Chapter 26 My Nursing Test Banks

Sullivan, Effective Leadership and Management, 8/e
Chapter 26

Question 1

Type: MCSA

A student who is about to graduate is discussing the future with a nursing instructor. The instructor asks the student, What schedule are you interested in working? What organization is near your home? The student says that salary is the most important thing. Which response by the instructor would be appropriate?

1. Since you have been in school for so long, the most important thing to you is to get a job that pays well.

2. I would focus on those organizations that pay premium wages for nurses.

3. A small difference in salary is less important than working in an organization where you can obtain your future goals.

4. Money is not important; the job is important.

Correct Answer: 3

Rationale 1: Despite what many students believe, the least important criteria for a first job is the salary.

Rationale 2: Premium wages are not the most important criteria for choosing a first job.

Rationale 3: The purpose of the first job is to learn as much as possible, perfect clinical skills, build a network of colleagues, and move towards future goals.

Rationale 4: Money is important, but it is not the most important determinant of the right job.

Global Rationale: 

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 26-1: Describe how you envision your future.

Question 2

Type: MCSA

The nursing faculty member requires that last-semester nursing students create a rsum. One student submits a rsum that includes education, past employment, and accomplishments. Which additional information will the faculty member recommend the student include in this rsum?

1. Family information

2. Short-term personal goals

3. Transcript

4. Long-term career goals

Correct Answer: 4

Rationale 1: Family information is not part of the rsum.

Rationale 2: The rsum may include an immediate professional goal, but does not include personal goals.

Rationale 3: Transcripts are not part of the rsum.

Rationale 4: Long-term career goals help a reviewer understand the best position for the candidate.

Global Rationale: 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 26-4: Build a rsum.

Question 3

Type: MCSA

A newly licensed nurse has submitted an application, letter of interest, and rsum to the human resources department of a hospital and has an interview scheduled for next week. How should the nurse prepare for this interview?

1. Write down and memorize answers to questions that are typically asked.

2. Go to the organization and try to talk to some staff nurses.

3. Add additional information to the rsum.

4. Review the organizations website.

Correct Answer: 4

Rationale 1: The response to answers should be genuine and honest, not memorized.

Rationale 2: Arriving on a unit unannounced to talk to staff nurses is not professional.

Rationale 3: Once the rsum is submitted it is not necessary to add information. Additional information may be discussed in the interview.

Rationale 4: Prior to the interview it is important to learn as much about the organization as possible and to anticipate questions to ask. This is assessment, the first step of the nursing process.

Global Rationale: 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 26-3: Discuss how to obtain your first job.

Question 4

Type: MCMA

A nurse has an interview with the nurse recruiter at a large metropolitan hospital. During the nurses education, clinical practice was conducted in smaller facilities. Which topics would be good for the applicant to focus on during the interview?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

1. Information regarding the position and the organization

2. The nurses past experiences

3. Salary

4. Benefits

5. The nurses strengths and weaknesses

Correct Answer: 1,2,5

Rationale 1: During the interview, the nurse should obtain information about the position and organization.

Rationale 2: During the interview, the nurse should describe experiences and education.

Rationale 3: Once the job has been offered or the interviewer inquires about the applicants interest in the job, then it is appropriate to discuss salary.

Rationale 4: Once the job has been offered or the interviewer inquires about the applicants interest in the job, then it is appropriate to discuss benefits.

Rationale 5: During the interview, the nurse should identify personal strengths and weaknesses.

Global Rationale: 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 26-3: Discuss how to obtain your first job.

Question 5

Type: MCSA

A nurse who has an interview with the human resources (HR) director enters the office, doesnt make eye contact, and is very timid. Toward the end of the interview the HR director asks the nurse if there are any questions. The nurse states, No, I think Ive learned all I need to know. What impression has this nurse given the HR director?

1. Lack of interest in the position

2. Shyness and the inability to manage people

3. Rudeness

4. Laziness

Correct Answer: 1

Rationale 1: A candidate who has no questions suggests a lack of interest or expertise. The nurses inability to make eye contact and appearing timid does not facilitate a good impression.

Rationale 2: While not making eye contact and appearing timid may indicate shyness, the overwhelming impression is a lack of interest.

Rationale 3: The applicant hasnt been rude but appears disengaged.

Rationale 4: There is no real reason to think this applicant is lazy, but the HR director may be reluctant to offer a second interview.

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: 26-3: Discuss how to obtain your first job.

Question 6

Type: MCSA

During an interview for a night shift ICU position, the manager asks the job candidate, Will working the night shift interfere with your husbands schedule? How should the candidate interpret this question?

1. It is a legitimate question.

2. It is an illegal question to ask.

3. It is none of the managers business.

4. It is something the candidate should consider.

Correct Answer: 2

Rationale 1: It may be a legitimate question and a question the candidate has not thought about, but it is illegal to ask.

Rationale 2: It is illegal for the interviewer to ask personal questions such as questions regarding how many children the candidate has or the candidates marital status.

Rationale 3: This may be something that the manager would like to know about and might impact the candidates ability to complete the job, but it is illegal to ask in an interview.

Rationale 4: This is something the candidate should consider, but the manager should not ask about it during the interview.

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: 26-3: Discuss how to obtain your first job.

Question 7

Type: MCSA

A nurse has interviewed with the nurse manager for a position and is very interested in obtaining it. After the interview, what would be an appropriate action to take?

1. Call the human resources director the following day regarding the selection process.

2. Call a staff nurse on the unit and inquire whether a decision has been made regarding the candidate.

3. Send a post-interview thank-you letter the following day.

4. Call the interviewer every day postinterview until a decision is announced.

Correct Answer: 3

Rationale 1: Calling the human resources director the next day is not appropriate.

Rationale 2: It is not appropriate to call the staff nurse.

Rationale 3: Sending a post-interview thank-you letter within 24 hours of the interview to everyone who interviewed is appropriate. The letter should be brief and thank the interview team for the interview and their interest in the candidate, and should mention the candidates enjoyment of the meeting.

Rationale 4: Calling the interviewer every day is very unprofessional and may hurt ones chances for the position.

Global Rationale: 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 26-3: Discuss how to obtain your first job.

Question 8

Type: MCSA

During the interview a nurse learns there are several people interviewing for the position. Several days postinterview the nurse is called for a second interview. How should the nurse prepare for this interview?

1. Prepare in the same way as for the first interview.

2. Prepare in a similar way as for the first interview but with more details regarding past experiences.

3. Anticipate questions in regard to the position that are situational and provide information regarding competence.

4. Anticipate questions about goals for the future.

Correct Answer: 3

Rationale 1: The purpose of the second interview is different, as is preparation for it.

Rationale 2: Past experiences are not the focus of the second interview.

Rationale 3: The second interview usually includes colleagues and managers with whom the nurse will work. Situational questions are often asked. The goal is to show the nurse is a competent, confident professional.

Rationale 4: Questions about future goals are generally asked during the first interview.

Global Rationale: 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 26-3: Discuss how to obtain your first job.

Question 9

Type: MCMA

The nurse has just interviewed with a nurse manager. The manager offers the nurse an opportunity to tour the unit and meet potential coworkers. Why is this a beneficial opportunity?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

1. It allows the candidate to learn more about the unit.

2. It allows the candidate to make a final determination about whether the unit is a good work environment.

3. It allows the candidate to make some assessment of coworkers.

4. It allows the candidate to determine nurse-to-client ratios.

5. It allows the candidate a first look at the types of clients served by the unit.

Correct Answer: 1,3

Rationale 1: This tour allows the candidate to see the unit in action and learn more about how it operates.

Rationale 2: It is hard to make a logical determination about the unit on one visit, but the nurse will gain information that will be helpful.

Rationale 3: The nurse is constantly assessing, and a tour allows contact with coworkers for this assessment.

Rationale 4: One tour is unlikely to provide the candidate with this opportunity.

Rationale 5: The candidate should be aware of the types of clients served by the unit prior to applying for the position.

Global Rationale: 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 26-3: Discuss how to obtain your first job.

Question 10

Type: MCSA

A candidate is concerned that some answers she gave during her interview were vague and lengthy. She relates some of the answers to a peer, saying I dont know what happened. I was just so nervous. What is an appropriate response by the peer?

1. Why did you give those answers?

2. You should have given short and to-the-point answers.

3. You gave good answers.

4. I think your answers were specific.

Correct Answer: 2

Rationale 1: This response is only likely to increase the candidates concern about the interview. Why the answers were given is not important at this time. The candidate has already admitted to being very nervous.

Rationale 2: The candidate should be reminded to keep answers short and to the point so as to appear competent and professional.

Rationale 3: Long, rambling answers are not good answers.

Rationale 4: The peer should not be untruthful to the candidate.

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: 26-5: Explain how to find and use mentors.

Question 11

Type: MCSA

A nurse who has worked in the dialysis unit for the past 5 years is considering a career change. The nurse is unsure whether to follow a management or a clinical career path. Which would be a good beginning step for this nurse?

1. Enroll in a graduate nursing program.

2. Investigate careers by talking with nurses in those positions.

3. Investigate the salary options for various careers.

4. Seek advice from the manager of the unit.

Correct Answer: 2

Rationale 1: Prior to enrolling in a graduate program the nurse should investigate career opportunities and various graduate programs.

Rationale 2: Networking with nurses working in the fields of potential interest may assist this nurse in determining the correct path.

Rationale 3: Salary should not be the prime determinant of which path to follow.

Rationale 4: The nurse is most likely a valuable employee to the manager, so the advice received might not be totally unbiased.

Global Rationale: 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 26-5: Explain how to find and use mentors.

Question 12

Type: MCMA

A nurse with an associate degree in nursing is interested in obtaining more education but is unsure if it is wiser to obtain a baccalaureate degree in nursing or to pursue certification. The answers to which questions would assist the nurse in making a decision?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

1. Am I interested in nursing management?

2. Which goal can be accomplished at the least expense?

3. Do I want to go to graduate school?

4. What are my future options in my current position?

5. Is either option available online?

Correct Answer: 1,3,4,5

Rationale 1: The nurse should determine interests prior to deciding which degree to pursue.

Rationale 2: The expense it will take to achieve the goal should not be the primary factor determining which one to choose.

Rationale 3: The nurse should think about future educational goals when deciding upon a degree.

Rationale 4: The nurse should identify current advancement possibilities when considering further education.

Rationale 5: Online education is available for many degrees and certifications. This information may make the decision clearer.

Global Rationale: 

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 26-6: Explain how to find your next job.

Question 13

Type: MCSA

A nurse who has a baccalaureate degree in nursing is interested in going to graduate school. The nurse is talking to a peer who is in a nurse practitioner program. Which advice would be beneficial for this nurse in choosing a graduate program?

1. Perform an online search and look for the program that requires the least amount of time to obtain the degree.

2. Meet with faculty and students of various graduate programs.

3. Discuss the graduate schools with a physician.

4. Dont start until you are certain you can finish.

Correct Answer: 2

Rationale 1: The time it takes to achieve the degree is not the primary deciding factor.

Rationale 2: Choosing a graduate program can be time consuming. Gather literature and meet with admissions staff, faculty, students, and colleagues.

Rationale 3: Physicians will likely not be aware of the particulars about nursing degree programs.

Rationale 4: No one is certain they can complete a degree program. The point is to start.

Global Rationale: 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 26-6: Explain how to find your next job.

Question 14

Type: MCSA

A nurse is unsure in which graduate nursing program to enroll. A colleague recommends the nurse consider a degree program for which it appears there will be growing demand. Which role is expected to continue to be in great demand in the future?

1. Nurse administrators

2. Community health nurse

3. Nursing education

4. School nurse

Correct Answer: 3

Rationale 1: Nursing administration is not one of the two areas expecting the greatest growth.

Rationale 2: Community health nursing is not one of the two areas expecting the greatest growth.

Rationale 3: Two areas that are expected to grow in demand are nursing faculty and nurse practitioners. The ranks of nursing faculty are expected to thin as more faculty members retire.

Rationale 4: School nursing is not one of the two areas expecting the greatest growth.

Global Rationale: 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 26-6: Explain how to find your next job.

Question 15

Type: MCSA

A nurse has always been interested in the legal nurse field. What would be the best program in which to learn about this field?

1. A seminar in which the nurse can obtain certification as a legal nurse as quickly as possible

2. A seminar that offers a variety of speakers addressing the legal nurse profession

3. An accredited program by a legal nurse association

4. A program in which lawyers speak of the opportunities available for legal nurses

Correct Answer: 3

Rationale 1: The quickest path is not always the best path.

Rationale 2: While the nurse would gain knowledge about the field, there is a better way to do so.

Rationale 3: No matter the subject, the nurse should focus on whether the program is sponsored by a known organization and provides speakers with appropriate credentials.

Rationale 4: The program should help the nurse meet his or her needs, not just talk about opportunities.

Global Rationale: 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 26-1: Describe how you envision your future.

Question 16

Type: MCSA

A baccalaureate nurse has been invited to join Sigma Theta Tau International (STTI). While trying to decide about taking the offer, the nurse asks a member about the organization. Which option reflects the best reason to join a group such as this?

1. It offers the privilege of joining a distinguished group of professionals.

2. It offers the privilege of participating in an organization.

3. It offers the ability to network and learn while serving the organization.

4. It offers the ability to join the American Nurses Association.

Correct Answer: 3

Rationale 1: While the members of STTI are a distinguished group of professionals and it is a privilege to be asked to join, those are not the major reasons for joining.

Rationale 2: While the members of STTI are a distinguished group of professionals and it is a privilege to be asked to join, those are not the major reasons for joining.

Rationale 3: Membership in professional associations offers many opportunities for networking and learning while serving the organization on committees and task forces.

Rationale 4: You do not have to be a member of STTI in order to join ANA.

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: 26-5: Explain how to find and use mentors.

Question 17

Type: MCSA

An ICU nurse has been approached by a colleague to join the American Association of Critical Care Nurses. The nurse asks the colleague, Why would I want to join this organization? Which would be the best response?

1. It will further your career.

2. It looks good on your resume.

3. It will help you to network and enhance your learning.

4. You have to join before you can obtain critical care certification.

Correct Answer: 3

Rationale 1: It may further the nurses career but that is not the best reason.

Rationale 2: It may look good on a rsum, but that is not the best reason.

Rationale 3: Specialty organizations exist for nurses who work in many clinical areas and offer divisions, committees, and boards where the nurses time and talents are welcome. This helps the nurse build a network and is a good way to learn about the issues facing the profession.

Rationale 4: One does not have to join this organization to obtain critical care certification.

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: 26-5: Explain how to find and use mentors.

Question 18

Type: MCSA

A nurse has joined the local Sigma Theta Tau organization. The nurse is hoping to find a mentor within the organization. Which person would be a good candidate?

1. A senior nurse who has the career experience that the nurse is interested in pursuing

2. The president of the organization

3. A senior nurse who has a wide range of career experiences

4. A member of the board of the organization

Correct Answer: 1

Rationale 1: A mentor is a person who has more experience and is willing to help the protg progress in their career. A mentor should be a senior nurse or someone in a closely aligned profession who can help the protg with contacts and networking. The most logical selection of these options is the senior nurse who has the career experience the protg seeks.

Rationale 2: The president of the organization may not have the career experiences the nurse is interested in pursuing.

Rationale 3: The senior nurse with a wide range of career experiences would be good as a general mentor, but is not the best choice in this situation.

Rationale 4: A member of the board of the organization may or may not have the kind of career experiences this nurse would need.

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: 26-5: Explain how to find and use mentors.

Question 19

Type: MCSA

A nurse has been in practice for 14 years and has worked in three different departments in the hospital. The nurse is a member of a professional organization and is considering running for an office next year. According to Shirey, this nurse is in which career phase?

1. The promise phase

2. The adolescent phase

3. The momentum phase

4. The harvest phase

Correct Answer: 3

Rationale 1: The promise phase is the first part of the career in which building blocks for a long career are laid.

Rationale 2: Shirey does not include adolescence as a phase.

Rationale 3: During this phase the nurse chooses multiple experiences and becomes more visible in the profession.

Rationale 4: During the harvest phase the nurse begins to share experiences and expertise with younger nurses and leaves a legacy for the next generation.

Global Rationale: 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 26-2: Explain why your career requires planning.

Question 20

Type: MCSA

A nurse is considering graduate school. The nurse is interested in becoming a nurse practitioner. This nurse has worked as a medicalsurgical nurse for the past 10 years. Which opportunity would benefit this nurses career?

1. Taking a position as an assistant nurse manager

2. Applying for a nurse manager position on a renal unit

3. Transferring to the ICU unit

4. Transferring to the oncology unit

Correct Answer: 3

Rationale 1: Being an assistant nurse manager would not provide the skills this nurse needs.

Rationale 2: Being a nurse manager would not be the best choice to provide the skills this nurse needs.

Rationale 3: The nurse has decided to obtain a nurse practitioner license. Furthering education by focusing on critical care pathophysiology will assist the nurse when enrolled in graduate school.

Rationale 4: The oncology unit would provide the opportunity to learn new skills, but not as many as another choice.

Global Rationale: 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 26-6: Explain how to find your next job.

Question 21

Type: FIB

A nurse says, At last I feel like I am beginning to harvest some of the benefits of my career. I love sharing what I have learned with the new generation of nurses. Someone hearing this statement would interpret it to mean the nurse has likely practiced for at least ______ years.

Standard Text: 

Correct Answer: 30

Rationale : The harvest phase of a nursing career often comes after the nurse has practiced for 30 years.

Global Rationale: 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 26-2: Explain why your career requires planning.

Question 22

Type: MCSA

A nurse who has worked on a unit for 8 years has just accepted a position as a nurse practitioner at an indigent clinic. How should the nurse handle leaving the current position?

1. Leave by the end of the week.

2. Tell the manager as soon as the decision is made.

3. Advise the human resources department prior to the unit manager.

4. Discuss the matter with colleagues well in advance of telling the manager.

Correct Answer: 2

Rationale 1: Nearly every job has a required notice period, often equivalent to one schedule. Leaving without working out the required notice period is not professional.

Rationale 2: The nurse should discuss this matter with the manager as soon as the decision is made and should work out the required notice.

Rationale 3: The nurse should tell the manager before contacting HR.

Rationale 4: Telling colleagues that one has accepted a new position before telling the manager is not professional.

Global Rationale: 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 26-6: Explain how to find your next job.

Question 23

Type: MCSA

A nurse has decided to relocate to another state. Which entry on this nurses resume will be most useful in searching for a new job?

1. Boy Scout leader for 3 years

2. Member of Sigma Theta Tau International

3. Six years work experience as nurse manager in ICU

4. Graduated with honors from a BSN program

Correct Answer: 3

Rationale 1: Being a Boy Scout leader is a good community service entry on the rsum, but is not the most valuable in this case.

Rationale 2: Membership in STTI is a good entry for the rsum, but it is not the most valuable in this case.

Rationale 3: The work experience is the most important of these potential entries.

Rationale 4: Educational experiences such as graduating with honors should be included in the rsum, but they are not the most important of these potential entries.

Global Rationale: 

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 26-4: Build a rsum.

Question 24

Type: MCSA

Several months ago, the nurse accepted a management position in the neurological care unit. The nurse has been very challenged and stressed and is unsure the position change was the correct choice. What should the nurse do now?

1. Give proper notice and go back to the previous position.

2. Discuss the matter with the director of the unit.

3. Discuss the matter with staff nurses on the unit.

4. Take a few days off to think about the situation.

Correct Answer: 2

Rationale 1: Leaving the position without discussing it and thinking about it is not the correct choice.

Rationale 2: Discussing the matter with the director will allow the nurse to assess progress and obtain feedback and assistance in managing the stress of the job.

Rationale 3: Discussing the matter with coworkers is not a good idea as the manager must appear confident and sure in the role.

Rationale 4: The nurse may need to take a few days off to consider options, but this should not be done as a single intervention.

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: 26-7: Discuss what to do when your plans fail.

Question 25

Type: MCSA

A newly promoted nurse manager is overwhelmed by the amount of paperwork that must be submitted to the director. The nursing unit is very busy and is short staffed, so the manager also takes a client assignment. This additional work makes the paperwork load even more daunting. Which statement is the most important lesson for this manager to learn?

1. A managers first priority is client care.

2. A managers first priority is the nursing staff.

3. The job requires the nurse to adjust, respond to change, and remain flexible.

4. The paperwork is not important.

Correct Answer: 3

Rationale 1: The managers first priority is providing for quality client care, but the manager does not have to personally provide that care.

Rationale 2: The manager does make the nursing staff a priority, but this is not the best answer to this question.

Rationale 3: Every day change is occurring and in health care the pace is fast. To find satisfaction in a career it requires the ability to adjust and respond to change. The most important attribute anyone can bring to this effort is to remain flexible.

Rationale 4: Paperwork, whether it is documentation of client care or management documents, is always important.

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: 26-7: Discuss what to do when your plans fail.

Question 26

Type: MCMA

A nurse knows that both experiences and a plan are important when building a rsum. Which attributes are the most important for the plan part of this endeavor?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

1. Flexibility

2. Long term

3. Focused on one career path

4. Includes frequent contact with the nurses current mentor through the years

5. Designed around a fixed retirement date

Correct Answer: 1,2

Rationale 1: The nurses plan must be flexible to account for the rapidity of change in todays health care environment.

Rationale 2: The plan developed as a young nurse should be long term. The desires of the far distant future must be planned for today.

Rationale 3: The nurse should be open-minded about the career path but should point the path toward the eventual goal. For example, the nurse may wish to be the nurse executive of the hospital but may eventually end up a nurse executive in a health care conglomerate.

Rationale 4: Mentors often come and go through a nurses career. The current mentor may change to a different one as years go by.

Rationale 5: The nurse may find that early retirement is possible and desirable, or may choose to work long past the date considered when younger.

Global Rationale: 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 26-4: Build a rsum.

Question 27

Type: MCMA

In an activity log, a nurse records attendance at an education seminar as, Class on arrhythmia recognition, State College, taught by Sue Smith, RN. What else would be valuable for the nurse to include?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

1. The exact title of the seminar or event

2. Which colleagues attended with the nurse

3. Who paid for the course and what it cost

4. The date

5. Any certifications achieved

Correct Answer: 1,3,4,5

Rationale 1: The exact title should be included in the activity log.

Rationale 2: The names of those who attended with the nurse are not necessary.

Rationale 3: Keeping track of expenses is important for tax purposes.

Rationale 4: The date of the course is important to include.

Rationale 5: It is important to keep track of certifications.

Global Rationale: 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 26-4: Build a rsum.

Question 28

Type: MCMA

A female nurse has an interview for a new job scheduled next week. What should the nurse plan to wear to this interview?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

1. Scrubs

2. A neatly pressed lab jacket and white uniform

3. Capri length pants and sandals

4. Dark pants and a gray jacket

5. Simple jewelry

Correct Answer: 4,5

Rationale 1: It is seldom appropriate to wear scrubs to an interview.

Rationale 2: It is seldom appropriate to wear a uniform and lab jacket to an interview.

Rationale 3: Capri length pants and sandals are too casual for an interview.

Rationale 4: Pants and a neutral-colored jacket are appropriate dress for an interview.

Rationale 5: Simple jewelry is appropriate for an interview.

Global Rationale: 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 26-3: Discuss how to obtain your first job.

Question 29

Type: MCMA

A nurse has two job offers. One will not be available for 6 months and the other is in an organization that the nurse does not think is a good fit. The client care in the second organization is not what the nurse would feel comfortable providing. What action should the nurse take in regard to the second organization?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

1. Gracefully decline the job by saying he is moving out of state.

2. Accept the position and plan to resign as soon as the other position opens.

3. Thank the manager for the offer, but decline it.

4. Send a letter to the manager, thanking the organization for the offer.

5. Tell the manager that the client care in the organization was not what was expected.

Correct Answer: 3,4,5

Rationale 1: It is better to be honest and just decline the job.

Rationale 2: It is not right to accept this position. The nurse believes the fit is not right and it is not fair to the organization to put the nurse through hiring and orientation, only to have the nurse leave.

Rationale 3: It is best to decline the offer of a job in an organization where there is not a good fit.

Rationale 4: Even though the organization is not a good fit today, it might be in the future. The nurse should not risk alienating a potential future contact.

Rationale 5: The nurse should not be blunt or rude in the explanation, but should focus on the fit not being correct.

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: 26-3: Discuss how to obtain your first job.

Question 30

Type: MCMA

A nurse manager has a strong belief in the value of certification for staff nurses. Unfortunately, only two staff members are certified. How could the manager encourage the remaining staff to seek certification?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

1. Make it a job requirement.

2. Obtain grant monies to fund purchase of materials for certification.

3. Support those who are seeking certification with study sessions and helpful study hints.

4. Work with administration to obtain a salary adjustment for those who become certified.

5. Role-model the behavior by becoming certified.

Correct Answer: 2,3,4,5

Rationale 1: If certification is made a requirement, then the stimulus to attend is not learning, but survival.

Rationale 2: The cost of materials may be a barrier for some nurses.

Rationale 3: Support by management takes down one common barrier to certification.

Rationale 4: A workplace reward, such as a salary adjustment, is a good incentive to become certified.

Rationale 5: The manager should also seek certification.

Global Rationale: 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 26-6: Explain how to find your next job.

Sullivan, Effective Leadership and Management, 8/e Test Bank

Copyright 2013 by Pearson Education, Inc.

Leave a Reply