Deck 4: Developing the Role of Manager

Question 1

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:

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

Answer 1

Values-based management.

Question 2

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

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

Answer 2

Encouragement of staff utilization of technology.

Question 3

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:

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.

Answer 3

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

Question 4

In planning a new wing,the nurse manager complies with the workplace safety requirements of the Occupational Safety & 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 5

A nurse manager in a hospital is deeply concerned that senior administration makes decisions about budgetary directions that affect staffing and other resources without sharing the rationale for changes or demonstrating concern as to how these changes may affect patients or staff.She says she does not feel respected and is emotionally tired as a result.This situation represents:

A) Bureaucratic organization.
B) Realities of current healthcare.
C) Negative organizational culture.
D) Quantum leadership.

Question 6

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:

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 7

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:

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

Question 8

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

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

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

Question 10

As a manager 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 11

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:

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 12

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:

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.

Question 13

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:

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 14

The successful integration of informatics into healthcare 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 15

While interviewing for a nurse manager position,Ann is asked to give an example of a situation in which she demonstrated leadership.Which of the following examples exemplifies leadership?

A) Through research and investigation of best practice and practice-based evidence, she proposed a change to management of incontinence in elderly patients.
B) She ensures that new policies related to parenteral infusions are implemented consistently within her team.
C) When asked by her students about institutional policies, she readily and patiently interprets policies to facilitate quality care.
D) She organizes the team and delegates responsibilities effectively in providing nursing care.

Question 16

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:

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

Question 17

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

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

Question 18

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?

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

Question 19

Budgeting and protection of revenues is a function of:

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

Question 20

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:

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 21

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

A) Encourages shared decision making.
B) Models professional nursing behavior.
C) Interprets healthcare trends and their impact on revenues.
D) Coordinates care and allocates resources.

Question 22

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

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 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 of 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

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?

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