471 Midterm

T/F: All people and organizational units that will be affected by a planned change should be included in the planning

True

A nurse leader is having a discussion with a team member about changes that will be made on the unit. Which demonstrates the greatest problem for the leader?

"I don't think you heard what the rest of us had to say"-need to be effectively listening to staff

Structure, process or outcome: Are call bells within reach?

Structure

An experienced nurse using contingency theory is orienting a new graduate to the unit. What needs will the nurse meet with the new grad using this theory?

Developing, coaching, counseling-individual needs

A CNO at an acute care facility has weekly mandatory meetings with all managers and staff members to discuss what is going well, what could be better, and communications rom the executive team. This CNO is part of what type of organization? Mission Traditional Flat Matrix

Flat- accessibility of upper management and info that is top down and bottom up

The members of a unit claim the lab is not reporting critical values quick enough but the lab says they are. The unit manager and lab manager are meeting to discuss this. What type of conflict exists in this situation? intrapersonal interpersonal felt conflict intergroup

Intergroup

What is the effect on a nurse who experiences a disconnection between personal and organizational values? A) change that leads to effective leadership B) intrapersonal conflict and burnout c) Leads to goal evaluation D) Unrealistic expectations

Intrapersonal conflict and burnout

A nurse instructor is discussing ways to improve critical thinking during a clinical rotation. The students would like to know a definition of what critical thinking actually is. Which definition is the best response?

It requires reasoning and creative analysis

A newly employed nurse is reviewing the organizational chart of the facility, observing that there is a shared governance. What type of organizational chart does the nurse recognize the facility follows? Traditional Magnet Flat Matrix

Matrix

Which describes the nurse leader in the role of negotiator

Mediates internal or external conflict with various stakeholders.

The mission of the acute care facility is "We are dedicated to creating a healthy community, one person at a time." What nursing leadership activities wold correlate with that mission (SATA) Placing a staff member on probation for tardiness and excessive break times Notifying nursing staff of an upcoming CEU seminar on healthy eating for low income families Mentoring a nursing student who is interested in introducing smoking cessation to patients without being preachy Mediating a dispute between two nurses about the shift schedule Reviewing health care provider orders to guarantee the nursing staff is appropriately carrying them out

Notifying nursing staff of an upcoming CEU seminar on healthy eating for low income families Mentoring a nursing student who is interested in introducing smoking cessation to patients without being preachy Reviewing health care provider orders to guarantee the nursing staff is appropriately carrying them out

Structure, process or outcome: Has the incidence of CAUTI decreased?

Outcome

The nurse manager is working on policy revision for administration of blood products. She has identified the current policy, considered the changes needed, and has determined the changes to the procedure that are necessary. What phase of the management process does this refer to?

Planning

Which of the following are behaviors associated with effective leaders ?

Priority setting, critical thinking, skillful communication

Structure, process or outcome: Are patient pain levels documented on the chart?

Process

Structure, process or outcome: Are staff following hospital protocol for dressing changes?

Process

Select the classic change strategies that nurse leaders use to apply the change process. (SATA) Action Rational-Emperical Contemplation Normative Re-educative Power Coercive

Rational-Emperical Normative Re-educative Power Coercive

A nurse on an acute care unit demonstrates the positive traits of a good leader when working with new employees. What traits does the nurse manager cite when performing the nurse's evaluation?

Role-modeling

A nurse on a busy med surg unit must delegate some assignments to an experienced nursing assistant. What factors does the nurse consider prior to delegating? Organizational philosophy and values State or national standards Organizational structure Organizational mission

State or national standards

Structure, process or outcome: Can patient reach water pitcher?

Structure

Which are sources of conflict that nurse leaders might face?

Multigenerational nurses, novices and seasoned nurses, between members of the health care team, cultural differences, patient support systems

A manager of several departments brings the team together to inform them of cross training to other units to increase productivity. What form of leadership does this manager demonstrate?

Transactional-day to day tasks and getting them done

A nurse manager must make an important decision regarding a staff member's continued employment on the unit. In order to avoid the pitfalls involved in decision making, what should the nurse manager do?

Choose a decision-making style that will fit best with this situation-don't allow past to influence

The nurse manager has identified 2 staff nurses with leadership traits and wants to have them work on a quality project together. What leadership traits would have stood out to the manager?

Communicates well with peers, takes appropriate risks, understnads how to delegate and be part pf a team

A new educator in the college setting has developed leadership skills as a result of attending further education and sharing positive change with his unit. What transformational leadership characteristic is the ND demonstrating

Empowering others

The nurse exhibits leadership traits associated with the role of nurse leaders. What activities demonstrated by the nurse would demonstrate these leadership traits?

Establish goals, provide job feedback, advocate for employees, motivational speech, mentor two managers

What delineates the set of values and beliefs of an organization's goals and guides the development of the philosophy statement? A) Unit philosophy B) Departmental philosophy and mission C) Organizational statement D) Purpose or mission statement

Purpose or mission statement

A nurse in a leadership role is committed to a vision for retention in measuring and is able to empower others with this work. What form of leadership is this?

Transformational

What are important competencies for the nurse leader to develop? Ability to diagnoses a situation, adapt and communication Influence Tolerate Control

Ability to diagnose a situation, adapt and communicate

What qualities do nurse leaders possess that makes them obtain excellence in their role?

Ability to provide clear visions, goals, and expectations.

The team leader is meeting with the group for the first time for a project that the nurse manager has requested. She began the meeting with the statement "I want everyone to understand that I am the leader and will make final decisions." This statement reflects which type of leadership style?

Authoritarian

A new nurse on a med surg unit has uncomfortable encounter with one of the RNs. Both realize that the encounter was trivial and decide to ignore that it occured. What type of conflict strategy management is being used? Cooperating/Accomodating Avoidance Competing Smoothing

Avoidance

A nurse leader has an idea for changing the intake flow in the ER to leverage more of the nursing staff. The leader knows that if they could iimplement the idea as a pilot program, they could prove its effectiveness and then use it in all ERs in the region. The nurse leader is frustrated because in order to implement, a proposal must be submitted to the ER supervisor with a start to finish scenario. If they approve, it is sent to the CNO who would send to the Admin and Board for review. Which of these factors are influencing the nurse leader's ability to implement the pilot program? Organizational philosophy and values State or National standards Organizational mission Organizational structure

Organizational structure

A staff nurse is having difficulty with problem solving in patient care decisions. The nurse manager is counseling her. What suggestions by the nurse manager may assist the staff nurse in improving problem skills? SATA Override bias Combine personal and professional feelings Slow down thinking Organize data collection Ask closed ended questions

Override bias Slow down thinking Organize data collection

A nurse is considering using transactional leadership. What information would the nurse leader need to keep in minds?

Two way communication, locus of power with both parties

Effective d leadership in nursing requires the individuals to be self aware in order to ___________ the motivation of others.

Understand

A staff nurse informs the nurse manager that the nurse would like to gain broader experience in other departments of the acute care facility. What response by the nurse manager demonstrates effective leadership?

Would you be willing to help on another unit? The need a shift leader

The unit manager of a med surg unit is transitioning the unit to electronic charting. According to Lewin's change model, which of the following roles describes the NM as the change agent? Unfreezer Mover Role Player Refreezer

Unfreezer