Nurse Executive Test Nurse Executive Advanced 4

Question 1

A nurse executive is evaluating two competing strategic initiatives. Which decision-making tool best prioritizes initiatives based on impact and feasibility?

Accepted Answer

Impact-effort matrix

Answer

An impact-effort matrix plots initiatives on two axes to visually identify quick wins versus resource-heavy projects, helping leaders prioritize strategically.

Question 2

Under HIPAA's minimum necessary standard, a nurse executive should instruct staff to:

Accepted Answer

Access only the patient information needed to perform their specific job function

Answer

The minimum necessary standard requires staff to use, disclose, or request only the amount of PHI necessary to accomplish the intended purpose.

Question 3

A nurse executive is applying Kotter's 8-Step Change Model. After establishing a sense of urgency, what is the NEXT step?

Accepted Answer

Creating a guiding coalition of influential stakeholders

Answer

Kotter's model prescribes forming a powerful guiding coalition as Step 2, immediately after urgency is established, to provide the leadership needed to drive change.

Question 4

A hospital is implementing a rapid response team (RRT). Which outcome measure best evaluates the RRT's effectiveness?

Accepted Answer

Reduction in non-ICU cardiac arrest rates

Answer

Reduction in non-ICU cardiac arrests is the primary effectiveness metric for RRTs, as the team's purpose is to identify and intervene in deteriorating patients before arrest occurs.

Question 5

A CNO is negotiating a nursing contract with a union. Which behavior is considered an unfair labor practice under the National Labor Relations Act?

Accepted Answer

Bypassing the union and directly polling nurses on contract terms

Answer

Bypassing the union to deal directly with employees on mandatory subjects of bargaining is an unfair labor practice that undermines the union's representative authority.

Nurse Executive Test Practice Test

Nurse Executive Test Practice Test

Nurse Executive Test Nurse Executive Advanced 4