Question 1

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:

Accepted Answer

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. C

Question 2

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

Accepted Answer

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 A,B,C,D

Question 3

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:

Accepted Answer

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. C

Question 4

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?

Accepted Answer

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 5

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?

Accepted Answer

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

Question 6

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:

Accepted Answer

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.

Question 7

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:

Accepted Answer

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 8

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

Accepted Answer

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

Question 9

In orienting a 25-year-old nurse,the unit manager understands that this worker probably

Accepted Answer

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 10

Which of the following is important in a positive work environment?

Accepted Answer

A)   One-way communication.
B)   Accountability and clarity of roles and responsibilities.
C)   Hierarchical decision making.
D)   Challenge and striving for excellence.

Question 11

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?

Accepted Answer

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

Question 12

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

Accepted Answer

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

Question 13

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:

Accepted Answer

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

Question 14

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?

Accepted Answer

A)   Theory X.
B)   Productivity theory.
C)   Psychological theory.
D)   Theory Y.

Question 15

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

Accepted Answer

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

Question 16

Budgeting and protection of revenues is a function of:

Accepted Answer

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

Question 17

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

Accepted Answer

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 18

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

Accepted Answer

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

Question 19

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:

Accepted Answer

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

Question 20

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.)

Accepted Answer

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

Exam 3: Developing the Role of Manager