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Leadership and Management for Nurses 3rd Edition Finkelman Test Bank

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Leadership and Management for Nurses 3rd Edition Finkelman Test Bank

ISBN-13: 978-0134056982

ISBN-10: 0134056981

 

 

Description

Leadership and Management for Nurses 3rd Edition Finkelman Test Bank

ISBN-13: 978-0134056982

ISBN-10: 0134056981

 

 

 

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Finkelman, Leadership and Management for Nurses: Core Competencies for Quality Care 3rd Edition Test Bank

Chapter 13

Question 1

Type: MCSA

Which typical response by the nurse indicates the use of effective collaboration skill?

  1. Negotiates with others.
  2. Avoids competition.
  3. Strongly defends own ideas.
  4. Attacks to assert own position.

Correct Answer: 1

Rationale 1: Conflicts will arise that could interfere with collaboration. The nurse must develop negotiation to skills to resolve difficult conflicts.

Rationale 2: Nurses who fear competition and who are concerned about power will struggle with the need to share. Sharing is a component of collaboration.

Rationale 3: This is a barrier to effective collaboration. The nurse should ask others involved in the process for advice and comments.

Rationale 4: To effectively collaborate the nurse should avoid attacking and counterattacking and should focus on common interests and resolutions.

Global Rationale: NA

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub:

QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety

AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety;

NLN Competencies: Personal and professional development; relationship centered care; teamwork

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: LO 01. Analyze key aspects, barriers, and strategies related to collaboration and their impact on staff and healthcare delivery.

Page: pp. 317-321

 

Question 2

Type: MCSA

The patient, the nurse, and the physician have discussed treatment options and nursing care and have come to an agreement on the patient’s plan of care. Which principle does this illustrate?

  1. Education
  2. Conflict resolution
  3. Emotional intelligence
  4. Collaboration

Correct Answer: 4

Rationale 1: Education focuses on helping each party understand the other’s roles. It is important to collaboration, but not the best answer to this question.

Rationale 2: Conflict resolution is often a part of collaboration and may have been a part of this scenario, but there is not enough information to make that the best answer.

Rationale 3: Emotional intelligence is a leadership theory that promotes awareness of feelings. It may be a part of collaboration, but is not the best answer to this question.

Rationale 4: This scenario demonstrates a shared purposeful attention to the patient’s needs and problems to achieve successful outcomes, which is the principle of collaboration.

Global Rationale: NA

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub:

QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety

AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety;

NLN Competencies: Personal and professional development; relationship centered care; teamwork

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: LO 01. Analyze key aspects, barriers, and strategies related to collaboration and their impact on staff and healthcare delivery.

Page: pp. 317-321

 

Question 3

Type: MCMA

Select the options that reflect the key concepts related to collaboration.

Standard Text: Select all that apply.

  1. Partnership
  2. Interdependence
  3. Position
  4. Responsibility
  5. Dynamic

Correct Answer: 1,2,4,5

Rationale 1: Key concepts related to the dynamic process of collaboration are partnership, interdependence, and collective ownership and responsibility.

Rationale 2: Key concepts related to the dynamic process of collaboration are partnership, interdependence, and collective ownership and responsibility.

Rationale 3: The position the nurse has does not affect nurse collaboration.

Rationale 4: Key concepts related to the dynamic process of collaboration are partnership, interdependence, and collective ownership and responsibility.

Rationale 5: Key concepts related to the dynamic process of collaboration are partnership, interdependence, and collective ownership and responsibility.

Global Rationale: NA

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub:

QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety

AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety;

NLN Competencies: Personal and professional development; relationship centered care; teamwork

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO 01. Analyze key aspects, barriers, and strategies related to collaboration and their impact on staff and healthcare delivery.

Page: pp. 317-321

 

Question 4

Type: MCSA

The administrative staff has brainstormed for ideas on creating a more collaborative environment in the healthcare agency. Which idea would be the best to develop further?

  1. Develop a plan to help members of each profession more completely understand the impact of their own work.
  2. Institute collaborative strategies quietly and in a stealthy manner.
  3. Hold education sessions regarding collaboration for each department.
  4. Emphasize the fact that no one profession has all of the necessary skills to provide all care.

Correct Answer: 4

Rationale 1: This idea is focused on an individual profession, not on collaboration among disciplines.

Rationale 2: It would be better to be very public and upfront about the initiative.

Rationale 3: This idea focuses on the individual department, not on collaboration.

Rationale 4: This is the best idea offered. Collaboration requires acceptance that one’s own profession does not have all the answers or skills and that it takes many different professions to provide patient-centered care.

Global Rationale: NA

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub:

QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety

AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety;

NLN Competencies: Personal and professional development; relationship centered care; teamwork

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: LO 01. Analyze key aspects, barriers, and strategies related to collaboration and their impact on staff and healthcare delivery.

Page: pp. 317-321

 

Question 5

Type: MCSA

The nurse is working to make sure all plans for the patient’s discharge are complete. Which option best reflects the role in which this nurse is working?

  1. Evaluation
  2. Coordination
  3. Communication
  4. Collaboration

Correct Answer: 2

Rationale 1: Evaluation is a step of the nursing process used to help coordinate care. This is not the best answer to this question.

Rationale 2: Coordination of care is done to establish and support a continuous healing relationship. This nurse is working to assure that there is a smooth transition from hospital to home.

Rationale 3: The nurse will likely use communication skills while coordinating the transition, but this is not the best answer.

Rationale 4: The nurse may have to collaborate with others in order to coordinate the patient’s discharge, but this is not the best answer.

Global Rationale: NA

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: LO 02. Analyze key aspects, barriers, and strategies related to coordination and their impact on staff and healthcare delivery.

Page: pp. 321-323

 

Question 6

Type: MCSA

The staff nurse approaches the nurse manager with a complaint about a physical therapy assistant and states, “She doesn’t do the same amount of work as the nursing assistants.” After investigating, the manager believes the staff nurse does not understand the PT assistant’s role and that is causing stress for the nurse. Which kind of conflict has this situation caused the nurse?

  1. Organizational conflict
  2. Individual conflict
  3. Interpersonal conflict
  4. Repressive conflict

Correct Answer: 2

Rationale 1: Organizational conflict occurs between or among groups in the organization or between or among organizations. This choice is not supported by the scenario provided.

Rationale 2: Not understanding the roles of other staff can be very stressful for the individual and does affect work performance.

Rationale 3: Interpersonal conflict occurs between people and can be related to personality differences, territoriality, or control issues. There is nothing in this question that says that there is interpersonal conflict between the two individuals.

Rationale 4: Repressive conflict is a type of conflict when the individual responds by excessive absenteeism or other avoidance behavior. This is a type of covert conflict.

Global Rationale: NA

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub:

QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety

AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety;

NLN Competencies: Personal and professional development; relationship centered care; teamwork

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: LO 03. Examine conflict management, strategies, and their impact on staff.

Page: pp. 323-334

 

Question 7

Type: MCSA

The nursing staff members report a problem to their nurse manager by saying, “We know we are going to have a problem with this.” This statement illustrates which stage of conflict?

  1. Perceived conflict
  2. Felt conflict
  3. Manifest conflict
  4. Latent conflict

Correct Answer: 4

Rationale 1: This stage requires recognition or awareness that conflict exists at a particular time.

Rationale 2: This occurs when individuals begin to have feelings about the conflict such as anxiety or anger.

Rationale 3: This is overt conflict.

Rationale 4: The latent conflict stage involves the anticipation of conflict.

Global Rationale: NA

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO 03. Examine conflict management, strategies, and their impact on staff.

Page: pp. 323-334

 

Question 8

Type: MCMA

Which actions are important in the prevention of conflict?

Standard Text: Select all that apply.

  1. Allocate resources fairly.
  2. Try to keep problems confidential.
  3. Address staff fears.
  4. Clearly state expectations.
  5. Keep lines between roles flexible and dynamic.

Correct Answer: 1,3,4

Rationale 1: Conflict can arise when resources are scarce or unfairly allocated.

Rationale 2: Denying problems or trying to keep the fact that problems exist secret will lead to mistrust.

Rationale 3: Clear communication, especially about rumors and fears, is important to reduce conflict.

Rationale 4: Expectations should be clearly stated to prevent misunderstanding and rumor.

Rationale 5: Roles should be clearly defined and role responsibilities should be clear.

Global Rationale: NA

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub:

QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety

AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety;

NLN Competencies: Personal and professional development; relationship centered care; teamwork

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 03. Examine conflict management, strategies, and their impact on staff.

Page: pp. 323-334

 

Question 9

Type: MCSA

A nurse who is often a staff leader frequently comes to the nurse manager with concerns and complaints. When the nurse is reviewed for a merit raise she does not receive it even though the nurse demonstrated excellent work leading the unit change to evidence-based practice. This illustrates use of which type of power by the nurse manager?

  1. Coercive power
  2. Referent power
  3. Informational power
  4. Reward power

Correct Answer: 1

Rationale 1: Coercive power is based on punishment when a person does not do as expected or directed. Examples are denial of a pay raise, termination, and poor schedule or assignment. Denial of this nurse’s merit raise, even though work was excellent, could be related to the nurse frequently coming to the nurse manager with concerns. This situation is an example of coercive power.

Rationale 2: This informal power comes from others recognizing that an individual has special qualities and is admired.

Rationale 3: This type of power arises from the ability to access and share information.

Rationale 4: This type of power comes from the ability to reward those who comply. This is closely associated with coercive power, but this situation more clearly demonstrates coercive actions. If the nurse had been given a pay raise for good work and complying with expectations, reward power would be used.

Global Rationale: NA

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub:

QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety

AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety;

NLN Competencies: Personal and professional development; relationship centered care; teamwork

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 03. Examine conflict management, strategies, and their impact on staff.

Page: pp. 323-334

 

Question 10

Type: MCSA

The manager has asked the staff to participate in the selection of new intravenous pumps for the unit. The manger has provided a list of choices and budget guidelines. This is an example of use of which management strategy?

  1. Use of expert power
  2. Use of legitimate power
  3. Empowerment of staff
  4. Management persuasiveness

Correct Answer: 3

Rationale 1: This manager has used expert opinion, not expert power.

Rationale 2: Legitimate power is the type of power that is “awarded” with a position.

Rationale 3: This action enables others to act and provides others with the opportunity to participate and influence decisions.

Rationale 4: The manger would have used persuasiveness to convince the staff to adopt a particular kind of pump that the manager chose.

Global Rationale: NA

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub:

QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety

AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety;

NLN Competencies: Personal and professional development; relationship centered care; teamwork

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 03. Examine conflict management, strategies, and their impact on staff.

Page: pp. 323-334

 

Question 11

Type: MCSA

A staff member has become very disagreeable. The other nurses know this staff member is transferring to another unit at the end of the week. The nurses decide to ignore the situation. This illustrates which method of conflict resolution?

  1. Accommodation
  2. Collaboration
  3. Avoidance
  4. Passive-aggressiveness

Correct Answer: 3

Rationale 1: Accommodation allows a person to try to make a situation better when the he or she is less interested in the situation than the other party and, therefore, just allows the conflict to deflate.

Rationale 2: Collaboration is when all parties attempt to reach an acceptable solution for all.

Rationale 3: Avoidance enables the person to withdraw or ignore a situation that is not worth what might be lost if it is addressed. This often occurs when one party in a conflict is leaving.

Rationale 4: Passive-aggressive behavior makes conflict worse. It is when there is resistance to following through with expectations. This resistance can be obstructionist.

Global Rationale: NA

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub:

QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety

AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety;

NLN Competencies: Personal and professional development; relationship centered care; teamwork

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO 03. Examine conflict management, strategies, and their impact on staff.

Page: pp. 323-334

 

Question 12

Type: SEQ

The nurse manager is responsible for resolving a conflict. Place the steps of conflict resolution in the order the manager should use.

Standard Text: Click and drag the options below to move them up or down.

Choice 1. Identify the problem behaviors.

Choice 2. Discuss the situation with those involved.

Choice 3. Document the facts and their source.

Choice 4. Report the results to the appropriate supervisor.

Correct Answer: 1,3,2,4

Rationale 1: This step correlates with data collection or assessment and is the first step in this process.

Rationale 2: This is the third step of the process, after data has been collected and documented.

Rationale 3: Documenting facts and sources is the second step of the process.

Rationale 4: This is the final step in this process.

Global Rationale: NA

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub:

QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety

AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety;

NLN Competencies: Personal and professional development; relationship centered care; teamwork

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 03. Examine conflict management, strategies, and their impact on staff.

Page: pp. 323-334

 

Question 13

Type: MCSA

Which option illustrates that effective negotiation has occurred?

  1. Education about the issue occurs.
  2. Boundaries are set and meeting times and place are established.
  3. Both parties compromise and make concessions.
  4. An agreement is formalized.

Correct Answer: 4

Rationale 1: This option represents clarifying and justifying, which is the third step of the process.

Rationale 2: This option represents setting the ground rules of the negotiation, which is the second step.

Rationale 3: This option represents the bargaining and problem solving step, which is the fourth step.

Rationale 4: This is the final step of this process and indicates closure and implementation.

Global Rationale: NA

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub:

QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety

AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety;

NLN Competencies: Personal and professional development; relationship centered care; teamwork

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: LO 03. Examine conflict management, strategies, and their impact on staff.

Page: pp. 323-334

 

Question 14

Type: MCMA

Select the appropriate interventions to discourage verbal abuse between physicians and nurses.

Standard Text: Select all that apply.

  1. Approach those involved in private and identify a need for change in behavior.
  2. Gain a better understanding of each profession’s viewpoint.
  3. Appoint a professional from another discipline to take charge of training and education programs for physicians and nurses.
  4. Encourage nurses who are involved in this behavior to find employment elsewhere.
  5. Disseminate code-of-conduct policies and reporting guidelines to both nurses and physicians.

Correct Answer: 1,2,5

Rationale 1: Identification of the problem is essential. Sometimes this intervention can stop beginning abuse.

Rationale 2: It is important for nurses to understand more about the physician’s role and role strain and for physicians to understand more about the nurse’s role and role strain.

Rationale 3: The leader of this group should be the same as the participants. If the sessions are held jointly, there should be both a nurse and a physician as leaders.

Rationale 4: This is not a good solution to the problem. If the nurse is innocent in the situation, the behavior will not stop. If the nurse is not innocent in the situation, the behavior is likely to continue at the next job.

Rationale 5: Educating and setting clear expectations is essential. Reporting guidelines are also important.

Global Rationale: NA

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub:

QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety

AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety;

NLN Competencies: Personal and professional development; relationship centered care; teamwork

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 03. Examine conflict management, strategies, and their impact on staff.

Page: pp. 323-334

.

 

Question 15

Type: MCSA

Initial conflict resolution includes using which strategy?

  1. Developing more self-confidence.
  2. Avoiding the situation.
  3. Questioning throughout the process.
  4. Obtaining a neutral third party to assist.

Correct Answer: 3

Rationale 1: This is a by-product of the conflict resolution process. It should not be necessary to wait until self-confidence is developed to address the conflict resolution process.

Rationale 2: If a conflict is not identified, it can damage patient care and staff relationships.

Rationale 3: It is important to ask about behaviors that started the conflict and to explore how to avoid them in the future.

Rationale 4: This may be necessary if no opportunity for cooperative problem solving can be identified. It should not be used in the initial stages of conflict resolution.

Global Rationale: NA

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub:

QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety

AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety;

NLN Competencies: Personal and professional development; relationship centered care; teamwork

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 03. Examine conflict management, strategies, and their impact on staff.

Page: pp. 323-334

 

Question 16

Type: MCMA

The nursing department of a hospital is engaged in collaborative planning with the laboratory and radiology department of the same hospital. What are the benefits of this collaborative planning?

Standard Text: Select all that apply.

  1. It maximizes resources such as staff and equipment.
  2. It keeps one department from getting too big a share of the budget.
  3. It minimizes duplication of work.
  4. It improves the relationship among these departments.
  5. It makes the best use of space available.

Correct Answer: 1,3,4

Rationale 1: Maximizing resources is a big benefit of planning collaboratively.

Rationale 2: This is not the reason for collaborative planning.

Rationale 3: If planning is not done collaboratively, one department is unaware of the other department’s plans and may duplicate work. For example, planning how lab tests are ordered can reduce duplication of work.

Rationale 4: When staff members sit down together and plan for the future, they learn more about one another and one another’s role. This can improve relationships.

Rationale 5: Maximizing resources is a big benefit of planning collaboratively.

Global Rationale: NA

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub:

QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety

AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety;

NLN Competencies: Personal and professional development; relationship centered care; teamwork

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: LO 01. Analyze key aspects, barriers, and strategies related to collaboration and their impact on staff and healthcare delivery.

Page: pp. 317-321

 

Question 17

Type: MCSA

Which option, regarding the benefits of interprofessional collaboration, is accurate?

  1. These relationships are easy to establish because physicians, nurses, and ancillary professionals work closely together.
  2. Interprofessional environments are easy to establish, but hard to maintain.
  3. Professionals will have more career mobility as healthcare systems change.
  4. Healthcare research will be conducted solely by physicians, leaving patient care to nurses.

Correct Answer: 3

Rationale 1: These relationships are difficult to establish.

Rationale 2: These environments take time to develop and energy to maintain.

Rationale 3: This is a benefit. The more a professional knows about other disciplines in healthcare and the more networking the professional does, the more marketable the person is.

Rationale 4: This is not true and is not a benefit.

Global Rationale: NA

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub:

QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety

AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety;

NLN Competencies: Personal and professional development; relationship centered care; teamwork

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO 01. Analyze key aspects, barriers, and strategies related to collaboration and their impact on staff and healthcare delivery.

Page: pp. 317-321

 

Question 18

Type: MCSA

Which option is related to collaboration between the nurse and patient instead of coordination of patient care?

  1. Requires direct interaction with the patient
  2. Can take place either before or after patient care is provided
  3. Is not goal directed
  4. Is done to ensure that something happens

Correct Answer: 1

Rationale 1: In order to collaborate, there must direct interaction with the patient.

Rationale 2: This is true of coordination.

Rationale 3: Collaboration and coordination are goal directed.

Rationale 4: This is true of coordination.

Global Rationale: NA

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub:

QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety

AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety;

NLN Competencies: Personal and professional development; relationship centered care; teamwork

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: LO 02. Analyze key aspects, barriers, and strategies related to coordination and their impact on staff and healthcare delivery.

Page: pp. 321-323

 

Question 19

Type: MCMA

The nurse manager has been working with staff to improve care coordination, but has not met success with this endeavor. Which statements, made by staff, would indicate to this manager that a barrier to coordination exists?

Standard Text: Select all that apply.

  1. “We never have the correct information from radiology for how they want us to prepare patients for tests.”
  2. “Has anyone been able to get the laboratory to answer the phone today?”
  3. “I talked with one of the physical therapy assistants today. Did you know that all of our PT assistants have college degrees?”
  4. “I tried to sit with some of the staff members from the pharmacy today at lunch, but they didn’t include me in any of their conversation.”
  5. “The speech therapist helped me set up a way to communicate with a patient with a tracheostomy.”

Correct Answer: 1,2,4

Rationale 1: Not having the correct resources is a source of frustration and has a negative impact on coordination of care.

Rationale 2: Not being able to communicate is a source of frustration and has a negative impact on coordination of care.

Rationale 3: Coordination is more effective when those involved have a better understanding of their respective roles and work stresses.

Rationale 4: Staff who are not willing to listen or include others will find coordination difficult.

Rationale 5: Working together to solve a problem is a positive step toward coordination of care.

Global Rationale: NA

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub:

QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety

AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety;

NLN Competencies: Personal and professional development; relationship centered care; teamwork

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: LO 02. Analyze key aspects, barriers, and strategies related to coordination and their impact on staff and healthcare delivery.

Page: pp. 321-323

 

Question 20

Type: MCMA

Select the tools used by healthcare that are focused on coordination of care.

Standard Text: Select all that apply.

  1. Case management
  2. Clinical pathways
  3. Practice guidelines
  4. Disease management
  5. Care maps.

Correct Answer: 1,2,3,4,5

Rationale 1: Care coordination is essential to patient-centered care. Case management, clinical pathways, practice guidelines, disease management, and care maps all have coordination as a basis of their development.

Rationale 2: Care coordination is essential to patient-centered care. Case management, clinical pathways, practice guidelines, disease management, and care maps all have coordination as a basis of their development.

Rationale 3: Care coordination is essential to patient-centered care. Case management, clinical pathways, practice guidelines, disease management, and care maps all have coordination as a basis of their development.

Rationale 4: Care coordination is essential to patient-centered care. Case management, clinical pathways, practice guidelines, disease management, and care maps all have coordination as a basis of their development.

Rationale 5: Care coordination is essential to patient-centered care. Case management, clinical pathways, practice guidelines, disease management, and care maps all have coordination as a basis of their development.

Global Rationale: NA

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub:

QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety

AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety;

NLN Competencies: Personal and professional development; relationship centered care; teamwork

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: LO 02. Analyze key aspects, barriers, and strategies related to coordination and their impact on staff and healthcare delivery.

Page: pp. 321-323

 

 

Question 21

Type: MCMA

A major conflict has arisen among staff nurses regarding holiday days off on the next schedule. One of the nurses has a history of destructive behavior associated with conflict that the nurse manager would like to catch before the behavior affects the operation of the unit. What behaviors, by this nurse, should the manager watch out for?

Standard Text: Select all that apply.

  1. The nurse ignored the policy for 15-minute work breaks and was away from the unit for 30 minutes.
  2. When asked about the conflict the nurse states, “I don’t know what you are talking about.”
  3. The nurse states, “We have a problem with this scheduling, but I bet we can work it out.”
  4. The nurse avoids going into the nursing station when an “opponent” in the conflict is present.
  5. The nurse has lunch with a nurse from another unit.

Correct Answer: 1,2,4

Rationale 1: Ignoring policies can be a sign of destructive conflict.

Rationale 2: Denial of the problem can be a sign of destructive conflict. The manager should be alert for additional indicators.

Rationale 3: This statement acknowledges the problem and indicates that a solution is possible.

Rationale 4: Avoiding a staff member can be a sign of destructive conflict.

Rationale 5: Just having lunch with a nurse from another unit is not a sign of destructive conflict. If the nurse is discussing the situation in negative terms with the other nurse, a problem may exist.

Global Rationale: NA

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub:

QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety

AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety;

NLN Competencies: Personal and professional development; relationship centered care; teamwork

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO 03. Examine conflict management, strategies, and their impact on staff.

Page: pp. 323-334

 

 

Question 22

Type: MCMA

Select the major goals of conflict management.

Standard Text: Select all that apply.

  1. To meet the needs of the patient, family or significant others, and the organization
  2. To decrease conflict
  3. To encourage staff to be more aggressive in dealing with conflict
  4. To ensure all parties feels positive about resolution to conflict
  5. To eliminate the possibility of conflict

Correct Answer: 1,2,4

Rationale 1: Patient care is always the goal of nursing.

Rationale 2: Conflict can be decreased and temporarily eliminated.

Rationale 3: The staff should become more assertive, not more aggressive.

Rationale 4: This is known as a win-win situation.

Rationale 5: It is not possible to eliminate the possibility of conflict.

Global Rationale: NA

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub:

QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety

AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety;

NLN Competencies: Personal and professional development; relationship centered care; teamwork

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: LO 03. Examine conflict management, strategies, and their impact on staff.

Page: pp. 323-334

 

 

Question 23

Type: MCMA

After a new management company took over the operations of a hospital many changes in policy were made. The nurse manager overhears a conversation in the break room that included comments such as, “I don’t know why I even try” and “No one pays any attention to us anyway.” What results of these feelings should the nurse manager watch for on the unit?

Standard Text: Select all that apply.

  1. Lack of creative problem solving in the staff
  2. Deterioration in morale
  3. Increased effort by other nurses to make needed changes
  4. New staff being increasingly alienated from those who have been employed longer
  5. Change in the culture of the unit

Correct Answer: 1,2,4,5

Rationale 1: These statements, in light of the situation, indicate a feeling of powerlessness. In that case, staff often will not be as creative in problem solving.

Rationale 2: These statements indicate powerlessness, which can lead to deterioration in morale.

Rationale 3: These statements indicate powerlessness, which is very contagious and creates a feeling of unrest on the nursing unit. Even nurses who are not vocal about the issues may feel hesitant and unsure. This results in these nurses being less likely to make changes as well.

Rationale 4: These statements indicate powerlessness. New staff members very quickly adopt this feeling along with the remaining staff.

Rationale 5: These statements indicate powerlessness, which can change the culture of the unit, the department, and the organization.

Global Rationale: NA

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub:

QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety

AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety;

NLN Competencies: Personal and professional development; relationship centered care; teamwork

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: LO 03. Examine conflict management, strategies, and their impact on staff.

Page: pp. 323-334

 

Question 24

Type: MCSA

The nurse is very upset regarding a reprimand issued by the nurse manager. The nurse confronts the nurse manager in the hallway. How should the manager respond?

  1. Ignore the situation.
  2. Ask the nurse to move to the manager’s office.
  3. Tell the nurse to calm down and act professionally.
  4. Respond to the nurse regarding the reprimand in the hallway.

Correct Answer: 2

Rationale 1: This situation cannot be ignored.

Rationale 2: This conflict should not play out in public. The manager should ask the nurse to come to a more private place like the manager’s office or an empty room.

Rationale 3: This will not help deescalate this situation.

Rationale 4: This conflict should not play out in public.

Global Rationale: NA

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub:

QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety

AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety;

NLN Competencies: Personal and professional development; relationship centered care; teamwork

 

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 03. Examine conflict management, strategies, and their impact on staff.

Page: pp. 323-334

 

Question 25

Type: MCSA

There are gender differences in how people negotiate. Choose the option that reflects the way males are thought to negotiate.

  1. Focus on what is fair.
  2. Seek a win-win situation.
  3. Overt testing of limits.
  4. Refuse to communicate.

Correct Answer: 3

Rationale 1: Women tend to focus on fairness.

Rationale 2: Women tend to seek win-win solutions.

Rationale 3: Men tend to test limits more overtly than women.

Rationale 4: There is no evidence in the chapter that supports this option.

Global Rationale: NA

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 03. Examine conflict management, strategies, and their impact on staff.

Page: pp. 323-334

 

Question 26

Type: MCSA

Which statement best describes collaboration?

  1. Collaboration is a process.
  2. Goals may be different among staff collaborating.
  3. Collaboration is positive.
  4. Collaboration occurs between two people.

Correct Answer: 1

Rationale 1: Collaboration is a process with steps and requires engagement.

Rationale 2: Eventually staff collaborating have to reach a consensus about goals.

Rationale 3: Collaboration is not always positive.

Rationale 4: Collaboration may occur between more than two people.

Global Rationale: NA

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub:

QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety

AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety;

NLN Competencies: Personal and professional development; relationship centered care; teamwork

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO 01. Analyze key aspects, barriers, and strategies related to collaboration and their impact on staff and healthcare delivery.

Page: pp. 317-321

 

Question 27

Type: MCSA

How is the leadership theory of Emotional Intelligence related to collaboration?

  1. Collaboration is most effective in a bureaucratic structure.
  2. Collaboration requires problem solving.
  3. Collaboration requires recognition of own feelings.
  4. Collaboration requires coordination.

Correct Answer:

Rationale 1: Emotional Intelligence is not associated with bureaucratic structure model of organization.

Rationale 2: Problem solving is important, but not the key component of Emotional Intelligence.

Rationale 3: Collaboration does require recognition of own feelings, which is part of Emotional Intelligence leadership theory. This helps one better participate in the collaboration process to understand self and others.

Rationale 4: Coordination is not directly related to Emotional Intelligence.

Global Rationale: NA

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub:

QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety

AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety;

NLN Competencies: Personal and professional development; relationship centered care; teamwork

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO 01. Analyze key aspects, barriers, and strategies related to collaboration and their impact on staff and healthcare delivery.

Page: pp. 317-321

 

Question 28

Type: MCSA

How is effective coordination related to patient-centered care?

  1. Staff directs the patient to the best decision.
  2. Patient needs and preferences need to be included in coordination.
  3. Cost is considered before outcomes during coordination of care.
  4. Coordination is more related to staff rather than the patient.

Correct Answer: 2

Rationale 1: Patient-centered care means the patient is making decisions if patient chooses and staff may guide with facts and options but do not direct.

Rationale 2: Patient-centered care requires that patient values and preferences be included.

Rationale 3: Cost and outcomes should be considered, not one first.

Rationale 4: The patient should be involved in coordination of the patient’s care.

Global Rationale: NA

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO 02. Analyze key aspects, barriers, and strategies related to coordination and their impact on staff and healthcare delivery.

Page: pp. 321-323

 

Question 29

Type: MCMA

You are a new nurse manager and your mentor who is a nurse manager provides you with some guidelines about coordination. What would your mentor include?

Standard Text: Select all that apply.

  1. Staff need to understand the purpose of coordination.
  2. Expect staff to use coordination effectively.
  3. Policies and procedures are not standard part of coordination.
  4. Coordination is an element to be assessed in staff performance appraisal.
  5. Discuss coordination during staff meetings and orientation on the unit.

Correct Answer: 1, 4, 5

Rationale 1: Understanding the purpose of coordination helps to apply it.

Rationale 2: The nurse manager should not expect staff to use coordination effectively, but rather should assess and guide staff in its use.

Rationale 3: Applying policies and procedures is part of coordination with an HCO.

Rationale 4: Coordination should be assessed in performance appraisal.

Rationale 5: The nurse manager should bring up coordination routinely in meetings and orientation for new staff.

Global Rationale: NA

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub:

QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety

AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety;

NLN Competencies: Personal and professional development; relationship centered care; teamwork

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO 02. Analyze key aspects, barriers, and strategies related to coordination and their impact on staff and healthcare delivery.

Page: pp. 321-323

 

Question 30

Type: MCMA

Which of the following tools that is used to support patient care coordination is patient-centered?

  1. Clinical practice guidelines
  2. Clinical pathways
  3. Risk management
  4. Disease management
  5. Case management

Correct Answer: 1, 2, 4, 5

Rationale 1: Clinical practice guidelines are used to support patient care coordination that is patient-centered.

Rationale 2: Clinical pathways are used to support patient care coordination that is patient-centered.

Rationale 3: Risk management is used to track high-risk errors and potential legal concerns that might lead to malpractice. It is not used to support patient care coordination that is patient-centered.

Rationale 4: Disease management is used to support patient care coordination that is patient-centered.

Rationale 5: Case management is used to support patient care coordination that is patient-centered.

Global Rationale: NA

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub:

QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety

AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety;

NLN Competencies: Personal and professional development; relationship centered care; teamwork

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO 02. Analyze key aspects, barriers, and strategies related to coordination and their impact on staff and healthcare delivery.

Page: pp. 321-323

 

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