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NCM 107A- NURSING LEADERSHIP AND MANAGEMEN...

(NCM
107A- Nursing Leadership & Management (Lecture))
Read the directions very carefully. Select the best answer in each question by clicking the button that best
correspond to your choice.

Points:
81/100
1.Ms. Dacera is newly-promoted to a patient care manager position. She updates
her knowledge on the theories in management and leadership to become
effective in her new role. She learns that some managers have low concern for
services and high concern for staff. Which style of management refers to this?
Required to answer. Single choice.
(1/1 Point)
Organization Man

Impoverished Management

Country Club Management

Team Management
Correct answers: Country Club Management

2.Ms. Dacera’s former manager demonstrated passion for serving her staff rather
than being served. She takes time to listen, prefers to be a teacher first before
being a leader, which is characteristic ofRequired to answer. Single choice.
(1/1 Point)
Transformational leader

Transactional leader

Servant leader

Charismatic leader
Correct answers: Servant leader

3.On the other hand, Ms. Dacera notices that the Chief Nurse Executive has
charismatic leadership style. Which of the following behaviors best describes this
style?Required to answer. Single choice.
(1/1 Point)
Possesses inspirational quality that makes followers gets attracted of him and regards him with
reverence

Acts as he does because he expects that his behavior will yield positive result

Uses visioning as the core of his leadership

Matches his leadership style to the situation at hand.


Correct answers: Possesses inspirational quality that makes followers gets attracted of him and
regards him with reverence

4.Which of the following conclusions of Ms. Dacera about leadership


characteristics is TRUE?Required to answer. Single choice.
(1/1 Point)
There is a high correlation between the communication skills of a leader and the ability to get
the job done.

A manager is effective when he can plan well.

Assessment of personal traits is a reliable tool for predicting a manager’s potential.

There is good evidence that certain personal qualities favor success in managerial role.
Correct answers: Assessment of personal traits is a reliable tool for predicting a manager’s potential.

5.She reads about Path Goal theory. Which of the following behaviors is
manifested by the leader who uses this theory?Required to answer. Single
choice.
(1/1 Point)
Recognizes staff for going beyond expectations by giving them citation.

Challenges the staff to take individual accountability for their own practice

Admonishes staff for being laggards.

Reminds staff about the sanctions for non-performance.


Correct answers: Recognizes staff for going beyond expectations by giving them citation.

6.One leadership theory states that “leaders are born and not made,” which
refers to which of the following theories?Required to answer. Single choice.
(1/1 Point)
Trait

Charismatic
Great Man

Situational
Correct answers: Great Man

7.She came across a theory which states that the leadership style is effective
dependent on the situation. Which of the following styles best fits a situation
when the followers are self-directed, experts and are matured individuals?
Required to answer. Single choice.
(1/1 Point)
Democratic

Authoritarian

Laissez faire

Bureaucratic
Correct answers: Laissez faire

8.She surfs the internet for more information about leadership styles. She reads
about shared leadership as a practice in some magnet hospitals. Which of the
following describes this style of leadership?Required to answer. Single choice.
(1/1 Point)
Leadership behavior is generally determined by the relationship between the leader’s
personality and the specific situation

Leaders believe that people are basically good and need not be closely controlled

Leaders rely heavily on visioning and inspire members to achieve results

Leadership is shared at the point of care.


Correct answers: Leadership is shared at the point of care.

9.Ms. Dacera learns that some leaders are transactional leaders. Which of the
following does NOT characterize a transactional leader?Required to answer.
Single choice.
(1/1 Point)
Focuses on management tasks

Is a caretaker

Uses trade-offs to meet goals


Inspires others with vision
Correct answers: Inspires others with vision

10.She finds out that some managers have benevolent-authoritative style of


management. Which of the following behaviors will she exhibit most likely?
Required to answer. Single choice.
(1/1 Point)
Have condescending trust and confidence in their subordinates

Gives economic or ego awards

Communicates downward to the staff

Allows decision making among subordinates


Correct answers: Have condescending trust and confidence in their subordinates

11.Henry is a Unit Manager I the Medical Unit. He is not satisfied with the way
things are going in his unit. Patient satisfaction rate is 60% for two consecutive
months and staff morale is at its lowest. He decides to plan and initiate changes
that will push for a turnaround in the condition of the unit. Which of the
following actions is a priority for Henry?Required to answer. Single choice.
(1/1 Point)
Call for a staff meeting and take this up in the agenda.

Seek help from her manager

Develop a strategic action on how to deal with these concerns.

Ignore the issues since these will be resolved naturally.


Correct answers: Call for a staff meeting and take this up in the agenda.

12.He knows that there are external forces that influence changes in his unit.
Which of the following is NOT an external force?Required to answer. Single
choice.
(1/1 Point)
Memo from the CEO to cut down on electrical consumption

Demands of the labor sector to increase wages

Low morale of staff in his unit

Exacting regulatory and accreditation standards.


Correct answers: Low morale of staff in his unit

13.After discussing the possible effects of the low patient satisfaction rate, the
staff started to list down possible strategies to solve the problems head-on.
Should they decide to vote on the best change strategy, which of the following
strategies is referred to this?Required to answer. Single choice.
(1/1 Point)
Collaboration

Majority rule

Dominance

Compromise
Correct answers: Majority rule

14.One staff suggests that they review the pattern of nursing care that they are
using, which is described as a:Required to answer. Single choice.
(1/1 Point)
job description

system used to deliver care

manual of procedure

rules to be followed
Correct answers: system used to deliver care

15.Which of the following is TRUE about functional nursing?Required to answer.


Single choice.
(1/1 Point)
Concentrates on tasks and activities

Emphasizes use of group collaboration

One-to-one nurse-patient ratio

Provides continuous, coordinated and comprehensive nursing services


Correct answers: Concentrates on tasks and activities

16.Functional nursing has some advantages, which one is an EXCEPTION?


Required to answer. Single choice.
(1/1 Point)
Psychological and sociological needs are emphasized.

Great control of work activities.

Most economical way of delivering nursing services.

Workers feel secure in dependent role


Correct answers: Psychological and sociological needs are emphasized.

17.He raised the issue on giving priority to patient needs. Which of the following
offers the best way for setting priority?Required to answer. Single choice.
(1/1 Point)
Assessing nursing needs and problems

Giving instructions on how nursing care needs are to be met

Controlling and evaluating the delivery of nursing care

Assigning safe nurse: patient ratio


Correct answers: Assessing nursing needs and problems

18.Which of the following is the best guarantee that the patient’s priority needs
are met?Required to answer. Single choice.
(1/1 Point)
Checking with the relative of the patient

Preparing a nursing care plan in collaboration with the patient

Consulting with the physician

Coordinating with other members of the team


Correct answers: Preparing a nursing care plan in collaboration with the patient

19.When Henry uses team nursing as a care delivery system, he and his team
need to assess the priority of care for a group of patients, which of the following
should be a priority?Required to answer. Single choice.
(1/1 Point)
Each patient as listed on the worksheet

Patients who need least care

Medications and treatments required for all patients


Patients who need the most care
Correct answers: Patients who need the most care

20.He is hopeful that his unit will make a big turnaround in the succeeding
months. Which of the following actions of Henry demonstrates that he has
reached the third stage of change?Required to answer. Single choice.
(1/1 Point)
Wonders why things are not what it used to be

Finds solutions to the problems

Integrate the solutions to his day-to-day activities

Selects the best change strategy


Correct answers: Integrate the solutions to his day-to-day activities

21.Joey is a newly-appointed nurse manager of The Holy Spirit Medical Center, a


tertiary hospital located within the heart of the metropolis. He thinks of
scheduling planning workshop with his staff in order to ensure an effective and
efficient management of the department. Should he decide to conduct a strategic
planning workshop, which of the following is NOT a characteristic of this activity?
Required to answer. Single choice.
(1/1 Point)
Long-term goal-setting

Ends to 3-5 years in the future

Focuses on routine tasks

Determines directions of the organization


Correct answers: Focuses on routine tasks

22.Which of the following statements refer to the vision of the hospital?Required


to answer. Single choice.
(1/1 Point)
The Holy Spirit Medical Center is a trendsetter in tertiary health care in the next five year

The officers and staff of The Holy Spirit Medical Center believe in the unique nature of the
human

All the nurses shall undergo continuing competency training program.


The Holy Spirit Medical Center aims to provide a patient-centered care in a total healing
environment.
Correct answers: The Holy Spirit Medical Center is a trendsetter in tertiary health care in the next
five year

23.The statement, “The Holy Spirit Medical Center aims to provide patient-
centered care in a total healing environment” refers to which of the following?
Required to answer. Single choice.
(0/1 Point)
Vision

Goal

Philosophy

Mission
Your answer to question 23 is wrong. Correct answers: Vision

24.Joey plans to revisit the organizational chart of the department. He plans to


create a new position of a Patient Educator who has a coordinating relationship
with the head nurse in the unit. Which of the following will likely depict this
organizational relationship?Required to answer. Single choice.
(1/1 Point)
Box

Solid line

Broken line

Dotted line
Correct answers: Broken line

25.He likewise stresses the need for all the employees to follow orders and
instructions from him and not from anyone else. Which of the following principles
does he refer to?Required to answer. Single choice.
(1/1 Point)
Scalar chain

Discipline

Unity of Command
Order
Correct answers: Unity of Command

26.Joey orients his staff on the patterns of reporting relationship throughout the
organization. Which of the following principles refer to this?Required to answer.
Single choice.
(0/1 Point)
Span of control

Hierarchy

Esprit d’ corps

Unity of Direction
Your answer to question 26 is wrong. Correct answers: Hierarchy

27.He emphasizes to the team that they need to put their efforts together
towards the attainment of the goals of the program. Which of the following
principles refers to this?Required to answer. Single choice.
(1/1 Point)
Span of control

Unity of direction

Unity of command

Command Responsibility
Correct answers: Unity of direction

28.Joey stresses the importance of promoting ‘esprit d corps’ among the


members of the unit. Which of the following remarks of the staff indicates that
they understand what he pointed out?Required to answer. Single choice.
(1/1 Point)
“Let’s work together in harmony; we need to be supportive of one another”

“In order that we achieve the same results; we must all follow the directives of Julius and not
from other managers.

“We will ensure that all the resources we need are available when needed.”

“We need to put our efforts together in order to raise the bar of excellence in the care we
provide to all our patients.”
Correct answers: “Let’s work together in harmony; we need to be supportive of one another”

29.He discusses the goal of the department. Which of the following statements is
a goal?Required to answer. Single choice.
(1/1 Point)
Increase the patient satisfaction rate

Eliminate the incidence of delayed administration of medications

Establish rapport with patients.

Reduce response time to two minutes.


Correct answers: Increase the patient satisfaction rate

30.He wants to influence the customary way of thinking and behaving that is
shared by the members of the department. Which of the following terms refer to
this?Required to answer. Single choice.
(1/1 Point)
Organizational chart

Cultural network

Organizational structure

Organizational culture
Correct answers: Organizational culture

31.He asserts the importance of promoting a positive organizational culture in


their unit. Which of the following behaviors indicate that this is attained by the
group?Required to answer. Single choice.
(1/1 Point)
Proactive and caring with one another

Competitive and perfectionist

Powerful and oppositional

Obedient and uncomplaining


Correct answers: Proactive and caring with one another

32.Stephanie is a new staff educator of a private tertiary hospital. She conducts


orientation among new staff nurses in her department. Joseph, one of the new
staff nurses, wants to understand the channel of communication, span of control
and lines of communication. Which of the following will provide this information?
Required to answer. Single choice.
(0/1 Point)
Organizational structure

Policy

Job description

Manual of procedures
Your answer to question 32 is wrong. Correct answers: Organizational structure

33.Stephanie is often seen interacting with the medical intern during coffee
breaks and after duty hours. What type of organizational structure is this?
Required to answer. Single choice.
(1/1 Point)
Formal

Informal

Staff

Line
Correct answers: Informal

34.She takes pride in saying that the hospital has a decentralized structure.
Which of the following is NOT compatible with this type of model?Required to
answer. Single choice.
(1/1 Point)
Flat organization

Participatory approach

Shared governance

Tall organization
Correct answers: Tall organization

35.Centralized organizations have some advantages. Which of the following


statements are TRUE? 1. Highly cost-effective 2. Makes management easier 3.
Reflects the interest of the worker 4. Allows quick decisions or actions.Required
to answer. Single choice.
(1/1 Point)
1&2

2&4

2, 3 & 4

1, 2 & 4
Correct answers: 1 & 2

36.Stephanie delegates effectively if she has authority to act, which is BEST


defined as:Required to answer. Single choice.
(1/1 Point)
having responsibility to direct other

being accountable to the organization

having legitimate right to act

telling others what to do


Correct answers: having legitimate right to act

37.Regardless of the size of a work group, enough staff must be available at all
times to accomplish certain purposes. Which of these purposes is NOT included?
Required to answer. Single choice.
(0/1 Point)
Meet the needs of patients

B. Provide a pair of hands to other units as needed

C. Cover all time periods adequately.

D. Allow for growth and development of nursing staff.


Your answer to question 37 is wrong. Correct answers: B. Provide a pair of hands to other units as
needed

38.Which of the following guidelines should be least considered in formulating


objectives for nursing care?Required to answer. Single choice.
(1/1 Point)
A. Written nursing care plan

B. Holistic approach
Prescribed standards

Staff preferences
Correct answers: Staff preferences

39.Stephanie considers shifting to transformational leadership. Which of the


following statements best describes this type of leadership?Required to answer.
Single choice.
(1/1 Point)
Uses visioning as the essence of leadership.

Serves the followers rather than being served

Maintains full trust and confidence in the subordinates

Possesses innate charisma that makes others feel good in his presence.
Correct answers: Uses visioning as the essence of leadership.

40.As a manager, she focuses her energy on both the quality of services
rendered to the patients as well as the welfare of the staff of her unit. Which of
the following management styles does she adopt?Required to answer. Single
choice.
(1/1 Point)
Country club management

Organization man management

Team management

Authority-obedience management
Correct answers: Team management

41.Katherine is a young Unit Manager of the Pediatric Ward. Most of her staff
nurses are senior to her, very articulate, confident and sometimes aggressive.
Katherine feels uncomfortable believing that she is the scapegoat of everything
that goes wrong in her department. Which of the following is the best action that
she must take?Required to answer. Single choice.
(1/1 Point)
Identify the source of the conflict and understand the points of friction

Disregard what she feels and continue to work independently


Seek help from the Director of Nursing

Quit her job and look for another employment.


Correct answers: Identify the source of the conflict and understand the points of friction

42.As a young manager, she knows that conflict occurs in any organization.
Which of the following statements regarding conflict is NOT true?Required to
answer. Single choice.
(0/1 Point)
Can be destructive if the level is too high

Is not beneficial; hence it should be prevented at all times

May result in poor performance

May create leaders


Your answer to question 42 is wrong. Correct answers: Is not beneficial; hence it should be
prevented at all times

43.Katherine tells one of the staff, “I don’t have time to discuss the matter with
you now. See me in my office later” when the latter asks if they can talk about
an issue. Which of the following conflict resolution strategies did she use?
Required to answer. Single choice.
(1/1 Point)
Smoothing

Compromise

Avoidance

Restriction
Correct answers: Avoidance

44.Kathleen knows that one of her staff is experiencing burnout. Which of the
following is the best thing for her to do?Required to answer. Single choice.
(1/1 Point)
Advise her staff to go on vacation.

Ignore her observations; it will be resolved even without intervention

Remind her to show loyalty to the institution.

Let the staff ventilate her feelings and ask how she can be of help.
Correct answers: Let the staff ventilate her feelings and ask how she can be of help.

45.She knows that performance appraisal consists of all the following activities
EXCEPT:Required to answer. Single choice.
(1/1 Point)
Setting specific standards and activities for individual performance.

Using agency standards as a guide.

Determine areas of strength and weaknesses

Focusing activity on the correction of identified behavior.


Correct answers: Focusing activity on the correction of identified behavior.

46.Which of the following statements is NOT true about performance appraisal?


Required to answer. Single choice.
(-/1 Point)
Informing the staff about the specific impressions of their work help improve their performance.

A verbal appraisal is an acceptable substitute for a written report.

Patients are the best source of information regarding personnel appraisal.

The outcome of performance appraisal rests primarily with the staff.

47.There are times when Katherine evaluates her staff as she makes her daily
rounds. Which of the following is NOT a benefit of conducting an informal
appraisal?Required to answer. Single choice.
(1/1 Point)
The staff member is observed in natural setting.

Incidental confrontation and collaboration is allowed.

The evaluation is focused on objective data systematically.

The evaluation may provide valid information for compilation of a formal report.
Correct answers: The evaluation is focused on objective data systematically.

48.She conducts a 6-month performance review session with a staff member.


Which of the following actions is appropriate?Required to answer. Single choice.
(1/1 Point)
She asks another nurse to attest the session as a witness.
She informs the staff that she may ask another nurse to read the appraisal before the session is
over.

She tells the staff that the session is manager-centered.

The session is private between the two members.


Correct answers: The session is private between the two members.

49.Alexandra is tasked to organize the new wing of the hospital. She was given
the authority to do as she deems fit. She is aware that the director of nursing
has substantial trust and confidence in her capabilities, communicates through
downward and upward channels and usually uses the ideas and opinions of her
staff. Which of the following is her style of management?Required to answer.
Single choice.
(1/1 Point)
Benevolent –authoritative

Consultative

Exploitive-authoritative

Participative
Correct answers: Consultative

50.She decides to illustrate the organizational structure. Which of the following


elements is NOT included?Required to answer. Single choice.
(1/1 Point)
Level of authority

Lines of communication

Span of control

Unity of direction
Correct answers: Unity of direction

51.She plans of assigning competent people to fill the roles designed in the
hierarchy. Which process refers to this?Required to answer. Single choice.
(1/1 Point)
Staffing

Scheduling
Recruitment

Induction
Correct answers: Staffing

52.She checks the documentary requirements for the applicants for staff nurse
position. Which one is NOT necessary?Required to answer. Single choice.
(1/1 Point)
Certificate of previous employment

Record of related learning experience (RLE)

Membership to accredited professional organization

Professional identification card


Correct answers: Record of related learning experience (RLE)

53.Which phase of the employment process includes getting on the payroll and
completing documentary requirements?Required to answer. Single choice.
(1/1 Point)
Orientation

Induction

Selection

Recruitment
Correct answers: Induction

54.She tries to design an organizational structure that allows communication to


flow in all directions and involve workers in decision making. Which form of
organizational structure is this?Required to answer. Single choice.
(1/1 Point)
Centralized

Decentralized

Matrix

Informal
Correct answers: Decentralized
55.In a horizontal chart, the lowest level worker is located at theRequired to
answer. Single choice.
(0/1 Point)
Left most box

Middle

Right most box

Bottom
Your answer to question 55 is wrong. Correct answers: Bottom

56.She decides to have a decentralized staffing system. Which of the following is


an advantage of this system of staffing?Required to answer. Single choice.
(0/1 Point)
greater control of activities

conserves time

compatible with computerization

promotes better interpersonal relationship


Your answer to question 56 is wrong. Correct answers: promotes better interpersonal relationship

57.Juliet thinks about primary nursing as a system to deliver care. Which of the
following activities is NOT done by a primary nurse?Required to answer. Single
choice.
(1/1 Point)
Collaborates with the physician

Provides care to a group of patients together with a group of nurses

Provides care for 5-6 patients during their hospital stay.

Performs comprehensive initial assessment


Correct answers: Provides care to a group of patients together with a group of nurses

58.58. Which pattern of nursing care involves the care given by a group of
paraprofessional workers led by a professional nurse who take care of patients
with the same disease conditions and are located geographically near each
other?Required to answer. Single choice.
(1/1 Point)
A. Case method

B. Modular nursing

Nursing case management

D. Team nursing
Correct answers: B. Modular nursing

59.St. Raphael Medical Center just opened its new Performance Improvement
Department. Ms. Valencia is appointed as the Quality Control Officer. She
commits herself to her new role and plans her strategies to realize the goals and
objectives of the department. Which of the following is a primary task that they
should perform to have an effective control system?Required to answer. Single
choice.
(1/1 Point)
Make an interpretation about strengths and weaknesses

Identify the values of the department

Identify structure, process, outcome standards & criteria

Measure actual performances


Correct answers: Identify the values of the department

60.Ms. Valencia develops the standards to be followed. Among the following


standards, which is considered as a structure standard?Required to answer.
Single choice.
(1/1 Point)
The patients verbalized satisfaction of the nursing care received

Rotation of duty will be done every four weeks for all patient care personnel.

All patients shall have their weights taken recorded

Patients shall answer the evaluation form before discharge


Correct answers: Rotation of duty will be done every four weeks for all patient care personnel.

61.When she presents the nursing procedures to be followed, she refers to what
type of standards?Required to answer. Single choice.
(1/1 Point)
Process
Outcome

Structure

Criteria
Correct answers: Process

62.The following are basic steps in the controlling process of the department.
Which of the following is NOT included?Required to answer. Single choice.
(1/1 Point)
Measure actual performance

Set nursing standards and criteria

Compare results of performance to standards and objectives

Identify possible courses of action


Correct answers: Identify possible courses of action

63.Which of the following statements refers to criteria?Required to answer.


Single choice.
(1/1 Point)
Agreed on level of nursing care

Characteristics used to measure the level of nursing care.

Step-by-step guidelines

Statement which guide the group in decision making and problem solving
Correct answers: Characteristics used to measure the level of nursing care.

64.She wants to ensure that every task is carried out as planned. Which of the
following tasks is NOT included in the controlling process?Required to answer.
Single choice.
(1/1 Point)
Instructing the members of the standards committee to prepare policies

Reviewing the existing policies of the hospital

Evaluating the credentials of all nursing staff

Checking if activities conform to schedule


Correct answers: Instructing the members of the standards committee to prepare policies
65.Ms. Valencia prepares the process standards. Which of the following is NOT a
process standard?Required to answer. Single choice.
(1/1 Point)
Initial assessment shall be done to all patients within twenty-four hours upon admission.

Informed consent shall be secured prior to any invasive procedure

Patients’ reports 95% satisfaction rate prior to discharge from the hospital.

Patient education about their illness and treatment shall be provided for all patients and their
families.
Correct answers: Patients’ reports 95% satisfaction rate prior to discharge from the hospital.

66.Which of the following is evidence that the controlling process is effective?


Required to answer. Single choice.
(1/1 Point)
The things that were planned are done

Physicians do not complain.

Employees are contended

There is an increase in customer satisfaction rate.


Correct answers: The things that were planned are done

67.Ms. Valencia is responsible to the number of personnel reporting to her. This


principle refers to:Required to answer. Single choice.
(1/1 Point)
Span of control

Unity of command

Decentralization

Renumerationn
Correct answers: Span of control

68.She notes that there is an increasing unrest of the staff due to fatigue
brought about by shortage of staff. Which action is a priority?Required to
answer. Single choice.
(1/1 Point)
Evaluate the overall result of the unrest

Initiate a group interaction

Develop a plan and implement it

Identify external and internal forces.


Correct answers: Initiate a group interaction

69.Patient Ysmael is a 64-year-old male cardiac patient in the telemetry unit


post-CABG. He is very demanding and expects his needs to be met immediately
if not sooner. He refuses to have any female staff members care for him. It is
the end of shift and he appears to be stable in normal rhythm. He has removed
his telemetry electrodes, is sitting up on the side of the bed, has thrown an
empty tissue box across the room, and seems to be trying to get out of bed and
walk. He is now coughing loudly and is demanding his pain medication in a loud
booming voice that carries across the unit. The type of care that he requires now
is:Required to answer. Single choice.
(1/1 Point)
Direct patient care

Indirect patient care

Team work

Transcultural care
Correct answers: Direct patient care

70.The use of interpersonal decision-making, psychomotor skills, and the


application of knowledge expected in the role of a licensed health care
professional in the context of public health welfare and safety is an example
of:Required to answer. Single choice.
(1/1 Point)
Responsibility

Supervision

Delegation

Competence
Correct answers: Competence
71.Five factors to consider when_______ are: potential for harm, complexity of
the task, amount of problem solving and innovation required, predictability of
outcome, and level of patient interaction.Required to answer. Single choice.
(0/1 Point)
Supervising

Delegating

Directing

Staffing
Your answer to question 71 is wrong. Correct answers: Delegating

72.People with an internal locus of control have a strong:Required to answer.


Single choice.
(1/1 Point)
Belief in fate, luck, and chance

Belief in taking action and not waiting for luck or fate to intervene

Need to invest their time in traditional activities

Need to invest their time in nontraditional activities.


Correct answers: Belief in taking action and not waiting for luck or fate to intervene

73.People who have an external locus of control have a strong:Required to


answer. Single choice.
(0/1 Point)
Belief in fate, luck, and chance

Belief in taking action and not waiting for luck or fate to intervene

Need to invest their time in traditional activities.


Your answer to question 73 is wrong. Correct answers: Belief in fate, luck, and chance

74.The degree of people perceive they have control over their environment is
called:Required to answer. Single choice.
(1/1 Point)
Control

Transcultural delegation
Fate and luck

Environmental control
Correct answers: Environmental control

75.Nurse Melanie is doing patient charting. This activity is


considered______.Required to answer. Single choice.
(0/1 Point)
Direct care

Productive time

Indirect care

Nonproductive time
Your answer to question 75 is wrong. Correct answers: Indirect care

76.Holiday time is considered to be:Required to answer. Single choice.


(1/1 Point)
Productive time

Nonproductive time

Direct care

Indirect time
Correct answers: Nonproductive time

77.A measurement tool used to articulate the nursing workload for a specified
patient or group of patients over a specific period of time is called:Required to
answer. Single choice.
(1/1 Point)
Benchmarking

Skill mix

Staffing pattern

Patient classification
Correct answers: Patient classification

78.You are a preoperative nurse in small rural hospital and have just received
your schedule for the upcoming month. You are dismayed to find that you seem
to be scheduled to work on the one day you request off in the order to attend an
event at your son’s elementary school. Whose responsibility is it to schedule staff
and who should you talk about this?Required to answer. Single choice.
(1/1 Point)
Staff members themselves

Nursing staffing office

Nurse manager

Director of Nursing
Correct answers: Nurse manager

79.You are a newly-hired nurse assigned to an inpatient neuro unit and have
been asked to assist with the followed for this type of staffing?Required to
answer. Single choice.
(1/1 Point)
Nurse manager outcomes

Patient outcomes

Staff outcomes

Scheduling period
Correct answers: Scheduling period

80.In which model of patient care delivery does the nurse have the responsibility
for the totalRequired to answer. Single choice.
(1/1 Point)
Case method

Total patient care

Functional nursing

Team nursing
Correct answers: Total patient care

81.An advantage of both the total patient care and the case method of care
delivery is:Required to answer. Single choice.
(1/1 Point)
Cost

Same patient

Continuum of care

Consistency of care
Correct answers: Consistency of care

82.On your patient ob-gyn unit, the model of patient care delivery consists of a
group of patients who are cared for by an RN, an LPN, and a nursing assistive
personnel (NAP). This patient care model is called:Required to answer. Single
choice.
(1/1 Point)
Functional nursing

Team nursing

Total patient care

Primary nursing
Correct answers: Team nursing

83.In which model of care delivery is the focus on patients’ needs rather than
staff needs?Required to answer. Single choice.
(1/1 Point)
Primary

Patient- centered

Differentiated practice

Modular
Correct answers: Patient- centered

84.You have been floated to another inpatient unit that utilizes the primary
nursing model of care. You are excited about being able to work under this type
of care model because one of the advantages of this particular model
is_______.Required to answer. Single choice.
(0/1 Point)
accountability

cost
geographic boundaries

perform all interventions


Your answer to question 84 is wrong. Correct answers: accountability

85.A strategy used to improve patient care and help reduce hospital cost through
the coordination of care is called:Required to answer. Single choice.
(0/1 Point)
Clinical pathways

Case management

Primary nursing

Utilization review
Your answer to question 85 is wrong. Correct answers: Case management

86.A strategy that can be used by staff to positively affect the budget is:Required
to answer. Single choice.
(0/1 Point)
Increase patient charge items

Maintain patient length of stay

Maintain productivity

Evaluate staff downtime


Your answer to question 86 is wrong. Correct answers: Evaluate staff downtime

87.Nurse Patty is the manager of a busy medical-surgical inpatient unit at her


local hospital. Nurse Patty needs to provide information regarding unit
expenditures, costumer’s satisfaction and services, and staffing to her director
for reporting purposes. What tool should the director use to provide a snapshot
of what is going on in this facility?Required to answer. Single choice.
(1/1 Point)
Dashboard

Capital budget

Competitive analysis

Strategic planning
Correct answers: Dashboard

88.Which of the following is not one of the four elements of sound vision
statement?Required to answer. Single choice.
(0/1 Point)
It is written down

It is written in the present tense using action words

It covers a variety of activities and spans specific short-term time frames

It balances the needs of providers, patients, and the environment


Your answer to question 88 is wrong. Correct answers: It covers a variety of activities and spans
specific short-term time frames

89.A value statement of the principles and beliefs that direct an organization’s
behavior is called:Required to answer. Single choice.
(1/1 Point)
Mission statement

Philosophy

Purpose

Strategic Plan
Correct answers: Philosophy

90.Most health care organizations have mission statements that address the
following:Required to answer. Single choice.
(1/1 Point)
Providing care

Promoting research

Educating professionals

Providing quality of care


Correct answers: Providing quality of care

91.What must an organization first identify in order to define its existence or


reason for being?Required to answer. Single choice.
(1/1 Point)
Vision

Mission

Philosophy

Goals
Correct answers: Mission

92.An organization that uses formal, top-down reporting is using which type of
organizational structure?Required to answer. Single choice.
(0/1 Point)
Centralization

Decentralization

Hierarchial Structure

Organizational Chart
Your answer to question 92 is wrong. Correct answers: Hierarchial Structure

93.An organizational chart may include:Required to answer. Single choice.


(1/1 Point)
Management responsibilities

Job description

Job duties and responsibilities

Reporting structure or chain of command


Correct answers: Reporting structure or chain of command

94.In a ______ organizational structure, a nurse may report to more than one
manager.Required to answer. Single choice.
(0/1 Point)
Tall

Decentralized

Matrix

Centralized
Your answer to question 94 is wrong. Correct answers: Matrix
95.________refers to the number of individuals who report to one
person.Required to answer. Single choice.
(1/1 Point)
Matrix

Vision

Mission

Span of control
Correct answers: Span of control

96.When nurse leaders are perceived as knowledgeable, strong risk takers who
follow an articulated philosophy of nursing, which of the Magnet Recognition
Program characteristic are they demonstrating?Required to answer. Single
choice.
(1/1 Point)
Quality of care

Quality improvement

Quality nursing leadership

Management style
Correct answers: Quality nursing leadership

97.When knowledgeable experts, such as advanced practice nurses, are available


and being utilized by a hospital, which Magnet Recognition characteristic is being
displayed?Required to answer. Single choice.
(0/1 Point)
Autonomy

Nurses as teacher

Interdisciplinary and relationship

Consultation and resources


Your answer to question 97 is wrong. Correct answers: Consultation and resources

98.Delegation: The emergency medical service (EMS) has transported a patient


with severe chest pain. As the patient is being transferred to the emergency
stretcher, you note unresponsiveness, cessation of breathing, and no palpable
pulse. Which task is appropriate to delegate to the nursing assistant?Required to
answer. Single choice.
(1/1 Point)
Chest compression

Bag-valve mask ventilation

Assisting with oral intubation

Placing the defibrillator pads


Correct answers: Chest compression

99.When an unexpected death occurs in the ED, which of the following tasks is
most appropriate to delegate to the nursing assistant?Required to answer. Single
choice.
(0/1 Point)
Escort the family to a place of privacy.

Go with the organ donor specialist to talk to the family.

Assist with postmortem care.

Assist the family to collect belongings.


Your answer to question 99 is wrong. Correct answers: Assist with postmortem care.

100.A nurse on a medical- surgical floor is making assignments for an 8-hour


shift. Which of the following considerations has the highest priority?Required to
answer. Single choice.
(1/1 Point)
Complexity of care required

Age of the clients

Skills of the assigned personnel

The number of clients


Correct answers: Complexity of care required
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