Chapter 2: As the nurse manager, you want to increase motivation by providing motivating
factors. Which action would you select?
a.
Collaborate with the human resources/personnel department to develop on-site day
b.
Provide a hierarchical organizational structure.
c.
Implement a model of sh...
Leading and Managing in Canadian
Nursing, Second Edition
Waddell/Walton: Yoder-Wise's
Questions and Correct Answers the Latest
Update and Recommended Version
Chapter 2: As the nurse manager, you want to increase motivation by providing motivating
factors. Which action would you select?
a.
Collaborate with the human resources/personnel department to develop on-site day
b.
Provide a hierarchical organizational structure.
c.
Implement a model of shared governance.
Promote the development of a flexible benefits package
→ C
→ Complexity theory suggests that systems interact and adapt and that decision-
→ making occurs throughout systems, as opposed to being made unilaterally by
→ different levels of the organizational hierarchy. In complexity theory, every
→ person's opinion counts, and therefore all levels of staff would be involved in
→ decision-making. This principle underlies shared governance. Shared
→ governance is an example of nurse decision-making in which nurses at
→ different organizational levels engage in shaping policy and practices
Chapter 05: In an effort to control costs and maximize revenues, the Rehabilitation Unit at
Cross Hospital reduces the number of its nursing
managers. Within a year the number of adverse events on the units has doubled. This may be
attributable to:
a. . The overload of work for staff nurses.
b. Inability of staff at the bedside to make good choices.
c. A change in reporting systems.
d. Fewer clinical leaders and advocates for necessary resources
→ d. Fewer clinical leaders and advocates for necessary resources
→
→ Strong leadership across the nursing profession is essential to ensure the delivery of
safe care. Reducing nursing managers who
→ provide support, consultation, and leadership in securing resources and in inspiring
standards of excellence may increase the
→ number of adverse events related to lack of leadership
Chapter 05: Traditional approaches to ensuring patient safety have focused on:
a. Assigning blame.
b. Finding solutions to systems issues.
c. Instituting best practices in response to errors.
→ A
→ When health care facilities create a culture of safety, their staff are more willing to
report adverse events because the focus is on
→ addressing issues in the system and not blaming individuals
Chapter 05: What is the primary purpose of nursing standards?
a. To inform performance appraisals at the unit level.
b. To identify the desired level of performance.
c. To inform the courts in relation to negligence and malpractice cases.
d. To educate other health care professionals about the role of the nurse
→ B
→ The primary purpose of standards is to identify for nurses, the public, government, and
other stakeholders the desired and
→ achievable level of performance expected of nurses in their practice, against which
actual performance can be measured.
Chapter 05: During review of back injuries, it is determined that mechanical lifts and transfer
belts are not being properly used. In addressing
this concern, the unit manager:
a. Meets individually with nurses, who are observed using the lifts incorrectly, to
review the correct procedure.
b. Consults with the staff about the review to determine how best to proceed.
c. Blames the system for inadequate funding for resources.
d. Reviews the system of reporting adverse events to ensure that appropriate
reporting is occurring
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