Finally Flashcards

(70 cards)

1
Q

There is a best practice committee at clinic. Which behavior suggests storming stage?

A. Members attempt to impress each other with credentials
B. The short and long term goals for the group are agreed upon
C. Group members achieve their stated goals
D. The members receive their instructions and mandate from the manager

A

A. Members attempt to impress each other with credentials

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2
Q

There is a grapevine form of communication. What is managers best response?

A. Seek to understand the patterns and contributors of this pattern
B. Inform about harmful effects and that it will not be tolerated
C. Instruct to use formal patterns rather than informal patterns
D. Use the grapevine to disseminate messages that are accurate and respectful

A

A. Seek to understand the patterns and contributors of this pattern

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3
Q

A memo form of communication should:
A. Send to everyone to ensure equal access
B. Begin with at least one page of background info
C. Avoid using headings
D. Include only essential info

A

D. Include only essential info

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4
Q

A nurse manager is sitting on a practice committee and is the gatekeeper. What action does this nurse perform?
A. Acknowledge and praise each members contributions
B. Mediate, harmonize and resolve conflict when it arises
C. Facilitate and promote participation by all group members
D. Record the groups process and give feedback

A

C. Facilitate and promote participation by all group members

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5
Q

What statement about maintenance of confidentiality is true?
A. It is the right of every client
B. It is made easier with technology
C. It is the primary duty of medical records staff
D. It can be violated when there is a legitimate professional need

A

D. It can be violated when there is a legitimate professional need

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6
Q

What principle should guide the managers understanding of gender differences in communication

A. Research has disproven gender differences in communication
B. Gender is the variable that has the greatest effect on communication
C. People of different genders communicate and use language differently
D. Women have been shown to be more competitive communicators

A

C. People of different genders communicate and use language differently

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7
Q

What stage of SBAR is when a COPD patient is experiencing new onset of dyspnea?
A. S
B. B
C. A
D. R

A

B. B

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8
Q

What is example of downward communication by manager?
A. Reports a nurses error to chief officer
B. Seeks advice from colleague
C. Contacts a clients physician to confirm scheduled transfer
D. Reviews results of nurses performance with nurse

A

D. Reviews results of nurses performance with nurse

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9
Q

A manager is using the GRRRR model of listening when interacting with a colleague who exhibits challenging behaviors. What is the final action that the manager hsould implement?

A. Confirm an action plan
B. Request any necessary info from colleague
C. Thank the colleague for the collaborative conversation
D. Reflect privately on the quality of the interaction

A

C. Thank the colleague for the collaborative conversation

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10
Q

A nurse sits at foot of pts bed during admission interview. This positioing supports the proxemics concepts of which psychological comfort zone?

A. Intimate relationships
B. Personal interactions
C. Social exchange
D. Public distance

A

C. Social exchange

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11
Q

EHRs have been recently introduced in healthcare settings. The steering committee is ensuring that the system meets the criteria for meangingful use, What criteria ensures

A. Is readily accessbile in any care setting
B. Uses language that is accessible to and understandable by clients
C. Contains data that has the potential to improve client outcomes
D. Means the same thing to every user

A

C. Contains data that has the potential to improve client outcomes

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12
Q

A large healthcare organization has struggled to meet mandated EHR standards. What actions address the likely challenge that this organization is facing? SATA

A. Improving communication between managers
B. Increasing organizations budget for technology
C. Investing more in employee training
D. Engaging clients adn families with the process
E. Increasing the use of evidence-based pracitce

A

B. Increasing organizations budget for technology
C. Investing more in employee training

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13
Q

A manager is careful to address nonverbal aspects of communication when communicating with employees. What practices should they adopt?
SATA

A. Communication in public places
B. Stand 12-18inches from employee when having important conversation
C. Be thoughtful about aspects of appearnace that can be controlled by manager
D. Avoid crossing arms across chest
E. Limit eye contact with employees to avoid being perceived as aggressive

A

C. Be thoughtful about aspects of appearnace that can be controlled by manager
D. Avoid crossing arms across chest

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14
Q

A new manager is evaluating recent tasks that had been delegated to other staff. What is an inappropriate reason for delegation?

A. To empower subordinates
B. To allow the manager to address more complex needs
C. To free manager from task that is not intellectually challenging
D. To give the task to someone who is better qualified

A

C. To free manager from task that is not intellectually challenging

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15
Q

Manager delegates many tasks in the day. What practice should the manager discontinue?

A. Grants temp authority to support completion of delegated task
B. Confirms that the person to whom a task is delegated is adequately qualified
C. Manager provides employees with exact instruction for each step of completeing the task
D. The manager asks for regular updates from the employees when tasks take a long time

A

C. Manager provides employees with exact instruction for each step of completeing the task

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16
Q

Which action is considered leadership role associated with delegation?

A. Creating job descriptions for all personnel
B. Providing formal recognition or reward for completion of delegated tasks
C. Demonstrating sensitivity to how cultural phenomena affects transcultral delegation
D. Reprimanding employees who demonstrate overt resistance to the taks they are delegated

A

C. Demonstrating sensitivity to how cultural phenomena affects transcultral delegation

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17
Q

What statement is true regarding the general delegation loability of a RN?

A. It is minimal because of subordinates alone are held accountable for practiving within accepted scopt
B. it is high bc the RN is automatically held liable
C. It is reduced when the RN delegates appropriately and supervises the completion of tasks
D. It is avoided entire.y as long as the nurse delegates only other licensed personnel

A

C. It is reduced when the RN delegates appropriately and supervises the completion of tasks

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18
Q

What must managers delegate to another RN to assure completion of a task?

A. Time and space
B. Leadership and creativity
C. Authority and responsibiltiy
D. Personnel and knowledge

A

C. Authority and responsibiltiy

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19
Q

The omnibus budget reconciliation act of 1987 established regulations for the education and training of which category of health care worker?

A. CNA
B. RN
C. LPN
D. Ward clerk

A

A. CNA

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20
Q

The manager is overseeing a culturally diverse group of staff. The manager should consider what when planning delegation? SATA

A. Communication style
B. Concepts of time
C. Intelligence
D. Biologic variations
E. Social organization

A

A. Communication style
B. Concepts of time
D. Biologic variations
E. Social organization

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21
Q

An experienced RN has seen a significant increase in the need for delegation skills over the past several years. This change is most likely attributable to

A. Increased numbers of uninsured clients
B. Increased lengths of stay
C. Inceases in the use of nAP
D. Decreases in nurse-client ratios

A

C. Inceases in the use of nAP

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22
Q

What role has the Joint Commission assumed in ensuring quality at the organizational level?

A. Establishing clinical practice guidelines
B. Reducing diagnosis-related group reimbursement levels
C. Standardizing clinical outcome data collection
D. Assessing monetary fines for organizations that fail to meet standards

A

C. Standardizing clinical outcome data collection

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23
Q

Which of the following would be considered sentinel events that should be reported to the Joint commission? SATA

A. A client with ischemic heart disease dies of MI
B. A client with dementia falls and suffers a hip fracture while trying to walk to the bathroom
C. A client files a formal complaint about the inattention of staff while he was in the hospital
D. A client expierences nephrotoxicity and requires dialysis because of a medication error
E. A client expieriences a transfusion reaction after receiving the wrong type of packed RBC

A

B. A client with dementia falls and suffers a hip fracture while trying to walk to the bathroom
D. A client expierences nephrotoxicity and requires dialysis because of a medication error
E. A client expieriences a transfusion reaction after receiving the wrong type of packed RBC

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24
Q

What is the greatest limitation of the health plan employer Data and information set?

A. Joint commission has not updated the HEDIS since 2009
B. Managed care organizations are not required to collect HEDIS data
C. Performance indicators are exclusively process focused rather than outcome focused
D. HEDIS performance measures focus on medical interventions and do not address nursing actions

A

B. Managed care organizations are not required to collect HEDIS data

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25
Managers have set standards for performance and assessed whether these standards are being met. It has been determined that several standards are not being met. What is the priority response to this finding? A. Release the findings to the public to ensure transparency B. Compare the organizations results to benchmarks C. Determine whether similar organizations in the region are experiencing similar results D. Perform interventions that will correct the deficiencies
D. Perform interventions that will correct the deficiencies
26
A client was treated in a hospital for a stroke and the clients damily members assert that the client was discharged too early and did not receive sufficient rehab. The clients early discharge may have been attributable to: A. Effect of diagnosis related groups B. A sentinel event C. Application of TQM D. Deliberate malpractice
A. Effect of diagnosis related groups
27
A manager is opposing the expansion of prospective payment system (PPS). What argument against the PPS should the manager cite? A. Diagnosis-related groups have caused an increase in health care costs B. The PPS has unnecessarily increased the lenth of hospital stays C. The PPS is linked to increased prices for pharmaceuticals D. The PPS has been linked to a decline in the quality of care
D. The PPS has been linked to a decline in the quality of care
28
A healthcare organization has experienced a rise in medical errors and has committed to implementing leapfrog initiatives what aspects of healthcare should the organization address? SATA A. Expanding the use of computerized physician provider order entry B. increasing the budget for continuing education for nurses C. ensuring that hospital referrals are evidence-based D. Utilizing the national quality Forum endorse safe practice scores E. ensuring that adequately trained intensive care physicians are easily accessible
A. Expanding the use of computerized physician provider order entry C. ensuring that hospital referrals are evidence-based D. Utilizing the national quality Forum endorse safe practice scores E. ensuring that adequately trained intensive care physicians are easily accessible
29
When creating a clinical practice guideline for the management of aggressive behavior on a mental health unit the nursing committee should perform what action first? A. interviewing senior staff for practice suggestions B. conducting a search of the literature for research results C. reviewing client satisfaction data to identify the unit strengths and weaknesses D educating all unit nursing staff on the need to adhere to establish guidelines
B. conducting a search of the literature for research results
30
A nurse is admitting a new client and is reviewing the results of the medication reconciliation what data will be included in the clients medication reconciliation? SATA A. the medications of the client was taking prior to a mission B. the client's expectations for treatment with medications during admission C. the client's medication Administration record from any previous admissions D. the results of the nurse manager's review of the client's treatment plan E the list of medications that the client has been prescribed by the emitting physician
A. the medications of the client was taking prior to a admission E the list of medications that the client has been prescribed by the admitting physician
31
In order to improve the likelihood that errors in a health care System will be reported nurse manager should? A. give professionals the choice of whether or not to report errors B. established firm and meaningful punishments for staff who commit an error C. a sign safety officers who exclusive role is to monitor for identify and follow-up errors D. Foster climate where analysis of errors is not solely focused on blame
D. Foster climate where analysis of errors is not solely focused on blame
32
Which action is associated with the nursing leadership role in quality improvement? A. inspiring staff to establish and maintain high standards regarding client care B. being aware of the changes in quality control regulations C. we're viewing research results upon which two base changes D. identifying outcomes that support quality nursing care
A. inspiring staff to establish and maintain high standards regarding client care
33
As part of the quality improvement initiative administrators are conducting outcome analysis and have included nursing sensitive outcome measures these outcome measures will? A. highlight the aspects of nursing that are contentious or controversial B. cause the quality improvement process to prioritize nurses over other providers C. require other members of the healthcare team to rate nurses contributions D. separate out the unique contributions that nurses make to client outcomes
D. separate out the unique contributions that nurses make to client outcomes
34
A nurse manager will be participating in negotiations around the skills mix in the organization before these negotiations begin the manager should perform what action first? A. identify the ideal skills mix for the organization B. choose an appropriate negotiation strategy C. interact with other party to identify any hidden agendas D. learn as much as possible about the issue
D. learn as much as possible about the issue
35
The manager has learned that some of the more experienced nurses on the unit have been playing pranks on a newly hired nurse and daily getting their most challenging tasks to the nurse. What is the manager's best response after confirming that these events took place? A. Offer support and encouragement to the newly hired nurse B. confront the more experienced nurse directly about their behavior C. Implement a structure change so the experience nurses no longer work at the same time as the new nurse D. arrange for third-party consultation involving the more experienced nurses the manager and the new nurse
B. confront the more experienced nurse directly about their behavior
36
Which of the following behaviors should a nurse manager identify as workplace violence incivility or bullying SATA A. A group of nurses consistently refused to help a nurse when the nurse has a heavy workload despite having time to do so B. Staff members assign an unwanted nickname to a colleague C. A nurse is specific vacation request is denied by the manager for 2 years in a row D. A nurse asked a colleague to assess a known verbally abusive client without warning to see how the colleague will respond E. a nurse tells a nursing student to restroom 311 knowing that the unit has no room 311
A. A group of nurses consistently refused to help a nurse when the nurse has a heavy workload despite having time to do so B. Staff members assign an unwanted nickname to a colleague D. A nurse asked a colleague to assess a known verbally abusive client without warning to see how the colleague will respond E. a nurse tells a nursing student to restroom 311 knowing that the unit has no room 311
37
A nurse manager is participating in negotiations that have become confrontational and unproductive as a result both parties have agreed to mediation this mechanism for dispute resolution will have what characteristics? SATA A. the mediator will be respected person from within the organization B both parties are required to accept the mediator's decision C. the mediator addresses the process but not the issues D. the mediator meets with with each group separately as well as meeting with them together E. the mediator is an individual who is no vested interest in the outcome
D. the mediator meets with with each group separately as well as meeting with them together E. the mediator is an individual who is no vested interest in the outcome
38
A hospital unit is undergoing a major transition from a nursing model of exclusively RNs to a model that is a mix of RNs LPNs and naps the transition has resulted in several conflicts between staff what conflict resolution strategy will the manager most likely need to use? A. third party consultation B. Behavior change C responsibility charting D. structure change
C. responsibility charting
39
A nurse manager is mediating a conflict between two nurses on the unit what goal should the manager prioritize when addressing this conflict? A. a solution is chosen that minimizes the effects on other employees B. the nurse emerges from the resolution with the close personal relationship C. a solution is identified that can be easily and quickly implemented D. the nurses agree to a solution that is mutually beneficial
D. the nurses agree to a solution that is mutually beneficial
40
41
A nursing aid has been given a formal written warning regarding arguing repeatedly with the team leader about a given assignment today the nursing aid has taken four lengthy personal phone calls during work time this is the first offense how will the manager deal with this? A. Provide a verbal warning that includes the rules related to personal telephone calls B. Monitor the employees Behavior closely for the next few weeks C. Present the employee with a formal written reprimand D. Suspend the employee for a week
A. Provide a verbal warning that includes the rules related to personal telephone calls
42
What variable should the nurse manager prioritize when dealing with employees who break the rules? A. Terminating employment when necessary B. Modeling empathy C. Counseling employees to promote their personal and professional growth D. Ensuring organizational goals are met
D. Ensuring organizational goals are met
43
A nurse has become frustrated with a client and deliberately damage the medication cart and a subsequent Outburst how should the nurse manager discipline this employee? A. Dismissal B. Suspension C. Written admonishment D. Verbal warning
C. Written admonishment
44
Max Weber as a part of the scientific management era contribute immensely to the development of organizational Theory which statements are representative of his beliefs? SATA A. Bureaucracy could provide a rational basis for administrative decisions B. Worker satisfaction was integral productivity C. Organization charge could just pick the hierarchy of authority D. Impersonality of relationships should exist in organizations E. Advancement and placement should be based on relationships
A. Bureaucracy could provide a rational basis for administrative decisions C. Organization charge could just pick the hierarchy of authority D. Impersonality of relationships should exist in organizations
45
A nurse has begun working in a new healthcare facility and is beginning to understand the organizational culture when seeking to understand the organizational culture the nurse should? A. Carefully examine the demographic characteristics of the workforce B. Ask the middle and upper level managers about the potential for advancement C. Ask co-workers at various levels to interpret the organizational chart D. Try to perceive the dominant values Traditions and beliefs in the organization
D. Try to perceive the dominant values Traditions and beliefs in the organization
46
There is one vertical solid line connecting a middle manager and a top level manager on a clinics organizational chart what should the nurse conclude from this aspect of the organizational chart? A. The middle and top level manager share equal Authority B. The middle manager is a in a permanent position C. the middle manager has only one boss D. The top level manager was originally promoted from being a middle manager
C. the middle manager has only one boss
47
A healthcare organization utilizes decentralized decision making what will most likely happen when there is a need for decisions to be made in the organization? A. A decision can be made at the lowest practical managerial level B. The decision will be made by top level managers C. There is a potential that the decision will be made too quickly D. It will be unclear who is ultimately accountable for the decision
A. A decision can be made at the lowest practical managerial level
48
A nurse manager is working with a committee that is showing evidence of group think what characteristics of the committee would show evidence of this phenomenon? A. Members of the committee are unwilling to take risks with new ideas B. The committee prefers to make decisions by consensus C. The committee members want to take turns sharing the meetings D. Membership in the committee is frequently changing
A. Members of the committee are unwilling to take risks with new ideas
49
A nurse manager Works in a healthcare facility that is applied for magnet status what characteristics of the organization will support the application? SATA A. Centralized decision making environment B. Open participatory management C. Improve client outcomes D. High staff nurse satisfaction E. Large number of registered nurses and absence of practical nurses
B. Open participatory management C. Improve client outcomes D. High staff nurse satisfaction
50
Which components are considered a part of an organizational structure? SATA A. The individuals included in the group B. Lines of communication C. Decision making process D. Channels of legitimate Authority E. Organizational culture
A. The individuals included in the group B. Lines of communication C. Decision making process D. Channels of legitimate Authority
51
A healthcare organization has undergone an organizational restructure that increases autonomy and empowerment what effect is most likely? A. Increased interdisciplinary collaboration B. Increased communication C. Increased Effectiveness of client care D. Increase client autonomy
C. Increased Effectiveness of client care
52
Which statements are true concerning a bureaucratic organization? SATA A. It's commonly referred to as a line organization B. It is typically found in large Healthcare organizations C. It is rooted in individual personalities D. They resemble Weber's original design of organization E. It's Authority is represented by its staff organizational chart
A. It's commonly referred to as a line organization B. It is typically found in large Healthcare organizations D. They resemble Weber's original design of organization E. It's Authority is represented by its staff organizational chart
53
A nurse manager is reviewing the organizational chart of a healthcare facility before accepting a job offer when reviewing the organizational chart the nurse should? A. Be aware that the informal structure of the organization cannot be discerned from the chart B. Confirm the accuracy of the chart with the human resources department C. Try to meet with the people at the top of the chart D. Review the qualifications of each person on chart
A. Be aware that the informal structure of the organization cannot be discerned from the chart
54
Which statement about power is correct? A. It is a finite quality and once gained very difficult to lose B. It is destructively manipulative but is necessary for Effective management C. Women generally view power more positively than do men D. Having power generally results in the gain of additional power
D. Having power generally results in the gain of additional power
55
Which statements supports the manager's commitment to staff empowerment? SATA A. I need you to know that I won't accept any substandard nursing care B. A staff committee will be formed to address that unit issue C. We can arrange for you to spend 2 months working on another unit to expand your skills D. I've got funding to sports staff who are interested in earning certifications E. There's talk of acquiring new mechanical lifts but I'd like to get your input
B. A staff committee will be formed to address that unit issue C. We can arrange for you to spend 2 months working on another unit to expand your skills D. I've got funding to sports staff who are interested in earning certifications E. There's talk of acquiring new mechanical lifts but I'd like to get your input
56
What is the most fiscally responsible method for determining Staffing needs for Hospital unit? A. Maximum client load capacity of the unit B. Number of clients present for an upcoming shift C. An agreed upon Staffing formula based on client Acuity
C. An agreed upon Staffing formula based on client Acuity ## Footnote `
57
A healthcare organization is transitioning from a centralized Staffing system to a decentralize having system a nurse manager should anticipate what outcome of this change? A. Increased fairness to employees through consistent objective and impartial application B. Increase cost Effectiveness through better use of resources C. Greater manager autonomy resulting in an increase in self-esteem and teamwork D. Increase availability of data for monitoring the effect of Staffing size and composition quality of care and cost
C. Greater manager autonomy resulting in an increase in self-esteem and teamwork
58
A community health unit is transitioning from centralized Staffing to decentralized Staffing the manager should recognize what possible consequence of this change? A. It carries risks that employees may be treated unequally or inconsistently B. One individual or a computer will perform the Staffing functions C. The manager's role is that of making minor adjustments or providing input D. The change will increase control over personnel by the organization
A. It carries risks that employees may be treated unequally or inconsistently
59
A busy medical unit has been increasing the use of agency nurses the nurse manager should anticipate what consequence of the Staffing alternative? A. Increase Reliance on unlicensed assistive Personnel by nurses B. I need for 8-hour rather than 12-hour shifts C. Short-Term cost savings D. Decrease continuity of nursing care
D. Decrease continuity of nursing care
60
Which statement is true regarding legislative minimum Staffing ratios? A. They are mandated by federal law B. They are required by 28 States C. They are proposed to improve client care D. They are necessary to reduce cost
C. They are proposed to improve client care
61
A healthcare facility is considering whether to move from 8-hour shifts to 12-hour shifts what potential consequence of this change would be considered? SATA A. Increased overtime pay B. Increase Nurse satisfaction C. Decrease cost D. Increase judgment errors E. Increase need for continuing education
A. Increased overtime pay B. Increase Nurse satisfaction D. Increase judgment errors
62
What is a leadership role associated with Staffing and scheduling? A. Role Models the use of evidence in making appropriate Staffing and scheduling decisions B. Uses client classification tools to minimize understaffing C. Periodically examines the unit standard of protectivity to determine if changes are needed D. Evaluate scheduling and Staffing procedures and policies on a regular basis
A. Role Models the use of evidence in making appropriate Staffing and scheduling decisions
63
A manager is implementing a patient classification system which external and internal wearable should the manager address when implementing the PCS? SATA A. The presence of nursing students on the unit B. The hiring of two graduates as staff C. The increase of scheduled medical students D. Language barriers presented by nursing staff E. The hospitals accreditation status
A. The presence of nursing students on the unit B. The hiring of two graduates as staff C. The increase of scheduled medical students D. Language barriers presented by nursing staff
64
Mandatory minimum Staffing ratios are being considered in the jurisdiction where a nurse manager works based on experiences of other states the nurse should identify what possible result of this legislation? A. There may be a backlash from clients and families B. Predicted cost savings may take many years to realize C. Healthcare organizations may be more reluctant to hire new graduates D. Increase numbers of staff may not necessarily improve client care
D. Increase numbers of staff may not necessarily improve client care
65
A flextime system has been introduced at a healthcare facility the nurse manager should take what action to address the consequence of the Staffing system? A. Limiting Flex time to the staff members who have at least 2 years of experience on the unit B. Ensuring the overtime can be used to fill times when there is insufficience Staffing C. Providing incentives to ensure daytime weekday shifts are sufficiently staffed D. Working to promote continuity of care when there are multiple start times and end times for staff
D. Working to promote continuity of care when there are multiple start times and end times for staff
66
What did motivational theorists Victor vroom state? A. Personal motivators could be separated from job satisfiers B. People are motivated by three basic needs achievement affiliation and power C. The managers assumptions about workers directly affect the intrinsic motivation of the workers D. Employees expectations about their work environment or an event will affect their behavior
D. Employees expectations about their work environment or an event will affect their behavior
67
A nurse manager is applying Kersberg motivation hygiene Theory what strategy would the manager most likely use to motivate employees? A. Advocating for an increase in salary B. Approving vacation requests C. Protecting employees job security D. Praising an employee's exceptional achievement
D. Praising an employee's exceptional achievement
68
A nurse manager can apply Skinner's theory of motivation by performing what action? A. Assigning employees outcomes and having them decide how to achieve them B. Distributing rewards and Punishments to influence Behavior C. Forming individualized collaborative relationships with employees D. Prioritizing the role of financial rewards and incentives
B. Distributing rewards and Punishments to influence Behavior
69
A nurse manager can best Implement gellerman's theory of motivation by performing what action? A. Distributing praise and rewards equitably to all employees B. Establishing authentic relationships with employees C. Being transparent and accountable when administering punishments D. Empowering employees by giving them the authority to make decisions
D. Empowering employees by giving them the authority to make decisions
70