Leadership M6A1 Module 6 Quiz (Ch 23 - 25) | Questions and Answers

Leadership M6A1 Module 6 Quiz (Ch 23 - 25) | Questions and Answers A client was treated in the hospital for a stroke and was the client's family members assert that the client was discharged too early and did not receive sufficient rehabilitation. The client's early discharge may have been attributable to: the effect of diagnosis-related groups. Which of the following would be considered sentinel events that should be reported to The Joint Commission. Select all that apply. A client experiences nephrotoxicity and requires dialysis because of a medication error. A client with dementia falls and suffers a hip fracture while trying to walk to the bathroom. A client experiences a transfusion reaction after receiving the wrong type of packed red blood cells. A nurse-manager is focusing on management controlling functions that are associated with quality control. What task best addresses this goal? Periodically evaluating the unit mission and philosophy A nurse-manager is overseeing an organization that uses the nursing minimum data set (NMDS). What will the use of the NMDS achieve? Standardizing the collection of nursing data for use by multiple users The nurse is admitting a new client and is reviewing the results of the medication reconciliation. What data will be included in the client's medication reconciliation? Select all that apply The medications that the client was taking prior to admission The list of medications the client has been prescribed by the admitting physician Which action is associated with the nursing leadership role in quality improvement Inspiring staff to establish and maintain high standards regarding patient care What role has The Joint Commission assumed in ensuring quality at the organizational level? Standardizing clinical outcome data collection In order to improve the likelihood that errors in the health-care system will be reported, nurse-managers should foster a climate where analysis of errors is not solely focused on blame. What is the best course of action to stimulate broad participation of employees in quality control efforts? Engage closely with the frontline staff who provide client care Which practice has the U.S. Food and Drug Administration suggested in order to decrease the risk of medication errors? Computerized order entry with a drug bar code system A nurse-manager is participating in a hospital's quality control efforts and is collating data sources. What data source should the manager identify as a qualitative source? Results of interviews with discharged clients A hospital is using the guidelines of the Leapfrog Group to inform safety improvements in the organization. What action will best incorporate these guidelines? Purchasing a computerized physician-provider order entry system A health-care organization has experienced a rise in medical errors and has committed to implementing Leapfrog initiatives. What aspects of health care should the organization address? Select all that apply Ensuring that hospital referrals are evidence-based Utilizing the Leapfrog Safe Practices scores Expanding the use of computerized physician-provider order entry Ensuring that adequately trained intensive care physicians are easily accessible What is the greatest limitation of the Health Plan Employer Data Information Set (HEDIS)? Managed care organizations are not required to collect HEDIS data. A nurse-manager is opposing the expansion of the prospective payment system (PPS). What argument against the PPS should the manager cite The PPS has been linked to a decline in the quality of care. A novice nurse-manager is a member of a team that will oversee quality control in a health-care organization. What action should the nurse and the other members off the team perform first? Determine the specific criteria and standards by which quality will be measured When creating a clinical practice guideline for the management of aggressive behavior on a mental health unit, the nursing committee should perform what action first? Conducting a search of the literature for research results A nurse-manager and several colleagues are reviewing the results of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. These results will allow the team to make what assessment? Clients' perspectives on the care they received High-achieving nursing students were found to have studied in small groups, attended class 100% of the time, took frequent rest breaks during study sessions, and ate a balanced diet for one week before the examination. What type of audit provided data about the students' preparation? Process What task will best allow a health-care organization to benchmark its performance? Comparing the organization's performance with that of best performing institutions What should the manager do in completing an annual performance appraisal? Base the appraisal on a standard to which all are held accountable What goal should the nurse-manager prioritize when preparing performance appraisals? Promotion of employee growth A focus group has been organized so that employees can give feedback on their manager's work performance. What characteristic of the focus group will best ensure a productive and positive process? Have an impartial employee relations officer facilitate the discussion The leadership of a large health-care organization is considering the adoption of Behaviorally Anchored Rating Scales (BARS) for the performance appraisal system. This change in practice may require what task by the nurse-manager? Helping develop a separate rating form for each job classification Following much debate, a health-care organization has adopted a system of peer review for the first time. How can the success of this system be best promoted? Orient employees thoroughly to the purpose and process of the new system Which employee is most likely experiencing the Matthew effect in his or her performance appraisal? A nurse whose performance appraisal has included the same points for several consecutive years A nurse-manager is planning a performance appraisal of an employee who has a number of performance deficiencies. What is the best approach to the performance appraisal of this employee? Acknowledge the employee's strengths, focus on the key deficiencies, and create a long-term coaching plan. The performance appraisal system in a health-care organization has been replaced by performance management. Under this new system, the nurse-manager should perform what actions? Select all that apply. Work with employees to set performance goals Provide coaching to employees on an ongoing basis Provide leadership training to employees One of the experienced nurses on a unit frequently approaches the manager to provide feedback on a recently hired nurse's performance. When preparing the new nurse's performance appraisal, how should the manager integrate the experienced nurse's feedback? Consider the nurse's feedback but supplement it extensively with data from several other sources An inexperienced nurse-manager has been excessively favorable to employees in their performance appraisals in an effort to garner their approval and acceptance. This strategy is likely to lead to what unintended consequence? Employees will be unable to gauge their improvements in subsequent years. The nurse-manager is taking action to avoid the recency effect when conducting employees' performance appraisals. What is the manager's best action? Keep ongoing notes on each employee's performance An inexperienced nurse-manager has provided vague and ambiguous feedback to an employee during a performance appraisal. What is the most likely outcome of this practice? The employee is uncertain of the value of the feedback. A nurse-manager is using management by objectives (MBO) as a performance appraisal tool. When using this form of performance appraisal, the manager should: support employees to help them reach mutually identified goals. An employee believes that the performance appraisal was unfairly influenced by a drug error that the employee committed several weeks ago. The employee states, "The manager focused almost exclusively on this one mistake, and that event characterized my entire appraisal." This employee may have experienced what phenomenon? A horns effect What action should the manager take to arrive at a more fair and accurate assessment during performance appraisals? Written anecdotal notes regarding the employee's performance should be maintained throughout the evaluation period. The nurse-manager recognizes that performance appraisals can be intense and wants to make sure that the process will have a positive outcome for employees. What action best promotes this goal? The employees provide input into developing the performance standards. The nurse-manager has received a memo from the director of human resources stating that the organization will be adopting a performance management system. The manager should recognize what implication of this announcement? Annual performance reviews will likely be discontinued. Which principle should guide the manager's use of self-appraisals for employees? Self-appraisals usually require reflection and introspection on the part of the employee. A nurse-manager is preparing to perform a 360-degree evaluation of a nurse on the unit. What is the manager's best action when preparing to do this type of evaluation? Take action to protect the nurse's right to confidentiality Which factor should the nurse-manager prioritize when writing an employee's performance evaluation? History of completing required tasks A nurse became frustrated with a client and deliberately damaged the medication cart in a subsequent outburst. How should the manager discipline this employee? Written admonishment After the first few months on the job, the nurse-manager has recognized that an experienced practical nurse at the clinic is a marginal employee. What strategy by the manager is most likely to be effective? Create a personalized improvement plan with the nurse and work with the nurse to promote improvement The manager is working with a staff member who has twice arrived late for assigned shifts over the past few weeks. What is the fundamental rationale for conducting a disciplinary conference for this employee? The problem will get worse if it is ignored. A nursing aide has been given a formal written warning regarding arguing repeatedly with the team leader about the given assignment. Today, the nursing aide has taken four lengthy personal phone calls during work time. This is the first offense of this nature. How will the manager deal with this disciplinary situation? Provide a verbal warning that includes the rules related to personal telephone calls Which statement is accurate when describing performance deficiency coaching? It is less spontaneous and requires more planning than ongoing coaching.