Deck 9: Developing Management Skills

Question 1

The management process consists of six functions: planning,staffing,organizing,directing,controlling,and decision making.What might be seen in the planning step of the process?

A)Identifying the problem of the lack of ICU beds
B)Organizing a meeting to address the problem
C)Establishing an alternate site within the hospital for these patients
D)Assigning experienced staff to implement care of these patients

Answer 1

Identifying the problem of the lack of ICU beds

Question 2

The management process consists of six functions: planning,staffing,organizing,directing,controlling,and decision making.What might be seen in the decision-making process?

A)Organizing a meeting to address the problem
B)Establishing an alternate site within the hospital for these patients
C)Assigning experienced staff to implement care of these patients
D)Establishing the new area as a step-down unit

Answer 2

Establishing the new area as a step-down unit

Question 3

The role of the charge nurse is a relatively new role in nursing.What responsibilities would the nurse expect to see from the charge nurse? Select all that apply.

A)Making daily patient care assignments
B)Troubleshooting problems occurring during shift
C)Providing coverage for breaks
D)Taking turns floating to another unit
E)Assisting staff as needed

Answer 3

Making daily patient care assignments
Troubleshooting problems occurring during shift
Assisting staff as needed

Question 4

Which of the following patients should the charge nurse admit to a room with a patient who is confused and incontinent of stool?

A)A postoperative patient
B)A patient with diabetes
C)A patient who is going to surgery later today
D)A patient from the cardiac catheterization lab who is going home in the morning

Question 5

There are three levels of management in nursing.Which action by the nurse would indicate the nurse is a first-line nurse manager?

A)Responding to a patient complaint
B)Deciding to incorporate walking rounds shift report hospitalwide
C)Reevaluating the nursing policy permitting IV push of certain medications by RNs
D)Designating assignment of new admissions

Question 6

The nurse manager receives a telephone call from an RN saying she will be late because of traffic due to an accident.The charge nurse needs to make arrangements for the care of that nurse's team of patients until her arrival.What is the best action to take to ensure the management of those patients until the RN arrives?

A)Distribute the patients evenly to each of the other nurses.
B)The charge nurse will take the assignment until the RN's arrival.
C)Ask the nurse manager to assume care temporarily.
D)Ask the night nurse to stay until the RN's arrival.

Question 7

A patient admitted with an elevated ST-segment myocardial infarction on oxygen per nasal cannula for his diagnosed influenza continues to experience shortness of breath and has no ECG changes.What is the next best action by the RN is best?

A)Call the patient's wife to have her sit with him to calm him.
B)Ask the UAP to obtain a blood glucose level.
C)Call the Rapid Response Team.
D)Ask the charge nurse to check on the other patients.

Question 8

What step in the employment process may have been omitted when the staff appears to be nervous and overly cautious around a new nurse manager?

A)Involvement of human resources in the interview process
B)Involvement of the upper-level manager in the interview process
C)Involvement of the staff in the interview process
D)Involvement of the middle-level manager in the interview process

Question 9

Arrange in order of priority the nurse's actions when a patient admitted with an elevated ST-segment myocardial infarction on droplet precautions and oxygen per nasal cannula for his diagnosed influenza is complaining of shortness of breath with an oxygen saturation of 88%.
1)Call the rapid response team (RRT).
2)Obtain a chest radiograph.
3)Obtain a 12-lead ECG.
4)Initiate a bronchodilator nebulizer treatment.
5)Increase the oxygen concentration 2 L.
6)Repeat the oxygen saturation in 10 minutes.

A)5,3,2,4,6,1
B)1,4,2,5,6,3
C)4,5,6,3,1,2
D)5,4,3,6,2,1

Question 10

Upper-level managers are responsible for the management of the nursing organization of the institution.What activity would the nurse expect to see only from an upper-level manager?

A)Supervising patient care delivery
B)Establishing strategic goals for nursing
C)Maintaining currency in profession
D)Being responsible for activities on the unit 24/7

Question 11

A patient admitted with an elevated ST-segment myocardial infarction (MI)on oxygen per nasal cannula for his diagnosed influenza is complaining of shortness of breath with an oxygen saturation of 88%.Respiratory therapy administers an albuterol treatment that provides no change in the oxygen saturation.What is the next best action by the RN is best?

A)Obtain a 12-lead ECG.
B)Notify the health care provider.
C)Call the patient's wife to have her sit with him to calm him.
D)Ask the UAP to obtain a blood glucose level.

Question 12

Which activity should be considered the highest priority by the RN?

A)Assessment of a stable patient ready for discharge
B)Administration of daily medications
C)Administration of STAT medications
D)Discharge teaching for a patient with heart failure

Question 13

A patient admitted with an elevated ST-segment myocardial infarction on oxygen per nasal cannula for his diagnosed influenza is complaining of shortness of breath with an oxygen saturation of 88%.The albuterol treatment provides no relief.What is the next best action by the RN?

A)Increase the oxygen concentration and recheck the saturation after 10 minutes.
B)Obtain a 12-lead ECG.
C)Notify the health care provider.
D)Call the patient's wife to have her sit with him to calm him.

Question 14

The nurses are complaining about how busy they are this shift.The charge nurse must do which of the following to ensure the safety of the patients and staff for this and future shifts?

A)Take responsibility for a team of patients.
B)Delegate care to the UAPs.
C)Assist the RNs to prioritize their patients and their responsibilities.
D)Call the supervisor for more staff.

Question 15

First-level managers are responsible for the day-to-day activities of the unit.Which activity would the nurse expect to see only from a first-level manager?

A)Making daily staffing assignments
B)Managing the unit's budget
C)Maintaining currency in profession
D)Making daily patient rounds

Question 16

A patient admitted with an elevated ST-segment myocardial infarction on oxygen per nasal cannula for his diagnosed influenza is complaining of shortness of breath with an oxygen saturation of 88%.Which action by the RN is best?

A)Increase the oxygen concentration.
B)Ask respiratory therapy to administer an albuterol treatment.
C)Notify the health care provider.
D)Determine if anxiety could be causing the shortness of breath.

Question 17

Which patient should be considered the highest priority by the nurse manager?

A)A patient who attempts suicide
B)A patient who attempts to escape from the hospital
C)A patient who refuses to eat
D)A patient who refuses her medications

Question 18

Which patient should be considered the highest priority by the new RN?

A)A patient who is requesting his pain medication
B)A patient who is reported by the UAP to be choking
C)A patient who is requiring suctioning per tracheostomy
D)A patient who is requiring discharge instructions who is waiting at the desk with her family

Question 19

Which patient should be considered the highest priority by the charge nurse?

A)A patient who is complaining that no one solve his call light
B)A patient who is threatening to leave AMA with tubes and drains in place from a surgical procedure
C)A confused patient who is attempting to get out of bed
D)A patient who is asking for help to the bathroom

Question 20

Middle-level managers are responsible for planning for changes of the unit.What activity would the nurse expect to see only from a middle-level manager?

A)Maintaining currency in profession
B)Planning for changes within the service line in the organization
C)Being responsible for activities on the unit 24/7
D)Supervising patient care delivery