leadership exam 1

Describe the primary focus of a manager in a work environment. A) Developing the most effective teams. B) Taking risks. C) Routine work. D) Understanding the history of the organization

1

The ambulatory care nurse is discussing preoperative procedures with a Japanese American client who is scheduled for surgery the following week. During the discussion, the client continually smiles and nods her head. How should the nurse interpret this nonverbal behavior? 1. Reflecting cultural value 2. An acceptance of treatment 3. Client agreement to the required procedures 4. Client understanding of the preoperative procedures

1

The nurse has just been promoted to unit manager. Which advice, offered by a senior manager, will help this nurse become inspirational and motivational in this new role? 1. "If you make a mistake with your staff, admit it, apologize, and correct the error if possible." 2. "Don't be too soft on the staff. If they make a mistake, be certain to reprimand them immediately." 3. "Give your best nurses extra attention and rewards for their help." 4. "Never get into a disagreement with a staff member."

1

What is the most common risk to patient privacy and confidentiality? 1. An organization's employees 2. Inadequate firewall protection 3. Inadequate system design 4. Viruses worms, and Trojan horses.

1

A very young nurse has been promoted to nurse manager of an inpatient surgical unit. The nurse is concerned that older nurses may not respect the manager's authority because of the age difference. How can this nurse manager best exercise authority? 1. Use critical thinking to solve problems on the unit. 2. Give assignments clearly, taking staff expertise into consideration. 3. Understand complex health care environments. 4. Maintain an autocratic approach to influence results

2

After meeting with the Nurse Manager from the Cardio Unit, Rose implements a new budget and decides to make some changes to increase team morale and cohesiveness. Rose wants to create an incentive program to show staff appreciation and increase job satisfaction. Which of the following changes is most likely to increase nurse empowerment? 1. Sending out an email of new policies and procedure to be effective immediately 2. Holding a staff meeting to discuss ideas on how to improve job satisfaction and team cohesiveness 3. Hiring new staff to implement new policies and procedures 4. Taking the staff out for drinks after work

2

At a newly built outpatient surgical center, an integrated information system has been purchased. The chief nursing officer creates a series of staff development classes to orient the staff to this new system. One of the advantages of an integrated information system is that client-care data from all sites can be stored in and retrieved from a: 1. Computerized provider order entry 2. Central data repository 3. Clinical decision support systems 4. Electronic Medical Record

2

The nurse manager has asked that all staff nurses develop effective leadership competencies. How should the staff nurses interpret this request? 1. This is an unrealistic expectation, because only managers are leaders. 2. If the nurses learn about and use relevant leadership and management theories and styles this is possible. 3. In order to become leaders, the staff nurses will have to emphasize control, competition, and getting the job done. 4. Unless the staff nurses possess the traits of a natural born leader, this is an unrealistic expectation.

2

When communicating with a client who speaks a different language, which best practice should the nurse implement? 1. Speak loudly and slowly 2. Arrange for an interpreter to translate 3. Speak to the client and family together 4. Stand close to the client and speak loudly

2

Which of the following statements is true? 1. Although decision making and problem solving are similar, only problem solving requires critical thinking. 2. Decision making and problem solving are similar. 3. Although decision making and problem solving are similar, only problem solving can improve the practice of nursing. 4. Decision making and problem solving are synonymous

2

Ease of navigation, appropriate language, efficiency of use, ease of learning, and intuitiveness are all examples of: 1. Affective skills 2. Behavioral needs 3. System usability 4. User ergonomics

3

There have been several patient complaints that the staff members of the unit are disorganized and that "no one seems to know what to do or when to do it." The staff members concur that they don't have a real sense of direction and guidance from their leader. Which type of leadership is this unit experiencing? 1. Autocratic. 2. Bureaucratic. 3. Laissez-faire. 4. Authoritarian.

3

Which behavior demonstrates the nurse's competency as an emotionally intelligent leader? A) The nurse is proficient in technical skills. B) The nurse relies on policies, not options. C) The nurse supports team members. D) Productivity is not a major concern.

3

The nurse is preparing a plan of care for a client who is Jehovah's Witness. The client has been told the surgery is necessary. The nurse considers the clients religious preferences in developing the plan of care and should document which information? 1. The client believes the soul lives on after death 2. Medication administration is not allowed. 3. Surgery is prohibited in this religious group 4. The administration of blood and blood products is not allowed

4

Group decision making offers the following advantages and disadvantages: 1. Implementing solutions becomes easier when individuals have been actively involved in the decision-making process. 2. Groups may be more concerned with maintaining group harmony than engaging in an active discussion on a particular issue. 3. The time required for making group decisions may not be appropriate, especially in a crisis situation. 4. More ideas can be generated by groups and they have a synergistic effect. 5. All of the above statements are true.

5

An 80-year-old patient is receiving palliative care for heart failure. What are the primary purposes of her receiving palliative care (select all that apply)? A. Improve her quality of life. B. Assess her coping ability with disease. C. Have time to teach patient and family about disease. D. Focus on reducing the severity of disease symptoms. E. Provide care that the family is unwilling or unable to give.

a, d

What statement, made in the morning shift report, would help an effective manager develop trust on the nursing unit? A) "I know I told you that you could have the weekend off, but I really need you to work." B) "The others work many extra shifts, why can't you?" C) "I'm sorry, but I do not have a nurse to spare today to help on your unit. I cannot make a change now, but we should talk further about schedules and needs." D) "I can't believe you need help with such a simple task. Didn't you learn that in school?"

c

The chief nursing officer understands that to be able to compare data across client populations and sites, it is important that nurses use: 1. Databases 2. Electronic Health Records (EHR) 3. Bar-code technology 4. Structured nursing languages

d