Leadership Exam 1
A health care team has been challenged to determine what other facilities are doing to decrease the number of hospital-acquired infections so that an action plan can be created to decrease the rate in their facility. What will the health care team do to achieve this challenge? A. Benchmarking B. Best practices C. Root cause analysis D. Patient outcome evaluation
A
A nurse is tasked with performing an audit on patients in the long-term care facility who are developing pressure ulcers. After identifying the information relevant to the criteria, what is the nurse's next action? A. Determine ways to collect data B. Analyze the data C. Make a judgment about quality D. Reevaluate
A
An experienced nurse using contingency theory is orienting a new graduate to the unit. What needs will the nurse meet with the new graduate using this theory? (Select all that apply.) A. Coaching B. Counseling C. Developing D. Discipline E. Team-building
A, B, C
A nurse in a leadership role is committed to a vision for retention in the medical-surgical unit and is able to empower others with this vision. What form of leadership is this nurse demonstrating? A. Transactional B. Transformational C. Interactional D. Bureaucratic
B
A nurse leader at a long-term care facility wants to determine if vital signs are being checked according to policy. What can the leader do to measure this process of care? A. A critical event analysis B. A process audit C. Patient outcome evaluation D. Benchmarking
B
A nurse leader is having a discussion with a team member about changes that will be made on the unit. Which statement by the team member demonstrates the greatest problem for the leader? A. 'Your plans for the changes will be difficult to implement.' B. 'I don't think you heard what the rest of us had to say.' C. 'Do you have an idea what direction we need to go?' D. 'Can you tell me why my suggestion will not work?'
B
A nurse leader is considering using transformational leadership. What information would the nurse leader need to keep in mind? A. The locus of power rests with the employees. B. Informal leadership is highly recognized. C. Empowerment of both the leader and follower occurs. D. Employees are expected to lead from their organizational position.
C
A staff nurse informs the nurse manager that the nurse would like to gain broader experience in other departments of the acute care facility. What response by the nurse manager demonstrates effective leadership? A. 'Getting broader experience isn't as valuable as specializing.' B. 'I would like you to be a preceptor for the new nurse that was just hired.' C. 'Would you be willing to help on another unit? They need a shift leader for a couple weeks.' D. 'Would you be willing to work with one of the senior nurses for a while, until you learn how we operate here?'
C
A nurse educator in a college setting has developed leadership skills as a result of attaining further education and sharing positive change within the department. What transformational leadership characteristic is this nurse educator demonstrating? A. Influencing others B. Guiding others C. Directing others D. Empowering others
D
A nurse manager is implementing a quality control tool that is systematic and will allow the official examination of a record for patients with postoperative infections. What type of tool is the nurse manager using to collect and evaluate this data? A. An examination B. An evaluation C. A review D. An audit
D
An older adult patient recently had a hip replacement with an indwelling catheter inserted. The patient developed symptoms of a urinary tract infection (UTI) postoperatively, and the nurse placing the catheter was reeducated by the nurse leader regarding avoidance of UTIs when inserting catheters. Which quality approach did the nurse leader use? A. Quality assurance techniques B. Total quality management techniques C. Continuous quality improvement techniques D. Continuous quality management techniques
A
An older adult patient fell out of bed 2 days after a hip replacement and had to return to surgery. What process should be done in order to prevent future negative outcomes such as this? A. Patient outcome evaluations B. Benchmarking C. An audit D. Critical event analysis
D
A nurse manager is attempting to ensure adequate resources are available in order to meet changing patient needs. What would be the best type of audit for the manager to perform? A. A structure audit B. An outcome audit C. A process audit D. A quality audit
A
The manager of several related departments brings the team together to inform them that they will all be cross training to other units for the purpose of increasing productivity. What form of leadership does this manager demonstrate? A. Transactional B. Transformational C. Contingency theory D. Laissez-faire
A
A nurse exhibits leadership traits associated with the role of nurse leader. What activities demonstrated by the nurse would demonstrate these leadership traits? (Select all that apply.) A. Mentoring two new managers B. Appointing a successor C. Providing feedback about job performance D. Establishing goals for the coming year E. Advocating for an employee regarding personnel policies F. Providing a motivational speech at the new employee orientation
A, C, D, E, F
A nurse leader wants to ensure that the team is always practicing proper hygiene after caring for a patient. A complaint was filed against a nurse for not washing the hands before examining a wound on a child's knee. What is the nurse leader's control criteria? A. Why the team is not practicing proper hygiene B. Whether the team is practicing proper hygiene C. Who on the team is not practicing proper hygiene D. If there are enough hygiene reminders in each patient's room
B
A nurse manager must make an important decision regarding a staff member's continued employment on the unit. In order to avoid the pitfalls involved in decision-making, what should the nurse manager do? A. Involve several staff members on the unit to assist with the decision. B. Choose a decision-making style that will best fit the situation. C. Base the decision on the first impression of the staff member. D. Make the decision based on past history.
B
A nurse manager would like to determine how well the team is doing in terms of meeting the hospital's goal of increased patient satisfaction. What action should the manager take after determining best practices? A. Reevaluate. B. Capture when the team is and is not using best practices and the outcomes. C. Take corrective action. D. Make a judgment about the quality of the team's work.
B
A nurse on the acute care unit demonstrates the positive traits of a good leader when working with new employees. What trait does the nurse manager cite when performing the nurse's evaluation? A. The assigned position B. Role modeling C. Planning a unit's goals D. Decides daily patient assignments
B
A nurse leader is performing a process audit. Which would be a consideration on a process audit? (Select all that apply.) A. Assessing the availability of fire extinguishers in patient care areas B. Checking the completeness of a patient's medical record C. Comparing a patient's medication order to the medications the patient has been taking D. Ensuring that machines are recalibrated according to department policy E. Ensuring that a patient has access to television in their room
B, C, D
