Essentials Of Nursing Leadership And Management 6th Edition By Weiss-Tappen – Test Bank

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Essentials Of Nursing Leadership And Management 6th Edition By Weiss-Tappen – Test Bank

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Chapter 2: Manager

 

 

 

MULTIPLE CHOICE

 

 

 

1. The role of the manager includes:
2. Interpersonal, informational, and decisional actions.
3. Extroverted personality, hidden agenda, and personal gain.
4. Introversion, asking questions, and inability to take action.
5. Extreme prejudice, being unknowledgeable, and being uncaring.

 

 

 

 

2. Sally meets with all the staff to get input on the governance of the unit. Her management style is most likely:
3. Autocratic.
4. Participative.
5. Directive.
6. Permissive.

 

 

 

 

3. During a code, Sue begins giving orders to the staff. Her management style at this time is:
4. Nondirective.
5. Permissive.
6. Controlling.
7. Participative.

 

 

 

 

4. An example of a human relations–oriented manager is one who:
5. Motivates employees to work to their highest potential.
6. Uses control rather than guidance.
7. Assumes close supervision over staff development.
8. Implements punishment rather than rewards.

 

 

 

5. Which of the following qualities would be detrimental to effective nursing management?
6. Leadership
7. Clinical expertise
8. Business sense
9. Minimum communication

 

 

 

 

6. Michelle believes that her employees operate from the theory Y philosophy. Based on this, how would she assist them in developing a scheduling plan for the unit?
7. Send a completed schedule for 2 months out over e-mail.
8. Ask for a committee of volunteers to develop the schedule.
9. Meet with each employee to get his or her input about the best scheduling plan.
10. Delegate scheduling to her assistant nurse manager.

 

 

 

 

7. Nancy has been working as an RN in acute care for 4 months. She has been offered the evening supervisor position at a local nursing home. The salary is attractive. What should be her main consideration prior to accepting this position?
8. Her clinical expertise, business sense, and leadership skills
9. Staffing ratios and number of RNs on the evening shift
10. Vacation, sick time, and tuition reimbursement
11. Mission and philosophy of the facility

 

 

 

 

8. Which of the following actions would be typical for a manager who adheres to the scientific management approach?
9. Reads research studies on management
10. Stays in touch with his or her feelings
11. Carefully works out the time each patient care task should take
12. Allows staff to develop and enforce their own holiday schedule

 

 

 

9. Servant leadership is best described as:
10. An “employees first” attitude.
11. An emphasis on serving the patient.
12. A laissez-faire approach.
13. Multitasking as much as possible.

 

 

 

10. Which of the following is an example of the decisional activities of a manager?
11. Providing leadership
12. Encouraging continuing education
13. Coaching employees
14. Completing staff evaluations

 

 

 

 

11. What is the “essence” of management?
12. Providing close supervision
13. Getting work done through others
14. Constant monitoring of unit expenses
15. Developing staff

 

 

 

12. A new graduate has been offered a nurse manager position. What is the graduate’s best response?
13. “Thank you, but I’m not ready to be a manager.”
14. “When can I start?”
15. “What is the starting salary?”
16. “Tell me what the benefits of the position are.”

 

 

 

 

13. Which of the following is an example of the interpersonal responsibilities of a manager?
14. Performing job analysis and redesign
15. Hiring new employees
16. Speaking on behalf of unit staff
17. Resolving conflict

 

 

 

 

14. Which of the following is an example of the informational responsibilities of a nurse manager?
15. Reporting the unit’s major accomplishments of the past year
16. Preparing the annual budget for the unit
17. Distributing year-end bonuses
18. Resolving a stalemate with unionized employees

 

 

 

 

15. Which of the following statements reflect a theory X approach?
16. “My staff really care about their patients.”
17. “People will do as little work as they can get away with.”
18. “Nurse managers should treat unit staff as individuals.”
19. “Sometimes it is necessary to threaten to fire a staff member.”

 

Chapter 4: Questions of Value and Ethics

 

 

 

MULTIPLE CHOICE

 

 

 

1. Which of the following would be considered an extrinsic value?
2. Food
3. Water
4. Money
5. Shelter

 

 

2. A patient has been suffering from senile dementia, Alzheimer’s type, for over 5 years. Her family has kept her at home, and each member has participated in her care. The community health nurse has been supporting the family in this effort. Recently, the patient has stopped interacting with the family, refuses to eat, and sleeps a great deal. The family is conflicted over how to care for their dying mother. The nurse understands that her role in this conflict is to:
3. Say nothing; this is a family issue.
4. Speak with the members individually and persuade them to do “what is best for their mother.”
5. Discuss the conflicting opinions with the physician.
6. Persuade the family members to meet together to express their feelings to one another.

 

 

 

3. A patient received the wrong dose of a narcotic, and the error was caught during the shift’s narcotic count. The nurse performing the count was not the nurse who signed out the medication. The nurse’s next action should be to:
4. Speak about the error with the nurse who gave the medication.
5. Report the medication error without first consulting the nurse who signed out the medication.
6. Call the nurse manager and ask her to handle the situation.
7. Write out an incident report.

 

 

 

 

4. A family insists that their father not be told he is dying of lung cancer. While hanging his IV medication, the patient asks the nurse, “I never had a medication in a bag like that. What is it for?” The nurse knows that the medication is an antineoplastic agent. The best response by the nurse is:
5. “This is a new drug your physician ordered.”
6. “This medication is often used in the treatment of cancer.”
7. “This medication has more than one use, and I am not sure why you are receiving it.”
8. Request that the family tell him why he is getting the medication.

 

 

 

5. A patient has breast cancer. She was diagnosed quite late in the illness and is terminal. She knows that she has breast cancer and has undergone a mastectomy. No one has told her the extent of her illness. The nurse comes in to change her dressings and hang her medication. The patient looks at the nurse and asks, “What is happening to me? Why won’t anyone explain what is happening to me?” Her husband, Mike, and two daughters look at the nurse and shake their heads, “No.” The best response by the nurse is:
6. “You seem distressed; let’s talk about your concerns.”
7. “You know you are ill; let’s talk about dying.”
8. “You seem concerned about your health; talk to the doctor when he comes in to see you.”
9. “Mike, you need to talk to your wife and tell her what is really happening.”

 

 

 

 

6. Nonmaleficence means:
7. Freedom to make decisions for oneself.
8. Doing no harm, either deliberately or unintentionally.
9. Doing good for the benefit of others.
10. Treating everyone equally, regardless of gender, race, religion, or disease.

 

 

 

 

7. The role of ethics committees is to:
8. Resolve ethical dilemmas.
9. Prevent the physician from getting the institution into legal confrontations.
10. Establish guidelines to eliminate ethical dilemmas.
11. Provide appropriate guidance for the health-care team, family members, and the client.

 

 

 

8. Beneficence means:
9. Freedom to make decisions for oneself.
10. Doing no harm, either deliberately or unintentionally.
11. Doing good for the benefit of others.
12. Treating everyone equally, regardless of gender, race, religion, or disease.

 

 

9. A young couple carry the gene for a rare genetic disorder that causes severe mental retardation and physiological problems incompatible with life. They have conceived twice, however, both children had the disorder and died within 2 months after birth. They come to the fertility clinic and tell the nurse, “After you harvest the eggs and fertilize them, throw out all the bad ones, and give us only the good ones.” The best response made by the nurse is:
10. “Now, that’s not very nice.”
11. “We never implant bad embryos; we have a reputation to keep.”
12. “You have to take the good with the bad.”
13. “Let’s talk about your concerns regarding the health of these embryos.”

 

 

 

 

10. A nurse working in the critical care unit is described as being an excellent friend and critical thinker. This would be considered an example of:
11. Virtue ethics.
12. Moral ethics.
13. Nursing ethics.
14. Power ethics.

 

 

 

 

11. A common theme in both the ANA and the ICN code is:
12. A focus on the importance of compassionate care.
13. Nurses making decisions for clients.
14. Promoting nursing practice acts.
15. Maintaining continuing education.

 

 

 

 

12. A new graduate is considering working at a health-care institution that focuses on core values. It is important for the new graduate to:
13. Read the organization’s mission and philosophy.
14. Develop a new set of values that blend with the organization.
15. Speak with other nurses who work in the institution.
16. Both A and C.

 

 

 

 

13. A visitor takes the elevator to the eighth floor to visit her husband who is a patient. The visitor overhears two nurses speaking about her husband. They are discussing his possible prognosis and if he should be told. What ethical principle have the nurses violated?
14. Autonomy
15. Confidentiality
16. Beneficence
17. Justice

 

 

 

14. During the hand-off in the critical care unit, the day shift nurse tells the night nurse that the patient who was admitted for hepatitis and a subarachnoic hemorrhage is an alcoholic and a heroin addict. The patient is difficult and should be “grateful that his health insurance will pay for this. He doesn’t deserve to take up an ICU bed.” What ethical behavior is the nurse violating?
15. Veracity
16. Discernment
17. Autonomy
18. Compassion

 

 

 

 

15. A nurse is reviewing the health practitioner orders on each of his assigned patients. Which ethical principle is the nurse practicing?
16. Autonomy
17. Beneficence
18. Nonmaleficence
19. Justice

 

 

 

16. A nurse is caring for a patient who has a malignant brain tumor. The patient has undergone several surgeries and radiation therapy to treat the tumor. The health-care provider recommends another surgery. After the health-care provider leaves, the patient tells the nurse he does not want any more treatments. In the role of patient advocate, which action should the nurse take?
17. Indicate the patient’s request in the plan of care
18. Suggest that the patient discuss the decision with the family and health-care provider
19. Remind the patient that this decision violates his religion
20. Tell the patient that he needs to think about this before making a decision

 

 

 

 

17. A patient reports significant pain level of 10 on a scale of 1 to 10 to the nurse who is caring for her on the night shift. The patient tells the nurse that she has been at this level since her surgery earlier in the day. The nurse checks the medication administration record and notes that the patient received hydrocodone 7.5 milligrams/acetaminophen with 500 milligrams (Vicodin) every six hours. The nurse brings the patient one and one-half tablets. The patient says, “I never took that. I only had one white pill.” What action should the nurse take next?
18. Call the pharmacy and request that they send the dose in one tablet
19. Notify the supervisor of the situation
20. Confront the nurse from the previous shift regarding the patient’s report
21. Call the physician and request a different narcotic analgesic

 

 

 

 

18. A nurse is assisting a physician with a lumbar puncture. The nurse notices that the physician broke sterile technique when putting on the sterile gloves. What action should the nurse take next?
19. Tell the physician to stop the procedure immediately to prevent the patient from getting meningitis
20. Discuss the incident with the physician after the procedure is completed so antibiotics may be ordered
21. Notify the medical director of the incident so peers can handle the situation
22. Inform the physician immediately and provide the physician with a new set of sterile gloves

 

 

 

 

19. A nurse is caring for a patient who has pneumocystis pneumonia. The patient refuses to comply with the ordered nebulizer treatments. The nurse understands that the patient has the right to refuse based on:
20. Beneficence.
21. Veracity.
22. Autonomy.
23. Justice.