Nursing Elites

1. A nurse manager is using the nominal group technique to gather input from the staff on a new policy. What is the primary method of exchange in this technique?

• A. Oral presentations
• B. Email exchanges
• C. Written reports
• D. Group discussions

Correct answer: C

Rationale: In the nominal group technique, the primary method of exchange is through written reports. Participants independently generate ideas in writing, which are then shared and discussed within the group. This structured process allows for equal participation and prevents dominant individuals from influencing the group's outcome. Oral presentations (choice A) involve speaking rather than written communication, making it less suitable for the nominal group technique. Email exchanges (choice B) are also not the primary method as they lack the structured approach of the nominal group technique. Group discussions (choice D) do occur in the nominal group technique but are secondary to the initial written idea generation phase.

2. The length of a coaching session should be no longer than:

• A. 15 minutes.
• B. 60 minutes.
• C. 10 minutes.
• D. 30 minutes.

Correct answer: C

Rationale: The correct answer is C: '10 minutes.' Coaching sessions are recommended to last between 5-10 minutes to ensure they are concise and impactful. Choice A ('15 minutes') is incorrect because it exceeds the recommended duration. Choice B ('60 minutes') is incorrect as it is too long for an effective coaching session, leading to decreased engagement. Choice D ('30 minutes') is also incorrect as it surpasses the optimal time frame for a coaching session.

3. What is the primary responsibility of a nurse manager in a healthcare setting?

• A. To provide direct patient care
• B. To manage healthcare facilities
• C. To oversee administrative tasks
• D. To conduct clinical research

Correct answer: C

Rationale: The correct answer is C: 'To oversee administrative tasks.' Nurse managers in healthcare settings are primarily responsible for managing the administrative aspects of a unit, ensuring smooth operations and efficiency. Choice A is incorrect because providing direct patient care is usually the responsibility of staff nurses, not nurse managers. Choice B is incorrect as managing healthcare facilities involves a broader scope of responsibilities beyond the role of a nurse manager. Choice D is also incorrect as conducting clinical research is typically not a primary responsibility of a nurse manager in a healthcare setting.

4. Nurse Managers work with staff to educate them about ways to diffuse potentially violent situations. Which of the following diagnoses can staff expect to be more frequently associated with violence?

• A. Alcohol or drug withdrawal
• B. Anxiety
• C. Depression
• D. Confusion

Correct answer: A

Rationale: Alcohol or drug withdrawal is more frequently associated with violence as these conditions alter a person's inhibitions. Gilmore (2006) highlights that working with the public involves inherent risks and stressors. Individuals with head trauma, mental illnesses, and those withdrawing from substances are more likely to respond with violence. Anxiety, depression, and confusion do not typically lead to increased violent behavior compared to conditions involving substance withdrawal.

5. A supervisor is restricting the flow of communication between staff. This has resulted in the staff having two very opposite directions. The supervisor's actions are known as which type of force?

• A. Opposing force
• B. Driving force
• C. Restraining force
• D. Restrictive force

Correct answer: C

Rationale: The correct answer is C: Restraining force. In this scenario, the supervisor's actions of restricting communication are creating opposing directions among the staff, which is impeding progress and change. Restraining forces work against change by hindering or restricting movement in the desired direction. Choices A, B, and D are incorrect. 'Opposing force' does not specifically address the hindrance caused by the supervisor's actions. 'Driving force' is a positive force that initiates and supports change, which is not the case here. 'Restrictive force' is not a commonly used term in the context of organizational behavior and change management.

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