Leadership And Management In Nursing Answer Key For Final

Sarah is a nursing graduate of 5 years who is very confident in her clinical skills. She has taken some certificate courses in leadership and management and has considered beginning a graduate degree with this focus. She is excited about being able to use her knowledge and interest by being hired as a nurse manager. Before beginning her new position, Sarah spends time with her nurse executive to clarify the executive’s expectations of her and of the unit that she has been hired to manage. After beginning her new position, Sarah finds that she spends a great deal of time in direct patient care. Her staff begins to complain that they are never able to find her when they need her, and that some aspects of her responsibilities fall behind, such as scheduling. Sarah is most likely: Select one: a. lacking an understanding of the nurse management role. b. attempting to prove her clinical skills to the nursing staff. c. experiencing difficulty in unlearning old roles. d. lacking enjoyment in her new role. Question 2 Correct 1.00 points out of 1.00 Flag question Question text A nurse manager has been employed in the same facility for 20 years and has held the same position. This career style is known as: Select one: a. linear. b. spiral. c. steady state. d. entrepreneurial/transient. Question 3 Correct 1.00 points out of 1.00 Flag question Question text The nurse manager is anticipating changes on the unit because of managed care. It is up to the manager to “sell” the staff on this care concept. A goal of managed care that the staff must understand is that managed care is: Select one: a. grounded in business theory. b. useful for long-term patients only. c. designed to reduce unit resources and staff. d. not concerned with the best interests of clients. Question 4 Correct 1.00 points out of 1.00 Flag question Question text Electronic health records (EHRs) are being instituted at Pleasant Valley Hospital. Some of the staff on Unit 4 complain to the manager that acquiring the technologic skills required is too time consuming. They question its value in patient care. The manager responds that: Select one: a. the use of technology is inevitable in our technologically oriented society. b. the hospital is no longer able to find the space to accommodate paper record-keeping. c. the initiative is being driven by decision makers higher up in the hierarchy and there is no choice. d. EHRs will increase effectiveness of care by enhancing coordination and improving patient outcomes. Question 5 Incorrect 0.00 points out of 1.00 Flag question Question text To develop a curriculum vitae, or résumé, a nurse must develop a personal data file. The goal of a personal data file is to: Select one: a. create an opportunity to be interviewed. b. have a listing of facts about your professional life. c. have a tool in place for marketing yourself. d. create a document that lists your skills. Question 6 Correct 1.00 points out of 1.00 Flag question Question text The new nurse manager feels pulled between the expectations of staff, the demands of hospital administrators, and family obligations. According to the theory by Hardy (1978), unrelieved role stress and strain will lead to: Select one: a. frustration and anger. b. alienation of family and friends. c. low productivity and performance. d. physical symptoms and acute illness. Question 7 Correct 1.00 points out of 1.00 Flag question Question text Becky graduated 5 years ago and is keenly interested in pursuing leadership opportunities. She has been active in learning about leadership through workshops and Internet research and recently began a graduate degree program with a focus on nursing administration. She has excellent clinical skills and eagerly accepts responsibility for various projects on the unit. Her sarcastic and sometimes aggressive behavior tends to alienate other staff members on the unit. In coaching Becky, you: Select one: a. suggest that she reflect on situations in which she has had a positive influence and consider how her interactions contributed to the situation. b. suggest that she not consider leadership roles because her interaction skills are more suited to roles in which she has limited opportunities to work with others. c. ask staff members on the unit with whom she works to provide her feedback about ways in which her behavior irritates or turns them away. d. encourage her to continue her graduate courses, as information about strategies and technical aspects of the role will compensate for negative interactions. Question 8 Correct 1.00 points out of 1.00 Flag question Question text To move beyond stereotypical thinking and toward thinking about the future, which of the following would be most consistent with thinking wildly in the Wise Forecast Model©? Select one: a. Listing everything that we know about our current situation b. Defining which practices will remain unchanged and which will change c. Asking someone with a great deal of experience to share ideas about best practice d. Challenging current and future practices with questions of “what if?” Question 9 Correct 1.00 points out of 1.00 Flag question Question text In order to plan long term, you consider what the client of the future will look like. Which of the following client profiles would best capture shifting demographics and trends in health care? Select one: a. Younger, knowledgeable about health options b. Female, uses emergency care services for parents and children c. Older, one or more chronic disorders, diverse background d. Male, various occupationally generated disorders, diverse ethnic background Question 10 Correct 1.00 points out of 1.00 Flag question Question text A functional résumé focuses on: Select one: a. experience and skills gained in positions. b. positions held and specific roles in the positions. c. academic qualifications and achievements. d. relating skills and experience to qualifications in a specific position. 11 Partially correct 0.60 points out of 1.00 Flag question Question text A clinic nurse developed objectives for a diabetic education program. The characteristics of wellwritten objectives include that they should be what? (Select all that apply.) Select one or more: a. Achievable b. Understandable and specific c. People-oriented d. Manager-oriented e. Means-oriented f. Measurable Question 12 Correct 1.00 points out of 1.00 Flag question Question text The new head nurse on telemetry has been in the position for 3 months. The head nurse and the administrator disagree on how much time the head nurse should allot to various aspects of the role. Staff members on the unit complain that the head nurse is unavailable for clinical concerns because of being off the unit while attending meetings. To facilitate the process of role transition, the head nurse should: Select one: a. develop policies consistent with the head nurse’s prior workplace. b. attend a workshop on how to deal with difficult people. c. decide to give the position 3 more months and then leave if things do not improve. d. schedule a series of meetings with staff and the administrator to clarify expectations. Question 13 Correct 1.00 points out of 1.00 Flag question Question text Thomas has been a nurse in your ICU for 10 years. In facilitating Thomas’ professional development, the nurse manager would focus on: Select one: a. certification for the ICU environment. b. discussions about how Thomas can fit with role expectations and relationships. c. possible changes to other ICU environments. d. encouraging him to lead changes that leave long-term impacts after his retirement. Question 14 Correct 1.00 points out of 1.00 Remove flag Question text In implementing the strategic plan for effective utilization of evidence to guide nursing practice at Pacific Hospital, the nursing unit managers take the next step, which is the implementation. Implementation most likely would involve: Select one: a. revisiting the mission statement and objectives. b. reevaluating external and internal factors affecting evidence-based practice. c. preparing a budget to support implementation. d. developing unit-based objectives related to the plan. Question 15 Correct 1.00 points out of 1.00 Remove flag Question text Sarah is a nursing graduate of 5 years who is very confident in her clinical skills. She has taken some certificate courses in leadership and management and has considered beginning a graduate degree with this focus. She is excited about being able to use her knowledge and interest by being hired as a nurse manager. Before beginning her new position, Sarah spends time with her nurse executive to clarify the executive’s expectations of her and of the unit that she has been hired to manage. Sarah finds that she has begun to think negatively about the way nursing care is delivered on her nursing unit. She often wishes that she was back on her old unit and in her familiar staff nurse role. This behavior: Select one: a. is natural when assuming a new position. b. diverts energy from internalization of Sarah’s new role. c. is justified if practices are deficient on the new unit. d. reflects Sarah’s astuteness as a clinician. 16 Correct 1.00 points out of 1.00 Flag question Question text After several months in the role of manager of a dialysis unit, Maryanne finds herself still questioning the gap in expectations between her and her staff and management and is also questioning if she can reconcile her concerns about quality care with the strong cost-containment orientation of the facility. At this point, Maryanne is in which stage of role transition? Select one: a. Internalization b. Acceptance c. Development d. Discrepancy Question 17 Incorrect 0.00 points out of 1.00 Remove flag Question text Which of the following strategies is most important in developing a strong vision? Select one: a. Seeking out evidence to support trends and out-of-the-box thinking b. Spending time with others with whom we discuss ideas c. Setting up focus groups to provide information on current realities d. Being honest and open about what we think for the future Question 18 Correct 1.00 points out of 1.00 Remove flag Question text Benchmarks in the strategic marketing planning process are useful in: Select one: a. establishing programs. b. setting targets. c. rewarding employees. d. measuring progress. Question 19 Correct 1.00 points out of 1.00 Flag question Question text Which of the following situations is most likely to result in a productive, whole work situation? Select one: a. Amy, RN, 5 years of experience in the Emergency Department. Amy accepts a position working with older clients in a home health agency because she has relocated, and this is the only fulltime position available. b. Adam, RN, 8 years of experience in various nursing positions, including that of a nurse manager. Adam accepts a new nurse manager position because he has a family and wants more regular hours. He is most comfortable working in direct client care. c. Louise, RN, 10 years of experience in an Emergency Department. She accepts a position as a case manager in home health care, working with older clients. She especially enjoys working with older adults and wants to take on leadership and management challenges. d. Courtney, RN, a new graduate. Courtney is getting comfortable with delivering nursing care as an RN. She is offered a position on surgery as a permanent team leader. The unit has had a great deal of turnover recently, and only limited mentorship is available. Question 20 Correct 1.00 points out of 1.00 Flag question Question text Knowing your professional strengths is important to: Select one: a. find your fit in positions and a career path. b. maintain a professional status. c. act in a manner that is legal and ethical. d. understand the role expectations of a position. 21 Correct 1.00 points out of 1.00 Remove flag Question text The new head nurse on G Unit has been the subject of a great deal of discussion and complaining during breaks. She is a competent nurse of tremendous integrity with approximately 30 years’ experience. Her predominant method of problem solving and communication is through meetings, which can go over the allotted time. The staff may: Select one: a. be represented by a high number of Baby Boomers. b. be presenting different generational values and attitudes than the head nurse. c. be unresponsive to her transactional leadership style. d. want a leader rather than a manager. Question 22 Correct 1.00 points out of 1.00 Flag question Question text Sarah is a nursing graduate of 5 years who is very confident in her clinical skills. She has taken some certificate courses in leadership and management and has considered beginning a graduate degree with this focus. She is excited about being able to use her knowledge and interest by being hired as a nurse manager. Before beginning her new position, Sarah spends time with her nurse executive to clarify the executive’s expectations of her and of the unit that she has been hired to manage. Sarah’s actions are important in avoiding role: Select one: a. ambiguity. b. transition. c. development. d. negotiation. Question 23 Correct 1.00 points out of 1.00 Remove flag Question text A nurse manager is experiencing considerable conflict among staff members because of weekend staffing coverage. During a called staff meeting, the nurse manager asks the disgruntled staff to meet as a group and determine the best staffing practices. In doing this, the nurse manager is using the concept of collaboration to: Select one: a. demonstrate interdependence. b. depict flexibility and broadmindedness. c. focus all energies of staff members on a best possible strategy. d. defuse the possibility that staff members will escalate their discontent when staffing the unit on weekends. Question 24 Correct 1.00 points out of 1.00 Remove flag Question text While explaining the importance of developing leadership skills among nurses to a group of firstyear nursing students, Natalie, a nursing unit manager, emphasizes that: Select one: a. most nurses are not expected to assume leadership roles. b. the role of nurse leadership is only at the bedside, ensuring that patient care is performed according to established standards. c. only individuals in formal leadership roles are expected to be leaders. d. the public depends on nurses to assume leadership in moving consumer advocacy concerns forward. Question 25 Correct 1.00 points out of 1.00 Flag question Question text Who of the following might be the most appropriate mentor for Becky, a new nurse manager on the cardiac unit who has 4 years of previous clinical experience? Select one: a. Sam, near retirement. He has 20 years of clinical nursing and recently assumed role of head nurse in an interim capacity because of the incumbent’s illness. b. Leslie, who has been a clinical educator at the institution for a number of years. She has tired of her role and aspires to become a nurse manager. She looks at mentorship as an opportunity to understand the role better. c. Courtney, who has been a nurse manager for 3 years. Her staff and supervisor value her skills and her leadership acumen and championship of innovation. d. Ben, who was nurse manager for 3 years, soon after graduation. He left the role because he was uncomfortable with the expectations and has been a team leader on surgery for 15 years. 26 Correct 1.00 points out of 1.00 Flag question Question text As a nurse manager, you embrace the usefulness of resources such as Smart Bed. This behavior is important to: Select one: a. budget development. b. a manager’s role. c. succession planning. d. encouragement of staff utilization of technology. Question 27 Correct 1.00 points out of 1.00 Remove flag Question text A manager who is concerned with ensuring that patients on her surgical unit have the necessary information to make informed choices is: Select one: a. practicing legal nursing care. b. demonstrating respect for patient rights. c. avoiding risks. d. likely experiencing staff issues with informed consent. Question 28 Incorrect 0.00 points out of 1.00 Flag question Question text The adage “leaders are born and not made” reflects which of the following ideas around leadership? 28 Incorrect 0.00 points out of 1.00 Flag question Question text The adage “leaders are born and not made” reflects which of the following ideas around leadership? Select one: a. Management can be taught; leadership depends on abilities. b. Mentorship is important in developing innate skills of leaders. c. Leadership is a natural skill that cannot be refined or developed. d. Succession planning and formal education related to leadership are ineffective. Question 29 Correct 1.00 points out of 1.00 Remove flag Question text To meet the social and human needs of a target market, it is critical to: Select one: a. assess the needs and priorities of the target market. b. revise the organization’s mission statement to reflect external needs. c. assess the internal culture and needs. d. develop highly sophisticated media. Question 30 Correct 1.00 points out of 1.00 Flag question Question text As a nursing leadership student, you have had the opportunity to develop a palliative care manual that will be utilized by the palliative care network (PCN) in your region for teaching healthcare professionals. The PCN has requested that you provide a prioritized plan of action for marketing the manual on a regional and state basis. What is the first priority? Select one: a. Motivate the target market. b. Research the target market. c. Communicate benefits to the target group. d. Package the product. 31 Incorrect 0.00 points out of 1.00 Remove flag Question text A nurse executive who considers herself a Baby Boomer will have the challenge of convincing the emerging work force of the necessity of committee meetings. One of the primary reasons that the Baby Boom generation appears to have so many meetings in the work environment is that: Select one: a. they feel more comfortable in a group. b. they find that the journey to the solution is as important as the solution itself. c. they were deprived of collective action opportunities in the past and now feel that solutions are better when many people have input. d. Baby Boomers are aging and need the respite from work that meetings offer, so they can recuperate from the physical demands of the work environment. Question 32 Correct 1.00 points out of 1.00 Flag question Question text Which of the following nurses is MOST likely to inspire others to do their best? Select one: a. Nancy, RN, is an individual who enjoys details and organization. She regularly leaves notes for the next shift about what has been done incorrectly or omitted. b. Jim, RN, has been involved in nursing for several years and is well liked by patients and families. He continually searches for new knowledge and skills, and his sense of humor and optimism are infectious. c. Clara has been the head nurse on Unit 3Y for years. She is quiet but enjoys patients and their families. She has not been to a conference in years because the unit is her entire life. d. Karen is a team leader. She is extraordinarily vigilant about ensuring that everyone is treated fairly in assignments. She is also very conscientious about care and regularly checks up on what everyone is doing to ensure that it is done correctly. Question 33 Correct 1.00 points out of 1.00 Remove flag Question text The chief nursing officer has been developing her portfolio for years. What is the chief nursing officer modeling? Select one: a. Her clinical expertise b. Affection for tradition c. Her employability d. Her busy professional life Question 34 Correct 1.00 points out of 1.00 Flag question Question text Nurses are valuable partners in marketing strategies because they: Select one: a. are more likely than other members of the organization to use marketing tools. b. have a strong background in using evidence to support decisions. c. have close involvement with patients, who are the target group for marketing. d. constitute the largest staff group in most healthcare organizations. Question 35 Correct 1.00 points out of 1.00 Flag question Question text A nurse is interviewing for a manager’s position. Which of the following actions is considered a role preview? Select one: a. Formal commitment of the employment contract b. Improving role performance c. Touring the unit d. Disillusionment about the expectations of the job 36 Correct 1.00 points out of 1.00 Flag question Question text An experienced staff nurse applies for a distinct position of patient advocate at a new clinic. Based on the various tools available to her, which of the following should she bring to her interview to best present her skills? Select one: a. Résumé b. Annual evaluations c. Portfolio d. Patient advocacy project Question 37 Correct 1.00 points out of 1.00 Flag question Question text On your curriculum vitae, which of the following is the recommended approach for listing employment and educational history information? Select one: a. 1979 RN Diploma 1985 BScN 2002 MN b. 2002 Mount Rush Health Center Staff Nurse 1997 Cedar Falls Clinic Staff Nurse 2007 Kilkarney Rehab Center Case Manager c. 2007 MN 2005 BScN d. 1997 Sturgeon County Hospital Head Nurse 2002 Sturgeon County Supervisor 2007 Sturgeon County Director Question 38 Correct 1.00 points out of 1.00 Flag question Question text During performance appraisal interviews, Joanne’s nurse manager notices Joanne’s excitement when she talks about how she has helped patients on a rehab unit understand the complexities of their regimens. When Joanne’s nurse manager asks her about her career path plans, Joanne says that she wants to become a nurse administrator. The best response to Joanne would be: Select one: a. “Nursing administration is rewarding. What experiences would help you along this path?” b. “You do not appear excited about nursing administration. Unless you are excited by that career path, I wouldn’t advise going in that direction.” c. “You seem to find teaching others very rewarding. Have you considered that as a possible career path?” d. “You are too inexperienced to consider administration. Work for a few years, and then consider administration.” Question 39 Correct 1.00 points out of 1.00 Remove flag Question text Nursing research has indicated that the foundation for becoming a nursing leader is the ability to: Select one: a. write effectively. b. speak two or three languages. c. focus on day-to-day priorities. d. think futuristically. Question 40 Incorrect 0.00 points out of 1.00 Remove flag Question text In working with Cheryl, her mentor suggests that it is really important for Cheryl to engage in self-appraisal and to know her strengths. This observation is based on an understanding that: Select one: a. self-confidence comes automatically out of leading. b. self-confidence requires constant self-affirmation of strengths. c. there is little external motivation and affirmation in leadership. d. supervisors of leaders rarely provide feedback. 41 Correct 1.00 points out of 1.00 Remove flag Question text A group of managers is meeting to discuss ideas related to the successful implementation of evidence-based practice on their units. Susan has been asked by the director of care to assume leadership of these discussion groups. After two such sessions, Susan expresses disappointment to her mentor that the group seems disinterested in her ideas and that they are listening to Ken, who has much less experience with leadership. In discussing this with Susan, the mentor understands that leadership: Select one: a. is a designated role. b. must be earned. c. is more likely to be taken by someone who is more talkative. d. rarely is taken over by someone with less experience. Question 42 Correct 1.00 points out of 1.00 Remove flag Question text An interviewee for a nurse manager position asks for a copy of the organizational chart. Organizational charts provide information about the role component of: Select one: a. expectations. b. opportunities. c. responsibilities. d. lines of communication. Question 43 Correct 1.00 points out of 1.00 Remove flag Question text A nurse manager in one hospital values a colleague who is a few years older and has more experience in nursing management. The colleague works in another hospital, but they meet for lunch once a month. In these meetings, they share their feelings about nursing management and their lives. The function of a mentor that is missing in the relationship is: Select one: a. sponsorship. b. role modeling. c. social interaction. d. mutual positive regard. Question 44 Correct 1.00 points out of 1.00 Remove flag Question text Before beginning her own nursing agency, a nurse worked with other temporary nursing agencies in nine states and multiple agencies. She had set a personal goal to start her own agency. What type of motivation does this exemplify in career success? Select one: a. Linear b. Spiral c. External d. Internal Question 45 Correct 1.00 points out of 1.00 Remove flag Question text A necessary leadership strength for nurses of the future is: Select one: a. inspiring others to work their best to create the future. b. understanding the nuances of fundraising to make up funding shortfall. c. guarding the tendency of other professions to encroach on nursing roles. d. adapting work life to an aging nursing work force. 46 Incorrect 0.00 points out of 1.00 Remove flag Question text You have just hired a recent graduate. The graduate is thrilled with the opportunity that she has been given, as well as with the idea that “working means no more essays, tests, or assignments!” She indicates that she has no intention of touching a book, journal, or health information website for a “long time.” Which of the following would be your best response? Select one: a. The expectations and design of educational programs means that new graduates are better prepared for the work force. b. The new graduate will still have to learn, but it will be job-specific learning. c. An ideal learning plan for nurses emphasizes followership. d. The amount and intensity of knowledge demands lifelong learning that includes assessment of relevancy of knowledge for practice. Question 47 Correct 1.00 points out of 1.00 Flag question Question text As a nurse manager, it is important to become a “future thinker.” Which is an example of a “future thinker”? Select one: a. Keeping traditional practices b. Moving toward evidence-based practices c. Finding less need for more knowledge d. Believing that macromarketing will be a necessity Question 48 Incorrect 0.00 points out of 1.00 Remove flag Question text As a new manager, you reflect on what professional development would be most valuable to assist you in taking on this role. Which of the following would you most likely identify? Select one: a. Opportunities to hone clinical skills that are used most often on the unit that you will manage b. A workshop on conflict management and communication skills c. Attendance at a conference on global healthcare economics d. Attendance at a workshop on survey tool development and statistical measurement Question 49 Correct 1.00 points out of 1.00 Remove flag Question text The chief nursing officer has to write a strategic plan. The most difficult stage in the strategic planning process is: Select one: a. assessment of the external and internal environment. b. review of mission statement, goals, and objectives. c. identification of strategies. d. implementation of strategies. Question 50 Incorrect 0.00 points out of 1.00 Flag question Question text Which of the following actions is most representative of how health care of the future might be delivered? As a nurse leader, you: Select one: a. refer families who require immediate help to a local food bank. You also work with local agencies and families to establish mothers collective in which mothers learn about nutrition and prepare low-cost, nutritious meals that are shared with the mothers in the collective. b. work together with a local agency to set up a free clinic in which addicts and the homeless can receive free health care and prescriptions for immediate needs. c. ensure that individuals who are admitted to your unit are asked about their smoking history and that preoperative and postoperative planning takes into account how smoking will affect status during and after surgery. d. address the health of those who are overweight and obese on your unit by ensuring that hospital meals offer nutritious, healthy food choices that are satisfying. 51 Incorrect 0.00 points out of 1.00 Remove flag Question text Nancy is a staff nurse who works on a rehabilitation unit. Nancy tells you that the assistants are experiencing difficulty with the new lift and wonders what your thoughts are on organizing an in-service training. Nancy is exhibiting which trait of a follower? Select one: a. Provides a vision for safety that is communicated. b. Thrives on taking risks in identifying the problem with safety. c. Coordinates the development of knowledge and skills necessary to use the lift. d. Assumes responsibility for identifying a safety concern and concedes authority for solution to you. Question 52 Correct 1.00 points out of 1.00 Flag question Question text To enhance team leadership skills for your team leaders, you arrange opportunities for: Select one: a. certification. b. continuing education. c. graduate courses. d. volunteerism. Question 53 Incorrect 0.00 points out of 1.00 Remove flag Question text A private ambulance clinic established a few streets away from Pacific Hospital markets its services as quality-based within caring relationships. The clinic is part of the __________ environment. Select one: a. public b. macro c. competitive d. social Question 54 Correct 1.00 points out of 1.00 Remove flag Question text Nursing professionals in the twenty-first century will accomplish most of their work: Select one: a. through teams of internationally prepared professionals. b. in teams and through group work. c. through long term, secure jobs. d. in competitive environments and work groups. Question 55 Incorrect 0.00 points out of 1.00 Remove flag Question text Based on studies of workplace environments for nurses and future projections, the workplace of the future will be: Select one: a. less intense because of more technology. b. about the same as it is now. c. more intense because of more technology. d. fluctuating between intense periods and less intense periods. 56 Correct 1.00 points out of 1.00 Flag question Question text After being interviewed for the unit manager position, the staff nurse reflects on the interview process. The staff nurse is aware that leadership begins: Select one: a. within. b. through a relationship with a mentor. c. with the job description. d. with the chief nursing officer of the organization. Question 57 Incorrect 0.00 points out of 1.00 Flag question Question text You notice that wait times in your Emergency Department are growing longer, because of factors such as increases in the numbers of persons with chronic disorders, discharge of patients into the community at a higher level of acuity, and limited resources for transfer of inpatients. You begin to think about an application that would use your knowledge of the Emergency Department but also software and business applications and wonder if this would reduce wait times. You have not encountered anything similar to this idea. According to the Wise Forecast Model©, you are in what phase? Select one: a. Wild thinking b. Act widely c. Think wildly d. Learn widely Question 58 Correct 1.00 points out of 1.00 Flag question Question text In preparing for a fair interview process as a hiring manager, you should: Select one: a. put water out for the candidates. b. ensure that you know the names of all candidates. c. dress comfortably and professionally. d. prepare a schedule of questions to be asked of all candidates. Question 59 Correct 1.00 points out of 1.00 Flag question Question text In assisting new graduates to make the role transition to graduate nurse, Ted, the unit manager initiates which of the following? Select one: a. Self-check list to assess competencies that have been strengthened b. Discussions that focus on what the new graduates have yet to learn c. Fixed target dates for acquisition of competency and transition to RN role d. Frequent formal meetings to provide feedback on performance and areas to be strengthened Question 60 Correct 1.00 points out of 1.00 Flag question Question text Sarah is a nursing graduate of 5 years who is very confident in her clinical skills. She has taken some certificate courses in leadership and management and has considered beginning a graduate degree with this focus. She is excited about being able to use her knowledge and interest by being hired as a nurse manager. Before beginning her new position, Sarah spends time with her nurse executive to clarify the executive’s expectations of her and of the unit that she has been hired to manage. After a year, Sarah successfully transitions into the nurse manager role and considers taking the examination to become a certified nurse executive. Amy advises her that this is not possible because Sarah will need: Select one: a. a graduate degree. b. at least a nursing diploma. c. 24 months of experience. d. 5 years of successful experience. A stroke unit experiences numerous changes related to implementation of new technology, a changed nursing care delivery model, and staff turnover within a period of 6 months. Staff members begin to show signs of reluctance to implement any more changes. This exemplifies: Select one: a. a poor relationship between leaders and staff. b. lack of knowledge regarding the importance of changes. c. striving to achieve stability during great disequilibrium. d. the importance of chaos in promoting adherence with established practices. Question 62 Correct 1.00 points out of 1.00 Flag question Question text The successful integration of informatics into healthcare settings is key to: Select one: a. quality decision making related to management of resources and patient care. b. accessing current information about business practices. c. meeting the modern-day expectations of staff regarding technology use. d. speeding up calculations and decisions in budget development. Question 63 Correct 1.00 points out of 1.00 Flag question Question text A unit manager recently graduated as a clinical nurse specialist with a focus in gerontology. She applied to take a certification exam. Certification is designed to recognize: Select one: a. basic knowledge in a specified area. b. advanced practice in functional roles. c. special knowledge beyond basic licensure. d. continued competence as a registered nurse. Question 64 Correct 1.00 points out of 1.00 Flag question Question text Steady state styles would be most likely in which of the following situations? Select one: a. Small hospital, in an isolated rural setting, with limited hierarchy b. Large urban teaching hospital c. Health network with several organizations d. Travel nurse agency Question 65 Correct 1.00 points out of 1.00 Flag question Question text John, a new nurse manager, complains to his colleague that he feels very uncomfortable with the conflict between what he thinks he should be doing as the manager and what his supervisor thinks he should be doing. According to Hardy’s role theory, John is experiencing: Select one: a. stress. b. role stress. c. role strain. d. role exploration.