Leading and Managing in Canadian Nursing Patricia Yoder-Wise - Chapter 03 PDF

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Leading and Managing in Canadian Nursing Patricia Yoder-Wise test questions and answers...

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Chapter 03: Developing the Role of Manager Waddell/Walton: Yoder-Wise’s Leading and Managing in Canadian Nursing, Second Edition

MULTIPLE CHOICE 1. Role theory has its underpinnings in management theory. Management theories influence managers’ le would a nurse manager be most likely to follow when redesigning the staffing schedule? a. Theory X. b. Productivity theory. c. Psychological theory. d. Theory Y. ANS: D Theory Y is effective in health care and helps reinforce the concept of team. Because the manager need schedules, it would be important to use this participatory approach, inasmuch as the change involves a DIF: Cognitive Level: Apply TOP: Nursing Process: Planning

REF: Page 50, Theory Box

2. A nurse manager has worked rapidly to persuade the staff to accept changes in the unit’s mission, thro technology, to avoid downsizing. This nurse manager is displaying: a. A focus on past concerns related to the mission. b. How to teach staff members about self-management. c. Facilitation of goal accomplishment. d. A requirement that all staff members need to review and reinforce their technologic skills. ANS: C Nurse managers, who are successful in motivating staff, provide a work environment that facilitates go personal satisfaction. In this situation, the nurse manager worked quickly to avoid downsizing, thus fa avoiding staff layoffs. DIF: Cognitive Level: Analyze TOP: Nursing Process: Implementation

REF: Page 41

3. The nurse manager, as the leader of the unit’s “customer (patient) first” initiative, has asked the staff n administer a survey to every patient before discharge. In asking the staff nurses to accomplish this task demonstrating a. Accountability. b. Shared governance. c. A common purpose. d. Independence in the nursing manager’s role. ANS: B Engaging staff and others in decision making and in obtaining information is one characteristic of crea structure in which nurses are encouraged to make decisions. DIF: Cognitive Level: Apply TOP: Nursing Process: Implementation

REF: Page 42

4. A nurse manager is encountering considerable conflict among staff members because of weekend staff called staff meeting, the nurse manager asks the disgruntled staff to meet as a group and determine the 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 win-win strategy. d. Defuse the possibility that staff members’ discontent will escalate when staffing the unit on weekends. ANS: C

Conflict resolution skills are important for nursing managers. When collaboration is used to solve a co focused on solving the problem, rather than on defeating other people with opposing views. DIF:

Cognitive Level: Analyze

REF: Page 43

5. A nurse manager’s responsibility for financial management involves making budgetary decisions. Bud 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. ANS: D In organizational structures in which decision making occurs at the point of service, nurse managers ar preparing and implementing a budget that meets the long- and short-term needs of their unit without re approval. DIF: Cognitive Level: Understand TOP: Nursing Process: Planning

REF: Page 48

6. Which represents one of the Canadian Nurses Association’s top six competencies of a good nurse man a. Political activism. b. Conflict resolution skills. c. Budgetary responsibility. d. Current clinical practice knowledge. ANS: B The top six competencies for nurse managers are: (1) accountability for professional practice, (2) verb team-building skills, (4) leadership skills, (5) conflict resolution, and (6) knowledge of ethical and lega DIF: Cognitive Level: Understand TOP: Nursing Process: Assessment

REF: Page 43

7. Whenever a staff nurse asks Sue, the nursing manager, about the best way to perform a new procedure the computer with the staff nurse and searches for online best practices related to the procedure in que demonstrating? a. Lack of procedural knowledge. b. Role-modelling evidence-informed decision-making. c. Empowerment for the staff nurse to do this on her own, rather than involve the manager. d. The key role of informatics in the current health care system. ANS: B Nurse managers can help staff use research evidence in their practice decision making by valuing rese providing encouragement, ensuring policies are based on research and are up to date, and monitoring p outcomes. DIF: Cognitive Level: Apply TOP: Nursing Process: Implementation

REF: Page 43

8. In planning a new wing, the nurse manager complies with the workplace safety requirements of the US Health Administration (OSHA). Which of the following groups is considered to be at high risk for vio a. Pediatric staff. b. Postsurgical unit staff. c. Emergency department staff. d. Medical oncology unit staff. ANS: C Emergency department staff members are considered to be at high risk for violence. DIF: Cognitive Level: Remember TOP: Nursing Process: Planning

REF: Page 45

9. In orienting a 25-year-old nurse, the unit manager understands that this worker probably a. Likes to attend to detail. b. Is highly proficient in math and reading skills. c. Enjoys being managed by superiors.

d. Likes to solve problems without being given solutions. ANS: D A role of the manager is to understand various motivations of staff and to bring these together in the ac

10. Nurses on Unit 4 are unhappy and frustrated with their nurse manager. They complain that “nothing is him.” Such statements suggest that the nurse manager’s goals may be: a. Measurable. b. Unrealistic. c. Attainable. d. Too low. ANS: B Nurse managers need to set goals that are high enough to achieve excellence but reasonable enough to of achievement can result in frustration. DIF: Cognitive Level: Analyze TOP: Nursing Process: Evaluation

REF: Page 41

11. Budgeting and protection of revenues is a function of: a. Leadership. b. Management. c. Team leadership. d. Followers. ANS: B Managers address complex issues such as planning, budgeting, and allocating resources, whereas lead DIF: Cognitive Level: Understand TOP: Nursing Process: Assessment

REF: Page 41

12. Which of the following is important in a positive work environment? a. One-way communication. b. Accountability and clarity of roles and responsibilities. c. Hierarchical decision making. d. Challenge and striving for excellence. ANS: B One of the six competencies of a good nursing manager is accountability for professional practice; clar responsibilities enhances accountability. DIF: Cognitive Level: Understand TOP: Nursing Process: Planning

REF: Page 41 | Page 43 | Page 49

13. As the manager of a unit with a high percentage of young professionals, you increase job satisfaction a a. Providing high levels of job structure and task orientation. b. Developing schedules that are fair and observing contractual obligations. c. Utilizing skills in the staffing mix to optimize the delivery of patient care. d. Establishing opportunities to self-schedule. ANS: D A manager is challenged to motivate staff and increase organizational commitment across different gen Carver and Candela’s (2008) findings suggested that strategies such as shared governance and self-sch satisfaction among younger staff. DIF: Cognitive Level: Apply TOP: Nursing Process: Implementation

REF: Page 42

14. On the first day of every month, the nursing manager on the surgical unit posts a staff nurse’s name on caption “Look what this great nurse did this month” and outlines nursing behaviours that were display This is an example of: a. Negative reinforcement. b. Valuing employees. c. Obtaining evidence for performance appraisals. d. Reinforcing the vision and goals of the organization. ANS: B

Nurse managers must communicate their commitment so that staff members know they are valued in a the unit that furthers the mission of the organization. One way of demonstrating that employees are va Recognizing staff’s efforts is part of effective management practices....