EAQ: Leadership

safety need

A client with an allergy has been administered a dose of antihistamine. The nurse finds that the client is drowsy and dizzy. Which type of need would the nurse prioritize in the client according to Maslow's hierarchy of needs?

Providing care that fits the clients cultural beliefs

In providing effective nursing care to clients from different cultural backgrounds, which strategy would the nurse follow?

physiological, safety, social, esteem, self actualization

In which order would the nurse arrange the human needs of Maslow's hierarchy? Arrange from the top priority need to the lowest priority need.

Inclusion of the timeline and deadline

The nurse leader has developed an objective for strategic planning. Which point indicates that the nurse possesses the ability to write clear and concise objectives?

the nurse is staying clear on group outcomes

The nurse leader is a member of the human resource committee. Which role task would this support?

maintaining balance

The nurse leader is setting priorities for achieving success by using the simplest and fastest method of communication. Which rule or responsibility would the nurse fulfill by this action? maintains work-life balance in his/her own life, as well as facilitating balance for followers.

Conflict can be constructive if conflict is excessive

The nurse leader is teaching the nursing staff about conflicts in an organization. Which statement is INACCURATE regarding conflict in an organization?

cultural competence

The nurse leader is teaching the staff that the health care provider strives to work effectively within the cultural context of a client. Which cultural principle is the nurse leader explaining?

autocratic

The nurse manager issued orders to take the utmost care of a client with myocardial infarction and expects the staff to obey and follow the rules immediately. Which type of decision-making is the manager using?

plan a workshop that offers opportunities to learn about the cultures the nurses might encounter while at work

The nurse manager works on a unit where the nursing staff members are uncomfortable taking care of clients from cultures that are different from their own. Which action would the nurse manager take to address this problem?

"A leader has a formal position" Leader does not necessarily have a formal position to indicate that he or she is a leader; rather, leadership refers to the performance.

The registered nurse is teaching a group of nursing students about leadership principles. Which statement made by a nursing student indicates the need for further teaching?

nursing unit manager because controlled substance issues for a particular nursing unit are that person's responsibility

Two nurses are counting narcotics at shift change and find the number of hydrocodone pills is incorrect. After several minutes of searching the medication cart and medication records, no explanation is found. Which nursing personnel would be notified of the discrepancy?

inspiring the self-interest of the employees by offering external rewards

Which action by the nurse leader is indicative of transactional leadership?

Supervising the tasks assigned to unlicensed nursing personnel

Which action by the registered nurse represents her/her leadership ability?

Determining which information is to be shared

Which action of the nurse leader is appropriate when preparing to share information with followers?

Being loyal, assisting with projects, maintaining confidentiality

Which actions can an effective mentor expect from an aspiring leader?

modeling behavior, giving timely feedback providing appropriate advice

Which actions can the mentor take to develop effective leadership qualities in the aspiring leader?

problem-solving skills

Which characteristic would be important for the nurse leader to use to be effective?

values, interest, knowledge

Which internal factors affect the decision-making process of a leader?

a splenectomy is done on the wrong client

Which is an example of a sentinel event? A sentinel event is an unexpected occurrence involving death, serious physical injury or psychological injury.

Empowerment empower followers or share the authority with the followers by asking them to actively participate in the given task.

Which is the role of the nurse executive as a leader?

Functional Model

Which model of nursing is focused on the task-oriented approach to client care? a method of providing client care by which each licensed and unlicensed staff member performs specific tasks for a large group of clients.

Elicit a vision from people, Bring out the best in people, Inspire people to bring the vision into reality

Which qualities would an effective leader exhibit?

exercising self-awareness motivating self and others managing emotions in self and others

Which qualities would the professional nurse require to lead and manage a team?

leadership is an earned honor and an action-oriented responsibility

Which statement is true regarding leadership?

complexity theory which emerged from the work of the physical sciences and more recently, social sciences

Which theory related to leadership is a nontraditional theory that has emerged from the physical and social sciences?

Quantum theory states that leaders must embrace uncertainty and understand behaviors before changing them.

Which theory states that leaders act as change catalysts and innovators?

management the process of guiding, planning and controlling others in a situation in which communication is shared to improve clinical processes and outcomes

While auditing unit documents, the nurse finds some omissions. Which term describes how to discuss the findings and communicate ways to achieve the desired goals with the staff?

leadership

a process of identifying a goal or target, motivating other people to act, and providing support and motivation to achieve goals

time and resources

are the external factors that affect the decision-making of a leader

motivational and management theories

are traditional theories of leadership

example of medication error

client receives the wrong antibiotic

example of negligence

confused client falls out of bed because the nurse did not put up the ordered siderails

optimizing

decision-making when the nurse considers both pros and cons of each position

cultural diversity

describes a vast range of cultural differences among individuals or groups

Cultural Sensitivity

describes the affective behaviors in individuals such as the capacity to feel, convey and react to ideas, habits, and customs or traditions unique to a group of people

McGregor's Theory X

describes the workforce motivation by assuming that people basically do not like their work and must be coerced by their manager to perform

Laissez-faire

hands-off approach which is taken by a manager who chooses to do nothing when intervention is indicated

Role Theory

is a collection of concepts that predict circumstances under which certain types of behaviors are expected.

Trait theory

is a leadership theory in which leadership traits such as a certain set of physical and emotional characteristics are innate and cannot be learned.

Primary Model

is a model of client care delivery whereby one RN functions autonomously as the client's main nurse throughout the entire hospital stay.

case management model

is a model of delivering client care based on client outcomes and cost containment

The National League of Nursing

is a professional organization related to the education of nurses

Team Model

is a small group of licensed and unlicensed personnel, with a team LEADER, are responsible for providing client care to a group o clients.

bureaucratic

is focused on organizational rules and policies

followership

process of following the leader or the manager to ensure the best clinical decision-making and actions taken to achieve organizational outcomes

decision-making

process of making crucial decisions

The Academy of Medical-Surgical Nurses (AMSN)

publishes scope and standards of practice for general medical surgical nursing but not nursing and nursing specialties.

Quality and Safety Education for Nurses (QSEN)

supports development of the knowledge, skills and attitudes needed to improve the quality and safety of the health care system

expectancy theory

that motivational behavior is increased by rewarding good and innovative performance, it is not rooted in the physical sciences

advocating on behalf of the client

the nurse finds that an 80-yo client's family is not caring for the client properly. Which action of the nurse indicates leadership quality?

cultural imposition

the tendency of an individual or group to impose their values, beliefs and practices on another culture for various reasons.

American Nurses Association (ANA)

which organization provides scope and practice guidelines on the roles and responsibilities for nursing and nursing specialties?