Leadership EAQ
Which actions do effective followers expect from their leader? Select all that apply.
1.Being respectful towards them. 2.Giving a future-focused direction to them. 3.Recognizing them in appropriate situations
To achieve the goal of effective communication while explaining changes to hospital rules to team members, which approach would the nurse leader follow?
1.Explaining the reason behind the change. 2.Providing the opportunity for dialogue and feedback. 3. Giving information that addresses the listener's self-interest. Present the message in a manner that stimulates the self-interest of the listener, this may help in attracting the attention of the listener.
What are the desirable actions of the nurse as a transformational leader? Select all that apply.
1.Fostering a shared vision 2.Providing coaching and mentoring
"In today`s workplace, female-male collaboration should provide efficacious models for the future." Which statements support this saying? Select all that apply.
1.Men and women must learn to work together. 2.Women and men bring separate perspectives to resolving problems.
The nurse as a leader explains ethical principles to the student nurse. Which example does the leader give for autonomy?
Accepting the client's wish to donate his/her organs after death
To help develop trust among subordinates, the nurse would display which behavior?
Consistent interaction with staff.
The nurse leader is teaching the staff that the health care provider continuously strives to work effectively within the cultural context of a client. Which cultural principle is the nurse leader explaining?
Cultural Competence- is a the process in which the health care provider strives to achieve the ability to work effectively within the cultural context of a client, individual, family, or community.
The nurse leader sent a team of followers to conduct a community health session. The session was completed successfully. Which action of the nurse indicates leadership quality?
Giving rewards to the followers responsible for the success.
The unit nurse manager comes to work obviously intoxicated. Which action is the staff nurse ethically obligated to take?
Have the supervisor validate the observation. The staff nurse would call the hospital supervisor to confirm and handle the problem.
Which statement is true about the centralization as it relates to organizational structures?
It refers to the location where a decision is made.
The staff nurses complain the unit is disorganized and that there is no proper guidance from the nurse leader in regards to client services. Which type of leadership does the unit experience?
Laissez-faire is a hands off style of leadership in which the nurse leader allows the staff nurses a high degree of autonomy and self-rule.
In which way are the QI processes important for the nurse leader to execute with a team?
They review the nursing activities. QI processes improve quality by reviewing nursing activities. Quality assurance (QA) processes involve chart audits. QI will only review nursing activities and does not inspect. Inspection of nursing activities is done during the QA process. The QA process discovers and corrects errors, whereas the QI process prevents errors.
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
correct ans: 2 Expertise in problem-solving skills is an effective leadership quality that is increased by risk-taking behaviors by the nurse leader. Adapting autocratic behavior may lead to ineffective leadership. A culture of zero tolerance for violence is an ineffective leadership strategy. Emphasis on consistent job performance is the characteristic of an effective manager.
What would the nurse recognize as the correct hierarchical order for human needs according to Maslow's theory of human needs? Arrange from the top priority need to the lowest priority need. 1. Safety 2. Social 3. Esteem 4. Self-actualization 5. Physiological
correct ans: 5, 1, 2, 3, 4
The nurse leader teaches the student nurse about the quality assurance (QA) process. Which statement made by the student nurse indicates ineffective learning?
"The major task is staff development." Rationale: Staff development is the major task of quality improvement while QA process is to improve quality.
What should a nurse manager as a leader do to provide a non-threatening and positive environment to the group members? Select all that apply.
1. Encourage group members to actively participate. 2. Create an environment conducive to solving problems. 3.Protect the members and their suggestions from attack
Which internal factors should be considered while implementing any change in an organization? Select all that apply.
1. Number of staff 2.Leader competency 3. Nurse education level. While implementing any change in an organization, the number of staff should be considered to avoid administrative burdens and duplication of endeavors for that change. Effective leadership abilities and nurses' educational levels are essential for successful implementation and good understanding about the change. The financial status and place at which the organization is located do not affect the change; therefore these factors may not be considered while implementing the change.
Which skills would be essential for an effective nurse manager to develop and improve collaboration with others? Select all that apply.
1. flexibility 2.Ability to listen to others 3.ability to share info and ideas
The chief operating officer (COO) discusses the performance of a newly appointed leader with the nursing staff. The team communicates that the practical approach of the leader fulfills the quantum theory. What type of work environment does the COO understand that the leader creates at the workplace?
An environment that is rapidly changing and dynamic.Quantum theory lays its foundation on an environment that is rapidly changing. It does not focus on a single event.
For a client requiring emergency cardiac surgery, which ethical model would the nurse leader follow when wanting the client aware of the situation and wanting the client to decide what should be done?
Autonomy Model- This model facilitates making decisions for competent clients.
A nurse manager promotes a staff nurse to assistant manager of the medical unit as the staff nurse had expressed interest in taking on more responsibilities. Which type of ethical principle is exhibited by the nurse manager by this activity?
Beneficence -Ethical Principle in nursing states that one's action should promote good. Paternalism may be used to assist people in making decisions when they do not have sufficient data or expertise. Autonomy is the activity of addressing personal freedom and self-determination.
Which rule of leadership does the nurse leader implement when performing his or her honest self- appraisal on a regular basis and feeling good about his or her job?
Building self confidence.
The nurse leader is teaching the nursing staff about conflicts in an organization. Which statement is inaccurate regarding conflict in an organization?
Conflict can be constructive if the conflict is excessive.
The nurse leader has implemented a change in documentation of nursing care. The nurse leader finds that the licensed practitioner nurse (LPN) is resistant to change and is not participating in the change process. Which approach made by the nurse leader would be appropriate in dealing with the LPN?
Confront the LPN and encourage verbalization of feelings regarding the change.
Which action makes a nurse manager also a nurse leader?1. Implementing best management skills when hiring employees 2.Having financial accountability associated with the organization 3Screening effectively to select the right employees for the organization Correct4Helping employees reach the highest level of their potential excellence
Correct4 Helping employees reach the highest level of their potential excellence. Therefore, to stand out as a nurse leader, a nurse manager should help with employee development.
Which group discussion technique involves a large number of respondents who may be participating in the discussion remotely?
Delphi technique-includes the feedback of anonymous people who may not physically convene. Focus Group interact face to face. Brainstorming involves listing all ideas without critique or discussion. In the Nominal group technique, participants are asked to not talk to each other as they write down their ideas to solve a predefined problem or issue
Which of the following characteristics exemplified by a registered nurse is a leader trait?
Endorsing and thriving on taking risks that bring about change. Rationale Endorsing and thriving on taking risks that bring about change is a leader trait.
An obese client leads a sedentary lifestyle and complains of leg pain when walking long distances. A nurse leader is teaching the client different exercises that can relieve the pain and can be performed while working in an office or doing daily activities. Which of Gardner's leadership tasks is the leader nurse following?
Explaining. These includes teaching and interpreting information to promote client functioning and well-being.
Which Institute of Medicine Report attempted to help interprofessional teams work more effectively together?
Health Professions Education: A Bridge to Quality.
Which theory states that leaders act as change catalysts and innovators? 1 Role theory 2 Trait theory 3 Quantum theory 4 McGregor's Theory X
I put 1 ans 3 Quantum theory states that leaders must embrace uncertainty and understand behaviors before changing them. Therefore quantum leaders represent change catalysts and innovators. Role theory is a collection of concepts that predict circumstances under which certain type behaviors are expected. Trait theory is a leadership theory in which leadership traits such as a certain set of physical and emotional characteristics are innate and cannot be learned. McGregor's Theory X describes the workforce motivation by assuming that people basically do not like their work and must be coerced by their manager to perform.
Which term refers to the nurse's ability to plan, direct, control, and evaluate others in different situations? 1 Delegation 2 Leadership 3 Followership 4 Management
I put 2 ans: 4 Management is defined as the ability to plan, direct, control, and evaluate the nurse staff in various situations. Delegation is the transfer of authority to perform some type of task or work. Leadership can be defined as the use of individual traits and abilities in relationship to others and the ability to interpret the context where a situation is emerging. Followership is that each member of a team contributes optimally, but acquiesces to a leader or manager to ensure the best clinical decision-making.
The nurse manager noticed that one of the staff nurses is giving excuses for performing one task on time but ignoring another assigned task. What does the nurse manager do in this situation?
Identify the reason for procrastination.
When evaluating risks, which responsibility would the risk manager incorporate?
Involving perspectives from numerous disciplines. Rationale Numerous disciplines helps uncover underlying problems that a single discipline might miss.
Which organization advocates nurses taking a prominent role in the healthcare arena?
National Academy of Medicine.
Which type of behavior by the registered nurse results in a low-to-stable level of commitment?
Punitive Rationale Punitive behavior is a type of transactional leadership behavior that results in a low-to-stable level of commitment as an organizational outcome. Charismatic, inspirational, and intellectual stimulation are transformational leadership behaviors that result in increased commitment as an organizational outcome.
Which leadership theory focuses on the role of leaders in relational and contextual terms?
Style theory. Rationale Style theories focus on what leaders do in relational and contextual terms. The two-factor leadership theory refers to using motivator factors to inspire work performance. The expectancy theory of leadership refers to providing specific feedback about positive performance. The transformational theory of leadership refers to a process in which the leader attends to the needs and motives of followers.
Which theory states that the leadership traits in an individual are born and not made? 1 Style theory 2 Great Man theory 3 Two-factor theory 4 Situational-contingency theory
The trait theory is sometimes referred as the Great Man theory. According to this theory, the leadership traits such as a certain set of physical and emotional characteristics are innate and cannot be learned. Style theory focuses on what leaders do, but not on the leadership qualities. Two-factor theory focuses on motivation and job satisfaction based on hygiene factors and motivational factors. Situational-contingency theory focuses on the challenge of a situation and encourages an adaptive leadership style particular to that situation.
Which application would the registered nurse state is related to the trait theory in practice?
To develop assertiveness. Trait theory says that self- awareness is a useful trait in development.
Which objective is associated with creating urgency in Kotter's eight-step model?
To generate open dialogue about external and internal realities
Which theory would the nurse describe as addressing the follower's needs so that the interaction raises the follower to higher levels of motivation?
Transformational theories includes a process in which the leader attends to the needs of the followers.
Four nurse leaders are performing different tasks. Which nurse leader's action indicates the role of the community nurse leader?
Vaccinating children in school.
A nurse leader is setting priorities for achieving success by using the simplest and fastest method of communication. Which rules and responsibilities does the nurse fulfill by this action? 1 Maintaining balance 2 Building self-confidence 3 Generating self-motivation 4 Maintaining a positive attitude
ans 1 An effective leader maintains work-life balance in his or her own life, as well as facilitating balance for followers. Making communication as efficient as possible is one way of helping to maintain this balance. Self-confidence can be established by performing honest self-appraisal on a regular basis. Spending time on the needs of the followers and offering frequent and lavish praise will help build self-motivation. A positive attitude can be maintained by consistently having answers to the question asked by others, knowing where the organization is going, and taking the initiative to get the group to its goal.
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
ans 3 I put 4 The characteristic of early majority is observed in people who will not bring forth an innovation but will readily adopt it when it is brought forth by others. A laggard is secure in holding to the past and comfortable only when an idea cannot fail. Innovators actively seek information and have vision for the organization. Early adopters are opinion leaders who learn about an innovation and apply it to their practice and they are effective in communicating the value of innovation.
As a part of informed consent, a surgeon explains to the client who is scheduled for surgery the details of the surgery and the related care. The nurse as a leader witnesses the complete procedure. What information does the nurse leader ensure was provided to the client? Select all that apply. 1 Surgery procedures 2 Name of the surgeon 3 Description of the risks 4 Anesthetic drug used during pre-operation 5 Name of the staff members who will be in the surgery
ans: 1, 2, 3 Informed consent must be done according to legal guidelines. It is an authorization by the client to perform a surgery or procedure on them. Therefore the detail about the procedure of the surgery must be provided. It also informs the client about the name of the person who is performing the procedure. A description of the possible risks of the procedure is conveyed through informed consent. The name and type of anesthetic drug to be used may not be included in the informed consent. The name of the staff members involved in the surgery may not be a part of the informed consent.
The nursing manger wants to transfer a nurse to the intensive care unit (ICU) and describes the roles and responsibilities of the position in detail to the nurse. After disclosing all details, the nurse manager inquires about the nurse's decision. Which type of principle is the nurse manger following? 1 Justice 2 Veracity 3 Nonmaleficence 4 Respect for others
ans: 2 Veracity concerns telling the truth and demands involved, giving all the facts of a situation truthfully, and then assisting employees to make appropriate decisions. Justice is the principle of treating all persons equally and fairly and it often arises in times of short supplies for resources. Nonmaleficence states that one should do no harm. Respect for others acknowledges the right of individuals to make decisions and to live by these decisions.
What are the qualities of an effective leader? Select all that apply. 1 Born with the right stuff 2 Elicit a vision from people 3 Bring out the best in people 4 Engender discipline and obedience 5 Inspire people to bring the vision into reality
ans: 2, 3, 5 Leadership is the ability to elicit a vision from people and to inspire and empower those people to do what it takes to bring the vision into reality. A leadership quality is to bring out the best in people. Leaders are not born with the right stuff; rather they develop these qualities gradually over time when they perform with the right kind of attitude and determination. Leaders must possess the ability to inspire the commitment of followers and allow them to achieve goals autonomously rather than simply engendering discipline and obedience.
Which internal factors affect the decision-making process of a leader? Select all that apply. 1 Time 2 Values 3 Interest 4 Resources 5 Knowledge
ans: 2, 3, 5 Values, interests, and knowledge are the internal factors that affect the decision-making process of a leader. Time and resources are the external factors that affect decision making of a leader.
A nurse encourages employees to implement a Magnet Recognition Program in the organization. The nurses think beyond their own personal needs and are clear about the group outcomes. Which leadership quality according to Gardner's tasks is reflected in the activity of the nurse? 1 Developing trust 2 Serving as a symbol 3 Representing the group 4 Achieving workable unity
ans: 3 According to Gardner's Tasks of Leadership, encouraging employees to implement a Magnet Recognition Program shows that the nurse is representing the group. Trust develops when leaders are clear when providing direction and refrain from misdirecting others in their thinking and actions. The leader may serve as a symbol by becoming involved in public relations events, for example. The nurse as leader can achieve workable unity between and among parties by avoiding, diminishing, or resolving conflicts.
Which theory states that leaders should expand and respond to a dynamic change rather than prescribing and approaching change as a lock-step, pre-prescribed method? 1 Role theory 2 Chaos theory 3 Complexity theory 4 Organizational theory
ans: 3 Complexity theory states that the leaders should expand and respond to engaging dynamic change and focus on relationships rather than on prescribing and approaching change as a lock-step, pre-prescribed method. Role theory is a framework used to understand how individuals perform within organizations. Chaos is the theoretical construct defining the seemingly random yet deterministic characteristics of complex organizations. Organizational theory is the systematic analysis of how organizations and their component parts act and interact.
Which statement is true regarding the satisficing decision model? 1 It involves shared decision-making. 2 A decision is made by analyzing pros and cons associated with each option. 3 It allows for a quick decision, which is important when lack of time is an issue. 4 It is more appropriate when conflict is likely to occur or when the problem is unstructured.
ans: 3 The satisficing decision model allows for quick decisions and is best to use when lack of time is an issue. With shared decision-making, decisions are made through an interactive, deliberate process. In the optimizing decision style, decisions are made by analyzing pros and cons associated with each option. Autocratic decision-making is more appropriate when conflict is likely to occur or when the problem is unstructured
Which action of the registered nurse (RN) represents his or her leadership ability? 1 Pursuing higher professional courses 2 Performing home visits to care for a client 3 Modifying the diet chart as per the client's condition 4 Supervising the tasks assigned to unlicensed nursing personnel
ans: 4 The nurse as a leader should supervise the tasks assigned to unlicensed nursing personnel to ensure the client's safety. Pursuing higher professional courses can help in self-growth but does not indicate leadership. Performing home visits and modifying a diet chart indicates the role of the nurse.
A team member has asked the nurse leader about changes in the work schedule. What is the accurate action to be taken by the nurse leader in this situation?
clearly explain the reason for the change to the team member
Which strategy of the nurse leader regarding the quality improvement (QI) process requires revising? 1 Focus is on correcting errors. 2 The task includes staff development. 3 The leader involves the interprofessional team. 4 Outcomes are set with input from clients and staff.
correct ans 1 The quality improvement process mainly focuses on preventing errors rather than correcting them. The task of the QI process includes staff development. The team of the QI process involves the interprofessional team and the outcomes are set with the input of clients and the staff.
The registered nurse is teaching a group of nursing students about leadership principles. Which statement made by a nursing student indicates the need for further teaching? 1 "A leader has a formal position." 2 "A leader intervenes with courage." 3 "A leader organizes a group of colleagues." 4 "A leader is a specific management position after promotion."
correct ans: 1 Leader does not necessarily have a formal position to indicate that he or she is a leader; rather, leadership refers to the performance. Leaders are those medical professionals who can intervene with courage when needed. Leaders are also able to organize a group of colleagues to solve an organizational problem. A nursing medical professional becomes a leader after promotion.
The nursing manager issued orders to take the utmost care of a client with myocardial infarction and expects the staff to obey and follow the rules immediately. Which type of decision making is the manager using? 1 Autocratic 2 Optimizing 3 Laissez-faire 4 Bureaucratic
correct ans: 1 The autocratic method results in rapid decision-making and is more appropriate in a crisis situation. Optimizing decision making is when the nurse considers both pros and cons of each position. Laissez-faire is a "hands-off" approach, which is taken by manager who chooses to do nothing when intervention is indicated. The bureaucratic style is focused on organizational rules and policies.
How does a nurse leader effectively implement change in an organization? 1 By avoiding using managerial skills 2 By using personal and professional skills 3 By avoiding giving timely feedback to team members 4 By removing the ineffective team members from the group
correct ans: 2 A nurse leader should use both personal and professional skills to ensure effective implementation of a change in an organization. A nurse leader should also use managerial skills, not avoid them, to ensure effective implementation of a change in an organization. A nurse leader should give regular and timely feedback to the team members to implement change effectively. A nurse leader should motivate the team members to work effectively rather than removing them from the team.
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
correct ans: 2, 4, 5 The mentor should model professional and desired behavior and give timely feedback and appropriate advice to make the aspiring leader an effective leader. The mentor should not criticize, but rather coach the new aspiring leader to develop a personal leadership style. Noting the mistakes without feedback does not help an aspiring leader become an effective leader.
Which action would a nurse leader specifically take to promote a health care climate where curiosity, reflection, and change are embraced? 1 Serving as a coach or a guide 2 Maintaining a good relationship with the team 3 Working to solve process problems with the team 4 Empowering staff to be life-long learners and risk takers
correct ans: 4 A nurse leader who empowers staff to be life-long learners and risk takers is promoting a health care environment where questioning the status quo, reflecting on processes and advocating for change when appropriate is welcome and encouraged. The nurse leader should serve as coach, maintain a good relationship with the team, and collaborate with the team to problem solve, but these actions are not specific to creating a culture of curiosity, reflection and change.
Under a leader, a team of followers has failed to achieve success in conducting research. What does an effective leader do in this situation? 1 Criticizes the team members for failure 2 Provides excuses for the negative outcome 3 Refuses to take the responsibility for failure 4 Accepts failure and gains experience from it
correct ans: 4 An effective leader should accept the failure and gain experience from it to avoid repetition of the same errors. The effective leader should counsel and motivate the team members for future success and should not criticize them. Making excuses for the negative outcome is not the correct action of the effective leader. The effective leader should take responsibility for the failure and the growth he or she will gain from it.
What are the attributes of a nurse leader? Select all that apply.
1. Identifying the needs of followers. 2. Motivating others assertively towards the objective. 3.Using a critical thinking approach while making a decision. A desired attribute of a nurse as a leader includes the identification of others' needs. The nurse should assertively motivate others towards the objective. A critical thinking approach is the desired attribute to make decisions in nurse leadership. The nurse should rely on personal intuition as well as facts. While accomplishing any objective, multiple options should be discussed before making decisions.
Which is an example of a sentinel event?
A splenectomy is done on the wrong client. Rationale: A sentinel event is an unexpected occurrence involving death, serious physical injury, or psychological injury.
The nurse is an active participant on human resource committees. What does this indicate?
Answer: The nurse is staying clear on group outcomes. When a nurse participates as a leader in any leadership opportunities such as on human resource committees, it indicates that he or she is staying clear on group outcomes.
Which action would the nurse leader avoid in order to implement changes effectively?
Maintaining a rigid boss-employee relationship with the staff.
A client arrives in the emergency department in cardiac arrest. Which priority action indicates that the nurse is acting as a leader?
Resuscitating the client using clinical protocols. An acute care setting requires the nurse to act immediately and autonomously; therefore using clinical protocols to resuscitate a client who is admitted with cardiac arrest indicates that the nurse is acting as a leader.
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
correct ans: 1, 4, 5 In order to collaborate effectively, the nurse should be flexible, must be willing to listen to others, and must share information and ideas with others. The nurse manager should plan a thoughtful response, consider others' perspective first, and not react hastily. The nurse manager should not share his or her own anger or frustration with other staff.
The nurse leader taught the student nurse the principles of quality management and quality improvement. Which statement made by the student nurse indicates ineffective learning?
"Managers define the quality." All decisions should be based on the data and not on theory. Quality improvement should be the work of both managers and the employees.
The nurse leader monitors the direct care nurse administering pain medication to the client. The leader tells the client "I will come back in 30 minutes to check your pain level." Which right of the client does the leader fulfill if the leader returns within 30 minutes?
Ans: Fidelity- addresses the nurse keeping promises or commitments. Veracity is concerning about telling the truth and demands that the truth be conveyed completely.
What motivation factors would the nurse describe as forming a part of two-factor theory of leadership? Select all that apply.
Recognition Achievement Two-factor theory comprises of motivation factors and hygiene factors. The motivation factor promotes job enrichment by creating job satisfaction, which includes recognition and achievement. The hygiene factor includes salary, status, and security, which help avoid job dissatisfaction and motivate workers by meeting their safety and security needs.
The registered nurse, while teaching a group of nursing students about the characteristics of a good team player, states, "A good team player should work with determination and refuse to stop until the goal has been accomplished." Which characteristic is the registered nurse describing?
Tenacity Tenacity means giving your all with determination and refusing to stop until the goal has been accomplished. Selflessness is a characteristic that involves putting the other members of the team ahead of oneself. Dependability involves the nurse following through and doing what he or she agreed to do. Collaboration involves each person bringing something to the project that adds value to the team and supports the creation of synergy.
The nurse as a leader is using a transactional leadership style. Which effect on followers often results from this style of leadership?
The followers will correct errors in a reactive manner.
A hospital wants to implement the primary nursing model on the premises. Which challenges are likely to be faced by the management? Select all that apply
1. Lack of nurse availability 2. Lack of experienced nurses
Which is excluded from the competencies of nurse leader? 1 Work individually 2 Utilize informatics 3 Provide client centered care 4 Employ evidence-based practice
correct ans: 1 The core competency of a nurse leader is to work in interdisciplinary teams, but not individually. Utilizing informatics, providing client centered care, and employing evidence-based practice are the core competencies of a nurse leader.
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?
Sense of humor-
Which responsibility of the nurse manager differs from the responsibilities of a nurse leader? 1 Planning the budget 2 Motivating the team 3 Resolving the conflicts 4 Penalizing for poor performance
ans: 1 Budgeting is the responsibility of a nurse manager. The role of nurse leader is to motivate the nursing subordinates. Resolving conflicts is the responsibility of both the nurse leader and the nurse manager. Penalizing for poor performance is a behavior of transactional leadership.
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
correct ans: 1, 2, 4 The mentor has a right to expect loyalty, respect, assistance with projects, and confidentiality from the aspiring leader. An effective mentor does not expect a fee or rewards and gives guidance to balance the professional and personal work of an aspiring leader.
What qualities does the professional nurse require to lead, manage, and follow in a team? Select all that apply. 1 Being insensitive 2 Impeding relationships 3 Exercising self-awareness 4 Motivating self and others 5 Managing emotions in self and others
correct ans: 3, 4, 5 Managing emotions, such as fear, anxiety, and anger, and responding to those feelings in a healthy manner, as well as avoiding passive-aggressive behavior, are traits that the nurse should have to manage a team. The nurse should have the desire to deepen self-awareness and encourage others to do the same to follow in a team. Motivating or inspiring self and others towards a goal is another quality that the nurse should have to lead a team. The nurse should be empathetic and able to reveal others' perspective in a situation. Fostering and handling relationships is another one of the abilities the nurse should have when leading and managing a team.
Four nurse leaders are performing Gardner's tasks. Which nurse leader is implementing Gardner's task of "serving as symbol"?
A. Gardner's task of "serving as symbol" includes the representation of the nursing profession, values, and beliefs of the organization to clients, their families, and other community groups. Therefore nurse leader A implements Gardner's task of "serving as symbol." Being honest and keeping promises to clients and families in the nursing profession indicates the implementation of Gardner's task of "developing trust" by nurse leader B. Nurse leader C implements Gardner's task of "managing" by assisting clients and their families with planning, priority setting, and decision making. Nurse leader D implements Gardner's task of "managing" by ensuring that the organizational systems work on the client's behalf.
Which statement is true regarding leadership? 1 Having the title of chief executive officer indicates a good leader. 2 Leadership is an earned honor and an action-oriented responsibility. 3 Playing an administrative role can automatically place the title of leader on an individual. 4 Strengthening the mission of an organization purely depends on the leader himself or herself.
correct ans: 2 Leadership is an earned honor, right, and privilege and an action-oriented responsibility that requires a time commitment. Having a title such as chief executive officer or chief nursing officer does not guarantee that a person will be a good leader. Administrative or management roles do not automatically confer the title of leader on an individual. Strengthening the mission of organization depends on both a good leader and follower.
A nurse leader, along with the team, is caring for a client who is scheduled for colonoscopy. Which delegated task requires the leader's supervision?
Assisting the client with an enema.
Which theory emphasizes that leadership effectiveness depends on the executive nurse's interpersonal skills?
Situational-contingency theories, which are leadership theories, hold that leadership effectiveness depends on a leader's interpersonal skills.
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
correct ans 3 The nurse leader should determine the information that has to be shared with followers, but should not give all information at once. The nurse leader should give only limited information; giving too much at once can create disinterest in the listeners. The nurse leader can share information through mail as it is a primary communication method. The nurse leader should use face-to-face communication over text messages.
The nurse as a leader would integrate which responsibility? SATA
1. Encouraging the direct care nurses to provide input into decisions. 2. Ensuring that day-to-day activities of the staff are correctly planned and executed. The nurse leader should encourage the direct care nurses to provide input into the decisions being made. A proper plan should be executed by the nurse leader that ensures day-to-day activities of the staff are correctly planned and executed. A nurse manager has financial accountability. The process of selection, recruitment, and orientation of employees requires the attention of a nurse manager. The nurse leader may identify charge nurses who have a potential to become managers, but this is not one of the direct responsibilities of the nurse leader.
While serving as a leader, the nurse assists the client with planning, priority setting, and decision making. Which of Gardner's leadership tasks is the nurse putting into practice?
Managing Managing is the Gardner leadership task that involves assisting the client with planning, priority setting, and decision making. Explaining involves teaching and interpreting information to promote functioning of the client and well-being. Developing trust involves keeping promises to clients and families and being honest in role performance. Envisioning goals involves envisioning client outcomes for client or families.
What are the major issues identified by the nurse leader as reasons for increased union activity? Select all that apply. 1 Low wages 2 Adequate staffing 3 Professional autonomy 4 Mandatory overtime requirement 5 Absence of reporting unsafe work environments
correct ans: 1, 4, 5 Low wages and poor benefits may lead to an increase in union activity. Mandatory overtime and work overload have led to increased union activity in nursing. The absence of procedures for reporting of unsafe work environments and poor quality of care may increase union activity. Inadequate staffing and unqualified caregivers may lead to increased union activity. Lack of professional autonomy and professional practice models may increase union activity.
A nurse manager works on a unit where the nursing staff members are uncomfortable taking care of clients from cultures that are different from their own. How should the nurse manager address this situation? 1 Assign articles about various cultures so that they can become more knowledgeable. 2 Relocate the nurses to units where they will not have to care for clients from a variety of cultures. 3 Rotate the nurses' assignments so they have an equal opportunity to care for clients from other cultures. 4 Plan a workshop that offers opportunities to learn about the cultures they might encounter while at work.
correct ans: 4 A workshop provides an opportunity to discuss cultural diversity; this should include identification of one's own feelings. Also, it provides an opportunity for participants to ask questions. Although articles provide information, they do not promote a discussion about the topic. Relocation is not feasible or desirable; clients from other cultures are found in all settings. Rotating the nurses' assignments probably will increase tension on the unit.
Which action is specific to the role of a nurse leader or manager in the area of clinical research?1 Performing clinical research2 Evaluating research evidences3 Developing evidence-based guidelines4 Facilitating the application of research findings in practice
Nurse leaders facilitate the application of research findings in practice. Performing the clinical trial, evaluating the research findings and developing the evidence-based guidelines may or may not be performed by the nurse leader.
The count of hydrocodone is incorrect. After several minutes of searching the medication cart and medication records, no explanation is found. Who should the primary nurse notify about the discrepancy? 1 Nursing unit manager 2 Hospital administrator 3 Quality control manager 4 Healthcare provider prescribing the medication
correct ans: 1 Controlled substance issues for a particular nursing unit are the responsibility of that unit's nurse manager. Responsibility flows directly from the staff of a nursing unit to the nurse manager; the nurse manager reports to a nurse administrator. There is no direct flow of accountability from the primary nurse to the quality control manager. Healthcare providers are responsible for medical management issues, not issues associated with management of a nursing unit.
A nurse leader has prepared an objective for strategic planning. Which point indicates that the nurse possesses the ability to write objectives clearly and concisely? 1 Inclusion of the timeline and deadline 2 Leaving expectations open to interpretation 3 Starting with an article followed by a noun 4 Specifying multiple dates for the attainment of a goal
correct ans: 1 In order for objectives to be clear and concise, they should have a timeframe within which the activity or improvement must be achieved. The timeline and deadlines should be included in the written objective. A clear and concise objective should leave no question about the expectations; it should not be open to interpretation. An objective should always start with "to" followed by an action verb. A single date for attaining the goal is the indication of a clear and concise objective.
The nurse leader mentors the staff on types of conflict. Which statement of the leader describes intrapersonal conflict? 1 It occurs due to difference in opinions with others. 2 It arises when a discord about policies and procedures exists. 3 It is related to hierarchical structure and role differentiation among employees. 4 It arises due to imbalances between the nurse's personal and professional priorities.
correct ans: 4 Intrapersonal conflict arises due to imbalance between the nurse's personal and professional priorities. The conflict due to a difference in opinions with others causes interpersonal conflicts. Organizational conflicts arise from a discord between policies and procedures. Organizational conflict also arises from hierarchical structure and role differentiation among employees.
A nurse leader is caring for a client during their entire stay in the hospital. Which nursing model is this nurse following? 1 Team nursing 2 Primary nursing 3 Functional nursing 4 Case method nursing
ans 2 I put 4 The primary nursing model brings the nurses back to direct client care. This means that the primary nurse provides coordinated, comprehensive, and continuous care to the client and the family. Team nursing involves different personnel such as registered nurses and licensed practical nurses assigned to a single client and responsible for different tasks. The functional model of nursing is a method of providing client care by which each licensed and unlicensed staff member performs certain tasks for a large group of clients. In the case method model of nursing, nurses do not provide continuous care to the client and different nurses are assigned to a single client.
A Hispanic nurse is celebrating a quinceañera for her 15-year-old daughter. What is the appropriate action of the culturally competent nurse manager? 1 Make a joke about the cultural ritual. 2 Allow the nurse to take time off for this celebration. 3 Ask the nurse not to put so much value in cultural rituals. 4 Suggest that the nurse not invite other staff members to the occasion.
correct ans: 2 The nurse who is celebrating this event for her daughter should have time to make plans and arrangements. The nurse manager should teach staff how cultural differences enrich all of us and make deliberate efforts to include them in their daily lives. The nurse manager should ask staff to value cultural rituals and accept various cultural practices and perspectives. Inviting staff on this occasion of the quinceañera is common, and the nurse manager should not discourage this.
Which critical factors would the nurse say are associated with situational-contingency theory? Select all that apply.
1. The ability of the leader to reward followers. 2.The degree of trust and respect between leaders and followers. 3.The task structure about goals and the complexity of the problems being faced. Rationale Situational-contingency theory considers three factors to be critical. It includes the ability of the leader to reward followers in terms of power and position. It is also comprised of the degree of trust and respect between leaders and followers. The task structure about goals and the complexity of problems faced is a critical factor. Environmental demands and the personal characteristics of followers are contingent variables.
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
Management ans: 3 The process of guiding, planning, and controlling others in a situation where communication is shared to improve clinical processes and outcomes is referred to as management. Leadership can be defined as a process of identifying a goal or target, motivating other people to act, and providing support and motivation to achieve goals. Followership is the process of following the leader or the manager to ensure the best clinical decision making and actions taken to achieve organizational outcomes. Decision making is a process of making crucial decisions.
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
ans 3 I put 2 The functional model of nursing is a method of providing client care by which each licensed and unlicensed staff member performs specific tasks for a large group of clients. Team nursing is a small group of licensed and unlicensed personnel, with a team leader, responsible for providing client care to a group of clients. Primary nursing is a model of client care delivery whereby one registered nurse functions autonomously as the client's main nurse throughout the entire hospital stay. Case management is a model of delivering client care based on client outcomes and cost containment.
Which action by the nurse leader is indicative of transactional leadership? 1 Accounting for the needs and abilities of individual employees 2 Encouraging the novel and innovative thinking of the employees 3 Motivating the employees by articulation of an inspirational vision 4 Motivating the self-interest of the employees by offering external rewards
correct ans: 4 Transactional leadership relies on the power of organizational position and formal authority to reward and punish performance. Therefore offering external rewards to motivate the self-interest of employees is a type of transactional leadership. The transformational leader can motivate employees by accounting for their needs and abilities individually. Encouraging the novel and innovative thinking of employees is a characteristic of transformational leadership. The transformational leader helps motivate employees by articulation of an inspirational vision.
Which theory related to leadership is a nontraditional theory that has emerged from the physical and social sciences? Expectancy theory Complexity theory Motivational theory Management theory
RATIONALE: Complexity theory is a nontraditional theory emerging from the work of the physical sciences and, more recently, social sciences. Expectancy theory posits that motivational behavior is increased by rewarding good and innovative performance; it is not rooted in the physical sciences. Motivational and management theories are traditional theories of leadership.
The nursing manager said, "Nurse leaders must also be excellent change managers." Which statement supports this? 1 Nurse leaders ensure a change that will support only staff. 2 Nurse leaders are only coordinators to bring a change in the system. 3 Nurse leaders can only support clients in changing their behaviors to improve care. 4 Nurse leaders will ensure that the disruption and chaos of change does not affect client care.
correct ans: 4 During change, nurse leaders keep the delivery of safe and effective care at the center of their attention to ensure that the disruption and chaos of change do not affect clients. By supporting a transparent and evidence-based environment, the nurse leader ensures a culture that will support both clients and staff during the change process. Nurse leaders play the roles of both coach and coordinator, facilitating the changes needed at a system, unit, or team level. Nurse leaders not only support clients in changing their behavior but also must foster innovation and promote change in the workplace that advance client safety and improves client outcomes.
