Leadership NUR 4120 Chapter 7

Leadership NUR 4120 Chapter 7 A nurse is considering applying for employment at a new health-care facility. How should the nurse best identify the aims and priorities of the organization? a. Review the organization's mission statement. b. Speak with as many front-line workers as possible. c. Ask interviewers about recent responses to consumer satisfaction surveys. d. Review the organization's policy and procedures documents. - A The nurse is participating in a planning process in a large health-care organization. The nurse and the other members of the team should: a. avoid specifics so that the plan can be applied in any health-care setting. b. ensure that long-term priorities are always prioritized over short-term priorities. c. ensure that evaluation occurs at several points during the process. d. begin to engage employees in the process after the plan has been implemented. - C Which is a true statement about planning? a. All plans should be defined at the outset so that changes are not necessary. b. Long- and short-range plans should be kept separate so priorities do not become confused. c. Objectives and goals must be established before the philosophy is written. d. All plans should be flexible to accommodate changing circumstances. - D A nurse is participating in the process of values clarification. What are the characteristics of a true value? Select all that apply. a. It is freely chosen from among alternatives. b. It aligns with the dominant values of society. c. It is prized and cherished. d. It is positively affirmed. e. It is acted upon. - A, C, D, E Which statement is an example of a process objective? a. "Every nurse will screen newly admitted clients for alcohol abuse." b. "The falls rate on the unit will decrease by 50% compared with 2016 rates." c. "The health-care facility will achieve accreditation within the next 24 months." d. "The new bowel care protocol will be fully implemented by the end of the calendar year." - A A leader has launched an organizational planning process that requires the development of new policies. How should the leader utilize subordinates during this process? a. Delegate the evaluation phase of organizational planning to subordinates. b. Ask subordinates to brainstorm alternatives and then have industry experts evaluate each alternative. c. Limit the involvement of subordinates to developing unit-level policies and procedures. d. Include subordinates early in the process and include them in all aspects of policy formation. - D The manager is leading a team to develop a unit-level philosophy statement. What guideline should the team use during this process? a. The unit philosophy should align with the larger organization's philosophy. b. The unit's philosophy should include a mission statement and vision statement. c. The statement should reflect the values and priorities of the specific unit manager. d. The statement should be consistent with that of other similar health-care agencies. - A A new nurse on the unit has been criticized for deviated from the accepted model of end-of-shift report, even though there is no written policy about the content or format for report. Which term is used for this type of policy? a. Implied policies b. Expressed policies c. Understood precedents d. The organizational culture - A A health-care organization has adopted a new philosophy statement. What observation best shows that the philosophy is being implemented? a. The philosophy is displayed prominently in client care areas and staff areas. b. The philosophy aligns with the organization's vision and mission. c. The philosophy is reflected in the care that clients and families receive. d. The philosophy was created by an interdisciplinary group that included nurses. - C A recent nursing graduate has not performed a dressing change on a central catheter for several months and is unsure of how to correctly perform this. The nurse should refer to the: a. documentation. b. practice rules. c. organization policy. d. procedure manual. - D A nurse-manager recognizes the role that individual values play on decision making. How should the manager best address this fact during a period of organizational planning? a. The manager should carefully reflect on his or her most important values. b. The manager should make every attempt to set aside his or her values when making decisions. c. The manager should seek individuals who have similar values when creating a decision-making team. d. The manager should seek individuals who claim to have flexible values when creating a decision-making team. - A A nurse has been asked to join the health-care organization's strategic planning committee. What actions should the committee perform in order to create an efficient and evidence-based planning process? Select all that apply. a. Enlist members with expertise in health-care economics. b. Carefully consider political issues related to health care. c. Prioritize the role of intuition in the planning process. d. Identify and implement a planning theory. e. Include as many stakeholders as possible in the planning process. - A, B, D, E Which statement best describes an emerging paradigm that is likely to influence strategic planning for health care in the 21st century? a. Reduced emphasis on cost containment b. Reduced regulatory oversight of health-care organizations c. A shift from interdependence of health-care professionals to greater autonomy d. Continued increases in the cost of pharmaceuticals - D Which element should influence the nurse executive most heavily when assessing the organization's philosophy of nursing services for possible revision? a. Consumer surveys b. Input from other health disciplines c. The organization's mission statement d. Policy statements - C A nurse-manager can implement the principles of preactive planning by: a. responding quickly to emergent problems. b. using new technologies to accelerate change. c. preferring the status quo as a stable environment. d. directing planning in response to a crisis. - B A manager has been experiencing challenges during a planning process and must implement strategies to overcome barriers that impede planning. What is the manager's best action? a. Reevaluate whether the goals and objectives are appropriate and achievable. b. Establish a fixed goal that is unaffected by changes in the organization. c. Limit membership in the planning team to administrators, leaders, and executives. d. Make the goals of the plan more general so that they can be more easily achieved. - A A nurse-manager is creating an organizational plan. What characteristic of the plan is more likely to promote success? a. A midterm evaluation of the planning process b. Several predefined evaluation checkpoints c. The rejection of any earlier plans that did not succeed d. Overplanning to accommodate predicted lapses in the planning process - B At the unit level, what time frame may be considered long-range planning? a. 3 months b. 6 months c. 12 months d. 18 months - B, C, D The nurse-manager is on a team that is performing a SWOT analysis of the staffing system at a community clinic. What should the manager do when addressing the "S" component of the SWOT analysis? a. Identify stakeholders in the current staffing system. b. Examine the factors indicating that a change in the staffing system is necessary. c. Identify any characteristics of the staffing system that currently help the clinic meet its goals. d. Strategize about ways that the staffing system could possibly be improved. - C One of the most commonly used tools in health-care organizations is SWOT analysis. What is the definition of the "O" component of this model? a. Internal attributes that help an organization achieve its objectives b. Internal attributes that challenge an organization in achieving its objectives c. External conditions that promote achievement of organizational objectives d. External conditions that challenge or threaten the achievement of organizational objectives - C The nurse-manager is participating in organizational planning. Which factors should the team consider when identifying variables that may complicate the planning process? Select all that apply. a. Government regulations b. Rapidly changing technologies c. Decreased acknowledgement of the importance of planning d. Changing population demographics e. Public mistrust of the nursing profession - A, B, D An organization is considering a revision to its philosophy. What characteristic of the current philosophy would most clearly indicate a need for revision? a. The philosophy is more than 5 years old. b. Staff claim the stated unit philosophy is in contrast to the care that is being given. c. The philosophy was appropriated from a different health-care facility. d. The philosophy was created after the organization's vision and mission were determined. - B Which statement regarding nursing policies and procedures is most important to their successful application in achieving goals? a. The policies and procedures are created by staff representatives. b. All policies and practices are based on current evidence related to practice. c. Policies and procedures are reviewed at fixed times, every 5 years. d. One hundred percent of the staff adheres to established policies and procedures 100% of the time. - B The nurse-manager is reviewing the rules that the previous manager had put into place. When reviewing these rules, what principles should guide the manager's actions? Select all that apply. a. Rules should be flexible. b. The number of rules should be kept to a minimum. c. Rules should be changed on a regular basis. d. Enforcement of the rules supports staff morale. e. Consistent rule enforcement supports organizational structure. - A, B, D, E Which statements concerning the role of the leader-manager in organizational planning are true? Select all that apply. a. The leader-manager must be future-oriented. b. The leader-manager has to be willing to take risks. c. The leader-manager should possess human resource management skills. d. The leader-manager must evaluate the social climate that affects the organization. e. The leader-manager must be the most experienced clinician in the organization. - A, B, C, D The manager of a clinic is considering a change in the scheduling of vacation time in which nurses would self-schedule their vacation rather than having the manager respond to their submitted requests. A nurse has pointed out that it is possible that newer nurses may feel intimidated by more experienced nurses on the unit when scheduling their vacation. This observation constitutes what component of a SWOT analysis? a. S b. W c. O d. T - B A nurse-manager is on a strategic planning team that is applying the balanced scorecard while strategic planning. The team should specifically consider what variables when creating the scorecard? Select all that apply. a. Legislation that governs the organization's operations b. The health-care organization's budget c. Goals identified by similar organizations d. The existing processes that are in place e. Opportunities for learning and growth f. Feedback that clients and families have provided - B, D, E, F A nurse-manager has been asked for the first time to join the health-care facility's strategic planning committee. What action should the manager take first? a. Approach potential mentors on the committee. b. Perform a SWOT analysis of the issues facing the committee. c. Identify and examine his or her own planning style. d. Review the committee's most recent Balanced Scorecard. - C A society that highly values social equity and equality is likely to support a health-care system which: a. prioritizes the role of the free market in providing health-care services. b. entitles all citizens to similar levels of health-care services. c. relies on the private sector to organize and provide health care. d. is cost-effective and efficient. - B A nurse-manager has identified the following objective for the care on the unit: "At least 95% of new clients' health records will contain a completed assessment for intimate partner violence." How should the manager improve this objective? a. Increase the objective to 100% of health records. b. Include the rationale for the objective. c. Focus on client actions rather than documentation. d. Include a time frame in the statement. - D