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Chapter 17 Under which model is staffing done at the unit level? A. Centralized B. Decentralized

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B. Decentralized Rationale: In the decentralized model, staffing is often done by the unit manager, whereas under the centralized model it is done at a central office, often by computer.

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3. Which statement is most accurate concerning decentralized staffing?

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It carries risks that employees may be treated unequally or inconsistently.

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4. What is the most fiscally responsible method for determining staffing needs for a hospital unit?

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The agreed-on staffing formula currently in use

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5. Which statement most accurately reflects self-scheduling?

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Self-scheduling requires greater worker accountability.

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6. What is a good patient classification system?

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It provides an understanding of staffing problems.

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What are some advantages to an organization of using travel nurses? A. They command premium pay. B. They provide scheduling relief. C. They offer good continuity of care. D. All of the above.

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B. They provide scheduling relief. Rationale: While travel or agency nurses can fill in during a scheduling emergency, their pay can be hard on the budget, and their continued use can compromise care continuity.

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7. What is the most realistic and appropriate goal for a manager with regard to staffing and scheduling?

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Ensure that there is adequate staff to meet the needs of each patient.

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8. What is a system that allows employees to select among variations in work start-time schedules to meet their personal needs?

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B. Flextime

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9. Which statement about patient classification systems is the most accurate?

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D.Internal and external forces may affect classification systems.

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10. What is correct about fiscal accountability for staffing?

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A critical responsibility of mangers

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Noting how often a patient takes a particular medication is an example of: A. Critical indicator PCS B. Summative task PCS

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B. Summative task PCS Rationale: Summative task patient classification looks at the frequency of specific activities, whereas critical indicator PCS uses broader, more general measures.

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The Silent Generation comprises people born from: A.1943 to early 1960s B.1965 to 1975 C.Early 1960s to 1980 D.1917 to 1925 E.None of the above

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E. None of the above Rationale: The Silent Generation refers to people born between 1925 and 1942.

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The effects of mandatory overtime are most detrimental in the: A. Short-term B. Long-term

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A. Short-term Rationale: While mandatory overtime has negative long-term consequences, the immediate effects on the staff's mood, motivation, and productivity are even more worrisome

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Chapter 13 (#1)Which is correct about power?

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Is likely to bring more power in an ascending cycle, whereas powerlessness often generates more powerlessness.

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(#2)How is a person's response to authority conditioned?

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through authority figures in the family unit

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(#3)Which would be the least appropriate power-building strategy for a new employee?

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Encourage reorganizing patient care delivery to match the one in use at last place of work.

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(#4)Which statement represents a powerful image of a team leader?

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"We have a great deal to accomplish today, but I am confident that, by working together, we can do it and do it well."

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(5)What is feminist power?

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Being self-aware and having power over one's life.

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Tell whether the following statement is True or False: Being humble is a political strategy. True False

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A. True Rationale: Ego can get in the way of one's political goals.

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(#6)Jon is the only registered nurse at the hospital who is certified to insert percutaneous intravenous catheters. What type of power does this certification provide?

answer

Expert Power

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(#7)What determines the size of the authority-power gap between a manager and an employee?

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Increases when the manager loses credibility.

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(#8)What does empowerment, a hallmark of transformational leadership, encompass?

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Sharing powers with others

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If a manager asks personal questions of employees, how does this affect the authority power gap? A.Widens it B.Narrows it

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A. Widens it Rationale: When a manager expresses personal interest in employees, this widens the authority power gap.

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(#9)Which strategy is most effective in empowering staff?

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A. Serve as a role model of an empowered nurse.

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(#10)What is the queen bee syndrome?

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Occurs when a successful individual is unwilling to assist others

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Tell whether the following statement is True or False: Empowering subordinates often undermines one's own power. True False

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B. False. Rationale: Empowering subordinates is in fact one essential strategy to maintain power.

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Which of the following is not a rule for keeping power? A.Form alliances. B.Do homework. C.Practice benign neglect. D.Be competitive.

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D. Be competitive Rationale: It is more advantageous to avoid competition.

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(11)Power gained may be lost. What are reasons for losing this power?

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1. Politically naïve 2. Fail to use appropriate political strategies

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Chapter 19 When does communication begin? A.When two or more people are in each other's presence. B.When people become aware of each other's presence. C.When a written or verbal message is exchanged.

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B. When people become aware of each other's presence. Rationale: Communication can take various forms (written, verbal, nonverbal), but it begins as soon as people become aware that they are in one another's company.

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What is the best combination that characterizes the communication process?

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Sender—Message—Receiver

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Which form of communication is primarily directive? A.Upward B.Downward

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B. Downward Rationale: Upward communication generally allows for more employee input, whereas a downward channel is more directive.

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Tell whether the following statement is True or False: Culture is not a factor in organizational communication. True False

answer

B. False Rationale: Subgroups and subcultures are some of the many variables that can affect organizational communication.

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Which are included in the EHR? A.Past medical history B.Medications C.Blood pressure D.Age, sex, and race E.All of the above

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E. All of the above Rationale: The electronic health record contains past medical history, medications, vital signs, and patient demographics, along with other relevant information.

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When does communication have the greatest likelihood of being accurately interpreted?

answer

More than one mode is used.

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What is nonverbal communication?

answer

It is given more credence than verbal communication when the two are incongruent

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Tell whether the following statement is True or False: Being assertive will increase your chance of getting what you want. True False

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B. False Rationale: The idea that assertiveness increases your odds of getting your way is in fact one of several myths about assertiveness.

question

Which behaviors would most likely be associated with a group in the "norming" stage?

answer

Group members establish short- and long-term goals for the group to accomplish.

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An RN is a team leader for a small module of patients. While listening to a tape-recorded report on Mr. Smith, one of your team members remarks, "My mother lives near him and she says his wife is a terrible housekeeper." As the leader of the team, what should the RN do?

answer

Ask the team member what the purpose was in sharing the information.

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Tell whether the following statement is True or False: It is always a bad idea to decline when one delegates a task to you in a professional setting. True False

answer

B. False Rationale: There are occasions when it is advisable to say no to a delegated task (for example, if taking on the task would compromise your ability to perform other necessary aspects of your job).

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Tell whether the following statement is True or False: One drawback of delegation is that it diminishes one's power. True False

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B. False Rationale: Delegating tasks actually increases the supervisor's power.

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The one prerequisite for delegating is to ask someone if he or she is capable of performing a given task. True False

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B. False Rationale: In addition to asking the employee, the employee's ability should be validated by observation on the part of the supervisor.

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What are some common causes for resistance to delegation? (Select all that apply) A.Failure of the supervisor to sympathize with the employee B.Delegated tasks are laid out in too much detail C.Fear of doing the task poorly

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A. Failure of the supervisor to sympathize with employee, and B. Delegated tasks are laid out in too much detail. Rationale: Resistance to delegation is most common when a worker feels that the supervisor does not understand his or her point of view, or when tasks are overdelegated in terms of specificity.

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Which is not one of the cultural phenomena to be considered with a culturally diverse staff? A.Time B.Space C.Biological variations D.Religion E.Social organization

answer

A. Religion Rationale: While religion may influence other factors, it is not one of the six phenomena that Davidhizar and Giger name.

question

Chapter 4 It is usually the rigid culture of organizations that leads to ethical failure. True False

answer

B. False Rationale: According to Bruhn, it is often the interaction of the culture of the organization and the character of the leader that creates ethical failure.

question

Moral Conflict occurs when one's duties or general guiding ethical principles are in doubt. True False

answer

A. True Rationale: Similar to moral uncertainty, moral conflict is a serious issue that can arise in the nursing profession.

question

Which kind of decision making is primarily focused on outcome? A.Teleological B.Deontological C.Situational

answer

A. Teleological Rationale: The teleological ethic places emphasis on results and on protecting the interest of the majority.

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Which is not an element of ethical decision making? A.Beneficence B.Paternalism C.Utility D.Pragmatism

answer

D. Pragmatism Rationale: The principles of ethical decision making include autonomy, beneficence, paternalism, utility, justice, truth telling (veracity), fidelity, and confidentiality.

question

Trial and error is a necessary element of ethical decision making. True False

answer

B. False Rationale: The manager should focus on proven decision-making or problem-solving models rather than trial and error.

question

Chapter 5 Why are nurses at increased liability? A.Their realm of responsibility has decreased. B.Fewer nurses have liability insurance. C.Nurses are making more money. D.Nurses currently have less independence in decision making.

answer

C. Nurses are making more money. Rationale: Higher salaries have corresponded to increased liability in the nursing profession.

question

Following a physician's order is a valid excuse in a malpractice case. True False

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B. False Rationale: Nurses have a responsibility to safeguard their patients, independent of physician's orders.

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Which are legal terms relevant to the nursing profession? A.Res ipsa loquitur B.Respondeat superior C.Product liability D.Stare decisis E.All of the above

answer

E. All of the above Rationale: All are relevant terms with which nurses should be familiar.

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Which is not an intentional tort? A.False imprisonment B.Defamation of character C.Invasion of privacy D.Negligence

answer

D. Negligence Rationale: An intentional tort requires that the act be committed with the awareness of the perpetrator.

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Lack of communication is one of the leading causes of complaints against nurses. True False

answer

A. True Rationale: Inadequate communication with physician or supervisors about changes in patient conditions is one of the most common causes of complaints against nurses

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Chapter 8 What is another name for socialization change? A.Intrapersonal change B.Indoctrination change C.Reactive change D.Change by drift

answer

B. Indoctrination change Rationale: Indoctrination change is another term for socialization change. Another name for reactive change is systems change. Another name for change by drift is an unplanned change.

question

Which emotions are commonly associated with change? A.Pride B.Stress C.Loss D.Achievement E.All of the above

answer

E. All of the above Rationale: Change is associated with a wide range of feelings, some positive and others negative.

question

For change to be effective, it should be immediate and sweeping. True False

answer

B. False Rationale: Change should be gradual and carefully planned rather than sudden.

question

Presenting employees with the pros and cons of a new system to be implemented is an example of which type of strategy? A.Rational B.Normative C.Power

answer

A. Rational Rationale: A rational change agent uses empirical reasoning as a tool for initiating change.

question

Tell whether the following statement is True or False: According to Olson and Eoyang, in the change process, consensus should be emphasized over differences. True False

answer

B. False Rationale: Olson and Eoyang contend that value differences should in fact be amplified instead of focusing on consensus.

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Chapter 10 1. What is fiscal planning?

answer

A. learned skill that improves with practice

question

#2. Which is a responsibility of the unit manager in fiscal planning?

answer

B.To monitor and evaluate all aspects of the unit's budget control .

question

3. Which is a leadership role in fiscal planning?

answer

Being visionary in identifying short- and long-term unit fiscal needs

question

Cost containment is primarily the responsibility of the health care organization as a whole. True False

answer

B. False Rationale: Cost containment is the responsibility of every health care provider.

question

4. What is inferred if an item is "cost-effective"?

answer

B.It is worth the cost.

question

5. What is the largest of the budget expenditures for health care organizations?

answer

The workforce or personnel budget

question

What is the goal of a budget? A.To predict an organization's activities B.To maximize the use of resources C.To help with planning and control D.All of the above

answer

D. All of the above Rationale: A well-designed budget is helpful in both planning and managing resources.

question

What is generally the area of most expenditures? A.Operating budget B.Supplies C.Personnel budget D.Capital budget

answer

C. Personnel budget Rationale: Because health care is so labor intensive, the personnel budget represents the largest portion of expenditures

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6. All department heads are required to rejustify their fiscal needs annually during the budget cycle. Budget allocations are made accordingly. What type of budget is represented?

answer

C. Zero-based budgeting

question

7. Which use of limited resources would most likely result in increased reimbursement revenues?

answer

A. Education on appropriate documentation on patient care records

question

Which statement regarding Medicare funding is not accurate? A.Medicare is funded by Social Security taxes and federal taxes. B.Part B is funded 75% by subscribers and 25% by the federal government. C.Part A is funded through taxes. D.Part B is funded 25% by subscribers and 75% by the federal government.

answer

B. Part B is funded 75% by subscribers and 25% by the federal government. Rationale: This statement is not accurate. Part B is funded 25% by subscribers and 75% by the federal government.

question

8.What was the primary impetus for the development of the prospective payment system?

answer

Skyrocketing health care costs following the advent of Medicare and Medicaid

question

Home health and hospice care fall under the domain of: A.Medicare Part A B.Medicare Part B

answer

A. Medicare Part A Rationale: Part A covers inpatient hospital care, as well as home health and hospice care (although there is a deductible and co-insurance for hospital and skilled nursing facility stays).

question

9.What is capitation?

answer

A predetermined, negotiated payment to providers, per patient, regardless of whether services are used.

question

Chapter 21 When each party gives up something it wants, this is an example of: A.Compromising B.Competing C.Accommodating D.Smoothing

answer

A. Compromising Rationale: In compromise, each party gives up something it wants so that everyone can be satisfied.

question

Agreement between parties is the aim of conflict resolution. True False

answer

B. False Rationale: While agreement is to be desired, the expected outcome of conflict resolution is understanding, not agreement.

question

Which is a strategy of successful negotiation? A.Considering the other person's feelings can be more important than telling the truth. B.Intersperse facts with opinions. C.Try not to use your bottom line. D.Start soft, then get tough if necessary.

answer

C. Try not to use your bottom line. Rationale: Negotiation is most successful when it can be achieved without resorting to the bare minimum standards you need to fulfill.

question

The best way to end a negotiation is: A.By restating the final decision. B.On a friendly note. C.Not appearing surprised at your success. D.With a follow-up memo. E.All of the above.

answer

E. All of the above. Rationale: Closure and follow-up are crucial elements in any negotiation for making all parties feel positive about the outcome, as well as for facilitating future successful encounters.

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