Chapter 4
Which action describes the nurse's goal while understanding disparities through recognition and action?
A) Identify implicit biases
B) Explore personal biases
C) Embrace cultural differences
D) Evaluate environmental conditions
C) Embrace cultural differences
Which term describes a consequence of or response to an event or stimulus?
A) Shock
B) Stress
C)Reality
D) Coping
B) Stress
Which self-assessment tool is the nurse leader using to identify talents for developing strengths?
A) StrengthsFinder
B) Strong Interest Inventory
C) Myers-Briggs Type Indicator
D) Life Values Self-Assessment
A) StrengthsFinder
Horizontal violence within a healthcare setting may result in which outcome?
A) Stable productivity
B) High retention rates
C) High turnover rates
D) High patient satisfaction
C) High turnover rates
Which entity emerged as a mechanism to meet the challenges of value-based payment models as a result of the Patient Protection and Affordable Care Act of 2010?
A) Voluntary agencies
B) Third- party payers
C) Proprietary organizations
D) Accountable care organizations
D) Accountable care organization
Which professional organization contains a core competency that focuses on embracing cultural differences while understanding disparities through recognition and action?
A) Healthy People 2030
B) World Health Organization
C) Centers for Disease Control and Prevention
D) American Association of Colleges of Nursing
D) American Association of Colleges of Nursing
Stress hardiness has given rise to which phenomenon?
A) Culture of caring
B) Culture of safety
C) Supernurse culture
D) Transcultural nursing
C) Supernurse culture
Which test provides a flexible view of how the nurse leader relates to themselves and others?
A) Stanford- Binet Test (SBT)
B) American College Testing (ACT)
C)Emotional Intelligence Test (EI)
D) Scholastic Assessment Test (SAT)
C) Emotional Intelligence Test (EI)
Due to adverse patient outcomes resulting from miscommunication, The Joint Commission adopted which practice?
A) VUCA communication
B) Interprofessional communication
C) Quality and Safety (QSEN) competencies
D) Standardization of patient hand-off
D) Standardization of patient hand-off
Which statement is true of accountable care organizations (ACOs)?
A) Use a fee-for-service payment system
B) Focus on the treatment of illness rather than service provided
C) Can result in more duplication of services compared with traditional care
D)Provide coordinated, high-quality care by a group of healthcare providers that voluntarily come together
D) Provide coordinated, high-quality care by a group of healthcare providers that voluntarily come together.
Which definition of social determinants of health is included in the environmental conditions?
A) The place of birth
B) Current chronic illness
C) Attitude about health
D) Compliance with treatment
A) The place of birth
Which attribute is a mental sign of overstress?
A) Sense of being a failure
B) Gastrointestinal problems
C) Inability to tolerate change
D) Change in sleeping habits
C) Inability to tolerate change
Which concept helps the nurse leader assess the effect of decisions that are made on the self and others?
A) Values
B) Beliefs
C) Reflection
D) Knowledge
C) Reflection
Which type of conflict exists when members of the healthcare team have disputes over the best way to treat particular cases or disagreements over how much information is necessary for patients and families to have about their illnesses?
A) Values
B) Intrapersonal
C) Interpersonal
D) Organizational
C) Interpersonal
Which main nurse staffing model is influenced by a patient's age, diagnosis, severity of illness, anticipated length of stay, and ability to provide self-care?
A) Patient acuity
B) Nurse skill mix
C) Nurse-to-patient ratio
D) Budget-based staffing
A) Patient acuity
Which information will the nurse manager include in a discussion about the recent initiatives of the Office of Minority Health to reach health equity among the patients and staff?
A) Promotion of communication between healthcare providers to eliminate racial bias.
B) The implementation of additional social services and other resources for communities to access.
C) The support of states, territories, and tribes in identifying programs, practices, and policies that will sustain health equity.
D) Assessment of the disproportionate financial security, mental health and wellbeing of people of color, low-income people, and other underserved groups.
C) The support of states, territories, and tribes in identifying programs, practices, and policies that will sustain health equity.
Which strategy may be helpful to the nurse working on a patient care unit who is clashing with a peer?
A) Asking to be reassigned to another patient care unit
B) Reporting to the nurse manager the peer's aggravating behaviors
C) Directly and firmly telling the peer to limit interactions with the nurse
D) Reframing the way the peer is viewed, perhaps as someone who lacks understanding.
D) Reframing the way the peer is viewed, perhaps as someone who lacks understanding
Which phrase describes the type of leader given a position or title?
A) Formal leader
B) Informal leader
C) Bureaucratic leader
D) Transformational leader
A)Formal leader
Which factor has a documented negative effect on patient outcomes? Select all that apply. One, some, or all responses may be correct.
A) Interpersonal conflict
B) Interprofessional communication
C) Positive healthcare team dynamics
D) Stressful working environment for the nurse
E) Ineffective communication among healthcare personnel
A)Interprofessional conflict
D) Stressful working environment for the nurse
E) Ineffective communication among healthcare personnel
Which analysis is a simple measure that compares budgeted salary costs per budgeted volume of service with actual salary costs per actual volume of service?
A) Variance report
B) Nursing productivity
C) Average length of stay
D) Labor cost per unit of service
D) Labor cost per unit of service
Which statement describes the impact COVID-19 had on healthcare equity for the Black and Hispanic population?
A) COVID-19 resulted in increased access to healthcare.
B) COVID-19 did not significantly impact this population.
C) The rates of COVID-19 vaccination decreased over time.
D) The gaps in vaccination rates for the population persisted
D) The gaps in vaccination rates for the population persisted.
Which suggestion does the nurse manager make when coaching about stress management to help reduce a graduate nurse's stress level?
A) "Request easier assignments from the charge nurse."
B) "View a medication error as an opportunity for new learning."
C) "Do not return to work until you take a stress-management course."
D) "Read over your job description so that you understand expectations."
B) "View a medication error as an opportunity for new learning"
What concept is a key aspect of authentic nurse leadership?
A) Self-esteem
B) Self-control
C) Self-awareness
D) Self-confidence
C) Self-awareness
An organization's policy indicates patient discharges must occur within a set number of hours after the documented discharge prescription. A staff nurse believes a patient's discharge should be delayed due to extenuating circumstances; however, the case manager disagrees. Which circumstances has this situation created for the discharging nurse?
A) An unsafe and uncaring patient situation
B) A need for a policy change related to discharges
C) Conflict between personal and organizational goals
D) The need for nurse manager intervention in the situation
C) Conflict between personal and organizational goals
Which is the best example of matching the nurse's skill set to ensure safe patient care when being floated to another unit?
A) Floating the intensive care nurse to the intermediate care unit
B) Floating the pediatric nurse to the adult medical-surgical unit
C) Floating the medical-surgical nurse to the intensive care unit
D) Floating the surgical nurse to the labor and delivery unit
A) Floating the intensive care nurse to the intermediate care unit