Leadership Exam 1 More Practice 65 Questions with Verified Answers
Nurses who challenge assumptions, consolidate a purpose, build the culture, and
... [Show More] move a vision forward are more likely within which role?
A. Nurses
B. Nurse managers
C. Clinical nurse leaders
D. Nurse executives - CORRECT ANSWER D. Nurse executives
What healthcare person coordinates, integrates, provide cares, restore health and nurtures human beings in their experiences of health and illness?
A. Nurses
B. Nurse managers
C. Clinical nurse leaders
D. Nurse executives - CORRECT ANSWER A. Nurses
What healthcare person concentrates on day-to-day administration and coordinate services provided by a group of nurses by integrating human, fiscal, and other nursing resources to accomplish nursing practice with 24-hour accountability for client care units or areas?
A. Nurses
B. Nurse managers
C. Clinical nurse leaders
D. Nurse executives - CORRECT ANSWER B. Nurse managers
What healthcare person provides leadership in the care transitions of individuals and populations while providing expertise in specialty areas to guide other nurses through process, measurement, and evidence-based practice changes?
A. Nurses
B. Nurse managers
C. Clinical nurse leaders
D. Nurse executives - CORRECT ANSWER C. Clinical nurse leaders
The difference between the focus of managers and leaders is best described by which one of the following statements
A. The processes and strategies look similar and are employed for different goals.
B. The manager focuses on people, and the leader focuses on systems and structure.
C. The manager focuses on systems and structure, and the leader focuses on people.
D. Management and leadership are not equally important processes to accomplish outcomes. - CORRECT ANSWER C. The manager focuses on systems and structure, and the leader focuses on people.
Management is often described in three core roles. Select the statement that is true.
A. Allocating resources, negotiating contracts, handling disturbances, and proposing new services are decision-making roles.
B. Monitoring processes, disseminating guidelines, and motivating nurses in organizations, states, and nationally or internationally are interpersonal roles.
C. Representing nurses, leading nurses, and associating information technologies are informational roles.
D. Providing care, coordinating time for patients, and interacting with physicians, pharmacists, and clients are caregiving roles. - CORRECT ANSWER A. Allocating resources, negotiating contracts, handling disturbances, and proposing new services are decision-making roles
Which process best describes leadership?
A. Giving people the authority, responsibility, and freedom to act on their expert knowledge and skills
B. Planning, organizing, coordinating, directing, and controlling resources to accomplish specific institutional goals
C. Influencing behavior of either an individual or a group in an effort to achieve goals in a given situation
D. Working with and through individuals and groups and other capital and technology resources to accomplish organizational goals - CORRECT ANSWER C. Influencing behavior of either an individual or a group in an effort to achieve goals in a given situation
In one research-based model, which of the following behaviors were core to clinical leadership success?
A. Visioning, interactive planning, workload complexity analysis, interdisciplinary team building, work process analysis, stakeholder analysis, and trust
B. Interdisciplinary team building, strategic planning, data mining, motivating workers, developing culture, and trust
C. Analysis of process and outcomes, trust and honesty, performance management, continuous improvement, and communicating the vision
D. Interdisciplinary team building, trust and honesty, motivating workers, performance management, analysis of processes and outcomes, stakeholder analysis, and strategic planning - CORRECT ANSWER A. Visioning, interactive planning, workload complexity analysis, interdisciplinary team building, work process analysis, stakeholder analysis, and trust
In one research-based model, which of the following behaviors were core to clinical leadership success?
A. Challenge the process, inspire a shared vision, model the way, enable and trust others to act and encourage others work-outcomes
B. Build an interdisciplinary team, engage in strategic planning and data mining, motivate workers, develop culture and trust.
C. Analyze processes and outcomes, model trust and honesty, engage in performance management and continuous improvement, and communicate the vision
D. Build interdisciplinary team, model trust and honesty, motivate workers, guide performance management, analyze processes and outcomes, conduct stakeholder analysis, and strategically plan. - CORRECT ANSWER A. Challenge the process, inspire a shared vision, model the way, enable and trust others to act and encourage others work-outcomes
A situational leader can best be described by which of the following statements?
A. This leader tailors his or her leadership style based on the employee, experience, and circumstances.
B. This leader requires minimal participation and directing, resulting in high productivity.
C. This leader is one who motivates employees to their full potential.
D. This leader advances innovative changes and sustains good care delivery processes. - CORRECT ANSWER A. This leader tailors his or her leadership style based on the employee, experience, and circumstances.
Nurse leaders must possess competency in five domains: (1) leadership, (2) communication and relationship management, (3) professionalism, (4) knowledge of the health care environment, and (5) business skills and principles. Which of the following statements best describes the domain of professionalism?
A. Guiding, directing, teaching, and motivating to set and achieve goals
B. An approach to an occupation that distinguishes it from being merely a job, focuses on service as the highest ideal, follows a code of ethics, and is seen as a lifetime commitment
C. Coordination and integration of resources to accomplish specific goals
D. Ethical fitness and moral courage form the backbone of making necessary and hard—but right and unpopular—decisions. - CORRECT ANSWER B. An approach to an occupation that distinguishes it from being merely a job, focuses on service as the highest ideal, follows a code of ethics, and is seen as a lifetime commitment
Principles of leadership and management are best described by which of the following statements?
A. Followership is a process whereby leaders participate in group decisions.
B. Empowerment is the ability to lead a group successfully.
C. Important skills for leading include diagnosing, adapting, and directing.
D. Critical skills in leadership are interpersonal, decision making, and problem finding and solving. - CORRECT ANSWER D. Critical skills in leadership are interpersonal, decision making, and problem finding and solving.
Five competencies were identified by nurse leaders in recent research. What are those competencies?
A. Building effective teams, empowering workers, decision making, communicating, and managing conflict
B. Communicating vision and strategy internally, translating vision into strategy, building effective teams, managing patient-centered customer focus, and managing conflict
C. Managing conflict, analyzing performance, guiding and empowering workers, sharing a vision with workers, and directing operations
D. Focusing on patient and customer, directing and guiding workers, building effective teams, managing conflict, and analyzing performance - CORRECT ANSWER B. Communicating vision and strategy internally, translating vision into strategy, building effective teams, managing patient-centered customer focus, and managing conflict
Which is the statement that best defines management?
A. A process of coordination and integration of resources through group activities of planning, organizing, coordinating, directing, and controlling to accomplish specific institutional goals and objectives
B. A process of planning and directing human effort to attain established objectives
C. A process by which organizational goals are met through the use of the right resources
D. A process of working with executives to allocate capital, technology, and equipment resources to accomplish organizational goals - CORRECT ANSWER A. A process of coordination and integration of resources through group activities of planning, organizing, coordinating, directing, and controlling to accomplish specific institutional goals and objectives
Which management theory's principle is to consider the situation and all elements when making a management decision?
A. Complexity theory
B. Chaos theory
C. Systems theory
D. Contingency theory - CORRECT ANSWER D. Contingency theory
Effective leadership is exemplified by values, confidence in employees, and a sense of security in the face of uncertainty. This aspect of leadership is known as:
A. Relationship management.
B. Self-awareness.
C. Social awareness.
D. Self-management. - CORRECT ANSWER B. Self-awareness.
The areas where leadership and management overlap are explained by which of the following statements? (SATA)
A. Bring teams together.
B. Spark innovation.
C. Inspire a vision.
D. Direct activities. - CORRECT ANSWER A. Bring teams together.
D. Direct activities.
The Institute of Medicine (IOM) identified 5 areas of management practice for leaders to attend to during turbulent times. Which of the following are included in those areas? (SATA)
A. Maintaining and sustaining quality and safety in service delivery
B. Balancing reliability and efficiency in service delivery
C. Creating and sustaining a trustworthy, learning, and evidence-based organization
D. Managing change through manager involvement and bi-directional communication
E. Involving workers to manage and sustain change - CORRECT ANSWER B. Balancing reliability and efficiency in service delivery
C. Creating and sustaining a trustworthy, learning, and evidence-based organization
E. Involving workers to manage and sustain change
Hersey and colleagues identified three skills needed for leading or influencing workers. Identify three skills leaders must possess to influence people. (SATA)
A. Diagnosing
B. Directing
C. Adapting
D. Communicating - CORRECT ANSWER A. Diagnosing
C. Adapting
D. Communicating
Great leaders possess four essential skills. Identify two statements that describe those skills. (SATA)
A. Great leaders possess popularity to establish followers to engage.
B. Great leaders are visible, set examples, and share responsibility.
C. Great leaders possess a sense of integrity with a distinctive and compelling vocal tone to engage others in shared meaning.
D. Great leaders possess a combination of hardiness and the ability to grasp context, called "adaptive capacity." - CORRECT ANSWER C. Great leaders possess a sense of integrity with a distinctive and compelling vocal tone to engage others in shared meaning.
D. Great leaders possess a combination of hardiness and the ability to grasp context, called "adaptive capacity."
The research of which team states that the leader needs to be flexible in behavior, able to diagnose the leadership style appropriate to the situation, and able to apply the appropriate style?
A. Fiedler's contingency model
B. Hersey and Blanchard's model
C. Blake and Mouton's attitudinal model
D. Ohio State model - CORRECT ANSWER B. Hersey and Blanchard's model
Managers who proceed with a change can best engage staff and prevent resistance by doing which of the following?
A. Assisting the executives with controlling change communication and limiting the staff involvement
B. Communicating accurate information to engage staff and overcome misunderstanding regarding the need for change
C. Expecting that frustration, aggression, or indifference is a phenomenon of the change experience for staff
D. Determining what the resistant person is trying to protect, such as employment or control of processes - CORRECT ANSWER B. Communicating accurate information to engage staff and overcome misunderstanding regarding the need for change
Leaders are change agents and have a role in change that includes which of the following?
A. Motivating staff through posting notes and expectations on the change for others to read in the usual communication place
B. Avoiding having the groups participate with details until they have to implement the change
C. Providing reliable information and details to those who are to implement the change and understand their view of expectations and plan adequate, timely education on the changed.
D. Posting the change steps for others to read in the usual communication place and avoid setting expectations or promises. - CORRECT ANSWER C. Providing reliable information and details to those who are to implement the change and understand their view of expectations and plan adequate, timely education on the changed.
Porter-O'Grady and Malloch (2015) emphasized four practices for current workplaces that foster learning organizations. Examples of practices would include:
A. Population-based care, case management, patient-centered care, and patient safety initiatives.
B. Medical home payment for physicians, relative value units, pay-for-performance, and pay based on outcomes.
C. Electronic health records (EHRs), health information exchange (HIE) networks, and clinical decision support.
D. Empowerment, shared governance, shared decision making, and self-direction. - CORRECT ANSWER D. Empowerment, shared governance, shared decision making, and self-direction.
Trends in 21-century health care in the US are described as revolutionary by Longenecker and Longenecker (2014). Leaders will innovate and change toward preventive and wellness health care services because of which of these trends?
a. New laws and regulations from the Affordable Care Act (ACA) to cut costs and improve indicators of quality and staffing challenges.
b. Aging population, increased numbers of veterans with posttraumatic stress disorder (PTSD) and traumatic brain injury, pay-for-performance, focus on safety and quality, and medical home
c. Advances in genomics, integrative medicine, and increased emphasis on evidence-based interventions
d. Advances in technology with HIE networks, personal health records, EHRs, and telehealth
e. Strain on emergency services, "never events," accountable care organizations, pay-for-performance, the Human Genome Project, and nurse shortages followed by a flood of new nurses have all affected and led to changes in the health care system over the last decade. - CORRECT ANSWER a. New laws and regulations from the Affordable Care Act (ACA) to cut costs and improve indicators of quality and staffing challenges.
Change is inevitable in health care, just as it is in life. Which two statements are true about change? (SATA)
A. Change is a linear process requiring a series of discrete steps.
B. Change occurs in a logical, planned manner.
C. Change is inevitable and is necessary for organizational viability.
D. Individuals become aware of the need for change when needs are unmet. - CORRECT ANSWER C. Change is inevitable and is necessary for organizational viability.
D. Individuals become aware of the need for change when needs are unmet.
Change behaviors displayed in a variety of ways. Identify the two correct statements on how leaders identify, support, and promote innovators. (SATA)
A. Resistance to questioning common practices
B. Resistance most commonly arises because individuals are trying to gain more power.
C. Changing individual behavior requires less time and energy.
D. Seeks out knowledgeable experts
E. Comfortable with uncertainty - CORRECT ANSWER D. Seeks out knowledgeable experts
E. Comfortable with uncertainty
Change behaviors displayed in a variety of ways. Identify the two correct statements (SATA).
A. Resistance can be useful and should be listened to and analyzed.
B. Resistance most commonly arises because individuals are trying to gain more power.
C. Changing individual behavior requires less time and energy.
D. Too much change is disruptive and can result in disorganization. - CORRECT ANSWER A. Resistance can be useful and should be listened to and analyzed.
D. Too much change is disruptive and can result in disorganization.
The distinction between change and innovation is best described in which of the following statements? (SATA)
A. Leaders are necessary to help create the environments that encourage creativity to innovate, whereas the opportunities for change can be accomplished in most environments.
B. Innovation refers to the process of bringing any new or problem-solving idea into use, whereas change is a process for reducing variation within an existing process with a problem.
C. Innovation is often linked with creativity and viewed as the use of a new idea to solve a problem, whereas change means improving incrementally.
D. Change is a disruption - CORRECT ANSWER innovation is systematic, takes hard work, and has little to do with genius and inspiration.
E. Change is a new practice that can be implemented quickly and an innovation is a new device or medication that is added to existing services.
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B. Innovation refers to the process of bringing any new or problem-solving idea into use, whereas change is a process for reducing variation within an existing process with a problem.
C. Innovation is often linked with creativity and viewed as the use of a new idea to solve a problem, whereas change means improving incrementally.
D. Change is a disruption; innovation is systematic, takes hard work, and has little to do with genius and inspiration.
Rogers (2003) described five factors to determine successful planned change: relative advantage, compatibility, complexity, trialability, and observability. The statements below relate to these success factors. Leaders will present information on two of these to explain the necessity for the change and the expectations. Which of the following are those two? (SATA)
A. The degree to which the change is thought to be better than the status quo
B. The degree to which the change is compatible with existing values of the individuals or group
C. The degree to which a change is perceived as difficult to use and understand
D. The degree to which a change can be tested out on a limited basis
E. The degree to which the results of a change are visible to others - CORRECT ANSWER A. The degree to which the change is thought to be better than the status quo
B. The degree to which the change is compatible with existing values of the individuals or group
Culture is a concept that is best portrayed in nursing with which of the following statements?
A. Culture provides a common bond so members know how to relate to one another and what is valued.
B. A relationship-based nursing care model is used, which represents a belief in patient-centered care.
C. Culture is a multifaceted phenomenon, difficult to comprehend.
D. Culture is a set of values, beliefs, and assumptions that are shared by members of an organization. - CORRECT ANSWER D. Culture is a set of values, beliefs, and assumptions that are shared by members of an organization.
Climate is often confused with culture. Which statement best describes aspects of climate?
A. Culture is the perceptions of the work environment, and climate is the personality of the organization.
B. Climate is the shared beliefs, values, and assumptions that exist in an organization.
C. Climate enhances the stability of a social system, and culture is the voice of the organization.
D. Culture and climate can both be measured. - CORRECT ANSWER D. Culture and climate can both be measured.
Identify the statements about organizational culture that impact nursing practice. (SATA)
A. Organizational culture affects the quality of nursing care and patient outcomes.
B. Mission statements provide a view of strategic priorities for a nursing organization and work setting.
C. Culture is developed over time with the shared values that guide members on how to problem solve and manage relationships.
D. Organizational culture means there are hidden assumptions about care that should not be questioned. - CORRECT ANSWER A. Organizational culture affects the quality of nursing care and patient outcomes.
B. Mission statements provide a view of strategic priorities for a nursing organization and work setting.
C. Culture is developed over time with the shared values that guide members on how to problem solve and manage relationships.
The research leading to the gold standard for nursing excellence has produced which of the following findings? (SATA)
A. The effects of nursing interventions are facilitated by organizational characteristics at the unit level.
B. A health care administrator can nurture a professional nursing environment and advocate for excellence in nursing practice.
C. Mortality rates in Magnet hospitals had a significantly lower mortality rate for Medicare patients than that of control hospitals.
D. Magnet hospitals' cultures provided lower levels of autonomy and control of practice and fostered stronger professional relationships among nurses and physicians than did those of non-Magnet-designated hospitals. - CORRECT ANSWER A. The effects of nursing interventions are facilitated by organizational characteristics at the unit level.
C. Mortality rates in Magnet hospitals had a significantly lower mortality rate for Medicare patients than that of control hospitals.
The 14 Forces of Magnetism has directed research on Hospital Magnet Standards, which measure certain characteristics. Select the answers that best reflect those measures of Magnet standards. (SATA)
A. Clinically competent peers, education support, adequate staffing, and nurse manager support
B. Perceptions of work environment, nursing hours per patient day, and medication errors and near misses
C. Customer satisfaction, patient discharge disposition, and patient complaints
D. Clinical autonomy, control of nursing practice, and collaborative nurse-physician relationships - CORRECT ANSWER A. Clinically competent peers, education support, adequate staffing, and nurse manager support
D. Clinical autonomy, control of nursing practice, and collaborative nurse-physician relationships
The culture of patient care must transition from care that is driven by providers to care that is patient-centered & family-centered in which patient & family norms, values, and preferences are respected. This direction in health care services has been sited within: (SATA)
A. the Affordable Care Act (2009).
B. The Future of Nursing: Leading Change, Advancing Health (2011).
C. the Institute of Medicine's Crossing the Quality Chasm (2001).
D. National Healthcare Quality Report from the Agency for Healthcare Research and Quality (2002). - CORRECT ANSWER A. the Affordable Care Act (2009).
B. The Future of Nursing: Leading Change, Advancing Health (2011).
C. the Institute of Medicine's Crossing the Quality Chasm (2001).
D. National Healthcare Quality Report from the Agency for Healthcare Research and Quality (2002).
Quality & Safety Education for Nurses (QSEN) was initiated to accomplish which of the following? (SATA)
A. Implementing patient-centered care, teamwork, and collaboration that support quality improvement, safety, and informatics on nursing units
B. Geared toward nurses who have been practicing 20 years and need new competencies through continuing education
C. Creating nursing curriculum that emphasizes evidence-based practices, quality improvement, safety, and informatics
D. Preparing future nurses with the knowledge, skills, and attitudes necessary to continuously improve the quality and safety of the health care system - CORRECT ANSWER C. Creating nursing curriculum that emphasizes evidence-based practices, quality improvement, safety, and informatics
D. Preparing future nurses with the knowledge, skills, and attitudes necessary to continuously improve the quality and safety of the health care system
Which of the following statements is true about problem solving?
A. Problem solving is a high-level skill used primarily by health care professionals.
B. Critical thinking and problem solving are the foundation of effective decision making.
C. The team problem-solving method is a slow process and is a poor method for making decisions.
D. Problem solving is a rational and logical thought process. - CORRECT ANSWER D. Problem solving is a rational and logical thought process.
Any decision in a chaotic health care delivery environment may cause an unanticipated future problem. Identify the true statement about decision making.
A. Decision-making strategies are interchangeable and can be used effectively in any situation.
B. Decision making is used to solve problems.
C. Decision making must be even more deliberative when problems require urgent action.
D. Decision making is not a behavior but rather a method in selecting and implementing a course of action from alternative courses of action for dealing with a situation or problem. - CORRECT ANSWER B. Decision making is used to solve problems.
Select the statement that describes how clinical decision making differs from managerial decision making.
A. Professional nurses in clinical practice are making clinical decisions about client diagnoses and care plan orders, whereas technical nurses are making managerial decisions about containment of costs and maximizing health care delivery.
B. Clinical decision making involves the collection of information, selection, and evaluation of an action, whereas managerial decision making involves the processing of existing information to select an action.
C. Clinical decision making by nurses is far less sophisticated than managerial decision making by nursing executives, nurse managers, and directors.
D. Clinical decision making focuses on diagnosing client health issues, risks, or problems and planning or coordinating nursing interventions, whereas managerial decision making focuses on resolution of organizational problems and the plans to achieve organizational goals. - CORRECT ANSWER D. Clinical decision making focuses on diagnosing client health issues, risks, or problems and planning or coordinating nursing interventions, whereas managerial decision making focuses on resolution of organizational problems and the plans to achieve organizational goals.
Decision-making tools and strategies support the process for decisions. Select the one statement that is true.
A. Group decision making tends to be more ineffective for system problems.
B. All decision tree questions have a yes or no answer.
C. Managers who use trial and error as the usual strategy for decision making often are effective.
D. Critical pathways are a type of decision tree. - CORRECT ANSWER D. Critical pathways are a type of decision tree.
A transformative leadership style influences the effectiveness of group decision making. The rational group decision-making model is based on which of the following?
A. Power, influence, negotiation, bargaining, and interest group influence
B. Economic perspective of decision making and maximum utility
C. Difficulty identifying and resolving problems due to ambiguity, complexity, and illogical step taking
D. Use of standard operating procedures and guidelines - CORRECT ANSWER B. Economic perspective of decision making and maximum utility
Critical thinking is central to decision making. Which of the following is a true statement?
A. Critical thinking and creative problem solving are the same.
B. Two cognitive processes, intuition and analysis, are used in critical thinking for nursing judgments.
C. A critical thinker sustains the norm or status quo.
D. Clinical decision making is the same thing as diagnostic reasoning. - CORRECT ANSWER B. Two cognitive processes, intuition and analysis, are used in critical thinking for nursing judgments.
A number of decision-making strategies have been identified for clinical and managerial decision making. An effective strategy for nurse managers to select in examining possible causes related to delivery of services would be:
A. pilot projects
B. cost-benefit analysis
C. scenario planning
D. fish bone charts - CORRECT ANSWER D. fish bone charts
What habits are characteristics of critical thinking by nurses? (SATA)
A. Questioning, reflection, contextual perspective
B. Confidence, creativity, flexibility
C. Open-mindedness, perseverance
D. Quick, concise, purposeful, systematic, within a frame of reference, grounded in information
E. Experience, uses database resources and searches - CORRECT ANSWER A. Questioning, reflection, contextual perspective
B. Confidence, creativity, flexibility
C. Open-mindedness, perseverance
Important decisions are made by nurses. Which of the following are examples of collaborated decisions? (SATA)
A. Devise an array of plans to optimize client recovery, mobility, and self-care - CORRECT ANSWER maintain airway patency and hemodynamic stability; and prevent the development of decubitus ulcers.
B. Plan steps to achieve organizational goals, implement multisystem change processes, and improve service delivery and client outcomes.
C. Address complicated and difficult client care risks and problems regarding infection, injury, and contamination.
D. Diagnose and document client needs for health promotion, risks, and problems.
E. Smart alerts and drug alerts within health information systems.
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B. Plan steps to achieve organizational goals, implement multisystem change processes, and improve service delivery and client outcomes.
C. Address complicated and difficult client care risks and problems regarding infection, injury, and contamination.
A business approach that ensures a competitive advantage over similar enterprises involves conducting an environmental scan, knowing the competition, establishing goals, setting targets, developing an action plan, implementing the plan, and evaluating success. Which of the following statements is correct?
A. The best strategic planning is from the top down.
B. The strategic planning process is threatening to employees and creates decreased job satisfaction.
C. A basic form of strategic planning is a detailed written business plan with a comprehensive market analysis.
D. Strategic management involves strategic planning and implementation. - CORRECT ANSWER D. Strategic management involves strategic planning and implementation.
What is the administrative and systematic process to be responsive to environment-related and future-oriented changes that are sensitive to the correct positioning of the organization known as?
A. Strategic management
B. Tactics
C. Strategy
D. Performance effectiveness - CORRECT ANSWER A. Strategic management
Implementation of a strategic plan can be accomplished when a priority order for achieving the strategic objectives or outcomes exists, responsibility for achieving these objectives has been determined, and some available financial support is provided within an expected timetable. The role of nurses would include:
A. Finding out who is responsible for the implementation.
B. Waiting to implement until administration develops an action plan that breaks the plan into manageable parts.
C. Integrating the strategy into daily activities and keeping the strategy a major agenda item for their nursing department or service.
D. Waiting until the workable action plan is presented by nurse leaders. - CORRECT ANSWER C. Integrating the strategy into daily activities and keeping the strategy a major agenda item for their nursing department or service.
Similarities between the nursing process and the strategic planning process allow nurses to shortcut the learning curve and begin to move forward with the implementation phase. Strategic management involves:
A. Assessing the nursing mission, diagnosing outcomes for needed services, developing a plan to achieve the outcomes, implementing the strategies, and evaluating the changes toward the outcome.
B. Identifying the organization's needs, establishing the purpose for new services, planning the action steps, and evaluating the outcomes for the new services.
C. Developing a strategic mission or vision, setting objectives, developing strategies to achieve the objectives, implementing the strategies, and evaluating the results.
D. Assessing the service needs, planning goals and objectives, implementing the action plan, and evaluating the goals and objectives. - CORRECT ANSWER C. Developing a strategic mission or vision, setting objectives, developing strategies to achieve the objectives, implementing the strategies, and evaluating the results.
New policies, programs, projects, and services are developed to meet the needs of patients. Which statements are descriptions of when nurses take steps to use these items? (SATA)
A. Strategic management is the processing of an organization's vision or mission.
B. Strategic planning is a process of developing an action plan for actualizing the mission.
C. Strategic management is nurses making decisions about the delivery of care.
D. Nurses use strategic planning to help them meet personal and professional goals.
E. Nurses use the principles of strategic planning with other stakeholders to explore programs, projects or services to promote population health, patient satisfaction, and decreased health care costs. - CORRECT ANSWER A. Strategic management is the processing of an organization's vision or mission.
B. Strategic planning is a process of developing an action plan for actualizing the mission.
E. Nurses use the principles of strategic planning with other stakeholders to explore programs, projects or services to promote population health, patient satisfaction, and decreased health care costs.
When clients are grouped together and cared for by one nurse, this is known as:
A. Functional nursing
B. Team nursing
C. Group nursing
D. Primary nursing. - CORRECT ANSWER C. Group nursing
A collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet multiple service needs of clients and families is known as:
A. Case management
B. Total client care
C. Private duty nursing
D. Managed care - CORRECT ANSWER A. Case management
Nurse managers, in collaboration with nursing leadership, design nursing systems for the provision of client care and the betterment of the organization. Nurse managers should consider which of the following as important?
A. Two factors that nurse managers must consider when designing a care delivery system are the type of nursing skilled staff and turnover.
B. Mixed model approaches offer a confusing type of nursing care delivery system, with trying to balance nurse's needs with those of clients, physicians, and organizations.
C. Models that promote professional practice have implications for job satisfaction, the character of professional practice, and the amount of control staffing leading to turnover.
D. They should include staff nurses in the development and selection process of the professional practice model. - CORRECT ANSWER D. They should include staff nurses in the development and selection process of the professional practice model.
Variables that influence nursing practice & client care delivery include
A. Client-centered versus task-focused versus provider-focused perspective.
B. Skill mix for client condition severity, nurse-to-client ratio, use of temporary staff, workload, nursing education and experience, and technology level.
C. Medical home structure for more integrated or coordinated between acute and primary care.
D. RN preparation, critical thinking, and delegation skills. - CORRECT ANSWER B. Skill mix for client condition severity, nurse-to-client ratio, use of temporary staff, workload, nursing education and experience, and technology level.
Nurses involved in the selection or development of a nursing care delivery system should consider which of the following as important? (SATA)
A. Fiscal accountability, client characteristics, staffing composition, case mix severity, and clinical service intensity
B. Practice guidelines and new medication information and technology
C. Role of the RN, practice expectations, accountability of nurses, decision making about care, and provider competencies and experience
D. Direct and indirect client nursing care interventions, end of shift reporting, physician-prescribed care, and communication
E. Reimbursement models within the Affordable Care Act and American Health Care Act that cover preexisting diseases and other illness across a larger insured population - CORRECT ANSWER A. Fiscal accountability, client characteristics, staffing composition, case mix severity, and clinical service intensity
B. Practice guidelines and new medication information and technology
C. Role of the RN, practice expectations, accountability of nurses, decision making about care, and provider competencies and experience
D. Direct and indirect client nursing care interventions, end of shift reporting, physician-prescribed care, and communication
Empowerment and shared decision making are practices found in:
A. Small organizations.
B. Learning organizations.
C. Innovative organizations.
D. Stagnant organizations. - CORRECT ANSWER B. Learning organizations.
Which of the following statements regarding organizational culture is true?
A. Staff are unaffected by organizational climate.
B. Staff retention, workplace safety, and patient outcomes are directly affected by the organizational climate.
C. Organizational leadership does not affect organizational culture.
D. Working in an organizational culture that values continuous learning has been found to decrease nurses' job satisfaction. - CORRECT ANSWER B. Staff retention, workplace safety, and patient outcomes are directly affected by the organizational climate.
Resolving conflict requires interventions. One type of intervention requires preparation and planning, ground rules, clarification and justification, bargaining and a closure with implementation. Which of the following is this type of conflict management?
A. Negotiation
B. Win-win strategy with problem solving
C. Restrict or isolate the conflict
D. Compromise - CORRECT ANSWER A. Negotiation
The type of power exhibited when providing the opportunity for others to take responsibility and accountability for their work is:
A. referent power
B. empowerment.
C. expert power.
D. legitimate power. - CORRECT ANSWER B. empowerment.
All of the following are true about strategic management except:
A. It involves establishing goals and setting targets.
B. It allows an organization to obtain and maintain a competitive advantage.
C. It includes only financial goals.
D. It requires implementation and evaluation. - CORRECT ANSWER C. It includes only financial goals.
The registered nurse performs assessment, the licensed practical nurse administers medications, while the certified nursing assistant bathes the patient. This is an example of what type of nursing care delivery model?
A. Private duty nursing
B. Group nursing
C. Functional nursing
D. Primary nursing - CORRECT ANSWER C. Functional nursing
Which statement regarding leadership and management is false?
A. Leadership focuses on people while management focuses on systems and structures.
B. Both leadership and management processes seek to accomplish goals.
C. Strategies used to accomplish goals may be different in leadership and management.
D. Leadership and management have discrete skill sets. - CORRECT ANSWER D. Leadership and management have discrete skill sets.
Relationship management is a key leadership skill because:
A. Being liked by staff makes it easier to get things done.
B. Patient care requires a high degree of interdependence on other care providers.
C. Transferring negative moods to staff can decrease productivity.
D. Helping staff cope with change is important. - CORRECT ANSWER B. Patient care requires a high degree of interdependence on other care providers.
SBAR is used in health care institutions to improve health team communication. Which patient population benefits most from clinicians who use SBAR?
A. Acute care patients
B. Long-term care patients
C. Surgical patients
D. Rehabilitation patients - CORRECT ANSWER B. Long-term care patients [Show Less]