Nursing Management Practice Exam Quiz

30 Questions | Total Attempts: 4817

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Nursing Management Practice Exam Quiz

Please choose the correct answers to the following questions and learn more about nursing management practice quiz!


Questions and Answers
  • 1. 
    P{margin-bottom:0.08in;} The nurse manager is challenged to find an innovative way to adequately staff the unit and provide quality nursing care. Which ability would be most useful to the nurse in this situation?
    • A. 

      Creativity

    • B. 

      Problem solving

    • C. 

      Brainstorming

    • D. 

      Decision Making

  • 2. 
    P { margin-bottom: 0.08in; } A nursing task force has been created to determine whether a new model of differentiated practice would be more effective than the current model. The task force analyzes data as a basis to examine alternatives. Which activity does this represent?
    • A. 

      Group problem solving

    • B. 

      Critical Thinking

    • C. 

      Group Think

    • D. 

      Satisficing

  • 3. 
    P { margin-bottom: 0.08in; } The nursing group has been charged with the task of solving a patient care problem on the units. Which step should this group take first in this process?
    • A. 

      Investigate what has already been tried to solve the issue.

    • B. 

      Brainstorm about potential solutions.

    • C. 

      Gather information to define the problem.

    • D. 

      Categorize information in order of reliability.

  • 4. 
    P { margin-bottom: 0.08in; } Currently clients on a unit are bathed in the morning between 8:00 am and 11:00 am. The nursing staff is contemplating changing that routine to bathing clients in the evening between 7:00 pm and 9:00 pm. Which statement reflects an underlying assumption that might affect the staff’s ability to think critically about this change?
    • A. 

      “The day shift just wants to shift work onto the evening shift.”

    • B. 

      “Everyone likes to bathe right before bed.”

    • C. 

      “I read a research article that reported that clients sleep better if they have been bathed right before bedtime.”

    • D. 

      “The physician staff will be upset if we change our morning routine.”

    • E. 

      “If we let them change this, they will want to make lots of other changes, too.”

  • 5. 
    P{margin-bottom:0.08in;} A nurse manager’s supervisor reports that many staff members have complained about the manager’s rigidity. What situations reflect this rigidity?
    • A. 

      The manager has historically used trial and error as a decision-making strategy.

    • B. 

      The manager takes unnecessary risks when staffing the unit.

    • C. 

      The manager is not concerned when staff members arrive late to work.

    • D. 

      The manager uses old ways of thinking to solve the day-to-day issues of the unit.

    • E. 

      The manager does not consider the advice of the unit comanager when making a decision.

  • 6. 
    P { margin-bottom: 0.08in; } The nurse manager has scheduled a series of meetings with employees to solve a unit problem. The manager purposefully created a 2-week gap in the meetings to allow which portion of the creative process to occur?
    • A. 

      Farsight

    • B. 

      Verification

    • C. 

      Preparation

    • D. 

      Incubation

  • 7. 
    P { margin-bottom: 0.08in; } Which statement by the formal leader of a nursing unit reflects the personality required to energize the staff and promote creativity?
    • A. 

      “I would like to change the format we use for shift report, but I’m afraid it would upset staff members who have been here a long time.”

    • B. 

      “This is the decision I have made, and there is no room for discussion.”

    • C. 

      “I would like to thank everyone for your hard work and dedication while we have been short staffed.”

    • D. 

      “I am certain that our new assignment system is going to make the workload more equitable.”

    • E. 

      “I know this week has been rough. I feel a little like sandpaper myself.”

  • 8. 
    P { margin-bottom: 0.08in; } The nursing faculty would like to incorporate problem-based learning into the curriculum. Which action is essential?
    • A. 

      Obtain funding for a simulation mannequin.

    • B. 

      Write standardized scripts for volunteers who will portray clients.

    • C. 

      Add more information to existing care plans as the study unfolds.

    • D. 

      Assign client care debate topics to teams of three or four students.

  • 9. 
    P { margin-bottom: 0.08in; } A newly promoted nurse manager would like staff to solve problems without relying on preconceived ideas. How should the manager role-model this ability?
    • A. 

      When disagreements occur on the unit, the manager privately asks the dissenters to be silent about the issue at meetings.

    • B. 

      Tell staff members that they must present one opinion regarding the solutions they desire.

    • C. 

      Demonstrate a genuine desire to find our why there is dissention.

    • D. 

      Develop “tunnel vision” when it comes to problems on the unit.

  • 10. 
    P { margin-bottom: 0.08in; } The nurse manager generally uses a stepwise method to arrive at decisions that are logical and that serve to maximize the achievement of the desired objective. Which decision-making model does this manager use?
    • A. 

      Political decision-making model

    • B. 

      Experimentation process

    • C. 

      Rational decision-making model

    • D. 

      Trial-and-error method

  • 11. 
    P { margin-bottom: 0.08in; } Although the postoperative assessment of a client reveals no abnormalities, the nurse believes the client’s condition is deteriorating and orders frequent vital signs. This intervention was made on the basis of which type of problem solving?
    • A. 

      Experimentation

    • B. 

      Intuition

    • C. 

      Satisficing

    • D. 

      Past experience

    • E. 

      Trial-and-error method

  • 12. 
    P { margin-bottom: 0.08in; } The nurse is using critical thinking skills to decide which of several options is the best. Which question is most important for the nurse to take into consideration?
    • A. 

      Are there different situational effects or contexts to be considered?

    • B. 

      How has the problem usually been handled?

    • C. 

      What is the easiest and least expensive alternative?

    • D. 

      Can the problem be solved using the nursing process?

  • 13. 
    P { margin-bottom: 0.08in; } Which statements exemplify the attributes of critical thinking essential to nurses?
    • A. 

      “I am always curious about why we do things the way we do.”

    • B. 

      “I think we need to hurry up and make a decision.”

    • C. 

      “Can you help me understand your perspective a little better?”

    • D. 

      “I don’t think that your concern is necessarily pertinent to this issue.”

    • E. 

      “I don’t think I can make that decision until I have more information.”

  • 14. 
    P { margin-bottom: 0.08in; } A nurse working in a rehabilitation center notices clients frequently asking for something to drink. Which response indicates the use of creativity in finding a solution to this problem?
    • A. 

      Calling local beverage distributors to inquire about service pricing

    • B. 

      Asking all employees to write down their ideas about a solution

    • C. 

      Determining what type of drinks most clients might want

    • D. 

      Encouraging clients to bring a drink from home

  • 15. 
    P { margin-bottom: 0.08in; } A newly licensed nurse working on a unit committee challenges every detail of a proposal the committee is developing. How should other committee members interpret this behavior?
    • A. 

      This nurse is too inexperienced to realize the behavior is inappropriate.

    • B. 

      This nurse is learning to be creative.

    • C. 

      This nurse believes that new nurses are more knowledgeable than those who have worked several years.

    • D. 

      This nurse misunderstands the work of the committee.

  • 16. 
    P { margin-bottom: 0.08in; } The nurse has determined that in order to provide the highest quality care it is important to become more creative. What is the most effective way for the nurse to increase creativity?
    • A. 

      Watch others implement creative solutions.

    • B. 

      Work with a group to implement a creative solution.

    • C. 

      Evaluate the effectiveness of creative solutions.

    • D. 

      Practice the steps of the process as often as possible.

  • 17. 
    P { margin-bottom: 0.08in; } Which statement indicates understanding of how a nurse could improve personal decision-making skills?
    • A. 

      “We should gather a group together to make important unit decisions to ensure fairness.”

    • B. 

      “I should practice making decisions by developing potential solutions and then choosing one.”

    • C. 

      “We can make a decision and then ask for input from others to make sure it was the right choice.”

    • D. 

      “I know I will never be able to improve my decision-making skills because I am not a strong person.”

  • 18. 
    P { margin-bottom: 0.08in; } The nurse manager is calculating the cost of offering two bonus incentives to nursing staff for covering call-ins for sickness. After reviewing the statistics, the manager finds that option A is more cost-effective than option B but decides to implement option B because it seems safer. Which option best describes the basis of this decision?
    • A. 

      Probability

    • B. 

      Probability analysis

    • C. 

      Objective probability

    • D. 

      Subjective probability

  • 19. 
    P { margin-bottom: 0.08in; } Which situation requires an adaptive decision?
    • A. 

      The nurse manager discovers that two clients require the use of a new piece of equipment and that the one the hospital has is the only one in the state.

    • B. 

      The nurse has made a medication error on an experimental medication.

    • C. 

      The nursing student makes an error when changing a client dressing.

    • D. 

      The nurse manager scheduled too many nurses for the client census on the night shift, and all of the nurses scheduled have already been asked to take a low-census unpaid day off this month.

  • 20. 
    P { margin-bottom: 0.08in; } Which statement describes the primary difference between group and individual decision making, besides the number of individuals involved?
    • A. 

      A decision made by a group is often better than a decision made by one person.

    • B. 

      A decision made by an individual results in greater commitment.

    • C. 

      Groups can provide more input into the process.

    • D. 

      A decision made by a group can create a greater obligation to achieve results.

    • E. 

      Routine decisions are more often made by individuals.

  • 21. 
    P { margin-bottom: 0.08in; } Which action by the nurse manager is a demonstration of satisficing?
    • A. 

      The nurse manager works with the staffing schedule until all requested days off are honored.

    • B. 

      The nurse manager reposts a job opening because no applicants were a good fit for the current unit staff.

    • C. 

      The nurse manager agrees with a proposed budget that does not provide badly needed new client beds.

    • D. 

      The nurse manager insists on firing a nurse who is chronically late to work.

  • 22. 
    P { margin-bottom: 0.08in; } A serious disagreement has arisen between two staff nurses. The unit manager elects not to make a decision regarding the disagreement until more evidence is collected. Which part of the nursing process does this manager’s critical thinking reflect?
    • A. 

      Assessment

    • B. 

      Diagnosis

    • C. 

      Planning

    • D. 

      Evaluation

  • 23. 
    P { margin-bottom: 0.08in; } A nurse manager is committed to establishing an environment that supports critical thinking and creativity. What strategies would help in this effort?
    • A. 

      Provide opportunities for staff to interact with nurses from outside the facility.

    • B. 

      Give the nurses freedom to design their work environment.

    • C. 

      Create a spreadsheet for nurses to complete describing their creative efforts.

    • D. 

      Assign each nurse 15 minutes of a staff meeting to talk about his or her creative efforts.

    • E. 

      Be receptive to ideas even if they seem strange at the beginning.

  • 24. 
    P { margin-bottom: 0.08in; } Part of the facility’s performance evaluation is based on the nurse’s strength in the three types of decisions. During a nurse manager’s performance evaluation the supervisor says, “You are very good at adaptive decisions, but you need to be more precise in routine decisions. When the situation calls for really innovative decisions, you do not seem sure of yourself.” How should the manager interpret this information?
    • A. 

      “I am not following the policies and rules well.”

    • B. 

      “I should review the procedure manual.”

    • C. 

      “I’m good at using my previous experiences to guide my decisions.”

    • D. 

      “I am strongest in making decisions when the problems are very unusual or unclear.”

    • E. 

      “I make good decisions when the situation is novel.”

  • 25. 
    P { margin-bottom: 0.08in; } At the beginning of a brainstorming session, the manager lists the rules to be followed. Which rule should be included and enforced?
    • A. 

      Do not suggest any solution that is prohibitively expensive.

    • B. 

      Suggest only ideas that the group has not already tried.

    • C. 

      Do not critique any ideas presented.

    • D. 

      Limit the session to the first 15 ideas.

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