Nurse Executive Advanced Flashcards

A nurse executive is addressing a culture of low psychological safety on a surgical unit. Which intervention has the strongest evidence for building psychological safety?

Answer: Leader-modeled vulnerability and active solicitation of dissenting opinions

Research by Amy Edmondson shows that leaders who openly acknowledge uncertainty and welcome challenge are the strongest drivers of psychological safety.

Which staffing model gives nurse managers the MOST flexibility to respond to fluctuating census while controlling labor costs?

Answer: A core-plus-flex model combining a fixed core staff with a float pool

A core-plus-flex model maintains quality and institutional knowledge through permanent core staff while using float pools to scale with census changes cost-effectively.

In the SBAR communication framework, what information belongs in the 'Background' section when a nurse calls about a deteriorating patient?

Answer: The patient's admitting diagnosis and relevant medical history

Background provides clinical context including admitting diagnosis, relevant history, and treatment course to help the provider understand the situation.

A nurse executive is tasked with reducing hospital-acquired infections. Which of Porter's Five Forces framework elements is MOST relevant when evaluating technology vendors for infection prevention?

Answer: Bargaining power of suppliers in the medical technology space

Supplier bargaining power determines how much leverage vendors have on pricing and contract terms, directly affecting the cost-effectiveness of infection prevention investments.

A magnet-designated hospital is conducting its re-designation review. The chief nursing officer must demonstrate evidence of which primary structural element?

Answer: Transformational leadership throughout the nursing organization

The ANCC Magnet Model's five components begin with Transformational Leadership as the foundational structural element evaluated during redesignation.

Which type of budget variance requires IMMEDIATE action by the nurse executive?

Answer: Unfavorable supply variance due to a unit-specific stockpiling practice

Unfavorable variances caused by controllable behavioral practices like stockpiling represent wasteful spending that can be corrected immediately through management intervention.

A nurse executive receives a complaint that a charge nurse is consistently assigning the most difficult patients to nurses she dislikes. This represents which type of workplace issue?

Answer: Horizontal workplace violence and abuse of positional power

Using assignment authority to punish or disadvantage colleagues is a form of horizontal workplace violence that must be addressed through formal corrective processes.