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