Which of the following is an outcome of decentralized staffing?

Managers have autonomy, resulting in increase of self esteem and team work

When orienting a new grad in your unit you see that his charting is poor Identify the best statement to initiate a convo

“Tell me in your own words what you intend your charting to convey.”

Which statement best describes memos?

Only essential information should ne given in a memo.

The first step in quality control is:

To determine criteria or standards

You were designated by your head nurse to be the nursing team leader. What is the first thing you should do?

Establish objectives for team patients

Decisions are greatly influenced by each person’s value system

Informal communication in an organization is best described as:

Exchanged unofficially by most personnel

Which of the following behaviors best demonstrate your change agent role?

teach work attitudes to change behavior

You overhear a nurse aid speaking in a harsh tone to a patient who has Alzheimer’s. What would be the best approach?

I am concerned because it sounded as though you lost your patience

Hospital and management showed lack of concern for the nurse. Which of the following action would you initially take?

Arrange for a dialogue between a selected group of nurses and management

LISTS are an effective planning tool when:

Realistic in what can reasonably be accomplished in a given time period

You made an assignment for your team based on patient classification but they are used to functional change. Best action

involved the team in planning for the change

Which of the following represents a management function in planned change?

Recognize the need for planned change and seeing the options for change

Which of the following is not an appropriate reason for change?

Change to eliminate boredom on the part of the change agent

“Consensus” in negotiation:

Indicates a willingness by all parties to accept agreed-upon conditions

Miss Yap a clinical instructor resented you reminding students about early charting. What should you do?

Present the problem to your head nurse

A well-selected patient classification system:

Provides an understanding of staffing problems

A decision grid allows the decision maker to:

Visually examine alternatives and compare each against the same criteria

For health care provider to collaborate on patient care, they must:

Have mutual respect for the knowledge and expertise of each other

In order to win as much as possible in negotiation, nurses should:

Begin with a high but realistic expectation

A leadership role in planning includes:

Encouraging subordinates to be involved in policy formation

The manager must remember that a DAILY LIST:

Is a planning tool, and thus must have flexibility in its implementation

Which statement is most accurate concerning decentralized staffing?

It carries risk that employees may be treated unequally or inconsistently.

You were reprimanded by your head nurse in front of others for failure to report pt condition. What is the best action?

Let her finish, then explain so everybody can hear

A critical goal in negotiation should always be:

That both parties perceive that they have won something that they want

This statement on loading is TRUE:

loading must achieve organizational goals at all cost

The successful change agent makes a commitment to:

Be available to support those affected by change until its complete

The most fiscally responsible method for determining staffing needs for a hospital unit would be using:

The agreed-upon staffing formula presently in use

The quality of a decision is most often influenced by:

Questions asked and alternatives generated

Decision making is best defined as:

Present in all phases of the management process

Which of the following is a symptom of poor organization structure?

There is a heavy reliance on committees to solve unit problems

Utilizing her knowledge of management, the head nurse as the leader of the unit is expected first to?

Plan with members the nursing care of patient

Nonverbal communication:

Is given more credence than verbal communication when brow are incongruent

What is the best reason for classifying patients according to severity of illness from nursing viewpoint?

Nursing care of clients is better planned

A manager with narrow span of control will

Have greater opportunities for direct observation and control of staff

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LM Practice Questions

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Questions 76

Answers

1
Which of the following is an outcome of decentralized staffing?
Is more fair to the employees through consistent and impartial application
Is cost-effective because it allows better use of resources
Improves the availability of data for monitoring staffing size and costs
Managers have autonomy, resulting in increase of self esteem and team work
2
Which of the following is not one of the “five rights” of delegation?
Right task
Right experience
Right person
Right direction
3
When orienting a new grad in your unit you see that his charting is poor Identify the best statement to initiate a convo
“Do you think a refresher course in charting would help you?”
“Your charting is nondescriptive.”
“Tell me in your own words what you intend your charting to convey.”
“Are you having difficulty assessing your patient?”
4
Which statement best describes memos?
Memos should make their main point at least twice.
Headings in a memo confuse the reader and should not be used.
Only essential information should ne given in a memo.
Memos should be written in an authoritative, terse format.
5
The first step in quality control is:
To take corrective action when standards have not been met
To collect data to see if standards have been met
To determine criteria or standards
Establish standards that reflect what is taking place in the organization
6
You were designated by your head nurse to be the nursing team leader. What is the first thing you should do?
Establish objectives for team patients
Classify group activities and schedule their patients
Gather information about patients assigned to the team
Call directive-giving conference
7
Communication has the greatest likelihood of being accurately interpreted when:
Written communication is used
Face-to-face communication is used
More than one mode is used
The sender repeats the message using the same mode
8
In decision making:
Personal beliefs can be adjusted for when the scientific approach is used
Decisions are greatly influenced by each person’s value system
Scientific methods provide identical decisions by different individuals
Past experience has little to do with the quality of the decision
9
Informal communication in an organization is best described as:
Initiated by someone in a staff position to someone in a line position
Initiated by subordinates and directed upward
Conveyed unofficially by the board of directors through department heads
Exchanged unofficially by most personnel
10
Which of the following behaviors best demonstrate your change agent role?
suggest change inward policies as needed
attend a seminar on planned change
introduce work simplification procedures
teach work attitudes to change behavior
11
You overhear a nurse aid speaking in a harsh tone to a patient who has Alzheimer’s. What would be the best approach?
Remember to watch your tone of voice with patients. Someone might overhear
I have decided to reassign your patient to another aide
I am concerned because it sounded as though you lost your patience
Is it a good idea to have an inservice on dealing with Alzheimer patients?
12
Nursing management goals are best achieved by which of the following:
Knowing work schedule
Selection of competent staff
Discussion with staff
Management and staff nurses working together
13
Hospital and management showed lack of concern for the nurse. Which of the following action would you initially take?
Discuss the problem with other health related groups
Arrange for a dialogue between a selected group of nurses and management
Organize the nurse and other health workers to go on strike
Resign from your position stating abuse of management
14
LISTS are an effective planning tool when:
Realistic in what can reasonably be accomplished in a given time period
Subordinates are not motivated and manger wants tasks to be accomplished
Tasks are grouped so only a few items appear on the actual list
They are relatively inflexible, so the planner cannot procrastinate
15
You made an assignment for your team based on patient classification but they are used to functional change. Best action
let each member write their objective to the change
introduce the change gradually
involved the team in planning for the change
introduced the felt need for change
16
Which of the following represents a management function in planned change?
Recognize the need for planned change and seeing the options for change
Role modeling high level interpersonal communication skills 4 support
Visionary forecasting
Inspiring group members to be involved in planned change
17
Which of the following is not an appropriate reason for change?
Change to eliminate boredom on the part of the change agent
Change to reduce unnecessary work load
Change to make work procedures more efficient so time wont be wasted
Change to solve some problem
18
“Consensus” in negotiation:
Implies a unanimous decision has been reached
Is one of the most rapid conflict resolution strategies
Indicates a willingness by all parties to accept agreed-upon conditions
Means that one party wins at the expense of another
19
Miss Yap a clinical instructor resented you reminding students about early charting. What should you do?
Discuss the problem with co-staff nurses
Present the problem to your head nurse
Confront Miss Yap as soon as possible
Do not call again attention of students
20
A well-selected patient classification system:
Decreases the amount of overtime
Eliminates most staffing problems
Provides an understanding of staffing problems
Eliminates the need for adjustment or review
21
Feedback that restates instructions and makes sure there is no confusion is called:
Judgmental
Personal feedback
Clarifying
Interpretive
22
A decision grid allows the decision maker to:
Plot a decision over time
Quantity information
Visually examine alternatives and compare each against the same criteria
Predict when events must take place to complete a project on time
23
For health care provider to collaborate on patient care, they must:
Like each other enough to want to collaborate
Be willing to cooperate with each other
Have mutual respect for the knowledge and expertise of each other
Have enough time to carry out the collaboration steps
24
Miss A is assigned to pull new team leaders for one month. As a team leader the initial activity would be which?
Evaluate the performance of the staff
Document all nursing care rendered by the staff
Get the patient assignment
Organize the work load
25
In order to win as much as possible in negotiation, nurses should:
Begin with a high but realistic expectation
Communicate their hidden agenda
Well prepared with only one clear plan for dealing with the situation
Be unwilling to compromise, except as a last resort
26
A leadership role in planning includes:
Assessing unit resources available for planning
Articulating the unit philosophy in writing
Developing unit policies and procedures that operationalize unit objectives
Encouraging subordinates to be involved in policy formation
27
The main basis for endorsement during nursing rounds during changing of shifts is primarily which one of the following?
The client’s health needs
Information in the Kardex
Routine nursing care
Prescribed medication and therapy
28
The manager must remember that a DAILY LIST:
Should not be changed once initial planning is completed
Highly structures with little time for unexpected, lowering procrastination
Includes all the planners short, intermediate, and long term goals
Is a planning tool, and thus must have flexibility in its implementation
29
38% of people who went to a smoking cessation clinic were not smoking 1 year after it closed The data likely came from a
Outcome audit
Structure audit
Process audit
Concurrent audit
30
Which statement is most accurate concerning decentralized staffing?
It uses one individual or a computer to do the staffing.
It carries risk that employees may be treated unequally or inconsistently.
The manager’s role is that of making minor adjustments or providing input
It provides good control for the organization
31
You were reprimanded by your head nurse in front of others for failure to report pt condition. What is the best action?
Keep quiet and talk to her after
Ignore the remarks, then make a belated report
Let her finish, then explain so everybody can hear
Keep quite, then ask a friend to explain for you
32
A critical goal in negotiation should always be:
Honesty in revealing exactly how much each party is willing to negotiate
That all hidden agendas be exposed
That both parties perceive that they have won something that they want
That both parties win the same amount
33
This statement on loading is TRUE:
There are no average person just unique ones
loading must achieve organizational goals at all cost
satisfaction and motivation are different
No single motivation sufficiently explain human behavior
34
The successful change agent makes a commitment to:
Encourage subgroup opposition to change so many viewpoints can be heard
Help followers arrive a total consensus regarding the change
Utilize change by drift if the resistance to change is too strong
Be available to support those affected by change until its complete
35
The most fiscally responsible method for determining staffing needs for a hospital unit would be using:
Numbers of patients present for the upcoming shift
Maximum patient load capacity of the unit
Total beds in the unit
The agreed-upon staffing formula presently in use
36
Students who topped on the exam studied in small groups always attended class, and took breaks. Data was collected from
Concurrent audit
Outcome audit
Structure audit
Process audit
37
As a charge nurse during doctors rounds you found yourself faced with the following activities, which is the priority?
Respond to patient call for assistance
Write report required by the head nurse
Attend to nursing student’s inquiry
Go with the doctor’s rounds
38
To be well organized and increase productivity on the unit, the most important component is to have:
A well-thought-out plan
Time to carry out your duties
A well-trained staff
Adequate resources
39
Giving authority to perform a selected nursing task to a competent individual in a selected situation is called:
Feedback
ProMotion
Delegation
Evaluation
40
When two or more people have conflict about values or goals, it is called:
Intergroup conflict
Intervalue conflict
Intrapersonal conflict
Interpersonal conflic
41
The quality of a decision is most often influenced by:
The decision maker’s personal biases
The decision maker’s immediate superior
The time of day the decision is made
Questions asked and alternatives generated
42
Decision making is best defined as:
Required to justify the need for scare items
Present in all phases of the management process
The planning process of management
The evaluation phase of the executive role
43
Which of the following is a symptom of poor organization structure?
There is a heavy reliance on committees to solve unit problems
The chain of command is fairly short.
Communication follows the chain of command.
The smallest possible number of managers exists to keep units functioning.
44
When resistance threatens needed change, what important measure would you use to overcome the resistance?
send a memorandum for change
use a problem-solving strategy
gain early support from staff
conduct staff re-education
45
Utilizing her knowledge of management, the head nurse as the leader of the unit is expected first to?
Formulate with the members, policies to be followed in the ward
Plan with members the nursing care of patient
Delegate tasks to be done by her members
Evaluate the care rendered to the clients
46
Nonverbal communication:
A big part of communication exchange only when not congruent with verbal ex
Should be minimized because it confuses the receiver as to the true intent
Is given more credence than verbal communication when brow are incongruent
Is consistent across cultures
47
What is the best reason for classifying patients according to severity of illness from nursing viewpoint?
Overtime work is avoided
Professionals and non-professionals are delineated
Nursing care of clients is better planned
Staffing requirements are met
48
First and middle level managers usually directly interact with a greater number of subordinates in daily planning
False
True
49
This factor is the most influencing for acceptance of staff in change:
planned ahead
externally imposed
staff participates in decision
share in benefit
50
A RN who is prioritizing patient outcomes that are most important is engaged in which part of the delegation process
Intervening
Planning
Evaluating
Assessing
51
A manager with narrow span of control will
Be unable to motivate staff members
Have greater opportunities for direct observation and control of staff
Directly supervise more than 10 staff members
Tend to oversee staff with high levels of training
52
Which is the FIRST STEP in time management?
Complete the highest priority task
Delegate work you cannot reasonably accomplish in a 24-hour time span
Reprioritize based on new information received
Allow time for planning and establishing priorities
53
A nursing service dep evaluates staff nurses every 6 months A nurse feels she was unfairly evaluated the right action is
Share the feelings with her peer groups
Complains to the Chief Nurse of the hospital
Keep quiet and respect the head nurse’s decision
Clarify from the head nurse the basis for her appraisal
54
Which of the following statements about patient classification systems is the most accurate?
A good classification system is without fault.
Nursing care hours assigned to a classification system should be constant
Classification systems are able to solve staffing problems.
Internal and external forces may affect classification systems.
55
Your best response to a patient’s complaints against a physician is:
instill in the patient confidence in the physician
“the physician is always right”
tell the truth
“I can’t help you.”
56
A nurse supervisor’s communication with her staff in an organization is called:
Diagonal
Upward
Downward
Lateral
57
Planning objectives should:
Be subjectively evaluated on a periodic basis
Have a specific time frame
Be broad and inclusive in nature
Have 100% compliance as a minimum criteria
58
Which one of the following is a management controlling function?
Creating a budget
Periodic evaluation of unit philosophy, mission, goals, and objectives
Making out the daily patient care assignments
Distributing holiday staffing policies
59
Achievement motivation focuses on:
The intrinsic rewards to be acquired
A need to have legitimate power over others
A need to nurture others
The intrinsic need to be successful
60
In completing an annual performance appraisal, the manager should:
Consider good intentions as well as actual performance
Let employees know where they stand as well as what is expected of them
Closely observe the employee for 2 weeks before appraisal conference
Always make an effort to include subjective data
61
Which of the following is true about an organization’s chain of command?
It stops nurses from moving more than one level above level of employment
It is used only for nursing issues and does not apply to physicians
It allows nurses to question orders and consult with the higher ups
It does not require that the nurse reveals specific patient information
62
Your LVN in the unit tells you to confront an NA for taking long breaks. You say I believe you should talk it out…
Avoiding conflict
Encouraging a competitive approach to conflict
Smoothing conflict
Facilitating conflict resolution
63
Which is the most accurate statement regarding staffing and scheduling policies?
Managers should have autocratic control over scheduling and staffing policy
It is more important to communicate policies verbally than in writing.
Policies should focus on the process
It’s needed that policies are written in a manner that allows some flexibil
64
Which of the following statements about time management is TRUE?
Self aware nurses are better an controlling their time
Most have an accurate perception of time they spend on a task
Writing goals down is a waste of time if the goals are limited in number
It’s necessary to maintain a time inventory for only 203 days for pattern
65
You are a new staff in the ward. Your patient always complains about anything done for her, the best action to take is:
Refer her to the doctor
Consult your head nurse for advise
Do not listen to her complaints
Label her as “difficult” patient
66
Regardless of method of nursing care, the head nurse is still responsible for all patients in the ward this principle is
Command responsibility
Unity of command
Scalar principle
Proper channeling of communication
67
Decision making is best described as:
Choosing between courses of action
An analysis of a situation
Related to evaluation
Finding the cause of a problem
68
For you to initiate change, the most appropriate approach is:
discuss matter with nurses
make a ward SOP
impose a time for charting
resolve the issue through discussion
69
The most realistic and appropriate goal for a manager in regards to staffing and scheduling is to:
Ensure that there is adequate staff to meet all the needs of each patient
Schedule staff so there is no overtime
Ensure that staff usually have days off and special requests granted
Develop trust in staff by seeing that staffing is done fair in manner
70
The following are true to planning, except:
It helps reduce the risks of decision making problem solving
This is the grouping of activities for the purpose of achieving objectives
It is a thinking or conceptual act that is frequently committed to writing
The forecasting of events - the building of an operational plan
71
Optimum span of control, what is true about this?
Cannot be done in an organization with a line/staff organization structure
Is less than five
Is between 40 and 60
Varies with the managers abilities, employees maturity, and task complexity
72
Which of the following is true about lateral communication?
Only includes people from different departments not from the same departmen
It cannot be used in diverse environments
It requires attention to the basics of the communication process
Requires low effort since same levels don’t share common knowledge/experien
73
In planning care for a group of patients, the team leader should:
Make sure all patients on the team have equal amounts of nursing care
Start thinking of the patient needs who need the most specialized care
Begin by considering the needs of patients who need least amount of care
Ask his or her team members who they feel like taking care of that day
74
Which of the following is true about delegation to a novice?
Novices can recognize patterns in their work and can handle delegation
Novices are able to see the big picture as well as the individual situation
Novices need rules to guide their actions
Novices should not be delegated to as they have insufficient experience
75
Which of the following principles about effective communication is true?
Communication requires inactivity
The receiver is responsible for message clarity
Giving information is the same as communication
Feedback is essential even if it is not positive
76
This is an example of a patient care unit objective:
To provide safe nursing care
To use the Kardex system of charting
To determine the number of nursing staff needed
To ensure adequate unit supplies/ materials

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