CHAPTER 16: SOCIALIZING AND EDUCATING STAFF IN A LEARNING ORGANIZATION

C HAPTER 16: S OCIALIZING AND
E DUCATING S TAFF IN A L EARNING
O RGANIZATION

1. The nurse-manager needs to determine the effectiveness of a staff
workshop on establishing IV access. What is the manager’s best method
for determining this?
a. Having class participants evaluate the instructor and the class
b. Giving participants an examination or test at the conclusion of the
course
c. Having a documented decrease in the unit’s IV site infections
d. Observing staff perform and document the practice



ANS: D



Feedback:



Instructor evaluation supports effective teaching but not learning of the
new skills. Testing someone at the end of educational training does not
confirm that the learning changed behavior, which is the primary goal
of staff development. There needs to be some method of follow -up to
observe whether a behavior change occurred, showing that the
education was effective. Observation of the staff will fulfill this need.
Having a decrease in IV site infections may or may not be the result of
the staff implementing the educational program.

, PTS: 1 DIF: Easy REF: Page: 419 OBJ: 6 NAT:
Client Needs: Safe and Effective Care Environment: Management
of Care TOP: Chapter Number: 16: Title: Evaluation of Staff
Development Activities KEY: Integrated Process: Nursing
Process BLM: Cognitive Level: Appl y NOT: Multiple
Choice



2. The nurses and managers of a clinic have agreed on a commitment to
becoming a learning organization. What change in practice would suggest
progress toward this goal?
a. Recognizing that mistakes are an inevitable part of the learning
process
b. Exclusivel y hiring RNs with baccalaureate degrees
c. Encouraging a variety of individual visions among the nursing staff
d. Stressing the need for individual learning



ANS: A



Feedback:



Learning organizations have a shared vision and promote team
learning. A common feature of learning organizations is their tolerance
for mistakes as an inevitable part of the learning process. An
organization does not need to limit itself to baccalaureate educated
nurses in order to be a learning organization.



PTS: 1 DIF: Moderate REF: Page: 412 OBJ: 1
NAT: Client Needs: Safe and Effective Care Environment:
Management of Care TOP: Chapter Number: 16: Title:
Display 16.2 Senge's Five Disciplines of a Learning Organization

, KEY: Integrated Process: Nursing Process BLM:
Cognitive Level: Anal yze NOT: Multiple Choice



3. What goal is most congruent with being a learning organization?
a. Staff development is the main priorit y in the organization.
b. The organization employs a dedicated staff member for providing
in-house education.
c. There is dedicated time on each shift for staff to pursue education.
d. Continuing education for staff exceeds the requirements for
licensure.



ANS: D



Feedback:



In a learning organization, staff members’ educational activities exceed
the minimum standards that are needed for li censure. Being an LO does
not necessaril y require dedicated staff members whose exclusive role is
to provide education. Client care, not staff development, should be the
main priorit y in any health -care organization. Opportunities for
education should be p rovided regularl y, but it is not realistic or
necessary to provide opportunities during every shift for every staff
member.



PTS: 1 DIF: Moderate REF: Page: 410 OBJ: 1
NAT: Client Needs: Safe and Effective Care Environment:
Management of Care TOP: Chapter Number: 16: Title: The
Learning Organization KEY: Integrated Process: Nursing
Process BLM: Cognitive Level: Anal yze NOT: Multiple
Choice