Deck 1: Introducing Nursing Management

Question 1

The organization that awards Magnet status would look for environments where which practices are the norm? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Nurses are involved in decision making.
B) Rewards are focused on ideas that save money.
C) Once a decision is made, it stands.
D) Nurses may be asked to work overtime.
E) Nurses are involved in educating the community about health.

Answer 1

Nurses are involved in decision making.
Nurses are involved in educating the community about health.

Question 2

A client who was discharged yesterday is very upset about the quality of care received during hospitalization for gastric surgery. What options for reporting concerns does this client have? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) There is no mechanism for complaint because the client is no longer hospitalized.
B) The client can indicate dissatisfaction on the survey often sent to clients after discharge.
C) The client can call the hospital administration.
D) The client can make a formal complaint through the American Nursing Association (ANA).
E) The client can make a public report through the Agency for Healthcare Research and Quality (AHRQ).

Answer 2

The client can indicate dissatisfaction on the survey often sent to clients after discharge.
The client can call the hospital administration.
The client can make a public report through the Agency for Healthcare Research and Quality (AHRQ).

Question 3

The nurse manager asks a staff nurse why a procedure is done in a certain manner. The nurse replies, "I don't know why I started doing it this way. I've never read any research on it, but this technique always works for me." The manager would place this technique into which category of evidence?

A) Case study
B) Anecdotal
C) Nonexperimental design research
D) Statistical

Answer 3

Anecdotal

Question 4

The nurse manager's expected outcome is to increase evidence-based practice on the nursing unit. To meet this outcome, the manager encourages nurses to base their practice on which technique?

A) Intuition
B) Personal clinical experience
C) Knowledge from nursing school
D) Current research

Question 5

The quality management director of a large healthcare conglomerate wishes to initiate benchmarking strategies to assess care. Which directive should this manager publish?

A) We will compare outcome indicators with other healthcare conglomerates of similar size and organization.
B) Outcome data of hospitals within the organization will be compared to assess quality.
C) Each client care unit in the organization will establish specific unit goals for quality.
D) Each unit in the organization will create a quality monitor to assess how well unit policies are followed.

Question 6

A client needs a high-risk surgical procedure. According to the Leapfrog Group, the client should choose which hospital for care during this procedure?

A) The hospital closest to the client's home
B) The hospital that has done the greatest number of these surgeries in the last two years
C) The hospital chosen by the client's primary healthcare provider
D) The hospital with the highest performance ratings for this procedure

Question 7

A healthcare system is considering applying to the Magnet Recognition Program. The leaders of this health system should prepare to address ________ qualities or "Forces of Magnetism."

Question 8

Hospital administration is considering the purchase of a robotic pharmacy system. What would be the advantage of this system to the nurses who work in the hospital?

A) The nurse will be able to leave out some of the six rights of medication administration because the robot checks the medications.
B) The nurse should get medications more quickly because the robot can work more consistently without breaks.
C) The nurse can delegate medication administration to the nursing assistant because the medications have already been checked.
D) The nurse can expect that medication administration will be easier and carry less potential for error.

Question 9

The nurse manager overhears staff discussing the shortage of nurses. Which statement by a staff member would the manager evaluate as misinformation?

A) "There are more nurses retiring than are entering the profession."
B) "The demand for nurses is declining because of fewer hospital admissions."
C) "There are insufficient numbers of nursing faculty to teach interested students."
D) "Women still outnumber men in nursing."

Question 10

A healthcare organization has just achieved Magnet status. During the award ceremony, the organization's chief executive officer should give primary praise for this achievement to which employees? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Medical staff
B) Nurse executive
C) Staff nurses
D) Managers in support services such as laboratory and radiology
E) Administrative professionals overseeing services such as accounting, billing, and medical records

Question 11

A nurse manager is participating in the healthcare organization's strategic planning committee. Which factor is the primary driving force and controlling factor in new initiatives this committee might recommend?

A) Cost of care
B) Access to care
C) Availability of care
D) Quality of care

Question 12

The nurse manager has decided to use evidence-based practice (EBP) to solve an issue and has called staff nurses together for input. Which question, as posed by the manager, reflects the first step of the EBP process?

A) "What outcomes are we expecting from this work?"
B) "Is anyone prepared to evaluate the statistics we will find?"
C) "What is the exact clinical issue with which we are dealing?"
D) "Where can we look for information?"

Question 13

A 70-year-old client develops a catheter-induced urinary tract infection. Which statement by the nurse would indicate to the nurse manager a need for additional understanding of this situation?

A) "I wonder if there was a break of sterility when this catheter was inserted."
B) "Thankfully we can treat this with an antibiotic."
C) "This could potentially cost the hospital a lot of money."
D) "I will talk to my unlicensed assistants about proper urinary catheter care."

Question 14

A nurse manager is directing a team of staff nurses working to solve a clinical problem using evidence-based practice (EBP). Which of the following statements would direct these nurses to the forms of strongest clinical evidence? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) "We may find studies that use only one group of participants."
B) "Look for articles that report on how to use evidence in other clinical situations."
C) "The studies we want are built around the scientific approach to solving problems."
D) "Our focus should be on studies that use both experimental and control groups to determine intervention effectiveness."
E) "Many articles will have information reported by someone who is an expert in the field."

Question 15

Which healthcare situations reflect the philosophy of quality management as designed by Deming? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) A nurse asks visitors to leave because it is after visiting hours.
B) At 2:00 p.m. the nurse orders a lunch tray for a client who has just been removed from nothing by mouth (NPO) status.
C) A nurse tells the manager that a housekeeper's work is not up to standards.
D) A nurse volunteers to take a Spanish language class to be able to communicate with clients.
E) A nurse who has not made a medication error in two years asks for a salary increase.

Question 16

Which organization would the hospital management team contact to pursue certification as a Magnet hospital?

A) Magnet Recognition Program
B) American National Magnet Commission
C) The Joint Commission
D) American Medical Association (AMA)

Question 17

A graduating nurse is deciding which nursing specialty would be a good place to begin a nursing career and ensure long-term stability. Which specialty is most likely to have the greatest growth in need?

A) Pediatric nursing
B) Psychiatric nursing
C) Geriatric nursing
D) Maternity nursing

Question 18

A nurse has been invited to discuss healthcare costs at a senior citizens' club. What information should the nurse plan to include in this discussion?

A) While healthcare costs continue to rise, the percentage of the United States (U.S.) economy spent on healthcare has slowly declined to less than 12%.
B) Regulations brought about by the Patient Protection and Affordable Care Act (PPACA) should bring financial relief to healthcare consumers.
C) The United States spends more money on healthcare than any other country.
D) Healthcare spending in the United States is slowly declining due to passage of bills such as the Patient Protection and Affordable Care Act (PPACA).

Question 19

The nurse is trying to understand why it has taken so long for electronic health records (EHRs) to be used in healthcare. Which statement is a reason for this delay?

A) Medical records professionals do not like these records.
B) The use of these records is more expensive than the use of paper records.
C) There have been concerns about privacy and confidentiality.
D) The transition to EHRs is time consuming and tedious.

Question 20

Which strategy is most likely to increase participation in the use of evidence-based practice in nursing?

A) Ensure adequate training and encourage its use by the nursing staff.
B) Elicit employee opinions of its use at least four times per year.
C) Give those nurses willing to use it extra recognition.
D) Ensure adequate training, recognition, and easy access to the internet.

Question 21

A newly licensed nurse received specific knowledge of management skills while in nursing school. What does the nurse need now?

A) Nothing until the nurse has acquired enough bedside experience to become a manager
B) Time to see how these skills will be needed in the future
C) A manager who can help with skills transfer from school to work
D) A job working as a manager in a small hospital

Question 22

The nurse manager has four different generations represented in the nursing staff on the unit. What statements indicate the manager is wise about how to deal with this generational mix? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) "I don't see why everyone can't just get along."
B) "Generation X nurses are just lazy."
C) "Our Generation Y nurses help keep us all up on new technology."
D) "The most loyal of all my nurses are the traditionalists."
E) "I expect that our next manager will come from my group of baby boomers."

Question 23

To be effective in today's healthcare system, the nurse manager must be aware of which trends? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) An environment that does not change
B) Decreasing resources
C) Adequate staffing
D) Increasing numbers of retirees
E) Complicated technology

Question 24

A nurse executive is considering initiating a blog to enhance communication among staff nurses, managers, and supervisors throughout the organization's different campuses. What serious considerations should the nurse make prior to starting a blog? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Open access to the blog may damage recruiting efforts.
B) Blogs are difficult to use and expensive to maintain.
C) Users of the blog must be very careful not to divulge any information that would violate client confidentiality.
D) The organization's reputation may be altered by a blog.
E) Most nurses would likely not use the blog.

Question 25

The administrators of a small hospital are revising its disaster plan. What should be the primary focus of this plan? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Preparing for a surge of casualties in case of a disaster
B) How to prevent disasters from occurring
C) How to fund disaster management
D) How to reduce disaster impact on clients and staff
E) How to identify risks for disasters

Question 26

Quality and Safety Education for Nurses (QSEN) is based on quality and safety targets of knowledge, skills, and attitudes (KSAs) for nursing education. Which targets are associated with QSEN competencies? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Education
B) Teamwork
C) Autonomy
D) Quality improvement
E) Client-centered care

Question 27

To meet the Institute of Medicine (IOM) recommendation, nursing should strive to have ________% of nurses prepared at the baccalaureate or higher level by 2020.

Question 28

The nurse is using Evidence-based practice (EBP) to improve clinical quality. What steps should the nurse plan to include in this process? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Assess the outcome
B) Discuss challenges
C) Identify the clinical question
D) Compare other models
E) Apply the evidence

Question 29

Which manager statement reflects concern about the most important requirement for today's nurse manager?

A) "I am taking a day off tomorrow for my annual physical."
B) "I think this class will help me learn to be innovative."
C) "I am committed to being a good manager."
D) "I feel enthusiastic about our new plans for the units."

Question 30

Procedural changes are being planned on the unit as a direct result of client satisfaction surveys. Which individual is most strategically placed to handle how these changes are initiated?

A) Staff nurse
B) Nurse manager
C) Chief financial officer (CFO)
D) Chief executive officer (CEO)

Question 31

A nursing curriculum includes integrated content on critical thinking. Which statement reflects movement toward designing the curriculum to meet Carnegie Foundation recommendations?

A) "We must find ways to increase our emphasis on critical thinking."
B) "The curriculum must focus on ways nurses can quickly and accurately acquire information."
C) "Our emphasis must change to improving nursing students' clinical reasoning skills."
D) "Our clinical practicums must be graded separately from our theory presentations."