Leadership Hesi Adaptive Quizing

During a feedback session, the nursing staff communicates that a recently appointed nurse is using "empowerment theory." Which statement of the nursing team members most supports this position? Select all that apply.

"He/she can share power with others." "He/she encourages others to provide input into decisions." "He/she provides considerable information about the decision-making process."

A registered nurse as a leader is teaching novice leadership skills to a newly appointed leader. Which statements made by the new leader indicate effective learning? Select all that apply.

"I should resolve conflict." "I should deal with difficult people." "I should learn how to work in groups."

The nurse leader suffers from headaches, hypertension, and gastrointestinal problems. Which affirmative statement by the leader reflects an appropriate way to manage the stress?

"I will get enough sleep."

Which statement made by the nurse leader would satisfy the basic expectations of the client?

"I will return at 5 o'clock pm."

A nurse leader is teaching the nursing staff about preparing objectives. Which statements by a member of the nursing staff indicate effective learning? Select all that apply.

"I will specify the target to be achieved." "I will not include unrealistic and unattainable goals." "I will provide the level of accomplishment for the end result."

The nurse manager shares experiences faced during the journey to leadership with other staff members. Which statement made by the nurse appropriately describes the barriers faced during the leadership journey? Select all that apply.

"It requires time commitment." "The title doesn't guarantee good leadership."

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."

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."

The senior nurse advises a newly promoted nurse concerning various aspects of the leadership role. Which advice by the senior nurse would the newly promoted nurse most likely consider as leading by example?

"Try to be a participant in political activity in the local community."

The nurse manager reviews the performance report of a direct care nurse and asks the nurse to focus on "emotional intelligence" in order to be promoted as the nurse leader. Which statement would the nurse leader most likely use while advising the nurse on areas for improvement?

"Try to be more sensitive to the experiences of others."

The nurse leader working in a 50-bed surgical unit accrued 765 client days in November and 189 of the clients were discharged during the month. What is the average length of stay for November? Record your answer using a whole number. _____ days

4 days

The nurse manager is evaluating different Bleich's tasks of followership performed by members of the nursing team. Which team member's action indicates incorrect implementation of Bleich's tasks of followership? (chart)

A

The nurse leader, while teaching a group of nurse leaders, references an approach of evidence-driven consciousness to be applied in the nursing practice. What is the main concern of the nurse leader?

About the safety of the clients

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

The nurse executive is seeking to improve client care by helping multidisciplinary leaders achieve optimal functioning. Which behavior related to Gardner's tasks of leading is the executive exhibiting?

Achieving workable unity

The nurse manager monitors employees' performance and takes punitive action when necessary. What could be the expected organizational outcomes in this type of leadership? Select all that apply.

Adherence to deadlines Limited job satisfaction Low-to-stable levels of commitment

The nurse observes a dispute between staff members due to differences in perspective concerning nursing practices. Which approaches of the nurse as a leader would be appropriate in building up negotiation "loop-backs" to resolve the conflict? Select all that apply.

Allowing a cooling-off period if the resolution fails Informing of the full consequences of failing to resolve the issues

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?

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

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

The nurse manager implements a change in the back care routine provided to bedridden clients to help prevent pressure ulcers. The nurse manager observes a decrease in the incidences of pressure ulcers in the unit and appreciates the efforts of the team members who implemented the change. Which step of Kotter's eight-step change model is reflected in this scenario?

Anchoring the changes in the culture

The leader teaches the student nurse about STAMP (staring, tone and volume of voice, anxiety, mumbling, pacing) assessment. During the session, the leader mentions rapid speech and dilated pupils. What component is responsible for these two conditions?

Anxiety

Which behavior of the nurse indicates management skills according to Gardner's task of achieving workable unity?

Assisting staff to achieve optimal functioning to benefit the transition to enhanced organizational functions

A client requires emergency cardiac surgery. The leader nurse wants to make the client aware of the situation and wants the client to decide what should be done. Which ethical model does the leader nurse follow here?

Autonomy model

Which system thinking theory principle is involved when the nurse considers the decision of a client to terminate clinical treatment?

Balancing short-term and long-term objectives

Which performance appraisal method is used by nurse managers to measure the performance of the nurse both qualitatively and quantitatively?

Behaviorally anchored rating scales

The nurse, as a leader, is planning to provide information about personal hygiene to a group of clients. Which communication methods should the nurse use to talk to the clients? Select all that apply.

Being sensitive to nonverbal communication Providing the opportunity for dialogue and feedback Presenting information that addresses the listener's self-interest

Which topics being taught by the nurse belong to Covey's characteristics of leadership? Select all that apply.

Believing in other people Radiating positive energy Engaging in lifelong learning

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

While having a group discussion in an organization, one of the team members criticizes an idea of another team member. Which strategy should the leader apply to resolve the issue?

Brainstorming

The leader is devising a strategy to connect individuals, groups, and organizations to attune them toward a common goal. Which political strategy is the leader pursuing?

Building coalitions

The nurse leader performs his or her own honest appraisals on a regular basis and feels good about the job. Which rule is the nurse leader implementing by this action?

Building self-confidence

A nurse manager in a surgical unit finds that many clients are developing urinary tract infections post-operatively and wants to discuss the measures to prevent it with the team. Which action of the nurse manager reflects good communication practice?

Calling the team for a brief meeting

A nurse who lacks confidence in her performance in a new position is worried about an upcoming review with the nursing director. What type of power does the nursing director hold in this scenario?

Coercive power

The hospital management is planning a study that compares the benefits and harms of a particular method to the benefits and harms of alternative methods when treating clients with chronic disorders. Which approach does the nurse manager follow to improve client care?

Comparative effectiveness research (CER)

Which theory of nursing leadership involves the traditional organizational hierarchy playing a less significant role as the "keeper of high-level knowledge?"

Complexity theory

Hospital management has replaced some equipment to provide more effective treatment. The nurse, as a leader, wants the team to support and implement this change successfully. Which actions of the nurse leader are effective in this situation? Select all that apply.

Conducting a dialogue with the team members Encouraging the team members to develop new skills Encouraging the team members to increase competency in different areas

The nursing leader stated, "The reimbursed cost is less than the full charge for a service in the hospital." Which type of health reimbursement does the nurse leader describe?

Contractual allowance

Which initiatives for leaders and managers are set forth in the Institute of Medicine's core relevance report "The Future of Nursing?" Select all that apply.

Created state coalitions focused on nursing Provided a framework for considering how nurses could determine staffing requirements

The nurse manager finds that there is an increased infection rate in the unit due to an increased number of client visitors. The nurse believes that a change in the visitor policy could help reduce the infection rates. The leader is initiating an open dialogue about external and internal realities among the team members. Which attribute of Kotter's eight-step model is involved in this action by the nurse manager?

Creating urgency

Which group discussion technique involves a large number of respondents who may be participating in the discussion remotely?

Delphi technique

Which characteristic of a manager should the nurse leader exclude while addressing the complex issues of the hospital?

Developing a vision

The nurse as a leader is sharing organizational information openly and honestly. Which of Gardner's tasks of leadership is the nurse manager applying in practice?

Developing trust

The nurse as a leader provides feedback to a recently recruited student nurse after checking performance reports that show a disregard for the Organizational Behavior Modification (OB Mod) theory. Which activity of a student nurse would the nurse leader mention during the feedback session?

Discussing the past mistakes of a subordinate

Which characteristics should the nurse possess as a leader, according to theories of transformational leadership? Select all that apply.

Empowering staff Creating enthusiasm for practice Promoting scholarship of practice at the client side

The nurse manager asks the staff nurse to participate in creating new guidelines for providing services to the client. Which management strategy is utilized by the nurse manager?

Empowerment of staff

Which transformational leadership practices are involved when a leader empowers people and offers praise for the work done by one of the team members? Select all that apply.

Enabling Encouraging

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.

Encourage group members to actively participate Create an environment conducive to solving problems Protect the members and their suggestions from attack

What are the responsibilities of the nurse as a leader? Select all that apply.

Encouraging the direct care nurses to provide input into decisions Ensuring that day-to-day activities of the staff are correctly planned and executed

Which of Gardner's tasks involves anticipating client outcomes for single clients or families and helping them formulate their vision of future well-being?

Envisioning goals

The intensive care unit at a hospital has recently experienced a turnover of several long-tenured nurses who assumed important leadership roles. As a result the unit has become less effective and productive despite the consistent performance of the remaining nurse leaders. What should the management team do to ensure that effectiveness and productivity remains consistent in the event of future leadership turnover?

Establish a leadership succession plan

A nurse leader is promoted as nurse manager of a critical care unit. Which action would demonstrate the effectiveness of the nurse leader role as a manager?

Establishing the goals considering the staff expertise

Which statement is true regarding leadership theories?

Expectancy theory states that leaders should provide specific feedback about positive performance.

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?

Explaining the reason for the change to the team member clearly

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?

Fidelity

The nursing manger previously assured the staff nurse that she would have flexibility regarding work shifts and agrees when the staff nurse requested different shift work than usual. Which principle does the nursing leader follow in this situation?

Fidelity

What skills are essential for an effective nurse leader to develop collaboration with others? Select all that apply.

Flexibility Ability to share ideas Ability to listen to others Possession of a strong self-concept

Which behavior of the nurse as a leader would be considered a smart trust action according to Covey?

Focusing first on developing character

Which nursing actions indicate effective implementation of systems thinking theory principle with respect to "thinking of the Big Picture"? Select all that apply.

Focusing on the needs of all the residents in a long-term care facility Knowing about the complications of emergency department overcrowding in an urban setting

The chief operating officer conducts an interview for the position of nurse leader and asks about Kotter's eight-step model. Which attribute cited by the nurse relating to helping build the momentum is correct?

Forming a powerful coalition

The nurse manager is implementing a change in evening care for clients to include back rubs to promote sleep. The nurse manager convinces the managers of various nursing units and also supports nursing staff who are willing to implement the change. Which component of Kotter's eight step model is involved in this scenario?

Forming a powerful coalition

Which aspect relates to the quality of relationships while assessing the degree of conflict resolution in nursing leadership? Select all that apply.

Generation of empathy Understanding being created

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 nurse manager of the unit comes to work obviously intoxicated. The staff nurse's ethical obligation is to do what?

Have the supervisor validate the observation

A nurse leader changes the work schedule after a team member asks for more flexibility in the schedule. Which theory outlines this nurse leader's approach?

Herzberg's theory

The nurse leader is focused on recognizing the dynamic, complex, and interdependent nature of systems in an organization. Which nursing action indicates an effective implementation of this principle of systems thinking theory?

Identifying and understanding the relationships between clients, families, communities, and local economies

What are the desired attributes of the nurse as a leader? Select all that apply.

Identifying the needs of followers Motivating others assertively towards the objective Using a critical thinking approach while making a decision

What are the attributes of a nurse leader? Select all that apply.

Identifying the needs of others Using critical-thinking skills in making decisions Using focused energy and stamina to accomplish a vision

The transformational leader demonstrates charismatic behavior and the careful consideration of the value of every individual in the organization. What might be the expected organizational outcomes with this type of leadership? Select all that apply.

Increased loyalty Increased performance

The registered nurse, as a transformational leader, is assigning a task to a practitioner nurse. Which effects on the follower does the nurse expect from transformational leadership? Select all that apply.

Increasing self-worth Coaching and mentoring Performing challenging and meaningful work

A direct care nurse performs exceedingly well on a cancer project. As a result, the managerial team decides to promote the nurse to a managerial position. Which actions by the nurse would justify the decision of the panel? Select all that apply.

Inspiring new ideas Establishing short-term goals Demonstrating positive feelings Maximizing results from existing resources

In evaluating risks, what does the nurse understand is the responsibility of risk managers?

Involving perspectives from numerous disciplines

The nurse leader is teaching a student nurse about the modifications in the patient-focused care model. Which statement made by student nurse indicates ineffective learning?

It requires a technician to provide client care.

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

The nurse manager is assisting the nursing staff with planning, priority setting, and decision making. Which Gardner's task of leading is being applied in this practice?

Managing

The nurse leader finds that a client with a severe vitamin B12 deficiency is extremely fatigued and tends to fall. Which theory does the student nurse think that the nurse leader would find appropriate for prioritizing the need of the client?

Maslow

Which actions of the nurse exhibit transactional leadership? Select all that apply.

Meeting the targets within the deadline Working according to organizational rules Correcting the errors in a reactive manner

"In today`s workplace, female-male collaboration should provide efficacious models for the future." Which statements support this saying? Select all that apply.

Men and women must learn to work together. Women and men bring separate perspectives to resolving problems.

The nurse is relating to and inspiring the client who has a psychiatric disorder to achieve the client outcomes. Which of Gardner's leadership tasks is reflected in the nurse's actions?

Motivating

While having a group discussion in a decision-making process, the leader has asked the team members to silently write down their ideas. The merits of each idea were discussed, and the best one was chosen based on highest ranking. Which strategy is involved in this scenario?

Nominal group technique

Which nurse manager's behaviors and outcomes denote the qualities of transformational leadership? (chart on picture)

Nurse manager 2

Which qualities of a nurse leader can move the organization in a forward direction to continue delivering the best possible care? Select all that apply.

Nurturing the followers with right knowledge and direction Supporting the followers effectively

The registered nurse instructs a student nurse to perform an action as a community volunteer. Which action should the student nurse perform as a community volunteer?

Organizing individuals in the community to develop healthcare delivery

The senior leader instructs the direct care nurses about asking the right question in PICOT (patient population, intervention, comparison, outcome, and time frame) format. During the discussion, the leader discussed factors such as complication rate, satisfaction, nursing diagnosis, and nursing quality indicator. What do these factors indicate in the PICOT format?

Outcome

Which qualities of a leader indicate a transformational approach to leadership? Select all that apply.

Possessing charismatic behavior Possessing intellectually stimulating behavior Having inspirational and motivational behavior

A client reported being administered the wrong dose of medication by the wrong route, which may lead to serious complications. The nurse leader is gathering information to determine what happened. Which phase of client care management is the nurse leader following?

Preparation

What tasks should the nurse perform as a leader to increase productivity? Select all that apply.

Provide coaching and mentoring to the staff Provide information and direction related to meeting unit productivity goals Prepare a staffing plan that balances the organizational directives with unit needs

The registered nurse assigned a task to a licensed practical nurse. The task was not successfully completed by the deadline. Which action by the registered nurse would be characteristic of a transactional leader?

Punishes the nurse

Which constructive aspects of conflict does the nurse leader identify? Select all that apply.

Releases pent-up emotions Helps individuals grow personally Builds cohesiveness among people

The nurse, as a leader, takes care of himself or herself to promote the nurse's ability to care for the staff. Which of Gardner's tasks of leadership is the nurse applying in practice?

Renewing

Which behavior is an example of the nurse's role as an executive in the Gardner task of leadership?

Representing the organization and client care services on councils

The nurse notes a conflict between staff members during a meeting. Which principle should the nurse follow, as a leader, to put the focus on mutual interest?

Responding expediently to the issues

The direct care nurse wishes to improve her understanding of the steady-state career style in order to get promoted as the nurse leader. On which quality attributes would the nurse want to focus?

Rewarding competence and tenure

A nurse leader is promoting dialogue within the team successfully. Which actions of the nurse leader are responsible for this success? Select all that apply.

Serving as a facilitator Encouraging the sharing of ideas Reacting to changed proposals honestly

What are the roles and responsibilities of a senior nurse leader while implementing strategies for improving the quality of the organization? Select all that apply.

Setting priorities for staff effectiveness and client health outcomes Providing support systems for staff who have been involved in a sentinel event Building infrastructure, providing resources, and removing barriers for improvement

The nurse leader teaches student nurses about ways of making care visible. During a follow up visit, the leader observes the nurse holding the client's hand after finding him or her anxious before radiation therapy. Which communication skill applied by the student nurse shows effective learning?

Showing nonverbal care

A discussion between a group of team members results in a serious conflict in an organization. The nurse, as a leader, accepts the challenge of the situation and uses an adaptive style. Which theory of leadership is the nurse applying in practice?

Situational-contingency theory

A nurse manager receives a complaint from a client that a particular staff member had been rude when providing care. The nurse, rather than punishing the staff member, listens to his or her side of the story and then talks to the client to clarify the misunderstanding. Which leadership theory is reflected in this scenario?

Situational-contingency theory

The nurse as a leader obtains feedback from superiors, followers, and peers. Which leadership theory is the nurse putting into practice?

Style theories

Which leadership theory focuses on the role of leaders in relational and contextual terms?

Style theory

The nurse manager evaluates the performance of a group of nurse leaders on a project. One nurse leader performs exceedingly well by assuring that change happens and is promoted as the leader. Which quality attributes would have been shown by the nurse? Select all that apply.

Taking initiative Going beyond the role Thinking outside the box

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

Which critical factors would the nurse say are associated with situational-contingency theory? Select all that apply.

The ability of the leader to reward followers The degree of trust and respect between leaders and followers The task structure about goals and the complexity of the problems being faced

The registered nurse is teaching a group of student nurses about the role of the nurse as a leader. Which statement by a student nurse indicates effective learning?

The goal of the nurse manager is to develop a shared vision of the future with direct care nurses."

The nurse leader wants to avoid a conflict and postpone its resolution. What could be the reason for this avoidance?

The leader wants to gather more information.

A nurse manager agrees to mentor a newly recruited nurse who wishes to develop leadership qualities. Which statements hold true about this mentor relationship? Select all that apply.

The mentor should serve as a role model The mentor should provide advice whenever necessary The mentor should give appropriate feedback to promote improvement

Which actions of a nurse as a leader demonstrate a hands-off approach in practice? Select all that apply.

The nurse leader avoids making conscious decisions The nurse leader chooses to do nothing when an intervention is indicated

The nurse manager observes that the nurses in the unit take breaks during their shift longer than the organization policy of 15 minutes. What is the best action of the nurse manager?

The nurse manager should keep her/his break limited to 15 minutes

The nurse manager is teaching the licensed practical nurse (LPN), the evidenced-based practice regarding the use of saline and the low-dose heparin flush solution for capped angiocatheters. Which statement by the LPN indicates they understood the teaching? Select all that apply.

The use of heparin flushes disappeared in the late 1990s." "The use of high doses of heparin solutions is not recommended in adults."

What would the nurse describe as "leadership" in nursing practice?

The use of individual traits to interpret the environment in an emerging situation to execute a plan

Which principle of systems thinking theory involves the nurse focusing on the needs of all residents in a long-term care facility?

Thinking of the big picture

Which objective is associated with creating urgency in Kotter's eight-step model?

To generate open dialogue about external and internal realities

A nurse manager regularly analyzes herself and her performance, focusing on developing leadership qualities such as assertiveness, confidence, and task knowledge. Which leadership theory does the manager most likely subscribe to?

Trait theory

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

An organization having poor work flow was suffering financial losses. A team member introduced creative solutions that were publicly recognized by leadership. Which leadership theory is at work in this scenario?

Transformational theory

According to style theory of leadership, which is an action of a nurse leader?

Using feedback from superiors to measure own performance

The nurse resolves a conflict with another nurse by using accommodation. In what situations is accommodation appropriate for resolving conflict? Select all that apply.

When facing trivial issues When the other person's solutions appear better When harmonious relationships have to be preserved

A nurse leader has resolved a conflict within the team. Which further action of the nurse leader prevents the same conflict in the future?

Working with the team members after the conflict

A nurse is conducting a health campaign in a school. During the health campaign, the nurse finds that the school management has replaced the registered nurse (RN) with a trained clerk. What should the nurse, as a community opinion leader, do?

Write a letter to a local newspaper editor opposing the decision of the school board