NUR 204 Week 8 Test Leadership Complete Solved 100% Correct

Week 8 Test Leadership Nursing Leadership & Management Power point 1. The nurse manager is comparing the primary functions of manager. Which function should the nurse recognize is unique to the role of a nurse manager when compared to classic theories? o Directing Page 2 o Planning o Controlling o Organizing 2. Which action by the nurse manager demonstrates the controlling function of management? o Conduct monthly meetings to review accomplishments o Implement a scheduling tool based on client acuity o Perform chart audits to elevate nursing care outcomes Page 2 o Create a task force to review current policies. 3. The nurse manager is working with a task force to develop a new philosophy for the organization. Which concept should be included in the philosophy? o Values that guide action Page 5 o Organizational purpose o Reason for existence o Goals to achieve 4. A group of nurse manager executives is participating in strategic planning for a healthcare organization. Which information should be included in the strategic plan? Select all that apply. One, some or all responses mat be correct. o Allocated resources o The time frame for completion Page 6 o Delegation of responsibilities o Evaluation methods o Goals5. Which action by the nurse manager demonstrates operational planning? o Implementing a new electronic health record system. o Increasing the number of nurses with bachelor’s degrees in a unit. Page 8 o Reviewing the supply order chain to decrease waste. o Developing a discharge planning program to improve client satisfaction. Not 100% on this one. 6. Which task can the nurse manage accomplish when using an organizational chart at the unit level? o Rotation of staff development activities o Coordinate actives with other departments Page 9 o Daily staffing assignments o Orientation schedule for new hires o No answer text provided. I asked about this one because it isn’t a SATA but several of the answers are listed. I put C for this one. 7. Which action taken by a manager would best improve the nurse’ job satisfaction ratings on a survey? o Provide feedback once a year during a performance review o Communicating changes in the unit when it occurs o Delegating unit responsibilities to shift supervisors o Implementing a recognition program for staff. Page 11 I asked about this one as well because it isn’t a SATA either. I put D. 8. When evaluating productivity, which factors should the nurse manager assess? o The number of nursing hours worked and the number of clients Page 10 o The number of nursing hours worked and the acuity level of clients o The number of nurses staffed and the number of clients o The number of nurses staffed and the number of hours scheduled 9. The nurse manager is monitoring the performance of a new graduate nurse. Which action will the manager take to evaluate the new graduate’s understanding of the expectations?o Obtaining feedback from the assigned preceptor o Ask the graduate how they would report an issue using the chain of command Page 13 o Scheduling a documentation training session o Providing copies of policies for routine unit procedures 10. Which describes a motivating activity by the nurse manager? o Identifying resources needed on the unit o Evaluating staff performance yearly o Monitoring client care o Offering recognition for positive client comments Page 14 11. Which action should a group of nurse managers revising the professional standards for inpatient acute care units take? o Compare what similar organizations are doing. o Review current literature from professional practice groups Page 16 o Survey clients to identify specific needs o Assess staff nurses regarding the level of client care understanding. 12. The nurse manager is conducting a coaching session with a nurse who made a medication error. Which question would be the most appropriate for the nurse manager to ask? o “Why did you make a mistake?” o “How will you prevent this from happening again?” o “Can you tell me what you think happened?” o “What do you think should be the outcome?” Page 17 13. The nurse manager is planning a team-building exercise for the staff on a medical-surgical unit. Which action is a priority for the manager to take? o Identify reoccurring issues. o Review the schedule for an appropriate date. o Establish clear team goals Page 19 o Research interactive activities14. Which action would a new nurse manager take to develop skills to be an effective resource manager? o Review current financial reports Page 20 o Identify organizational policies that relate to merit increases o Survey the staff about supply use o Develop a budget with client census 15. The nurse manager is applying the nursing process to decision making. Which describes the primary purpose of the analysis and diagnosis phase? o To determine if the problem requires intervention Page 21 o To research the best solution o To gather information about the problem o To objectively weigh the options 16. When implementing change, which rule should the nurse manager follow? o Initiate changes when requested o Involve anyone that will be affected Page 22 o Implement changes quickly o Planning should only involve certain people 17. The nurse manager is facilitating a change in the nurse handoff reporting on a medical-surgical unit. Which action by the nurse manager demonstrates the moving stage of change? o Audit compliance to the new process. o Communicate the new process to staff o Be present during shift change during the first week Page 23 o Finalize the change into policy 18. The nurse manager provides guidance to a new nurse during the care of a client with a complex condition. Which describes the role is the nurse manager demonstrating? o Staff developer o Mentor o Clinical consultant Page 24 o Corporate supporter19. Which action by the nursing manager would best demonstrate caring towards staff members? o Post all client survey results. o Celebrate monthly birthdays with a cake. o Schedule individual meetings with staff to hear their concerns. Page 25 o Develop a biannual employee recognition program. 20. Which situation reported to the nurse manager by the charge nurse is a demonstration of bullying? o An unlicensed assistive personal was caring for a client who fell in the bathroom o The nurse administered the wrong medication to a client o An unlicensed assistive personal was late with a client’s meal tray o The nurse refuses to cover another nurse’s lunch break Page 26 21. Which describes the nurse manager’s priority action when dealing with incivility between two nurses on a unit? o Recognize that incivility is occurring. Page 26 o Determine what the victim of incivility did. o Remind the nurses that incivility if against the policy. o Request that the nurses meet to discuss issues.Budgeting Basics for Nursing Power point 22. Which action by the nurse manager participating in the budget process demonstrates monitoring? o Reviewing the revenue for services to be provided. o Calculate the expected annual staff salaries. o Adjusting the staff assignment based on the client census. Page 7 o Surveying staff to determine which equipment needs to be replaced. 23. Which budget result could impact the nurse manager’s performance evaluation? o Assumptions o Revenue o Overtime use Page 8 o Variances 24. The nurse manager is reviewing the capital expenditures for the budget of an outpatient surgical center. Which item would the nurse manager include? o Monitor the supplies o Staff salaries o Cardiac monitor Page 9 o Staff development workshops 25. The nurse manager is planning a budget using the incremental method for an existing cardiac care unit. What action should the nurse manager take? o Calculate the expense of taking care of one client. o Verify what the revenue would generate from the care of one client. o Determine the expected increase in salaries from the previous year. Page 13 o Predict the average client volume for the unit.26. An organization uses the top-down method for budget development. Which role should the nurse manager expect to take in the budgeting process? o Implementation of the budget Page 15 o Creation of target goals o Identification of operational expenditures o Participation in planning meetings 27. Which describes the time frame the nurse manager should begin developing the budget for the next fiscal year? o Within a month of the new fiscal year. o At least three months before the new fiscal year Page 14 o Every month of the current fiscal year o A year in advance of the new fiscal year. 28. Which initial action will the action should the new nurse manager take when learning to develop a budget? o Meet with the chief financial officer. o Review the organizational budgeting guidelines. Page 16 o Gain an understanding of the cost of care for the unit. o Review budgeting needs for the unit. 29. When reviewing the budget, which factor determines the variance analysis? (Select all that apply. One, some, or all responses may be correct.) o Client census o Employee benefits Page 17 o Supply usage o Employee salaries o Revenue generated 30. The nurse manager is reviewing the variable cost in a budget for a medical-surgical unit. Which type of cost should the nurse manager expert in this category? o Security team o Building maintenance o Supplies Page 18o The number of client days in the hospital 31. When researching interventions that affect the quality and cost of care, which action would be best for the manager to take? o Reduce the use of supplies o Increase the amount of orientation time o Encourage overtime scheduling o Implement a quality improvement project Page 19 32. The nurse manager is developing the budget for a brand-new outpatient clinic. Which resource allocation will be a priority before the clinic generate revenue? o Advertising Page 6 o Housekeeping o Staff development o DécorEffective Communication & Conflict Resolution Power point 33. Which factor influences a person’s interpretation of information? Select all that apply. One, some, or all responses may be correct. o Precipitating event o Past experience Page 4 o Context o Environment o Preconception I got this one wrong. I didn’t C or D 34. The nurse is discussing with a staff nurse a performance review. Which nonverbal behavior by the staff reflects a silent message to the nurse manager? o Arms folded across chest Page 5 o Back straight o Direct eye contact o Feet flat on the ground 35. The nurse manager is preparing to discuss with a staff member who has repeatedly called in how their actions have affected the unit. Which statement by the nurse manager would be best to make? o “Your actions have consequences for everyone.” o “When you call in for your shift, it creates more work for the staff.” o “I am challenged to maintain the quality of care when you call in for your shift.” Page 6 Not 100% on this one. o “You keep putting me in a tough position when you call in for your shift.” 36. The nurse manager is discussing a situation that has occurred between a staff nurse and unlicensed assistive personal. The staff nurse states, “When I work with the UAP, they alwaysignore the client care tasks I have delegated.” Which statement by the nurse manager is most appropriate? o “Have you discussed your concerns with the UAP?” o “Does the UAP perform tasks delegated by other nurses?” o “Tell me about the task you are delegating to the UAP?” o “What I hear you saying is that your clients are not getting the care you expect?” Page 6 37. The nurse manager overhears a client scheduled for surgery state to the nurse. “I am afraid that I will have too much pain when I wake up.” Which response by the nurse would require the nurse manager to intervene? o “That is common after surgery.” Page 7 Not 100% on this one o “You can ask for pain medication.” o “Do you normally have a lot of pain after surgery?” o “Can you tell me more about your fear of pain.” 38. A nurse manager has made a goal to be more available to staff. Which action by the nurse manager would send a conflicting message to staff members? o Keep the office door shut during open office hours. Page 7 o Greet each staff member at the beginning of the shift. o Follow up on emails within 24 hours. o Delegate monthly meetings to charge nurses. 39. The nurse manager is handling conflict between a female staff nurse and a male unlicensed assistive personal. The UAP was delegated hygiene care for a client and was not complete the task. Which statement by the UAP demonstrates a red herring logical fallacy? o “I am not the only one who can do the task.” o “This is because you do not like male UAP.” Page 7 o “You just don’t care how hard I actually work.” o “She thinks she knows everything because she is a nurse.” 40. The nurse observes a social media post by a staff nurse that discusses the care of a client. Which action should the nurse manager take? o Notify the board of nursing.o Inform the client about the post. o Report the post to a supervisor. Page 11 o Request the post to be deleted. 41. The nurse manager id completing a chart audit on the documentation completed by a new nurse. Which documentation statement would require the nurse manager to intervene? o “The client reports feeling unsteady when ambulating with a 1-person assist.” o “The client ambulates daily down the hall safely with a stand-by assist.” o “The client had an unsteady gait ambulating, requiring a 1 person assist to avoid falling.” Page 8 I got this one wrong. I put A o “The client ambulated down the hall requiring a 1 person assist.” 42. The nurse manager overhears a discussion between the charge nurse and staff nurse, discussing the delegation of responsibilities. Which response by the staff nurse demonstrates aggressive communication? o “If you think I need to so this, I will.” o “I guess I will make time to do the task.” o “Who give you the authority to tell me what to do.” Page 9 o “I will do the task since it might be a challenge for you.” 43. The nurse manager is reviewing the communication techniques for different generations. Which strategy would be appropriate for staff who are considered baby boomers? o Email o Formal meetingPage 10 o Group discussions o Printed memo 44. The nurse manager is confronted by a staff nurse who had their vacation request denied. The staff nurse states, “I think this was a mistake; my vacation should have been approved.” Which statement would be the most appropriate response by the nurse manager? o “I understand that this must be frustrating for you.” Page 12 o “You seem upset, but I will not be able to approve your vacation.” o “I am sure it was not a mistake, but we can talk about it.” o “If you can find someone to cover you shift, then I will approve it.” Could also be D. Not sure though45. A prescribed phenytoin 250 mg. the nurse has available phenytoin oral solution 25 mg/5 mL. How many mL should the nurse administer per dose? ___50 ________________ 25mg = 250 mg 25x = 1250 x = 50 mL 5 mL X 25 25 46. A client is prescribed gabapentin 900 mg PO once daily. The nurse has available gabapentin 300 mg/capsule. How many capsules should the nurse administer per dose? ___3 _________ 300 mg = 900 mg 300x = 900 x = 3 caps. 1 cap X . A provider prescribes dextrose 5% in water IV to infuse at 100 mL/hr. The drop factor on the manual IV tubing is 60 gtt/mL. How many mL/hr will the nurse set the IV flow rate? ____100_____ 100 mL x = 100 1 hr 48. A client is prescribed medication of 15 mg/kg/day in 4 equal divided doses. The client weighs 160 lb. How many mg of medication should the client receive per dose? Round you answer to the nearest whole number. ___273____ 160/2.2 = 72.7 72.7*15 = 1090.5 1090.5/4 = 272.625 or 273 49. A client is prescribed an antibiotic 2 grams in 50 mL of 0.9% sodium chloride over 60 minutes. How many mL/hr should the nurse set the infusion pump to administer to the client? Enter numeric value only. ___50____ 50 mL/1hr = 50 50.