EXTRA COACHING FOR SET 25 (PRINCIPLE OF MANAGEMENT)
1. Which of the following is a common characteristic of all systems?
a) Deliver selective care only
b) Deliver a whole continuum of care
c) Treat patients only in the hospital
d) Provide care only in the primary care setting
2. Quality management and benchmarking are two approaches used to improve the
quality of care. The major difference between these two approaches is which of
the following?
a) Quality management is not useful in the outpatient setting.
b) Benchmarking compares outcomes in a variety of settings and disciplines.
c) Quality management is used only in the primary care setting.
d) Benchmarking looks only at outcomes specific to nursing.
3. Cultural diversity presents an important challenge to nurse managers due to which
of the following?
a) A nursing shortage exists.
b) Staff nurses are not trained to be culturally sensitive.
c) 80% of nursing staff comes from one or more minority groups
d) The increase in cultural diversity is seen both in the patient population and the
nursing staff.
4. One of the most important driving forces behind health care policy changes is
which of the following?
a) New technology
b) Outsourcing of services
c) Emerging role of nurse practitioners
d) Ability to pay for health care
5. Which of the following is an important emerging challenge to changes in health
care?
a) Decrease in immigration
b) Nursing staff shortages
c) Bioterrorism
d) Increased surgical procedures
6. Advanced technology in health care, such as integrated health records, has
allowed the nurse to do which of the following?
a) Skip the assessment step of the nursing process
b) Order medications
c) Take blood samples
d) Track patients' vital signs
7. A staff nurse attends a continuing education class on advanced technology in
health care. The nurse manager should interpret this as which of the following?
a) Only important for nurse managers
b) Not important
c) A waste of time
d) Essential to nursing care
8. The nurse manager is talking with the CNA about her time management. Which of
the following is an example of a nurse manager as coach?
a) "Your timely response to patients' call lights is exemplary."
b) "Your appearance is seldom professional."
c) "You must get the vital signs taken on time or you will be disciplined."
d) "You never report AM blood sugar levels on time."
9. Which of the following skills is essential for nurses in today's health care
environment?
a) Communication
b) Supervision & Management
c) Delegation
d) d) All of above
10. In our culturally diverse society, barriers to health care result from:
a) . Prejudice.
b) Different socioeconomic status.
c) Differences in language.
d) All of above
11.Which of the following scenarios would be an example of shared governance on a
nursing unit?
a) Staff nurses delegate activities to CNAs.
b) Procedure manuals are written by a committee of nurse managers.
c) Staff nurses and CNAs make their own schedules.
d) A unit manager seeks advice from her supervisor.
12.Which of the following are essential components of strategic planning?
a) Values
b) Vision & Mission statement
c) Reengineering
d) A & B
13.While interviewing for a position at City Hospital, the nurse asks about the
organizational structure of the institution. She is told that hospital is organized
into departments based on specialty (e., nursing, dietary, pharmacy, etc.). Based
on what you know about organizational structure, select the structure in this
example.
a) Parallel
b) Functional
c) Service-integrated
d) Matrix
14.Achieving Magnet Hospital designation offers hospitals the following advantages:
(Select all that apply.)
a) Greater client satisfaction.
b) Improved nursing recruitment.
c) Greater client workload.
d) Nurses who are independent decision makers.
15.The nurse is developing a critical pathway for congestive heart failure (CHF).
Which components are essential to include? (Select all that apply.)
a) Expected length of stay
b) Assigned staff nurse
c) Patient outcomes
d) Medical diagnosis
16.A staff nurse is working with a patient who is on a critical pathway for education
in preparation for home care. Which one of the following responsibilities would
the nurse address first?
a) Taking vital signs
b) Answering the client's questions
c) Evaluating client teaching
d) Reviewing the information with the client and family
17.What are the key elements essential to implementation of case management?
(Select all that apply.)
a) Collaborative practice teams
b) Established critical pathways
c) Quality management system
d) All of above
18.The staff nurse is caring for the client with total accountability and is in continual
communication with the client, the family, the physicians, and other members of
the health care team. This type of nursing delivery system is known as:
a) Total patient care
b) Qualified nurse case managers
c) Established critical pathways
d) Quality management system
19.A high-volume maternity unit uses differentiated practice as its staffing model. As
a new graduate employed on this unit, the nurse can expect that:
a) Evidence-based practice guides risk management principles.
b) Client teaching is the responsibility of the team leader.
c) The initial level of practice responsibility will be limited.
d) Seniority is the main determination of client assignments.
20.Which of the following types of leadership behaviors would be most useful when
managing a staff of newly trained CNAs (Certified Nursing Assisstants)?
a) Achievement-oriented
b) Supportive
c) Participative
d) Directive
21.Which of the following leaders would be considered a transformational leader?
a) The supervisor of a unit who requests staff to work overtime.
b) The unit secretary who encourages staff to use the proper forms.
c) A unit manager who reminds a CNA (Certified Nursing Assistant) to work on
time management skills.
d) The Advanced Practice Nurse who encourages a staff nurse to pursue
additional education for career advancement.
22.The complexities of the current health care delivery systems require a variety of
leadership styles. Which of the following is one that has emerged in response to
these changes?
a) Quantum
b) Servant
c) Autocratic
d) Democratic
23.A ___________ manager supervises a number of first-level managers, usually
within related specialties.
a) self-directed
b) first-level
c) middle-level
d) self-motivated
24.In determining a way to make shift change more effective for the nurse and the
client, a hospital implemented a course of action. After a week of implementation,
the decision was deemed inappropriate. What step of Roger's diffusion of
innovations is this?
a) Confirmation
b) Implementation
c) Knowledge
d) Persuasion
25.When is the time to make people think about the routines that have been
previously followed and to consider what might be a better plan of action?
a) Collection of data
b) Planning
c) Analyzing data
d) Identification
