Chapter 28 Leadership

Which statement by the student nurse demonstrates an understanding of how to best address the nursing shortage?

"Leadership skills are an essential component to addressing the nursing shortage." Rationale: Leadership skills are essential to addressing the nursing shortage. One aspect supporting this view is safe staffing provided by the leader.

Benner identified skill acquisition in clinical competence for nurses that include which stages? Select all that apply.

* Expert * Novice * Proficient * Competent * Advanced beginner Rationale:Benner identified five stages of clinical competence for nurses: expert, novice, proficient, competent, and advanced beginner. Aggressive is not a stage of clinical competence for nurses.

Which role does the nurse assume to meet the needs of the public?

Advocate Rationale: The public depends on nurses to support their needs and interests. Nurses assume the role of advocate to carry out this support

Which is a barrier to leadership?

False assumptions Rationale: False assumptions about leaders and leadership can result in failure. The leader must not perceive the leadership role as authoritative. Rather, leaders should inspire and motivate employees toward the organization's vision.

Which aspect of leadership development is being demonstrated by the nurse manager who, desiring to improve patient-nurse relationships in the unit, listens carefully to patients and treats them with respect?

Leading by example Rationale: An effective leader knows that the most effective and visible way to influence people is to lead by example.

Which concept is an identified leadership development task?

Sharing the rewards. Rationale: An identified leadership development task is sharing rewards.

Which type of leadership style is recommended by the Magnet Recognition Program®?

Transformational Rationale: The Magnet Recognition Program® places great emphasis on transformational leadership to move organizations to high levels of quality

Which role is the nurse implementing when working with others in the organization to develop a clear vision of the preferred future and to make the vision happen?

Leader Rationale: The nurse working with others in the organization to develop a clear vision of the preferred future and to make the vision happen is taking on the role of leader.

Which is a complex, highly important, and challenging skill expected of all nurses?

Leadership Rationale: Leadership is a complex, highly important, and challenging skill expected of all nurses.

Which statements reflect how a nurse can be a leader in the community setting? Select all that apply.

Attending civic gatherings Participating in public forums Rationale: A nurse can be a leader in the community by attending civic gatherings and participating in public forums.

Which is an example of a transactional leader?

Boss Rationale: A transactional leader is the historical "boss" image

The nurse executive becomes aware that there is tension between one of the nurse managers and the direct care nurses under that manager. The nurse executive follows a transformational leadership model. Which action does the nurse executive take to begin to address this tension?

Calls a meeting with all parties to encourage them to work together to form solutions. Rationale: Transformational leadership involves inspiring shared vision and bringing parties together to work for a shared goal. By calling all parties together to form solutions, the nurse executive is inspiring such vision

Which educational program's end competencies include: understanding microsystem dynamics and the need for clinical leadership, interdisciplinary collaboration, teamwork, and process improvement?

Clinical nurse leader (CNL) Rationale: The end competencies of the CNL graduate education program include: understanding of microsystem dynamics and the need for clinical leadership, interdisciplinary collaboration, teamwork, and process improvement.

Which statement describes the impact of transformational leadership?

Employees performing beyond expectations and improving organizational culture. Rationale: The end product of motivational or transformational leadership is that the employees will perform beyond expectation and improve organizational culture.

Which action demonstrates a bedside nurse in the role of leader when caring for a patient experiencing an acute allergic reaction?

Engaging the team to provide emergency care to minimize injury Rationale: Leader refers to performance, not a formal position. Nurses lead when intervening with courage for a patient, and leaders have followers. The bedside nurse is acting as a leader when engaging the team to provide emergency care to a patient to minimize injury.

Which effects on followers are typical with transformational leadership? Select all that apply.

Feeling a sense of being valued. Doing challenging and meaningful work Having an increased sense of self-worth. Rationale: For followers, transformational leadership results in a sense of being valued, challenging and meaningful work, and increased sense of self-worth.

Which historical leadership figure in nursing is considered the mother of modern nursing and developed her vision of nursing to address barriers people were experiencing to their ability to regain or establish health? 1

Florence Nightingale Rationale: Great leaders have been responsible for helping society move forward and for articulating and accomplishing one vision after another throughout time. Florence Nightingale is considered the mother of modern nursing, and she called her vision nursing, and it was developed because people were experiencing a void that was a barrier to their ability to regain or establish health.

A bedside nurse acts an informal unit leader when completing which task?

Identifying a quality care issue. Rationale: Leader refers to performance, not a formal position. Nurses lead when intervening with courage for a patient.

Which is an essential element of success for the nurse manager as a leader?

Include direct care nurses in decision making. Rationale: An essential element of success for the nurse manager as a leader is the inclusion of direct care nurses in decision making. This contribution can enhance organizational commitment and create a sense of pride in successful outcomes.

Which is an important workplace construct in nursing administration and healthcare administration?

Job satisfaction Rationale: Job satisfaction within the workplace is an important construct in nursing administration and healthcare administration.

Which term describes an individual who works with others to develop a clear vision of the preferred future and to make that vision happen?

Leader Rationale: A leader is an individual who works with others to develop a clear vision of the preferred future and to make that vision happen.

Which is a confidante and coach, cheerleader, and teacher?

Mentor Rationale: A mentor is someone who models behavior, offers advice and criticism, and coaches the novice to develop a personal leadership style. Mentors are confidantes and coaches, cheerleaders, and teachers.

The staff nurse is interested in becoming a nurse manager. He or she works with a nurse manager who provides insight and guidance. What is this nurse manager's role called?

Mentor Rationale: A mentor is someone who provides insight and guidance to assist future nurse leaders.

Which role can be taught using traditional teaching techniques, but is usually a reflection of rich personal experiences?

Nurse Leader Rationale: Although the role of nurse leader can be learned through teaching using traditional teaching techniques, the role is usually a reflection of rich personal experience

Which communication technique is useful when an authoritarian leadership style is not appropriate and the nurse manager has to convince colleagues to work together?

Persuasion Rationale: Leadership effectiveness depends on mastering the art of persuasion and communication. Success depends on persuading followers to accept a vision by using convincing communication techniques and making it possible for the followers to achieve the shared goals. The tactics of persuasion are useful when an authoritarian leadership style is not appropriate and the nurse has to convince colleagues to work together.

Which attributes are characteristic of effective leaders according to Covey? Select all that apply.

Service oriented Believe in others Engaged in Self-Renewal Rationale: According to Covey, characteristics of effective leaders include being service oriented, believing in others, and being engaged in self-renewal.

Charismatic, inspirational, intellectually stimulating, and individualized consideration are behaviors of which leadership style?

Transformational Leadership Rationale: Transformational leadership is based on an inspiring vision that changes the framework of the organization for employees and includes behaviors such as charismatic, inspiring, intellectually stimulating, and taking individual considerations into account.

Which key skill for leaders to develop is most effective at influencing followers?

Understand the leader serves the followers Rationale: It is key for leaders to understand that they serve their followers. Leaders should recognize that they serve followers, not the other way around. The leader does not direct employees to do a job; rather, he or she leads them toward a mutual goal as a team.