Focus on details in the everyday practiced. Line managers believe that support staff use their technical knowledge to intrude on their authority. Formally signal discontent in your current position.c. After 2 years, he was promoted to a managerial position and now has returned to anotherhospital as a new director of nursing. Using cognitive reframing to change irrational thoughts.c. Believing that macromarketing will be a necessity, b. a. The best strategy is to: a. create a rsum. The applicant knows that the agency has a 50% turnover rate and has had three medical directors in the past year.The nurse executive is: a. A vision can range from that of an individual to that of a group or to a wholeorganization. Who of the following might be the BEST mentor for Becky, a new nurse manager on the cardiac unit who has 4 years of previous clinical experience? Diverts energy from internalization of Sarahs new role.c. Depressionc. Role discrepancy is an experience that includes a gap between what is expected and what is occurring and can lead to disillusionment, discomfort, and frustration. Acceptancec. a. After a year, Sarah successfully transitions into the nurse manager role and considers taking the examination to become a certified nurse executive. Discussions about how Thomas can fit with role expectations and relationships.c. For counseling to be successful, the mentor must: a. b. practice interviewing. Steady state.d. Based on the various tools available to her, which of the following should she bring to her interview to best present her skills? Determine who is most likely to send useful or important information or requests. Listing everything that we know about our current situationb. This movement through nursing life is predicated on having a vision of a career as opposed to a series of jobs. The primary nursing project dies.b. a. Negotiate a reasonable settlement. Performance management often manifests as a painful paper-based annual task that is put away and revisited 12 months later. Travel nurse agency, a. Strategies for job security. Amy accepts a position working with olderclients in a home health agency because she has relocated and this is the only full-time position available. c. Spiral. You will feel better after getting accustomed to how this unit operates.d. You do not appear excited about nursing administration. After 3 years, he moved to a home healthcare agency. You should call and leave a voicemail, indicating your disinterest in the position. During performance appraisal interviews,Joanne's nurse manager notices Joanne's excitement when she talks about how she has helped patients on a rehab unit understand the complexities of their regimens.When Joanne's nurse manager asks her about her career path plans,Joanne says that she wants to become a nurse administrator.The best response to Joanne would be: Attendance at a conference on global health care economics.d. Confidence of the leader in the value of the change, Complexity compression is a term that means that many changes are happening almost simultaneously andbefore one practice can be firmly implanted in our minds, we are already addressing some other change. Job security will be out and career options will be in. Recognizing her strong commitment to care in the management process through journaling. Distressc. Coaching provides information about how to improve performance and learning aspects of the role. Achieving balance between work and leisure is a useful strategy for stress reduction. During role transition, it is important for the manager to negotiate the role by writing down the managers expectations of the role and determining the expectations of others (staff, supervisors) in order to clarify expectations and reduce or ameliorate role ambiguity and role strain. When Joanne's nurse manager asks her about her career path plans, Joanne says that she wants to become a nurse administrator. As we continue to move from traditional practices to evidence-based ones and from a heavy focus on tertiary care to one that values primary care, we can assume that we might experience more chaos. The older man will feel more stress.d. Unrelieved role stress and strain leads to focusing energy into negative thoughts and feelings, which can leave the manager fatigued and therefore less likely to be productive or to perform well. Ensure that individuals who are admitted to your unit are asked about their smoking history and that preoperative and postoperative planning takes into account how smoking will affect status during and after surgery.d. At the same time, Jerry, an RN in his 50s, is financially secure and is asked to take early retirement with a buyout. With many young people going overseas, many jobs and options will be available. Promoting staff retention.b. When Joanne's nurse manager asks her about her career path plans, Joanne says that she wants to become a nurse administrator. Make an appointment to meet with a psychiatrist.c. Female, uses emergency care services for parents and childrenc. Continuing education.c. As a new manager, Sarah must learn how to access resources in the organization.Approaching the organization as a foreign culture, Sarah can keenly observe the rituals, accepted practices, and patterns of communication within the organization. The education consultant at St. Josephs Hospital is giving a workshop on cognitive reframing. Mistrust of trends and new evidence, c. Focus on details in the everyday practice. Rather than emphasizing job security, nurses will need to be prepared to be in an environmentwith many options and episodic employment. Helping people realize that negative thinking causes emotional distress. The abuse you endured is very painful for you.d. Sarah is a nursing graduate of 5 years who is very confident in her clinical skills. I understand what youre saying. Resisting further change is a move toward establishment of equilibrium. b. This thinking might be seen as the start of innovations. Her staff begins to complain that they are never able to find her when they need her, and that some aspects of her responsibilities fall behind, such as scheduling.Sarah is most likely: a. Refer families who require immediate help to a local food bank. She has taken some certificate courses in leadership and management and has considered beginning a graduate degree with this focus. Stress is: a. a. Rsumb. Viewed as the incongruence between perceived role expectations and achievement, role stress is particularly acute for new graduates. Decreased isolation, challenge, and passivity. She accepts a position as a case manager in home health care, working with older clients. A nurse manager has been employed in the same facility for 20 years and has held the same position. Which of the following is not a good time-management technique? Engage in consultation to create innovative solutions that bridge the existing plans and the new directions. Deepening skills in one area is an example of a steady state career style, whereas moving into and out of positions in various cities can characterize an entrepreneurial style. Perfectionism.c. During performance appraisal interviews, Joanne's nurse manager notices Joanne's excitement when she talks about how she has helped patients on a rehab unit understand the complexities of their regimens. Each senior perceives the situation differently. 21. b. Adam, RN, 8 years of experience in various nursing positions, including that of a nurse manager. Frequent formal meetings to provide feedback on performance and areas to be strengthened, a. Self-check list to assess competencies that have been strengthened. 1. The new graduate will still have to learn, but it will be job-specific learning.c. You begin to amass information in a number of areas with which you previously had little familiarity. Learn widely. In these meetings, they share their feelings about nursing management and their lives. Which of the following situations is most likely to result in a productive, whole work situation? Being aware of your strengths is critical in determining what you will bring to a position and can be used to find your fit and possible career path. Present assignments that stretch the intellectual and technical ability of the mentee. Work for a few years, and then consider administration., c. You seem to find teaching others very rewarding. At least a nursing diploma.c. Anticipating staff sick days. a. a. Because of our history of attention to details, we may need to challenge ourselves in developing our ability for leadership. The consultant explains that cognitive reframing reduces stress by: a. Alienation of family and friends.c. A nurse is conducting a therapeutic session with a patient in the inpatient psychiatric facility. b. Discrepancy.d. This situation exemplifies complexity compression, a term that means many changes are happening almost simultaneously and before one practice can be firmly implanted in our minds, we are already addressing someother new change. By focusing on the weaknesses of the unit, Sarah may lack the energy to internalize the new rolea step that is critical to being an effective leader. The unit leader on an inpatient psychiatric unit of a large hospital has been in the position for 3 months. 2. The chief nursing officer develops a mentoring program to help new staff members adjust to their new jobs.The main purpose of mentoring is: a. Pace of changesc. Opportunities.c. Possible specializations within the ICU environment.d. Practice interviewing.c. First announce your intent to resign. The nurse has to update her rsum to include her teaching experience. Lying about the problems and hoping to resolve them by hiring the applicant.c. In leaving the unit, it is important for Seth to: a. Have good information literacy skills. This exemplifies: a. ), a. Have good negotiation skills.d. Career refers to progression of skills, consistency, knowledge, and/or status. Burnoutd. Ben, who was nurse manager for 3 years, soon after graduation. 2002 Mount Rush Health Center Staff Nurse1997 Cedar Falls Clinic Staff Nurse 2007 Kilkarney Rehab Center Case Manager, d. 1997 Sturgeon County Hospital Head Nurse2002 Sturgeon County Supervisor 2007 Sturgeon County Director. Looking at job aspects that are rewarding is helpful in determining which career direction to pursue. The nurse manager of a unit has lost many staff members, and the unit is now staffed with a large number of agency and traveling nurses. It is not inherently bad (distress), and whether highs and lows are seen as distress or eustress is dependent on each individuals interpretation of the event. In preparing for a fair interview process as a hiring manager, you should: a. d. Create a curriculum vitae. Positions held and specific roles in the positions.c. The nurse is working with a patient diagnosed with posttraumatic stress disorder related to childhood sexual abuse. Louise, RN, 10 years of experience in an emergency department. a. Entrepreneurial/transient. When including Web or e-mail addresses, it is important to use addresses that are not overly casual or that communicate personal information. Role transition. Future forecasts include evolutions in power, structure, and knowledge; rapid change in the healthcare system;the demise of macromarketing; and increased evidence-based practice. Formally signal discontent in your current . Disruptive behavior coming from physicians and other healthcare workersd. Basic knowledge in a specified area.b. Study with Quizlet and memorize flashcards containing terms like A new graduate is seeking a new position in nursing and wants to "sell" herself effectively. Believing they are in position to accurately assess staff. Reduction of stress related to information overload requires the development of information-receiving and information-sending skills. ANS: C, Dc. Graduate courses.d. Although any of the answers listed might be correct, as a new manager, her confidence in her clinical skills suggests that she is having difficulty in the transformation process and in unlearning her role as a clinician. Refer the nurse to the employee assistance program.c. Because individuals perceive the same event differently, from the information that is given, it is not possible to determine whether the nurses experience the events as eustress or distress; what is most likely is that the nurses are experiencing stress, which is what occurs when there is a gap between expectations and what is actually occurring. The job market for nurses will be diminished with funding cuts to hospitals.c. Refer families who require immediate help to a local food bank. Internalization. You should file a complaint with Human Resources about the supervisors lack of interviewing skills.c. An interviewee for a nurse manager position asks for a copy of the organizational chart. Plan unit-based social events for your remaining permanent staff members.c. A strategy that may help to make the transition to her management role and to respond to relationships and situations in her new position is: a. Both a positive stressor and a negative stressor. Leadership skills have been identified as a key competence for nurses of tomorrow, and competence with technology will be needed as technology continues to revolutionize health care. She is excited about being able to use her knowledge and interest by being hired as a nurse manager. This assessment is helpful in (select all that apply): a. Identifying her clinical knowledge.b. c. Call the personnel offices. As such, you would expect him to be interested in honing areas of expertise (such as leadership or developing a deeper expertise in a particular area of ICU nursing) as opposed to gaining skills necessary for his work environment such as certification or becoming comfortable with his role and relationships in ICU, which would be critical to an early career nurse. Change can lead to feelings of being overwhelmed and powerless, especially if complexity compression or rapid, intense changes have been involved. Selye described stress as being on a continuum between stress that is positive (eustress) and stress that is negative (distress). Inquire as to the nurse's perception of the . A new graduate is seeking a new position in nursing and wants to "sell" herself effectively. The goal of a personaldata file is to: a. b. I am calling about our patient in room 3. MULTIPLE CHOICE 1. Asking patients to examine options for change.d. Second, you prepare an agenda. Distancing, however, can be a sign of depersonalization that includes negative attitudes as well and is a characteristic of burnout. d. create a curriculum vitae. Be certain you can recall facts for a prospective position. This is particularly useful in identifying areas of conflict in expectations, including conflict between the managers own expectations and those of staff and supervisors and in negotiating role expectations. Although staff members like the concept, change is difficult. Have you considered that as a possible career path?. Free time and vacation time are needed for individuals to recharge. Regardless of how we go about developing our vision (gathering evidence, testing ideas with others), honestyand openness are foundational to a strong vision. Internal sourceb. Professional associations also offer networks of nurses with similar interests. d. Create a curriculum vitae. Before beginning her new position, Sarah spends time with her nurse executive to clarify the executives expectations of her and of the unit that she has been hired to manage. Accepting a position outside of your established skill set may establish you organizationally as an innovative, adaptable leader. The nurse and the patient are conversing face to face. Id like to sit with you for a while to help you get comfortable talking to me., d. Id like to sit with you for a while to help you get comfortable talking to me.. A well-written letter of resignation is critical to: a. Lack of knowledge regarding the importance of changes.c. Asking someone with a great deal of experience to share ideas about best practiced. If the unit manager values the relationship and sees the differences between performance and expectations as correctable, then the manager is likely to stay in the role. Stereotypical thinking.d. Steady state styles would be most likely in which of the following situations? Social interaction.d. She often wishes that she was back on her old unit and in her familiar staff nurse role. a. The colleague works in another hospital, but they meet for lunch once a month. A nurse is interviewing for a managers position. Prepare a schedule of questions to be asked of all candidates. Your unit has a number of patients who have undergone limb amputation. a. Inspiring others to work their best to create the future. Expected work time commitments. Nursing professionals in the twenty-first century will accomplish most of their work: a. c. call the personnel offices.
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