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The nurse-manager is faced with a difficult decision in a situation that involves the manager's values. What is the manager's best action? Identify and reflect on his or her own values Which statement is true concerning critical thinking It requires reasoning and creative analysis A nurse-manager has realized that the data gathering process before a recent decision may have been influenced by confirmation bias. How can the manager best prevent this in the future? Make sure not to prioritize information that supports the manager's beliefs A nurse-manager has made a decision and is now preparing to evaluate the decision. What question should best guide the nurse's evaluation process? Did the outcomes align with the original objectives? Which statement concerning the role of the most powerful individuals in organizational decision making is true? They often make decisions that are in congruence with their own values
One of the nurses on the unit said,"My Vietnamese patient won't look me in the eye, but I know that Asian patients avoid making eye contact as a way of showing respect." This nurse is demonstrating what type of illogical thinking? Overgeneralizing The nurse has accepted a job in a workplace where organizational power has a pronounced effect. This characteristic may have what effect on the nurse and the workplace? The nurse may have to accept decisions contrary to his or her own values The unit manager has created a decision grid in order to assist with a difficult staffing decision that will affect many nurses. The decision grid will allow the manager to: Examine alternatives visually and compare each against the same criteria. A nurse-manager is planning to apply a decision-making model to a clinical challenge. When using a decision-making tool, what should the manager do? Be aware that the tool cannot eliminate the risk of human error. A nurse-manager had to intervene in a conflict between a client and a staff member. The manager chose to make a decision "in the moment" rather than applying a methodical or deliberate decision-making tool. How should this manager's actions be best interpreted? The manager applied heuristics to a problem that required a quick solution
A team of nurse-managers is considering the purchase of pressure-reducing mattresses to reduce the incidence of pressure ulcers among long-term care residents. In order to use a payoff table to assist with the decision making, what must the managers know? Select all that apply. a. The cost for each new mattress d. The cost of treating pressure ulcers A nurse is considering applying for a management job that will require the nurse to make many difficult decisions. What question should the nurse ask when considering his or her ability to make difficult decisions? "How comfortable am I with taking risks?" A nurse-manager has to make some difficult decisions around the allocation of vacation time during the holiday season. When making a decision, what should the manager do first? Clearly identify each of the desired objectives in the situation The nurses on a medical unit are using several different techniques for performing wound care and the manager recognizes a need to implement evidence-based practice (EBP). What should the manager do first when applying the principles of EBP? Formulate a specific, searchable clinical question about wound care A nurse has accepted a management position in a busy ambulatory clinic and recognizes that the day-to-day operations of the clinic will require many decisions. What is the nurse's best initial action when preparing for this new role?
Clarify and reflect on his or her own values A sales representative is describing the benefits of a new brand of incontinence brief to a manager. The representative states, "These are a superior product. With what you're currently using, you're actually causing harm to your clients." How should the manager best interpret this statement? The representative is affirming the consequences Which represents the management functions that are incorporated into the management process? Planning, organizing, staffing, directing, and controlling The manager of a care facility advocates traditional management science. What is this manager most likely to prioritize? Identifying and addressing barriers to efficiency Caregivers at a public health center believe that their manager adheres to Theory X. What action by the manager best confirms this suspicion? The manager insists on accompanying nurses to and observes them closely. The nurse is applying a decision-making process to a clinical challenge. When applying this process, the nurse must: choose between different courses of action
Accreditors are scheduled to visit a hospital site, and staff members have been made aware of what they will be assessing. What staff behavior would most clearly suggest the presence of the Hawthorne effect? The nurses consciously improve their performance because they know it is being scrutinized. The manager at a long-term care facility has intervened in a conflict between two staff members about the timing and length of lunch and coffee breaks. What management function is this manager demonstrating? Directing A manager demonstrates one of the four principles of scientific management when he or she: Hires and promotes employees on the basis of their competence and skills. What aspect of the way that work is organized on a nursing unit best reflects the management theories of Max Weber? The hierarchy of authority and the policies and procedures on the unit are clearly posted. The clinic leader tends to make decisions independently and closely supervises and controls the practice of the nurses at the clinic. What type of leadership is being exemplified?
Authoritarian How can a manager best implement the principles of situational or contingency leadership theory? By adapting his or her leadership style to a particular circumstance Which statement best depicts leadership? People will follow a person in a leadership position only by choice. What characteristic of a nurse-manager suggests that he or she is acting in the role of a traditional manager rather than an integrated leader-manager? The manager's influence is limited to his or her group What statement by a leader most clearly demonstrates the Great Man theory of leadership? "Some people are born to lead, and some are born to be led." A nurse-manager has recently been accused of assigning work unequally. The manager has recognized the need to revise the process for assigning work to nurses. How can the manager best apply the principles of Theory Z? Gathering input from employees in order to reach a consensus
The nurse-manager of the perioperative department is attempting to apply the full- range leadership model (FRLM) when overseeing the department. The nurse should attempt to integrate what types of leadership? Select all that apply. a. Laissez-faire d. Transactionale. e. Transformational The manager of a busy emergency department is primarily concerned with the practical, day-to-day operations of the department. This manager is most clearly demonstrating what type of leadership? Transactional What statement by a manager best reflects the principles of interactional leadership? "People's motives are important, and motives change over time." Which activities are associated with a leadership role? Select all that apply. a. Mentoring two new managers b. Establishing goals for the coming year c. Advocating for nurses to receive more professional opportunities d. Providing a motivational speech at the new employee orientation The failure to engage in which activities are considered a fatal flaw of leadership? Select all that apply.
a. Collaboration with colleagues b. Communication with employees c. Self-improvement d. Staff development Which statement by a subordinate demonstrates the greatest challenge for the leader? "Your plans for the change can't realistically be implemented." Which function of the management process involves the performance evaluation of employees? Controlling A nurse has been hired to oversee the operations of a series of ambulatory clinics. The nurse can best promote the success of the organization by: Integrating leadership skills and management skills. What action by the nurse-manager in a health organization best demonstrates transformational leadership? The manager holds a workshop to outline a new vision for patient-centered care A nurse was 20 minutes late returning from a scheduled lunch break and a colleague's break was consequently cut short. What response by the manager best demonstrates a laissez-faire leadership approach?
The only treatment alternative left for a client diagnosed with advanced cancer is a rare, highly experimental bone marrow transfusion with a 10% success rate. Some individuals are arguing that the high cost of the procedure could be better spent providing well-baby screening for 2,000 residents in the service area. What ethical principle is most directly involved in this situation? Utility A nurse is applying the MORAL decision-making model to a dilemma involving a colleague's dishonesty in documentation. What is the nurse's initial action? Gather as much information about the situation as possible A nurse has been asked to stay after a shift and work overtime because three nurses have called in sick. The nurse is reluctant to work the overtime because of a social commitment. Duty-based reasoning would dictate that the nurse: work overtime because of the responsibility owed to clients A nurse is integrating the code of ethics when making a decision about the best response to a challenging situation. What information will the nurse be able to obtain from this document? The principles that are most valued in nursing practice The nurse is faced with a situation that requires ethical decision making. What statement should guide the nurse's action? Accepting some ambiguity and uncertainty is a part of ethical decision making
Which statement by a nurse most clearly demonstrates an intuitionist framework for ethical decision making? "I've got to look at this situation on the basis of its unique characteristics, not by comparing it to other situations." The principle of autonomy would have the greatest clinical situation? A client is discussing a do-not-resuscitate order with the care team The care team is working with a client who has mental illness and who has been deemed a threat to self and others. It may be justified to take away the client's right to: self-determination. The interdisciplinary team is considering whether to apply the principle of paternalism in the care of a client. What question should guide the team's decision? Is the client competent to make decisions? The nurse has navigating a difficult situation that involved an ethical dilemma. Which factors should be considered when assessing the quality of the nurse's ethical problem-solving process? Select all that apply. a. The outcomes of the process b. The process that was used to arrive at a decision c. The number of alternatives that the nurse initially generated
A heavy workload prevents a nurse from providing the care that each client requires. The nurse is practicing in a challenging environment where ethical and moral issues must often be dealt with. Which statement describes how moral uncertainty occurs? An individual is unsure which moral principles or values apply and may even include uncertainty as to what the moral problem is. The nurse-manager is applying the MORAL decision-making model to a decision around a client's plan of care. The manager has engaged all the and collected as much data about the situation as possible. What should the manager do next? Identify as many alternatives as possible Which ethical principle is demonstrated when an adult child is legally given the right to make medical decisions for a cognitively impaired parent? Paternalism A nurse has repeatedly witnessed a physician being dismissive of clients' reports of pain and anxiety. The nurse recognizes that the best action would be to address this behavior with the physician, but the nurse strongly suspects that these concerns would be dismissed. What phenomenon is this nurse experiencing? Moral outrage Which statements concerning autonomy are true? Select all that apply a. It is a form of personal liberty. b. Its legal equivalent is self-determination.
c. It is based on a person's right to make a choice. d. It supports the process of progressive employee discipline Which activity best demonstrates a nursing unit manager's attention to ANA standards for ethics required of that position? Refers complex dilemmas to the institution's ethics board A nurse has applied for a management position in a new organization. How can the manager best prevent intrapersonal conflict related to ethical issues in this role? Clarify his or her own values and beliefs and compare to those of the organization The managers of a hospital unit have been approached by a nurse educator who wants to conduct research into a particular nursing intervention. In order to ensure that the rights of clients who may participate are protected, the managers should: Refer the educator to the institutional review board The policies in a long-term care facility specify that immobile residents should be repositioned at least every 2 hours. Despite this, it is well known that many residents endure long periods without being repositioned. How should the nurse best interpret this situation? There is a need for actions to address this theory-practice-ethics gap A nurse has recognized that many older adult clients on the unit do not receive enough nutrition because they are unable to feed themselves independently. What action by a manager would be most likely to resolve the nurse's moral distress?
