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Leadership Test 3 Test sobre Chapter 31, creado por Esmeralda Espitia el 28/03/2020.

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Chapter 31

Pregunta 1 de 25

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1. Nursing professionals in the twenty-first century will accomplish most of their work:

Selecciona una de las siguientes respuestas posibles:

  • a. through teams of internationally prepared professionals.

  • b. in teams and through group work.

  • c. through long term, secure jobs.

  • d. in competitive environments and work groups.

Explicación

Pregunta 2 de 25

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2. Based on studies of workplace environments for nurses and future projections, the workplace of the future will be:

Selecciona una de las siguientes respuestas posibles:

  • a. less intense because of more technology.

  • b. about the same as it is now.

  • c. more intense because of more technology.

  • d. fluctuating between intense periods and less intense periods.

Explicación

Pregunta 3 de 25

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3. Which of the following actions is most representative of how health care of the future might be delivered? As a nurse leader, you:

Selecciona una de las siguientes respuestas posibles:

  • a. refer families who require immediate help to a local food bank. You also work
    with local agencies and families to establish mothers collective in which mothers learn about nutrition and prepare low-cost, nutritious meals that are shared with the mothers in the collective.

  • b. work together with a local agency to set up a free clinic in which addicts and the homeless can receive free health care and prescriptions for immediate needs.

  • c. ensure that individuals who are admitted to your unit are asked about their smoking history and that preoperative and postoperative planning takes into account how smoking will affect status during and after surgery.

  • d. address the health of those who are overweight and obese on your unit by ensuring that hospital meals offer nutritious, healthy food choices that are satisfying.

Explicación

Pregunta 4 de 25

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4. You notice that wait times in your Emergency Department are growing longer, because of factors such as increases in the numbers of persons with chronic disorders, discharge of patients into the community at a higher level of acuity, and limited resources for transfer of inpatients. You begin to think about an application that would use your knowledge of the Emergency Department but also software and business applications and wonder if this would reduce wait times. You have not encountered anything similar to this idea. According to the Wise Forecast Model , you are in what phase?

Selecciona una de las siguientes respuestas posibles:

  • a. Wild thinking

  • b. Act widely

  • c. Think wildly

  • d. Learn widely

Explicación

Pregunta 5 de 25

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5. Your organization is in the middle of re-designing patient care units, with decisions based on best practices and various other sources of evidence. In the middle of the transition, there is a
temporary halt called to the traUnsitSionNbecaTuse ofOa re-design of the health care system and
greater emphasis on primary care. What would be a healthy response to this situation?

Selecciona una de las siguientes respuestas posibles:

  • a. Salvage as much of the original planning as possible so as to reduce expenditures.

  • b. Engage in consultation to create innovative solutions that bridge the existing plans
    and the new directions

  • c. Abandon the current planning in favor of addressing the new trends.

  • d. Continue with the current planning because trends come and go.

Explicación

Pregunta 6 de 25

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6. Your organization is in the middle of re-designing patient care units, with decisions based on best practices and various other sources of evidence. In the middle of the transition, there is a temporary halt called to the transition because of a re-design of the health care system and greater emphasis on primary care. As a manager in this situation, your staff experience a gap between what they expected (the original re-design of the units) and what is actually happening (a need to integrate primary care in some way). According to Selye, the nurses on your nursing team are likely experiencing what?

Selecciona una de las siguientes respuestas posibles:

  • a. Eustress

  • b. Distress

  • c. Stress

  • d. Compression

Explicación

Pregunta 7 de 25

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7. As a nurse manager, it is important to become a “future thinker.” Which is an example of a “future thinker”?

Selecciona una de las siguientes respuestas posibles:

  • a. Keeping traditional practices

  • b. Moving toward evidence-based practices

  • c. Finding less need for more knowledge

  • d. Believing that macromarketing will be a necessity

Explicación

Pregunta 8 de 25

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8. As a team, you and the staff have determined that there is a need to reduce medication errors on your unit. Together, you developed the questions that you would like addressed and searched the literature for relevant research studies. Based on the evidence, you suggested a change to your practices and now are involved in implementation of these changes. Today, there was a major study released that would significantly change what you have decided to do. What are you and your staff experiencing?

Selecciona una de las siguientes respuestas posibles:

  • a. Compression complexity

  • b. Distress

  • c. Information lag

  • d. Technology advancement

Explicación

Pregunta 9 de 25

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9. Nursing research has indicated that the foundation for becoming a nursing leader is the ability to:

Selecciona una de las siguientes respuestas posibles:

  • a. write effectively.

  • b. speak two or three languages.

  • c. focus on day-to-day priorities.

  • d. think futuristically.

Explicación

Pregunta 10 de 25

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10. The chief nursing officer has been developing her portfolio for years. What is the chief nursing officer modeling?

Selecciona una de las siguientes respuestas posibles:

  • a. Her clinical expertise

  • b. Affection for tradition

  • c. Her employability

  • d. Her busy professional life

Explicación

Pregunta 11 de 25

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11. Your unit has several patients who have undergone limb amputation. In working with the
clients, you begin to think beyond therapies such as pharmacotherapeutics and surgery and
you explore biomechanics, robotics, mind-body approaches, and cognitive behavioral
therapies as possibilities in working with these clients. You begin to amass information in
several areas with which you previously had little familiarity. According to the Wise Forecast Model , you are:

Selecciona una de las siguientes respuestas posibles:

  • a. acting wildly.

  • b. learning wildly.

  • c. engaging in interprofessional care.

  • d. increasing your complexity compression.

Explicación

Pregunta 12 de 25

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12. The starfish analogy is exemplified in which of the following?

Selecciona una de las siguientes respuestas posibles:

  • a. A unit manager resigns after continued tension between the administration and her
    regarding implementation of primary nursing. The primary nursing project dies.

  • b. Nurses try to establish a clinic that provides ambulatory care to parents and young children in an impoverished neighborhood. Community members advocate for
    funding from political leaders and insurers.

  • c. Alana, a new graduate, promotes continence care based on evidence. When she
    presents her ideas, senior staff refuses to consider it.

  • d. The head of a community health service moves on to another position. Programs
    are disbanded.

Explicación

Pregunta 13 de 25

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13. Which of the following will require greater attention in the future?

Selecciona una de las siguientes respuestas posibles:

  • a. Chronic disorders

  • b. Obstetrical outcomes

  • c. Prevention of hospital-based errors

  • d. Team conflict resolution strategies

Explicación

Pregunta 14 de 25

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14. Which of the following strategies is most important in developing a strong vision?

Selecciona una de las siguientes respuestas posibles:

  • a. Seeking out evidence to support trends and out-of-the-box thinking

  • b. Spending time with others with whom we discuss ideas

  • c. Setting up focus groups to provide information on current realities

  • d. Being honest and open about what we think for the future

Explicación

Pregunta 15 de 25

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15. To move beyond stereotypical thinking and toward thinking about the future, which of the following would be most consistent with thinking wildly in the Wise Forecast Model©?

Selecciona una de las siguientes respuestas posibles:

  • a. Listing everything that we know about our current situation

  • b. Defining which practices will remain unchanged and which will change

  • c. Asking someone with a great deal of experience to share ideas about best practice

  • d. Challenging current and future practices with questions of “what if?”

Explicación

Pregunta 16 de 25

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16. Which aspect of our tradition and history in nursing may impede our movement toward future-oriented thinking?

Selecciona una de las siguientes respuestas posibles:

  • a. Lack of confidence

  • b. Focus on the discipline of nursing

  • c. Focus on details in the everyday practice

  • d. Mistrust of trends and new evidence

Explicación

Pregunta 17 de 25

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17. A stroke unit experiences numerous changes related to implementation of new technology, a changed nursing care delivery model, and staff turnover within a period of 6 months. Staff members begin to show signs of reluctance to implement any more changes. This exemplifies:

Selecciona una de las siguientes respuestas posibles:

  • a. a poor relationship between leaders and staff.

  • b. lack of knowledge regarding the importance of changes.

  • c. striving to achieve stability during great disequilibrium.

  • d. the importance of chaos in promoting adherence with established practices.

Explicación

Pregunta 18 de 25

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18. A stroke unit experiences numerous changes related to implementation of new technology, a changed nursing care delivery model, and staff turnover within a period of 6 months. Staff members begin to show signs of reluctance to implement any more changes. The phenomenon experienced by the staff is termed:

Selecciona una de las siguientes respuestas posibles:

  • a. eustress.

  • b. care process.

  • c. stereotypical thinking.

  • d. complexity compression.

Explicación

Pregunta 19 de 25

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19. A business condition that may assist forecasting but add to the complexity of change is:

Selecciona una de las siguientes respuestas posibles:

  • a. consulting with professional groups about change.

  • b. researching about trends on futuristic sites.

  • c. asking patients to examine options for change.

  • d. building profit projects and sustainability into planning.

Explicación

Pregunta 20 de 25

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20. Several changes are introduced to a unit, including changes to familiar clinical procedures and the use of WOWs to enable bedside documentation. You, as unit manager, anticipate which of the following will contribute most to complexity compression?

Selecciona una de las siguientes respuestas posibles:

  • a. Meaning of the change

  • b. Pace of changes

  • c. Previous experiences with change

  • d. Confidence of the leader in the value of the change

Explicación

Pregunta 21 de 25

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21. In order to plan long term, you consider what the client of the future will look like. Which of the following client profiles would best capture shifting demographics and trends in health care?

Selecciona una de las siguientes respuestas posibles:

  • a. Younger, knowledgeable about health options

  • b. Female, uses emergency care services for parents and children

  • c. Older, one or more chronic disorders, diverse background

  • d. Male, various occupationally generated disorders, diverse ethnic background

Explicación

Pregunta 22 de 25

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22. You have just hired a recent graduate. The graduate is thrilled with the opportunity that she has been given, as well as with the idea that “working means no more essays, tests, or assignments!” She indicates that she has no intention of touching a book, journal, or health information website for a “long time.” Which of the following would be your best response?

Selecciona una de las siguientes respuestas posibles:

  • information website for a “long time.” Which of the following would be your best response?
    a. The expectations and design of educational programs means that new graduates are
    better prepared for the work force.

  • b. The new graduate will still have to learn, but it will be job-specific learning.

  • c. An ideal learning plan for nurses emphasizes followership.

  • d. The amount and intensity of knowledge demands lifelong learning that includes
    assessment of relevancy of knowledge for practice.

Explicación

Pregunta 23 de 25

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23. A necessary leadership strength for nurses of the future is:

Selecciona una de las siguientes respuestas posibles:

  • a. inspiring others to work their best to create the future.

  • b. understanding the nuances of fundraising to make up funding shortfall.

  • c. guarding the tendency of other professions to encroach on nursing roles.

  • d. adapting work life to an aging nursing work force.

Explicación

Pregunta 24 de 25

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24. Nathan tells you that he has selected nursing as a career because many jobs are available and he will have job security. Your best response to Nathan is:

Selecciona una de las siguientes respuestas posibles:

  • a. “With many young people going overseas, many jobs and options will be
    available. Stable jobs and job security will be part of the nursing employment
    market.”

  • b. “The job market for nurses will be diminished with funding cuts to hospitals.”

  • c. “The employment prospects for nurses are positive with many options to choose from. Flexibility and adaptUabilSity aNre eTssentialOto income security.”

  • d. “It is unlikely that nursing will survive in the long term with funding cuts and a declining population of seniors.”

Explicación

Pregunta 25 de 25

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1. In developing curricula that will address needs based on forecasts for the future, nursing educators need to contemplate: (Select all that apply.)

Selecciona una o más de las siguientes respuestas posibles:

  • a. prevention strategies.

  • b. leadership skills and knowledge.

  • c. violence de-escalation strategies.

  • d. strategies for job security.

Explicación

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