Deck 9: Shaping a Preferred Future for Nursing
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Deck 9: Shaping a Preferred Future for Nursing
1
A nurse contacts the Nursing Workforce Center. What is the nurse trying to find?
1)Mandated policies regarding patient-health-care provider ratios
2)Self-care procedures that can be performed by patients and families
3)Health services research findings
4)Palliative care medication framework for dying patients with pain
1)Mandated policies regarding patient-health-care provider ratios
2)Self-care procedures that can be performed by patients and families
3)Health services research findings
4)Palliative care medication framework for dying patients with pain
3
2
Which significant focus should a nurse leader take to prepare for future health-care systems?
1)Fee-for-service payments
2)Health promotion and maintenance
3)Inpatient care for acute and chronic episode of disease
4)Independent freestanding agencies
1)Fee-for-service payments
2)Health promotion and maintenance
3)Inpatient care for acute and chronic episode of disease
4)Independent freestanding agencies
2
3
Which philosophy will help a nurse leader create a preferred future?
1)Let's keep this within nursing.
2)Stick to the plan.
3)Preserve sacred cows.
4)If it ain't broke, break it.
1)Let's keep this within nursing.
2)Stick to the plan.
3)Preserve sacred cows.
4)If it ain't broke, break it.
4
4
Nurses who wish to be a part of creating the future will need to take which action?
1)Use written documentation instead of electronic.
2)Be informed about issues and how they evolve.
3)Use prediction formulas.
4)Begin to stockpile resources to be used only if absolutely necessary.
1)Use written documentation instead of electronic.
2)Be informed about issues and how they evolve.
3)Use prediction formulas.
4)Begin to stockpile resources to be used only if absolutely necessary.
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5
For a nurse leader to be most effective for the future, which action should the nurse leader take to maximize resources and conserve costs?
1)Identify a need for change.
2)Assist others to be a part of a vision.
3)Use more licensed professional staff.
4)Promote alternative practice models.
1)Identify a need for change.
2)Assist others to be a part of a vision.
3)Use more licensed professional staff.
4)Promote alternative practice models.
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6
Which is an example of a "wild card" that would greatly affect staffing in an acute care institution?
1)Three ill staff members assigned to the same shift who call in sick
2)A patient who is diagnosed with Ebola virus
3)Absence of the nurse manager and assigned charge nurse on the same shift
4)A community disaster that sends 78 patients to the hospital for burns and other trauma injuries
1)Three ill staff members assigned to the same shift who call in sick
2)A patient who is diagnosed with Ebola virus
3)Absence of the nurse manager and assigned charge nurse on the same shift
4)A community disaster that sends 78 patients to the hospital for burns and other trauma injuries
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7
Which work environment described by Hesselbein and Goldsmith (2009) will the nurse leader create for long-lasting change and a positive future?
1)One that fosters pride and commitment
2)One that fosters a "think tank" and no leaders
3)One that fosters each department to work by itself
4)One that fosters empowerment and less spirit
1)One that fosters pride and commitment
2)One that fosters a "think tank" and no leaders
3)One that fosters each department to work by itself
4)One that fosters empowerment and less spirit
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8
Each nurse needs to follow the recommendations of Bennis (2007), who suggests that exemplary leaders will have which competency?
1)Creating trust and optimism
2)Developing others to follow
1)Creating trust and optimism
2)Developing others to follow
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9
What is the best way to describe the plausible future?
1)What is likely to occur if things continue as they are and no changes are made
2)What can occur if some changes are made in the current state of affairs
3)What is likely to occur when specific efforts are made to accomplish goals
4)What we would like to see happen
1)What is likely to occur if things continue as they are and no changes are made
2)What can occur if some changes are made in the current state of affairs
3)What is likely to occur when specific efforts are made to accomplish goals
4)What we would like to see happen
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10
Which characteristics will help leaders shape a preferred future for nursing?
1)Credibility, knowledge base, and attractive appearance
2)Kindness, aggressiveness as a communicator, and fairness
3)Creativity, bridge builder, and ability to facilitate change
4)Critical thinking ability, confusion regarding vision, and sense of humor
1)Credibility, knowledge base, and attractive appearance
2)Kindness, aggressiveness as a communicator, and fairness
3)Creativity, bridge builder, and ability to facilitate change
4)Critical thinking ability, confusion regarding vision, and sense of humor
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11
Which two conditions are more likely affecting patient care in acute care institutions today as a result of the chaotic health-care systems?
1)Ripple effect and smart machines
2)Uncertainty and unpredictability
3)Anxiety and mobile apps 4.3D printers and creativity
1)Ripple effect and smart machines
2)Uncertainty and unpredictability
3)Anxiety and mobile apps 4.3D printers and creativity
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12
A nurse leader brings out the best attributes in the group and allows those attributes to be shared. Which role did the nurse leader take?
1)Cross-fertilizer
2)Integrator
3)Diplomat
4)Emotionally intelligent thinker
1)Cross-fertilizer
2)Integrator
3)Diplomat
4)Emotionally intelligent thinker
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13
Which information from nurses best defines a preferred future of nursing?
1)What we would like to see happen
2)What can occur if some changes are made
3)What is likely to occur if efforts are made to accomplish goals
4)What is likely to occur if things continue as they are
1)What we would like to see happen
2)What can occur if some changes are made
3)What is likely to occur if efforts are made to accomplish goals
4)What is likely to occur if things continue as they are
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14
Which issue will be most significant for nurses in the future?
1)Individualized plans of care
2)Outcomes of primary care
3)Patient safety
4)Nursing intervention documentation
1)Individualized plans of care
2)Outcomes of primary care
3)Patient safety
4)Nursing intervention documentation
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15
A nurse leader is implementing one of the components of the TeamSTEPPS Training Program for health-care professions. Which component will the nurse use?
1)Decision making from the top administrator
2)Vertical organizational structure
3)Shared governance
4)Fuzzy logic
1)Decision making from the top administrator
2)Vertical organizational structure
3)Shared governance
4)Fuzzy logic
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16
Which action by a nurse leader indicates more teaching is needed about shaping the future of health care?
1)Creates a workforce that is agile and diverse
2)Collaborates with other health-care professionals
3)Molds employees to the company culture
4)Develops a vision to align with new talent and new ideas
1)Creates a workforce that is agile and diverse
2)Collaborates with other health-care professionals
3)Molds employees to the company culture
4)Develops a vision to align with new talent and new ideas
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17
Which behavior indicates the nurse is following the recommendations from the Institute of Medicine and the Robert Wood Johnson Foundation?
1)Pursuing an advanced nursing degree
2)Respecting physicians by being quiet during rounds
3)Practicing to the minimal extent of education level
4)Discussing redesigning ideas primarily with other nurses
1)Pursuing an advanced nursing degree
2)Respecting physicians by being quiet during rounds
3)Practicing to the minimal extent of education level
4)Discussing redesigning ideas primarily with other nurses
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18
Which health-care trend should the nurse leader consider when planning for the future?
1)Narrowing the scope of mid-level providers
2)Using bundling to reduce costs
3)Focusing on individual goals
4)Merging a single health-care professional initiative
1)Narrowing the scope of mid-level providers
2)Using bundling to reduce costs
3)Focusing on individual goals
4)Merging a single health-care professional initiative
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19
Senge (2006) recommends that leaders must act in three roles. Which behavior indicates the nurse is acting in the steward role?
1)Developing the vision to assist followers to remain in the group
2)Making sure each employee gains knowledge
3)Being responsible for distributing resources
4)Acting as a spokesperson for the group
1)Developing the vision to assist followers to remain in the group
2)Making sure each employee gains knowledge
3)Being responsible for distributing resources
4)Acting as a spokesperson for the group
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20
Which example best indicates a nurse is involved in developing health-care policy?
1)Becoming involved with a social media group
2)Aligning closely with a specific legislator interested in policy making
3)Spearheading a health curriculum change in public education
4)Volunteering to be on a community board where solutions for health-care issues are determined
1)Becoming involved with a social media group
2)Aligning closely with a specific legislator interested in policy making
3)Spearheading a health curriculum change in public education
4)Volunteering to be on a community board where solutions for health-care issues are determined
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21
Which action should an effective nurse leader take to successfully shape the profession toward a preferred future?
1)Use a transformational leadership style.
2)Think small but try it.
3)Be a loner at the workplace.
4)Develop a formula-based staffing process.
1)Use a transformational leadership style.
2)Think small but try it.
3)Be a loner at the workplace.
4)Develop a formula-based staffing process.
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22
Which activities can help maintain clinical competency and lifelong learning in professional nurses for the future? Select all that apply.
1)Mandatory continuing education
2)Ongoing certification in one's area of practice
3)Institutional licensure
4)Inspirational music sessions
5)Attendance at in-house symposiums
1)Mandatory continuing education
2)Ongoing certification in one's area of practice
3)Institutional licensure
4)Inspirational music sessions
5)Attendance at in-house symposiums
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23
Which characteristics are needed for the nurse leader to be prepared to lead in the future? Select all that apply.
1)Dilemma flipping
2)Bio-sympathy
3)Constructive polarizing
4)Smart mob organizing
5)Quiet transparency
1)Dilemma flipping
2)Bio-sympathy
3)Constructive polarizing
4)Smart mob organizing
5)Quiet transparency
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24
Which factor should the nurse leader keep in mind when projecting about the future of America's health care?
1)Life expectancy is longer in the male population as compared to the female population.
2)The percentage of the younger population is increasing.
3)The number of retirees will increase.
4)The United States' population is growing faster than normal.
1)Life expectancy is longer in the male population as compared to the female population.
2)The percentage of the younger population is increasing.
3)The number of retirees will increase.
4)The United States' population is growing faster than normal.
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