HESI Leadership EAQ:

Which nurse manager's behaviors and outcomes denote the qualities of transformational leadership?

Nurse Manager 2: Question old ways and find new solutions.

The nursing leader is teaching the newly hired nurse about the use of computerized provider order entry (CPOE). Which statement by the new nurse indicates effective learning? Select all that apply.

"CPOE will provide clinical warnings." "CPOE will provide legible medication orders." "CPOE will give automatic order notifications."

Which question asked by a nurse leader establishes and maintains a human rapport with staff?

"How are your children?"

According to chaos theory, which statement from the nurse executive indicates having the qualities of a manager? Select all that apply.

"I will take risks willingly." "I will use creativity and flexibility." "I will experiment with new ideas in a situation."

The nurse as a leader teaches staff about organizational disciplines to support change and evolution. Which statement of the nurse is relevant in the context of maintaining self-awareness and using reflection?

"Personal mastery fosters openness in the face of change."

Which statement of the nurse leader reflects the actions suggested by the Joint Commission for disruptive behavior by a direct care nurse?

"You are terminated, effective now." Sheesh.

The nurse as a leader explains ethical principles to the student nurse. Which example does the leader give for autonomy?

Accepting the client's wish to donate his/her organs after death

The nurse manager is looking to include members of the health care team in the decision-making process but finds that many members are reluctant to offer ideas. Which approach by the manager generates a large volume of creative options while encouraging reticent members of the team to participate?

Brainstorming!

A senior nurse finds that the nurse leader is implementing Gardner's task of "achieving workable unity" effectively. Which action of the nurse leader supports the senior nurse's finding?

Developing conflict resolution skills effectively

Which of Gardner's tasks involves anticipating client outcomes for single clients or families and helping them formulate their vision of future well-being?

Envisioning goals.

A nurse leader wants to communicate and explain changes to hospital rules to team members. Which approaches should the nurse leader follow for effective communication? Select all that apply.

Explaining the reason behind the change Providing the opportunity for dialogue and feedback Giving information that addresses the listener's self-interest

The nurse resolves a conflict with another nurse by using accommodation. In what situations is accommodation appropriate for resolving conflict? Select all that apply.

Facing trivial issues Other person's solutions appear better When harmonious relationships have to be preserved

The chief operating officer conducts an interview for the position of nurse leader and asks about Kotter's eight-step model. Which attribute cited by the nurse relating to helping build the momentum is correct?

Forming a powerful coalition

Which task followed by the executive nurse is a leadership development task?

Having a clear vision.

A nurse manager is assessing the qualities of a team that is led by the nurse leader. Which qualities indicate an effective team? Select all that apply.

Informal in the work environment Ability to handle conflicts by open discussions

In evaluating risks, what does the nurse understand is the responsibility of risk managers?

Involving perspectives from numerous disciplines

What statements are related to a mentorship program organized by the nurse manager in a health organization? Select all that apply.

It expands the knowledge about cultural diversity. It involves selection of mentors who ascribe to transcultural values and beliefs. It should not make people of different cultures pattern their behavior after the prevailing culture.

A nurse is planning to negotiate with the supervisor in order to achieve a better work environment. Which actions are appropriate in this context? Select all that apply.

Making tradeoffs. Asking for a more desirable work schedule.

While serving as a leader, the nurse assists the client with planning, priority setting, and decision making. Which of Gardner's leadership tasks is the nurse putting into practice?

Managing.

The nurse manager is planning to develop leadership skills in direct care nurses. What activities should the nurse encourage the direct care nurses to participate in to develop these skills? Select all that apply.

Serve on practice councils Join local professional associations Participate in American Heart Association activities

A nurse leader is promoting dialogue within the team successfully. Which actions of the nurse leader are responsible for this success? Select all that apply.

Serving as a facilitator. Encouraging sharing of ideas. Reacting to changed proposals honestly.

While serving as a leader, the nurse uses contingent variables recognized by the path-goal theory of leadership. Which actions of the nurse reflect the use of contingent variables? Select all that apply.

Setting clear expectations Eliminating obstacles to goal achievement Increasing opportunities for follower satisfaction

Which qualities of a nurse leader can move the organization in a forward direction to continue delivering the best possible care? Select all that apply.

Supporting followers effectively. Nurturing followers w/ right knowledge & direction.

After resolution of a conflict, the nurse leader encourages a team member who was involved in the conflict. To be an effective leader, which action should the nurse leader avoid?

Telling the team member that he or she will get legal punishments for conflicts in future

Which critical factors would the nurse say are associated with situational-contingency theory? Select all that apply.

The ability of the leader to reward followers The degree of trust and respect between leaders and followers The task structure about goals and the complexity of the problems being faced

After providing feedback to a student nurse, the registered nurse motivates the student nurse to become a leadership "tag." What does the registered nurse refer to by this statement?

To be philosophic, client-centered, and values driven

The nurse leader has implemented a change in documentation of nursing care. The nurse leader finds that the licensed practitioner nurse (LPN) is resistant to change and is not participating in the change process. Which approach made by the nurse leader would be appropriate in dealing with the LPN?

To confront the LPN and encourage verbalization of feelings regarding the change

During a feedback session, the nursing staff communicates that a recently appointed nurse is using "empowerment theory." Which statement of the nursing team members most supports this position? Select all that apply.

"He/she can share power with others." "He/she encourages others to provide input into decisions." "He/she provides considerable information about the decision-making process."

During a peer review, the manager finds that a newly appointed nurse leader encourages "bottom up" interaction among the workers. To which statement of the staff does the manager relate this?

"He/she involves us in shaping policies for client care."

The registered nurse is teaching a group of student nurses about the role of the nurse as a leader. Which statement by a student nurse indicates effective learning?

"The goal of the nurse manager is to develop a shared vision of the future with direct care nurses."

The nurse leader is teaching about the role of followers to the nursing staff. Which statement made by the nursing staff is true regarding the followers' traits? Select all that apply.

A follower demonstrates collaborative behavior in daily practice. A follower cooperates with the leader and peers to reach the team goal.

A senior nurse finds that a nurse leader is implementing the dialogue method while working along with the team. Which nurse leader's action supports the senior nurse's finding?

Allowing team members with different perspectives to come together and find common goals

Hospital management has replaced some equipment to provide more effective treatment. The nurse, as a leader, wants the team to support and implement this change successfully. Which actions of the nurse leader are effective in this situation? Select all that apply.

Conducting a dialogue with the team members Encouraging the team members to develop new skills Encouraging the team members to increase competency in different areas

A nurse working in a medical unit finds that diabetic clients have a knowledge deficit regarding use of glucose-monitoring devices. The nurse requests that a colleague who works in the outpatient diabetic counseling department provide health teaching to the clients. Which type of power does the nurse's colleague hold?

Information power.

A hospital wants to implement the primary nursing model on the premises. Which challenges are likely to be faced by the management? Select all that apply.

Lack of nurse availability. Lack of experienced nurses.

The nurse manager sends the nursing team to perform a pediculosis screening at an elementary school and stays behind to catch up on administrative work. Which leadership quality does the manager fail to demonstrate in this instance?

Leading by example.

While reviewing the work of a team, the nurse observes a conflict among the members. How should the nurse build in consultation before and feedback after the negotiations in a conflict resolution?

Providing a forum for open discussion.

A nurse manager asks for extra help from other nurses in the unit. In exchange, the nurse manager ensures special care for the parent of a staff nurse who is currently a client in the hospital. Which behavior does the nurse manager exhibit?

Quid pro quo

The nurse as a leader in the healthcare setting is studying how the communities and cultures that make up society relate to healthcare delivery. Which aspect of systems thinking theory of leadership is the nurse applying in this situation?

Recognizing the dynamic, complex, and interdependent nature of systems

The nurse, as a leader, takes care of himself or herself to promote the nurse's ability to care for the staff. Which of Gardner's tasks of leadership is the nurse applying in practice?

Renewing.

Which behavior is an example of the nurse's role as an executive in the Gardner task of leadership?

Representing the organization and client care services on councils

The student nurse is assisting the registered nurse (RN) in collecting feedback from superiors and peers. The questions they are asking address comments to the RN about his or her work quality that affects the environment and overall productivity. Which theory does the student nurse think the RN is applying practically as a leader?

Style theory

The registered nurse (RN) finds that a student nurse is unwilling to participate in a community health literacy program conducted for clients with diabetes mellitus . Which action of the RN portrays his or her leadership ability?

Inspiring the student nurse to take active participation

Which actions of the nurse exhibit transactional leadership? Select all that apply.

Meeting the targets within the deadline Working according to organizational rules Correcting the errors in a reactive manner

The nurse leader asks, "Do I avoid taking a stand so that I can escape risk?" Which behavior is the nurse most likely practicing?

Rarely using competing

The leader nurse is calculating the average daily census (ADC) in a 40-bed medical surgical unit, which accrued 679 client days in the month of July. What is the ADC on this unit? Record your answer using a whole number. ____________

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A nurse manager promotes a staff nurse to assistant manager of the medical unit as the staff nurse had expressed interest in taking on more responsibilities. Which type of ethical principle is exhibited by the nurse manager by this activity?

Beneficence

The nursing manager wants to implement transformational leadership qualities. Which actions best describe this style of leadership? Select all that apply.

Providing intellectual stimulation Performing experiments with system redesign. Using motivator factors to inspire work performance.

The nurse leader arranges a meeting with the staff members to learn how satisfied they are with their jobs. Which approach by the nurse leader would outline effective leadership? Select all that apply.

Seeking feedback from the team Motivating the team to reach the desired goals Asking the team to participate in decision making

After communicating with the follower of a 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.

"I have to face penalties for poor performance." "I have to meet the deadlines of my work at any cost." "I am getting my errors corrected in a reactive manner."