NU470 Week 9: Evolve Elsevier EAQ Collaboration/Leadership

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After communicating with the follower of the nurse leader, the senior nurse assumes that the nurse leader is following the transactional leadership approach. Which statements of the follower support the senior nurse's assumption? Select all that apply. o "I have increased job satisfaction." o "I have to face penalties for poor performance." o "I have to meet the deadlines of my work at any cost." o "I am getting my errors corrected in a reactive manner." o "I am doing challenging and meaningful work every day."

o "I have to face penalties for poor performance." o "I have to meet the deadlines of my work at any cost." o "I am getting my errors corrected in a reactive manner." The transactional leader penalizes her or his followers for poor performance and gives rewards for good performance. The transactional leader monitors work deadlines and corrects followers' errors in a reactive manner. Under a transactional leader, the followers have limited job satisfaction. Under a transformational leader, the followers do challenging and meaningful work every day.

While interviewing the nurse for the position of leader, the chief executive officer of a health care facility asks, "How will you develop political skills in your team?" Which answers provided by the nurse most likely will result in an offer for the position? Select all that apply. o "I will teach them to be honest." o "I will encourage their participation in Nurse Lobby Day." o "I will teach them to be comfortable with conflict and ambiguity." o "I will develop their ability to take constructive criticism gracefully." o "I will encourage their active memberships in the state nurses' association."

o "I will encourage their participation in Nurse Lobby Day." o "I will encourage their active memberships in the state nurses' association." Participation in Nurse Lobby Day to meet the state legislators may help build the team's political skills. The nurses would be encouraged to be active members of the state nurses' association, which also helps develop their political skills. Honesty building may be associated with the development of personal power strategies. The leader might have taught the team to be comfortable with conflict and ambiguity, which helps develop the personal power strategies of the team. The ability to take constructive criticism gracefully would be taught for developing a personal power strategy.

The registered nurse is teaching the nursing student the qualities that a leader would possess for effectively managing conflicts. Which statement by the nursing student indicates the need for further teaching? o "I will provide a forum for open discussion." o "I will ask the staff or clients to learn from the situation." o "I will immediately resume efforts to resolve the conflict if initial efforts fail." o "I will motivate followers to use skills and resources for dispute resolution."

o "I will immediately resume efforts to resolve the conflict if initial efforts fail." The effective approach toward managing conflicts as a leader is to provide a "cooling off" period before reconvening if the resolution fails. If the nurse reconvenes the parties immediately after initially failing to find a resolution, it may not help the nurse manage the conflict properly. Providing a forum for discussion will help in eliciting feedback before and after negotiations. Working with staff or clients after the conflict to learn from the situation may help prevent a similar kind of conflict in the future. Motivating others to implement skills and resources for dispute resolution is an effective way to manage conflicts.

The leader is devising a strategy to connect individuals, groups, and organizations to coordinate them toward a common goal. Which political strategy is the leader pursuing? o Negotiating o Building coalitions o Adopting an empowering attitude o Fostering collegiality and collaboration

o Building coalitions Developing coalitions is a political strategy that involves groups of individuals or organizations joining together temporarily around a common goal. It is often focused on an effort to effect change. Negotiating is a very important skill for organizational and political power to make trade-offs. An empowering attitude helps in the exercise of power among colleagues while educating others regarding nurses and nursing. To act collegially and collaboratively in the workplace, development of a sense of unity and mutual respect is required.

The nurse manager's goal is to provide a nonthreatening and positive environment to the group members. Which techniques by the nurse manager would promote a nonthreatening and positive environment? Select all that apply. o Ask indirect and closed-ended questions. o Encourage group members to actively participate. o Create an environment conducive to solving problems. o Protect the members and their suggestions from attack. o Encourage the attempts of members to monopolize the discussion.

o Encourage group members to actively participate. o Create an environment conducive to solving problems. o Protect the members and their suggestions from attack. Encouraging group members to actively participate may help elicit different ideas from different members. An environment conducive to solving problems helps in keeping the group focused on tasks and strategies. Protecting members and their suggestions from attack should be done for a healthy discussion and to create a nonthreatening environment. Asking direct and closed-ended questions may not help draw in members who are not actively involved in the discussion. Encouraging the attempts of members to monopolize the discussion may not motivate more passive individuals to contribute to the discussion.

The hospital administration has recently introduced bar coding and radiofrequency identification (RFID) scanning for reducing medication errors. After a few days, the scanner is giving false reports and the hospital management gathered all the staff members to discuss ways to solve this issue and find alternatives. Which decision-making strategy would the nurse manager think will be most useful in this situation? o Focus groups o Brainstorming o Delphi technique o Nominal group technique

o Focus groups The purpose of focus groups is to explore issues, generate information, and identify problems or to evaluate the effects of an intervention. The groups meet face-to-face to discuss issues, and under the direction of a moderator participators are able to validate or disagree with ideas expressed. Brainstorming can be an effective method for generating a large volume of creative options by listing all ideas as stated without critique or discussion. The Delphi technique involves systematically collecting and summarizing opinions and judgments on a particular issue through interviews, surveys, or questionnaires. In the nominal group technique, participants are asked not to talk to each other as they write down their ideas to solve a predefined problem or issue.

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

o Making tradeoffs o Asking for a more desirable work schedule Making tradeoffs and asking for a more desirable work schedule for the staff involves negotiating with the supervisor to reach a mutual agreement that helps both parties reach their goals. Valuing the efforts of nursing colleagues helps develop collegiality and collaboration with other members. Displaying positive and professional attitudes describes empowering behavior toward fellow members. Making an effort to effect group change involves developing coalitions to work collectively toward a common goal.

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? o Managing o Motivating o Affirming values o Developing trust

o Managing According to Gardner's tasks of leading, the nursing manager carries out the task of managing by assisting the staff with planning, priority setting, and decision-making. Motivating involves inspiring and relating to staff to achieve the mission of the organization and the vision associated with organizational enhancement. Affirming values as a manager involves assisting the staff in interpreting organizational values and reinforcing every staff member's personal values to be more attuned with those of others. Developing trust as a manager involves sharing organizational information.

The nurse manager is planning to develop leadership skills in direct-care nurses. Which activities would the nurse encourage the direct-care nurses to participate in to develop these skills? Select all that apply. o Participate in public forums o Participate in civic gatherings o Serve on practice councils o Join local professional associations o Participate in American Heart Association activities

o Serve on practice councils o Join local professional associations o Participate in American Heart Association activities Direct-care nurses can develop leadership skills in several ways. Employment opportunities such as practice councils, clinically focused opportunities such as the American Heart Association, and professional opportunities such as local professional associations are ways to bring out leadership skills in direct-care nurses. Participation in civic gatherings and public forums provides a way for nurses to be community opinion leaders.

Which qualities of the nurse leader can move an organization in a forward direction to continue delivering the best possible care? Select all that apply. o Supporting the followers effectively o Implementing the care plan of the client effectively o Gaining knowledge on new technologies in the practice o Nurturing followers with correct knowledge and direction o Pursuing higher educational degrees in professional courses

o Supporting the followers effectively o Nurturing followers with correct knowledge and direction · The nurse leader would serve to better the organization and to deliver the best possible care. Continual learning is essential to keep the organization moving forward. This can be done by supporting and nourishing followers to make them future leaders. Effective implementation of the client's care plan indicates professionalism but not leadership. Gaining knowledge on new technologies and pursuing degrees in higher professional

As a manager, the nurse leader is planning to implement a change in the client care delivery system. Which initial step taken by the nurse leader as a manager would be most appropriate for this change? o To set goals regarding the change process o To plan strategies in implementing the change o To identify the inefficiency that requires improvement o To identify any potential solutions for the change process

o To identify the inefficiency that requires improvement To begin the change process, the nurse leader as a manager should identify the problem that requires improvement. This helps in preventing further problems after the change process. If the problem is not identified, the planning for the change may be inconsistent. This initial step is followed by planning the strategies of the change process, setting or optimizing the goals, and identifying the potential solutions for implementing the change process.

Which point would the nurse exclude when using strategies to promote a powerful image? o Using authoritative language o Maintaining good body posture o Making good eye contact with clients o Ensuring that clothing and hair are appropriate to the situation

o Using authoritative language The nurse would treat people with courtesy and respect. The use of authoritative language does not help in developing a powerful image. The nurse would also maintain good body posture because it conveys self-confidence. Good eye contact helps in developing trust. Appropriate dress and hair help convey a powerful image.


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