N314 - Leadership Module Questions

A nurse manager is reviewing the budget for the nursing unit. Which budget covers the expenditures for the unit's workforce?

Personnel

A nurse manager is considering revising the budget cycle for the nursing unit. Which budget cycle has the greatest probability for error?

Planning for the distant future

The bachelor's degree-prepared nurse is tasked with the need to understand interprofessional communication and collaboration in order to be prepared to improve patient health care outcomes.

True

The nurse leader should respond to resistance of authority in a calm but firm fashion.

True

A new charge nurse is leaving work each day feeling overwhelmed and not completing tasks. What kind of delegation error is the charge nurse making?

Under Delegating

A nurse manager determines that a nurse on the team comes from a future-oriented culture. What task may be best delegated to this nurse?

Working on a strategic team plan for the unit

A nurse manager is using a budgeting approach that requires justification for each budgetary need. What approach is being used?

Zero-based

Health care is not only financed by private insurance, government funding, and private donations but also by individual out-of-pocket expenses.

True

Health care reimbursement affects both the operational budget and the departmental budget.

True

What is the best focused response when asked, "What does clear and efficient communication mean"? (Select all that apply.)

A thorough handoff of the situation, including background, your assessment, and any recommendations. Checking for the receiver's understanding before moving on. Information is presented in language the receiver can understand.

A nurse manager is considering how to gain more staff involvement in meeting budgetary goals. Which activity is most likely to result in staff understanding and participating in budgetary goals?

Communicating budgetary planning goals to staff

The nurse leader should assess which of the following when planning learning activities for their staff?

Perceived learning needs

The role of the clinical nurse leader (CNL) is directly associated with the successful leadership of an interprofessional healthcare team. Which statements made by the CNL express the components of that role? (Select all that apply.)

"I've work with clients diagnosed with cardiac issues for nearly 15 years." "The unit nurses have talked with the family and identified a need for a social services consult." "We need to determine what, if any, safety issues exist related to this client's ability to ambulate independently." "I'll share the patient's care outcomes with the physical therapist today."

Which statements demonstrate the patient benefits derived from care provided by an interprofessional team? (Select all that apply.)

"We have been so pleased with the care my mother has been given while she recovering from her fall." "The nurses all seem to really care about each of their patients." "The physical therapist and my nurse worked together to schedule my therapy before my wife came to visit." "My doctor, the nurse, the social worker, and the dietitian had a meeting with me today about my discharge plan."

A new nurse manager is learning about staff development. Which statements about the implications of Knowles' learning theory are accurate? (Select all that apply.)

Adults learn best by using experiential techniques. Mistakes should be viewed as opportunities to learn. Assessment of need is absolutely essential.

In the SBAR model, when giving recommendations, what kinds of things should be communicated? (Select all that apply.)

Any new treatments or changes ordered opinions for further action

What behaviors should a nurse manager exhibit to narrow the power-authority gap that exists between the manager and the staff? (Select all that apply.)

Asking personal questions of your staff Being accountable Holding others accountable

When you explain what the nurse believes the issue is, which stage of SBAR would the nurse be demonstrating?

Assessment

A nurse leader identifies that a competent RN is incapable of completing a task that falls within the RN scope of practice. The RN's inability is due to lack of training. Which of the following actions should the nurse leader take next?

Assign a mentor or coach to the RN to achieve competence.

The gap that exists between a position of authority and subordinate is often referred to as the ______.

Authority-power gap

The nurse manager is aware that there will be critical changes made to staffing due to low census in an acute care facility, and staff is already lacking trust in administration. What would be the best way for the nurse manager to handle the situation?

Be truthful regarding the situation about staffing and census.

Choose the four major reimbursement methods:

Charge, Rate based on services rendered, Flat-rate, Cost-based

A nurse manager informs the staff that if they do not increase productivity by 15%, there will be people losing their jobs. What form of power is the nurse manager displaying with the staff members?

Coercive power

What are some of the primary focuses of the health care interprofessional team? (Select all that apply.)

Collaborative problem solving Reducing mortality rates Improving quality patient care Providing patient centered care Increasing professional experiences for health care workers

A nurse manager is considering delegating an important task. What steps should the manager take in the delegation process? (Select all that apply.)

Communicate what the task is Train the person delegated for the task Monitor the person until the task is done Communicate the time frame in which the task should be completed

A nurse manager is reviewing current staff development activities. Which is critical to ensure that staff development activities are successful?

Communicating shared responsibilities for education and training

The new nurse manager is learning about staff development. Which are characteristics of pedagogy? (Select all that apply.)

Competition is encouraged Learners depend on the teacher The teacher sets the goals The teacher evaluates

The case manager is part of the interdisciplinary team who is a nurse leader whose role is to _______. (Select all that apply.)

Coordinate patient care Evaluate options for patient care Monitor patient care Advocate for the patient

In an interprofessional team, what do teammates need to understand in order to have a shared vision? (Select all that apply.)

Desired outcomes Potential challenges to meeting outcomes After-care options

Which of the following are steps included in the flexible budgeting process? (Select all that apply.)

Determine the time period for the budget Analyze the cost patterns over that period of time Separate the costs into fixed, variable, or mixed categories Forecast the cost for each of these categories of activities

A charge nurse is preparing to delegate tasks to unlicensed assistive personnel (UAP). What is the first action the nurse should do before delegating?

Determine whether the task is within the scope of UAP.

A nurse manager is preparing the annual budget for the coming fiscal year, and is considering what the goal is of using the allocated funds. What stage of the budgetary process is this?

Diagnosis

The diversity in current health care workforce affects how each member approach specific assigned goals which influences completion of delegated tasks. This is thought to be related to the _____.

Differences in approach to task relation to priority setting

A new nurse from a foreign country is training in the surgical unit. After working and meeting with the nurse, the charge nurse observes that there is a discomfort in making eye contact while speaking. What task would the charge nurse avoid delegating to this nurse?

Educating a patient and ensuring full understanding

Which of the following creates the potential for successful delegation as emphasized by the National Council State Board of Nursing?

Effective communication

A client who experienced a traumatic musculoskeletal injury to the right arm was transported to the local hospital's emergency department. The initial care was delivered by an interprofessional team. What specialized, patient-focused care should this form of care delivery provide this patient?

Effective communication between individual team members and with the patient will be a priority.

A nurse manager wants to improve the efficiency and effectiveness of budgetary expenditures. Which budgeting approach would be the best to use in this situation?

Performance

A charge nurse is delegating to a staff member who is resistant to authority. After delegating a task to the staff member, what action should the charge nurse have the staff member do to ensure compliance?

Ensure the staff member has a voice in how the task is completed.

A nurse delegates a task to unlicensed assistive personnel (UAP). After the UAP informs the nurse that the task is complete, what is the appropriate action by the nurse?

Evaluate the outcome of the task

In the SBAR model, what should be conveyed when explaining the situation? (Select all that apply.)

Events currently happening objective statement of the problem Assessment data collected Recommendations for treatment changes

A member of a nursing team reports that being given too much to do, and that the member will not be able to complete the work on time. What action will the RN take to effectively manage this situation?

Examine the workload and assist the individual in reprioritizing.

Which of the following are delegation errors made by nurse leaders? (Select all that apply.)

Failure to delegate Failure to release control of task Failure to provide clear directions Failure to provide adequate directions Failure to follow up

Gender differences do not lead to power struggles in nursing.

False

Implementation problems are not common in multiprofessional teams because all health care workers typically like being part of a team.

False

It is not imperative for nurse leaders to understand how to delegate to a diverse workforce because all healthcare workers receive similar training.

False

It is the charge nurse's responsibility to effectively delegate and provide the right direction and communication for the delegated task for the staff nurses.

False

The SBAR tool was first used in the hospital to facilitate safe patient handoffs.

False

The nurse leader does not need to be concerned with the budgeting process steps.

False

The nurse leader understands when delegating, subordinate resistance should never occur among staff members.

False

Select types of adult priority learning needs. (Select all that apply.)

Fatal Fundamental Frequent Fixed

A nurse is planning to delegate tasks to the transcultural team. What situation would be considered appropriate delegation to the team members? (Select all that apply.)

Giving a task that requires independent thinking to a nurse who believes in an internal locus of control as a result of her cultural tradition. Holding a negative performance evaluation in private for a nurse whose cultural tradition puts emphasis on avoiding "losing face". Delegating the interviewing of a reticent patient to a nurse who is outgoing and inquisitive as a result of her cultural tradition.

What factors contribute to the success of interprofessional teams? (Select all that apply.)

Having role clarity Acknowledging the shared vision Forming clear and efficient communication

What area do consumers value the most when seeking health care?

High quality, low cost, and ability to meet patient outcomes

A nurse manager is considering the reasons for the current problems with the healthcare system. Which are negative consequences of higher spending in health care? (Select all that apply.)

Higher spending may result in duplication of services. Higher spending may result in overuse of technology. Higher spending may result in overutilization of services

In an interprofessional team, the role of a nurse leader is elevated from caregiver to include which essential responsibilities? (Select all that apply.)

Implementing a team approach to care delivery. Integrating all aspects of client care. Assuring client and client family satisfaction. Supporting client autonomy related to care decisions. Assuring the effective transition from facility to home care.

A patient on a busy neurosurgical unit who just returned from surgery requires neurological checks every hour, but the nurse is too busy to do it and delegates this task to the unlicensed assistive personnel (UAP). What error in delegation has the nurse made?

Improper delegation

A nurse informs the nurse leader that it would be beneficial to delegate more to the UAP but the nurse leader is reluctant to do so, stating, "Whenever I do, they always come back with so many questions. I need them to just do it!" What kind of delegation error is the nurse making?

Improperly delegating

A new nurse manager with limited budgeting expertise is considering what approach to use to determine the budget of the nursing unit for the upcoming fiscal year. Which approach would be the easiest to implement?

Incremental

Which budgeting approach can foster overspending?

Incremental

Identify the following obstacles that prevent adults from learning. (Select all that apply.)

Institutional barriers Time Self-confidence

A nurse manager is evaluating the current fiscal year budget. Which statement regarding the evaluation stage of the budgetary process is most accurate?

Large variations from the projected budget must be examined.

A nurse is to provide an in-service training on cultural factors that influence delegation and enhance nursing care. Which step to acquiring cultural competence does the nurse determine will involve learning how to read verbal and nonverbal messages?

Learning specific communication strategies

Which aspects of creating a successful interprofessional team are addressed by SBAR? (Select all that apply.)

Maintaining a shared vision Communicating effectively and efficiently Ensuring role clarity offering a recommended plan of action or next steps

How can a nurse leader bridge the authority-power gap?

Make a genuine effort to know and care for each individual

Which of the following are factors that affect the ability to forecast the budget? SATA

Mission and philosophy of the organization Political culture Economics Social climate Legislative climate

A new nurse manager is learning about fiscal planning. Which are barriers for nurse managers' participation in fiscal planning? (Select all that apply.)

Nursing education lacks preparation in fiscal planning. Many nurses perceive that fiscal planning is difficult.

Using the SBAR model, when the nurse is providing the background of a patient to teammates, what information should the nurse include? Select all that apply.

Patient's name and room number Admitting diagnosis Past medical history Current medications

operational budgets are financial plans for the entire organization day-to-day operations. This type of budget includes which of the following?

Payroll, supplies, and expenses

A new nurse manager is learning about staff development. Which statements reflect elements of Bandura's social learning theory? (Select all that apply.)

People learn as a result of direct experiences. Knowledge may be gained vicariously. Learning may occur from judgments of peers. People evaluate new information from reasoning.

Which of the following refers to the system in which facilities join a payment system, whereby they receive a specified a fixed payment for each Medicare patient's admission, regardless of the actual cost?

Prospective payment system (PPS)

What action can a nurse take to ensure that when delegating to unlicensed assistive personnel (UAP), creativity and independent thinking is encouraged for task completion?

Provide consistent and constructive feedback.

A nurse is struggling with time management and thinks it might help alleviate stress and strengthen leadership skills if some tasks are delegated to unlicensed assistive personnel (UAP). What would be important for the nurse to consider when delegating to UAP? (Select all that apply.)

Qualifications of the person who will carry out the task What can and can't be delegated safely

A nurse has just been promoted to a managerial position in the ICU of a busy hospital, and is worried that members of the nursing staff will not treat the nurse's requests with the same respect and seriousness as they did the requests of the previous manager, who was well-regarded. What behaviors would reinforce the new manager's authority and power in the eyes of the staff? (Select all that apply.)

Reminding staff how their efforts contribute to the unit's goals Demonstrating influence with the hospital's senior leadership team

What is the term for the notion that a person with the most direct control or influence on financial elements such as revenues, expenses, assets, and liabilities should be held accountable for them?

Responsibility accounting

What is one challenge that the interprofessional team faces?

Role confusion

A nurse is planning to delegate tasks to members of a transcultural team. Which tasks would the nurse consider environmental control when delegating to these members? (Select all that apply.)

Routine tasks that are done every day Tasks that require imagination, vision, and strategic planning Tasks with a degree of predictability requiring independent thinking to accomplish

Which of the following is important for ensuring team collaboration efforts will be successful?

Shared vision, role clarity, and use of effective communication

According to the adult learning theories, adult learners _____.

Should be actively involved in the evaluation of their progress

What factors are considered when determining the appropriateness of implementing care via the interprofessional team? Select all that apply.

Skill of the attending staff The acuity level of the patient population The facility's yearly budget The complexity of the required patient care

Elements that affect the nurse leader's ability to properly delegate to members of the diverse workforce include which of the following?

Social organization

A charge nurse has delegated a task to unlicensed assistive personnel (UAP). When the nurse is met with resistance after delegating, what is the best action to be taken?

The charge nurse should meet with the person to find out why the task was not completed .

Nurse leaders can use the nursing process to develop a budget for their unit or department.

True

SBAR and ISBAR provide the nurse leader with tools to effectively communicate between team members.

True

Some facilities have included an "Introduction step" to SBAR now called ISBAR in efforts to include an introduction for clinicians during a patient handoff.

True

A charge nurse is delegating to a LPN/LVN. What would be considered improper delegation for the charge nurse to delegate?

The employee is given highly detailed exact instructions to complete the task.

A nursing manager is considering the budget for a nursing unit as compared with the overall institutional budget. Which is the most negative outcome of multiple nursing units "padding" or inflating their department budgets to cushion against administrative cuts?

The entire institution's budget may be ineffective.

A nurse manager is preparing a presentation to be delivered to a group of nurses in a nursing unit about the current U.S. healthcare system. Which statement about resource utilization is most accurate?

The health care resources that are available in the United States are not used cost-effectively.

The nurse delegates a task to an incompetent individual. Who is held accountable for the outcome of the task?

The nurse delegator

A charge nurse has delegated specific tasks to the team and feels as though one of the nurses is resistant to the task delegated. What might be reasons that the nurse is resistant? (Select all that apply.)

The nurse feels overloaded. The nurse feels incapable. The nurse has an inherent resistance to authority.

In order to determine when not to delegate, the nurse needs an in-depth understanding of _____.

The nurse practice act

A new nurse leader has the opportunity to delegate to a member of the staff. What criteria should the nurse leader be sure are followed before doing this? (Select all that apply.)

The right task The right person The right communication The right level of supervision The right circumstance

What does an interprofessional team member need to understand about role clarity for the team to be successful?

The role and responsibilities of all teammates

A nurse-educator has a very narrow power-authority gap when interacting with students in the clinical setting. What negative student outcome may occur because of this narrow gap?

The students will question their ability to make independent decisions.

A nurse manager is considering the use of critical pathways for a nursing unit. Which statement regarding critical pathways is most accurate?

They can be used to monitor quality of care

A new nurse manager is learning about staff development. Which statement about either training or education is most accurate?

Training ensures knowledge and skills necessary for the job.

Adult's learning needs differ in their degree of importance.

True

Adults learn differently than children; therefore, nurse leaders need to be familiar with teaching and learning styles to effectively educate staff members.

True

Delegation by a licensed professional such as the registered nurse to an unlicensed professional can assist with time management if the delegation has been correctly accomplished.

True

A nurse manager has a high turnover rate of assistant managers in the unit. The current assistant manager states to the manager, "I may not be the right fit for this position. I can't keep up with the amount of work and delegated tasks." What delegation error is the manager making?

over delegating

What is considered to be the greatest challenge to the implementation of an interprofessional primary health-care team?

overcoming the traditional provider-dominated role of determining patient care