Question 1

A nurse manager understands that the typical first step in handling an employee with a disciplinary problem is to

Accepted Answer

A)  provide a verbal reprimand. 
B)  prepare a written reprimand. 
C)  counsel the employee regarding the problem. 
D)  give the employee the day off without pay. 
A)  provide a verbal reprimand. 
B)  prepare a written reprimand. 
C)  counsel the employee regarding the problem. 
D)  give the employee the day off without pay. C

Question 2

Clinical incompetence is one of the more serious problems facing a nurse manager.Joyce,the nurse manager,is not aware of the problems of Sarah,a novice nurse.After she investigates,it is obvious that Sarah's peers are covering for her.Which of the following might Joyce include in her meeting with the nurses?

Accepted Answer

A)  "It is a nurse's professional responsibility to maintain quality control." 
B)  "All instances of clinical incompetence are to be reported." 
C)  "It is not considered being disloyal when one nurse reports another for poor care." 
D)  "Patient care is the number one concern. Meeting standards is mandatory and necessary." 
A)  "It is a nurse's professional responsibility to maintain quality control." 
B)  "All instances of clinical incompetence are to be reported." 
C)  "It is not considered being disloyal when one nurse reports another for poor care." 
D)  "Patient care is the number one concern. Meeting standards is mandatory and necessary." A,B,C,D

Question 3

Susan,a new graduate,is upset that so many staff members have been absent lately from the unit.She declares to you that all absenteeism could be eliminated with proper management.Your response is based on understanding that

Accepted Answer

A)  not all absenteeism is voluntary. 
B)  high personal control contributes to absenteeism. 
C)  direct discussions with employees who have high levels of absenteeism are not recommended. 
D)  all absenteeism is related to personal issues and needs. 
A)  not all absenteeism is voluntary. 
B)  high personal control contributes to absenteeism. 
C)  direct discussions with employees who have high levels of absenteeism are not recommended. 
D)  all absenteeism is related to personal issues and needs. A

Question 4

The chief nursing officer reviews the policy about "progressive discipline process." The progressive discipline process includes which of the following?

Accepted Answer

A)  The manager is a counsellor and friend to the employee. 
B)  The manager should reprimand and suspend the employee as a last resort. 
C)  The manager should rehire the employee after a reasonable length of time. 
D)  The manager should terminate the employee if the problem persists. 
A)  The manager is a counsellor and friend to the employee. 
B)  The manager should reprimand and suspend the employee as a last resort. 
C)  The manager should rehire the employee after a reasonable length of time. 
D)  The manager should terminate the employee if the problem persists.

Question 5

Incivility is a disruptive behaviour or communication that creates negativity in the environment and interferes with quality of patient care and safety.The manager can implement steps that help to alleviate uncivil behaviour on a unit.Which of the following would not be an appropriate first step?

Accepted Answer

A)  Suspending the staff member from work 
B)  Providing written admonishment that is discussed and placed in the employee's file 
C)  Providing verbal admonishment 
D)  Terminating the staff member 
A)  Suspending the staff member from work 
B)  Providing written admonishment that is discussed and placed in the employee's file 
C)  Providing verbal admonishment 
D)  Terminating the staff member

Question 6

In keeping with guidelines of the organization,the nurse manager documents staff problems.Documentation of disciplinary problems should

Accepted Answer

A)  include a plan to correct them and to prevent future occurrences. 
B)  state a detailed history of past problems that are related to the current one. 
C)  be written at the convenience of the manager. 
D)  accumulate until the evaluation period begins. 
A)  include a plan to correct them and to prevent future occurrences. 
B)  state a detailed history of past problems that are related to the current one. 
C)  be written at the convenience of the manager. 
D)  accumulate until the evaluation period begins.

Question 7

The nurse manager places a staff member on probation because of reports of chemical dependency.The nurse manager should be aware that which of the following statements is true regarding chemical dependency?

Accepted Answer

A)  The chemically dependent employee usually hides any changes in behaviour. 
B)  When confronted with the issue, the affected employee is usually relieved to have someone to talk to about the problem. 
C)  The chemically impaired nurse affects the entire health care organization. 
D)  Hospital policy, state laws, and nurse practice acts address procedures for the chemically dependent employee in the most general terms. 
A)  The chemically dependent employee usually hides any changes in behaviour. 
B)  When confronted with the issue, the affected employee is usually relieved to have someone to talk to about the problem. 
C)  The chemically impaired nurse affects the entire health care organization. 
D)  Hospital policy, state laws, and nurse practice acts address procedures for the chemically dependent employee in the most general terms.

Question 8

The chief nursing officer understands that clinical incompetence is best prevented by which of the following?

Accepted Answer

A)  A flexible protocol for evaluating competency skills 
B)  A standardized clinical skills checklist 
C)  A newly established peer review process 
D)  A formalized competency program with established standards for practice 
A)  A flexible protocol for evaluating competency skills 
B)  A standardized clinical skills checklist 
C)  A newly established peer review process 
D)  A formalized competency program with established standards for practice

Question 9

Before terminating an employee,a nurse manger must

Accepted Answer

A)  be an expert in all legal aspects of employment termination and discipline practices. 
B)  know the organization's specific policies for addressing disciplinary problems and employment termination. 
C)  function as a counsellor for problem employees. 
D)  do everything to assist and protect the employee by adjusting standards and policies. 
A)  be an expert in all legal aspects of employment termination and discipline practices. 
B)  know the organization's specific policies for addressing disciplinary problems and employment termination. 
C)  function as a counsellor for problem employees. 
D)  do everything to assist and protect the employee by adjusting standards and policies.

Question 10

The most important approach that a nurse manager can take with an emotionally troubled employee is to

Accepted Answer

A)  act as a therapist for the employee. 
B)  adjust the standard of care to assist the employee. 
C)  assist the employee in obtaining professional help. 
D)  adjust the employee's work schedule to decrease stress. 
A)  act as a therapist for the employee. 
B)  adjust the standard of care to assist the employee. 
C)  assist the employee in obtaining professional help. 
D)  adjust the employee's work schedule to decrease stress.

Question 11

You need to terminate Gregory,who has had a long-standing history of conflict with you and the staff and who recently was charged with theft of patient belongings.You consult the human resources department and,together,you develop a plan,which includes

Accepted Answer

A)  A private meeting with Gregory, a human resources representative, and you to deliver the news and deliver the employment termination notice and all other documents that are related 
B)  Planning an opportunity for Gregory to return and be recognized at a staff farewell 
C)  Calling Gregory at home to tell him that he is fired and that his paperwork will be sent to him at a future date 
D)  Calling him into a meeting in your office on the ward, where assistance is available, should he become upset or agitated 
A)  A private meeting with Gregory, a human resources representative, and you to deliver the news and deliver the employment termination notice and all other documents that are related 
B)  Planning an opportunity for Gregory to return and be recognized at a staff farewell 
C)  Calling Gregory at home to tell him that he is fired and that his paperwork will be sent to him at a future date 
D)  Calling him into a meeting in your office on the ward, where assistance is available, should he become upset or agitated

Question 12

Nurses generally experience difficulty in identifying behaviours and actions that could signal chemical dependency in a co-worker.Which of the following is not a behavioural change that occurs with chemical dependency?

Accepted Answer

A)  Personality and behavioural changes 
B)  Job performance changes 
C)  Changes in educational involvement and pursuit 
D)  Absenteeism 
A)  Personality and behavioural changes 
B)  Job performance changes 
C)  Changes in educational involvement and pursuit 
D)  Absenteeism

Question 13

A nurse manager must be familiar with the agency's policies regarding employment termination.Termination procedures include which of the following?

Accepted Answer

A)  Following specific procedures at other organizations 
B)  Having an attorney present at the termination meeting 
C)  Having adequate written documentation to support the action 
D)  Having a friend present during the termination meeting 
A)  Following specific procedures at other organizations 
B)  Having an attorney present at the termination meeting 
C)  Having adequate written documentation to support the action 
D)  Having a friend present during the termination meeting

Question 14

When progressive discipline is used,the steps are followed progressively only for repeated infractions of the same rule.On some occasions,the breaking of rules is so serious that the employee is

Accepted Answer

A)  transferred to another unit. 
B)  suspended indefinitely. 
C)  asked to attend a union grievance meeting. 
D)  terminated after the first infraction. 
A)  transferred to another unit. 
B)  suspended indefinitely. 
C)  asked to attend a union grievance meeting. 
D)  terminated after the first infraction.

Question 15

The unit manager discusses absenteeism with the unit clerk.She indicates that it is a serious problem on the unit.Which of the following points would they have probably discussed?

Accepted Answer

A)  Employee morale is at a high level. 
B)  Care will suffer and standards will be lowered. 
C)  Existing staff have experienced little effect from the absenteeism. 
D)  Replacement staff usually needs little supervision. 
A)  Employee morale is at a high level. 
B)  Care will suffer and standards will be lowered. 
C)  Existing staff have experienced little effect from the absenteeism. 
D)  Replacement staff usually needs little supervision.

Question 16

The education consultant for the hospital is presenting a workshop on "Documentation: A Manager's Responsibility." Which of the following points concerning documentation of personnel problems would she not include in her PowerPoint presentation?

Accepted Answer

A)  "Documentation cannot be left to memory. A notation must be placed in the personnel file." 
B)  "Documentation should avoid discussion of the problem." 
C)  "Documentation should include what was done about the problem when it occurred." 
D)  "Documentation needs to include date, time, and place." 
A)  "Documentation cannot be left to memory. A notation must be placed in the personnel file." 
B)  "Documentation should avoid discussion of the problem." 
C)  "Documentation should include what was done about the problem when it occurred." 
D)  "Documentation needs to include date, time, and place."

Question 17

Nathan has been on the cardiac unit for 6 months and has found it difficult to adjust to the expectations of his team.Which of the following behaviours are most likely to signal that Nathan is intending to resign from his position on the unit?

Accepted Answer

A)  Increased absenteeism over the past month 
B)  Increased attempts to discuss his concerns with his colleagues 
C)  Testing of workplace guidelines 
D)  Frequent defensiveness 
A)  Increased absenteeism over the past month 
B)  Increased attempts to discuss his concerns with his colleagues 
C)  Testing of workplace guidelines 
D)  Frequent defensiveness

Question 18

The nursing director calls a meeting with one of the new unit managers.She is very concerned about a report of substance abuse on the manager's unit,and she reviews the procedures involved in dealing with chemically dependent staff.Which of the following statements would not be included in the discussion?

Accepted Answer

A)  "As a manager, you need to be aware of professional regulatory reporting requirements." 
B)  "As a manager, you should check with the human resources department regarding chemically dependent employees and employment practices." 
C)  "As a manager, you check the nurse practice acts for the province in which the nurse resides." 
D)  "As a manager, you should realize that the nurse is a professional embarrassment and should be kept out of sight of other staff." 
A)  "As a manager, you need to be aware of professional regulatory reporting requirements." 
B)  "As a manager, you should check with the human resources department regarding chemically dependent employees and employment practices." 
C)  "As a manager, you check the nurse practice acts for the province in which the nurse resides." 
D)  "As a manager, you should realize that the nurse is a professional embarrassment and should be kept out of sight of other staff."

Question 19

The nurse manager knows that the most serious effect that absenteeism has on the nursing unit is that

Accepted Answer

A)  using replacement personnel with new ideas may be beneficial. 
B)  salary costs are lower because personnel are fewer, and outcome is favourable. 
C)  absence on the part of the rest of the staff is decreased. 
D)  unacceptable patient care may result. 
A)  using replacement personnel with new ideas may be beneficial. 
B)  salary costs are lower because personnel are fewer, and outcome is favourable. 
C)  absence on the part of the rest of the staff is decreased. 
D)  unacceptable patient care may result.

Question 20

The unit manager on 4E is concerned about the performance of Jean,a staff nurse.The manager is not involved directly with Jean,and so she has not been able to determine whether the problem is one of motivation,ability,or both.If Jean lacks ability,which of the following strategies might the unit manager use?

Accepted Answer

A)  Dismiss or transfer Jean. 
B)  Document all problem areas and then discuss with Jean. 
C)  Develop appropriate solutions and make recommendations to the human resources department. 
D)  Smooth over the problems if they are minor in nature. 
A)  Dismiss or transfer Jean. 
B)  Document all problem areas and then discuss with Jean. 
C)  Develop appropriate solutions and make recommendations to the human resources department. 
D)  Smooth over the problems if they are minor in nature.

Exam 24: Managing Personalpersonnel Problems

A nurse manager understands that the typical first step in handling an employee with a disciplinary problem is to

Susan,a new graduate,is upset that so many staff members have been absent lately from the unit.She declares to you that all absenteeism could be eliminated with proper management.Your response is based on understanding that

The chief nursing officer reviews the policy about "progressive discipline process." The progressive discipline process includes which of the following?

Incivility is a disruptive behaviour or communication that creates negativity in the environment and interferes with quality of patient care and safety.The manager can implement steps that help to alleviate uncivil behaviour on a unit.Which of the following would not be an appropriate first step?

In keeping with guidelines of the organization,the nurse manager documents staff problems.Documentation of disciplinary problems should

The nurse manager places a staff member on probation because of reports of chemical dependency.The nurse manager should be aware that which of the following statements is true regarding chemical dependency?

The chief nursing officer understands that clinical incompetence is best prevented by which of the following?

Before terminating an employee,a nurse manger must

The most important approach that a nurse manager can take with an emotionally troubled employee is to

You need to terminate Gregory,who has had a long-standing history of conflict with you and the staff and who recently was charged with theft of patient belongings.You consult the human resources department and,together,you develop a plan,which includes

Nurses generally experience difficulty in identifying behaviours and actions that could signal chemical dependency in a co-worker.Which of the following is not a behavioural change that occurs with chemical dependency?

A nurse manager must be familiar with the agency's policies regarding employment termination.Termination procedures include which of the following?

When progressive discipline is used,the steps are followed progressively only for repeated infractions of the same rule.On some occasions,the breaking of rules is so serious that the employee is

The unit manager discusses absenteeism with the unit clerk.She indicates that it is a serious problem on the unit.Which of the following points would they have probably discussed?

The education consultant for the hospital is presenting a workshop on "Documentation: A Manager's Responsibility." Which of the following points concerning documentation of personnel problems would she not include in her PowerPoint presentation?

Nathan has been on the cardiac unit for 6 months and has found it difficult to adjust to the expectations of his team.Which of the following behaviours are most likely to signal that Nathan is intending to resign from his position on the unit?

The nurse manager knows that the most serious effect that absenteeism has on the nursing unit is that

Leading, Managing, and Following

Patient Focus

Developing the Role of Leader

Developing the Role of Manager

Legal Issues

Ethical Issues

Making Decisions and Solving Problems

Health Care Organizations

Understanding and Designing Organizational Structures

Cultural Diversity in Health Care

Power,Politics,and Influence

Caring,Communicating and Managing With Technology

Managing Costs and Budgets

Care Delivery Strategies

Staffing and Scheduling

Selecting, developing, and Evaluating Staff

Strategic Planning and Goal Setting

Leading Change

Building Teams Through Communication and Partnerships

Collective Nursing Advocacy

Managing Quality and Risk

Translating Research Into Practice

Understanding and Resolving Conflict

Workplace Violence and Incivility

Practising and Leading in Interdisciplinary Settings

Role Transition

Self-Management: Stress and Time

Managing Your Career

Thriving for the Future

Filters