leadership midterm
An assistive personnel (AP) tells the nurse manager that she observed a nurse on the unit removing a small amount of morphine from syringes prior to administering the medication to clients. Which of the following actions should the nurse manager take first? Group of answer choices D) Refer the nurse to the board of nursing diversion program. C) Notify the risk manager. B. Approach the involved nurse to discuss the behavior. A) Gather data about the nurse's work performance and attendance history
A) Gather data about the nurse's work performance and attendance history
The nurse is applying the traditional problem-solving model when mediating in a conflict between two colleagues. When applying this model, the nurse should prioritize what task? Group of answer choices B) Implementing a solution as quickly as possible D) Past experience has little to do with the quality of the decision A) Identifying the root cause of the conflict C) Personal beliefs can be adjusted for when the scientific approach to prob
A) Identifying the root cause of the conflict
Which activities are associated with a leadership role? Select all that apply. Group of answer choices A) Mentoring two new managers B) Establishing goals for the coming year C) Advocating for nurses to receive more professional development A) Mentoring two new managers B) Establishing goals for the coming year C) Advocating for nurses to receive more professional development opportunities D) Providing a motivational speech at the new employee orientation A) Mentoring two new managersD) Providing a motivational speech at the new employee orientation E) Finding a nurse to cover another nurse's shift C) Advocating for nurses to receive more professional development opportunities D) Providing a motivational speech at the new employee orientation
A) Mentoring two new managers B) Establishing goals for the coming year C) Advocating for nurses to receive more professional development opportunities D) Providing a motivational speech at the new employee orientation
What goal is most congruent with being a learning organization? Group of answer choices C) There is dedicated time on each shift for staff to pursue education. A) Staff development is the main priority in the organization. D) Continuing education for staff exceeds the requirements for licensure. B) The organization employs a dedicated staff member for providing in-house education. c? Group of answer choices
A) Staff development is the main priority in the organization.
Accreditors are scheduled to visit a hospital site, and staff members have been made aware of what they will be assessing. What staff behavior would most clearly suggest the presence of the Hawthorne effect? Group of answer choices C) The manager blames individual nurses for deficits identified in the accreditation report. A) The nurses consciously improve their performance because they know it is being scrutinized. B) The nurses avoid contact with the accreditors because they fear criticism. D) The manager temporarily adopts a leadership role.
A) The nurses consciously improve their performance because they know it is being scrutinized.
The manager of a busy emergency department is primarily concerned with the practical, day-to-day operations of the department. This manager is most clearly demonstrating what type of leadership? Group of answer choices B) Transformational A) Transactional D) Bureaucratic
A) Transactional
Using materials and observations to measure behavior changes represents which step in providing educational programs: Group of answer choices C) Research A) Identify and respond D) Plan B) Analyze E) Evaluate
ALL
Which action on the part of a unit's nurse manager demonstrates the make of a great leader?
Acknowledge the accomplishments of staff members at the unit meeting
Most new nurses practice independently in the performance of many tasks and can make some clinical judgements, and begin to rely on prior experience to make practice decisions; Group of answer choices D. Managed Care Modality Advanced Beginner Nurse A) Expert Nurse
Advanced Beginner Nurse
A charge nurse is providing an in-service for staff nurses on the use of new IV pumps. Which of the following actions should the charge nurse take to best evaluate staff competency with the new equipment? Group of answer choices D) Verbally question the staff about the new equipment. C) Require each nurse to take a written examination about the new equipment. A) Ask each nurse to read the procedure and sign a form acknowledging competency Allow time during the workday when each nurse can demonstrate proficiency
Allow time during the workday when each nurse can demonstrate proficiency
A nurse manager is preparing an in service program about managing conflict with the nurses on the unit. The nurse manager should identify which of the following examples as an interpersonal conflict?
An experienced nurse is uncivil to a newly licensed nurse
The clinic leader tends to make decisions independently and closely supervises and controls the practice of the nurses at the clinic. What type of leadership is being exemplified? Group of answer choices C) Laissez-faire D) A contingency approach B) Democratic A) Authoritarian
Authoritarian
A nurse manager-leader is experiencing many challenges overseeing the care in a health-care organization. What statement most clearly indicates a need to apply quantum leadership principles? Group of answer choices B) "Our workplace is in a constant state of change. Each part of our work is unpredictable and always shifting." A) "There's a lot of conflict, not just between nurses but also between members of other disciplines." D) "There's a rift between management and employees and it affects communication." C) "Historically, many decisions seem to have been made on the basis of emotion, and I'd really like to change that."
B) "Our workplace is in a constant state of change. Each part of our work is unpredictable and always shifting."
An experienced nurse-manager has been described as being a "right-brain thinker." This manager's decision-making process likely prioritizes what characteristic? Group of answer choices C) Transparency D) Efficiency A) Linear analysis B) Intuition
B) Intuition
A nurse-manager has referred staff members to a clinical practice guideline (CPG) that addresses the prevention of pressure ulcers. What is a characteristic of this CPG? Group of answer choices D) The CPG will summarize the etiology and diagnosis of pressure ulcers. C) It will describe the treatment for pressure ulcers that is provided at the best performing organizations. B) It will describe interventions for nurses to follow in an effort to provide evidence-based care. A) The CPG will lay out the criteria that the health-care organization must meet in order to be reimbursed for treating a client's pressure ulcer.
B) It will describe interventions for nurses to follow in an effort to provide evidence-based care.
When planning delegation of tasks to assistive personnel (AP), a nurse considers the five rights of delegation. Which of the following should the nurse consider when using one of the five rights of delegation? Group of answer choices
B) The AP has the knowledge and skill to perform the task
A nurse leader has set a goal of becoming a nurse transformational leader. What outcome will best indicate progress toward achieving this goal? B) Try to empower the subordinate. D) Restate the importance of the task to the subordinate. A) Teach the subordinate about the value of self-confidence
B) Try to empower the subordinate.
The nurse-manager is applying the decision-making process when addressing a nurse's high rate of absenteeism. This process should result in: Group of answer choices C) an action that guarantees success. A) an outcome that is desired by all. B) a chosen course of action. D) a new understanding of the problem.
B) a chosen course of action.
What piece of data should the nurse-manager include in an outcome audit? Group of answer choices D) An influence over patient outcomes. B. Direct accountability for patient outcomes. C) An authority relationship to staff. A) Direct responsibility for patient care.
B. Direct accountability for patient outcomes.
Which represents the management functions that are incorporated into the management process? Manny ur missing B Group of answer choices' B.) ORGANIZING, STAFFING, DIRECTING, AND CONTROLLING C) Inspiring, planning, staffing, directing, and evaluating D) Organizing, staffing, planning, empowering, and controlling A) Planning, directing, organizing, staffing, and transforming
B.) ORGANIZING, STAFFING, DIRECTING, AND CONTROLLING
What should the manager do in completing an annual performance appraisal ?
Base the appraisal on a standard to which all are held accountable
A manager's subordinate is having difficulty carrying out a delegated task. Which is the manager's best decision?
Be available to the employee as a role model and resource for the task
The nurse-manager has asked an NAP for an update on delegated tasks, and the NAP has said, "I'm swamped right now." What is the manager's best response? Group of answer choices D) "Do you want more time to complete your work?" Chapter 20: A) "Don't be afraid to let me know if you feel the project is overwhelming you." B) "Time management is key to keeping on schedule with your tasks." C) "I can give you a few solutions to help manage this heavy workload."
C) "I can give you a few solutions to help manage this heavy workload."
What statement by a leader most clearly demonstrates the Great Man theory of leadership? Group of answer choices B) "Leadership and management are two different manifestations of one skill set." D) "Leadership can't exist without earning people's respect." C) "Some people are born to lead, and some are born to be led." A) "Leadership is grounded in close, supportive relationships."
C) "Some people are born to lead, and some are born to be led."
A nurse was 20 minutes late returning from a scheduled lunch break and a colleague's break was consequently cut short. What response by the manager best demonstrates a laissez-faire leadership approach? Group of answer choices D) Impose a meaningful consequence on the first nurse and have the nurse apologize to the colleague. C) Allow the two nurses to dialogue about this event and observe for evidence of a satisfactory resolution. B) Ask the nurses to attend a short meeting together in the manager's office A) Ask each of the nurses to speak with the manager separately to discuss the implications of this event.
C) Allow the two nurses to dialogue about this event and observe for evidence of a satisfactory resolution.
A grievance brought by a staff nurse against the unit manager requires mediation. At the first mediation session, the staff nurse repeatedly calls the unit manager's actions unfair, and the unit manager continues to reiterate the reasons for her actions. What would be the best course of action at this time? Group of answer choices A) Send the two disputants away to reach their own resolution. C) Ask each party to examine her own motives and issues in the conflict. D) Continue to listen as the parties repeat their thoughts and feelings about the conflict.
C) Ask each party to examine her own motives and issues in the conflict.
What task will best allow a health-care organization to benchmark its performance? Group of answer choices C) Comparing the organization's performance with that of best performing institutions D. Redirecting employees to meet organizational goals B) Showing employees how to work within the system A) Comparing its performance on key indicators to its performance the previous year
C) Comparing the organization's performance with that of best performing institutions
Periodically during the day, the RN checks with the team members to determine whether they are having difficulty completing their assigned tasks. This describes which manager role? Group of answer choices B) Client safety A) Skills evaluation C) Effective delegation D) Inappropriate delegating
C) Effective delegation
What is the emphasis for the manager in the coaching role? Group of answer choices B) Showing employees how to work within the system C) Helping employees reach an optimum level of performance D) Redirecting employees to meet organizational goals A) Solving problems for the employee
C) Helping employees reach an optimum level of performance
____ occurs between two or more groups of individuals, departments, or organizations and may be caused by a new policy / procedure, a change in leadership, or a change in organizational structure; Group of answer choices B) Organizational Conflict D. Intrapersonal Conflict C) Intergroup Conflict
C) Intergroup Conflict
Which statement is true concerning critical thinking? Group of answer choices C) It requires reasoning and creative analysis. D) It is a synonym for the problem-solving process. B) It is narrower in scope than decision making. A) It is a simple approach to decision making.
C) It requires reasoning and creative analysis.
A hospital system is trying to address some of the deficits in care that were described in To Err Is Human. When addressing the errors that this report identified, the hospital's leaders should focus on what factor? Group of answer choices B) Malice on the part of some health-care providers C) Lack of education for health-care workers A) Systemic flaws in health-care delivery
C) Lack of education for health-care workers
A nurse is serving on a continuous quality improvement (CQI) committee that has been assigned to develop a program to reduce the number of medication administration errors following a sentinel event at the facility. Which of the following strategies should the committee plan to initiate first? Group of answer choices D) Develop a quality improvement program for nurses involved in medication administration errors. B) Require staff nurses to demonstrate competency by passing a medication administration examination. C) Review the events leading up to each medication administration error A) A. Provide an inservice on medication administration to all the nurses.
C) Review the events leading up to each medication administration error
The chief nursing officer is assembling a leadership team. The nurse is ensuring that the team is made up of people who have a diverse range of natural talents and skills. This leader is most clearly exemplifying what theory of leadership? Group of answer choices B) Emotional intelligence A) Level 5 Leadership D) Authentic leadership C) Strengths-based leadership
C) Strengths-based leadership
A nurse-leader has set a goal of becoming a more transformational leader. What outcome will best indicate progress toward achieving this goal? Group of answer choices D) The nurse provides praise for good work performances. B) The nurse's subordinates demonstrate respect and loyalty A) The nurse maximizes efficiency when allocating scarce resources. C) The nurse empowers others to reach their full potential.
C) The nurse empowers others to reach their full potential.
The nurse is applying a decision-making process to a clinical challenge. When applying this process, the nurse must: Group of answer choices D) prioritize the maximum good for the maximum number of people. B) begin by solving the underlying problem. C) choose between different courses of action. A) analyze the root causes of a situation.
C) choose between different courses of action.
The nurse-manager who seeks to exemplify emotional intelligence should: Group of answer choices C) regulate his or her own emotions and those of others. D) effectively manipulate the emotions of others to achieve goals. A) attempt to remove emotion from decision making. B) prioritize emotion over reason when making decisions.
C) regulate his or her own emotions and those of others.
In conflict management, the win-win approach occurs when: Group of answer choices A. There are two conflicts and the parties agree to each one C. Both parties involved are committed to solving the conflict B.) Each party gives in on 50 percent of the disagreements making up the conflict D). The conflict is settled out of court so the legal system and parties win.
C. Both parties involved are committed to solving the conflict
The unit supervisor is working with an RN who has just been promoted to charge nurse. What action by the supervisor will best help the RN adjust to this new role? Group of answer choices B) Arrange for the RN to meet with staff peers in the organization D) Inform the RN of the past performance of employees that he or she will manage. C.) encourage the RN to meet A) Take the RN out to lunch to congratulate the nurse on the promotion.
C.) encourage the RN to meet
Which of the following statements best describes an interpersonal conflict?
Conflict with colleagues
A new leader manager is planning to implement the principles of strength based leadership after being hired for a new position. What action will best facilitate this plan?
Creating a team with diverse abilities and talents
Sarah is a clinical nurse educator in the dialysis unit at Pines Health Center and provides education, consultation, and training support. Sarah has: Group of answer choices D) An influence over patient outcomes. C) An authority relationship to staff. B) Direct accountability for patient outcomes. A. Direct responsibility for patient care.
D) An influence over patient outcomes.
The nurse-manager is attempting to promote closer adherence to the principles of evidence-based practice. What is the manager's best action? Group of answer choices D) Arrange for easy online access to academic databases. C) Impose sanctions on nurses who do not use research during the annual evaluations. A) Stress the need to base practice on research findings during orientation of new graduates. B) Include a statement of the need for evidence-based practice in the unit vision statement.
D) Arrange for easy online access to academic databases.
How can a manager best implement the principles of situational or contingency leadership theory? Group of answer choices C) By deferring to employees for day-to-day management decisions D) By adapting his or her leadership style to a particular circumstance A) By establishing rules and norms that can be applied in all conditions in the organization B) By avoiding punitive consequences when addressing workers' lack of performance
D) By adapting his or her leadership style to a particular circumstance
A nurse-manager has made a decision and is now preparing to evaluate the Group of answer choices D) Did the outcomes align with the original objectives? A) Is evaluation necessary when using a good decision-making model? C) Supplements the orientation process B) Supports the acquisition of clinical reasoning
D) Did the outcomes align with the original objectives?
The integrated leader-manager has recognized a need to promote evidence-based practice on the unit. What action is most appropriate? Group of answer choices B) Supporting staff who are trying to change old practices that are not evidence-based C) Implementing the principles of andragogy whenever possible A) Requiring staff to research the evidence base for each of their nursing actions D) Expanding the role of mentors within the organization
D) Expanding the role of mentors within the organization
A nurse on a medical-surgical unit is planning to delegate tasks to an adult volunteer. Which of the following tasks should the charge nurse avoid assigning to the volunteer? Group of answer choices B) Assisting a client who has difficulty seeing the foods on the tray while eating D) Observing a postoperative client who is confused C) Delivering a routine urine specimen to the laboratory A) Delivering meal trays to clients in their rooms
D) Observing a postoperative client who is confused
Which statement best describes the manager's main role in socialization of a new nurse? Group of answer choices D) Sharing organizational values, expected attitudes, and behaviors B). Providing the new employee with a good preceptor C) Ensuring that there are sufficient numbers of good role models A) Providing the employee with organizational rules and regulations
D) Sharing organizational values, expected attitudes, and behaviors
A nurse manager and nurses on a unit agree that the current scheduling system is causing a conflict and agree to work together to come up with a solution. Which stage of conflict does this represent: Group of answer choices D) Stage 4: Manifest Conflict A) Stage I: Latent Conflict B) State 3: Felt Conflict C. Stage 5: Conflict Aftermath
D) Stage 4: Manifest Conflict
In order to improve the likelihood that errors in the health-care system will be reported, nurse-managers should: Group of answer choices D) foster a climate where analysis of errors is not solely focused on blame. A) give professionals the choice of whether or not to report errors. B) establish firm and meaningful punishments for staff who commit an error C) assign safety officers 1d whose exclusive role is to monitor for, identify, and follow up errors.
D) foster a climate where analysis of errors is not solely focused on blame.
A nurse notes a provider frequently arrives to the unit with bloodshot eyes and smells like alcohol after lunch. Which of the following actions should the nurse take? Group of answer choices A) Counsel the provider to determine the cause of the substance abuse. D). Notify the nursing supervisor of the concerns. C. Inform the state medical board for an immediate investigation. B) Encourage clients to change to a different provider.
D). Notify the nursing supervisor of the concerns.
A charge nurse is planning to conduct a performance appraisal of a staff member on her unit. Which of the following actions should the nurse take? Group of answer choices C. Provide a chair directly across the desk for the staff member to sit in. D. Provide the staff member with a copy of the appraisal form in advance. B. Schedule the appraisal interview as early in the shift as p A) Inform the staff member of her appraisal time for that day prior to change-of-shift
D. Provide the staff member with a copy of the appraisal form in advance.
A charge nurse notes that a staff nurse delegates an unfair share of tasks to the assistive personnel (AP) and the nurses on next shift report the staff nurse frequently leaves tasks uncompleted. Which of the following statements should the charge nurse make to resolve this conflict? B. The AP has the knowledge and skill to perform the task A) "I need to talk to you about unit expectations regarding delegating and completing tasks." D. The AP's ability to complete the task without assistance C. The AP's rapport with clients
D. The AP's ability to complete the task without assistance
New intravenous pumps are being introduced in a healthcare organization. How can educators best implement social learning theory into the necessary education and training?
Demonstrating the use of the pump to groups of learners and then letting them practice
A novice nurse manager is a member of a team that will oversee quality control in a healthcare organization. What action should the nurse and the other members of the team perform first?
Determine the specific criteria and standard by which quality will be measured
Which assessment should the RN prioritize when assigning tasks to nursing assistive personnel?
Determining the nap's skills and knowledge test
A member of the team has been delegated some tasks and reports. "I've been given too much to do and I'm not going to be able to complete this work on time.
Examine the workload and assist the individual in prioritizing
A dispute arises between an RN staff member and an LPN over a patient issue. The tension between the two begins to affect other staff members, who are drawn into the conflict; eventually , the team becomes polarized toward either the RN or LPN. This situation might have been prevented through
Expediency in responding to the initial dispute, once it became apparent that it could not be resolved by the two parties themselves.
n RN is leading a care team on a busy hospital unit. What task is the RN justified in delegating to the NAP?
Feeding a client who has unilateral weakness Repositioning any mobile client every two hours Weighing a client who is a chronic heart failure
What is the emphasis for the manager in the coaching rule ?
Helping employee reach an optimum level of performance
A charge nurse notes that a staff nurse delegates an unfair share of tasks to the assistive personnel (AP) and the nurses on next shift report the staff nurse frequently leaves tasks uncompleted. Which of the following statements should the charge nurse make to resolve this conflict?
I need to talk to you about unit expectations regarding delegating and completing task
The nurse manager is faced with a difficult decision in a situation that involves the managers values what is the manager's best decision
Identify and reflect on his or her own value
A nurse has been hired to oversee a day surgery clinic. What actions will best ensure good outcomes for this nurse , the clients and the employees of the clinic?
Integrate nursing management and nursing leadership roles and practices
What action should the nurse manager and other leaders in the healthcare organization perform in order to ensure that a quality control program will be effective?
Integrate quality control through all levels of the organizational hierarchy
Sarah, a staff nurse on your unit, witnesses another nurse striking a patient. Sarah wants to remain friends with her colleague and worries that confrontation with her colleague or reporting her colleague will destroy their relationship. Sarah is expecting which type of conflict?
Intrapersonal
Which of the following audits used in quality control monitors the setting in which the patient care occurs?
Structure
Which of the following best describes strengthens based leadership. It focuses on:
The development of strengths
The nurse is working with a group of students who are learning a high risk procedure. How should the nurse best ensure learning while protecting the safety of the clients?
Use simulation for the students to learn and practice skill
The performance appraisal system in a healthcare organization has been replaced by performance management. Under this new system the nurse manager should perform what actions?
Work with employees to set performance goals Provide coaching to employees on an ongoing basis Provide leadership training to employees
What action should the manager take to arrive at a more fair and accurate assessment during performance appraisal?
Written anecdotal notes regarding the employees performance should be maintained throughout the evaluation period
