HA 515 Quiz 3 LEADERSHIP EXAM QUESTIONS & ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LA, Exams of Leadership and Team Management

Download HA 515 Quiz 3 LEADERSHIP EXAM QUESTIONS & ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LA and more Exams Leadership and Team Management in PDF only on Docsity! DO NOT COPY HA 515 Quiz 3 LEADERSHIP EXAM QUESTIONS & ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2022-2023 GRADED A+ Quiz 3 Leadership  The Health Care Organization and Patterns of Nursing Care Delivery MULTIPLE CHOICE How does managed care affect the economics of health care delivery? a. Provides incentives for smaller private or individual hospitals b. Increases the tax bases for the community c. Uses corporate economics to achieve a profit d. Decreases duplicate processes and redundant facilities ANS: D  Which statement regarding characteristics of clinical pathways shows the nurses understanding? a. “Clinical pathways focus on patient outcomes.” b. “Clinical pathways use a timeline with sequenced interventions.” c. “Clinical pathways collaborate efforts by health care professionals.” d. “Clinical pathways involve nurse-centered orientation.” ANS: D  Which statement is true about patient classification systems? a. They measure all the needs of patients. P a g e 1 | 56 b. They provide an absolute formula for unit staffing. c. They should not be used to make patient care assignments because acuity systems are more accurate. d. They provide historical data of the usage of nursing time, which is helpful when developing the department budget. ANS: D  Which of the following best describes the concept of evidence-based practice? a. It is a method of improving nursing care and effectively maintaining cost containment. b. Insurance companies review the evidence of the health care practice for reimbursement. c. It achieves large-scale economics while providing cost-effective care. d. It provides for the use of recent research in current nursing practice. ANS: D  A female patient is admitted to the labor and delivery unit, where she is assigned a registered nurse who will manage her care for the duration of her hospitalization. What type of nursing care delivery model is represented in this nursing unit? a. Functional care c. Patient-focused care b. Primary care d. Case management ANS: B  The nurse is reviewing upcoming discharges. Which patient would a case manager be assigned to? P a g e 2 | 56 d. “centralized and decentralized system models.” ANS: C  A nurse manager is training a new hire. Which statement shows an understanding of functional nursing? a. “Functional nursing is organized around tasks.” b. “Functional nursing is patient led.” c. “Functional nurses is physician led.” d. “Functional nursing is unorganized.” ANS: A  Which of the following statements shows the nurses understanding of primary nursing? a. “Primary nursing involves planning and directing of patient care over 24 hours.” b. “Primary nursing involves care for 48 hours or more.” c. “Primary nursing involves one nurse planning care for the patient.” d. “Primary nursing is the only method of care used today.” ANS: C  Which statement is true about case management? a. There are two models—traditional and full immersion. b. It is used to reduce resource utilization only. c. To be effective, it requires case managers to provide direct patient care. d. It eliminates the need for other caregivers (LPN, LVNs, nursing assistants). ANS: A P a g e 5 | 56  A nurse is interested in case management. Which statement indicates an understanding of the primary work environment of case manager? a. “They work most often in acute care institutions.” b. “Their work is focused on community activities and is based within the community.” c. “They typically work for insurance companies, providing coordination of care.” P a g e 6 | 56 hire case managers.” ANS: D  Which of the following statements about evidence-based practice shows that the nurse has an adequate understanding? a. “Evidence-based practice is the hospital’s protocol for providing care.” b. “Evidence-based practice is based on community need.” c. “Evidence-based practice is a set of guidelines determined by each hospital unit.” d. “Evidence-based practice is the use of current best evidence in making decisions about patient care.” ANS: D  A new nurse is determining which hospital to apply for. The nurse has heard a lot about magnet hospitals from friends that are nurses and knows that working for a magnet hospital would mean a. the nurse would likely experience high job satisfaction. b. the nurse would likely experience poor job satisfaction. c. the nurse would have to have a BSN before being able to apply. d. the nurse would be hired after having a year of nursing experience. ANS: A  A nurse is covering for a coworker who is on a lunch break. While administering medications, the nurse notices a bag of antibiotic hanging with another patient’s name on it. The nurse immediately stops the infusion. What should the next step be? P a g e 7 | 56 d. “All types of health care organizations, as well as organizations with health-related functions, a. “Patient-focused care includes the physician, who supervises care.” b. “Patient-focused care decreases productivity.” c. “In patient-focused care, the nurse supervises delivery of care.” d. “The patient is not an active participant in patient-focused care.” ANS: C MULTIPLE RESPONSE 1. Which type of nursing delivery models would be appropriate in a rural area that would require fewer numbers of registered nurses? (Select all that apply.) P a g e 10 | 56 a. Functional nursing b. Team nursing c. Primary care nursing d. Patient-focused care e. Transitional care ANS: A, B, D 2. The nurse understands cost containment when stating which of the following? Major elements of the law that support cost containment include (Select all that apply.) a. “increased governmental regulation of insurers.” b. “less use of technology.” c. “increasing incentives for coordination of care.” d. “emphasis on physician centered care.” e. “decreasing consumer out of pocket costs.” ANS: A, C 3. Which action can the hospital administrator take to reduce health care costs? (Select all that apply.) a. Hire case managers to see all patients who have extensive medical needs. b. Reduce the number of patients the hospital can accommodate. c. Ensure that appropriate staff is available. P a g e 11 | 56 d. Encourage the use of evidence-based practice. e. Accept only patients with health insurance. ANS: A, C, D 4. Which statement by the nurse indicates understanding of the case manager’s role? The case manager (Select all that apply.) a. “guides patients through the health care delivery process.” b. “ensures quicker discharge for patients without insurance.” c. “coordinates care for the patient.” P a g e 12 | 56 c. “The cost of prescription drugs is soaring so rapidly that the majority of people cannot afford them.” d. “Because of the limited payment of Medicare, institutions are not being reimbursed at the same level of expenditures.” ANS: A 2. A nurse is educating a coworker on the intrinsic factors and cost of health care. The nurse knows that the teaching has been effective when the coworker lists the following intrinsic factor as the major cause of increased cost: a. Almost 10% of Americans over 65 years old are considered at or below the poverty level. b. The new medical technology available has increased the cost of health care. c. There are increasing labor costs in the total hospital spending budget. d. The staff nurse does not understand the responsibility of economics and money management. ANS: A 3. A nurse manager is preparing a presentation on health care economics for unit staff. How would the nurse manager explain the definition of economics as it relates to health care to the staff? a. Economics refers to how the health care system is going to care for the older segment of the population. b. Health care is a limited resource; economics refers to how this resource is going to be allocated. c. Health care economics refers to the budgeting and financial management of the institution providing the care. P a g e 15 | 56 d. Economics is the balance of the utilization of health care services and the monies obtained for the services provided. ANS: B 4. The nurse would identify which of the following as an example of a strategy that represents fiscally responsible clinical nursing practice? a. Begin discharge planning as soon as it is evident when a patient will be discharged. b. Encourage patients to consider being admitted the evening before a major surgical procedure. c. Use unlicensed personnel as much as possible in the delivery of nursing care. d. Accurately document the current status of a patient with regard to the patient’s ongoing needs. P a g e 16 | 56 ANS: D 5. The nurse manager receives the budget variance report for the assigned nursing unit. What other critical information must the nurse manager consider to evaluate this report? a. Projection of costs in the operating budget b. The amount of money allocated to meet expected costs c. Figures on which a zero-based budget were determined d. Planning needs for unit staffing based on patient acuity ANS: A 6. Which statement by the nurse shows understanding of the Rand Health Insurance Experiment? a. “When consumers were required to pay 25% co-payment, there was a considerable decline in the use of health care services.” b. “There was an increase in the use of health care services when consumers were required to make a co-payment.” c. “If the health care cost is being paid by insurance companies, the consumer is not concerned about the cost.” d. “The implementation of the Oregon Health Policy for reimbursement of the cost of health care services led to the Rand Health Insurance Experiment.” ANS: A 7. What is the nurse’s fiscal responsibility to the patient? P a g e 17 | 56 a. “Extrinsic factors include the cost of prescription drugs.” b. “Extrinsic factors include the age of the population.” c. “Extrinsic factors include the demand for health care.” d. Extrinsic factors include employer-paid health insurance.” ANS: A 12. To provide quality care, the Affordable Care Act of 2010 P a g e 20 | 56 a. reduced the number of patients accepted into Medicaid. b. kept the Medicaid system the same. c. made changes to slow growth in spending. d. increased Medicaid spending to ensure adequate patient care. ANS: C 13. What action can nurses take to be fiscally responsible? a. Give patients their discharge instructions and let them determine if the cost of their medications fit into their budget. b. Allow nurses to work on the unit when the census drops. c. Use proper hand hygiene. d. Document minimally on each patient. ANS: C 14. A case manager is educating a patient on health care insurance. Which statement by the patient shows that the teaching has been effective? a. “All health care is covered by insurance.” b. “Insurance does not cover inpatient hospital stays.” c. “All health care coverage is the same.” d. All health insurance companies have rules about what services will be covered.” ANS: D 15. The nurse has an adequate understanding of capital budget when stating: a. “A capital budget is part of the expected expenses of the unit.” P a g e 21 | 56 b. “A capital budget is used to purchase or replace equipment costing more than $5000.” c. “A capital budget is used to pay for nurses to work in the hospital.” d. “A capital budget is used to purchase lunch for employees.” ANS: B 16. The nurse has an adequate understanding of productive time when stating: P a g e 22 | 56 provider e. Volunteers to participate in a hospital program initiative to reduce central line associated bloodstream infection (CLABSI) f. Completes a patient’s discharge plan on the morning of discharge ANS: A, C, D, E 2. Which action by the nurse demonstrates fiscal responsibility to the patient? (Select all that apply.) a. Discharging a patient home with prescriptions and no health insurance to cover the cost b. Assessing the patient’s resources and determining their ability to pay for prescriptions c. Setting the patient up for Meals on Wheels d. Giving the patient information on free support groups e. Calling local churches to see what services they can offer the patient ANS: B, C, D, E 3. Which action by the nurse shows fiscal responsibility to the employing organization? (Select all that apply.) a. Wash hands after each patient contact. b. Turn patients every 2 hours. c. Round on patients. d. Toilet patients frequently to prevent falls. P a g e 25 | 56 d. Immediately reports any development of a patient medical complication to the health care e. Use resources of the institution wisely. ANS: A, B, D, E 4. Which action by the nurse demonstrates fiscal responsibility to the employing organization? (Select all that apply.) a. Only bringing needed supplies into a patient’s room b. Accurately documenting the patient’s condition c. Minimally documenting in the patient’s chart d. Taking breaks as scheduled P a g e 26 | 56 e. Remaining healthy and able to function on the job ANS: A, B, D, E 5. Which action by the nurse shows fiscal responsibility to the payer of care? (Select all that apply.) a. Understand Medicare and Medicaid insurance coverage. b. Efficiently and effectively use resources to provide patient care. c. Document minimally in the patient chart. d. Select interventions which are cost effective. e. Document the patient’s plan of care. ANS: A, B, D, E 6. A new graduate is preparing for a job interview. Which questions would be appropriate to ask the manager in regards to health care economics? (Select all that apply.) a. How is the acuity of patients factored into staffing? b. What is the turnover rate on this unit? c. How long are the breaks for staff on this unit? d. What is the overtime rate on this unit? e. What are the budgeted hours per patient day on this unit? ANS: A, B, D, E 17: Political Action in Nursing MULTIPLE CHOICE  The state nurses association writes a new version of the Nurse Practice Act, secures a sponsor in the legislature, and lobbies legislators to adopt the bill. Which of the laws of power would the nurse label this situation? P a g e 27 | 56  A nurse is preparing a presentation. How can the nurse explain one of the primary concerns of the proponents for a nontraditional collective bargaining unit versus the traditional, union-based nursing model? positions.” b. “The union dictates to members what they can and cannot do within the health care institution.” c. “The union-based model can initiate strikes that can be detrimental to the provision of health care in an institution.” d. “The union-based model is too expensive and nurses are not fairly compensated by the organization.” ANS: A  A nurse is giving a lecture on the primary problem that decreases the power of both types of collective bargaining models. The nurse knows that the teaching has been effective when a colleague states: a. “The small number of states that recognize either type of collective bargaining” b. “The political influences of the American Hospital Association on nursing organizations” c. “The adversarial goals of each of the respective organizations or models” d. “The lack of membership of the majority of practicing nurses” ANS: D  A nurse is educating coworkers on the establishment of collective bargaining. The nurse knows the teaching has been successful when a coworker states: a. “Collective bargaining is still not recognized by hospitals.” P a g e 30 | 56 a. “The traditional-based union model frequently puts nurses and employers in adversarial b. “Nurse activists believed in a unified voice for nurses.” c. “Nurse activists wanted to option of working more hours.” d. “Collective bargaining is not effective.” ANS: B  A charge nurse is providing education to coworkers on state nursing associations. The charge nurse judges that the teaching has been effective when a coworker states: a. “These professional associations address nursing practice.” P a g e 31 | 56 b. “These professional associations do nothing to support nursing.” c. “These professional associations protect the rights of physicians.” d. “These professional associations are managed by hospital administrators.” ANS: A  A union nurse is educating a new nurse on common issues faced by nurses today. The union nurse knows that the teaching has been effective when the new nurse states: a. “There are no common issues; nurses faces different issues based on their job.” b. “Today, there are no issues because of the advancement of technology.” c. “Hospitals are fully staffed at all times.” d. “Hospitals frequently mandated nurses due to staffing shortages.” ANS: D  Which statement by the nurse indicates understanding of collective bargaining in the workplace? a. “Collective bargaining is not useful in the workplace.” b. “Collective bargaining is used by nurses to control their practice.” c. “Collective bargaining is used by managers to control nurses.” d. “Collective bargaining is always an adversarial process in the workplace.” ANS: B  A nurse is discussing personal seniority with the department manager. The nurse has an adequate understanding of seniority when stating which of the following? a. “Seniority provides certain rights to those with the highest number of years of service” P a g e 32 | 56 ANS: B  A nurse has recently moved from one state to another and wishes to write lawmakers to urge them to vote against a change in the Nurse Practice Act that would replace individual licensure with institutional licensure. What lawmakers should the nurse contact? a. The city council members b. The county (parish) legislators c. The state legislators from the district d. The federal legislators from the district ANS: C  What is an example of the weakest source of power? a. Several nursing students talk with a head nurse regarding a problem they are having on the unit. The head nurse then discusses this problem with the chief nursing officer. b. The clinical nursing instructor sends a student to the skills lab for further practice. c. A nurse shares knowledge regarding nursing in a confident manner and style. d. The head nurse tells staff members that as soon as all the care plans are completed, they may have some additional compensation time. ANS: C  Which statement by the nurse educator is accurate regarding politics? a. “Politics involves influencing the allocation of scarce resources.” P a g e 35 | 56 b. “Politics involves identifying those in a public office that can be influenced.” c. “Politics involves attempting to get people in government positions to think the way you want them to.” d. “Politics involves lobbying for state and federal legislation to improve the quality of nursing care.” ANS: A  Which statement by the nurse would best represent the purpose of a political action committee (PAC)? a. A vehicle for nurses across the country to organize collectively to endorse and support candidates for national offices P a g e 36 | 56 b. A group of individuals or organizations who share a common interest in a single issue c. An organizational structure established for the purpose of supporting and fostering changes in the health care system d. A group that identifies special needs and raises funds to influence politicians to vote in a manner that supports the special needs ANS: A  One of the five laws of power is that “power fills a vacuum.” Which statement by the nurse best captures that type of power? a. “An individual who provides leadership and power to create a strategy that will address a problem and get people to contribute to the effort” dilemma” c. “An individual who takes action to speak and act on behalf of a group d. A state nursing association that acts on behalf of the nurses within the respective state” ANS: B  How would a nurse determine the political views regarding health care issues of individuals who are running for public office? a. Call the state or national political action committee of the American Nurses Association. b. Talk with the administration of the institution to determine who is supporting health care issues. c. Call the party headquarters of the candidates and ask them to share the views of the candidate with you. P a g e 37 | 56 b. “People who are willing to give power to someone in order to restore comfort or handle a d. “Political campaigns never need any help.” ANS: C  How does the Political Action Committee support candidates? a. “Buys” a candidate b. Lobby’s elected officials c. Evaluates candidates on nursing and health concerns only P a g e 40 | 56 d. Does not endorse candidates for public office ANS: C  Which of the following statements by the nurse shows understanding of the competence framework? abilities.” b. “Competence development is the means by which the nurse’s knowledge, skills, and abilities are tested.” c. “Competence development refers to health and conduct expectations of the nurse.” d. “Competence development refers to the nurse’s ability to perform the functions of the nursing role.” ANS: A  Which statement would be accurate of nurses who support collective bargaining? a. “Collective bargaining has set nursing back.” b. “In general, collective bargaining is ineffective.” c. “Collective bargaining forces positive change in the practice setting.” d. “Collective bargaining forces negative change in the practice setting.” ANS: C MULTIPLE RESPONSE  What actions can nurses take that would demonstrate the skills necessary to move a vision? (Select all that apply.) P a g e 41 | 56 a. “Competence development is the means by which the nurse gains knowledge, skills, and a. Elect decision makers. b. Refrain from political involvement. c. Testify before legislative committee hearings. d. Compromise. e. Become elected officials. ANS: A, C, D, E P a g e 42 | 56 d. Testifying before a committee on a bill e. A political action committee’s endorsement or financial contribution 1. Reward 2. Coercive (punishment) 3. Expert (informational) 4. Legitimate 5. Referent (mentor)  The nurse has an adequate understanding of power when listing which of the following as laws of power? (Select all that apply.) a. Power invariably fills any vacuum. b. Power is invariably public. c. Power is based on a system of ideas and philosophy. d. Power is exercised through and depends on institutions. e. Power is invariably confront with and acts in the presence of a field of responsibility. ANS: A, C, D, E  In what ways can the nurse lobby? (Select all that apply.) a. Upon meeting the candidate for the first time and assessing knowledge b. Meet face-to-face with the candidate to discuss the issues. P a g e 45 | 56 c. The nurse cannot lobby a candidate. d. Write a letter to the candidate. e. Email the candidate. ANS: A, B, D, E 18: Collective Bargaining: Traditional (Union) and Nontraditional Approaches MULTIPLE CHOICE  Which statement best describes when collective bargaining by nurses can occur? a. Only when the nurses in the group are members of a union b. Whenever nurses see a need to organize to take collective action c. Only when the state nurses association is willing to represent nurses at a specific agency d. Whenever the state nurses association agrees that both wages and working conditions are inappropriate ANS: B  In which situation would the traditional type of collective bargaining (union) help nurses attain their goals? a. Management has agreed to no nursing layoffs for one year after reorganization. b. Nursing has received a 4% salary increase this year and next year. c. Nurses have identified workplace safety issues and health hazards. P a g e 46 | 56 d. Management has arranged for nurse practitioners to have admitting privileges. ANS: C  Which provision—if labor management included it in a contract—would not be to nursing’s advantage? a. A workforce retraining provision b. Seniority rights P a g e 47 | 56 d. Identify ways to reduce hazards. ANS: B P a g e 50 | 56  A nurse has an adequate understanding of traditional collective bargaining when making which of the following statements? a. “The goal of traditional collective bargaining is to win something that is controlled by another.” b. “The goal of traditional collective bargaining is to win something that another person has worked for.” c. “The goal of traditional collective bargaining is to give all power to the nurse.” d. “The goal of traditional collective bargaining is to give all power to the organization.” ANS: A MULTIPLE RESPONSE  A nurse believes that the patient assignment received is unsafe. Which action should be taken to correct this? (Select all that apply.) a. Leave the hospital. P a g e 51 | 56 b. Submit a report about the assignment following protocol. c. Report the assignment to a supervisor immediately. d. Accept the assignment. e. Accept the assignment and only perform the skills that the nurse is comfortable with. ANS: B, C  What action can the registered nurse take to control personal practice? (Select all that apply.) a. Improve the professional practice of nurses and nursing assistants. b. Refrain from shared governance. c. Implement peer review. d. Identify and recommend elimination of hazards in the workplace. e. Identify and recommend processes that work to ensure the safety of patients. ANS: A, C, D, E  A nurse manager is speaking to a group of nurses about how to choose their representative if they wish to participate in traditional or nontraditional collective bargaining. The nurse manager knows the teaching has been effective if the nurses select which of the following as ways to choose their representative? (Select all that apply.) a. Service Employees International Union b. The National League for Nursing c. Their state nurses association P a g e 52 | 56 c. Other nurses would take on the nurse’s assignment. d. Disciplinary action by the Board of Nursing e. Disciplinary action by the nurse’s employer ANS: B, D, E P a g e 55 | 56 P a g e 56 | 56