Deck 1: Introducing Nursing Management

Question 1

A nurse manager is participating in the health care organization's strategic planning committee. Which factor is the primary driving force and controlling factor in new initiatives this committee might recommend?

A) Cost of care
B) Access to care
C) Availability of care
D) Quality of care

Answer 1

Cost of care

Question 2

A graduating nurse student is deciding which nursing specialty would be a good place to begin a nursing career and ensure long-term stability. Which specialty is most likely to have the greatest growth in need?

A) Pediatric nursing
B) Psychiatric nursing
C) Geriatric nursing
D) Maternity nursing

Answer 2

Geriatric nursing

Question 3

The quality management director of a large health care conglomerate wishes to initiate benchmarking strategies to assess care. Which directive should this manager publish?

A) We will compare outcome indicators with other health care conglomerates of similar size and organization.
B) Outcome data of hospitals within the organization will be compared to assess quality.
C) Each client care unit in the organization will establish specific unit goals for quality.
D) Each unit in the organization will create a quality monitor to assess how well unit policies are followed.

Answer 3

We will compare outcome indicators with other health care conglomerates of similar size and organization.

Question 4

Which health care situations reflect the philosophy of quality management as designed by Deming?

A) A nurse asks visitors to leave because it is after visiting hours.
B) At 2:00 p.m. the nurse orders a lunch tray for a client who has just been removed from NPO status.
C) A nurse tells the manager that a housekeeper's work is not up to standards.
D) A nurse volunteers to take a Spanish language class to be able to communicate with clients.
E) A nurse who has not made a medication error in two years asks for a salary increase.

Question 5

A client needs a high-risk surgical procedure. According to the Leapfrog Group, the client should choose which hospital for care during this procedure?

A) The hospital closest to the client's home
B) The hospital that has done the greatest number of these surgeries in the last two years
C) The hospital chosen by the client's primary care physician
D) The hospital with the highest performance ratings for this procedure

Question 6

Which organization would the hospital management team contact to pursue certification as a Magnet hospital?

A) Magnet Recognition Program
B) American National Magnet Commission
C) The Joint Commission
D) American Medical Association

Question 7

Hospital administration is considering the purchase of a robotic pharmacy system. What would be the advantage of this system to the nurses who work in the hospital?

A) The nurse will be able to leave out some of the six rights of medication administration because the robot checks the medications.
B) The nurse should get medications more quickly because the robot can work more consistently without breaks.
C) The nurse can delegate medication administration to the nursing assistant because the medications have already been checked.
D) The nurse can expect that medication administration will be easier and carry less potential for error.

Question 8

The nurse manager asks a staff nurse why a procedure is done in a certain manner. The nurse replies, "I don't know why I started doing it this way. I've never read any research on it, but this technique always works for me." The manager would place this technique into which category of evidence?

A) Case study
B) Anecdotal
C) Nonexperimental design research
D) Statistical

Question 9

The organization that awards Magnet status would look for environments where which practices are the norm?

A) Nurses are involved in decision making.
B) Rewards are focused on ideas that save money.
C) Once a decision is made, it stands.
D) Nurses may be asked to work overtime.
E) Nurses are involved in educating the community about health.

Question 10

A health care system is considering applying to the Magnet Recognition Program. The leaders of this health system should prepare to address ________ qualities or "Forces of Magnetism."

Question 11

A health care organization has just achieved Magnet status. During the award ceremony the organization's chief executive officer should give primary praise for this achievement to which employees?

A) Medical staff
B) Nurse executive
C) Staff nurses
D) Managers in support services such as laboratory and radiology
E) Administrative professionals overseeing services such as accounting, billing, and medical records

Question 12

A nurse has been invited to discuss health care costs at a senior citizens' club. What information should the nurse plan to include in this discussion?

A) While health care costs continue to rise, the percentage of the U.S. economy spent on health care has slowly declined to less than 12%.
B) Regulations brought about by the Patient Protection and Affordable Care Act (PPACA) should bring financial relief to health care consumers.
C) The United States spends more money on health care than any other country.
D) Health care spending in the United States is slowly declining due to passage of bills such as the Patient Protection and Affordable Care Act (PPACA).

Question 13

The nurse manager's expected outcome is to increase evidence-based practice on the nursing unit. To meet this outcome, the manager encourages nurses to base their practice on which technique?

A) Intuition
B) Personal clinical experience
C) Knowledge from nursing school
D) Current research

Question 14

A 70-year-old client develops a catheter-induced urinary tract infection. Which statement by the nurse would indicate to the nurse manager a need for additional understanding of this situation?

A) "I wonder if there was a break of sterility when this catheter was inserted."
B) "Thankfully we can treat this with an antibiotic."
C) "This could potentially cost the hospital a lot of money."
D) "I will talk to my unlicensed assistants about proper urinary catheter care."

Question 15

The nurse manager has decided to use evidence-based practice (EBP) to solve an issue and has called staff nurses together for input. Which question, as posed by the manager, reflects the first step of the EBP process?

A) "What outcomes are we expecting from this work?"
B) "Is anyone prepared to evaluate the statistics we will find?"
C) "What is the exact clinical issue with which we are dealing?"
D) "Where can we look for information?"

Question 16

A client who was discharged yesterday is very upset about the quality of care received during hospitalization for gastric surgery. What options for reporting concerns does this client have?

A) There is no mechanism for complaint as the client is no longer hospitalized.
B) The client can indicate dissatisfaction on the survey often sent to clients after discharge.
C) The client can call the hospital administration.
D) The client can make a formal complaint through the American Nursing Association.
E) The client can make a public report through the Agency for Healthcare Research and Quality.

Question 17

A nurse manager is directing a team of staff nurses working to solve a clinical problem using evidence-based practice (EBP). Which manager statements would direct these nurses to the forms of strongest clinical evidence?

A) "We may find studies that use only one group of subjects."
B) "Look for articles that report on how to use evidence in other clinical situations."
C) "The studies we want are built around the scientific approach to solving problems."
D) "Our focus should be on studies that use both experimental and control groups to determine intervention effectiveness."
E) "Many articles will have information reported by someone who is an expert in the field."

Question 18

The nurse manager overhears staff discussing the shortage of nurses. Which statement by a staff member would the manager evaluate as misinformation?

A) "There are more nurses retiring than are entering the profession."
B) "The demand for nurses is declining because of fewer hospital admissions."
C) "There are insufficient numbers of nursing faculty to teach interested students."
D) "Women still outnumber men in nursing."

Question 19

The nurse is trying to understand why it has taken so long for electronic health records (EHRs) to be used in health care. Which statement is a reason for this delay?

A) Medical-records professionals do not like these records.
B) The use of these records is more expensive than the use of paper records.
C) There have been concerns about privacy and confidentiality.
D) The transition to EHRs is time consuming and tedious.

Question 20

Which strategy is most likely to increase participation in the use of evidence-based practice in nursing?

A) Ensure adequate training and encourage its use by the nursing staff.
B) Elicit employee opinions of its use at least four times per year.
C) Give those nurses willing to use it extra recognition.
D) Ensure adequate training, recognition, and easy access to the Internet.

Question 21

Which manager statement reflects concern about the most important requirement for today's nurse manager?

A) "I am taking a day off tomorrow for my annual physical."
B) "I think this class will help me learn to be innovative."
C) "I am committed to being a good manager."
D) "I feel enthusiastic about our new plans for the units."

Question 22

A nurse executive is considering initiating a blog to enhance communication among staff nurses, managers, and supervisors throughout the organization's different campuses. What serious considerations should the nurse make prior to starting a blog?

A) Open access to the blog may damage recruiting efforts.
B) Blogs are difficult to use and expensive to maintain.
C) Users of the blog must be very careful not to divulge any information that would violate client confidentiality.
D) The organization's reputation may be altered by a blog.
E) Most nurses would likely not use the blog.

Question 23

Procedural changes are being planned on the unit as a direct result of client satisfaction surveys. Which person is most strategically placed to handle how these changes are initiated?

A) Staff nurse
B) Nurse manager
C) Chief financial officer (CFO)
D) Chief executive officer (CEO)

Question 24

The nurse executive is reviewing statistics about the nursing staff. Which statistic shows that the staff reflects national trends?

A) The average age of the nursing staff is 40.
B) The number of nurses under age 30 has increased in the last two years.
C) There are no nurses over age 55.
D) All nurses over age 45 are managers.

Question 25

The nurse manager has four different generations represented in the nursing staff on the unit. What statements indicate the manager is wise about how to deal with this generational mix?

A) "I don't see why everyone can't just get along."
B) "Generation X nurses are just lazy."
C) "Our Generation Y nurses help keep us all up on new technology."
D) "The most loyal of all my nurses are the traditionalists."
E) "I expect that our next manager will come from my group of baby boomers."

Question 26

The administrators of a small hospital are revising its disaster plan. What should be the primary focus of this plan?

A) Preparing for a surge of casualties in case of a disaster
B) How to prevent disasters from occurring
C) How to fund disaster management
D) How to reduce disaster impact on clients and staff
E) How to identify risks for disasters

Question 27

A nursing curriculum includes integrated content on critical thinking. Which statement reflects movement toward designing the curriculum to meet Carnegie Foundation recommendations?

A) "We must find ways to increase our emphasis on critical thinking."
B) "The curriculum must focus on ways nurses can quickly and accurately acquire information."
C) "Our emphasis must change to improving students' clinical reasoning skills."
D) "Our clinical practicums must be graded separately from our theory presentations."

Question 28

A newly licensed nurse received specific knowledge of management skills while in nursing school. What does the nurse need now?

A) Nothing until the nurse has acquired enough bedside experience to become a manager
B) Time to see how these skills will be needed in the future
C) A manager who can help with skills transfer from school to work
D) A job working as a manager in a small hospital

Question 29

To meet the Institute of Medicine (IOM) recommendation, nursing should strive to have ____ % of nurses prepared at the baccalaureate or higher level by 2020.

Question 30

To be effective in today's health care system, the nurse manager must be aware of which trends?

A) An environment that does not change
B) Decreasing resources
C) Adequate staffing
D) Increasing numbers of retirees
E) Complicated technology