Exam 26: Role Transition

During an employment interview for the manager's position in a home health agency,the applicant asks questions about the medical director and about retention of staff.The nurse executive assures the applicant that the agency has few personnel problems and receives excellent support from the medical director.The applicant knows that the agency has a 50% turnover rate and has had three medical directors in the past year.The nurse executive is:

The chief nursing officer develops a mentoring program to help new staff members adjust to their new jobs.The main purpose of mentoring is:

The new head nurse on telemetry has been in the position for 3 months.The head nurse and the administrator disagree on how much time the head nurse should allot to various aspects of the role.Staff members on the unit complain that the head nurse is unavailable for clinical concerns because of being off the unit while attending meetings.To facilitate the process of role transition,the head nurse should:

Sarah is a nursing graduate of 5 years who is very confident in her clinical skills.She has taken some certificate courses in leadership and management and has considered beginning a graduate degree with this focus.She is excited about being able to use her knowledge and interest by being hired as a nurse manager.Before beginning her new position,Sarah spends time with her nurse executive to clarify the executive's expectations of her and of the unit that she has been hired to manage.A strategy that may help to make the transition to her management role and to respond to relationships and situations in her new position is:

The nurse manager of a unit was demoted to staff nurse 6 months ago.Because of being near retirement,the former nurse manager wanted to be employed at the hospital and was offered a position on the same unit.The former nurse manager complains often about how infrequently the current nurse manager is available on the unit and argues with physicians and co-workers.Clients have complained about the attitude of the nurse.The behavior of the former nurse manager can be best explained as being caused by:

The new nurse manager feels pulled between the expectations of staff,the demands of hospital administrators,and family obligations.According to the theory by Hardy (1978),unrelieved role stress and strain will lead to:

Who of the following might be the most appropriate mentor for Becky,a new nurse manager on the cardiac unit who has 4 years of previous clinical experience?

After several months in the role of manager of a dialysis unit,Maryanne finds herself still questioning the gap in expectations between her and her staff and management and is also questioning if she can reconcile her concerns about quality care with the strong cost-containment orientation of the facility.At this point,Maryanne is in which stage of role transition?

Sarah is a nursing graduate of 5 years who is very confident in her clinical skills.She has taken some certificate courses in leadership and management and has considered beginning a graduate degree with this focus.She is excited about being able to use her knowledge and interest by being hired as a nurse manager.Before beginning her new position,Sarah spends time with her nurse executive to clarify the executive's expectations of her and of the unit that she has been hired to manage.Sarah's actions are important in avoiding role:

An interviewee for a nurse manager position asks for a copy of the organizational chart.Organizational charts provide information about the role component of:

Seth is hired as the nurse manager for a surgical unit.After a year,the hospital reorganizes,and his position is lost.In leaving the unit,it is important for Seth to:

Sarah is a nursing graduate of 5 years who is very confident in her clinical skills.She has taken some certificate courses in leadership and management and has considered beginning a graduate degree with this focus.She is excited about being able to use her knowledge and interest by being hired as a nurse manager.Before beginning her new position,Sarah spends time with her nurse executive to clarify the executive's expectations of her and of the unit that she has been hired to manage.Sarah finds a mentor,Amy,who has been in the role of unit manager for 3 years and has a similar interest in clinical excellence.During their frequent meetings,Amy provides assistance with learning aspects of the manager's role,including technical aspects,such as how to interpret budget printouts and to achieve budget outcomes.The success of Amy's coaching depends on:

Sarah is a nursing graduate of 5 years who is very confident in her clinical skills.She has taken some certificate courses in leadership and management and has considered beginning a graduate degree with this focus.She is excited about being able to use her knowledge and interest by being hired as a nurse manager.Before beginning her new position,Sarah spends time with her nurse executive to clarify the executive's expectations of her and of the unit that she has been hired to manage.After beginning her new position,Sarah finds that she spends a great deal of time in direct patient care.Her staff begins to complain that they are never able to find her when they need her,and that some aspects of her responsibilities fall behind,such as scheduling.Sarah is most likely:

A nurse manager notices that Nathan,an RN who has been on the unit for approximately 3 years,has an interest in health technology and seems to be very enthused about working with software and hardware at home.She speaks with Nathan and asks him if he would lead investigation of software applications on the unit.This is an example of:

Sarah is a nursing graduate of 5 years who is very confident in her clinical skills.She has taken some certificate courses in leadership and management and has considered beginning a graduate degree with this focus.She is excited about being able to use her knowledge and interest by being hired as a nurse manager.Before beginning her new position,Sarah spends time with her nurse executive to clarify the executive's expectations of her and of the unit that she has been hired to manage.After a year,Sarah successfully transitions into the nurse manager role and considers taking the examination to become a certified nurse executive.Amy advises her that this is not possible because Sarah will need:

Sarah is a nursing graduate of 5 years who is very confident in her clinical skills.She has taken some certificate courses in leadership and management and has considered beginning a graduate degree with this focus.She is excited about being able to use her knowledge and interest by being hired as a nurse manager.Before beginning her new position,Sarah spends time with her nurse executive to clarify the executive's expectations of her and of the unit that she has been hired to manage.Sarah finds that she is comfortable with the expectations of staff and her supervisor regarding her management role and responsibilities and has been able to effect a strong commitment to quality clinical care on the unit.At this point,Sarah has likely attained this role:

As a result of Amy's coaching,Sarah,a nursing graduate of 5 years,completes a ROLES assessment.This assessment is helpful in:

The unit leader on an inpatient psychiatric unit of a large hospital has been in the position for 3 months.The unit leader is frustrated by how little time is available to work with clients and how few changes have been implemented in that time.The phase of role transition being experienced is the role of:

A nurse manager in one hospital values a colleague who is a few years older and has more experience in nursing management.The colleague works in another hospital,but they meet for lunch once a month.In these meetings,they share their feelings about nursing management and their lives.The function of a mentor that is missing in the relationship is:

In addition to providing coaching,a nurse mentor may provide counseling to the mentee.For counseling to be successful,the mentor must: