Chapter 03 Leadership And Management Nurses Core Competencies 3rd Edition By Finkelman

Chapter 03 Leadership And Management Nurses Core Competencies 3rd Edition By Finkelman

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Question 1

Type: MCSA

The manager of a maternal-child health unit announces that the unit will be redesigned to help meet the Institute of Medicine healthcare competencies. What scenario is one that the staff of this unit might expect?

1. Nursery, labor and delivery, and postpartum nurses will be cross-trained to work in each of these areas.
2. The nurses will be expected to participate in telehealth throughout a three state region.
3. There will be a reduction in staff numbers.
4. The unit will be closed for remodeling.

Correct Answer: 1

Rationale 1: Cross-training is an example of redesign or re-engineering of healthcare.

Rationale 2: This would require re-regulating professional practice.

Rationale 3: This is an example of rightsizing.

Rationale 4: This is not what is meant by redesign in this case.

Global Rationale: NA

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub:

QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety

AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety; VI. Interprofessional communication and collaboration for improving patient health outcomes; V. Healthcare policy, finance, and regulatory environments

NLN Competencies: Personal and professional development; relationship centered care; teamwork

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: LO 02. Discuss critical nursing issues related to reengineering, redesigning, re-regulating, rightsizing, and restructuring.

Page: pp. 67-68

 

Question 2

Type: MCMA

In which situation would it be necessary to re-regulate practice?

Standard Text: Select all that apply.

1. Nurses are asked to cross-train to another specialty.
2. An insurance company opens a nationwide nurse call line.
3. The hospital hires unlicensed assistive personnel.
4. A nursing school revises its curriculum.
5. The healthcare organization goes national and hopes to encourage mobility among its administrative nurses.

Correct Answer: 2,5

Rationale 1: This is a redesign practice used by many organizations to compensate for the nursing shortage.

Rationale 2: The use of telemedicine requires re-regulating professional practice because nurses can use this technology to provide care in situations in which the patient is in a different state from the one where the nurse is licensed and located.

Rationale 3: This is a redesign practice used by many organizations to compensate for the nursing shortage.

Rationale 4: This is an example of restructuring in which nursing education attempts to prepare nurses for the “real world.”

Rationale 5: This mobility would result in the nurses working in different states from where they live and are licensed.

Global Rationale: NA

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub:

 

QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety

AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety; VI. Interprofessional communication and collaboration for improving patient health outcomes; V. Healthcare policy, finance, and regulatory environments

NLN Competencies: Personal and professional development; relationship centered care; teamwork

 

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: LO 02. Discuss critical nursing issues related to reengineering, redesigning, re-regulating, rightsizing, and restructuring.

Page: p. 68

 

Question 3

Type: MCSA

Management has called a meeting to discuss the increase in negative patient satisfaction surveys. Which stage of Lewin’s model of change does this represent?

1. Moving
2. Refreezing
3. Unfreezing
4. Working

Correct Answer: 3

Rationale 1: The moving stage is the planning phase of the model and focuses on the development of goals and outcomes.

Rationale 2: The refreezing stage is the implementing step in the model where change becomes a part of the work environment and its processes.

Rationale 3: The unfreezing stage is the first step in Lewin’s model of change and includes recognition of a problem.

Rationale 4: Working is not a stage of Lewin’s model.

Global Rationale: NA

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub:

 

QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety

AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety; VI. Interprofessional communication and collaboration for improving patient health outcomes; V. Healthcare policy, finance, and regulatory environments

NLN Competencies: Personal and professional development; relationship centered care; teamwork

 

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: LO 05. Compare and contrast two key change theories.

Page: p. 71

 

Question 4

Type: MCSA

The hospital would like to decrease the amount of medication errors made secondary to transcription errors. In order to accomplish this, it is hoped that all physicians will be trained in the use of computerized physician orders by the end of the fiscal year. This is an example of which stage of Lewin’s model of change?

1. Refreezing
2. Unfreezing
3. Moving
4. Working

Correct Answer: 3

Rationale 1: The refreezing stage is the implementing step in the model where change becomes a part of the work environment and its processes.

Rationale 2: The unfreezing stage is the first step in Lewin’s model of change and includes recognition of a problem.

Rationale 3: This is an example of the moving stage, because the hospital has developed a goal and outcomes to help resolve the problem.

Rationale 4: Working is not one of the stages of the model.

Global Rationale: NA

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub:

 

QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety

AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety; VI. Interprofessional communication and collaboration for improving patient health outcomes; V. Healthcare policy, finance, and regulatory environments

NLN Competencies: Personal and professional development; relationship centered care; teamwork

 

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: LO 05. Compare and contrast two key change theories.

Page: p. 71