Leadership Exam 2
A barrier to effective communication may include:
A physical barrier, a psychological barrier, and a semantic barrier
What is brainstorming?
A strategy to encourage the free flow of ideas
Which factors are important in improving a hospital's care environment:
Adequate staffing, collegial relationships among staff, and emphasis on staff development
Organizational culture is best defined as:
An enduring set of shared values and beliefs
Which of the following is a group-level conflict?
Argument over coverage for break times between teams
Before the nurse decides who should care for a particular patient, the nurse must:
Assess, plan, implement, and evaluate
Health-care institutions often use UAP. UAPs function as:
Assistants to the RN
Which of the following is the preferred environment for dealing with conflict?
Cooperative and constructive
Which of the following is a serious disadvantage to using collective bargaining?
Creating an adversarial relationship between staff and management
If an informal negotiation session becomes highly emotional, what should the nurse manager do?
Deal with the feelings first
The reassigning of responsibilities for the performance of a job from one person to another is called:
Delegation
Verbal direction by the RN delegator regarding an activity or task in a specific nursing care situation is referred to as:
Direct delegation
When all members of the team know their jobs and responsibilities and work together like gears in a well-built clock, this is called:
Efficiency
Nurses who feel empowered:
Feel that they can make a difference
If you are employed at a hospital owned by a corporation listed on the stock market, in which category does your facility belong?
For-Profit
How can you increase your staff's receptivity to an important change in procedures?
Give them time to learn the new procedure
The purpose of delegation is so the RN can:
Have more time to perform tasks only a professional nurse is permitted to do
In which of the following situations would a personal change probably be the hardest to make?
If the benefits will be realized years from now
When is it most appropriate to dictate (order) change?
In an emergency
An approved listing of activities or tasks that have been established in policies and procedures of the health-care institution or facility is an example of:
Indirect delegation
What is the "shadow" organization?
Informal processes of the organization
ISBARR provides a framework for communicating critical client information. ISBARR is an acronym for:
Introduction, Situation, Background, Assessment, Recommendation, and Readback
What is the best explanation of authority?
It is position dependent
The most critical communication skill is:
Listening
Tasks that an RN cannot delegate are:
Making decisions and judgments about patient outcomes and making an initial assessment
Shared governane in nursing involves:
Nurses setting nursing standards
The joint commission attributes a high percentage of sentinel events to:
Poor communication
Florence B. has two team members who continually criticize each other despite being told to stop it. Which approach is most appropriate for this situation?
Problem resolution
Who is responsible for accepting, transcribing, and implementing health-care provider orders?
Professional nurse
The delegation Decision-Making Grid:
Provides a scoring instrument for seven categories that assist an RN when making delegation decisions
What type of resistance to change is the hardest to overcome?
Resistance based upon fear of losing one's job
The purpose of learning how to negotiate is to:
Resolve conflicts more effectively
Which of the following is a characteristic of a bureaucratic organization?
Rigid unit structures
Which of the following issues may be addressed in a collective bargaining argument?
Shift differentials, safe working environment, and grievance procedures
Which of the following is a macro-level change?
Shift in medicare payment policies
Communication involves:
Spoken words
Which of the following best describes what is most likely to be within a nurse aide's comfort zone?
Tasks she's done many times
Which of the following approaches to introducing a needed change is most likely to be persuasive to nursing staff?
Tell a compelling story about why change is needed
According to the ANA, specific overlying principles remain firm regarding delegation. These principles include:
The RN has the duty to be accountable for personal actions, The RN directs care, and The RN accepts responsibility
How do professional organizations empower nurses?
They represent nurses in the political arena
An organization that is likened to a bull elephant is probably:
Very aggressive in its marketing
Which of the following is the best indication that a change has been integrated?
When no one talks about it anymore
Which of the following times is the least favorable for introducing change?
When staff are very stressed
When designing a technical change, which of the following should be considered?
Will this way work better than the old way? Is this change needed? Is there a simple way to do this?
What is the most desirable result of a problem resolution?
Win-win
Nursing and respiratory departments both experienced job cuts. The nurse manager notices that members of his staff were having more trouble getting a fast response from a respiratory therapist. What source of conflict is probably operating here?
Work intensification
When presenting information in a change of shift report, always start by:
identifying the client and diagnosis
