Evolve Adaptive Quiz - Leadership and Management

Which healthcare professional does the nurse know is authorized to delegate work to other healthcare members? 1. Registered nurse (RN) 2. Licensed practical nurse (LPN) 3. Unlicensed nursing personnel (UNP) 4. Unlicensed assistive personnel (UAP)

1. Registered nurse (RN)

Which team member is most accountable when delegating a task to the healthcare team? 1. Certified technician 2. Registered nurse (RN) 3. Licensed practical nurse (LPN) 4. Unlicensed assistive personnel (UAP)

2. Registered nurse (RN)

Which actions can an effective mentor expect from an aspiring leader? Select all that apply. 1. Being loyal 2. Assisting with projects 3. Sharing personal problems 4. Maintaining confidentiality 5. Giving a fee in terms of rewards

1. Being loyal 2. Assisting with projects 4. Maintaining confidentiality

Which drawback indicates an improper follow-through on the part of a delegatee? 1. Failure to report results and findings 2. Failure to understand the skills and abilities 3. Failure to provide clear and concise directions 4. Failure to cooperate with the other team members

1. Failure to report results and findings

Which aspects of organizations does the nurse consider during the decision-making process? Select all that apply. 1. Laws 2. Policies 3. Standards 4. Environment 5. Relationships

1. Laws 2. Policies 3. Standards

A client with cardiac failure is admitted to the hospital. The primary nurse is unable to attend to the client. The nurse leader appoints the associate nurse in providing care to the client. Which strategy does the associate nurse implement in providing care to the client? 1. To prepare a new plan for the client 2. To wait for the primary nurse to implement the plan 3. To work on the plan implemented by the primary nurse 4. To solicit the help of the primary healthcare provider to work on the plan

3. To work on the plan implemented by the primary nurse

The nurse manager found that the nursing assistant (NA) shows unwillingness and is not motivated to go beyond the job description to take care of a client during the night. Which strategy by the nurse leader would motivate the NA and create job satisfaction? 1. Ask the authorities to recruit more staff. 2. Ask the authorities to increase the security needs at night. 3. Ask the nursing assistant (NA) to participate in decision making. 4. Ask the authorities to increase the salary of the nursing assistant (NA)

3. Ask the nursing assistant (NA) to participate in decision making.

Which description of accountability is correct? 1. Accomplishment of the task and fulfilling the requirements 2. Provision of guidance and oversight of a delegated nursing task 3. Obligation to accomplish work with reliability and dependability 4. Determination of appropriate actions and provide detailed explanations of the actions

4. Determination of appropriate actions and provide detailed explanations of the actions

The leader asks the student nurse to arrange the steps of the innovation-decision process in the chronological order that would be useful for individual change. What sequence organized by the student nurse shows effective learning? 1. Knowledge 2. Persuasion 3. Decision 4. Implementation 5. Confirmation

Correct 1. Knowledge 2. Persuasion 3. Decision 4. Implementation 5. Confirmation

Which characteristic should the nurse use during the nursing process as a guide for delegation? 1. Leadership 2. Critical analysis 3. Psychomotor task 4. Time management

2. Critical analysis

Which component is the ability to perform duties in a specific role? 1. Authority 2. Responsibility 3. Accountability 4. Legal authority

1. Authority

The nurse is caring for a client admitted with fluid overload. Which tasks are most appropriate to be delegated to the patient care associate? Select all that apply. 1. Documenting vital signs 2. Documenting urine output 3. Assessing the laboratory findings 4. Administering diuretic intravenously 5. Repositioning the client every one or two hours

1. Documenting vital signs 2. Documenting urine output 5. Repositioning the client every one or two hours

The nurse leader is guiding members of the organization to visualize their futures and develop appropriate procedures to actualize the future through strategic planning. What is the order followed in strategic planning? 1. Select the best strategic option. 2. Develop and evaluate various strategies. 3. Search for internal, external, and organizational environment. 4. Prepare, execute, and evaluate the strategy. 5. Analyze the organization's potential for dealing with change 6. Revise organizational mission

1. Search for internal, external, and organizational environment. 2. Analyze the organization's potential for dealing with change 3. Develop and evaluate various strategies. 4. Revise organizational mission 5. Select the best strategic option 6. Prepare, execute, and evaluate the strategy.

The nurse is caring for a client with severe menstrual bleeding and abdominal cramps. Which task is appropriate to be delegated to the licensed practical nurse (LPN)? 1. Evaluation of the pain status 2. Administration of oral analgesics 3. Administration of intravenous replacement fluids 4. Assessment of blood reports for hemoglobin levels

2. Administration of oral analgesics

What is a high-level cognitive process that the nurse recognizes can be improved with practice in delegation? 1. Creativity 2. Critical thinking 3. Problem solving 4. Decision making

2. Critical thinking

Which actions can the mentor take to develop effective leadership qualities in the aspiring leader? Select all that apply. 1. Avoiding criticism 2. Modeling behavior 3. Noting the mistakes 4. Giving timely feedback 5. Providing appropriate advice

2. Modeling behavior 4. Giving timely feedback 5. Providing appropriate advice

What would the nurse state is a characteristic of an effective leader? 1. Autocratic behavior 2. Problem-solving skills 3. Culture of zero tolerance for violence 4. Emphasis on inconsistent job performance

2. Problem-solving skills

Which action is specific to the role of a nurse leader or manager in the area of clinical research? 1. Performing clinical research 2. Evaluating research evidences 3. Developing evidence-based guidelines 4. Facilitating the application of research findings in practice

4. Facilitating the application of research findings in practice

The nurse leader teaches about attributes that all change agents possess. Which attribute of a change agent is the key to self-support through challenges? 1. Caring 2. Humility 3. Persona 4. Sense of humor

4. Sense of humor

A healthcare team is caring for a client with diabetes insipidus. According to the functional model, which healthcare personnel would the nurse state is qualified to perform all hygienic tasks? 1. Registered nurse 2. Licensed practical nurse 3. Licensed vocational nurse 4. Unlicensed assistive personnel

4. Unlicensed assistive personnel

Which action of the nurse leader while preparing to share any information with followers is accurate? 1. Giving complete information at one time 2. Avoiding sharing information through mail 3. Determining which information is to be shared 4. Sending text messages instead of face-to-face communication

3. Determining which information is to be shared

Which Institute of Medicine Report attempted to help interprofessional teams work more effectively together? 1. To Err Is Human 2. Preventing Medication Errors 3. Health Professions Education: A Bridge to Quality 4. Keeping Patients Safe: Transforming the Work Environment of Nurses

3. Health Professions Education: A Bridge to Quality

Which healthcare team member would the nurse expect can be delegated with the task of administering oral medication to a client per the functional model? 1. Registered nurse 2. Patient care associate 3. Licensed practical nurse 4. Unlicensed assistive personnel

3. Licensed practical nurse

Which skills would be essential for an effective nurse manager to develop and improve collaboration with others? Select all that apply. 1. Flexibility 2. Reacting hastily 3. Showing frustration 4. Ability to listen to others 5. Ability to share information and ideas

1. Flexibility 4. Ability to listen to others 5. Ability to share information and ideas

Who is the designated delegator? 1. Unit secretary 2. Nurse manager 3. Registered nurse 4. Licensed practical nurse

2. Nurse manager

Which professionals in a healthcare organization can be delegators? 1. Assistants 2. Technicians 3. Registered nurses 4. Client care associates

3. Registered nurses

The nurse leader arranges a meeting with the staff members to learn how satisfied they are with their jobs. Which approach by the nurse leader would outline effective leadership? Select all that apply. 1. Seeking feedback from the team 2. Allotting work schedules to the team 3. Penalizing the team for poor performance 4. Motivating the team to reach the desired goals 5. Asking the team to participate in decision making

1. Seeking feedback from the team 4. Motivating the team to reach the desired goals 5. Asking the team to participate in decision making

The senior manager reviews the performance of the transformational leader on the basis of the feedback given by the nurse leader's team. Which statements describe the attributes of a transformational leader? Select all that apply. 1. "He/she is punitive." 2. "He/she is charismatic." 3. "He/she is motivational." 4. "He/she rewards for good work." 5. "He/she shows individualized consideration."

2. "He/she is charismatic." 3. "He/she is motivational." 5. "He/she shows individualized consideration."

Which task can the registered nurse safely delegate to the unlicensed assistive personnel (UAP) while caring for a client with gastroesophageal reflex disease? 1. Positioning the bed 2. Evaluating the vitals 3. Tube feeding the client 4. Determining calorie needs

1. Positioning the bed

During an interview for the position of manager in the healthcare industry, the candidate is asked about the important qualities of a successful manager. Which responses would be appropriate? Select all that apply. 1. "A successful manager should take risks." 2. "A successful manager should tolerate uncertainty." 3. "A successful manager should show willingness to lead and follow peers." 4. "A successful manager should experiment with ideas for a unique situation." 5. "A successful manager should exert power for communication through different channels."

1. "A successful manager should take risks." 2. "A successful manager should tolerate uncertainty." 4. "A successful manager should experiment with ideas for a unique situation."

The nurse leader is evaluating different Bleich's tasks of followership performed by four different student nurses.Which student nurse's action indicates the need for correction? 1. A 2. B 3. C 4. D

1. A

The registered nurse is organizing a community health care program for administering tetanus vaccinations. Which member of the health care team is most suitable for being delegated the task of administering vaccinations? 1. Nursing aide 2. Certified technician 3. Patient care associate 4. Licensed practical nurse

4. Licensed practical nurse

The registered nurse (RN) is caring for an older client who has been admitted to the hospital. The RN allocates several tasks to the unlicensed nursing personnel (UNP). In order to evaluate the understanding of the UNP, the RN asks the UNP to describe which tasks have been allocated. Which responses given by the UNP indicate effective understanding of the tasks? Select all that apply. 1. "I must assist the client with oral care." 2. "I must assess the client's health status." 3. "I must administer intravenous drug in accordance with the schedule." 4. "I must give a sponge bath to the client every morning." 5. "I must record the blood pressure of the client at regular intervals."

1. "I must assist the client with oral care." 4. "I must give a sponge bath to the client every morning." 5. "I must record the blood pressure of the client at regular intervals."

What are the responsibilities of a nurse manager when leading a case-management system? Select all that apply. 1. Assessing the quality improvement constantly 2. Coordinating communication among all systems 3. Providing client care according to direct care nurse specifications 4. Assisting clients in overcoming obstacles from screening to treatment 5. Educating the staff of other departments about nursing care management (NCM)

1. Assessing the quality improvement constantly 2. Coordinating communication among all systems 5. Educating the staff of other departments about nursing care management (NCM)

Which client's care can the registered nurse (RN) safely delegate to unlicensed nursing personnel (UNP) based on the given data? 1. Client A, with chronic hypertension and stable vitals 2. Client B, with drainage from diabetic foot 3. Client C, with myocardial infarction due to atherosclerosis 4. Client D, with foot ulcers from peripheral vascular disease

1. Client A, with chronic hypertension and stable vitals

What is an important consideration for delegation of care by the nurse when the delegatee has limited knowledge and ability to perform the task? 1. Guidance 2. Expectation 3. Explanation 4. Responsibility

1. Guidance

What is the key element of success for a nurse manager as a leader? 1. Including the direct care nurses in decision making 2. Allocating different nurses for specific tasks effectively 3. Leading a team with a limited number of team members 4. Resolving the financial issues of the organization effectively

1. Including the direct care nurses in decision making

A nurse is planning to negotiate with the supervisor in order to achieve a better work environment. Which actions are appropriate in this context? Select all that apply. 1. Making tradeoffs 2. Valuing the efforts of nursing colleagues 3. Asking for a more desirable work schedule 4. Displaying a positive and professional attitude 5. Making an effort to effect change by working collectively

1. Making tradeoffs 3. Asking for a more desirable work schedule

To improve client care, the registered nurse (RN) has delegated tasks involved in assisting the client with activities of daily life (ADLs) to a certified nursing aide, and the administration of oral medications to the licensed practical nurse. Which member of the health care team would be accountable for the final client care? 1. Registered nurse 2. Chief nursing officer 3. Licensed practical nurse 4. Unlicensed nursing personnel

1. Registered nurse

Who is accountable for the ongoing evaluation of a client's care? 1. Registered nurse (RN) 2. Chief nursing officer (CNO) 3. Licensed practical nurse (LPN) 4. Unlicensed nursing personnel (UNP)

1. Registered nurse (RN)

A nurse manager is selecting direct care nurses for a client-care project. The manager asks a direct care nurse about treatment priorities. Which answer provided by the direct care nurse would be appropriate? 1. "I will give preference to the problems that are encountered first." 2. "I will give preference to the problems that have the greatest urgency." 3. "I will give preference to the problems that appear to be easiest to resolve." 4. "I will give preference to the problems that take the shortest amount of time to resolve."

2. "I will give preference to the problems that have the greatest urgency."

While caring for a client with severe fever, the registered nurse (RN) delegated the task to a new delegatee to assist the RN in recording the temperature. Which instruction given by the RN indicates that the delegatee is new to working with that RN? 1. "Note the temperature every hour." 2. "Tell me how you record the temperature." 3. "You can approach me at any time to report any of the client's issues." 4. "Let me show you what is necessary while recording the temperature."

2. "Tell me how you record the temperature."

Who would the registered nurse state is accountable for establishing systems to communicate competency requirements related to delegation? 1. Registered nurse (RN) 2. Chief nursing officer (CNO) 3. Licensed practical nurse (LPN) 4. Unlicensed assistive personnel (UAP)

2. Chief nursing officer (CNO)

Who is responsible for establishing systems to monitor and verify the competency requirements related to delegation in an organization? 1. Primary healthcare team 2. Chief nursing officers (CNOs) 3. American Nursing Association 4. National Council of State Boards of Nursing (NCSBN)

2. Chief nursing officers (CNOs)

Which theory related to leadership is a nontraditional theory that has emerged from the physical and social sciences? 1. Expectancy theory 2. Complexity theory 3. Motivational theory 4. Management theory

2. Complexity theory

A group of individuals is working as a team in a rehabilitation program. Which nursing team member has the responsibility of acting as the team leader? 1. Unit secretary 2. Registered nurse 3. Licensed practical nurse 4. Unlicensed nursing personnel

2. Registered nurse

Which work is automatically increased for the delegator when there is a decrease in direct client care? 1. Leadership 2. Supervision 3. Delegation 4. Assignment

2. Supervision

The delegator explains the procedure of the task to the delegatee and asks to provide regular feedback on the events. Which delegation right is the delegator referring to in this situation? 1. The right person 2. The right supervision 3. The right circumstances 4. The right communication

2. The right supervision

Which delegation actions may be performed by unlicensed nursing personnel while caring for a client? Select all that apply. 1. Teaching the care plan to the client 2. Infusing intravenous fluids into the client 3. Asking the client to wash the hands before meals 4. Instructing the client to take specific medications 5. Instructing the client to wear footwear while walking

3. Asking the client to wash the hands before meals 5. Instructing the client to wear footwear while walking

The nurse leader notices that a staff nurse does not participate in bringing forth new ideas, but enthusiastically accepts innovation when brought forth by other staff members. Which type of innovation adopters display these characteristics? 1. Laggards 2. Innovators 3. Early majority 4. Early adopters

3. Early majority

Which model of nursing is focused on the task-oriented approach to client care? 1. Team model 2. Primary model 3. Functional model 4. Case management model

3. Functional model

Which healthcare team members began to increase in number during World War II and are delegated for providing care to clients at home? Select all that apply. 1. Nursing manager 2. Registered nurses 3. Licensed practical nurse 4. Licensed vocational nurse 5. Unlicensed nursing personnel

3. Licensed practical nurse 4. Licensed vocational nurse 5. Unlicensed nursing personnel

While auditing unit documents, a nurse finds some omissions. Which term best describes when the nurse meets with the staff to discuss the findings and communicates ways to achieve the desired goals? 1. Leadership 2. Followership 3. Management 4. Decision making

3. Management

What is the main motto of the Hersey's 2006 model? 1. Information decay 2. Information salience 3. Situational leadership 4. Individual accountability

3. Situational leadership

Which feedback given by the registered nurse to the delegatee is constructive? Select all that apply. 1. "Well done. Nice job." 2. "I expected you to do better." 3. "You can do better when you concentrate." 4. "You performed that procedure safely and professionally." 5. "Let me demonstrate a more effective way to perform the task."

4. "You performed that procedure safely and professionally." 5. "Let me demonstrate a more effective way to perform the task."

A senior nurse finds that a nurse leader is implementing the dialogue method while working along with the team. Which nurse leader's action supports the senior nurse's finding? 1. Enquiring about personal problems of the team members 2. Giving positive or negative feedback to the team members 3. Sharing information about new innovations in technology with the team members 4. Allowing team members with different perspectives to come together and find common goals

4. Allowing team members with different perspectives to come together and find common goals

A direct care nurse has great skill in teaching clients different self-care activities and is sought out by colleagues to teach their clients. Which power does the nurse possess? 1. Reward power 2. Position power 3. Connection power 4. Information power

4. Information power

A registered nurse who has limited clinical experience must delegate in collaboration with a nursing assistant. Which communication method used by the registered nurse while supervising may affect the working performance of the nursing assistant? 1. Asking open-ended questions 2. Providing feedback on behavior 3. Maintaining an open line of communication 4. Occasionally offering derogatory comments

4. Occasionally offering derogatory comments

Which statement of the chief executive officer of another healthcare facility does the nurse recognize as related to diffusion theory? Select all that apply. 1. "Our hospital culture communicates changes quickly by using Twitter." 2. "Our leaders believe in the rapid adaptability to change in order to survive." 3. "Our leaders are engaged in a change to infuse the energy from early adopters." 4. "Our team produces a model that explains the process of healthcare organization evolution." 5. "Our team believes that the greatest outcome is achieved from the sum of small acts or parts."

1. "Our hospital culture communicates changes quickly by using Twitter." 3. "Our leaders are engaged in a change to infuse the energy from early adopters."

A nurse is assisting another registered nurse in the intensive care unit who is caring for a client with uncontrolled blood pressure. Which action on the part of the nurse indicates "offering" during delegation decisions? 1. "Did you check the client's blood pressure this morning?" 2. "You can use this stethoscope and sphygmomanometer to take the blood pressure." 3. "Would you fetch me the client's laboratory reports? I'll record the blood pressure." 4. "How is the client doing this morning? Let me look at yesterday's blood pressure report."

2. "You can use this stethoscope and sphygmomanometer to take the blood pressure."