Nursing Elites

1. If a staff member does not respond to discipline, the manager must ______ employment.

• A. Terminate
• B. Confront
• C. Describe the staff nurse's behavior that violated the policy
• D. Determine the employee's awareness of the policy

Correct answer: A

Rationale: When an employee does not respond to disciplinary measures, termination may be necessary. This is a last resort for managers when other strategies to improve performance have failed. Terminating an employee means ending their employment with the organization. Choices B, C, and D are incorrect as the question specifically asks what action the manager must take when an employee does not respond to discipline. Confronting the employee, describing the behavior, or determining awareness of the policy are steps that may precede termination but are not the final action to be taken.

2. One of the most important driving forces behind health care policy changes is which of the following?

• A. New technology
• B. Outsourcing of services
• C. Emerging role of nurse practitioners
• D. Ability to pay for health care

Correct answer: D

Rationale: The correct answer is D, 'Ability to pay for health care.' One of the primary factors influencing health care policy changes is the financial aspect, as the ability to afford healthcare services affects access, quality, and equity. While new technology, outsourcing of services, and the emerging role of nurse practitioners may also impact health care policies, the fundamental driver often revolves around individuals' and societies' financial capacity to pay for healthcare.

3. Under which category does a violation of the nurse practice act fall?

• A. Juvenile
• B. Felony
• C. Misdemeanor
• D. Tort

Correct answer: B

Rationale: A violation of the nurse practice act falls under the category of a felony. Felony offenses are the most serious and can include acts like homicide and violations of professional practice regulations. Choices A, C, and D are incorrect because violations of the nurse practice act are considered more severe than misdemeanors, torts, or related to juvenile cases.

4. Which of the following is a skill emotionally intelligent leaders must develop?

• A. Encourage constructive criticism.
• B. Work to complete all assigned tasks on his or her own.
• C. Minimize one�s own emotions, instead of seeking to understand the emotions of others.
• D. Encourage others to work efficiently and independently.

Correct answer: A

Rationale: Encourage constructive criticism.

5. A nurse manager who tells the staff to 'come to me with any problem' but then keeps the office door closed is using what type of communication?

• A. Intrasender conflict
• B. Diagonal communication
• C. Metacommunication
• D. Upward communication

Correct answer: A

Rationale: The correct answer is A: Intrasender conflict. Intrasender conflict happens when there is a discrepancy between verbal and nonverbal communication. In this scenario, the nurse manager's verbal message encourages staff to communicate openly, but the closed office door sends a conflicting nonverbal message, creating intrasender conflict. Metacommunication involves nonverbal behaviors like gestures or facial expressions that support or contradict verbal communication. Upward communication refers to the flow of information from staff to management or lower to upper management. Diagonal communication involves communication between individuals or departments at different hierarchical levels.

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