Chapter 23 Nurse Leader and Manager

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

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

Democratic

Power that is attained by virtue of a position is known as ___________ power.

Explicit

When an experienced nurse advises a less experienced nurse regarding patient care, their relationship is known as a(n)__________.

Mentoship

____________ is the ability to influence others to achieve a desired effect.

Power

In the_____________leadership style, healthcare leaders must be able to communicate to others their vision of the future and bring energy and commitment to the reformation of the system.

Quantum

According to Lewin, in which of the following stages of change is change initiated after a careful process of planning? a. Moving b. Freezing c. Unfreezing d. Transforming

a. Moving

A nurse is asked to act as a mentor. The nurse interprets this position as: a.A formal process for professional growth b.A paid responsibility of all nurses c.Limited to those with professional titles and rank d.A means for participation in a professional organization

a.A formal process for professional growth

Which of the following styles 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 teaching plan about the differences between leadership and management would be considered effective if the students identified which as a difference? a.Formal titles differentiate the two constructs. b.Leadership is less tangible than management. c.Managerial skills are the technical side of leadership. d.Leadership and management are mutually exclusive.

c.Managerial skills are the technical side of leadership.

When a nurse arranges all the resources avail able to teach a teenage girl how to manage her asthma, he/she is performing which of the fol lowing roles of a nurse manager? a. Planning role b. Organizing role c. Directing role d. Controlling role

b. Organizing role

Resistance to change is a part of organizational life. Which action(s) would be most effective in approaching this resistance? (Select all that apply.) a.Containing the anxiety in a small group and moving forward with the initiative b.Being sensitive to the personal dimensions that the change might affect c.Explaining the change and listing the advantages to the individual and the organization d.Reprimanding those who oppose the new initiative e.Seeking guidance from staff

b.Being sensitive to the personal dimensions that the change might affect

When developing a presentation about magnet hospitals. which characteristics would you include? (Select all that apply.) a.Are located in large, progressive, tertiary centers b.Demonstrate a decentralized decision-making process c.Exhibit better patient outcomes and staff retention d.Promote control of practice by medical personnel e.Allow staff self-scheduling

b.Demonstrate a decentralized decision-making process c.Exhibit better patient outcomes and staff retention e.Allow staff self-scheduling

There is evidence that planning for change can be beneficial for all. Which sequence would be best for the nurse to use when planning change? a.Planning, checking, implementing, evaluating b.Determining what to change, evaluating possible resistance, determining the appropriate rate and degree of change c.Unfreezing, freezing, and refreezing d.Communicating, problem solving, managing, and self-evaluating

b.Determining what to change, evaluating possible resistance, determining the appropriate rate and degree of change

In which of the following nursing care delivery models is one nurse responsible for overseeing the quality and financial outcomes of patient care while working collegially with physicians and other caregivers as well as with payers to manage patients along an agreed-on clinical pathway? a. Functional nursing b. Case management c. Primary nursing d. Collaborative practice model

b. Case management

In which of the following styles of leadership are group satisfaction and motivation primary benefits? a. Democratic b. Autocratic c. Laissez-faire d. Transformational

a. Democratic

Which phrase best describes transformational leaders? a.Drive rapid organization-wide change b.Are frequently seen at senior or executive levels c.Are focused exclusively on outcomes d.Lack vision and vulnerability

a.Drive rapid organization-wide change

When teaching a group of students about quantum leadership, which information would be most appropriate for the instructor to include? (Select all that apply.) a.Involves rapid leaps or departures from command-and-control structures b.Views change as something that is planned c.Requires openness to continual and consistent feedback d.Is responsive to persistent, unrelenting environmental change

a.Involves rapid leaps or departures from command-and-control structures c.Requires openness to continual and consistent feedback d.Is responsive to persistent, unrelenting environmental change

When evaluating the leadership style of a particular nursing unit, which characteristic would lead the nurse to determine that an autocratic leadership style is being used? a.One person is responsible for all decision making. b.Activities are shared among all participants. c.Each staff member works independently of others. d.The leader shows concern for others, taking risks as necessary.

a.One person is responsible for all decision making.

The RN on a surgical unit is behind schedule administering her medications. Which of her other tasks can she safely delegate to a NAP? a.The assessment of a patient who has just arrived on the unit b.Documentation of a patient's 1 & 0 on the flow chart c.Teaching a patient with newly diagnosed diabetes about foot care d.Helping a patient who has recently undergone surgery out of bed for the first time

b.Documentation of a patient's I & 0 on the flow chart

Which of the following is a characteristic of a decentralized management system? a. Decisions are generally made by senior managers. b. Nurses further down the hierarchy of an organization are often responsible for implementing decisions into which they had little input. c. Decisions are made by those who are most knowledgeable about the issues being decided. d. Nurse managers are not accountable for patient census, staffing, supplies, or budgets.

c. Decisions are made by those who are most knowledgeable about the issues being decided.