Fundamentals CH10

12. A nurse is described as a "quantum leader." Which action characterizes this type of leadership? A) A nurse conducts a blind survey to evaluate her leadership skills. B) A nurse relinquishes power to a group deciding hospital policy. C) A nurse makes policy decisions for coworkers without consulting them. D) A nurse sticks to the "tried and true" methods when implementing client care.

A) A nurse conducts a blind survey to evaluate her leadership skills.

17. Planned change is a purposeful, systematic effort to alter or bring about change. What occurs next after alternative solutions to a problem are determined and analyzed? A) All of the alternative solutions are implemented. B) A course of action is chosen from among the alternatives C) The effects of the change are evaluated. D) The change is stabilized and established.

B) A course of action is chosen from among the alternatives

14. A nurse believes in listening to clients and coworkers more than talking to them, allowing more personal control for all involved. This is a quality of which of the following managerial mindsets? A) Reflective B) Analytical C) Worldly D) Collaborative

D) Collaborative

15. In which of the following conflict resolution strategies is the conflict rarely resolved? A) Collaborating B) Compromising C) Competing D) Smoothing

D) Smoothing

7. 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

18. In general, how do most people view change? A) By how it affects the cohesiveness of the group B) By how much it will cost in time and resources C) By how they are affected personally D) By how it will affect others on the staff

C) By how they are affected personally

27. Which of the following statements accurately describes recommended guidelines for overcoming resistance to change? Select all that apply. A) Explain the proposed changes only to the managers of the people involved. B) Whenever possible, use technical language to describe the changes. C) List the advantages of the proposed change for members of the group. D) Avoid relating the change to the group's existing beliefs and values. E) If possible, introduce change gradually.

C) List the advantages of the proposed change for members of the group. E) If possible, introduce change gradually.

There is a perception in a long-term care facility that the older adult residents are experiencing falls more often than in the past. An audit of incident reports has confirmed this, and the nursing leadership has recognized the need to make changes to reduce the incidence of falls. How should the leaders proceed with this planned change? Place the following steps in the correct order. 1. Implement the change in nursing practice. 2. Choose a new protocol that is likely to reduce falls. 3. Take measures to ensure that nursing practice does not revert. 4. Determine and analyze different solutions to the problem. 5. Develop a plan for implementing the change. A) 1, 2, 3, 4, 5 B) 1, 3, 2, 4, 5 C) 5, 1, 2,, 3, 4 D) 4, 2, 5, 1, 3 E) 3, 1, 4, 5, 2

D) 4, 2, 5, 1, 3

5. The nurse has just graduated with a Bachelor of Science in Nursing and is eager to find a mentor at this early stage in her career. Which of the following individuals is most likely to be an appropriate mentor for the nurse? A) An experienced nurse who was a preceptor in a previous clinical placement B) The nurse educator on the hospital unit where the novice nurse has been hired C) A colleague who graduated with honors at the same time as the novice nurse. D) The unit manager who the novice nurse.

A) An experienced nurse who was a preceptor in a previous clinical placement

10. What type of leader shares decisions and activities with group participants? A) Democratic B) Autocratic C) Laissez-faire D) Situational

A) Democratic

21. A nurse working on leadership skills should keep in mind which of the following accurate statements regarding leaders? A) People are born leaders. B) Leadership should be approached quickly. C) Leaders develop leadership skills in undefined situations. D) All nurse leaders began as inexperienced nurses.

D) All nurse leaders began as inexperienced nurses.

9. A nurse manager makes all of the decisions for staff activities. What type of leadership is demonstrated by this action? A) Democratic B) Self-governance C) Laissez-faire D) Autocratic

D) Autocratic

11. A nurse leader is described as charismatic, motivational, and passionate. Communications are open and honest, and the nurse is willing to take risks. What type of leadership is the nurse practicing? A) Democratic B) Autocratic C) Quantum D) Transformational

D) Transformational

24. The ANA, which is committed to monitoring the regulation, education, and use of NAPs, recommends adherence to which one of the following principles? A) It is the nursing profession that determines the scope of nursing practice. B) It is the RN who defines and supervises the education, training, and use of any unlicensed assistant roles. C) It is the assigned NAP who is responsible and accountable for his or her nursing practice. D) It is the purpose of the RN to work in a supportive role to the assistive personnel.

A) It is the nursing profession that determines the scope of nursing practice.

30. The nurse is caring for a client who had a sudden episode of vomiting, which produced 900 mL of frank blood. The nurse directed and delegated to colleagues in order to notify the physician. She started intravenous fluids, and provided physical and emotional support for the client. Different situations call for different leadership styles. Which of the following leadership styles did the nurse display in this situation? A) Democratic B) Laissez-faire C) Autocratic D) Transformational

C) Autocratic

6. A senior student has been elected president of the Student Nurses Association. Which of the following qualities is essential to being a nursing leader? A) Physical stamina B) Physical attractiveness C) Flexibility D) Independence

C) Flexibility

3. What type of leadership can a graduate nurse working in a magnet hospital expect? A) Democratic B) Autocratic C) Situational D) Quantum

A) Democratic

1. Which of the following nursing care tasks is acceptable for a graduate nurse to delegate to unlicensed assistive personnel (UAP)? A) Assisting a client with ambulation B) Evaluation of nursing care delivered to a client C) Initial and ongoing assessments D) Development of a client teaching plan

A) Assisting a client with ambulation

33. During a staff meeting, the nurse is discussing new quantum leadership. The nurse explains that in this type of leadership change is viewed as which of the following? A) Constant and predictable B) Dynamic and constantly unfolding C) Evolving very slowly D) An entity needing planning

B) Dynamic and constantly unfolding

13. When comparing team nursing with functional nursing, what characteristic is found? A) Team nursing is very similar to functional nursing. B) Team nursing focuses on individual client care. C) Functional nursing has a stronger focus on the client. D) Functional nursing is based on total client care.

B) Team nursing focuses on individual client care.

8. A nurse strives to establish trusting interpersonal relationships with clients, peers, subordinates, and superiors to facilitate goal achievement and personal growth of all participants. Which type of skills is this nurse demonstrating? A) Communication skills B) Problem-solving skills C) Management skills D) Self-evaluation skills

A) Communication skills

4. The nurse is having an exceptionally busy shift on an obstetrical unit. Which of the following tasks is the nurse justified in delegating to an unlicensed care provider? A) Emptying a client's Foley catheter bag and reporting the volume to the nurse B) Helping a first-time mother achieve a good latch when breast-feeding her infant C) Assessing the size and quantity of clots that are in a client's bedpan and informing the nurse D) Giving an anti-inflammatory to a client who is eight hours postdelivery

A) Emptying a client's Foley catheter bag and reporting the volume to the nurse

31. The nurse is a manager on an orthopedic unit. The unit changed to a new computer documentation system three days ago. One of the night nurses has called in sick every shift since the new system started. The nursing manager is aware that this situation has to do with resistance to change. Which of the following are common reasons why people resist change? Choose all that apply. A) Feel threatened B) Fear increased responsibility C) Lack of understanding D) See no benefits to the change E) Dislike hospital chief officer

A) Feel threatened B) Fear increased responsibility C) Lack of understanding D) See no benefits to the change

32. The nursing student is working to improve his time management. Which of the following would assist the nursing student in accomplishing his goal? Choose all that apply. A) Identify priorities for the day. B) Evaluate time management at the end of the day. C) Establish a reasonable time line. D) Plan to arrive right at start of shift. E) Plan on his cohorts helping him

A) Identify priorities for the day. B) Evaluate time management at the end of the day. C) Establish a reasonable time line.

22. A student nurse has just graduated with a baccalaureate degree in nursing. What type of nursing leadership will this nurse be expected to provide? A) Nursing care of the individual client B) Demonstration of selected critical skills C) Ability to be a follower rather than a leader D) Nursing care of groups of clients

A) Nursing care of the individual client

29. A head nurse assumes the leadership role when directing and supervising coworkers. Which of the following are attributes of a leader? Select all that apply. A) Philosophical B) Task-oriented C) Charismatic D) Dynamic E) Intimidating

A) Philosophical C) Charismatic D) Dynamic

Nurses with varying levels of experience possess leadership skills. A graduate nurse walks out of the nurse manager's office after a meeting. The graduate nurse reflects on the positive and negative feedback that she received from the manager regarding her three months working on the unit. What nursing leadership skill is best illustrated by the graduate nurse in this scenario? A) Self-evaluation skills B) Communication skills C) Problem-solving skills D) Management skills

A) Self-evaluation skills

28. A nurse is attempting to change the method for documenting client care in a hospital setting. Which of the following should be considered before planning change? Select all that apply. A) What is amenable to change? B) How does the group function as a unit? C) Is the group ready for change? D) Are the changes major or minor? E) How can I keep from changing again?

A) What is amenable to change? B) How does the group function as a unit? C) Is the group ready for change? D) Are the changes major or minor?

19. A nurse manager has encountered resistance to a planned change. What is one way the nurse can overcome the resistance? A) Tell the staff that if they don't like it, they can quit. B) Implement change rapidly and all at once. C) Encourage open communication and feedback. D) Let the staff know that the change is mandated.

C) Encourage open communication and feedback.

26. A nurse manager has directed a registered nurse who is out of school for one year to become a member of the institution's policy and procedure committee. A goal in the nurse manager's delegation is to assist the nurse to what? A) Be involved in the hospital B) Be confident in employment C) Grow in her profession D) Understand the hospital setting

C) Grow in her profession

23. A nurse is considering the delegation of administering medications to an unskilled assistant. What is the first question the nurse must ask herself before doing so? A) Has the assistant been trained to perform the task? B) Have I evaluated the client's response to this task? C) Is the delegated task permitted by law? D) Is appropriate supervision available?

C) Is the delegated task permitted by law?

25. Which of the following is a characteristic of mentorship? A) It is a paid position to orient new nurses to the workplace. B) It involves membership in a professional organization. C) It is a link to a protégé with common interests. D) It is not encouraged in health care settings

C) It is a link to a protégé with common interests.

20. Which of the following statements accurately describes the use of power by change agents? A) They know that power comes from one source—management. B) When introducing change they do not enlist the support of key power players. C) They are often accomplished professional women. D) They do not recognize their own strengths and weaknesses.

C) They are often accomplished professional women.

34. Which of the following tasks could the nurse safely delegate to unlicensed assistive personnel? A) An initial assessment of a client B) Determination of a nursing diagnosis C) Evaluation of client progress D) Documentation of client's I+O on a flow sheet

D) Documentation of client's I+O on a flow sheet

16. In Lewin's classic theory of change, what happens during unfreezing? A) 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.