Question 1

A nurse manager has worked to bring the staff to participate in and then accept changes in the unit's mission, so that downsizing can be avoided.How is the nurse manager using change theory for this situation?

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

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

Accepted Answer

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. B

Question 3

Budgeting and protection of revenues is a function of:

Accepted Answer

A)  leadership.
B)  management.
C)  team leadership.
D)  followers. B

Question 4

Electronic health records (EHRs) are being instituted at Pleasant Valley Hospital.Some of the staff on Unit 4 complain to the manager that acquiring the technologic skills required is too time consuming.They question its value in patient care.The manager responds that:

Accepted Answer

A)  the use of technology is inevitable in our technologically oriented society.
B)  the hospital is no longer able to find the space to accommodate paper record-keeping.
C)  the initiative is being driven by decision makers higher up in the hierarchy and there is no choice.
D)  EHRs will increase effectiveness of care by enhancing coordination and improving patient outcomes.

Question 5

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 6

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: (Select all that apply.)

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.F) allow clients to establish objectives and goals.

Question 7

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 are on organizing an in-service training.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 8

Nurses on Unit 17 complain that their manager frequently "checks up on them" and encourages little involvement in decision making and yet, during performance reviews, praises them for their outstanding performance.Nurses on Unit 18 indicate that their experience is different from that of nurses on Unit 17.The manager on Unit 18 encourages active involvement in decision making and provides authentic, growth-promoting feedback.The practices on Units 17 and 18 reflect.

Accepted Answer

A)  differences in the managers' expectations of their role.
B)  shaping of the workplace behavior of employees.
C)  different approaches to cooperation and collaboration.
D)  recognition of institutional priorities.

Question 9

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.

Question 10

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 11

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

Accepted Answer

A)  Humanistic
B)  Authoritarian
C)  Flexibility
D)  Participative

Question 12

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 13

As a nurse manager on a urology unit, you note that there has been a marked increase in medication errors on the unit.Which of the following actions would be consistent with the National Database of Nursing Quality Indicators (NDNQI) measures?

Accepted Answer

A)  Staff are consulted regarding improvements in interprofessional approaches to patient care.
B)  Nursing staff are asked for input regarding the purchase of new medication carts.
C)  A recognition program is developed to acknowledge nurses who have provided safe and exemplary care utilizing skills in the staffing mix to optimize the delivery of patient care.
D)  Recent changes in staffing mixes are examined to determine if the timing of changes coincides with the increase in errors.

Question 14

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 15

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 16

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 17

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?

Accepted Answer

A)  Pediatric staff
B)  Postsurgical unit staff
C)  Emergency Department staff
D)  Medical oncology unit staff

Question 18

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:

Accepted Answer

A)  bureaucratic organization.
B)  realities of current health care.
C)  negative organizational culture.
D)  lack of engagement by administration.

Question 19

The successful integration of informatics into healthcare settings is key to:

Accepted Answer

A)  quality decision making related to management of resources and patient care.
B)  accessing current information about business practices.
C)  meeting the modern-day expectations of staff regarding technology use.
D)  speeding up calculations and decisions in budget development.

Question 20

Nurses in the CCU 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.

Exam 29: Developing the Role of Manager