Maryville NURS406 August 2022 All Quizzes Latest (Full)

NURS406 LEADERSHIP IN NURSING

Week 2 Quiz 

Question 1 I have a good sense of the needs of the team at any given moment.

  1. Almost never

  2. Sometimes

  3. Often

  4. Regularly

 Question 2I work hard not to avoid conflicts.

  1. Almost never

  2. Sometimes

  3. Often

  4. Regularly

 Question 3I make it safe for people to identify and express conflicts at work.

  1. Almost never

  2. Sometimes

  3. Often

  4. Regularly

 Question 4

Staff have opportunities to test their mediation and conflict resolution skills.

  1. Almost never

  2. Sometimes

  3. Often

  4. Regularly

 Question 5

We have fewer conflict events on our service unit since implementing a conflict resolution process.

  1. Almost never

  2. Sometimes

  3. Often

  4. Regularly

 Question 6The trust level on my unit is consistently high.

  1. Almost never

  2. Sometimes

  3. Often

  4. Regularly

 Question 7I can anticipate important changes and alert the team before they directly experience the change.

  1. Almost never

  2. Sometimes

  3. Often

  4. Regularly

 Question 8I undertake at least one developmental opportunity a year to refine conflict skills.

  1. Almost never

  2. Sometimes

  3. Often

  4. Regularly

 Question 9There is a staff-driven conflict resolution process in place on my work unit.

  1. Almost never

  2. Sometimes

  3. Often

  4. Regularly

 Question 10The environment is conducive to anyone expressing feelings of conflict.

  1. Almost never

  2. Sometimes

  3. Often

  4. Regularly

 Question 11There is a mechanism in place for following up on conflict resolution and ensuring it was effective.

  1. Almost never

  2. Sometimes

  3. Often

  4. Regularly

Question 12 Staff are satisfied with the conflict process used on our unit.

  1. Almost never

  2. Sometimes

  3. Often

  4. Regularly

 

NURS406 LEADERSHIP IN NURSING

Chapter 1 Quiz

Question 1Competencies that are essential for change effectiveness include ____________.

  Personal knowledge and accountability for one's own strengths and limitations specific to change and innovation, including technical capability and computer literacy.

  Understanding the essence of change and innovation concepts as well as the tools of innovation.

  The ability to collaborate and fully engage team members.

  Competence in embracing vulnerability and risk taking.

  A, B, and D are true.

  All of the above are true.

 Question 2Awareness of personal change abilities is important for the leader. This includes _______________.

  The need to understand personal comfort and competence with change.

  Assessment of strengths specific to the ability to identify critical issues for change.

  The ability to overcome obstacles.

  A and B.

  All of the above are true.

 Question 3The dynamics of change and innovation are best understood and advanced when several things are known. These include _________________.

  key stakeholders of the work to be changed (who).

  rationale for the change (why).

  the content to be changed (what).

  the timing for the change (when).

  the technique to change effectively (how).

  A, B, and D.

  all of the above are true.

 Question 4Innovation is ______________.

  a unique type of change where there is a novel and dramatic change.

  restructures the deep social and economic value of the organization.

  highly interrelated and unpredictable.

  all of the above are true.

 Question 5The positive outcomes of course correction include all of the following except ________________.

  information gained from less than successful attempts is needed in health care

  they provide new insight and opportunities for further dialogue

  the information should be filed away and not used in future decision making

  course correction and remediation should be employed

 Question 6Change should be considered when all of the following are true except ____________.

  safety is enhanced

  new evidence is available

  cost is not an issue

  excellence is advanced

 Question 7Strategies to minimize risk in change include all of the following except ______________.

  speaking up with evidence or a rationale for action

  timing and tinkering

  encouraging upward communication

  accelerating personal competence

  apologizing with a flair

  all of the above are true

 Question 8Reasons not to change include _____________.

  lack of compelling evidence

  there is no significant risk to patients and employees

  isolated issues that are closely linked with individual performance rather than system performance

  indications that an intervention or change is more likely to be a fad of the moment

  all of the above are true

 Question 9Change is ____________.

  an alteration of the current state.

  normative in a complex system.

  something to be minimized in a linear system.

  all of the above are true.

 Question 10The what of change begins with all of the following except _____________.

  identification of the specific processes and policies that need to be changed, replaced, or created

  identification of the relational competencies that need to be changed to fully support the system

  understanding of duplicate processes that need to be eliminated

  a total acceptance of whatever technological changes may need to be put in place

 

NURS406 LEADERSHIP IN NURSING

Chapter 2 Quiz

Question 1The definitive character of the requirements of professional membership in the traditional professions is succinct, crisp, and definitive related to education, certification, and experience.In nursing

  it is diffuse, often undifferentiated, and frequently broadly described and relative.

  it is organized and definitive related to experience.

  it is quite organized and goal oriented.

  it has firmly defined roles.

 Question 2The four cornerstones of a profession's ownership and accountability are _________.

  practice

  quality

  competence

  knowledge management

  all of the above are true

 Question 3Membership in a profession is earned through ___________.

  obtaining a unique body of knowledge

  joining an organization

  applying for a position

  none of these

 Question 4The following is true about a professional code of ethics:

  The code is considered as a part of the regulation of the profession.

  It outlines a defined frame for professional responsibility.

  It guides critical thinking especially related to difficult decisions.

  It provides as clear a framework as possible regarding what behaviour meets the criteria for ethical behaviour guiding the individual or discipline to make a correct or right decision within a particular set of circumstances.

  All of the above are true.

 Question 5For the professional all of the following are true except _____________.

  work is simply a job

  work is not codified in hourly increments

  work is not simply a job

  the role becomes closely identified with the person

 Question 6Public policy is defined as _______________.

  volunteer work in nursing organizations

  principal action undertaken by governments

  working on committees in the hospital

  none of the above is true

 Question 7All of the following are considered elements of professions except _________.

  great knowledge

  important work

  making a difference

  being governed by another profession

 Question 8The following is not a component of evidence-based practice: ______________.

  Formulate a critical clinical question

  Search for and gather data regarding integrated and relevant evidence

  Use all data available

  Use the evidence for a particular clinical scenario

  Evaluate the impact of evidence-based choice(s)

 Question 9The ANA Code of Ethics states that the nurse

  is responsible and accountable for individual nursing practice.

  determines the appropriate delegation of tasks consistent with the nurse's obligation to provide optimum patient care.

  owes the same duties to self as to others.

  participates in establishing, maintaining, and improving health care environments and conditions of employment conducive to the provision of quality health care.

  all of the above are true.

 Question 10The concept of professionalism providing a socially sanctioned or mandated service means that ______________.

  Licensing regulations may exist.

  The mandate includes language about the service that is provided.

  Competence is necessary to hold membership.

  There are penalties for nonperformance or professional wrongs.

  All of the above are true.

 

NURS406 LEADERSHIP IN NURSING

Chapter 3 Quiz

Question 1Emergent conditions are driven by __________.

  new sociopolitical realities

  economic changes

  technological advances

  evidence of best practices

  all of the above are true

 Question 2Descriptions of the management role include all of the following except:

  Managers have subordinates.

  Management is an organizational position and function.

  Managers have a horizontal relationship to those they manage.

  Management style is largely transactional.

 Question 3The following is not true about analysis:

  Analysis is the act of combining and integrating numerous complex elements or components of a system.

  Analysis is breaking down the components of a problem or issue into parts or elements.

  Management focuses on analysis.

  Analysis may include synthesis.

 Question 4Leaders _________ a context for the performance of the people of the organization.

  coordinate

  integrate

  facilitate

  provide

  all of the above are true

 Question 5Elements that directly and radically impact the role of the leader include all of the following except:

  Meaning is always informed by purpose.

  Others in the work environment usually have nothing important to contribute.

  The leader remains servant to the system and its people.

  Leaders understand the constancy of change in their own lives.

 Question 6All of the following are true about the relationship between leaders and stakeholders except ________________.

  Leaders firmly stay within the context obligations of their role and support stakeholders in addressing their ownership of the content of their issue or concern.

  The leader raises the right issues, engaging appropriate stakeholders.

  The leader helps others to find the core of the issue or problem.

  The leader strives to solve all of the problems for the stakeholders.

 Question 7Elements related to courage that are important to manifest in the personal exercise of the leadership role include ________________.

  The courage to initiate and act.

  The courage to stand up for what is right in others.

  The courage to trust.

  Exhibit a personal connection to leadership courage.

  All of the above are true.

 Question 8All of the following are true except:

  Managers direct from legitimized hierarchical positions.

  Leadership can be exercised from any point in the system.

  Managers must be good leaders to perform their functions appropriately.

  Leaders relate by influence, not by control.

 Question 9The following is true about synthesis:

  Synthesis is the opposite of analysis.

  Synthesis is the act of combining and integrating numerous complex elements or components of the system.

  Synthesis may include analysis.

  Leadership focuses on synthesis.

  All of the above are true.

 Question 10Leadership focuses on ___________________.

  longer trajectories

  relationship

  interactions

  confluence of forces

  all of the above are true

 

NURS406 LEADERSHIP IN NURSING

Chapter 4 Quiz

Question 1Values conflicts ______.

  are the easiest to address in the workplace

  are difficult to resolve because they relate to who people are

  are difficult to resolve because they relate to what people believe

  B and C are true

 Question 2The sense of lack of justice comes from what is considered ___.

  unfair work conditions

  unfair procedures

  unfair relationships

  all of the above are true

 Question 3All of the following are true except _____.

  Challenges that differences in personalities create need to be addressed.

  Values must have a voice, and that voice must be honored, respected, and included.

  All problems can be solved.

  Challenges that exist in matching demand to available resources need expression if conflict about them is to be allayed.

 Question 4Five personal barriers that have a dramatic impact on the individual leader's ability to understand, engage, and manage conflict include ____.

  willingness to confront conflict

  uncertainty about the capacity to handle the conflict emotionally and personally

  recognizing that most people's attitude toward conflict is a negative one

  lack of skill

  lack of exposure and experience

  previous family conflicts experienced

  A, B, C, D, and E are true

  all of the above are true

 Question 5Examples of poor communication in fully sharing personal views, insights, or opinion include all of the following except ___.

  Staff vocalizes affirmatively.

  You see people nodding their heads or sitting in silence in response to a statement or question raised.

  You notice people stop questioning or raising issues because they fear being labeled as not being team players.

 Question 6Creating a context of trust is the essential framework for ____.

  a place where the employee can share with you all of their problems.

  a truly safe place where conflict can be dealt with as easily and effectively as any other function, process, or relationship.

  quicker discovery of mistakes, allowing the proper punishments to be delivered more quickly.

  none of these is true.

 Question 7Steps in handling conflict include ___.

  identifying the problem

  immediately reporting the problem to hospital administration

  making sure issues are expressed

  A and C are true

 Question 8The leader needs to be comfortable with conflict. Factors which are important to this occurring are the following:

  The leader must be comfortable with self-expression of feelings, personal insights, and challenges to prevailing views and circumstances.

  The leader needs an environment that is not constraining or controlling or creates structural barriers that make it difficult to express personal feelings.

  The good leader embraces his or her own feelings regardless of intensity.

  The leader must assess their level of comfort and self-expression in the presence of conflict or conflict situations.

  All of the above are true.

 Question 9The early identification of conflict is important to help prevent escalation. Many stressors are manifested in particular modes of ______.

  communication

  relationships

  interactions

  expression of personal emotions

  all of the above are true

 Question 10Conflict is all of the above except ______.

  normative

  to be avoided at all costs

  a metaphor for difference

  often ideological

  due to intellectual differences

 

NURS406 LEADERSHIP IN NURSING

Chapter 5 Quiz

Question 1Patient care needs categories include___.

  cognitive needs.

  pain and comfort needs.

  family information and support needs.

  treatments and interventions.

  A and C.

  all of the above are true.

 Question 2The historical usage approach to staffing involves___.

  looking at usage from the year before.

  the assumption that all patients are similar in needs.

  identifying nurse-to-patient ratios based on experiences and perceptions of nurses.

  use of a patient classification system.

 Question 3The expert opinion or expert panel technique to measure work _____.

  identifies time requirements for certain work.

  is a consensus approach.

  uses professional judgment to determine staff required.

  provides a flexibile approach that focuses on a critical review of nursing practice.

  A and D.

  all of the above are true.

 Question 4The role of advanced practice nurse providers and clinical experts includes___.

  writing orders.

  providing general patient care oversight.

  providing care.

  assisting staff in the care of more complex patients using the latest evidence in a cost-effective approach.

  all of the above are true.

 Question 5Examples of interventions to address the gap between needs and actual staffing are the following ___.

  reevaluating patient acuity ratings.

  postponing admissions.

  postponing nonemergent patient care.

  floating existing staff to the unit of need.

  all of the above are true.

 Question 6Validity measures___.

  the extent to which data is reproducible.

  the extent to which a workforce management system measures what it is designed to measure.

  the ability to quantify and/or predict patient needs for nursing care.

  B and C.

  all of the above are true.

 Question 7All of the following are true about nursing staff skill mix except ____.

  it consists of the numbers of licensed and nonlicensed staff.

  it is determined based on who is available to work.

  it is determined based on the work that needs to be done.

  it is difficult and challenging to determine due to the multifaceted nature of patients and caregivers.

 Question 8One of the problems with patient classification systems has been low validity. This problem includes the following:

  failing to account for the full scope of nursing practice.

  belief that patient classification systems are a vehicle to increase or decrease staffing levels inappropriately.

  wrongly projecting patient care needs for the next shift or time period.

  failing to use the data that is generated.

 Question 9Patient workforce management includes five highly interconnected and interrelated components, which include all of the following except ____.

  Establishment of a patient care delivery model.

  Patient needs and nurse interventions identification.

  Creation of a core staffing schedule to support patient needs.

  Daily staffing process that is consistent each day.

  Evaluate value and outcome.

 Question 10The problems with prospective versus retrospective prediction of patient care needs includes___.

  the amount of staff and skill mix has been nearly impossible to determine without an acceptable error range without using a computerized solution.

  it is nearly impossible to accurately predict patient condition changes, new admissions, and discharges.

  A and B.

  neither is true.

 

NURS406 LEADERSHIP IN NURSING

Chapter 6 Quiz 

Question 1Inappropriate communication with patients could involve all of the following ethical issues except ____.

  autonomy

  betrayal

  pragmatism

  nonmaleficense

 Question 2An American school of philosophy that rejects the esoteric metaphysics of traditional European academic philosophy in favor of more down-to-earth, concrete questions and answers is ____.

  morality

  utilitarianism

  pragmatism

  bioethics

 Question 3Practice breakdown is ____.

  disruption or absence of any of the aspects of good practice

  brief excursions from an established boundary for a therapeutic purpose

  a process that obscures the ethical dimensions of a decision

  when a person knows what is right and doesn't want to do it

 Question 4A problem that confronts one, with a choice of solutions that seem or are equally unfavorable is a (n) ___.

  ethical erosion

  ethical dilemma

  ethical fading

  boundary crossing

 Question 5Sources of ethical dilemmas include ____.

  values

  diversity

  political views

  all of the above are true

 Question 6Ethics is ____.

  the elimination of arbitrary distinctions and the establishment of a structure of practice with a proper share, balance, or equilibrium among competing claims

  duty to keep one's promise

  the philosophical study of right and wrong action

  duty to do no harm

 Question 7Examples of resources for ethical decision making would include ____.

  ethics committees

  ethics textbooks

  ethics journals

  all of the above are true

 Question 8Care at the end of life for which there is little hope of benefit is an example of ____.

  medical futility

  organizational integrity

  nonmaleficence

  rationalization

 Question 9Bioethics is___________.

  the sum total of individual and collective experience, knowledge, and good sense

  guidelines for behavior specific to a moral framework for professional practice

  supporting and promoting patients' healthcare rights and enhancing community health and policy initiatives that focus on the availability, safety, and quality of care

  a subdiscipline of applied ethics that studies questions surrounding biology, medicine, and the health profession

 Question 10All of the following are true about the ethics of care moral theory except ____.

  it is based on the insights of Carol Gilligan

  it is a process that obscures the ethical dimension of a decision

  it rejects the traditional male-centered ethics that focused on rationality, individuality, and abstract principles

  it is based on emotion, caring relationships, and concrete situation

 

NURS406 LEADERSHIP IN NURSING

Chapter 7 Quiz 

Question 1All of the following are team fables except ____.

team members are not always committed to implementing a good team process

 all team members are created equal

 team members generally use good critical thinking to resolve their questions and issues

 team members will set aside their emotional issues in the interest of effective team decision making

 Question 2All of the following are true about evolution of interdisciplinary teams except ____.

   Digital technology has helped to create the demand for interdisciplinary teams.

 The complexity-based biopsychosocial model lends itself to health along a continuum, and therefore a role for a wide variety of clinical members.

 The physician is always the team leader and therefore guides the team.

 In this increasingly complex health environment no one discipline has all of the information, skills, and resources necessary to address the many intersecting needs of individual patients and patient populations.

 Question 3The following is information to be gathered by the team leader prior to assigning roles _____.

   discerning the character of the work

 discerning the distribution of the work

 determining the best way to break down elements of the work into meaningful components

 all of the above are true

 Question 4The impact of technology on the team process means that ____.

   communications become available to team members more quickly

 communication may be more succinct

 body language and emotions are not available to factor in with electronic communication

 all of the above are true

 Question 5Elements essential for viable team construction are___.

   purpose

    goals

 roles

 relationships

 activities and functions

 A, B, and D

 all of the above are true

Question 6Terms of engagement contain all of the following elements except ____.

each member of the team will have an opportunity to speak

 avoid the use of judgment terms, such as “I agree” or “I disagree”

 team members should never use “I” statements

 the use of appreciative strategies in conversation should be encouraged and stimulated

 Question 7The following is true about goals _____.

they give the team clear and specific direction

 they create a point of reference where teams can evaluate their progress and determine movement toward completion

 they are generally frowned upon by hospital administration

 they involve both the team and individual members in defining the performance expectation of the team

 A, B, and D are correct

 all of the above are correct

 Question 8All of the following are team fables except ____.

team members usually do not use good critical thinking to resolve their questions and issues

 each team member fully understands why they act the way they do

 people always want to work with others

 building trust is an important role of the team leader

 Question 9The following elements need to be included in the assignment of work ___.

individuals charged with responsibility for a particular goal need to be clear about the specifics and the expectations.

 

   members working on an activity need to be clear about the time and resources needed to undertake the work.

   the work timetable is generally not as important as the resource utilization.

 measures of success must be incorporated into the team member work.

 A, B, and D are correct.

 all of the above are correct.

 Question 10The purpose for creating teams is all of the following except ___.

   to provide a general framework for care delivery

 to advance the capacity of professionals to fully engage particular planning activities

 to guide problem solving in a way that addresses patient care and improves team effectiveness

 to make staffing ratios easier to calculate

 

NURS406 LEADERSHIP IN NURSING

Chapter 9 Quiz 

Question 1Reasons why shared governance organizational structure operates effectively in complex adaptive systems like the healthcare environment include ___.

  The sustainability of healthcare services fully depends on how the point-of-service professionals function individually and collectively.

  The emergence of knowledge organizations demonstrates that knowledge is not fixed or finite and does not operate simply as a capacity.

  In a continuum of care approach, no one healthcare organization can own, control, or unilaterally mandate all of the service linkages and connections necessary to fully serve a specific population.

  All of the above are true.

 Question 2Significant shifts underway in health care include ___.

  Tertiary care is slowly being deconstructed.

  Digital technology is making it possible to create an increasingly portable diagnostic, therapeutic, and interventional environment making it increasingly mobile, fluid, flexible, and portable.

  Systems compete for value and quality.

  The fundamental value of practice is no longer embedded in volume measures related to how much an individual has done but in what difference and impact action had.

  All of the above are true.

 Question 3The role of management in shared governance is ___.

  stewardship

  unilateral decision making

  servant leadership

  assure seamless interface between the system's purpose and resources

  A and C

  A, C, and D

Question 4Individuals at the point of service will need to be ___.

  more self-directed

  more collaborative

  more reliant on management

  A and B

 Question 5The foundations of shared governance include ___.

  ownership

  accountability

  vertical structures

  partnership

  equity

  A, B, and C

  A, B, D, and E

 Question 6Of the following statements ____ is true.

  Optimization in the system is a reflection of the strong goodness of fit between the human organizational dynamics and the technological functional processes that comprise the overall structure of the work environment.

  Complex thinking that focuses on either social or technical processes increases the predictable.

  Health care contains little interaction between social and technical forces.

 Question 7Complex adaptive systems theory ____.

  Is grounded in work generating out of biology, mathematics, physics, and complexity science.

  As applied to human behavior is represented in the study of a number of different approaches to understanding the relationship among behavior, organizations, and the larger systems that form the context.

  Both are true.

  Neither is true.

 Question 8Critical influences that are creating shifts in health care include all of the following except ___.

  Change forces are usually just seen on a local level.

  The financial model now reflects a strong emphasis on value rather than the volume.

  Focus on healthcare system structures, processes, and evidence is reflected in dynamics that clearly demonstrate impact, effectiveness, and significant measures of the levels of health.

  Evidentiary dynamics and improvement science now guide mechanisms of advancing practice within the context of a strongly interfaced digital information infrastructure.

 Question 9Structure in the healthcare system that best supports healthcare leadership is ____.

  resource-effective

  timely

  value-based

  works to advance the mission and vision of the healthcare system

  all of the above are true

 Question 10For complex adaptive systems to thrive, the following principles must operate ___.

  The whole is never greater than the parts.

  A problem in one part of the system ultimately affects the whole system.

  All disciplines serve the user and/or serve someone who serves the user.

  In complex adaptive systems, form and function interact with each other, otherwise they are not a dependent relationship.

  A, B, and D.

  B, C, and D.

  All of the above are true.

 

NURS406 LEADERSHIP IN NURSING

Chapter 10 Quiz 

Question 1Nursing is ____.

  a scientific process founded on a professional body of knowledge.

  a learned profession based on an understanding of the human condition across the lifespan.

  an art dedicated to caring for others.

  a dynamic discipline that increasingly involves more sophisticated knowledge, technologies, and client care activities.

  all of the above are true.

 Question 2Settings where nursing opportunities may be found include all of the following except ___.

  healthcare organizations

  community centers

  outpatient settings

  insurance industry

  all of the above are true

 Question 3Informatics and related technology include ___.

  researching new medications

  designing complex documentation and monitoring systems

  electronic monitoring of patients from remote locations

  A and B

  B and C

  All of the above are true

 Question 4Nurses are encouraged to avoid relationships in which individuals are known to have the following characteristics ____.

  bully and harass others

  engage in routine gossip

  be unreliable and need constant reminders to complete work

  all of the above should be avoided

 Question 5The underlying reasons for advancing to management and leadership positions are ____.

  the desire to advance quality practices

  to advance excellence

  because of a dislike for the clinical role

  to introduce new ideas for a better work environment

  A, B, and D

  all of the above are true

 Question 6Mentors and coaches address ___ with the mentored nurse.

  professional role behaviors

  appearance

  attitude

  conflict management

  all of the above are true

 

Question 7A coach is ___.

  a wise and trusted advisor who guides others on a particular journey.

  one who assists others to develop viable solutions, prioritize them, and then act on them.

  a unit manager or leader.

  none of the above.

 Question 8All of the following are examples of elements of a professional nurse portfolio except ____.

  continuing education records

  attendance record

  committee contributions

  contributions to the community

 Question 9The multistate licensure ___.

  allows a nurse to have one license in a primary state of residence and be able to practice in other states with multistate statutes.

  increases the cost of licensure fees when nurses practice in more than one state.

  is available in 25 states.

  is available in all states.

  A and C are true.

  B and D are true.

 Question 10Maintaining one's competence as a professional nurse includes ___.

  role

  licensure

  technology

  completing a graduate degree

  A, B, and C

  All of the above is true

 

NURS406 LEADERSHIP IN NURSING

Chapter 11 Quiz 

Question 1Organizations providing healthcare services are required to have policies specific to ___.

  provider roles

  patient care procedures

  safety practices

  equipment management

  staffing and scheduling

  all of the above

 Question 2The Institute of Medicine is ___.

  an organization that serves to promote health care that emphasizes access, quality, and greater efficiency, particularly for society's most vulnerable people

  a non-profit organization that works outside of government to provide unbiased and authoritative advice to decision makers and the public

  the U.S. government's principal agency for protecting the health and well-being of all Americans through the provision of essential human services, especially for those who are most needy

  none of the above are true

 Question 3The law passed in 1996 which focused on the patient's right to confidentiality and the improvement of the portability and continuity of health insurance coverage is ___.

  the Good Samaritan Law

  the Health Insurance Portability and Accountability Act

  Informed Consent

  the Patient Self-Determination Act

 Question 4Activities which all nurses should embrace as they become more involved in the profession include ___.

  becoming competent in the processed of policy development and the differing approaches that are effective at the local, state, and national levels

  developing focused partnerships with stakeholders who know and understand the evidentiary support for policy making or changing

  taking a risk and proposing a new policy that is of great personal interest

  examining a current policy to identify its effectiveness

  all of the above are true

 Question 5The Federal ter is ___.

  a policy that refers to rules that govern the workplace

  the official daily publication for rules, proposed rules, and notices of the federal government and an unbiased source of information

  a document that regulates nursing practice

  the overarching federal administrative agency concerned with quality healthcare in the United States

 Question 6Policies are generated from ___.

  state legislatures

  state agencies authorized by legislation

  state professional associations

  all of the above

 Question 7Considerations in being “media ready” include ___.

  practicing with internal public relations staff

  avoiding off-the-record comments

  defining key messages and staying on message

  all of the above

 Question 8The study of healthcare policies includes ___.

  national or state legislation initiatives and processes

  organizational policies necessary for order and progress

  external agencies

  all of the above are true

 Question 9The following is true about the APRN role ___.

  there is currently no uniform model of regulation across the states

  each state independently determines the APRN legal scope of practice

  education, accreditation, certification, and licensure of APRNs needs to be effectively aligned to continue to ensure patient safety

  all of the above are true

 Question 10Policies that are authoritative rulings relating to those decisions made by government are ___.

  social policy

  organizational policy

  public policy

  institutional policies

 

NURS406 LEADERSHIP IN NURSING

Chapter 12 Quiz 

Question 1The following are strategies to support effective delegation ___.

  Clearly identify the importance of requesting assistance when needed.

  Gain an understanding of personal delegation competence.

  Provide feedback on tasks according to the guidelines specified by the delegator.

  Access evidence-based resources for delegation and supervision.

  B and D.

 Question 2Underdelegation is when __.

  not enough work is delegated.

  the workload is beyond what the delegate can reasonably do in the assigned time.

  the delegator is constantly looking over the shoulders of those asked to do the work.

  any of the five rights are violated.

 Question 3Supervision ___.

  is the provision of guidance or direction, evaluation, and follow-up by the delegator for accomplishment of a task delegated to another.

  is to watch over a particular activity or task being carried out by people and ensure that it is carried out correctly.

  is the transfer of responsibility for the performance of a selected nursing activity or task from a licensed nurse authorized to perform the activity or task to someone who does not have the authority.

  A and B.

 Question 4The following is true__.

  Physicians cannot delegate physician work to nurses.

  Physicians can delegate physician work to nurses.

  If the activity or task is not within the nurse's scope of practice, it can be delegated by the nurse.

  Delegation is necessary even if the particular activity or task is already within the legally recognized scope of practice of the individual who is to perform the activity or task.

 Question 5All of the following are principles of delegation from the ANA or NCSBN website except ___.

  delegation to competent individuals.

  care coordination and the use of assistants in providing patient care.

  ensuring the integrity of the physical plant.

  the essence of professional responsibility and accountability.

 Question 6The delegator is responsible for all of the following except ____.

  accepting only those tasks or assignments for which he or she is qualified.

  assessment of the situation.

  ascertaining the competence of the delegate.

  follow-up supervision.

  management of results.

 Question 7Step one of the basic actions in delegation is assessing the patient or client, the situation, and the appropriateness for delegation. Important considerations within this step are ___.

  Knowing your personal delegation strengths and weaknesses as well as those of the members of your team.

  Base decisions on the needs of clients, the stability of client conditions, the complexity of the task, the predictability of the outcome, and the available resources to meet those needs and the judgment of the nurse.

  Be sure to understand the importance and expectations of the state nurse practice act, practice limitations, and job requirements.

  All of the above are considerations.

 Question 8Decision making ___.

  is a complex cognitive process.

  involves choosing a particular course of actions from among alternatives.

  is an essential component of the problem-solving process.

  all of the above are true.

 Question 9Step three in the delegation process is planning for the work to occur. The following are steps which provide guidelines for preparing with the delegate ____.

  Clearly identify the work that needs to be done.

  Clearly identify the importance of requesting assistance when needed.

  Create a plan for daily feedback between the delegator and delegate specific to delegation principle performance.

  Discuss strategies to increase effectiveness of delegation and supervision activities, including frequency of supervision and potential for additional delegation.

  All of the above are steps.

 Question 10The delegation can be improper if any of the five rights are violated. These include ___.

  right task

  right patient

  right circumstance

  right directions

  right supervision

  all of these are rights

 

 

 

NURS406 LEADERSHIP IN NURSING

Chapter 13 Quiz 

Question 1The following is true about negotiation sessions ___.

   each session stands on its own merits and reflects only the activities that occurred within that session

 subsequent sessions always build on previous sessions

 early agreements on particular issues of conflict can provide the floor for subsequent clarity and agreement on more difficult issues (called chunking)

 all of the above were true

 Question 2Nonverbal signs the leader must be able to read include ___.

   body language

 gestures

 eye movements

 facial expressions

 all of the above are true

 Question 3Core skills that must be developed and refines in order to assure successful negotiation include(s) ___.

   It is important that the individual can discern, identify, and declare specific goals for which the risk of negotiation is worth undertaking.

 There must be a certain level of flexibility and fluidity with regard to wants and needs.

 Good negotiators are well informed, clearly prepared, and understand as much about the matter under negotiation as possible.

 All of the above are true.

Question 4Collective bargaining is protected by ___.

the Department of Commerce

 the Nation al Labor Relations Act

 the Taft-Hartley Act

 Public Law 93-360

 A and B

 B, C, and D

 all of the above

 Question 5Collective bargaining agreements include all of the following except ___.

   salaries

 benefits

 working conditions

 health care costs

 Question 6The following are included in the guidelines for interaction in negotiation ___.

never say “never”

 make many concessions early in the negotiations

 do listen carefully to all parties

 A and C  

all of the above are true

 Question 7All of the following are true about negotiation except ___.

Effective negotiation is a skill one is born with.

Negotiation is learned through the process of discipline and application.

 Much of the skill and talent necessary to negotiate well can be improved through continuous and effective use and refinements of skill development and learning.

 In all negotiation it is important to be able to develop and utilize good listening skills.

 Question 8The following is a major element of the role of dialogue ___.

   have limited breaks

 negative language is acceptable

 establish rules of speaking without interruption

 remind the parties of prior failures

 Question 9All of the following are elements of readying for negotiation except ___.

understanding the issues at the table

determining the personal bottom line

 understanding the bottom line of each participant

 practicing the approach to the interaction

determining how to defeat the opponent

 Question 10The following are phases of negotiation ___.

readying for negotiation

 establishing the framework for negotiation

 intensive interaction

 bargaining

 closing the interaction

 A and C

 all of the above

 

NURS406 LEADERSHIP IN NURSING

Chapter 14 Quiz 

Question 1Policy making takes place ___.

  at the national level

  at the state level

  at the local level

  within agencies

  all of the above is true

 Question 2The role of the leader in an era of change is ___.

  helping the staff to anticipate change

  translate change into a language that colleagues can understand

  actively engage in change

  all of the above are true

 Question 3The following is true about conflict and conflict management ___.

  Principles of conflict management are essential to navigating the landscape of transformation and change.

  Conflict is a normative dynamic.

  A good conflict process includes identifying conflict in its earliest stages.

  Conflict resolution and mediation is a learned and developed skill that comes with practice and application.

  All of the above are true.

 Question 4Nursing career management includes all of the following except ___.

  maintaining a current license

  maintaining continuing competence

  participating in professional organizations

  exploring alternative careers

 Question 5Issues that impact ethics in health care include ___.

  the values of the patient

  the values of the caregivers

  errors in the clinical setting

  moral courage

  all of the above are true

 Question 6Knowledge workers (professionals) ___.

  a need a very specific organizational context in order to facilitate good practice and positive outcomes

  are intrinsically motivated

  see their work as more than simply a job

  A and B

  all of the above are true

 Question 7Accountability needs ____ for it to be expressed.

  autonomy

  responsibility

  authority

  competence

  A, B, and C

  A, C, and D

 Question 8Nurses should know ___.

  the source of healthcare policies

  the content of healthcare policies

  the consequences of healthcare policies

  the role of the professional in providing feedback to policy makers when policies are no longer effective

 all of the above are true

 Question 9Approaches to staffing decisions include ___.

  nurse-patient ratios

  patient classification systems

  legislative requirements

  different skill levels

  all of the above are true

 Question 10Healthcare reform involves ___.

  move from a volume service framework to a value-driven model

  a change to user-driven healthcare service

  increasing the use of digital technology

  decreasing the number of people on Medicare

  A, B, and C

  all of the above are true

 

NURS406 LEADERSHIP IN NURSING

Chapter 15 Quiz 

Question 1Job descriptions ___.

  have been used historically as a vehicle for delineating role functions, tasks, and activities of the nurse.

  do not always match the dynamic nature of the work of nursing.

  are written so that they fit all possibilities in the work environment.

  A and B.

  All of the above are true.

 Question 2Leadership must create an organizational context that doesn't impede membership and ownership of the work. For this to happen, the following circumstances and conditions need to be present: ___.

  Professional ownership implies that the ownership of the work belongs to the profession, not to the workplace.

  Contemporary research on the orientation of the professional/knowledge worker suggests that the traditional incentives often seen in employee-driven models do not succeed to motivate the action of this worker.

  Leaders must on-board new professionals through the use of well-identified professional processes, such as granting privileges instead of hiring, and peer-based selections of incoming members instead of management hiring practices.

  All of the above are true.

 Question 3Performance evaluations review the worker within the context of the capacity to function and ___.

  the ability to do the work

  the ability to get the job done

  the ability to get along with others who are doing their jobs

  all of the above are true

 Question 4The central characteristics of accountability that are nonnegotiable for the profession represent the following principles ___.

  Accountability generally reflects the individual professional commitment to performance and to action.

  Accountability demands a dynamic convergence between ownership, action, impact, and outcome.

  Individual accountability cannot be sustained if the system structure does not allow it to be legitimately expressed by those who own it.

 All of the above are true.

 Question 5The following is true about teams ___.

  Teams can't be constructed simply because people want to meet or work together.

  Teams are purposeful.

  Accountable teams are relational bodies.

  The work of teams is the sum total of its members contributions.

  A, B, and C.

  All of the above are true.

 Question 6For professionals ____ is the definitive foundation for work.

  accountability

  responsibility

  competence

  functionalism

 Question 7The following is true ---.

  The relationship between the individual and the workplace unfolds through the lens of job categorization.

  The job is the contextual framework for the relationship between the individual and the workplace.

  Creating a job context for work cannot produce professional outcomes.

  All of the above are true.

 Question 8Value is about ___.

  doing the right work rather than doing a good job

  work that is informed by purpose

  the product of a measured and defined relationship between effective process and meaningful outcome

  all of the above are true

 Question 9Critical elements of professional ownership include ___.

  The individual nurse values his or her specific gifts, talents, and skills and agrees to commit to the full application of them in undertaking the work of the profession.

  The individual professional member of the staff recognizes that his or her competence depends on continuous and dynamic lifelong learning.

  Competency and skill enhancement depends on the individual's commitment to membership.

  All of the above are true.

 Question 10The obligation for social accountability represents the social contract between the society that licenses the profession and ___.

  those who practice a profession

  the persons who act in the best interests of the society

  employees of a healthcare institution

  none of the above