Nursing Elites

1. Many patient classification systems have some type of shortcoming. Among these are:

• A. The client's condition changes before the next shift.
• B. The staffing needs are predicted on a short-term basis.
• C. The potential admissions cannot be accounted for.
• D. The staffing mix changes because of illness.

Correct answer: C

Rationale: Patient classification systems have limitations in accounting for changes in a client's condition, unexpected influx of new admissions, and changes in staffing due to illness. These systems often focus on short-term staffing needs rather than utilizing demand management, which considers client outcomes to predict staffing needs over a longer period. Not being able to account for potential admissions can lead to challenges in effectively managing staff allocation and resources. Choices A, B, and D are incorrect because they do not address the specific limitation of patient classification systems related to accounting for potential admissions.

2. Which of the following is likely to facilitate union activity?

• A. Managers communicating effectively with employees
• B. Managers listening to concerns of employees
• C. Belief that low wages cause job dissatisfaction
• D. Belief that supervisors are not understanding of unionizing

Correct answer: C

Rationale: The correct answer is C because according to a study by Bilchik (2000), organizations are more likely to unionize if there is a belief that low wages cause job dissatisfaction. Choices A and B focus on effective communication and listening, which may actually prevent union activity by addressing employee concerns directly. Choice D, the belief that supervisors are not understanding of unionizing, may lead to dissatisfaction but doesn't directly facilitate union activity as the belief that low wages cause job dissatisfaction does.

3. Which of the following best describes the concept of evidence-based management?

• A. Using personal experience to make managerial decisions
• B. Combining managerial expertise with the latest research evidence
• C. Using intuition and experience to guide management decisions
• D. Relying on peer-reviewed literature to inform management practices

Correct answer: B

Rationale: The concept of evidence-based management involves combining managerial expertise with the latest research evidence to make informed decisions. Choice A is incorrect because relying solely on personal experience may not align with the best available evidence. Choice C is incorrect as it emphasizes intuition over research evidence. Choice D is incorrect because evidence-based management involves not only peer-reviewed literature but also incorporating managerial expertise.

4. A nurse manager has two out of six staff nurses call in sick for one shift. Because of reduced availability of staff, the manager decides to manage the unit with the three remaining nurses, which keeps the unit at minimal staffing standards. What type of decision-making strategy would this be?

• A. Satisficing
• B. Routine
• C. Adaptive
• D. Rationalizing

Correct answer: A

Rationale: Satisficing is the correct decision-making strategy in this scenario. The nurse manager is not aiming for the best solution but rather choosing an alternative that is good enough given the circumstances of staff shortage. Choice B, Routine, does not apply here as the situation is not part of the manager's regular tasks. Choice C, Adaptive, involves adjusting to new conditions, which is not the primary focus in this scenario. Choice D, Rationalizing, does not fit as the decision made is more about finding an acceptable solution rather than justifying it.

5. What characteristics will you emphasize in a job interview that will positively influence the meeting?

• A. Patient diagnoses that are of greatest interest.
• B. Avoiding challenging patient assignments to minimize the risk of making a mistake.
• C. Number of times you inserted a nasogastric tube.
• D. Your grades on your scholarly papers in nursing school.

Correct answer: D

Rationale: The correct answer is D because emphasizing your grades on scholarly papers in nursing school during a job interview can demonstrate your motivation, interest in achieving, and potential for professional growth and success. This evidence of academic success is often seen as a predictor of how well you may perform in a professional setting. Choices A, B, and C are incorrect. Choice A focuses on patient diagnoses, which may not directly relate to your academic achievements. Choice B suggests avoiding challenging assignments, which does not demonstrate a willingness to learn and grow. Choice C, regarding the number of times you inserted a nasogastric tube, is too specific and does not provide a broad view of your capabilities and potential as a professional.

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