Test Bank for Leading and Managing in Nursing, 8th Edition (Yoder-Wise, 2024) Chapter 1-25 | All Chapters
Test Bank - Leading and Managing in Nursing, 8th Edition by Patricia S. Yoder-Wise, Susan Sportsman, 2024 | Chapter 1-25 | All chapters
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Test Bank For Leading and Managing in Nursing, 8th Edition by
Patricia S. Yoder-Wise, Susan Sportsman Chapter 1-25 |
9780323792066 | All Chapters with Answers and Rationals
1. Role theory has its underpinnings in management theory. Management theories influence
managers' leadership styles. Which of the following styles would a nurse manager be mostlikely to
follow when redesigning the staffing schedule?
a. Humanistic
b. Authoritarian
c. Flexibility
d. Participative - ANSWER: ANS: D
Participative style of leadership allows for the input by the participants involved to have input to the
decision process. This assists in making change easier and is one way a manager uses this leadership
to lead the unit.
2. A nurse manager has worked to bring the staff to participate in and then accept changes in the
unit's mission, so that downsizing can be avoided. How is the nurse manager using change theory for
this situation?
a. Focusing on past concerns related to the mission
b. Teaching staff members how to self-manage themselves
c. Determining accurately the direction of change in the institution
d. Requiring all staff members to review and reinforce their technological skills - ANSWER: ANS: C
The manager is using change theory to have the staff develop and therefore buy into the changes.
Determining the direction of change for the institution allows the manager to work using change
theory to guide staff for changes.
3. The nurse manager, as the leader of the unit's "customer (client) first" initiative, has asked the staff
nurses to develop and administer a survey to every client before discharge. In asking the staff nurses
to accomplish this task, the nurse manager is demonstrating:
a. accountability.
b. shared leadership.
c. a common purpose.
d. independence in the nursing manager's role. - ANSWER: ANS: B
Healthy work environments are facilitated by involving staff and others in decision making; gaining
access to information is one characteristic of shared decision making. Shared decision making enables
staff to feel valued in policy development and in directing and leading.
4. A nurse manager is experiencing considerable conflict among staff members because of weekend
staffing coverage. During a called staff meeting, the nurse manager asks the disgruntled staff to meet
as a group and determine the best staffing practices. In doing this, the nurse manager is using the
concept of collaboration to:
a. demonstrate interdependence.
b. depict flexibility and broadmindedness.
c. focus all energies of staff members on a best possible strategy.
d. defuse the possibility that staff members will escalate their discontent when
staffing the unit on weekends. - ANSWER: ANS: C
When collaboration is used to solve a conflict or to create new directions, the energies of all parties
are focused on solving the problem versus defeating the opposing party and creating the "best
possible" versus an "okay" direction. When groups come together and mutual expectations are
discussed and fostered, communication and collaboration are enhanced, which results in a more
structurally empowered work force.
5. 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). - ANSWER: ANS: D
In organizational structures where decision making occurs at the POS, nurse managers are given some
self-control, which includes preparing and implementing a budget that meets the long- and short-
term needs of their unit without requiring hierarchical approval.
6. The nurse manager is anticipating changes on the unit because of managed care. It is up to the
manager to "sell" the staff on this care concept. A goal of managed care that the staff must
understand is that managed care is:
a. grounded in business theory.
b. useful for long-term patients only.
c. designed to reduce unit resources and staff.
d. not concerned with the best interests of clients. - ANSWER: ANS: A
Managed care combines delivery of needed care with business principles of efficiency and cost. Nurse
managers who know business principles become conduits for ensuring safe, effective, affordable care.
7. The hospital administrator approves a case management position for a new rehabilitation unit to
help reduce costs. In developing the job description, the nurse manager understands that a key
element of case management is:
a. managing of care by nurse managers.
b. coordination of resources for effective outcomes.
c. rapid discharge of clients to decrease costs.
d. managing of care for outpatient clients only. - ANSWER: ANS: B
The key to effective case management is proactive coordination of care from the point of admission
to accomplish appropriate and effective outcomes. Case management involves components such as
case selection, multidisciplinary assessment, collective planning, coordination of events, negotiation,
and evaluation and documentation of the outcomes of patient status in measures of cost. Case
management is employed in a variety of settings.
8. In planning a new wing, the nurse manager complies with the workplace safety requirements of the
Occupational Safety & Health Administration (OSHA). Which of the following groups is considered to
be at high risk for violence in the workplace?
a. Pediatric staff
b. Postsurgical unit staff
c. Emergency Department staff
d. Medical oncology unit staff - ANSWER: ANS: C
Nurse managers have responsibility for both patient and staff safety. High-risk areas, such as the
Emergency Department, require special attention.
9. Electronic health records (EHRs) are being instituted at Pleasant Valley Hospital. Some of the staff
on Unit 4 complain to the manager that acquiring the technologic skills required is too time
consuming. They question its value in patient care. The manager responds that:
a. the use of technology is inevitable in our technologically oriented society.
b. the hospital is no longer able to find the space to accommodate paper
record-keeping.
c. the initiative is being driven by decision makers higher up in the hierarchy and
there is no choice.
d. EHRs will increase effectiveness of care by enhancing coordination and improving patient
outcomes. - ANSWER: ANS: D
As technology improves, informatics must be integrated with budget and personnel as a critical
resource element. Basing practice on evidence-based care can assist in making solid decisions about
resources and in leading and encouraging staff toward positive changes in patient outcomes. EHRs,
for example, are expected to enhance coordination of care, improve health outcomes, and increase
accuracy of diagnoses.
10. Nurses in the CCU are unhappy and frustrated with their nurse manager. They complain that
, "nothing is ever good enough for him." These statements suggest that the nurse manager's goals may
be:
a. measurable.
b. unrealistic.
c. attainable.
d. too low. - ANSWER: ANS: B
Nurse managers who are successful in motivating staff often provide an inclusive
environment that facilitates clearly set, achievable goals that can result in both team and personal
satisfaction.
11. While interviewing for a nurse manager position, Ann is asked to give an example of a situation in
which she demonstrated leadership. Which of the following examples exemplifies leadership?
a. Through research and investigation of best practice and practice-based evidence, she proposed a
change in the management of incontinence in older adult patients.
b. She ensures that new policies related to parenteral infusions are implemented
consistently within her team.
c. When asked by her students about institutional policies, she readily and patiently
interprets policies to facilitate quality care.
d. She organizes the team and delegates responsibilities effectively in providing
nursing care. - ANSWER: ANS: A
Nurse managers have the responsibility of day-to-day decisions for their units and interpret
established policy, procedures, and mandates. They meet their goals by organizing, staffing,
controlling, and solving problems. By contrast, leaders develop a vision and translate that direction
into action.
12. Budgeting and protection of revenues is a function of:
a. leadership.
b. management.
c. team leadership.
d. followers. - ANSWER: ANS: B
Managers address complex issues such as planning, budgeting, and allocating resources, whereas
leaders address change.
13. Which of the following is not important in a positive work environment, as defined by the AONE?
a. Clear, open, trustful communication
b. Accountability and clarity of roles and responsibilities
c. Participatory decision making
d. Challenge and striving for excellence - ANSWER: ANS: D
Clear and open communication, accountability and clarity of roles, and participatory decision making
are considered by the AONE to be important to a healthy environment. Challenge and excellence are
not specifically identified by the AONE as important to healthy work environments.
14. As a nurse manager on a urology unit, you note that there has been a marked increase in
medication errors on the unit. Which of the following actions would be consistent with the National
Database of Nursing Quality Indicators (NDNQI) measures?
a. Staff are consulted regarding improvements in interprofessional approaches to
patient care.
b. Nursing staff are asked for input regarding the purchase of new medication carts.
c. A recognition program is developed to acknowledge nurses who have provided
safe and exemplary care utilizing skills in the staffing mix to optimize the delivery of patient care.
d. Recent changes in staffing mixes are examined to determine if the timing of
changes coincides with the increase in errors. - ANSWER: ANS: D
The NDNQI measures are specifically concerned with patient safety and aspects of quality of care that
may be affected by changes in the delivery of care or staffing resources. The quality indicators address
staff mix and nursing hours for acute-care settings, as well as other care components. The NDNQI
project is designed to assist healthcare organizations in identifying links between nursing care and
patient outcomes.
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