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    Exam Review

    1. After consulting with practice environments about quality and safety concerns in health care, a dean in a health care program implements what to improve quality and safety in health care?
      A)An interdisciplinary program for nurses, pharmacists, and medical practitioners that emphasizes collaborative learning teams.
      B)Programming that stresses discipline-based research.
      C)A nursing program that emphasizes the development of a strong disciplinary identity.
      D)Partnerships with health care to develop software for the reporting of adverse events.
    2. A nurse manager must also consider a number of internal variables that will affect staffing patterns. An internal variable to be considered is:
      A)consumer expectations.
      B)state licensing standards.
      C)organizational staffing policies.
      D)American Nurses Association.
    3. A nurse manager has decided that she must institute some personal time-management steps to survive work and home life. Her first step should be to:
      A)determine what takes up so much of her time and energy.
      B)organize her personal and work spaces.
      C)determine her personal and professional goals.
      D)purchase a handheld personal digital assistant to help remind her of important meetings.
    4. To prepare staffing schedules, a nurse manager needs to calculate paid non-productive time. When calculating paid non-productive time, the nurse manager considers:
      A)vacation time, holiday time, and sick time.
      B)paid hours minus worked hours.
      C)work time, educational time, and holiday time.
      D)paid hours minus meeting time.
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    Exam Review

    1. The Emergency Department staff decides to use a collective bargaining model for negotiation rather than a traditional trade union model. A traditional trade union model is characterized by:
      A)an ability to resolve complaints.
      B)spirit of trust between management and labor.
      C)positional conflict.
      D)management support of labor's initiatives.
    2. As a nurse manager, you observe a staff nurse who over the past few weeks has become withdrawn and has had several absences due to minor ailments. Your best action would be to:
      A)ask the nurse if she is okay during report.
      B)refer the nurse to the employee assistance program.
      C)ask the nurse to meet with you for a few minutes before she leaves for the day.
      D)write a note to the nurse advising her that her work attendance must improve.
    3. The core of leadership is awareness. The text by Don Miguel, The Four Agreements, presents a set of agreements to enhance personal growth and awareness. What is not one of the four agreements?
      A)Do not make assumptions.
      B)Be impeccable with your word.
      C)Take things personally.
      D)Always do your best.
    4. As a nurse manager, you are a leader in health care and on the unit you manage. Looking at the larger picture of health care and patient environment on the unit, what is your primary role when evaluating the care provided on your nursing unit?
      A)Provide education to the staff of the unit.
      B)Assess staff for contentment on unit.
      C)Ensure quality patient care on unit.
      D)Focus on cost outcomes.
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    Exam Review

    1. The chief nursing officer (CNO) is appointed for the local hospital in a rural area. The nursing committee agreed with the appointment of the new CNO offered the position. What is this type of leadership position considered?
      A)Director leadership
      B)Personal leadership
      C)Informal leadership
      D)Formal leadership
    2. The nurse manager is implementing a shared governance model to help with communication and decision making. Although staff members like the concept, change is difficult. Staff nurses feel:
      A)less stressed.
      B)more communicative.
      C)more powerless and devalued.
      D)more empowered.
    3. The definition of follower has historically referred to a person who is subservient and submissive. The new principles of followership offer a different perspective. What is NOT considered an attribute of followership in nursing?
      A)Critical thinking
      B)Patient advocate
      C)Independent decision making
      D)No influence over leaders
    4. A nurse manager working for a not-for-profit organization should be familiar with the regulations that impact the organization. Not-for-profit organizations:
      A)can refuse clients who are unable to pay.
      B)pay no taxes.
      C)have no paid employees.
      D)pay dividends to stockholders.
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    Exam Review

    1. What would be the primary emphasis in designing and implementing a quality, safe healthcare environment?
      A)Staffing
      B)Informatics
      C)Evidence-based practice
      D)The patient
    2. A hospital is working toward becoming a Magnet hospital. The chief nursing officer is aware that professional nursing departments in Magnet hospitals will:
      A)be entitled to have client care departments.
      B)be designed to maintain nursing standards of practice.
      C)not be directed by nurses.
      D)be virtual organizations.
    3. The manager in the coronary care unit believes an important ethical consideration in performance evaluations is to include the employee's good qualities and give positive direction for professional growth. What ethical principle does this represent?
      A)Justice
      B)Beneficence
      C)Fidelity
      D)Nonmaleficence
    4. A local hospital has formed a corporate partnership with a reputable HMO (health maintenance organization). The nurse manager has had to educate staff and personnel about the financial implications of this partnership. An HMO:
      A)provides more expensive care than other types of insurance plans.
      B)does not pay as much for acute care as other practice plans.
      C)pays physicians on a fee-for-service basis.
      D)has a centralized administration that directs and compensates physician services.
    Page 4 of 5

    Exam Review

    1. A new graduate nurse has accepted a position in an intensive care unit. The nurse is assigned a preceptor with several years of experience. The new nurse also notices the other staff seek this nurse out for answers to questions and as a resource to the unit. What does the new nurse consider the role of the mentor nurse?
      A)A formal leader
      B)An informal leader
      C)A positional leader
      D)An official leader
    2. The core of nursing leadership incorporates integration of unique qualities to include us as individuals. Which is not considered part of leadership integration?
      A)Position
      B)Leader
      C)Nurse
      D)Person
    3. A patient refuses a simple procedure that you believe is in the patient's best interest. What two ethical principles are in conflict in this situation?
      A)Veracity and fidelity
      B)Fidelity and justice
      C)Paternalism and respect for others
      D)Autonomy and beneficence
    4. The staff members in a local Emergency Department are experiencing stress and burnout as the result of excessive overtime. The staff decides to unionize to negotiate for better working conditions. The increase in unionization within health care may be attributed to the:
      A)number of people who are involved in health care.
      B)movement from being "blue-collar workers" to being "knowledge workers."
      C)excess profits in health care.
      D)level of risk that exists for health care.
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