Maryville NURS406 August 2022 All Quizzes Latest (Full)

NURS406 LEADERSHIP IN NURSING

Week 2 Quiz 

Question 1 I have a good sense of the needs of the team at any given moment.

  1. Almost never

  2. Sometimes

  3. Often

  4. Regularly

 Question 2I work hard not to avoid conflicts.

  1. Almost never

  2. Sometimes

  3. Often

  4. Regularly

 Question 3I make it safe for people to identify and express conflicts at work.

  1. Almost never

  2. Sometimes

  3. Often

  4. Regularly

 Question 4

Staff have opportunities to test their mediation and conflict resolution skills.

  1. Almost never

  2. Sometimes

  3. Often

  4. Regularly

 Question 5

We have fewer conflict events on our service unit since implementing a conflict resolution process.

  1. Almost never

  2. Sometimes

  3. Often

  4. Regularly

 Question 6The trust level on my unit is consistently high.

  1. Almost never

  2. Sometimes

  3. Often

  4. Regularly

 Question 7I can anticipate important changes and alert the team before they directly experience the change.

  1. Almost never

  2. Sometimes

  3. Often

  4. Regularly

 Question 8I undertake at least one developmental opportunity a year to refine conflict skills.

  1. Almost never

  2. Sometimes

  3. Often

  4. Regularly

 Question 9There is a staff-driven conflict resolution process in place on my work unit.

  1. Almost never

  2. Sometimes

  3. Often

  4. Regularly

 Question 10The environment is conducive to anyone expressing feelings of conflict.

  1. Almost never

  2. Sometimes

  3. Often

  4. Regularly

 Question 11There is a mechanism in place for following up on conflict resolution and ensuring it was effective.

  1. Almost never

  2. Sometimes

  3. Often

  4. Regularly

Question 12 Staff are satisfied with the conflict process used on our unit.

  1. Almost never

  2. Sometimes

  3. Often

  4. Regularly

 

NURS406 LEADERSHIP IN NURSING

Chapter 1 Quiz

Question 1Competencies that are essential for change effectiveness include ____________.

  Personal knowledge and accountability for one’s own strengths and limitations specific to change and innovation, including technical capability and computer literacy.

  Understanding the essence of change and innovation concepts as well as the tools of innovation.

  The ability to collaborate and fully engage team members.

  Competence in embracing vulnerability and risk taking.

  A, B, and D are true.

  All of the above are true.

 Question 2Awareness of personal change abilities is important for the leader. This includes _______________.

  The need to understand personal comfort and competence with change.

  Assessment of strengths specific to the ability to identify critical issues for change.

  The ability to overcome obstacles.

  A and B.

  All of the above are true.

 Question 3The dynamics of change and innovation are best understood and advanced when several things are known. These include _________________.

  key stakeholders of the work to be changed (who).

  rationale for the change (why).

  the content to be changed (what).

  the timing for the change (when).

  the technique to change effectively (how).

  A, B, and D.

  all of the above are true.

 Question 4Innovation is ______________.

  a unique type of change where there is a novel and dramatic change.

  restructures the deep social and economic value of the organization.

  highly interrelated and unpredictable.

  all of the above are true.

 Question 5The positive outcomes of course correction include all of the following except ________________.

  information gained from less than successful attempts is needed in health care

  they provide new insight and opportunities for further dialogue

  the information should be filed away and not used in future decision making

  course correction and remediation should be employed

 Question 6Change should be considered when all of the following are true except ____________.

  safety is enhanced

  new evidence is available

  cost is not an issue

  excellence is advanced

 Question 7Strategies to minimize risk in change include all of the following except ______________.

  speaking up with evidence or a rationale for action

  timing and tinkering

  encouraging upward communication

  accelerating personal competence

  apologizing with a flair

  all of the above are true

 Question 8Reasons not to change include _____________.

  lack of compelling evidence

  there is no significant risk to patients and employees

  isolated issues that are closely linked with individual performance rather than system performance

  indications that an intervention or change is more likely to be a fad of the moment

  all of the above are true

 Question 9Change is ____________.

  an alteration of the current state.

  normative in a complex system.

  something to be minimized in a linear system.

  all of the above are true.

 Question 10The what of change begins with all of the following except _____________.

  identification of the specific processes and policies that need to be changed, replaced, or created

  identification of the relational competencies that need to be changed to fully support the system

  understanding of duplicate processes that need to be eliminated

  a total acceptance of whatever technological changes may need to be put in place

 

NURS406 LEADERSHIP IN NURSING

Chapter 2 Quiz

Question 1The definitive character of the requirements of professional membership in the traditional professions is succinct, crisp, and definitive related to education, certification, and experience.In nursing

  it is diffuse, often undifferentiated, and frequently broadly described and relative.

  it is organized and definitive related to experience.

  it is quite organized and goal oriented.

  it has firmly defined roles.

 Question 2The four cornerstones of a profession’s ownership and accountability are _________.

  practice

  quality

  competence

  knowledge management

  all of the above are true

 Question 3Membership in a profession is earned through ___________.

  obtaining a unique body of knowledge

  joining an organization

  applying for a position

  none of these

 Question 4The following is true about a professional code of ethics:

  The code is considered as a part of the regulation of the profession.

  It outlines a defined frame for professional responsibility.

  It guides critical thinking especially related to difficult decisions.

  It provides as clear a framework as possible regarding what behaviour meets the criteria for ethical behaviour guiding the individual or discipline to make a correct or right decision within a particular set of circumstances.

  All of the above are true.

 Question 5For the professional all of the following are true except _____________.

  work is simply a job

  work is not codified in hourly increments

  work is not simply a job

  the role becomes closely identified with the person

 Question 6Public policy is defined as _______________.

  volunteer work in nursing organizations

  principal action undertaken by governments

  working on committees in the hospital

  none of the above is true

 Question 7All of the following are considered elements of professions except _________.

  great knowledge

  important work

  making a difference

  being governed by another profession

 Question 8The following is not a component of evidence-based practice: ______________.

  Formulate a critical clinical question

  Search for and gather data regarding integrated and relevant evidence

  Use all data available

  Use the evidence for a particular clinical scenario

  Evaluate the impact of evidence-based choice(s)

 Question 9The ANA Code of Ethics states that the nurse

  is responsible and accountable for individual nursing practice.

  determines the appropriate delegation of tasks consistent with the nurse’s obligation to provide optimum patient care.

  owes the same duties to self as to others.

  participates in establishing, maintaining, and improving health care environments and conditions of employment conducive to the provision of quality health care.

  all of the above are true.

 Question 10The concept of professionalism providing a socially sanctioned or mandated service means that ______________.

  Licensing regulations may exist.

  The mandate includes language about the service that is provided.

  Competence is necessary to hold membership.

  There are penalties for nonperformance or professional wrongs.

  All of the above are true.

 

NURS406 LEADERSHIP IN NURSING

Chapter 3 Quiz

Question 1Emergent conditions are driven by __________.

  new sociopolitical realities

  economic changes

  technological advances

  evidence of best practices

  all of the above are true

 Question 2Descriptions of the management role include all of the following except:

  Managers have subordinates.

  Management is an organizational position and function.

  Managers have a horizontal relationship to those they manage.

  Management style is largely transactional.

 Question 3The following is not true about analysis:

  Analysis is the act of combining and integrating numerous complex elements or components of a system.

  Analysis is breaking down the components of a problem or issue into parts or elements.

  Management focuses on analysis.

  Analysis may include synthesis.

 Question 4Leaders _________ a context for the performance of the people of the organization.

  coordinate

  integrate

  facilitate

  provide

  all of the above are true

 Question 5Elements that directly and radically impact the role of the leader include all of the following except:

  Meaning is always informed by purpose.

  Others in the work environment usually have nothing important to contribute.

  The leader remains servant to the system and its people.

  Leaders understand the constancy of change in their own lives.

 Question 6All of the following are true about the relationship between leaders and stakeholders except ________________.

  Leaders firmly stay within the context obligations of their role and support stakeholders in addressing their ownership of the content of their issue or concern.

  The leader raises the right issues, engaging appropriate stakeholders.

  The leader helps others to find the core of the issue or problem.

  The leader strives to solve all of the problems for the stakeholders.

 Question 7Elements related to courage that are important to manifest in the personal exercise of the leadership role include ________________.

  The courage to initiate and act.

  The courage to stand up for what is right in others.

  The courage to trust.

  Exhibit a personal connection to leadership courage.

  All of the above are true.

 Question 8All of the following are true except:

  Managers direct from legitimized hierarchical positions.

  Leadership can be exercised from any point in the system.

  Managers must be good leaders to perform their functions appropriately.

  Leaders relate by influence, not by control.

 Question 9The following is true about synthesis:

  Synthesis is the opposite of analysis.

  Synthesis is the act of combining and integrating numerous complex elements or components of the system.

  Synthesis may include analysis.

  Leadership focuses on synthesis.

  All of the above are true.

 Question 10Leadership focuses on ___________________.

  longer trajectories

  relationship

  interactions

  confluence of forces

  all of the above are true

 

NURS406 LEADERSHIP IN NURSING

Chapter 4 Quiz

Question 1Values conflicts ______.

  are the easiest to address in the workplace

  are difficult to resolve because they relate to who people are

  are difficult to resolve because they relate to what people believe

  B and C are true

 Question 2The sense of lack of justice comes from what is considered ___.

  unfair work conditions

  unfair procedures

  unfair relationships

  all of the above are true

 Question 3All of the following are true except _____.

  Challenges that differences in personalities create need to be addressed.

  Values must have a voice, and that voice must be honored, respected, and included.

  All problems can be solved.

  Challenges that exist in matching demand to available resources need expression if conflict about them is to be allayed.

 Question 4Five personal barriers that have a dramatic impact on the individual leader’s ability to understand, engage, and manage conflict include ____.

  willingness to confront conflict

  uncertainty about the capacity to handle the conflict emotionally and personally

  recognizing that most people’s attitude toward conflict is a negative one

  lack of skill

  lack of exposure and experience

  previous family conflicts experienced

  A, B, C, D, and E are true

  all of the above are true

 Question 5Examples of poor communication in fully sharing personal views, insights, or opinion include all of the following except ___.

  Staff vocalizes affirmatively.

  You see people nodding their heads or sitting in silence in response to a statement or question raised.

  You notice people stop questioning or raising issues because they fear being labeled as not being team players.

 Question 6Creating a context of trust is the essential framework for ____.

  a place where the employee can share with you all of their problems.

  a truly safe place where conflict can be dealt with as easily and effectively as any other function, process, or relationship.

  quicker discovery of mistakes, allowing the proper punishments to be delivered more quickly.

  none of these is true.

 Question 7Steps in handling conflict include ___.

  identifying the problem

  immediately reporting the problem to hospital administration

  making sure issues are expressed

  A and C are true

 Question 8The leader needs to be comfortable with conflict. Factors which are important to this occurring are the following:

  The leader must be comfortable with self-expression of feelings, personal insights, and challenges to prevailing views and circumstances.

  The leader needs an environment that is not constraining or controlling or creates structural barriers that make it difficult to express personal feelings.

  The good leader embraces his or her own feelings regardless of intensity.

  The leader must assess their level of comfort and self-expression in the presence of conflict or conflict situations.

  All of the above are true.

 Question 9The early identification of conflict is important to help prevent escalation. Many stressors are manifested in particular modes of ______.

  communication

  relationships

  interactions

  expression of personal emotions

  all of the above are true

 Question 10Conflict is all of the above except ______.

  normative

  to be avoided at all costs

  a metaphor for difference

  often ideological

  due to intellectual differences

 

NURS406 LEADERSHIP IN NURSING

Chapter 5 Quiz

Question 1Patient care needs categories include___.

  cognitive needs.

  pain and comfort needs.

  family information and support needs.

  treatments and interventions.

  A and C.

  all of the above are true.

 Question 2The historical usage approach to staffing involves___.

  looking at usage from the year before.

  the assumption that all patients are similar in needs.

  identifying nurse-to-patient ratios based on experiences and perceptions of nurses.

  use of a patient classification system.

 Question 3The expert opinion or expert panel technique to measure work _____.

  identifies time requirements for certain work.

  is a consensus approach.

  uses professional judgment to determine staff required.

  provides a flexibile approach that focuses on a critical review of nursing practice.

  A and D.

  all of the above are true.

 Question 4The role of advanced practice nurse providers and clinical experts includes___.

  writing orders.

  providing general patient care oversight.

  providing care.

  assisting staff in the care of more complex patients using the latest evidence in a cost-effective approach.

  all of the above are true.

 Question 5Examples of interventions to address the gap between needs and actual staffing are the following ___.

  reevaluating patient acuity ratings.

  postponing admissions.

  postponing nonemergent patient care.

  floating existing staff to the unit of need.

  all of the above are true.

 Question 6Validity measures___.

  the extent to which data is reproducible.

  the extent to which a workforce management system measures what it is designed to measure.

  the ability to quantify and/or predict patient needs for nursing care.

  B and C.

  all of the above are true.

 Question 7All of the following are true about nursing staff skill mix except ____.

  it consists of the numbers of licensed and nonlicensed staff.

  it is determined based on who is available to work.

  it is determined based on the work that needs to be done.

  it is difficult and challenging to determine due to the multifaceted nature of patients and caregivers.

 Question 8One of the problems with patient classification systems has been low validity. This problem includes the following:

  failing to account for the full scope of nursing practice.

  belief that patient classification systems are a vehicle to increase or decrease staffing levels inappropriately.

  wrongly projecting patient care needs for the next shift or time period.

  failing to use the data that is generated.

 Question 9Patient workforce management includes five highly interconnected and interrelated components, which include all of the following except ____.

  Establishment of a patient care delivery model.

  Patient needs and nurse interventions identification.

  Creation of a core staffing schedule to support patient needs.

  Daily staffing process that is consistent each day.

  Evaluate value and outcome.

 Question 10The problems with prospective versus retrospective prediction of patient care needs includes___.

  the amount of staff and skill mix has been nearly impossible to determine without an acceptable error range without using a computerized solution.

  it is nearly impossible to accurately predict patient condition changes, new admissions, and discharges.

  A and B.

  neither is true.

 

NURS406 LEADERSHIP IN NURSING

Chapter 6 Quiz 

Question 1Inappropriate communication with patients could involve all of the following ethical issues except ____.

  autonomy

  betrayal

  pragmatism

  nonmaleficense

 Question 2An American school of philosophy that rejects the esoteric metaphysics of traditional European academic philosophy in favor of more down-to-earth, concrete questions and answers is ____.

  morality

  utilitarianism

  pragmatism

  bioethics

 Question 3Practice breakdown is ____.

  disruption or absence of any of the aspects of good practice

  brief excursions from an established boundary for a therapeutic purpose

  a process that obscures the ethical dimensions of a decision

  when a person knows what is right and doesn’t want to do it

 Question 4A problem that confronts one, with a choice of solutions that seem or are equally unfavorable is a (n) ___.

  ethical erosion

  ethical dilemma

  ethical fading

  boundary crossing

 Question 5Sources of ethical dilemmas include ____.

  values

  diversity

  political views

  all of the above are true

 Question 6Ethics is ____.

  the elimination of arbitrary distinctions and the establishment of a structure of practice with a proper share, balance, or equilibrium among competing claims

  duty to keep one’s promise

  the philosophical study of right and wrong action

  duty to do no harm

 Question 7Examples of resources for ethical decision making would include ____.

  ethics committees

  ethics textbooks

  ethics journals

  all of the above are true

 Question 8Care at the end of life for which there is little hope of benefit is an example of ____.

  medical futility

  organizational integrity

  nonmaleficence

  rationalization

 Question 9Bioethics is___________.

  the sum total of individual and collective experience, knowledge, and good sense

  guidelines for behavior specific to a moral framework for professional practice

  supporting and promoting patients’ healthcare rights and enhancing community health and policy initiatives that focus on the availability, safety, and quality of care

  a subdiscipline of applied ethics that studies questions surrounding biology, medicine, and the health profession

 Question 10All of the following are true about the ethics of care moral theory except ____.

  it is based on the insights of Carol Gilligan

  it is a process that obscures the ethical dimension of a decision

  it rejects the traditional male-centered ethics that focused on rationality, individuality, and abstract principles

  it is based on emotion, caring relationships, and concrete situation

 

NURS406 LEADERSHIP IN NURSING

Chapter 7 Quiz 

Question 1All of the following are team fables except ____.

team members are not always committed to implementing a good team process

 all team members are created equal

 team members generally use good critical thinking to resolve their questions and issues

 team members will set aside their emotional issues in the interest of effective team decision making

 Question 2All of the following are true about evolution of interdisciplinary teams except ____.

   Digital technology has helped to create the demand for interdisciplinary teams.

 The complexity-based biopsychosocial model lends itself to health along a continuum, and therefore a role for a wide variety of clinical members.

 The physician is always the team leader and therefore guides the team.

 In this increasingly complex health environment no one discipline has all of the information, skills, and resources necessary to address the many intersecting needs of individual patients and patient populations.

 Question 3The following is information to be gathered by the team leader prior to assigning roles _____.

   discerning the character of the work

 discerning the distribution of the work

 determining the best way to break down elements of the work into meaningful components

 all of the above are true

 Question 4The impact of technology on the team process means that ____.

   communications become available to team members more quickly

 communication may be more succinct

 body language and emotions are not available to factor in with electronic communication

 all of the above are true

 Question 5Elements essential for viable team construction are___.

   purpose

    goals

 roles

 relationships

 activities and functions

 A, B, and D

 all of the above are true

Question 6Terms of engagement contain all of the following elements except ____.

each member of the team will have an opportunity to speak

 avoid the use of judgment terms, such as “I agree” or “I disagree”

 team members should never use “I” statements

 the use of appreciative strategies in conversation should be encouraged and stimulated

 Question 7The following is true about goals _____.

they give the team clear and specific direction

 they create a point of reference where teams can evaluate their progress and determine movement toward completion

 they are generally frowned upon by hospital administration

 they involve both the team and individual members in defining the performance expectation of the team

 A, B, and D are correct

 all of the above are correct

 Question 8All of the following are team fables except ____.

team members usually do not use good critical thinking to resolve their questions and issues

 each team member fully understands why they act the way they do

 people always want to work with others

 building trust is an important role of the team leader

 Question 9The following elements need to be included in the assignment of work ___.

individuals charged with responsibility for a particular goal need to be clear about the specifics and the expectations.

 

   members working on an activity need to be clear about the time and resources needed to undertake the work.

   the work timetable is generally not as important as the resource utilization.

 measures of success must be incorporated into the team member work.

 A, B, and D are correct.

 all of the above are correct.

 Question 10The purpose for creating teams is all of the following except ___.

   to provide a general framework for care delivery

 to advance the capacity of professionals to fully engage particular planning activities

 to guide problem solving in a way that addresses patient care and improves team effectiveness

 to make staffing ratios easier to calculate

 

NURS406 LEADERSHIP IN NURSING

Chapter 9 Quiz 

Question 1Reasons why shared governance organizational structure operates effectively in complex adaptive systems like the healthcare environment include ___.

  The sustainability of healthcare services fully depends on how the point-of-service professionals function individually and collectively.

  The emergence of knowledge organizations demonstrates that knowledge is not fixed or finite and does not operate simply as a capacity.

  In a continuum of care approach, no one healthcare organization can own, control, or unilaterally mandate all of the service linkages and connections necessary to fully serve a specific population.

  All of the above are true.

 Question 2Significant shifts underway in health care include ___.

  Tertiary care is slowly being deconstructed.

  Digital technology is making it possible to create an increasingly portable diagnostic, therapeutic, and interventional environment making it increasingly mobile, fluid, flexible, and portable.

  Systems compete for value and quality.

  The fundamental value of practice is no longer embedded in volume measures related to how much an individual has done but in what difference and impact action had.

  All of the above are true.

 Question 3The role of management in shared governance is ___.

  stewardship

  unilateral decision making

  servant leadership

  assure seamless interface between the system’s purpose and resources

  A and C

  A, C, and D

Question 4Individuals at the point of service will need to be ___.

  more self-directed

  more collaborative

  more reliant on management

  A and B

 Question 5The foundations of shared governance include ___.

  ownership

  accountability

  vertical structures

  partnership

  equity

  A, B, and C

  A, B, D, and E

 Question 6Of the following statements ____ is true.

  Optimization in the system is a reflection of the strong goodness of fit between the human organizational dynamics and the technological fun

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