Professional Documents
Culture Documents
5. During a staff meeting, a group of RNs has complained that medications are not arriving to
the unit in a timely manner. The nurse manager suggests that the group resolve this issue
through the development and work of a multidisciplinary team led by one of these RNs. This
scenario demonstrates:
a. adaptation.
b. empowerment.
c. flexibility.
d. relationship management.
ANS: B
Empowerment is the giving of authority, responsibility, and the freedom to act. In this
situation, the manager has given authority, responsibility, and the freedom to act in the
investigation and resolution of this issue.
6. A nurse is caring for an elderly patient who was admitted after sustaining a fall at home.
When creating a care plan for the patient, she requests that the doctor order a home health visit
to assess for home safety and medication compliance. In addition, the nurse is concerned
about the nutrition of the patient and requests a dietitian evaluation. The nurse is
demonstrating which of the following leadership skills?
a. Care provider
b. Business principles
c. Care coordination
d. Change management
ANS: C
Care coordination is the delivery of nursing services that involves the organization and
coordination of complex activities. The nurse uses managerial and leadership skills to
facilitate delivery of quality care.
7. Interpersonal communication and the ability to apply _____ are two critical skills every nurse
needs to enhance professional practice.
a. vision
b. supervision
c. delegation
d. problem solving
ANS: D
Every nurse needs two critical skills to enhance professional practice. One is a skill at
interpersonal relationships. This is fundamental to leadership and the work of nursing. The
second skill is applying the problem-solving process. This involves critical thinking, problem
identification, and the development of objectivity.
8. Good leaders need to be able to demonstrate an intuitive skill of empathy and expressiveness
when dealing with others in the workplace. This requires sensitivity and awareness of the
emotions and moods of others and is known as:
a. social awareness.
b. self-awareness.
c. self-management.
d. relationship management.
ANS: A
Social awareness is an intuitive skill of empathy and expressiveness in being sensitive and
aware of the emotions and moods of others.
9. The manager of the emergency department in a large hospital focuses on customer service,
exudes the nursing code of ethics, and sees his or her job as an occupation with a lifetime
commitment. This is a concept known as:
a. leadership.
b. management.
c. professionalism.
d. vision.
ANS: C
Professionalism is an approach to an occupation that distinguishes it from being merely a job,
focuses on service as the highest ideal, follows a code of ethics, and is seen as a lifetime
commitment.
10. _____ are vital to good leaders because they are able to take the vision of the leader and
achieve the determined goals.
a. Managers
b. Motivators
c. Visionaries
d. Followers
ANS: D
Without followers there is not leadership. Followers are vital because they accept or reject the
leader and determine the leader’s personal power.
14. A nursing unit has discovered a series of medication errors with regards to a particular
computerized physician order set and the calculation within the order. The unit manager has a
theory on changes that should be made within the order to decrease the confusion for nursing
staff. However, the nurse manager realizes that changes would need to be made with
pharmacy input as well as other nursing units within the facility and the multi-hospital system.
Which of the following management theories is exemplified when the nurse manager
considers the impact of change on the organization as a whole?
a. Contingency theory
b. Systems theory
c. Complexity theory
d. Chaos theory
ANS: B
Systems theory helps managers recognize their work as being embedded within a system.
Managers use this theory to learn that changing one part of a system inevitably affects the
whole system.
15. The role of the _____ is to provide leadership and direction for all aspects of nursing care.
a. nurse manager
b. care provider
c. nurse executive
d. senior leader
ANS: C
The nurse executive is accountable for the environment in which clinical nursing practice
occurs. The nurse executive provides leadership and direction for all aspects of nursing care.
We left Naples a little before six, and after resting for breakfast at
Torre del Annunciata, arrived at Pompeii about nine o’clock. Our
road lay through rich vineyards, and over various beds of lava, the
remains of different eruptions from Mount Vesuvius. In 1794, one
town through which we passed, Torre del Greco, was destroyed by
one of these awful visitations, and yet such is the attachment of the
infatuated people to this situation, that a new one has arisen on the
self-same spot.
“The doors are so low, that you are obliged to stoop to pass
through them. There are some traces of Mosaic flooring, and the
stucco paintings, with which all the walls are covered, are but little
injured; and upon their being wetted, they appear as fresh as ever.
Brown, red, yellow, and blue, are the prevailing colours. It is a pity
that the contents of the houses could not have been allowed to
remain in the state in which they were found: but this would have
been impossible. Travellers are the greatest thieves in the world. As
it is, they will tear down, without scruple, the whole side of a room, to
cut out a favourable specimen of the stucco painting. If it were not for
this pilfering propensity, we might now see every thing as it really
was left at the time of this great calamity; even to the skeleton which
was found with a purse of gold in its hand. In the stocks of the guard-
room, which was used as a military punishment, the skeletons of four
soldiers were found sitting; but these poor fellows have now been
released from their ignominious situation, and the stocks, with every
thing else that was moveable, have been placed in the museum; the
bones being consigned to their parent clay. Pompeii, therefore,
exhibits nothing but bare walls, and the walls are without roofs; for
these have been broken in, by the weight of the shower of ashes and
pumice stones, that caused the destruction of the town.
We set off from Naples about five o’clock in the afternoon, with a
view of seeing the mountain by moonlight; after passing through
Portici, we reached Resina about seven o’clock, where we left the
carriage to await our return, and reconvey us to Naples. Taking a
conductor from the house of Salvatori, whose family are esteemed
the most respectable guides of the mountain, we immediately
commenced our ascent. A number of asses are constantly in
attendance at this point, for the purpose of assisting such as are
incapable of walking, or apprehensive of fatigue, and which are able
to convey their riders two-thirds of the way towards the summit; but,
in order that I might acquire a more correct idea of the nature of the
road, we gave the preference to walking.
and desirous of the glory of dying a death worthy of the great nation,
plunged into the fiery abyss. The guide placed my hand on the very
spot where he was stated to have last stood, before he thus rashly
entered upon eternity.
The hermit placed his book before us, containing the names of
those who had visited his cell, and we found them accumulated from
all nations, and largely interspersed with observations in verse and
prose; but as for their beauty and point I shall leave this to be
determined by those who may think well to inspect them. My friend
was anxious that I should contribute my mite to this book of scraps,
when, as my mind was not a little elate, with the idea of having so
easily surmounted the difficulties which my friends had urged against
my present excursion, I put down a couplet to the following effect:
“Volcanoes are found in almost all parts of the world, but most
commonly in the neighbourhood of the sea; and especially in small
islands: for instance, Italy, Sicily, Japan, the Caribbees, the Cape
Verd islands, the Canaries, and the Azores: there are also numerous
volcanoes in Mexico, and Peru, especially Pichincha, and Cotopaxi.
The subterraneous fires, which are constantly kept up in an open
volcano, depend, perhaps in general, on sulphurous combinations,
and decompositions, like the heating of a heap of wet pyrites, or an
union of sulphur and iron filings: but in other cases, they may,
perhaps, approach more nearly to the nature of common fires. A
mountain of coal has been burning in Siberia for nearly a century,
and most probably has undermined, in some degree, the
neighbouring country.
The other adventure was during the late Neapolitan and Sicilian
revolution; Mr. C⸺ happened to lodge in the same house with our
countryman, General Church, who commanded the Sicilian troops,
forming the garrison of Palermo. One evening the general had fallen
into a personal affray with some of his insubordinate soldiers, and
with difficulty disengaged himself from them uninjured; supposing
that he had retired to his hotel, they made an attack upon it, and in
their rage and disappointment destroyed the whole of its furniture.
My friend, and two other English gentlemen, were at the time in the
house. The former was lying in bed, seriously ill; they obliged him,
however, to rise, and while one of the ruffians stood with a dagger at
his breast, the others emptied his trunks, and took away everything
except his pantaloons and a great coat, and threatened to murder
him if he did not produce more money, stating that they were sure an
Englishman must be better provided. One of the other gentlemen
was also ill, but being warned by the noise, that something
unpropitious was going forward, he contrived to conceal his writing-
desk, with his money and papers, under the pillow; when, getting into
bed, he made them believe by well groaning, and the assistance of a
naturally pale and ghastly-looking face, that he was dying; they were
actually afraid to touch him, and walked off, contenting themselves
with what they could find about the room.
The third gentleman was treated with tolerable civility; one of the
robbers disrobed himself, and putting on the clothes which were
lying on a chair, made a simple exchange of property, which some
consider no robbery. They cleared the table of his money, and
various other articles which he had laid upon it the night before;
amongst the rest, however, was a small bit of printed paper, which
considering of no value, they threw on the floor; this was one of
Hammersley’s bills for fifty pounds.
We set off in company with the voiture for which we had delayed
our journey on the Monday, but did not get clear of Naples before
seven o’clock; after which we breakfasted at Capua, and reached St.
Agatha in the evening; at the latter place we witnessed a violent
quarrel between two Austrian officers, which however was carried
through with the same weapons that it commenced with—their
tongues.
Before setting off in the morning, we were informed that the
courier from Rome to Naples, had been obliged to return to Mola on
the previous night, to procure a stronger escort, in consequence of
intelligence from a peasant, that he was way-laid by a band of
thirteen robbers, near the spot where Mrs. A⸺’s carriage had been
attempted at the time of my journey to Naples. On our way, we
observed a number of sledges loaded with hay, and which were
similar to those used for travelling over the snow in North America.
We breakfasted at Mola, and arrived at Terracina about eight in the
evening, after a considerable detention at Fondi, by custom-house
officers, and which was repeated on entering the papal territories;
throughout the Neapolitan states, we passed numerous parties of
Austrian soldiers posted on the road.
We did not return to Terni before five o’clock, when, at the instance
of our driver, although contrary to my own inclinations, my
companions were induced to drive on to Spoletto, to accomplish
which journey, we had an additional horse for the first post, and
afterwards a pair of oxen attached to our voiture, to enable us to
ascend to Mount Somma, said to be two thousand feet in height; it
was, however, too dark to see, from this elevated spot, the delightful
scenery around it, and over the beautiful plains of Terni, which we
had just quitted, and Clitumnus, on which we were entering.
“It was in the centre of this plain, that Hannibal encamped at the
head of the African and Spanish troops; the Baleares, and the light-
armed forces, he placed on the recesses of the mountains all
around, while his cavalry were commissioned to occupy a defile in
rear of the Romans, as soon as they had passed through it. The
consul entered by Borghetto, with his characteristic rashness and
impetuosity, and hastened to attack the army which he beheld in
front; when a sudden shout bursting all around, informed him that he
was beset on all sides; a thick mist rising from the lake, darkened the
air; noise, confusion, dismay, defeat, and slaughter, immediately
followed.”
At eleven we set out again, when just out of town, our driver took
up a female into the cabriolet, accompanied by a man, probably her
husband, who afterwards kept up with the carriage on foot, all the
way to Florence. After passing through a variety of towns and
villages, at nine in the evening, we reached the village of Piano,
where we stopped at the post-house. On the following morning,
Sunday the 24th, we left Piano at four o’clock, and after travelling
through a very hilly country for four hours, got upon a fine plain,
which carried us to the gates of Florence, where we arrived about
ten o’clock, and having the custom-house stamps on our luggage,
were only detained to inspect the passports, after which we
proceeded directly to my old quarters, the house of Madame
Hembert.