Deck 3: Developing the Role of Manager

Question 1

A nurse manager is encountering considerable conflict among staff members because of weekend staffing coverage.During a called staff meeting,the nurse manager asks the disgruntled staff to meet as a group and determine the best staffing practices.In 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.

Answer 1

Focus all energies of staff members on a win-win strategy.

Question 2

As a nurse manager,you determine that a shift in nursing care models might decrease workplace violence.Members of the hospital administration are reluctant to adopt this new approach to care.To leverage your ideas,you:

A) Ask staff to send e-mails to administration members encouraging consideration of your option.
B) Invite a senior member of administration to your staff meeting,so you can tell him what you are planning.
C) Write a letter of complaint to a member of the institutional board about the lack of openness of the administration.
D) Identify influential members of your nurse manager group with similar ideas and request an opportunity to meet with administration members to discuss options.

Answer 2

Identify influential members of your nurse manager group with similar ideas and request an opportunity to meet with administration members to discuss options.

Question 3

Nurses on Unit 4 are unhappy and frustrated with their nurse manager.They complain that "nothing is ever good enough for him." Such statements suggest that the nurse manager's goals may be:

A) Measurable.
B) Unrealistic.
C) Attainable.
D) Too low.

Answer 3

Unrealistic.

Question 4

The nurse manager,as the leader of the unit's "customer (patient)first" initiative,has asked the staff nurses to develop and administer a survey to every patient before discharge.In asking the staff nurses to accomplish this task,the nurse manager is demonstrating

A) Accountability.
B) Shared governance.
C) A common purpose.
D) Independence in the nursing manager's role.

Question 5

Budgeting and protection of revenues is a function of:

A) Leadership.
B) Management.
C) Team leadership.
D) Followers.

Question 6

A nurse manager has worked rapidly to persuade the staff to accept changes in the unit's mission,through innovative use of 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.

Question 7

In planning a new wing,the nurse manager complies with the workplace safety requirements of the US Occupational Safety and Health Administration (OSHA).Which of the following groups is considered to be at high risk for violence in the workplace?

A) Pediatric staff.
B) Postsurgical unit staff.
C) Emergency department staff.
D) Medical oncology unit staff.

Question 8

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.

Question 9

On the first day of every month,the nursing manager on the surgical unit posts a staff nurse's name on the bulletin board with the caption "Look what this great nurse did this month" and outlines nursing behaviours that were displayed by that particular nurse.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.

Question 10

A nurse manager's responsibility for financial management involves making budgetary decisions.Budgets that enable the nurse 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.

Question 11

Role theory has its underpinnings in management theory.Management theories influence managers' leadership styles.Which 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.

Question 12

Which represents one of the Canadian Nurses Association's top six competencies of a good nurse manager?

A) Political activism.
B) Conflict resolution skills.
C) Budgetary responsibility.
D) Current clinical practice knowledge.

Question 13

During staff meetings you make it a regular practice to encourage shared problem solving,and to recognize employees who go beyond basic roles and responsibilities to contribute to a positive team environment and to quality patient care.This practice exemplifies:

A) Values-based management.
B) Shaping of workplace behaviour.
C) Cooperation and collaboration.
D) Recognition of institutional priorities.

Question 14

The nurse manager plays a unique role in institutional management in that the nurse manager:

A) Encourages shared decision making.
B) Models professional nursing behaviour.
C) Interprets health care trends and their effect on revenues.
D) Coordinates care and allocates resources.

Question 15

The successful integration of informatics into health care settings is key to:

A) Quality decision making and processes related to management of resources.
B) Accessing current information about business practices.
C) Leveraging ideas from other managers.
D) Speeding up calculations and decisions in budget development.

Question 16

As the manager of a unit with a high percentage of young professionals,you increase job satisfaction among this young staff by:

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.

Question 17

As a nurse manager,you embrace the usefulness of resources such as Smart Bed.This behaviour is important in:

A) Budget development.
B) A manager's role.
C) Succession planning.
D) Encouragement of staff members' use of technology.

Question 18

A manager who is concerned with ensuring that patients on her surgical unit have the necessary information to make informed choices is:

A) Practicing legal nursing care.
B) Demonstrating respect for patients' rights.
C) Avoiding risks.
D) Probably experiencing issues with informed consent.

Question 19

Whenever a staff nurse asks Sue,the nursing manager,about the best way to perform a new procedure,Sue immediately goes to the computer with the staff nurse and searches for online best practices related to the procedure in question.What is Sue 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.

Question 20

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.

Question 21

The Code of Ethics for Canadian Registered Nurses ensures that nurses are accountable for patient care.This framework also includes the following aspects within a professional role.(Select all that apply.)

A) Patient rights.
B) Broader social justice.
C) Quality work environments.
D) Is regulated by the Canadian Nurses Association.

Question 22

Management practices when instituting complex organizational change include which of the following? (Select all that apply.)

A) Creating and sustaining trust.
B) Managing the change process actively.
C) Including workers in the work redesign and workflow decisions.
D) Actively managing the change process.
E) None of above

Question 23

In developing an orientation program,the hospital educator breaks essential organizational information down into chunks,which she develops as online modules.This is an application of which one of Peter F.Drucker's functions of management?

A) Establishment of goals and objectives.
B) Motivation and communication.
C) Analysis and interpretation of performance.
D) Organization of activities into manageable tasks.

Question 24

Managers must understand generational differences related to the nursing work environment.Job satisfaction is crucial to a healthy work environment.Which of the following identifies as having the most job satisfaction?

A) Generation-x
B) Millennials
C) Generation-y
D) Baby boomers

Question 25

Which of the following is not one of Peter F.Drucker's functions of management?

A) Establishment of goals and objectives.
B) Analysis and interpretation of performance.
C) Motivation and communication.
D) Political activism.

Question 26

The most important aspect of budgeting for the nurse manager is:

A) To have hierarchal approval
B) To have decision-making ability
C) To have budgetary control
D) To have input from others

Question 27

Julia is a staff nurse who works on a rehabilitation unit.Julia tells you that the assistants are experiencing difficulty with the new lift and wonders what your thoughts on organizing an educational session would be.Julia is:

A) Communicating a vision for safety.
B) Taking a risk in identifying the problem with safety.
C) Coordinating the development of knowledge and skills necessary to use the lift.
D) Taking responsibility for identifying a safety concern and conceding authority for a solution to you.