LEADERSHIP AND MANAGEMENT FINAL

112問 • 1年前

問題一覧

Controlling is a management function in which performance is measured and corrective action is taken to ensure the accomplishment of goals. What is the PRIMARY task of the nurse manager to have an effective control system?

Identify structure, process, and outcome standards.

Controlling is a management function in which performance is measured and corrective action is taken to ensure the accomplishment of goals. Which of the following is NOT included in the controlling process?

Staff scheduling

Controlling is a management function in which performance is measured and corrective action is taken to ensure the accomplishment of goals. Controlling is effective when?

Clients are satisfied

Controlling is a management function in which performance is measured and corrective action is taken to ensure the accomplishment of goals. Which of the following characteristics of standards is NOT included?

They are subjective measurements

Controlling is a management function in which performance is measured and corrective action is taken to ensure the accomplishment of goals Among the following standards, which is considered a structure standard?

Staff mix and number are determined by the PHN supervisor.

During a staff meeting in the Intensive Care Unit, the nurse manager reported a list of procedures that need to be reviewed and updated. One of these procedures is the precautionary measures related to ventilator-associated pneumonia. While brainstorming, the group mentioned the use of evidence-based methods. Which statement does not refer to this?

"We must agree on a common procedure."

During a staff meeting in the Intensive Care Unit, the nurse manager reported a list of procedures that need to be reviewed and updated. One of these procedures is the precautionary measures related to ventilator-associated pneumonia. The nurse manager assigned a group to develop a project intended to improve the existing procedure related to the prevention of ventilator-associated pneumonia among ICU patients. A team leader was selected by the group. Which of the following will the team leader do FIRST?

Set a target.

During a staff meeting in the Intensive Care Unit, the nurse manager reported a list of procedures that need to be reviewed and updated. One of these procedures is the precautionary measures related to ventilator-associated pneumonia. Which of the following data will be MOST helpful to the group to ensure continuous process improvement?

Incidences of ventilator associated pneumonia during the last month

During a staff meeting in the Intensive Care Unit, the nurse manager reported a list of procedures that need to be reviewed and updated. One of these procedures is the precautionary measures related to ventilator-associated pneumonia. Which of the following actions of the team leader reflect organization? The team leader:

Determined which actions will be done first

During a staff meeting in the Intensive Care Unit, the nurse manager reported a list of procedures that need to be reviewed and updated. One of these procedures is the precautionary measures related to ventilator-associated pneumonia. The group developed revisions to existing procedure. Before the procedure could be implemented as a standard procedure, which of the following will be done FIRST?

Check if procedure is effective via feedback

Nurse Chapell is a manager of a medical unit in a tertiary hospital. She is responsible for the supervision of staff nurses and other health care personnel. Nurse Chapell reminds the nursing staff to safeguard and improve the quality of care given to the patients. Which is a PRIORITY to safeguard nursing practice? Nurses should

understand their professional, legal and ethical obligations and responsibility.

Nurse Chapell is a manager of a medical unit in a tertiary hospital. She is responsible for the supervision of staff nurses and other health care personnel. Nurse Chapell in collaboration with maintenance personnel prepares a safety program which includes periodic inspections of electrical equipment, conduct of fire drills and proper disposal of hazardous wastes. Which component of a quality program do these activities illustrates?

Risk Management Program

Nurse Chapell is a manager of a medical unit in a tertiary hospital. She is responsible for the supervision of staff nurses and other health care personnel. Nurse Chapell reviews a report on the number of patients who slipped on a wet floor and other form of fall incidents. Which is an APPROPRIATE approach for Nurse Chapell to manage the situation?

Apply risk management principles

Nurse Chapell is a manager of a medical unit in a tertiary hospital. She is responsible for the supervision of staff nurses and other health care personnel. Nurse Chapell receives a report that Nurse Roan administered a drug incorrectly to a diabetic patient who needed more than one type of insulin. Nurse Roan's action however did not cause a negative effect on the patient. Which is the most appropriate action for Nurse Chapell to take?

Instruct Nurse Roan to write an incident report

Nurse Chapell is a manager of a medical unit in a tertiary hospital. She is responsible for the supervision of staff nurses and other health care personnel. A patient is admitted for episodes of seizures. Sometimes during the night, the patient fell off from the bed. The night nurse found the patient on the floor. Nurse Beyonce instructs the night nurse to explain what happened. Which of the following BEST describes an incident report? An incident report I., serves as a record of facts surrounding the event II. identifies the people involved, the date, time, and location of the event III. is a part of the patient's medical record IV. can be used in a court of law

I, II, IV

You are employed as a staff nurse in a tertiary government hospital in Quezon City and had a training program with the Red Cross on Disaster Preparedness Management before deciding to work back home in Bukidnon. One day, there was a strong typhoon that hit your place. You are assigned in the surgical ward with 10 patients and across your ward is the Pediatric Unit with 12 patients, but their nurses did not report for duty. Your immediate supervisor ordered you to cover both units temporarily. Which of the following priority actions should you do in this situation?

Identify and cluster patients according to their needs

You are employed as a staff nurse in a tertiary government hospital in Quezon City and had a training program with the Red Cross on Disaster Preparedness Management before deciding to work back home in Bukidnon. One day, there was a strong typhoon that hit your place. Your supervisor is aware that you have a previous experience in the Pediatric Unit. She instructed you to take care of the children while she will take care of the surgical patients. How should you respond?

Accept this assignment as you have the competency to take care of the children

You are employed as a staff nurse in a tertiary government hospital in Quezon City and had a training program with the Red Cross on Disaster Preparedness Management before deciding to work back home in Bukidnon. One day, there was a strong typhoon that hit your place. After a week, the medical director has organized an assembly to recognize the health care personnel who were on duty during the typhoon incident. You were given a certificate of appreciation and a trip to Tagaytay for an advanced training on Disaster and Preparedness program. This incentive is a form of?

personal and professional development

You are employed as a staff nurse in a tertiary government hospital in Quezon City and had a training program with the Red Cross on Disaster Preparedness Management before deciding to work back home in Bukidnon. One day, there was a strong typhoon that hit your place. In line with your career pathway, you decided to enroll in the graduate program leading to clinical specialization. You were offered to become a staff-development coordinator by the chief nurse. What is your appropriate response to this offer?

talk to the chief nurse, and inform her you are still finishing your graduate studies

You are employed as a staff nurse in a tertiary government hospital in Quezon City and had a training program with the Red Cross on Disaster Preparedness Management before deciding to work back home in Bukidnon. One day, there was a strong typhoon that hit your place. Management of resources is a core competency that must be developed by every graduate nurse in the health care facility. Which of the following are the key elements that will facilitate effective and efficient health care? I. workload of staff II. financial resources III.positive practice environment IV. proper functioning of equipment

I, II, III, and IV

Leadership in the community is a basic requirement for people in barangays need direction for them to become self-reliant in the future. The nurse is reviewing another model for depicting leadership called the managerial grid. She is correct in saying that which leadership style promotes low employee satisfaction and low organizational output?

Impoverished

Leadership in the community is a basic requirement for people in barangays need direction for them to become self-reliant in the future. Research on managerial attitudes identified that which approach emphasized attention to the people's needs to affect the satisfaction of relationships?

Country club

Leadership in the community is a basic requirement for people in barangays need direction for them to become self-reliant in the future. If you applied the concepts of Theory Y to describe nurses, which would best describe it?

Nurses use self-direction and self-control to achieve work objectives.

Leadership in the community is a basic requirement for people in barangays need direction for them to become self-reliant in the future. Before she makes a request, the nurse leader comments on how suitable the uniforms are of the staff and how pleasant the "aura" of the staff is. The nurse leader is practicing which strategy of influence?

Ingratiation

Leadership in the community is a basic requirement for people in barangays need direction for them to become self-reliant in the future. Interpersonal strategies that are useful in helping the nurse develop collegial relationships include which of the following? I. Integrity II. Internalizing III.Respect IV. Dependence V. Sense of humor

I, III, & V only

Develop the question or problem statement that best defines the need

Secure evidence

Choose the most relevant information

Apply findings to client with NGT

Nurses working on the Medical Unit are experiencing difficulty stabilizing the client's nasogastric tube. In order to offer the client's best choices of care the nurses should do data gathering. Following the success in stabilizing NGT tube in their unit, the nurses share the literature found on NGT stabilization with nurses in the intensive care unit. In order to reflect currently published knowledge, which of the following appropriate actions should critical care nurses do?

Review all the studies, summarize findings and completely revise NGT stabilization policy

According to Peter Drucker "Management is doing things right." Resource management is the process by which the manager manages their resources effectively. These resources can be intangible (people and time) and tangible (equipment, materials, and finances). It involves planning so that right resources are assigned to the right tasks. Currently, patients in the unit are bathed in the morning between 8 to 11 in the morning. The nursing staff is considering changing the schedule to bathing the patients in the evening between 7 to 9pm. Which statement reflects an assumption that might affect the nursing staff's ability to think critically about the change? I. "The day shift just wants to shift work onto the evening shift." II. "Everyone likes to bathe right before bed." III. "If we let them change this, they will want to make lots of other changes" IV. "I read a research article that reported that clients sleep better if they have been bathed right before bedtime “

I, II, III

Assessment

According to Peter Drucker "Management is doing things right." Resource management is the process by which the manager manages their resources effectively. These resources can be intangible (people and time) and tangible (equipment, materials, and finances). It involves planning so that right resources are assigned to the right tasks. A nurse supervisor who is retiring is helping the new supervisor learn about the position. As part of this education, the current supervisor makes all the decisions that can be made under certainty. What conditions will these decisions have in common? I. There is a risk associated in decision II. The alternatives are known III. The conditions of each alternative are clear IV. The decision is complex and dynamic

II, III

According to Peter Drucker "Management is doing things right." Resource management is the process by which the manager manages their resources effectively. These resources can be intangible (people and time) and tangible (equipment, materials, and finances). It involves planning so that right resources are assigned to the right tasks. A disagreement has arisen between two staff nurses. Both have discussed the situation with the head nurse. The head nurse feels that the problem is likely self-solving. How should the head nurse approach this I. Allow sometime to pass to see if the situation resolves II. Support both nurses as they work thru this issue III. Provide any resources the nurses may need to help solve the problem IV. Intervene if the problem begins to affect client care

I, II, III, IV

Which statement by a formal leader of a surgical unit reflects the personality required to energize the staff and promote creativity? I. "This is the decision I have made, and there is no room for discussion." II. "I would like to thank everyone for you hard work and dedication while we have been short staffed." III. "I am certain that our new assignment system is going to make workload more equitable." IV. "I know this week has been rough."

II, III, IV

If managers are to direct employees effectively and maximize other resources, they must first be able to find the time to do so. In other words, both must become experts at time management. One of the most precious commodities of a nurse manager especially in the community in time. Why?

Time lost is lost forever and can never be recovered.

If managers are to direct mployees effectively and maximize other resources, they must first be able to find the time to do so. In other words, both must become experts at time management. What are aspects of good time management? I. increased productivity II. decreased stress III.ensure high income IV. appropriate prioritization V. enhance satisfaction with care provided

All except III

Allow time for planning, and establish priorities.

Socializing

If managers are to direct mployees effectively and maximize other resources, they must first be able to find the time to do so. In other words, both must become experts at time management. A Gantt chart is one of the most popular and useful ways to handle the manager's time. All statements are true, EXCEPT:

Usually, on the right of the chart is a list of the activities and along the top is a suitable time scale.

Professional and personal developments are required in order to maintain and enhance professional standards and to provide quality, competent, and safe patient care. Identify the element that is the BEST indicator of increasing accountability in the profession of nursing:

Demonstration of competency and high-quality care

Professional and personal developments are required in order to maintain and enhance professional standards and to provide quality, competent, and safe patient care. Which of the following is the MOST important element in nursing's attempt to gain full autonomy of practice?

Gaining and maintaining control of nursing practice by nurses

Professional and personal developments are required in order to maintain and enhance professional standards and to provide quality, competent, and safe patient care. The nurse manager is reviewing information about power to include in a staff presentation on empowerment. Which type of power does the manager possess?

Legitimate

Professional and personal developments are required in order to maintain and enhance professional standards and to provide quality, competent, and safe patient care. What allows a nurse to exert legitimate power over a client when providing nursing care?

The power given to the nurse by reason of licensure examination and registration

Professional and personal developments are required in order to maintain and enhance professional standards and to provide quality, competent, and safe patient care. A nurse is employed by a health care agency that provides an informal training session on how to properly use a new vital sign monitor. Which type of education did the nurse receive?

In-service education

Plan-Do-Study-Act

The Public Health Foundation, an NGO, defines quality improvement in public health as "the use of a deliberate and defined improvement process, such as the PDSA which is focused on activities that are responsive to community needs and improving population health. " Public Health Nurse Billie learned this management process during her undergraduate studies in Nursing. Nurse Billie will use the PDSA when: I. Working towards continuous improvement II. Implementing any change III. Developing a new design of a process or service IV. Completing a designed project V. Planning data collection and analysis to prioritize problems

I，II，III,V

Using the PDSA cycle as a model for defining most of the work processes, the following are some areas of its applications, EXCEPT:

Delegation of work to lower levels

Nurse Billie knows that the purpose of continuous quality improvement is to?

Monitor processes involved in the provision of save, effective client care

To perform the PDSA cycle, Nurse Billie will resort to the use of spacific tools for continuous quality improvement, which includes: 1) Flowcharts 2) Regression analysis 3) Cause and effect diagram 4) Pareto chart 5) Run chart

All of the above

Lizzo, head nurse at the OB-DR ward, is planning to have an in-service training for 25 staff nurses. Based fron needs assessment, the training will be about essential newborn care for 3 days. In order to make the activity a success, which of the following resources would be MOST important?

Budget allocation

Which of the following resources should be requisitioned as TRAINING MATERIAL/SUPPLY?

Bond paper

Based from studies, which among the following is the MOST needed resource of nurses in order to attend in-service training programs?

Time

Evaluation of the training is an important form of feedback in order to improve future offerings. Which of the following should be given MOST emphasis?

Knowledge and skills gained

When asking mothers to become real models for demonstrating breastfeeding, the nurse's MOST important responsibility is which of the following?

Stipend/honorarium

Root cause analysis

Identify the gap in medication administration

Mr. Sam Smeth, a post-operative patient, was given amoxicillin at midnight by the nurse on duty (NOD). The physician asked the patient during his rounds if he has received the drug and the patient answered, "No." The physician clarified the claim from the chart and the NOD. While the medical director is conducting his rounds, he observed the presence of scattered supplies and equipment along the corridor as well as 02 tank not properly secured. The Quality Circle (QC) team was informed about this observation. Which of the following is the BEST strategy to be adopted by the team with this concern?

Identify and prioritize the problem.

The approach adopted by the Quality Circle Team was presented to top management. Which of the following tools is APPROPRIATE to be utilized as a guide for their time management?

Gantt chart

In order to determine if the implementation of the activity is successful, the FIRST step to be done by the team is

prioritize the problem

Which of the following statements is true regarding health care economics?

Contemporary health care is characterized as a business struggling to balance cost and quality

In as much as this is an Obstetrical Ward, what basic equipment/materials should be always available? I. Doppler monitor II. Stirrups III. Oxygen source IV. Intravenous stand

I, II, III & IV

Which of the following emergency medicines should be available at the emergency cart at the labor room? I. Oxytocin II. Calcium gluconate III. Magnesium sulfate IV. Lidocaine

I & IV only

When stocking fluids in the emergency cart, what should Nurse Sabrina instruct nurses? I.Put the recently-delivered at the back of the old stock. II. Put the old stock in front of the newly-delivered ones. III. Check the fluids for sediments and discoloration. IV. Keep the fluids inside a cooler.

II & III only

How will Nurse Sabrina arrange the patients in the ward?

Total Care Patients near the nurses’ station and the Ambulatory Care farthest

You are a newly promoted charge nurse of a department in a tertiary hospital. You review management concepts to prepare you for the position. The following questions pertain to management of resources. You are oriented on health care economics. The study of economics focuses on how choices are made to overcone a scarcity of resources. Which of the following statements best illustrated health care economics? I. Providing less health care services that is optimal in order to contain costs II. Using individual with less knowledge and skill to perform health care services usually performed by people with advanced knowledge and training III. Taking economic risks as a health care provider IV. Providing adequate or appropriate care minimize risk of expensive utilization

III and IV

You understand that a key factor that influence client care is the cost involve. in the delivery of health services. Which of the following resources is not required to support the services delivered by nurses?

Client's environment

You are aware that there is a need for you to understand how to manage the cost of client care as it relates to clinical practice. Which of the following are nurses accountable for?

Distribution and consumption of resources such as time, supplies, drugs, staff, and personnel

While touring the department where you are assigned, you noticed that the supply room is stacked with medical supplies and equipment. Which of the following is the best action you will take?

Request maintenance to sort out the supplies and check the medical equipment to determine if they are still functional

The head nurse of a trauma unit introduces changes to improve the quality of care of trauma patients. The head nurse presented a set of goals to the staff nurses. Which of the following goals is not relevant to improving quality of care? No

Legal suits

The head nurse reviews reports on nurse: staffing. The following findings result to better patient outcomes EXCEPT: A higher

Nurse to patient ratio increases costs

The head nurse determines to reduce medication errors in the trauma unit. She recognizes that medication errors often occur in relation to the following EXCEPT:

Failure to identify non-therapeutic client responses

The head nurse is aware that managing and improving quality care in the trauma unit requires which of the following?

All of the choices

Nurse Sza is a nurse manager of a trauma unit. She supervises the staff nurses and regularly holds conferences with them and other unit personnel. In one meeting, she reorients the staff nurses on their various functions. She cites clinical situations related to a nurses' dependent, interdependent, independent, and collaborative functions. An interdependent function of a nurse is when the nurse

Helps a client choose foods rich in protein from an ordered diet

A nurse decides to give a partial bath to a client instead of a complete bath. The nurse is working

Independently

A nurse works with a skin care team. The nurse is functioning

Interdependently

Nurse Sza initiates a visit from member of the clergy for a terminally ill client. The nurse is functioning

Independently

When a nurse uses a straight catheter to obtain a urine specimen for laboratory test, the nurse is functioning

Dependently

The nurse's work environment plays a vital role in her ability to provide quality patient care. Inadequate resources in health care and unhealthy conditions in the workplace results to nurse's work stress. Burnout is a phenomenon that is best characterized by?

Emotional exhaustion, depersonalization, and reduced personal accomplishment

A common response to unhealthy work environment is physical tension. This can be overcome by progressive muscle relaxation, which basically involves?

Releasing muscle from tension

Bio-behavioral interventions are being used increasingly by both nurses and patients in stress management. The following are examples of such interventions, EXCEPT?

Pharmacotherapy

Ace, a young overweight nurse, is smoking 5 to 10 sticks of cigarettes a day. He claimed that he learned to smoke to relieve his stress caused by toxic assignments in the ward. Along with smoking, he became a stress-eater. He decided to undergo a lifestyle modification, which begins with?

A recognition of the impact of unhealthy habits

Ace has come to realize the need for him to change his ways about smoking. This activity would be considered which stage of change?

Unfreezing

Dr. Pia Alba, a Ph.D graduate in Nursing, has been appointed as a consultant in a tertiary hospital to help administration of coming up to strategies that will further enhance culture of team work and quality improvement (QI) among health personnel in the workplace. One day while conducting her rounds, DI. Pia Alba observed a charge nurse (CN) facilitating a team on reducing post operative complications in her unit of assignment. The nurse was emphasizing the four (4) essential steps of the QI process The FIRST phase of this activity is:

List problems & prioritize

Have the three members confront each other properly.

The CQI team have observed that the incidence of FALL among older persons have increased by 50%. This data has reached Dr. Pia Alba and have instructed the team to conduct which one of the following PRIORITY measures?

Identification of the root cause of falls.

Dr. Pia Alba was initiating some innovative activities in the medical center for a continuous Quality improvement (CQI) in patient care services policy has been adopted for nursing staff every shift to conduct an hourly rounds for patients with PRIORITY health problens and attached policy was beingcomplied with by the nurses however, she found out in the succeeding dates, it was no longer followed. What is the PRIORITY action of Dr. Pia Alba in this situation?

Conduct a general meeting with the staff and determine why such policy is not complied with.

There are several approaches and tools in (QI). One of there is the Fishbone diagran, Developed by K. Ishikawa. Which BEST describes the Fishbone diagram? It is

cause-and-effect diagram

The chief nurse of a large labor and delivery facility in Luzon is tasked to perform budgeting. A budget is:

A plan for the distribution of the organization's resources and a control for making sure that results support that plan

Budgets may be developed in various formats depending on how the organization is structured. Nursing units are typically considered to

cost centers.

Which cost would be considered an indirect cost to the delivery of maternity care at an acute care hospital?

The cost of maintaining a security system to protect against abductions

The chief nurse must include all staff providing services on the unit to the budget. Indirect cost expenditures in the operating budget would include

unit secretary.

An expensive variable in salary budgets is overtime pay. Which of the following is a viable option to reduce overtime?

Using per diem workers

As nurse supervisor of the health center Nurse Ellen intends to enhance her competencies regarding resource management and care of the environment. Which type of planning should the nurse employ to assess the strengths and weakness of the organization?

Strategic

Which BEST describes the planning function of Nurse Ellen in her role as nurse manager?

Determine how to achieve the mandate of work.

To assist them to enhance their performance at work, the nurse manager should review regularly pertaining to the staff's

Job description

Doing year end performance evaluation of the staff is an example of

Controlling

Which is the MOST important criterion in budgeting?

Cost effectiveness

Even if still a staff Nurse, Minda, can well contribute to the management of the resources and environment of her unit. The electric fan in the unit sparks occasionally but continues to function relatively well. Nurse Minda though knows that she

Must have it checked by the maintenance Department immediately

100

The electric fan now stops every now and then and continue to spark at intervals. The best thing to DO NEXT is to

Turn off the fan immediately

Astignars random QS

Kyla Angelique Son · 19問 · 1年前

Astignars random QS