Nurse as Leader & Manager

51 Lewin's Change Theory

unfreezing = identify need for change / accessing moving = planning/ implementing refreezing = evaluating

According to Lewin, in which of the following stages of change is initiated after a careful process of planning? A. Moving B. Freezing C. Unfreezing D. Transforming

Moving

14. When considering delegation of responsibility, the registered nurse should first consider which "right" of delegation? Right task Right circumstance Right person Right supervision

Right task

. What type of leader shares decisions and activities with group participants? ) Autocratic b) Laissez-faire c) Situational d) Democratic

d) Democratic

1. In Lewin's classic theory of change, what happens during unfreezing? ) Planning is conducted. b) Change is initiated. c) Change becomes operational. d) The need for change is recognized.

d) The need for change is recognized.

Autocratic / directed leader ship

Focus: on leader, Group participation: limited High productivity; low morale dictatorship . assumes group is incapable of making decision,

In which of the following styles of leadership are group satisfaction & motivation primary benefits? A. Democratic B. Autocratic C. Laissez-faire D. Transformational

. Democratic

When a nurse manager arranges all of the resources available to teach a teenage girl to manage her asthma, he/she is performing the ________of the following role of a nurse manager? A. Planning B. Organizing C. Directing D. Controlling

. Organizing role

Which of the following is/are a characteristic(s) of laissez-faire leadership? (Choose all that apply) A. The leader is the authority on all issues. B. The leader relinquishes power to the group. C. The leader depends on the strengths of the followers to direct group activities. D. The leader & nurses work independently, making task accomplishment difficult. E. There is a sense of equality among the leader & other participants. F. The leader is able to inspire & motivate others.

B & C & D A = Autocratic E = Democratic F = Transformational

. On a medical unit, the nurses complain that they have no voice in the decisions that are made in the operation of the unit. The nurses state they are always told by the nurse manager to perform tasks instead of being asked. Which of these best describes the leadership style of the nurse manager? A) Democratic B) Autocratic C) Laissez-faire d) Nondirectional

B) Autocratic

The nurse is working at a facility that is applying for Magnet Recognition. The nurse recognizes that research supports Magnet® hospitals as having which direct effect on client care? a) Higher nurse retention b) Longer lengths of stays c) Better patient outcomes d) Improved job satisfaction scores

Better patient outcomes

The nurse executive wishes to be a transformational leader. What should this nurse focus on to become effective in this role? (Select all that apply). Improving interpersonal skills. Advancing personal formal education. Identifying mentors. Becoming an expert clinician. Creating a vision for the future of nursing in the facility.

Improving interpersonal skills. Creating a vision for the future of nursing in the facility.

Transformational

Leaders motivate & inspire Create a common vision

inconsistent

Low productivity: low morale

The nurse manager notices a trend in nurses routinely arriving to work late. How can the nurse use the transactional leadership style to get nurses to arrive to work on time? A) Allow the nursing staff to develop a plan to decrease tardiness within the unit. b) Emphasize the importance of arriving to work on time during a monthly unit meeting. c) Monitor time clock reports on a monthly basis and enter all nurses who have not been tardy into a raffle for a paid day vacation. d) Generate a report of nurses who routinely arrive to work late and set an example by firing the nurse who has been tardy the most.

Monitor time clock reports on a monthly basis and enter all nurses who have not been tardy into a raffle for a paid day vacation. Transactional leadership style involves creating a reward system to get the desired outcome

13. Evidence-based nursing practice is the end result of:  ) Prescriptive theory B) Use of practical knowledge C) Application of theoretical knowledge D) Theory-generating and theory-testing research

Theory-generating and theory-testing research

Transactional

Transactional Task/reward orientation Minimal member involvement

How should a nurse leader best address nurses' resistance to a change in the shift-scheduling protocol on their hospital unit? a) Explain the benefits of the change and elicit honest feedback. b) Explain the cost savings that the change will bring for the hospital. c) Allow those who remain unconvinced to temporarily opt out of the proposed change. d) Put the matter to a vote and respect the wishes of the majority.

a) Explain the benefits of the change and elicit honest feedback.

Which type of skills is not needed for nursing leadership? a) Communication skills b) Technical skills c) Problem-solving skills d) Self-evaluation skills

b) Technical skills

Quantum

An organizations & its members are inter-connected & collaborative

. Which of these statements reflects the expected functioning at a hospital that has achieved Magnet status? a) Nursing administration is in control of all decision-making. b) Most client outcomes have improved but are not at target range. c) Staff nurses are developing innovative solutions to problems. d) There is a decreased rate of retention among the nursing staff.

C -A hospital that has achieved Magnet status has recognition of quality client care that is provided by nursing staff who are professional and well-qualified. The staff nurses participate in self-governance and, therefore, work toward innovative solutions to problems.

The nurse has just been promoted to unit manager. Which advice, offered by a senior unit manager, will help this nurse become inspirational and motivational in this new role? A) "Don't be too soft on the staff. If they make a mistake, be certain to reprimand them immediately." B) "Give your best nurses extra attention and rewards for their help." C) "If you make a mistake with your staff, admit it, apologize, and correct the error if possible." D) "Never get into a disagreement with a staff member

C) "If you make a mistake with your staff, admit it, apologize, and correct the error if possible."

Democratic / participatory

Focus: on members and Group participation: unlimited High productivity; high morale leader is the facilitator requires time

Laissez-Faire / non directive

Focus: undetermined Group participation leaders participation is minimal hands off approach

A staff nurse works on a surgical unit where the nurse leader allows the staff to make all decisions and direct themselves. The staff nurses fill out the work schedule and sometimes there are days where the unit is short staffed. The staff nurse feels the unit needs better leadership. The nurse leader is practicing which of the following leadership styles? a) Autocratic b) Democratic c) Laissez-Faire d) Transformational

c) Laissez-Faire

Leadership

Ability to direct/motivate a person or a group to achieve set goals gurgling others to be a better self as they work together on a specific goal

a) Nurses work in groups to care for clients. Physicians collaborate with nurses. Quality client care is provided. b) Staff voice concerns among themselves about the requirement of mandatory overtime. A unit meeting is called to discuss the issues with management. The mandatory overtime requirement is reinforced by management. c) A need for a safer intravenous therapy pump is identified. New intravenous therapy pumps are purchased and training for staff nurses is provided. Intravenous therapy pumps are placed on the nursing unit for client care. d) Multifunctional machines monitor clients' vital signs. Data from the machines is used to create trends in clients' health. The trends are compared to national norms and used to determine if measures can be taken to improve client care.

) A need for a safer intravenous therapy pump is identified. New intravenous therapy pumps are purchased and training for staff nurses is provided. Intravenous therapy pumps are placed on the nursing unit for client care.

12. Evidence-based practice has been established to advance nursing practice. The goals for this practice have been to: reduce health care costs and improve health care. facilitate the highest quality of care and the best client outcomes. encourage increased research utilization in nursing practice. evaluate research findings and scientific evidence to a specific clinical question.

facilitate the highest quality of care and the best client outcomes.