Question 1

A nurse manager has worked rapidly to bring the staff to accept changes in the unit's mission,so that downsizing can be avoided.This nurse manager is using quantum leadership by:

Accepted Answer

A)   Focusing on past concerns related to the mission.
B)   Teaching staff members how to self-manage themselves.
C)   Determining accurately the direction of change in the institution.
D)   Requiring all staff members to review and reinforce their technological skills. C

Question 2

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

Accepted Answer

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

Question 3

The successful integration of informatics into healthcare 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. A

Question 4

A nurse manager is experiencing 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 will escalate their discontent when staffing the unit on weekends.

Question 5

The hospital administrator approves a case management position for a new rehabilitation unit to help reduce costs.In developing the job description,the nurse manager understands that a key element of case management is:

Accepted Answer

A)   Managing of care by nurse managers.
B)   Coordination of resources for effective outcomes.
C)   Rapid discharge of clients to decrease costs.
D)   Managing of care for outpatient clients only.

Question 6

A nurse manager's responsibility for financial management involves making budgetary decisions.Budgets that allow 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 (POS) .

Question 7

Which of the following is not important in a positive work environment,as defined by the AONE?

Accepted Answer

A)   Clear, open, trustful communication
B)   Accountability and clarity of roles and responsibilities
C)   Participatory decision making
D)   Challenge and striving for excellence

Question 8

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 of 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 9

The nurse manager is anticipating changes on the unit because of managed care.It is up to the manager to "sell" the staff on this care concept.A goal of managed care that the staff must understand is that managed care is:

Accepted Answer

A)   Grounded in business theory.
B)   Useful for long-term patients only.
C)   Designed to reduce unit resources and staff.
D)   Not concerned with the best interests of clients.

Question 10

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

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 11

During staff meetings,you make it a regular practice to encourage shared problem solving and to recognize those 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 behavior.
C)   Cooperation and collaboration.
D)   Recognition of institutional priorities.

Question 12

As a nurse manager,you identify that a shift in nursing care models might increase patient and staff satisfaction and avoid downsizing.Administration is reluctant to adopt this approach because downsizing is seen as critical to reduction of costs.To leverage your ideas,you:

Accepted Answer

A)   Ask staff to send e-mails to administration 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 to discuss options.

Question 13

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

Accepted Answer

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

Question 14

Budgeting and protection of revenues is a function of:

Accepted Answer

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

Question 15

A nurse manager is discussing with unit staff the repeated lack of staff compliance in documenting exercise activity for post-cardiac surgery clients.The unit's licensed practical/vocational nurses are responsible for ensuring that clients carry out the prescribed exercise regimen and that the activity is documented.Using Drucker's five basic functions of a manager,identify appropriate functions for the nurse manager to use when addressing this situation

Accepted Answer

A)   Divide the necessary activities into manageable tasks, so clients adhere to the exercise regimen.
B)   Establish objectives and goals for each area and decide who is accountable for them.
C)   Allow clients to organize the activities.
D)   Engage in activities that motivate the team, and communicate effectively with the responsible staff members.
E)   Analyze, appraise, and interpret the performance of responsible staff, and communicate these findings to staff management.

Question 16

Role theory has its underpinnings in management theory.Management theories influence managers' leadership styles.Which of the following theories would a nurse manager be most likely to follow when redesigning the staffing schedule?

Accepted Answer

A)   Humanistic
B)   Productivity
C)   Psychological
D)   Quantum

Question 17

Nancy is a staff nurse who works on a rehabilitation unit.Nancy tells you that the assistants are experiencing difficulty with the new lift and wonders what your thoughts on organizing an in-service would be.Nancy is exhibiting which trait of a follower?

Accepted Answer

A)   Provides a vision for safety that is communicated
B)   Thrives on taking risks in identifying the problem with safety
C)   Coordinates the development of knowledge and skills necessary to use the lift
D)   Assumes responsibility for identifying a safety concern and concedes authority for solution to you

Question 18

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

Accepted Answer

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 19

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

Accepted Answer

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

Question 20

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 patient rights.
C)   Avoiding risks.
D)   Likely experiencing issues with informed consent.

Exam 4: Developing the Role of Manager