Nursing Elites

1. A Manager decides that setting goals will assist her in better utilizing her time. Which of the following are true regarding goal setting in the Manager role?

• A. Goals need to be measurable, realistic, and achievable to be effective.
• B. Writing goals will increase the stress level of the Manager.
• C. Goals should be vague, so they are more likely to be met.
• D. Setting goals is a time waster in the Manager role.

Correct answer: A

Rationale: Setting goals is beneficial for a Manager as they provide direction and save time. Therefore, goals need to be measurable, realistic, and achievable to be effective. Choice B is incorrect as writing goals does not increase stress but rather helps in time management. Choice C is incorrect because vague goals can lead to confusion and lack of clarity. Choice D is also incorrect as setting goals is a productive activity that aids in time management and achievement.

2. Which of the following types of leadership behaviors would be most useful when managing a staff of newly trained CNAs (Certified Nursing Assistants)?

• A. Achievement-oriented
• B. Supportive
• C. Participative
• D. Directive

Correct answer: D

Rationale: The most useful type of leadership behavior when managing a staff of newly trained CNAs (Certified Nursing Assistants) would be directive. Directive leadership involves giving specific guidance, ensuring adherence to rules and procedures, scheduling work efforts, and clearly telling employees what is expected. This approach is particularly beneficial for newly trained staff who may require clear instructions and guidance. - Achievement-oriented leadership focuses on setting challenging goals and encouraging employees to reach their highest potential. While this can be beneficial in some situations, it may not be the most suitable for managing newly trained CNAs who require more guidance and direction. - Supportive leadership involves providing emotional support, encouragement, and assistance to employees. While emotional support is essential in any work environment, newly trained CNAs may benefit more from clear direction and guidance. - Participative leadership involves involving employees in decision-making processes. While this can promote employee engagement and empowerment, newly trained CNAs may require more structured guidance and direction to ensure they understand their roles and responsibilities.

3. What is the primary focus of a performance appraisal for nursing staff?

• A. To identify areas for salary increases
• B. To evaluate overall job performance
• C. To provide feedback on clinical skills
• D. To determine eligibility for promotions

Correct answer: C

Rationale: The primary focus of a performance appraisal for nursing staff is to provide feedback on clinical skills, identify areas for improvement, and support professional development. While salary increases, overall job performance evaluation, and promotions may be factors considered during a performance appraisal, the primary goal is to assess and enhance clinical skills to ensure high-quality patient care.

4. An expensive variable in salary budgets is overtime pay. Which of the following is a viable option to reduce overtime?

• A. Limiting overtime for highly paid workers
• B. Reducing the number of beds
• C. Using per diem workers
• D. Refusing to pay overtime

Correct answer: C

Rationale: The correct answer is C: Using per diem workers. By utilizing per diem workers, organizations can flexibly adjust staffing levels based on demand without incurring overtime costs. This approach helps in managing overtime budgets effectively. Choice A is incorrect because limiting overtime for highly paid workers may not address the root cause of overtime expenses. Choice B is incorrect as reducing the number of beds does not directly impact overtime costs. Choice D is not a practical solution as refusing to pay overtime can lead to legal issues and employee dissatisfaction.

5. Which of the following best describes the ethical concept of values?

• A. Values are an individual�s feelings about situations.
• B. Values are learned through family systems.
• C. Values are organized ways of thinking about the meaning of life.
• D. Values determine the rightness or wrongness of behavior.

Correct answer: C

Rationale: Values are organized ways of thinking about the meaning of life.

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