Managing and Coordinating Nursing Care Fifth Edition Test Bank

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Page11.The form of leadership in which the leader motivates followers to perform at their fullpotential by influencing changes in perceptions and by providing a sense of direction tothe group is known as:A)Situational leadershipB)Transformational leadershipC)Great Man leadershipD)Servant leadership2.You are in charge of a group of 14 people (10 [2 are ill] nursing assistants and 4 RNs)caring for 88 nursing home residents. Today's care must be completed by 1:30 PMbecause of a special event involving most of the employees. Which management stylewill probably work best in this situation?A)AuthoritarianB)CoerciveC)DemocraticD)Laissez-faire3.Which of the following will help you as you work at developing a leadership style and isa practical step to take?A)Identify a role model.B)Complete some personal inventory tests such as the Myers-Briggs.C)Wait for input from others, especially your immediate supervisor.D)Discuss a number of different styles with friends to see which they believe wouldwork best for you.4.You are a nurse on a busy day-surgery unit. You will have a new unit managerbeginning Monday. What behavior on your part would best demonstrate that you intendto be an effective follower?A)Never overstep your role by making suggestions.B)Keep quiet about your personal preferences and simply follow the new manager.C)Set personal goals that fit into your unit goals.D)Do not bother the new manager with questions but take them to a trusted coworker.5.Michael Schott, RN, serves as the chair of the Nursing Practice Committee for thehospital. The meetings do not have a planned agenda; members of the committee whoare interested in a particular topic feel free to suggest it and then to lead the subsequentdiscussion. His leadership style could be termed _______________.

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Page26.Your clinical supervisor empowers others to act by delegating authority for decisionmaking. Which form of leadership involves such behaviors?A)Transformational leadershipB)Servant leadershipC)Laissez-faire leadershipD)Autocratic leadership7.How might one define leadership?A)Leadership is the process of planning, organizing, directing, and controllingactivities.B)Leadership is the process of guiding, teaching, motivating, and directing others.C)Leadership is the process by which the leader shares power with others.D)Leadership is the process of interviewing, hiring, and firing personnel.8.What is a synonym for power?A)CoercionB)PotencyC)PredilectionD)Inclination9.When assessing your own effectiveness as a leader, what is it important to look at?A)How much education you have hadB)How you set your personal goalsC)How well the rest of the staff likes youD)How you interact with others10.Your new unit manager states that his management style is multicratic. What behaviorwould you expect him to exhibit?A)Uses several forms of democratic management techniques and toolsB)Adjusts his or her management style to the situation at handC)Develops the role of the follower to enhance his or her own roleD)Chooses a management style and sticks to it11.When we attempt to get others to act in a particular manner by creating obligations,through pressure tactics or other coercive behaviors, it may be termed ______________.12.An important characteristic of both leadership behaviors and management skills is thatthey can both be _________.

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Page313.How does leadership differ from management?A)Leadership involves having the ability to influence others.B)Leadership involves coordination and integration of resources.C)Management does not involve guiding, teaching, and motivating behaviors.D)Leadership is usually an appointed position.14.A new staff nurse has been on the unit for 2 weeks. The manager states that this nurse isan effective follower. What characteristic of the staff nurse would the manager base thatstatement on? (Select all that apply.)A)The staff nurse is intelligent.B)The staff nurse is enthusiastic.C)The staff nurse participates in pursuit of organizational goals.D)The staff nurse gets along well with other staff members.E)The staff nurse never calls in sick.15.You are the charge nurse on a unit that empowers its staff members. What action couldyou take to empower a nursing assistant with whom you work?A)Encourage the nursing assistant to have input into decisions regarding a patient'scare.B)Give the nursing assistant explicit instructions on how to care for her patients.C)Let the nursing assistant bring you a list of what care needs to be given to thepatients.D)Accompany the nursing assistant every time she gives care to a patient.16.You are teaching a class on nursing theory and you know it is important to be able to tienursing theory to nursing situations. What would you tell your class about the researchinto behaviorist theories when it is applied to nursing situations?A)Research demonstrates the relationship between the work environment and positivepatient outcomes.B)Research has demonstrated that staff nurses are less likely to participate inorganizational goals.C)Research has demonstrated that patient outcomes are less positive as the workenvironment becomes more conducive to teamwork.D)Research has demonstrated that turnover of staff increases as staff satisfactiondecreases.17.A nurse manager also serves as a leader in delivering patient care. This same nurse alsohas an important responsibility as a __________.

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Page418.On an empowered unit, what is a factor when assigning tasks to staff?A)Autonomy/supportB)Independence/role modelingC)Motivation/personal goalsD)Cooperation/delegation19.What is a required skill in a good manager?A)Ability to give independence to staffB)Ability to make staffing plansC)Ability to empower othersD)Ability to balance budget20.What factors do organizations use to gauge your ability to provide direction to others orto bring about change? (Select all that apply.)A)ReputationB)PowerC)InfluenceD)SeniorityE)Influence tactics

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Page5Answer Key1.B2.A3.A4.C5.Laissez-faire6.A7.B8.B9.D10.B11.Unethical12.Learned13.A14.A, B, C15.A16.A17.Follower18.A19.C20.B, C, E

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Page11.Given a matrix organizational structure in which each unit manager reports directly tothe nursing administrator and works directly with the staff development department,who should do the performance evaluation for the unit manager?A)CEO (administrator)B)Nursing administratorC)Staff development officerD)RN2.In an organization in which the housekeeping director and the nursing director are onthe same level, both report to a higher level administrator, and both have individual unitmanagers who report to them, to whom should the staff nurse direct concerns about theadequacy of the cleaning done by an individual housekeeper?A)To the housekeeper individuallyB)To the nursing unit managerC)To the director of nursingD)To the director of housekeeping3.In applying Maslow's hierarchy of needs to members of an organization, the informalorganization is most likely to meet which needs?A)Belonging/socialB)Ego or self-esteemC)Security/safetyD)Physiologic4.Before John accepted a position at Mercy Hospital, he asked a number of employeesabout their perceptions of the prevailing feelings and values of the organization. Whatwas he evaluating?A)The informal organizationB)The organizational cultureC)The organizational climateD)The organizational philosophy5.Mary works in an organization in which the nursing staff and the nursing managementare both involved in making decisions as opposed to having the decisions made at anadministrative level only. Which professional practice model does this represent?A)An autocratic modelB)A democratic modelC)A multicratic modelD)A shared governance model

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Page26.A nurse who is interested in participating in decision making is most likely to find thisopportunity in which type of organization?A)TallB)FlatC)MatrixD)There is no difference7.What is meant by the term organizational structure? (Mark all that apply.)A)The way in which decision making occursB)The way in which a group is formedC)The way in which the informal organization operatesD)The way in which social alliances are madeE)The way in which lines of communication flow8.Why is a hospital's mission statement important to clients?A)It helps clients to know if the institution will meet their needs.B)It helps clients to know if the hospital is good.C)It helps clients to know how care is given.D)It helps clients to know how culturally diverse the institution is.9.Where would you look to gain information about who is to make specific decisions foran organization?A)In the mission statementB)In the policy manualC)In the procedure manualD)In the philosophy statement10.Why might you want to change the organizational culture or climate?A)You may feel the efforts and accomplishments of the employees receive too littlerecognition.B)You disagree with the unit supervisor regarding staffing patterns.C)You believe there is a better method of introducing a new procedure.D)You want to take actions that will result in an internal promotion.11.The form of care delivery in which an individual monitors the patient's interaction withthe entire health care system is known as which one of the following?A)Primary nursingB)The case methodC)Total patient careD)Case management

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Page312.What is the purpose of the nursing philosophy of any organization?A)It is needed for legal incorporation.B)It spells out the broad goals of that organization.C)It outlines the values and beliefs of members.D)It identifies the spiritual affiliation of the organization.13.What are the criteria for Magnet Hospital Status? (Mark all that apply.)A)Low staff nurse turnover rateB)High educational level of staff nursesC)Appropriate resolution of grievancesD)Data collection by staff nursesE)Authoritarian management throughout organization14.What is known as the official power an individual has to approve an action, to commandan action, or to enforce a decision?A)AccountabilityB)AdvocacyC)AuthenticityD)Authority15.Which of the following is the best definition of span of control?A)The number of subordinates for which one person in the organization is responsibleB)The right one person has to control resources and actionsC)The responsibility one person has for seeing that the activities are carried outD)The way actions occur within an organization16.As public scrutiny of health care facilities becomes more common, more attention willbe paid to organizational ______________.17.In hospitals with shared governance, what are nurses now doing?A)Defining salaries and benefitsB)Providing excellent patient careC)Having more satisfactory social relationshipsD)Showing a decreased level of job satisfaction18.In a shared governance model, managers must learn to share ___________ over keyareas that were their sole domain such as scheduling, budgeting, and staffing.

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Page419.The informal organization is a necessary and integral part of every organization.Informal communication is often termed as coming via the ______________.20.The informal organization, while primarily social in nature, can assist an organization inwhat?A)Upward communicationB)Meeting goalsC)Increasing staff turnoverD)Mandating teamwork

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Page5Answer Key1.B2.B3.A4.C5.D6.B7.A, B, E8.A9.B10.A11.D12.C13.A, C, D14.A15.A16.Effectiveness17.A18.Authority19.Grapevine20.B

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Page11.Which of the following is a good reason to have a meeting?A)To coordinate action or exchange informationB)To ensure that everyone is at workC)To assert your role as leaderD)Because people expect frequent meetings2.You are the nurse manager. Which of the following should be your priority?A)A nursing assistant wanting to discuss his vacation timeB)A physician asking that you call him regarding the results of an ordered hematocritC)The patient in room 205 who just fellD)The patient complaining about his lunch and wanting your attention3.You are the charge nurse. Which of the following tasks should you delegate to the LPN(LVN)?A)Giving the epidural pain medicationB)Leading the patient care conferenceC)Counting the linen for inventoryD)Passing the noon oral medications4.In which part of the budget would one find major renovations?A)Operating budgetB)Capital budgetC)Administrative budgetD)Equipment budget5.Because of a new contract, you must budget for an increase in nurses' salaries. Underwhich budget category would you apply for this increase?A)Capital budgetB)Operating budgetC)Supply budgetD)Construction budget6.Of the following, which is the best way in which a staff nurse might become involved inthe budget process?A)Providing timely budget requestsB)Reporting to the supervisor extended lunch breaks taken by fellow workersC)Looking for ways to reuse suppliesD)Seeking shortcuts to charting

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Page27.The nurse working in the emergency department knows that the policy of the hospitalstates that no individuals without insurance will be treated. Uninsured individuals willbe directed to go to the county hospital emergency department. A woman in labor entersand the nurse determines that this woman is very near delivery and would not make it tothe other hospital before delivering. Is it ethical for the nurse to send the woman to theother emergency department to conform to the hospital policy? Why or whynot?A)No, because the hospital should not be allowed to set such policies.B)No, because the nurse has an independent duty to avoid harm to those seeking care.C)Yes,because as an employee the nurse's duty is to the hospital.D)Yes, because the nurse may or may not be correct in her assessment.8.The nurse is discharging a patient based on a critical pathway. The patient suddenlyshows signs of a beginning complication.The unit manager states, “There is nothing thatcan be done, the allotted days of hospital stay are over, and the cost controls will notallow the patient to stay.” In this case, would the limit on length of stay, imposed by thehealth plan, protect the health care institution and its employees from a successfulmalpractice action? Why or why not?A)Yes, because they have no control over the health plan decisions.B)Yes, because they are discharging a patient according to a predetermined criticalpathway.C)No, because anyone can sue for anything, anytime.D)No, because health care professionals are always accountable for their owndecisions about patient care.9.Which of the following provides the greatest opportunity for cost containment in anursing department's expenses?A)EquipmentB)SuppliesC)Environmental assessmentD)Salaries10.A coworker says to a fellow nurse, “An ordinary nurse can't have any effect on the costof health care. I don't know why you worry about it.” The nurse's most accurate reply is:A)“There are many costs associated with complications that nurses can prevent.”B)“You are probably right, but it makes me feel better if I try something.”C)“Well, by not using sterile supplies, I know that I am really cutting costs.”D)“If I talk about costs, maybe those who really can affect costs, like doctors, willbegin to pay attention.”

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Page311.Which of the following is the area on the patient's bill where the cost of nursing care hasappeared?A)Special nursing servicesB)Patient care maintenanceC)An integral part of the daily room rateD)Itemized expenses12.In a capitated health plan, which entity is at greatest financial risk?A)ProviderB)Health planC)IndividualD)Government13.John Thomsen, age 76, is admitted to the hospital for a hip replacement. Which of thefollowing sources would you expect to pay a good share of his hospital bill?A)His employerB)MedicareC)His sonD)A state insurance plan14.What are the factors affecting rising health care costs? (Mark all that apply.)A)Fear of litigationB)Aging populationC)Administrative costsD)Judicious use of staffE)Overuse of resources15.Cost ____________ includes all efforts directed toward preventing the steep rise incosts of health care.16.What are the factors influencing a patients' access to health care? (Mark all that apply.)A)Do they have the time?B)Can a relative or friend go with them?C)Can they afford it?D)Is it available near their home?E)Is it viewed as culturally sensitive?

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Page417.Because of increased litigation, physicians have begun practicing “defensive medicine.”What does this mean?A)Care was ordered for legal protectionB)Needed diagnostic tests were not orderedC)Care was only given to those with insuranceD)Specialists were called in when not needed18.As a staff nurse, where can you impact the system by making suggestions to reduceredundant paperwork or streamline processes?A)At the mid-management levelB)At the informal organizational levelC)At the grassroots levelD)At the administrative level19.The future of cost containment hinges on balancing what? (Mark all that apply.)A)Patient satisfactionB)Length of stayC)Age of patientsD)Quality of care givenE)Cost of care provided20.Restructuring of health care organizations in an effort to contain costs might includewhat?A)Opening trauma unitsB)Continuing to provide community emergency careC)Hiring unlicensed assistive personnelD)Decreasing the number of physicians on the payroll

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Page5Answer Key1.A2.C3.D4.B5.B6.A7.B8.D9.B10.A11.C12.A13.B14.A, C, E15.Containment16.C, D, E17.A18.C19.A, D, E20.C

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