MANAGING IN CANADIAN NURSING SECOND
EDITION
1. Chapter 2: As the nurse manager, you want to increase
motivation by pro-viding motivating factors. Which action would
you select?
a.
Collaborate with the human resources/personnel department to
develop on-site day
b.
Provide a hierarchical organizational
structure. c.
Implement a model of shared governance.
Promote the development of a flexible benefits
package: C Complexity theory suggests that systems interact and
adapt and that decision-
making occurs throughout systems, as opposed to being made
unilaterally by ditterent levels of the organizational hierarchy. In
complexity theory, every person's opinion counts, and therefore all
levels of statt would be involved in decision-making. This principle
underlies shared governance. Shared governance is an example of
nurse decision-making in which nurses at ditterent organizational
levels engage in shaping policy and practices
2. Chapter 05: In an effort to control costs and maximize revenues,
the Reha-bilitation Unit at Cross Hospital reduces the number of
its nursing managers. Within a year the number of adverse
,WADDELL/WALTON: YODER-WISE'S LEADING AND
MANAGING IN CANADIAN NURSING SECOND
EDITION
events on the units has doubled. This may be attributable to:
a. . The overload of work for staff nurses.
b. Inability of staff at the bedside to make good choices.
c. A change in reporting systems.
d. Fewer clinical leaders and advocates for necessary resources: d.
Fewer clinical leaders and advocates for necessary resources
Strong leadership across the nursing profession is essential to ensure the delivery of safe care.
Reducing nursing managers who
,WADDELL/WALTON: YODER-WISE'S LEADING AND
MANAGING IN CANADIAN NURSING SECOND
EDITION
provide support, consultation, and leadership in securing resources and in inspiring standards of
excellence may increase the
number of adverse events related to lack of leadership
3. Chapter 05: Traditional approaches to ensuring patient safety
have focused on:
a. Assigning blame.
b. Finding solutions to systems issues.
c. Instituting best practices in response to errors.
d. Hiding errors from potential litigation.: A
When health care facilities create a culture of safety, their statt are more willing to report adverse events
because the focus is on
addressing issues in the system and not blaming individuals
4. Chapter 05: What is the primary purpose of nursing standards?
a. To inform performance appraisals at the unit level.
b. To identify the desired level of performance.
c. To inform the courts in relation to negligence and malpractice
cases.
d. To educate other health care professionals about the role of the
nurse: B The primary purpose of standards is to identify for nurses, the public, government, and
other stakeholders the desired and
achievable level of performance expected of nurses in their practice, against which actual performance
can be measured.
5. Chapter 05: During review of back injuries, it is determined that
, WADDELL/WALTON: YODER-WISE'S LEADING AND
MANAGING IN CANADIAN NURSING SECOND
EDITION
mechanical lifts and transfer belts are not being properly used. In
addressing
this concern, the unit manager:
a. Meets individually with nurses, who are observed using the lifts
incorrectly, to
review the correct procedure.
b. Consults with the staff about the review to determine how best to
proceed.
c. Blames the system for inadequate funding for resources.
d. Reviews the system of reporting adverse events to ensure that
appropriate reporting is occurring: B