Chapter 29

1. Role theory has its underpinnings in management theory. Management theories influence managers’ leadership styles. Which of the following styles would a nurse manager be most likely to follow when redesigning the staffing schedule?

2. A nurse manager has worked to bring the staff to participate in and then accept changes in the unit’s mission, so that downsizing can be avoided. How is the nurse manager using change theory for this situation?

3. The nurse manager, as the leader of the unit’s “customer (client) first” initiative, has asked the staff nurses to develop and administer a survey to every client before discharge. In asking the staff nurses to accomplish this task, the nurse manager is demonstrating:

4. A nurse manager is experiencing considerable conflict among staff members because of weekend staffing coverage. During a called staff meeting, the nurse manager asks the disgruntled staff to meet as a group and determine the best staffing practices. In doing this, the nurse manager is using the concept of collaboration to:

5. A nurse manager’s responsibility for financial management involves making budgetary decisions. Budgets that allow the nurse manager to allocate resources at the unit level allow:

6. The nurse manager is anticipating changes on the unit because of managed care. It is up to the manager to “sell” the staff on this care concept. A goal of managed care that the staff must understand is that managed care is:

7. The hospital administrator approves a case management position for a new rehabilitation unit to help reduce costs. In developing the job description, the nurse manager understands that a key element of case management is:

8. In planning a new wing, the nurse manager complies with the workplace safety requirements of the Occupational Safety & Health Administration (OSHA). Which of the following groups is considered to be at high risk for violence in the workplace?

9. Electronic health records (EHRs) are being instituted at Pleasant Valley Hospital. Some of the staff on Unit 4 complain to the manager that acquiring the technologic skills required is too time consuming. They question its value in patient care. The manager responds that:

10. Nurses in the CCU are unhappy and frustrated with their nurse manager. They complain that “nothing is ever good enough for him.” These statements suggest that the nurse manager’s goals may be:

11. While interviewing for a nurse manager position, Ann is asked to give an example of a situation in which she demonstrated leadership. Which of the following examples exemplifies leadership?

12. Budgeting and protection of revenues is a function of:

13. Which of the following is not important in a positive work environment, as defined by the AONE?

14. As a nurse manager on a urology unit, you note that there has been a marked increase in medication errors on the unit. Which of the following actions would be consistent with the National Database of Nursing Quality Indicators (NDNQI) measures?

15. A nurse manager in a hospital is deeply concerned that senior administration makes decisions about budgetary directions that affect staffing and other resources without sharing the rationale for changes or demonstrating concern as to how these changes may affect patients or staff. She says she does not feel respected and is emotionally tired as a result. This situation represents:

16. As a nurse manager, you identify that a shift in nursing care models might increase patient and staff satisfaction and avoid downsizing. Administration is reluctant to adopt this approach because downsizing is seen as critical to reduction of costs. To leverage your ideas, you:

7. Nurses on Unit 17 complain that their manager frequently “checks up on them” and encourages little involvement in decision making and yet, during performance reviews, praises them for their outstanding performance. Nurses on Unit 18 indicate that their experience is different from that of nurses on Unit 17. The manager on Unit 18 encourages active involvement in decision making and provides authentic, growth-promoting feedback. The practices on Units 17 and 18 reflect.

18. The successful integration of informatics into healthcare settings is key to:

19. As a nurse manager, you embrace the usefulness of resources such as Smart Bed. This behavior is important to:

20. A manager who is concerned with ensuring that patients on her surgical unit have the necessary information to make informed choices is:

21. The nurse manager plays a unique role in institutional management in that the nurse manager:

22. In developing an orientation program, the hospital educator breaks essential organizational information down into chunks, which she develops as online modules. This is an application of which of Drucker’s functions of management?

23. Nancy is a staff nurse who works on a rehabilitation unit. Nancy tells you that the assistants are experiencing difficulty with the new lift and wonders what your thoughts are on organizing an in-service training. Nancy is exhibiting which trait of a follower?

1. A nurse manager is discussing with unit staff the repeated lack of staff compliance in documenting exercise activity for post–cardiac surgery clients. The unit’s licensed practical/vocational nurses are responsible for ensuring that clients carry out the prescribed exercise regimen and that the activity is documented. Using Drucker’s five basic functions of a manager, identify appropriate functions for the nurse manager to use when addressing this situation: (Select all that apply.)