<<>>>>>>acknowledge the nurse's significant accomplishment.
- a manager is preparing for negotiations. when negotiating, what is the manager's most appropriate action? - <<<<<>>>>>>begin with high but realistic expectations
- what statement about conflict most closely reflects the interactionist
theories of organizational conflict? - <<<<<>>>>>>"conflict can actually be a good thing and can help us grow"
- Which of the following workplace situations would be categorized as latent conflict? - <<<<<>>>>>>a decision is made where experienced nurses on a unit are allowed to self-schedule, but less experienced nurses are not.
- a nurse is in a conflict with a colleague, but both nurses are committed to collaboration. To promote collaboration, the nurses should: - <<<<<>>>>>>ID a common goal that is important to them.
- a manager will be participating in negotiations around the skills mix in the organization. Before these negotiations begin, the manager should
perform what action first? - <<<<<>>>>>>learn as much as possible about the issue
- a manager is participating in negotiations around the allocation of resources in the organization. during the negotiations, the manager should: -
<<<<<>>>>>>use open-ended questions rather than yes or no
- an employee has come to the manager with a long lsit of complaints about a coworker, all of which are attributable to personality differences rather than unsafe practice. What is the manager's best initial action? -
<<<<<>>>>>>Encourage the employee to speak directly with the coworker
- an employee who is involved in a dispute has sought the assistance of the organization's ombudsperson, what is their role? - <<<<<>>>>>>investigating the employee's grievance against the other party
- A recent graduate has begun working at a health center and finds the behaviors of colleagues stressful and intimidating. The nurse's colleagues whisper when she is around, roll their eyes at her, and laugh when she asks for assistance or clarification. What is this recent graduate's best action? - <<<<<>>>>>>discuss these behaviors with the manager
- A hospital unit is in a major transition from a nursing model that was exclusively RNs to one that involves a mix of RNs, LPNs, and NAPs. The transition has resulted in several conflicts between staff. What conflict resolution strategy will the manager most likely need to use? - <<<<<>>>>>>responsibility charting
- The nurse-manager is mediating a conflict between two nurses on the unit. What goal should the manager prioritize when addressing this conflict?
- <<<<<>>>>>>the nurses agree to a solution that is mutually beneficial
- The manager of a hospital unit has heard rumors about a unionization drive for several weeks and has just learned that the employees on the unit are planning to launch a formal drive. What is the manager's best action? - <<<<<>>>>>>collaborate with upper management and the personnel department to best address the workers concerns and needs
- What is the nurse-manager's initial action when it becomes obvious that
the unit will not meet staffing levels? - <<<<<>>>>>>notify upper level management of the situation
- A nurse filed a grievance against the employer and the matter has proceeded to arbitration. What is true about this employee's grievance? - <<<<<>>>>>>a neutral third party will impose a solution to the grievance
- Which management function (in contrast to leadership role) related to collective bargaining and unionization should the nurse-manager perform? - <<<<<>>>>>>understand and appropriately implement union contracts
- A nurse-manager works in a medical unit that employs numerous RNs. The manager can best promote positive work conditions by: - <<<<<>>>>>>demonstrating genuine concern for the well- being of the nurses.
- A nurse-manager is a member of a team that will oversee quality control in a health-care organization. What action should the nurse and the other members of the team perform first? - <<<<<>>>>>>determine the specific criteria and standards by which quality will be measured
- An RN is a supervisor in an organization that has total quality management (TQM) as the basis for its organizational goals and objectives for quality control. How should the RN practice TQM on the unit? -
<<<<<>>>>>>promote teamwork rather than only individual accomplishments
- A nurse-manager is focusing on management controlling functions that are associated with quality control. What task best addresses this goal? -
<<<<<>>>>>>periodically evaluating the unit mission and philosophy
- what task will best allow a health care org to benchmark its performance
- <<<<<>>>>>>compare their performance to that of best performing institutions
- What action should the nurse-manager and other leaders in the health- care organization perform in order to ensure that a quality control program will be effective? - <<<<<>>>>>>integrate quality control through all levels of the org
- what is the best course of action to stimulate broad participation of employees in quality control efforts? - <<<<<>>>>>>engage closely with the frontline staff who provide client care
- A nurse-manager is participating in a hospital's quality control efforts and is collating data sources. What data source should the manager identify as a qualitative source? SAAP - <<<<<>>>>>>-hospital's rate of nosocomial infections
- hospital's readmission rate
-results of interviews with discharged clients
- the previous year's budget for continuing education incentives
- What principle should guide the manager's use of self-appraisals for
employees? - <<<<<>>>>>>self-appraisals usually require reflection and introspection on the part of the employee.
- Following much debate, a health-care organization has adopted a system of peer review for the first time. How can the success of this system be best promoted? - <<<<<>>>>>>orient employees thoroughly to the purpose and process of the new system
- An employee believes that the performance appraisal was unfairly influenced by a drug error that the employee committed several weeks ago. The employee states, "The manager focused almost exclusively on this one mistake, and that event characterized my entire appraisal." This employee may have experienced what phenomenon? - <<<<<>>>>>>a horns effect
- In order to adhere with the recommendations of The Joint Commission (TJC) around employee performance appraisals, the manager should: - <<<<<>>>>>>ensure the appraisal is based on employee job descriptions
A nurse-manager is preparing to perform a 360-degree evaluation of a nurse on the unit. What is the manager's best action when preparing to do this type of evaluation? - <<<<<>>>>>>take action to protect the nurse's right to confidentiality
- The nurse-manager is taking action to avoid the recency effect when conducting employees' performance appraisals. What is the manager's best action? - <<<<<>>>>>>keep ongoing notes on each employee's performance
- What action should the nurse-manager perform to increase the likelihood that performance appraisals will motivate employees and be seen as fair? - <<<<<>>>>>>reflect carefully on their own biases and values and possible effects on appraisals.
- Which employee is most likely experiencing the Matthew effect in his or her performance appraisal? - <<<<<>>>>>>a nurse whose performance appraisal has included the same points for several consecutive years
- The nurse-manager will be using management by objectives (MBO) to appraise employees' performance. When using MBO, the manager should: - <<<<<>>>>>>coach and support the employee in an effort to help them meet goals and outcomes
how can the nurse manager promote the development of self-discipline in employees? - <<<<<>>>>>>clearly communicate expectations, rules, and policies to employees.
- The nurse-manager is initiating the process of progressive discipline in response to an employee's tardiness. The manager should: - <<<<<>>>>>>privately administer a verbal reprimand to the employee
- An employee is found to have grossly mistreated a client, which the employee has never done before. What consequence should be administered to the employee? - <<<<<>>>>>>termination
- What action should the nurse-manager perform when preparing for and
conducting a disciplinary conference? - <<<<<>>>>>>schedule
<<<<<>>>>>>the program should emphasize screening, prevention, and early intervention
The nurse-manager has had difficulty improving the performance of a registered nurse who is a marginal employee on the hospital medical unit. The manager no longer wishes to work with the employee and has arranged a transfer to the postsurgical unit of the hospital. What type of transfer has the manager arranged? - <<<<<>>>>>>innapropriate
