Chapter 23 Effective Leadership and Management in Nursing 8th Edition

Chapter 23  Effective Leadership and Management in Nursing 8th Edition

Complete Chapter Questions And Answers
 

Sample Questions

Question 1
Type: MCSA
A nurse manager is investigating a report made by a staff nurse. The nurses states that a visitor backed the nurse up against a wall and was verbally abusive but did not touch the nurse. How should the manager describe this incident to the human resources (HR) director?
1. As an encounter with a disgruntled family member
2. As violence against the nurse
3. As an incident with a family member
4. As a physical attack against an employee
Correct Answer: 2
Rationale 1: Encounters with disgruntled family members can occur with no threat of violence.
Rationale 2: This incident is an example of violence against the nurse.
Rationale 3: Calling this an incident with a family member does not give it its full importance.
Rationale 4: This is not an actual physical attack; the nurse was not touched.
Global Rationale:

Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Diagnosis
Learning Outcome: 23-2: Identify threats and threatening behaviors.

Question 2
Type: MCSA
A chief nurse officer (CNO) is contacted by the organization’s supervisor on a Saturday night regarding a problem in the hospital’s emergency department. The supervisor describes an incident in which an orderly was assaulted. Why is the CNO not surprised about this report?
1. This is a typical occurrence in the emergency department.
2. Health care violence is more likely to occur in emergency departments.
3. Health care violence generally occurs on the weekend.
4. Health care violence is likely to occur on the night shift.
Correct Answer: 2
Rationale 1: Violence should not be characterized as a typical or expected aspect of the workplace.
Rationale 2: In health care, violence is more likely to occur in psychiatric settings, emergency departments, waiting rooms, and geriatric units.
Rationale 3: Violence can occur on any day.
Rationale 4: Violence can occur at any time of day.
Global Rationale:

Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 23-2: Identify threats and threatening behaviors.

Question 3
Type: MCSA
The ICU staff has been dealing with several distractions over the last week. There was a scheduling error caused by a change in the staffing matrix and miscommunication between management and administration. The staff is also caring for a client whose family has been verbally abusive and threatening. The manager notes an increase in absenteeism with the staff over the past 2 days. To which of these distractions is the absenteeism most likely related?
1. The staffing dilemma caused by the scheduler
2. The change in the staffing matrix
3. The decline in staff morale due to a hostile environment
4. The miscommunication between management and nursing administration
Correct Answer: 3
Rationale 1: Staffing dilemmas are not uncommon occurrences in health care and would not result in an increase in absenteeism.
Rationale 2: Changes in staffing matrix are not uncommon in health care and would not result in an increase in absenteeism.
Rationale 3: The hostile work environment may cause a decline in morale or staff may be frightened to come to work.
Rationale 4: Management miscommunication with administration is not uncommon in health care and would not result in an increase in absenteeism.
Global Rationale:

Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 23-1: Discuss what health care organizations can do to prevent violence.

Question 4
Type: MCSA
An ICU unit has experienced an influx of aggressive behaviors by visitors against nurses The ICU manager has instituted a policy to limit visiting hours. An employee asks the manager why the change in visiting hours has been implemented. Which response is likely the most accurate?
1. “The unit has been so busy, I must allow for the nurses to have time to provide client care.”
2. “The visitor hours have not been adjusted in years. It was time to change them.”
3. “The physicians have requested limited visiting hours.”
4. “The visiting hours allowed for added stress and commotion to the nursing staff.”
Correct Answer: 4
Rationale 1: It is true that nurses need time to care for clients, but this is probably not the real reason for the change.
Rationale 2: Visiting hours are not changed simply because they have not been changed in years.
Rationale 3: There is no indication that the physicians have anything to do with changing these hours.
Rationale 4: Open visiting hours do allow for added stress and commotion. When visitors are aggressive toward nurses, restricting visiting hours may be essential.
Global Rationale:

Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 23-1: Discuss what health care organizations can do to prevent violence.