TEST BANK FOR PEDIATRIC NURSING THE
x
CRITICAL COMPONENTS OF NURSING C
x
ARE 2ND EDITION RUDD
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Chapter 07: Managing Self: Stress and Time
Yoder-Wise: Leading and Managing in Nursing, 7th Edition
MULTIPLE CHOICE
1. As a nurse manager, you observe a xstaffxnurse who overxthe pastxfewxweeks has become
withdrawn and has had several absences due xtoxminorxailments. Yourxbestxaction would be
to:
a. ask the nurse if she is okay duringxreport.
b. referxthexnursextoxthexemployeexassistancexprogram.
c. ask the nurse toxmeet with you for a few minutes before she leaves for the day.
d. write axnote to the nurse advising her that herxworkxattendance mustximprove.
ANS: C
Stress can leadxto emotional symptoms such as depression and axvariety ofxailments. Meeti ng
with the nurse privately may assist in identifying stress and possible solutions.
TOP: AONE competency: Business Skills
2. The nurse managerxof a unitxhas lost many staff members, and the unit is now staffedxwit
h ax large number of agency and traveling nurses. She xknows that the agency and traveling
nurses are all contracted to stayxon the unit xfor the next 3 months. One way to improve
moralexandx decrease xstressxinxthexunitxwouldxbexto:
a. plan a social event and include the agency andxtraveling nurse staff members.
b. plan unit-basedxsocial events forxyour remaining permanent staff members.
c. request hospital-based “floating”xnurses to substitute for the temporary staff.
d. implementxteam nursing.N R I G B.C M
U S N T O
ANS: A
Social support, in the form of positive work relationships, can be an important way to buff
er the effects of a stressful workxenvironment. Including all staff in the social eventxenable
s those who are notxnormally partxof the team to experiencexthis support andxprovides an o
pportunity for the staff as a wholextoxdevelop supportive relationships.
TOP: AONE competency: Communication and Relationship-Building
3. As a nurse manager, the one activity youxshouldxnot overlook is:
a. postingxthexyearlyxrotationxschedule.
b. .
c. scheduling staffingxfor holidays 6 months in advance.
d. anticipatingxstaff sick days.
ANS: B
Free time and vacation time are needed forxindividuals to recharge. If xtime for work is m
ore than 60% ofxwake time, or when self-
time is less than 10% of wake time, stress levels increase.
TOP: AONE competency: Business Skills
4. A nurse manager has decided that she must institute xsome personal time-
management steps to survivexworkxand home life. Her firstxstep should be to:
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a. determineT whatT takesT upxsoT muchT ofT herxtimeT andT energy.
b. organizeT herT personalT andT workT spaces.
c. purchaseT aT handheldT personalT digitalT assistantT toxhelpT remindxherT ofT
importaT ntxT meetings.
d. determinexherxpersonalxandxprofessionalxgoals.
ANS:T D
PersonalT timeT managementxrefers,T inT part,T tox“theT knowingT ofT self.”T Self-
T awarenessT isT aT criticalT leadershipT skill,T andT beingT self-
awareT andxsettingT goalsT helpsT managersxdetermineT howxtheirT timeT isT bestT spent.
TOP:T AONET competency:T Leadership
5. AT hospiceT nurseT hasT beenT feelingT veryT stressedT at xworkxbecauseT ofxbothT theT physicalT strainT
andxT theT emotionalT drainT ofT workingT withT clientsT withxAIDS.T SheT triesT toT walkT 1T toT
2T milesxT threeT timesT axweekT andxtoT talkT regularlyT withT herxhusbandT about xherT work-
relatedT feelings.T OneT reasonableT stress-managementT strategyT wouldT beT to:
a. start xtakingT yogaT lessons.
b. makeT anT appointmentT toT meetT withT axpsychiatrist.
c. startT joggingT 5T toT 6T milesT everyT day.
d. planT toxgoT outT forxaT drinkxwithT fellowT nursesT afterT workT everyT day.
ANS:T A
StressT reliefT techniquesT includex30T minutesT ofT exercisexfiveT timesT aT week,T asT wellT asT tT
echniquesT suchT asT yogaT thatT relievexmentalT stress.
TOP:T AONET competency:T Leadership
UN RS ING TB.C M
T T T
O
T T
6. TheT nurseT managerxisT implementingT aT sharedT governanceT modelT toT helpT withT communication
andxdecisionT making.T AlthoughT staffT membersT likeT theT concept,T changeT isT difficult.T
StaT ffT nursesT feel:
a. moreT empowered.
b. moreT communicative.
c. lessT stressed.
d. morexpowerlessxandxdevalued.
ANS:T D
ChangeT canT leadT toT feelingsT ofxbeingT overwhelmedT andT powerless,T especiallyT
ifxcomplexityT compressionT orxrapid,T intenseT changesT haveT beenT involved.
TOP:T AONET competency:T BusinessT Skills
7. TheT chiefT nursingT officerT listensT toxnurseT managersT verbalizeT theirT feelingsT ofT internalT stre
ss.T OneT commonT sourceT ofxinternalT stressT seemsT toT be:
a. theT deathT ofT axlovedT one.
b. perfectionism.
c. gettingT married.
d. losingT aT job.
ANS:T B
LosingxaT job,T theT deathxofxaxlovedT one,T andT gettingT marriedxareT examplesT ofxexternalT stress.
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TOP:T AONET competency:T BusinessT Skills
8. TheT staffT development xeducatorxpresentsT aT seriesT ofT programsT onT stressT managementT toT
tT heT nursexmanagers.T ResearchT hasT indicatedT thatT anT individual’sT abilityT toT dealT
withT stresT sT isT moderatedT byT psychologicalT hardiness.T PsychologicalT hardinessT isT
axcomposite xof:
a. commitment,xcontrol,xandxchallenge.
b. commitment,T powerlessness,T andxpassivity.
c. commitment,T control,T andT passivity.
d. decreasedT isolation,T challenge,T andT passivity.
ANS:T A
SomeT peopleT haveT theT capacityT toT acceptT changesT inT lifeT withT goodxhumorxandT resilience,T
which,T inT turn,T influencesT behaviorT thatT preventsT illness.T HardinessT involvesT
thexcapacity
toT manageT timeT andxstress,T toT reframexsituationsT positively,T andT toT commit.
TOP:T AONET competency:T Leadership
9. TheT chiefxnursingT officerT understandsT thatT aT nurseT managerT canT exhibitT stressT thatT isT
relatedT toT tryingT toT keepT upxwithT thexnumberxofT electronicT messagesT thatT arrive,T asT
wellT asT tryingT toT remainT accessibleT toT staff.T WhatxisT aT strategyT thatT wouldT
assist xthe xmanagerT toT manageT theT informationT overloadT effectively?
a. IgnoreT messagesT unlessT theyxareT labeledxasT important.
b. Determinexwhoxisxmostxlikelyxtoxsendxuseful xorximportantxinformationT orT requests.
c. Checkxe-mailT messagesT onceT aT day.
d. EncourageT face-to-facexmeetingsT ratherT thanT e-mail.
ANS:T B
ReductionxofxT stressxrelatedxTtToNiTnUfTRoTrTSmIaTtTNiToGnT ToTB
v e .r TloCaTdTMrequTiresT thexdevelopmentxT
ofxT infT ormation-receivingT andxinformation-sendingT skills.T Information-sendingT skillsT
include
determiningT mostT commonT sources xofT usefulT data,T labelingT filesT andT foldersT toT whichT
e-T mailT messagesT canT beT directed,T deletionT ofT e-
mails,T andT focusingT onT theT mostT importantT pieces.T
Information-T sendingT skillsT includeT keepingT e-
mailT messagesT shortT (andT callingxifT theT messageT needsT toT beT long)xandT consideringT
theT moT stT appropriateT mediumxforxmessagesT (telephone,T fax,T face-to-face).
TOP:T AONET competency:T Professionalism
10. InT helpingT nurse xmanagersT toT manageT theirxtime,T thexchiefT nursingxofficerT suggestsT thatT they:
a. maintainT aT perfectionisticT attitude.
b. setT upT aT complaintT list.
c. haveT goodT negotiationT skills.
d. haveT goodT informationT literacyT skills.
ANS:T D
TimeT canT beT savedT byT usingT informationT technologyT effectively,T asxitT assistsT withT
effectiveT dataxretrievalT andT informationT gatheringT andT withT communicationT relatedxtoT
aT varietyT ofT n
eedsT inT theT managementT setting.
TOP:T AONET competency:T BusinessT Skills
11. WhichT ofT theT followingxstatementsT wouldT bestT defineT stress?T StressT is:
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