Nursing Elites

1. What is the primary role of a nurse manager in a healthcare setting?

• A. To enforce hospital policies
• B. To oversee patient care
• C. To manage the financial aspects of the unit
• D. To ensure efficient operation of the unit

Correct answer: D

Rationale: The primary role of a nurse manager in a healthcare setting is to ensure the efficient operation of the unit. While enforcing hospital policies and overseeing patient care are important aspects of their role, the main responsibility lies in ensuring the smooth and effective functioning of the unit. Managing the financial aspects of the unit is also crucial, but it is not the primary role of a nurse manager, as their focus is more on operational efficiency and quality of care.

2. The staff of a medical-surgical unit is in disagreement about holiday scheduling. The nurse manager knows that this is what type of conflict?

• A. Intragroup conflict
• B. Intergroup conflict
• C. Interpersonal conflict
• D. Intrapersonal conflict

Correct answer: A

Rationale: The correct answer is A: Intragroup conflict. Intragroup conflict occurs within one group, in this case, the staff of the medical-surgical unit. Intergroup conflict, on the other hand, happens between two or more groups. Interpersonal conflict involves conflicts between two or more individuals, and intrapersonal conflict is conflict within one individual. Since the disagreement about holiday scheduling involves members within the same group (staff of the medical-surgical unit), it is an example of intragroup conflict. Therefore, the nurse manager would recognize this as an intragroup conflict rather than any of the other types mentioned.

3. The ANA recommends that nursing in the health care organization change its focus. This requires a shift from a technical model to which of the following?

• A. Professional
• B. Industrial
• C. Random
• D. Organized

Correct answer: A

Rationale: The correct answer is A: Professional. The American Nurses Association (ANA) recommends shifting the focus in healthcare organizations from a technical model to a professional model. This change emphasizes the level of nurse competence required to provide quality care. Choice B, Industrial, is incorrect as it does not align with the focus on professionalism in nursing. Choice C, Random, is unrelated to the context of the question. Choice D, Organized, while a positive attribute, is not the specific focus recommended by the ANA for nursing in healthcare organizations.

4. Even though this is not easy, facilitating ____________ is a mandatory skill for all nurse managers and is crucial in the success of the manager.

• A. resistance
• B. change
• C. planning
• D. collection of data

Correct answer: B

Rationale: The correct answer is 'B: change.' Facilitating change is a crucial skill for nurse managers as they often need to lead and manage changes in healthcare settings. While managing resistance (choice A) is important, the question focuses on the necessity of facilitating change. Planning (choice C) and collecting data (choice D) are also essential skills for managers, but in this context, the emphasis is on the ability to facilitate change effectively.

5. What type of staffing involves scheduling a certain number of people per day consistently?

• A. Flexible
• B. Mixed
• C. Block
• D. Creative

Correct answer: C

Rationale: The correct answer is C, Block staffing. Block staffing involves scheduling a consistent number of staff per day. This method ensures a predictable workforce on each shift, allowing for better planning and allocation of resources. Choices A, B, and D are incorrect because they do not specifically refer to the consistent scheduling of a certain number of staff per day as seen in block staffing.

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