Chapter 10, Leading, Managing and Care Delegating

What type of leadership can a graduate nurse working in a magnet hospital expect? A) Democratic B) Autocratic C) Situational D) Quantum

A) Democratic

A nurse manager makes all of the decisions for staff activities. What type of leadership is demonstrated by this action? A) Democratic B) Self-governance C) Laissez-faire D) Autocratic

D) Autocratic

A nurse believes in listening to clients and coworkers more than talking to them, allowing more personal control for all involved. This is a quality of which of the following managerial mindsets? A) Reflective B) Analytical C) Worldly D) Collaborative

D) Collaborative

A nurse is described as a "quantum leader." Which action characterizes this type of leadership? A) A nurse conducts a blind survey to evaluate her leadership skills. B) A nurse relinquishes power to a group deciding hospital policy. C) A nurse makes policy decisions for coworkers without consulting them. D) A nurse sticks to the "tried and true" methods when implementing client care.

A) A nurse conducts a blind survey to evaluate her leadership skills.

Which of the following statements accurately describes the use of power by change agents? A) They know that power comes from one source—management. B) When introducing change they do not enlist the support of key power players. C) They are often accomplished professional women. D) They do not recognize their own strengths and weaknesses.

C) They are often accomplished professional women.

A nurse working on leadership skills should keep in mind which of the following accurate statements regarding leaders? A) People are born leaders. B) Leadership should be approached quickly. C) Leaders develop leadership skills in undefined situations. D) All nurse leaders began as inexperienced nurses.

D) All nurse leaders began as inexperienced nurses

In which of the following conflict resolution strategies is the conflict rarely resolved? A) Collaborating B) Compromising C) Competing D) Smoothing

D) Smoothing

A nurse leader is described as charismatic, motivational, and passionate. Communications are open and honest, and the nurse is willing to take risks. What type of leadership is the nurse practicing? A) Democratic B) Autocratic C) Quantum D) Transformational

D) Transformational

10. What type of leader shares decisions and activities with group participants? A) Democratic B) Autocratic C) Laissez-faire D) Situational

A) Democratic

The nurse is caring for a client who had a sudden episode of vomiting, which produced 900 mL of frank blood. The nurse directed and delegated to colleagues in order to notify the physician. She started intravenous fluids, and provided physical and emotional support for the client. Different situations call for different leadership styles. Which of the following leadership styles did the nurse display in this situation? A) Democratic B) Laissez-faire C) Autocratic D) Transformational

C) Autocratic

In general, how do most people view change? A) By how it affects the cohesiveness of the group B) By how much it will cost in time and resources C) By how they are affected personally D) By how it will affect others on the staff

C) By how they are affected personally

During a staff meeting, the nurse is discussing new quantum leadership. The nurse explains that in this type of leadership change is viewed as which of the following? A) Constant and predictable B) Dynamic and constantly unfolding C) Evolving very slowly D) An entity needing planning

B) Dynamic and constantly unfolding

Which of the following nursing care tasks is acceptable for a graduate nurse to delegate to unlicensed assistive personnel (UAP)? A) Assisting a client with ambulation B) Evaluation of nursing care delivered to a client C) Initial and ongoing assessments D) Development of a client teaching plan

A) Assisting a client with ambulation

A nurse strives to establish trusting interpersonal relationships with clients, peers, subordinates, and superiors to facilitate goal achievement and personal growth of all participants. Which type of skills is this nurse demonstrating? A) Communication skills B) Problem-solving skills C) Management skills D) Self-evaluation skills

A) Communication skills

The nurse is having an exceptionally busy shift on an obstetrical unit. Which of the following tasks is the nurse justified in delegating to an unlicensed care provider? A) Emptying a client's Foley catheter bag and reporting the volume to the nurse B) Helping a first-time mother achieve a good latch when breast-feeding her infant C) Assessing the size and quantity of clots that are in a client's bedpan and informing the nurse D) Giving an anti-inflammatory to a client who is eight hours postdelivery

A) Emptying a client's Foley catheter bag and reporting the volume to the nurse

The ANA, which is committed to monitoring the regulation, education, and use of NAPs, recommends adherence to which one of the following principles? A) It is the nursing profession that determines the scope of nursing practice. B) It is the RN who defines and supervises the education, training, and use of any unlicensed assistant roles. C) It is the assigned NAP who is responsible and accountable for his or her nursing practice. D) It is the purpose of the RN to work in a supportive role to the assistive personnel.

A) It is the nursing profession that determines the scope of nursing practice.

A student nurse has just graduated with a baccalaureate degree in nursing. What type of nursing leadership will this nurse be expected to provide? A) Nursing care of the individual client B) Demonstration of selected critical skills C) Ability to be a follower rather than a leader D) Nursing care of groups of clients

A) Nursing care of the individual client

Nurses with varying levels of experience possess leadership skills. A graduate nurse walks out of the nurse manager's office after a meeting. The graduate nurse reflects on the positive and negative feedback that she received from the manager regarding her three months working on the unit. What nursing leadership skill is best illustrated by the graduate nurse in this scenario? A) Self-evaluation skills B) Communication skills C) Problem-solving skills D) Management skills

A) Self-evaluation skills

Planned change is a purposeful, systematic effort to alter or bring about change. What occurs next after alternative solutions to a problem are determined and analyzed? A) All of the alternative solutions are implemented. B) A course of action is chosen from among the alternatives. C) The effects of the change are evaluated. D) The change is stabilized and established.

B) A course of action is chosen from among the alternatives

When comparing team nursing with functional nursing, what characteristic is found? A) Team nursing is very similar to functional nursing. B) Team nursing focuses on individual client care. C) Functional nursing has a stronger focus on the client. D) Functional nursing is based on total client care.

B) Team nursing focuses on individual client care.

Which type of skills is not needed for nursing leadership? A) Communication skills B) Technical skills C) Problem-solving skills D) Self-evaluation skills

B) Technical skills

A nurse manager has encountered resistance to a planned change. What is one way the nurse can overcome the resistance? A) Tell the staff that if they don't like it, they can quit. B) Implement change rapidly and all at once. C) Encourage open communication and feedback. D) Let the staff know that the change is mandated.

C) Encourage open communication and feedback.

A senior student has been elected president of the Student Nurses Association. Which of the following qualities is essential to being a nursing leader? A) Physical stamina B) Physical attractiveness C) Flexibility D) Independence

C) Flexibility

A nurse manager has directed a registered nurse who is out of school for one year to become a member of the institution's policy and procedure committee. A goal in the nurse manager's delegation is to assist the nurse to what? A) Be involved in the hospital B) Be confident in employment C) Grow in her profession D) Understand the hospital setting Ans: C

C) Grow in her profession

A nurse is considering the delegation of administering medications to an unskilled assistant. What is the first question the nurse must ask herself before doing so? A) Has the assistant been trained to perform the task? B) Have I evaluated the client's response to this task? C) Is the delegated task permitted by law? D) Is appropriate supervision available?

C) Is the delegated task permitted by law?

Which of the following tasks could the nurse safely delegate to unlicensed assistive personnel? A) An initial assessment of a client B) Determination of a nursing diagnosis C) Evaluation of client progress D) Documentation of client's I+O on a flow sheet

D) Documentation of client's I+O on a flow sheet

In Lewin's classic theory of change, what happens during unfreezing? A) Planning is conducted. B) Change is initiated. C) Change becomes operational. D) The need for change is recognized.

D) The need for change is recognized.

The nurse has just graduated with a Bachelor of Science in Nursing and is eager to find a mentor at this early stage in her career. Which of the following individuals is most likely to be an appropriate mentor for the nurse? A) An experienced nurse who was a preceptor in a previous clinical placement B) The nurse educator on the hospital unit where the novice nurse has been hired C) A colleague who graduated with honors at the same time as the novice nurse. D) The unit manager who the novice nurse.

A) An experienced nurse who was a preceptor in a previous clinical placement

Which of the following is a characteristic of mentorship? A) It is a paid position to orient new nurses to the workplace. B) It involves membership in a professional organization. C) It is a link to a protégé with common interests. D) It is not encouraged in health care settings Ans: C

C) It is a link to a protégé with common interests.