GNUR 383 EXAM 1 QUESTIONS AND ANSWERS

GNUR 383 EXAM 1 QUESTIONS AND ANSWERS 
GNUR 383 Exam 1
A nurse manager of a 20-bed medical unit finds that 80% of the patients are older
adults. She is asked to assess and adapt the unit to better meet the unique needs of the
older adult patient. Using complexity principles, what would be the best approach to
take in making this change?
a. Leverage the hierarchical management position to get unit staff involved in
assessment and planning.
b. Engage involved staff at all levels in the decision-making process.
c. Focus the assessment on the unit, and omit the hospital and community environment.
d. Hire a geriatric specialist to oversee and control the project.
A unit manager of a 25-bed medical/surgical area receives a phone call from a nurse
who has called in sick five times in the past month. He tells the manager that he very
much wants to come to work when scheduled but must often care for his wife, who is
undergoing treatment for breast cancer. According to Maslows need hierarchy theory,
what would be the best approach to satisfying the needs of this nurse, other staff, and
patients?
a. Line up agency nurses who can be called in to work on short notice.
b. Place the nurse on unpaid leave for the remainder of his wifes treatment.
c. Sympathize with the nurses dilemma and let the charge nurse know that this nurse
may be calling in frequently in the future.
d. Work with the nurse, staffing office, and other nurses to arrange his scheduled days
off around his wifes treatments.
A grievance brought by a staff nurse against the unit manager requires mediation. At
the first mediation session, the staff nurse repeatedly calls the unit managers actions
unfair, and the unit manager continues to reiterate the reasons for her actions. What
would be the best course of action at this time?
a. Send the two disputants away to reach their own resolution.
b. Involve another staff nurse in the discussion so as to clarify issues.
c. Ask each party to examine her own motives and issues in the conflict.
d. Continue to listen as the parties repeat their thoughts and feelings about the conflict.
At a second negotiation session, the unit manager and staff nurse are unable to reach a
resolution. It would now be best to:
a. Arrange another meeting in a weeks time so as to allow a cooling-off period.
b. Turn the dispute over to the director of nursing.
c. Insist that participants continue to talk until a resolution has been reached.
d. Back the unit managers actions and end the dispute.
The manager of a surgical area has a vision for the future that requires the addition of
RN assistants or unlicensed persons to feed, bathe, and walk patients. The RNs on the
staff have always practiced in a primary nursingdelivery system and are very resistant to
this idea. The best initial strategy in this situation would include:
a. Exploring the values and feelings of the RN group in relationship to this change.
b. Leaving the RNs alone for a time so they can think about the change before it is
implemented.
c. Dropping the idea and trying for the change in a year or so when some of the present
RNs have retired.
d. Hiring the assistants and allowing the RNs to see what good additions they are.
As the RN charge nurse on the night shift in a small long-term care facility, youve found
that there is little turnover among your LPN and nursing assistant (NA) staff members,
but they are not very motivated to go beyond their job descriptions in their work. Which
of the following strategies might motivate the staff and lead to greater job satisfaction?
a. Ask the director of nursing to offer higher wages and bonuses for extra work for the
night LPNs and NAs.
b. Allow the LPNs and NAs greater decision-making power within the scope of their
positions in the institution.
c. Hire additional staff so that there are more staff available for enhanced care and
individual workloads are lessened.
d. Ask the director of nursing to increase job security for night staff by having them sign
contracts that guarantee work.
the nurse manager who wants to increase motivation by providing motivating factors,
which action would you select?
a. Collaborate with the human resource/personnel department to develop on-site
daycare services.
b. Provide a hierarchical organizational structure.
c. Implement a model of shared governance.
d. Promote the development of a flexible benefits package.
A charge nurse on a busy 40-bed medical/surgical unit is approached by a family
member who begins to complain loudly about the quality of care his mother is receiving.
His behavior is so disruptive that it is overheard by staff, physicians, and other visitors.
The family member rejects any attempt to intervene therapeutically to resolve the issue.
He leaves the unit abruptly, and the nurse is left feeling frustrated. Which behavior by
the charge nurse best illustrates refined leadership skills in an emotionally intelligent
practitioner?

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