Chapter 10: Leading, Managing, and Delegating

A charge nurse who makes all the decisions for the nursing team without considering their feelings or ideas is using the ______ style of leadership.

Autocratic

A head nurse issues a memo describing step-by-step documentation procedures that she wants initiated in the emergency room. What type of leadership is this?

Autocratic leadership

A nurse manager of a health care provider's office uses the laissez-faire style of leadership with the staff. Which nursing actions exemplify this management style? Select all that apply. a. the nurse manager is the authority on all issues b. the nurse manager allows the staff to choose their own schedules c. The nurse allows the dominant staff members to direct the group activities d. Manager and staff work independently, making task accomplishment difficult e. The manager views staff as equal partners in the practice f. The nurse manager inspires and motivates staff to provide excellent patient care.

b, c, d

A registered nurse is delegating activities to unlicensed assistive personnel (UAPs) on a hospital unit. Which activities could this nurse normally delegate? (Select all that apply) a. The determination of a nursing diagnosis for a patient with breast cancer b. giving a bed bath to a patient c. Planning patient education for a patient with a colostomy d. taking routine vital signs e. administering medications to patients f. transferring a patient to another floor

b, d, f

A nurse arranges all the resources to teach a teenage girl how to manage her asthma. Which role is the nurse performing? a. Planning role b. Organizing role c. Directing role d. Controlling role

b. Organizing role

A nurse unites with other nurses to create a shelter for battered women in their neighborhood. What type of leadership is this?

Transformational leadership

A nurse graduate applies for a job working in a hospital that achieved Magnet status. Which conditions would this nurse expect? Select all that apply. a. Focus on positive patient care outcomes b. Centralized decision making c. Autonomous, accountable professional nursing practice d. Higher staff turnover e. Higher levels of staff burnout and exodus from the bedside f. Supportive nurse managers

a, c, f

A nurse manager is attempting to change the policy for scheduling staff on a critical care unit. The nurse is in the process of changing the schedules and announcing the changes. Based on Lewin's change theory, in what stage of change is this nurse participating? a. moving b. freezing c. unfreezing d. transforming

a. Moving

A head nurse directs the triage unite after several earthquake victims arrive at the emergency room. What type of leadership is this?

autocratic leadership

A nurse takes control during a "code blue" and directs all activities to resuscitate the patient. What type of leadership is this?

autocratic leadership

A registered nurse checks the American Nurses Association (ANA) regulations prior to delegating tasks to UAPs on a burn unit. Which principles regarding the regulation, education, and use of the UAP are recommended by the ANA? Select all that Apply. a. It is the health care institution that determines the scope of nursing practice b. It is the LPN who supervises any assistive personnel to work in a supportive role to the registered nurse c. It is the purpose of assistive personnel to work in a supportive role to the registered nurse d. It is the role of the assistive personnel to carry out tasks to enable the professional nurse to concentrate on nursing care for the patient e. It is the role of the LPN to assign nursing duties to the UAP f. It is the registered nurse who is responsible and accountable for nursing practice

c, d, f

Members of a hospital staff working together on a pediatric unit may have explicit or implied power. what example of people with implied power? Select all that apply. a. A nurse mentor b. A nurse manager c. A popular nurse d. A unit leader e. A prankster f. A veteran nurse with 20 years' experience

c, e, f

A nurse manager of a hospital unit is working within a decentralized management structure. Which nursing action best exemplifies this type of system? a. senior managers make all the decisions b. Nurses are not intimately involved in decisions involving patient care c. Decisions are made by those who are most knowledgable about the issue d. Nurse managers are not accountable for patient, staffing, supplies, or budgets

c. Decisions are made by those who are most knowledgable about the issue

Which style of leadership is rarely used in a hospital setting because of the difficulty of task achievement by independent nurses? a. Democratic b. Autocratic c. Laissez-faire d. Transformational

c. laissez-faire

A nurse manager values group satisfaction and tries to motivate the staff to be the best nurses possible. In which style of leadership are group satisfaction and motivation primary benefits? a. democratic b. Autocratic c. Laissez-faire d. Transformational

d. Transformational

In hospitals, the autocratic style of leadership is gradually being replaced by the ______ style of leadership.

democratic

A nurse opens a discussion among health care team members to determine the best care plan for a patient. What type of leadership is this?

democratic leadership

A nurse seeks input from coworkers to solve a problem of understanding. What type of leadership is this?

democratic leadership

A nurse unit manager displays power that is attained by virtue of the position. This type of power is known as ______ power.

explicit

A head nurse makes schedules of ANA meetings available to any staff members who are interested. What type of leadership is this?

laissez-faire leadership

A nurse in charge of scheduling suggests that the nurses meet and work out the schedule on their own. What type of leadership is this?

laissez-faire leadership

When an experienced nurse advises a less experienced nurse regarding patient care without receiving financial reward, their relationship is known as a(n) ______.

mentorship

A nurse influences other nurses in a hospital to become involved in community politics affecting the hospital. This ability to influence others to achieve a desired effect is known as ______.

power

In the current "______ age," change is conceived as dynamic, ever present, and continually unfolding.

quantum

A head nurse openly seeks critiques of his work. What type of leadership is this?

quantum leadership

A head nurse desires to serve the population; to enrich the lives of people, build better organizations, and ultimately create a more just and caring world. What type of leadership is this?

servant leadership

A nurse manager uses a reward and punishment system for employees to meet pre-established goals and work deadlines. What type of leadership is this?

transactional leadership

A nurse leads other nurses in developing a schedule to cook meals for the homeless. What type of leadership is this?

transformational leadership