Philadelphia University Faculty of Nursing 2nd Semester, 2014/2015 Nursing Leadership and Management (910433) 1st exam Student Name: Student Number: Time: (50) minutes Total score: /20 Please write the all answers in this page Q1: /15 Q1 Q2 Q3 Q4 Q5 Q11 Q12 Q13 Q14 Q15 Q2: 2- /1 12Q4: 12- Q7 Q8 Q9 Q10 /3 1- Q3: Q6 /1 3- 4- 5- 6- Q1: Choose the appropriate answer and write it in the answer sheet: 1- A nurse manager is participating in the health care organization’s strategic planning committee. Which factor is the primary driving force and controlling factor in new initiatives this committee might recommend? a. b. c. d. Cost of care Access to care Availability of care Quality of care 2- 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. b. c. d. “What outcomes are we expecting from this work?” “Is anyone prepared to evaluate the statistics we will find?” “What is the exact clinical issue with which we are dealing?” “Where can we look for information. 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. b. c. d. Case study Anecdotal Nonexperimental design research Statistical 4- A health care system is considering applying to the Magnet Recognition Program. The leaders of this health system should prepare to address ________ qualities or “Forces of Magnetism.” a. b. c. d. 11 12 14 16 5- 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 6- The nurse is trying to understand why it has taken so long for electronic health records (EHRs) to be used in health care. Which statement is a reason for this delay? a. b. c. d. Medical-records professionals do not like these records. The use of these records is more expensive than the use of paper records. There have been concerns about privacy and confidentiality. The transition to EHRs is time consuming and tedious. 7- Using the classical organizational theory model, what would be the most appropriate method for the nurse to voice concern over unfair client workload assignments? a. Circulate a petition to all staff seeking support for change in assignment policy and present the signed petition to the nursing supervisor. b. Discuss the problem with the nurse’s team leader and then the charge nurse if the problem remains unsolved. c. Invite the vice president in charge of nursing to a unit meeting. d. Organize a unit meeting to discuss the problem on all shifts. 8- During a performance evaluation the nurse manager states, “My span of control is just too large.” How should the unit supervisor interpret this statement? a. The nurse manager is not capable of performing all the duties expected of the role. b. The nurse manager may have too many staff members to manage. c. The nurse manager is burned out and needs time away from the unit. d. The nurse manager is not educationally prepared for the role. 9- A long-term care facility’s organization reflects a functional structure. Which facility practice reflects a basic weakness in this organizational strategy? a. The nursing department is responsible for writing the client’s comprehensive care plan. b. The dietary department is responsible for nutritional assessment. c. All nursing tasks fall under the nursing department. d. Physical and occupational therapy departments coordinate and evaluate activities of daily living. 10- Which structure is reflected by the statement "Nursing practice is best determined by nurses"? a. Hybrid b. Shared governance c. Matrix d. Functional 11- "We want to be the hospital of choice in the Midwest" is which type of statement? a. b. c. d. Value statement Mission statement Vision statement Philosophy statement 12- The health care institution has organized a committee to review and revise the strategic plan. As part of this work, committee members have been asked to submit a philosophy statement for consideration. Which statement meets the requirements of a philosophy? a. b. c. d. "We will increase client satisfaction by 15 percent." "We will increase productivity by 10 percent on the surgical floor." "We believe in honest communication." "We believe clients are most important." 13- A newly licensed RN is beginning a job search. This nurse would be best served by working in an organization that provides which nursing care delivery system? a. b. c. d. Primary nursing Total nursing care Functional nursing Practice partnerships 14- One of the nurse competencies of the synergy care delivery model is “moral agency.” Which action is an example of that trait? a. The nurse commits a medication error and reports it to the charge nurse. b. The nurse collaborates well with the rest of the health care team. c. The nurse is able to think ahead to the client’s next need. d. The nurse who does not have good baseline knowledge of a client’s disease process researches it on a day off work. 15- Which statement reflects the most important use of power in nursing? a. b. c. d. The nurse manager uses power when evaluating staff. The nurse can use power to impact and improve client care. The nurse uses power in relationships with unlicensed personnel. The nurse manager can use power to assist newly licensed nurses 16- A staff nurse says, “I have so much to do. Why should I spend time being politically aware and active?” Which response by the nurse manager would be most appropriate? a. “Being politically active helps you influence events and the decisions of others.” b. “You might want to run for political office someday.” c. “It might help you increase your salary.” d. “It will give you a better understanding of client rights.” 17- The nurse has established a reputation for advocating for clients through honesty and hard work. The nurse has worked in the organization for 30 years and often volunteers in local and national political campaigns. This nurse is using which attribute to increase political effectiveness? a. b. c. d. Image Age Beliefs Political party 18- The nurse leader wishes to develop a culture of shared visioning for the health care organization. How should the nurse proceed with this plan? a. The leader should be a passive observer in meetings. b. The leader should encourage a change to a more efficient top-down management system. c. The leader should encourage innovative ideas. d. The leader should use coercive primary power. 19- Which strategy is best for the newly licensed nurse who wishes to develop power in the organization? a. Develop a “can do” attitude and reputation. b. Develop rapport with other staff members by joining in on complaint sessions. c. Choose uniforms that do not look better than the ones other nurses wear. d. Refer to the staff as “they” when discussing the unit. 20- The nurse manager is challenged to find an innovative way to adequately staff the unit and provide quality nursing care. Which ability would be most useful to the nurse in this situation? a. b. c. d. Creativity Problem solving Brainstorming Decision making 21- The nursing group has been charged with the task of solving a patient care problem on the units. Which step should this group take first in this process? a. b. c. d. Investigate what has already been tried to solve the issue. Brainstorm about potential solutions. Gather information to define the problem. Categorize information in order of reliability. 22- The nurse manager has scheduled a series of meetings with employees to solve a unit problem. The manager purposefully created a 2-week gap in the meetings to allow which portion of the creative process to occur? a. b. c. d. Farsight Verification Preparation Incubation 23- A serious disagreement has arisen between two staff nurses. The unit manager elects not to make a decision regarding the disagreement until more evidence is collected. Which part of the nursing process does this manager’s critical thinking reflect? a. b. c. d. Assessment Diagnosis Planning Evaluation 24- At the beginning of a brainstorming session, the manager lists the rules to be followed. Which rule should be included and enforced? a. b. c. d. Do not suggest any solution that is prohibitively expensive. Suggest only ideas that the group has not already tried. Do not critique any ideas presented. Limit the session to the first 15 ideas Q2: List and define four types of power? Q3: Match between type of nursing delivery care and its appropriate statement: 1- Total patient care e a- For example, the RN receives reports on eight clients in the morning. Client assignments are then delegated to an LPN and two nursing assistants. The morning is busy, with physician visits and new client orders, and the RN communicates these new orders to the LPN and nursing assistants. The RN also meets with the case manager to discuss nursing home placement for a client. 2- Team nursing a b- For example, one nurse has responsibility for all the medications on the unit. 3- Functional nursing b c- A nurse manager encourages nursing staff members to assist in developing a new creative staffing pattern that can respond quickly when staff resign or go back to school. This is an example of the use of which organizational theory? 4- d- Chaos theory c This nurse would be best served by working in an organization that provides which nursing care delivery system. e- The hospital is opening its first intensive care unit. The nurse executive should plan to staff this unit according to which model of care? Good luck: Dr. Fadwa Alhalaiqa