Leadership Roles and Management of nursing- Chapters 1-6

A nurse-manager is discussing a proposed change in practice the interdisciplinary team. What question by the manager best reflects a utilitarian perspective?

"How many people will this benefit?"

Which statement by a nurse most clearly demonstrates an intuitionist framework for ethical decision making?

"I've got to look at this situation on the basis of its unique characteristics, not by comparing it to other situations."

The nurse-manager is applying the MORAL decision-making model to a decision around a client's plan of care. The manager has engaged all the necessary stakeholders and collected as much data about the situation as possible. What should the manager do next?

Identify as many alternatives as possible

A new leader-manager is planning to implement the principles of strengths-based leadership after being hired for a new position. What action will best facilitate this plan?

Identifying his or her personal strengths and utilizing them

A nurse has been hired to oversee a day surgery clinic. What action will best ensure good outcomes for this nurse, the clients, and the employees of the clinic?

Integrate nursing management and nursing leadership roles and practices

An experienced nurse-manager has been described as being a "right-brain thinker." This manager's decision-making process likely prioritizes what characteristic?

Intuition

A nurse manager-leader is experiencing many challenges overseeing the care in a health-care organization. What statement most clearly indicates a need to apply quantum leadership principles?

"Our workplace is in a constant state of change. Each part of our work is unpredictable and always shifting."

What statement by a manager best reflects the principles of interactional leadership?

"People's motives are important, and motives change over time."

What statement by a leader most clearly demonstrates the Great Man theory of leadership?

"Some people are born to lead, and some are born to be led."

Which nurse could face discipline for committing an intentional tort? Select all that apply.

-A nurse who threatened an elderly client when the client did not participate in care -A nurse who slapped a client when the client became verbally abusive -A nurse who applied restraints to a client as a punitive measure

A nurse is concerned about the implications of a new piece of legislation that is being debated by lawmakers. The nurse has decided to draft a letter to a legislator and should do what actions? Select all that apply.

-Address the legislator by his or her title -Sign the letter and include contact information -Self-identify as a constituent in the first paragraph

A nurse-manager is reviewing the provisions of the Consumer Bill of Rights and Responsibilities (Patient's Bill of Rights) with a group of new nurses. The manager should address what goals of this legislation? Select all that apply.

-Helping clients feel confident in the health-care system -Promoting strong relationships between clients and health-care providers

Which statements concerning autonomy are true? Select all that apply.

-It supports the process of progressive employee discipline. -It is based on a person's right to make a choice. -It is a form of personal liberty. -Its legal equivalent is self-determination.

Which characteristics associated with being a client of the health-care system increase the need for advocacy? Select all that apply.

-Physical or psychosocial limitations negatively impacting autonomy -Decreased independence due to physical or psychosocial limitations -Increased vulnerability due to impaired communication -Loss of physical freedom as a result of extended hospitalizations

A nurse has been hired to manage a busy medical-surgical unit. What actions should the nurse-manager perform to ensure compliance with legal issues? Select all that apply.

-Require physical proof of appropriate professional licensure -Delegate with consideration to appropriate scopes of practice -Remain current on all institutional policies and procedures

The principle of autonomy would have the greatest bearing on what clinical situation?

A client is discussing a do-not-resuscitate order with the care team.

The nurse-manager oversees the care of several dozen nurses. With which nurse should the manager review the provisions of the Health Insurance Portability and Accountability Act (HIPAA)?

A nurse who confirmed a new client's admission to the unit to a relative who telephoned

Which strategy best demonstrates an understanding of the managers role as an advocate for his or her subordinates?

Addressing an employee's high rate of absenteeism

A nurse was 20 minutes late from a scheduled lunch break and a colleague's break was consequently cut short. What response by the manager best demonstrates a laissez-faire leadership approach?

Allow the two nurses to dialogue about the even and observe for evidence of a satisfactory resolution.

Which action should the nurse prioritize when trying to prevent malpractice claims?

Always functioning with the scope of the nursing practice act

The nurse is practicing in a challenging environment where ethical and moral issues must often be dealt with. Which statement describes how moral uncertainty occurs?

An individual is unsure which moral principles or values apply and may even include uncertainty as to what the moral problem is.

Two nurses have approached the manager and have asked the manager to speak to a nurse on the unit who has a reputation for being difficult to get along with. How can the manager best implement Avolio, Walumbwa, and Weber's model of authentic leadership?

Analyze the facts of the situation before making a decision

A nurse-manager is planning to apply a decision-making model to a clinical challenge. When using a decision-making tool, what should the manager do?

Be aware that the tool cannot eliminate the risk of human error

A manager has proposed to the hospital board that it hire someone to teach management and leadership classes and that head nurses are paid to attend the classes. What is this an example of?

Building human capital

A nurse is involved in a challenging clinical situation which requires the nurse to consider many people's interests. How can the nurse best implement Standard VII of the American Nurses Association (ANA) Scope and Standards of Practice?

Carefully consider the ethical aspects of the situation

A nurse has accepted a management position in a busy ambulatory clinic and recognizes that the day-to-day operations of the clinic will require many decisions. What is the nurse's best initial action when preparing for this new role?

Clarify and reflect on his or her own values

A nurse-manager has to make some difficult decisions around the allocation of vacation time during the holiday season. When making a decision, what should the manager do first?

Clearly identify each of the desired objectives in the situation

The nurse-manager is addressing a nurse's suspected breach of client confidentiality in a social media posting. What function of the management process is this nurse-manager demonstrating?

Controlling

Which function of the management process involves the performance evaluation of employees?

Controlling

A nurse-manager will soon be introducing a significant change in the way that overtime shifts are allocated on a hospital floor. What action by the manager will best demonstrate the principles of thought leadership?

Convincing employees that the change will be beneficial and innovative

Which leadership role is most closely associated with advocacy?

Creating a climate where advocacy and its associated risk taking are valued

A nurse-manager has made a decision and is now preparing to evaluate the decision. What question should best guide the nurse's evaluation process?

Did the outcomes align with the original objectives?

The manager of a long-term care facility has intervened in a conflict between two staff members about the timing and length of lunch and coffee breaks. What management function is this manager demonstrating?

Directing

What action by the manager of a community health center best demonstrates workplace advocacy?

Ensuring nurses have all the personal protective equipment they need to perform home visits

The nurses on a medical unit are using several different techniques fr performing wound care and the manager recognizes a need to implement EBP. What should the manager do first when applying the principles of EBP?

Formulate a specific, searchable clinical question about wound care.

Which activity best supports the principles of strengths-based leadership in a health-care organization?

Funding for staff to become educated in areas where they are naturally talented

A nurse is applying the MORAL decision-making model to a dilemma involving a colleague's possible dishonesty in documentation. What is the nurse's initial action?

Gather as much information about the situation as possible

A nurse-manager has recently been accused of assigning work unequally. The manager has recognized the need to revise the process for assigning work to nurses. How can the manager best apply the principles of Theory Z?

Gathering input from employees in order to reach a consensus

A nurse has recognized that many older adult clients on the unit do not receive enough nutrition because they are unable to feed themselves independently. What action by a manager would be most likely to resolve the nurse's moral distress?

Hiring more nursing assistants to help feed these clients

An organization has hired six RNs who are recent immigrants. The manager has noticed they interact very little with other staff, often speaking in their own language during their breaks, although they speak English while on duty. Which intervention would be the most helpful action for the manager to help these new RNs better assimilate?

Hold a sharing session so all RNs can share information about their cultures and differences in client care.

A nurse failed to supervise a confused client, and the client fell while transferring to the bathroom. The client was unharmed, but the client's family has launched a malpractice suit, citing the nurse's breach of duty. What is the most likely outcome of this case?

It will likely be unsuccessful because the client was not injured.

Which statement is correct regarding the distinction between legal and ethical obligations in decision making?

Legal controls are clearer and philosophically impartial.

The nurse-manager has learned there is conflict between a nonresponsive client's family members about the best plan of care. The manager recognizes the complex ethics of this situation. What is the manager's best action?

Make contact with the hospital's ethics committee

A nurse has repeatedly witnessed a physician being dismissive of clients' reports of pain and anxiety. The nurse recognizes that the best action would be to address this behavior with the physician, but the nurse strongly suspects that these concerns would be dismissed. What phenomenon is this nurse experiencing?

Moral outrage

Which statement best depicts leadership?

People will follow a person in a leadership position only by choice.

To decrease overtime, the manager of a surgical unit offers nurses who get their work finished on time for an entire 2-month period an extra day off with pay at regular time. The nurse is enacting what model of leadership?

Principal agent theory

What action by a nurse-manager best demonstrates servant leadership?

Prioritizing the interests of others over the manager's own interests

The nurse-manager who seeks to exemplify emotional intelligence should:

Regulate his/her own emotions and those of others.

The leaders of a health-care organization ascribe to human capital theory and are planning the budget for the next year. What activity should the team prioritize in the budget to promote goals of this theory?

Reimbursement of tuition to nurses who are upgrading their education.

The nurse is working with a group of students who are learning a high-risk procedure. How should the nurse best ensure learning while protecting the safety of the clients?

Simulation

A nurse-manager has proposed a change in the skills mix on a hospital unit, with fewer registered nurses and more nursing assistants. What outcome best demonstrates that the nurse is applying the principles of thought leadership?

Skeptics of the plan have begun to see it as innovative and beneficial.

The leader-manager provides oversight on a busy medical-surgical unit. There has recently been an incident where two nurses were not honest about neglecting a controversial new protocol and misled the leader. How can the leader-manager best prevent similar episodes?

Support employees' right to disagree with proposed changes

What aspect of the way that work is organized on a nursing unit best reflects the management theories of Max Weber?

The hierarchy of authority and the policies and procedures on the unit are clearly posted.

What characteristic of a nurse-manager best demonstrates left-brained thinking?

The manager applies a linear, analytical model when making a decision.

What action by the nurse-manager in a health organization best demonstrates transformational leadership?

The manager holds a workshop to outline a new vision for patient-centered care.

What characteristic of a nurse-manager suggests that he or she is acting in the role of a traditional manager rather than an integrated leader-manager?

The manager's influence is limited to his or her group.

A health-care provider prescribes a medical procedure that the staff nurse has reason to believe will harm the client. Which principle should guide the nurse's choice of action?

The nurse can be held legally liable for any harm if the procedure is carried out without questioning it.

The nurse has accepted a job in a workplace where organizational power has a pronounced effect. This characteristic may have what effect on the nurse and the workplace?

The nurse may have to accept decisions contrary to his or her own values.

Accreditors are scheduled to visit a hospital site, and staff members have been made aware of what they will be assessing. What staff behavior would most clearly suggest the presence of the Hawthorne effect?

The nurses consciously improve their performance because they know it is being scrutinized.

A nurse is facing an ethical dilemma about whether to report a colleague's offensive comment, an action which is likely to jeopardize their relationship. What is a characteristic of this nurse's ethical dilemma?

The situation involves two or more undesirable alternatives.

The policies in a long-term care facility specify that immobile residents should be repositioned at least every 2 hours. Despite this, it is well known that many residents endure long periods without being repositioned. How should the nurse best interpret this situation?

There is a need for actions to address this theory-practice-ethics gap.

Which statement regarding the characteristics of a good leader is true?

They may have character flaws.

The nurse-manager is preparing to use the PERT tool when making a staffing decision. This tool will primarily address what component of the decision-making process?

Timing

The nurse-manager is applying the decision-making process when addressing a nurse's high rate of absenteeism. This process should result in:

a chosen course of action.

When applying the principles of advocacy, a nurse-manager should:

balance the need to advocate for several different individuals, groups, and organizations.

The novice nurse can reduce the likelihood of being sued for malpractice by:

establishing positive, therapeutic relationships with clients and families.

The unit manager has created a decision grid in order to assist with a difficult staffing decision that will affect many nurses. The decision grid will allow the manager to:

examine alternatives visually and compare each against the same criteria.

The nurse-manager of a short-staffed unit needs to make a decision about a nurse's request for an unpaid leave of absence. In order to increase the chance of making a good decision, the manager should:

generate as many different alternatives as possible.

A manager demonstrates one of the four principles of scientific management when he or she:

hires and promotes employees on the basis of their competence and skills.

When applying the principles of quantum leadership, the nurse-manager should prioritize:

the fact that workplaces are complex and dynamic.

A nurse has been asked to stay after a shift and work overtime because three nurses have called in sick. The nurse is reluctant to work the overtime because of a social commitment. Duty-based reasoning would dictate that the nurse:

work overtime because of the responsibility owed to clients.