Question 1

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

Accepted Answer

1. All nurses are managers.
2. The nurse will use these skills on the first job.
3. The manager is an essential component in helping the new nurse transfer this learning into the "real" world of bedside care.
4. The newly licensed nurse does not have the skill set and experience to work as a manager.

Question 2

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."

Accepted Answer

1. The four generations have different values, work ethics, and skills. Conflict is inevitable.
2. The manager should not stereotype the members of a generation.
3. Generation Y is technically savvy.
4. Traditionalists are typically loyal and respectful of authority.
5. Baby boomers typically value professional and personal growth.

Question 3

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

Accepted Answer

1. The only trend that is consistent is the rapidly changing system.
2. Nurse managers must be aware of the responsibility of doing more with fewer resources.
3. Often the nurse manager is faced with staffing inadequate for the acuity of the clients requiring care.
4. Increasing numbers of retirees, both from nursing and as an aging population, have placed a strain on the healthcare system.
5. Complicated technology forces the nurse manager to keep up with the ever-present changes within the healthcare system.

Question 4

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.

Accepted Answer

1. Disgruntled employees may use the blog to air grievances. If the blog is open access, these grievances could quickly become community news.
2. Blogs are inexpensive and easy to use.
3. As blogs become more and more common, bloggers become more casual in their use. Violations of client confidentiality would not only be possible but could even be said to be likely.
4. The organization's reputation could be either enhanced or damaged by bloggers' comments.
5. Social media sites such as blogs have exploded in use. It is very likely that nurses would use a blog.

Question 5

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

Accepted Answer

1. One of the primary focuses of a disaster plan is how to care for the influx of clients.
2. Prevention of internal disasters is the focus of physical plant planning and safety planning. It is not the primary focus of the disaster plan.
3. Funding in a disaster is problematic. It is not possible to plan for the extent of the disaster or its impact on funding, or to predict who will pay.
4. There may be physical, mental, and emotional impact on clients and staff. Planning is a way to reduce this impact.
5. Risk identification is part of a safety plan.

Question 6

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

Accepted Answer

1. Education is not one of the KSAs.
2. Teamwork is one of the KSAs.
3. Autonomy is not one of the KSAs.
4. Quality improvement is one of the KSAs.
5. Client-centered care is one of the KSAs.

Question 7

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

Accepted Answer

The answer of To meet the Institute of Medicine (IOM)...

Question 8

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

Accepted Answer

1. Assessing the outcome is a step in EBP.
2. Discussing challenges is not a step in EBP.
3. Identifying the clinical question is a step in EBP.
4. Comparing other models is not a step in EBP.
5. Applying the evidence is a step in EBP.

Question 9

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."

Accepted Answer

1. The most important work of the manager is to stay physically and mentally healthy.
2. Innovation is important, but not as important as other factors.
3. Commitment is important, but not as important as other factors.
4. Enthusiasm is important, but not as important as other factors.

Question 10

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)

Accepted Answer

1. The staff nurse will be instrumental in carrying out the changes but is not the most influential in directing them.
2. The nurse manager is situated on the front lines but is also responsible to upper management. The manager can be supportive of the staff's feelings while adequately and appropriately representing the needs and wants of the administration.
3. The CFO will certainly have some say in the financial support of any changes made but is unlikely to have sufficient knowledge of the daily operations of the unit to handle changes at that level.
4. The CEO is unlikely to have enough information about the daily unit activities to be effective in instituting these changes.

Question 11

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."

Accepted Answer

1. Critical thinking is still emphasized, but another aspect of care should receive much more emphasis.
2. Carnegie focuses on application of knowledge rather than its acquisition.
3. This is a Carnegie recommendation.
4. Carnegie recommends integration of clinical and classroom teaching.

Quiz 1: Introducing Nursing Management

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

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.

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.

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

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.

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

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