Exam 6 Study of Fundamentals in Chapter 10: Leadership, Managing and Delegating - Prep U

In a nursing unit, the RN delegates nursing tasks to the nursing assistant. Keeping in mind the delegation guidelines, which statement denotes the right communication for the nursing assistant? -"Inspect the site for thrombophlebitis." -"Dispose of the disconnected IV set." -"Discontinue the IV solution." -"Check the infusion rate."

"Dispose of the disconnected IV set."

Which are examples of personal leadership skills necessary for nurse leaders? Select all that apply. -Communication -Self-evaluation -Religious values -Knowledge of all nursing -Problem solving

-Communication -Problem solving -Self-evaluation

Which attributes should be characteristic of a nurse mentor? Select all that apply. -Is resourceful -Is driven by financial reward -Is an experienced, licensed professional -Is supportive -Deconstructs health care networks -Embraces disruptive conflict -Demonstrates leadership abilities

-Is supportive -Is resourceful -Demonstrates leadership abilities -Is an experienced, licensed professional

Two nurse managers working on different units in a hospital are planning for a major change to occur on both units. One nurse manager reports to the other having identified a key power player on the unit. Which description most applies to a key power player in this context? -Someone who spreads untrue rumors -A regular employee who is a natural leader -An employee who will resist the change -Someone in whom the nurse manager can confide

A regular employee who is a natural leader

The nurse is delegating care to an unlicensed assistive personnel (UAP). Which intervention would be most important for the nurse to perform independently? -Obtain a postprandial blood sugar reading -Measure the client's blood pressure -Assess the client with difficulty breathing -Assist the client with turning in bed

Assess the client with difficulty breathing

The nurse has recently been promoted to nurse manager on an oncology unit and has decided to be the sole decision maker regarding issues that concern the unit. Which type of leadership style is the nurse embodying? -Autocratic -Laissez-faire -Democratic -Quantum

Autocratic

The registered nurse on a busy telemetry floor is delegating tasks to an unlicensed assistive person (UAP). Which task is appropriate for the UAP to complete? -Bathing a combative client -Taking an order over the telephone from a health care provider -Inserting an indwelling urinary catheter -Assessing a client's wound

Bathing a combative client

A staff nurse works on a medical unit where staff retention is very high. There is a sense of equality between the leader and the staff nurses. The unit decisions and activities are shared between the leader and the group. The designated nurse leader practices which leadership style? -Transformational -Democratic -Autocratic -Laissez-faire

Democratic

A nursing facility has recently implemented new policies regarding nurse-to-client ratios. The nursing staff seems very resistant to the change. How can the nurse manager help the staff accept the change? -Use the laissez-faire leadership style to address staff concerns. -Hold a unit meeting to discuss how the changes will benefit staff. -Institute the changes immediately and collectively to decrease anticipation anxiety. -Challenge staff's beliefs and values regarding providing quality client care.

Hold a unit meeting to discuss how the changes will benefit staff.

The nurse manager calls a staff into a unit meeting to discuss client satisfaction. During the meeting, several staff members assume control. The nurse manager does not intervene to regain control of the group. Which type of leadership style is the nurse embodying? -Autocratic -Democratic -Laissez-faire -Quantum

Laissez-faire

A nurse is caring for a client with pneumonia. Which task is most appropriate for the nurse to delegate to an experienced unlicensed assistive personnel (UAP)? -Instructing the client about the need to alternate activity with rest -Assessing for shortness of breath -Obtaining vital signs every 4 hours -Administering nebulizer treatments as needed

Obtaining vital signs every 4 hours

A charge nurse on a medical-surgical unit is asked by the nurse manager to serve as a mentor to another staff nurse who is less experienced. Which of these would best describe this role? -The staff nurse is learning about all the hospital policies from the charge nurse. -The charge nurse is being paid to supervise the staff nurse. -The charge nurse is providing support for the staff nurse in new responsibilities. -The staff nurse is orienting to the unit as a newly hired nurse.

The charge nurse is providing support for the staff nurse in new responsibilities.

The case manager works in a facility that supports a participative leadership style. Which action should the nurse recognize as an example of democratic leadership style? -The nurse implementing the health care provider's written orders for client care -The interdisciplinary health care team collectively developing plans of care for clients -The dietitian completing a nutritional assessment for a registered nurse (RN) -The unlicensed assistive personnel (UAP) taking vital signs for several nurses

The interdisciplinary health care team collectively developing plans of care for clients

The registered nurse (RN) wants to delegate a task to an unlicensed assistive personnel (UAP) but is unsure if the task can be delegated. What is the best resource for the RN to use in determining if the task is appropriate? -A more experienced nurse working on the same unit -A nurse mentor or a nurse preceptor -The nurse practice act or facility's policy and procedures -The medical practice act website

The nurse practice act or facility's policy and procedures

The registered nurse (RN) wants to delegate measuring a client's urinary output to an unlicensed assistive personnel (UAP). Which factors should the nurse consider before delegating the task? -The complexity of the activity, age of the UAP, and predictability of the outcome -The stability of the client's condition, potential for harm, and complexity of the activity -Predictability of the UAP, the amount of time required for the task, and RN's skill level -The context of the other client needs, the desired outcome, and autonomy of the client

The stability of the client's condition, potential for harm, and complexity of the activity

After a nurse manager implements a solution to the problem of delays in obtaining supplies, the first task for the manager is to: -ask the staff members for other solutions. -make an appointment with the chief nursing officer. -assess whether the desired results have occurred. -plan to monitor the supply cabinets.

assess whether the desired results have occurred.

When communicating with an employee, the nurse manager must: -reserve time to be attentive. -communicate congruently. -be agreeable. -be aware of surroundings.

communicate congruently. rational: Congruent communication is that in which the sender's tone, inflection of voice, facial expression, or other nonverbal behaviors are consistent with the verbal message; this approach enhances communication. The nurse manager does not always need to be agreeable, reserve time to be attentive, or be aware of surroundings when communicating with an employee.

A nurse manager reviews an employee's contribution to the nursing division annually. This process is: -employee's job satisfaction survey. -reward and development survey. -interpreting quality indicators. -performance appraisal.

performance appraisal.