Nursing Leadership & Management NCLEX Practice Quiz #2
Katherine is a young Unit Manager of the Pediatric Ward. Most of her staff nurses are senior to her, very articulate, confident and sometimes aggressive. Katherine feels uncomfortable believing that she is the scapegoat of everything that goes wrong in her department. Which of the following is the best action that she must take?
This involves a problem solving approach, which addresses the root cause of the problem.
As a young manager, she knows that conflict occurs in any organization. Which of the following statements regarding conflict is NOT true?
Conflicts are beneficial because it surfaces out issues in the open and can be solved right away. Likewise, members of the team become more conscientious with their work when they are aware that other members of the team are watching them.
Katherine tells one of the staff, “I don’t have time to discuss the matter with you now. See me in my office later” when the latter asks if they can talk about an issue. Which of the following conflict resolution strategies did she use?
This strategy shuns discussing the issue head-on and prefers to postpone it to a later time. In effect the problem remains unsolved and both parties are in a lose-lose situation.
Kathleen knows that one of her staff is experiencing burnout. Which of the following is the best thing for her to do?
Reaching out and helping the staff is the most effective strategy in dealing with burn out. Knowing that someone is ready to help makes the staff feel important; hence her self-worth is enhanced.
She knows that performance appraisal consists of all the following activities EXCEPT:
Performance appraisal deal with both positive and negative performance; is not meant to be a fault-finding activity
Which of the following statements is NOT true about performance appraisal?
The patient can be a source of information about the performance of the staff but it is never the best source. Directly observing the staff is the best source of information for personnel appraisal.
There are times when Katherine evaluates her staff as she makes her daily rounds. Which of the following is NOT a benefit of conducting an informal appraisal?
Collecting objective data systematically can not be achieved in an informal appraisal. It is focused on what actually happens in the natural work setting.
She conducts a 6-month performance review session with a staff member. Which of the following actions is appropriate?
The session is private between the manager and the staff and remains to be so when the two parties do not divulge the information to others.
Alexandra is tasked to organize the new wing of the hospital. She was given the authority to do as she deems fit. She is aware that the director of nursing has substantial trust and confidence in her capabilities, communicates through downward and upward channels and usually uses the ideas and opinions of her staff. Which of the following is her style of management?
A consultative manager is almost like a participative manager. The participative manager has complete trust and confidence in the subordinate, always uses the opinions and ideas of subordinates and communicates in all directions.
She decides to illustrate the organizational structure. Which of the following elements is NOT included?
Unity of direction is a management principle, not an element of an organizational structure.
She plans of assigning competent people to fill the roles designed in the hierarchy. Which process refers to this?
Staffing is a management function involving putting the best people to accomplish tasks and activities to attain the goals of the organization.
She checks the documentary requirements for the applicants for staff nurse position. Which one is NOT necessary?
Record of RLE is not required for employment purposes but it is required for the nurse’s licensure examination.
Which phase of the employment process includes getting on the payroll and completing documentary requirements?
This step in the recruitment process gives time for the staff to submit all the documentary requirements for employment.
She tries to design an organizational structure that allows communication to flow in all directions and involve workers in decision making. Which form of organizational structure is this?
Decentralized structures allow the staff to make decisions on matters pertaining to their practice and communicate in downward, upward, lateral and diagonal flow.
In a horizontal chart, the lowest level worker is located at the
The leftmost box is occupied by the highest authority while the lowest level worker occupies the rightmost box.
She decides to have a decentralized staffing system. Which of the following is an advantage of this system of staffing?
Decentralized structures allow the staff to solve decisions by themselves, involve them in decision making; hence they are always given opportunities to interact with one another.
Aubrey thinks about primary nursing as a system to deliver care. Which of the following activities is NOT done by a primary nurse?
This function is done in team nursing where the nurse is a member of a team that provides care for a group of patients.
Which pattern of nursing care involves the care given by a group of paraprofessional workers led by a professional nurse who take care of patients with the same disease conditions and are located geographically near each other?
Modular nursing is a variant of team nursing. The difference lies in the fact that the members in modular nursing are paraprofessional workers.
St. Raphael Medical Center just opened its new Performance Improvement Department. Ms. Valencia is appointed as the Quality Control Officer. She commits herself to her new role and plans her strategies to realize the goals and objectives of the department. Which of the following is a primary task that they should perform to have an effective control system?
Identify the values of the department will set the guiding principles within which the department will operate its activities
Ms. Valencia develops the standards to be followed. Among the following standards, which is considered as a structure standard?
Structure standards include management system, facilities, equipment, materials needed to deliver care to patients. Rotation of duty is a management system.
When she presents the nursing procedures to be followed, she refers to what type of standards?
Process standards include care plans, nursing procedure to be done to address the needs of the patients.
The following are basic steps in the controlling process of the department. Which of the following is NOT included?
This is a step in a quality control process and not a basic step in the control process.
Which of the following statements refers to criteria?
Criteria are specific characteristics used to measure the standard of care.
She wants to ensure that every task is carried out as planned. Which of the following tasks is NOT included in the controlling process?
Instructing the members involves a directing function.
Ms. Valencia prepares the process standards. Which of the following is NOT a process standard?
This refers to an outcome standard, which is a result of the care that is rendered to the patient.
Which of the following is evidence that the controlling process is effective?
Controlling is defined as seeing to it that what is planned is done.
Ms. Valencia is responsible to the number of personnel reporting to her. This principle refers to:
Span of control refers to the number of workers who report directly to a manager.
She notes that there is an increasing unrest of the staff due to fatigue brought about by shortage of staff. Which action is a priority?
Initiate a group interaction will be an opportunity to discuss the problem in the open.
Kevin is a member of the Nursing Research Council of the hospital. His first assignment is to determine the level of patient satisfaction on the care they received from the hospital. He plans to include all adult patients admitted from April to May, with average length of stay of 3-4 days, first admission, and with no complications. Which of the following is an extraneous variable of the study?
An extraneous variable is not the primary concern of the researcher but has an effect on the results of the study. Adult patients may be young, middle or late adult.
He thinks of an appropriate theoretical framework. Whose theory addresses the four modes of adaptation?
Sr. Callista Roy developed the Adaptation Model which involves the physiologic mode, self-concept mode, role function mode and dependence mode
He opts to use a self-report method. Which of the following is NOT TRUE about this method?
The most serious disadvantage of this method is accuracy and validity of information gathered
Which of the following articles would Kevin least consider for his review of literature?
The article is for pediatric patients and may not be relevant for adult patients.
Which of the following variables will he likely EXCLUDE in his study?
Salary of staff nurses is not an indicator of patient satisfaction, hence need not be included as a variable in the study.
He plans to use a Likert Scale to determine
Likert scale is a 5-point summated scale used to determine the degree of agreement or disagreement of the respondents to a statement in a study.
He checks if his instruments meet the criteria for evaluation. Which of the following criteria refers to the consistency or the ability to yield the same response upon its repeated administration?
Reliability is repeatability of the instrument; it can elicit the same responses even with varied administration of the instrument
Which criteria refer to the ability of the instrument to detect fine differences among the subjects being studied?
Sensitivity is an attribute of the instrument that allow the respondents to distinguish differences of the options where to choose from
Which of the following terms refer to the degree to which an instrument measures what it is supposed to be measure?
Validity is ensuring that the instrument contains appropriate questions about the research topic
He plans for his sampling method. Which sampling method gives equal chance to all units in the population to get picked?
Random sampling gives equal chance for all the elements in the population to be picked as part of the sample.
Raphael is interested to learn more about transcultural nursing because he is assigned at the family suites where most patients come from different cultures and countries. Which of the following designs is appropriate for this study?
Ethnography is focused on patterns of behavior of selected people within a culture
The nursing theorist who developed transcultural nursing theory is
Madeleine Leininger developed the theory on transcultural theory based on her observations on the behavior of selected people within a culture.
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