Nursing Leadership

A leader suggests to staff members the formation of a shared governance council related to professional practice. This leader is exhibiting which leadership style? a. Democratic b. Autocratic c. Laissez-Faire d. Bureaucratic

Democratic Democratic leaders believe in shared decision-making and view themselves as equal to their followers. Shared governance is an opportunity for nurses to share in decision-making with leadership.

A nurse is very busy caring for five patients. Which tasks can the nurse delegate to the UAP? Select all that apply. a. Assessing a 17-year-old's pain b. Shampooing a 23-year-old's hair c. Bathing a 41-year-old who is incontinent d. Ambulating a 50-year-old after surgery e. Vital signs on a 35-year-old with hypertension

Shampooing Bathing Ambulating Taking vital signs is an assessment and, therefore, cannot be delegated. This patient, in particular, requires ongoing or frequent assessments.

The nurse exhibits which role when actively monitoring patient cots and preventing waste? a. Resource manager b. Formal leader c. Financial officer d. Case manager

Resource manager The nurse is exhibiting the role of resource manager, which involves evaluating and controlling costs for patients and organizations. The nurse is in a unique position to manage financial resources.

Which nurse uses coercion to ensure staff members accomplish unit goals? a. Autocratic b. Behavioral c. Trait d. Situational

Autocratic Autocratic leaders exercise strong control over subordinates, often using coercion to ensure accomplishment of goals.

Which leadership style is demonstrated when a nurse manager relates to staff members impersonally and relies heavily on policies and procedures to direct work processes? a. Bureaucratic b. Democratic c. Laissez-Faire d. Autocratic

Bureaucratic A hallmark of bureaucratic leadership style is impersonal relationships with followers, and relies heavily on policies and procedures to direct work processes.

The nurse is determined that the patient's care was too complex to delegate to the UAP demonstrated which right of delegation? a. Circumstance b. Supervison c. Task d. Person

Circumstance Circumstance refers to delegation depending on the patient's care situation.

A nurse manger who informs a nurse about a salary increase for excellent performance is demonstrating a concept from which leadership theory? a. Behavioral b. Contemporary c. Trait d. Situational

Contemporary Contemporary theories include concepts based on punishments and rewards. An increase in salary is a reward that, according to this theory, could motivate similar practice by the nurse in the future.

The nurse manager reviews monthly urinary tract infection rates to determine if rates have declined after implementing new infection control procedures. Which management function is the nurse demonstrating? a. Controlling b. Planning c. Organizing d. Directing

Controlling Controlling involves comparing expected results of the planned work with the actual results, similar to evaluation in the nursing process. After implanting new infection control procedures, the nurse manger expects to see a decline in urinary tract infections.

When the nurse manager stays longer than needed to ensure staff members have appropriate resources for their shift, the manager is displaying which leadership quality? a. Dedication b. Openness c. Integrity d. Magnanimity

Dedication Dedication is making time to accomplish a task and persevering through difficult situations.

The nurse manager recognizes staff members are busy and assists with admissions and discharges. Which function was the nurse manager demonstrating? a. Directing b. Planning c. Controlling d. Organizing

Directing Directing ensures that the work of the organization is done. the manager was ensuring the work of admitting and discharging patients was accomplished by assisting with the work while staff members were busy.

Which is the best resource for nurse to access when unsure about assignments that can be legally delegated to UAPs? a. Immediate supervisor b. Chief nursing officer c. Facility legal manual d. Employee job descriptions

Employee job descriptions

What role did the nurse manage exhibit by giving the patient his wound care supples that would have been otherwise discarded when he was discharged? a. Financial resource manager b. Clinical nurse leader c. Case manager d. Patient care provider

Financial resource manager The nurse leader is managing financial resources in this scenario. By giving the patient supplies he was already charged for, the nurse was attempting to control cost for the patient.

The nurse who takes responsibility for coordinating the staff schedule is demonstrating which type of leadership? a. Informal b. Appointed c. Formal d. Assumed

Informal The informal leader emerges outside the structure of the formal organization. Informal leaders exhibit strong interpersonal skills and easily build relationships with others.

If a nurse manager complains within hearing distance of a patient's family, which leadership quality does the manager need to develop? a. Integrity b. Humility c. Magnanimity d. Openness

Integrity The manger needs to develop intercity. Violating patient privacy and confidentiality shows a lack of integrity. Having clear ethical principles and integrity is part of the ANA Code of Ethics.

Who is ultimately accountable when delegated patient assignments are to completed? a. Unit manager b. Delegatee c. Nursing supervisor d. Nurse

Nurse

Which quality is displayed when a new nurse approaches the manager with an idea about how to solve a problem with the dietary department, and the manager encourages the nurse to schedule a meeting to discuss over coffee? a. Openness b. Integrity c. Dedication d. Humility

Openness Openness involves listening to another's view without judging.

What role did the nurse exhibit by following the family's request of labeling a child's favorite blanket, and communication the request to others both verbally and in the child's EHR? a. Patient advocate b. Case manager c. Resource manager d. Clinical supervisor

Patient Advocate

When the nurse improves a patient's knowledge of and compliance with the treatment plan, what role has the nurse performed? a. Patient advocate b. Case manager c. Nurse manager d. Team member

Patient advocate When the nurse improves patient knowledge, cooperation, and compliance with the treatment plan, the nurse is performing the role of a patient advocate.

Which leadership function is demonstrated when the nurse manager determines a set of actions to address hospital-acquired pressure ulcers? a. Planning b. Organizing c. Directing d. Controlling

Planning Planning entails assessing the current situation and deciding on a plan of action. Planning for a leader or manager is similar to the nursing process and can include an action of plan.

Staff members recognize which competency in nurse managers who ensure patients are at the center of decisions in health care organizations? a. Professionalism b. Business sense c. Leadership aptitude d. Patient advocate

Professionalism Professionalism refers to the ability to hold others and one's self accountable for actions and outcomes. The manager is exhibiting professionalism through ensuring patients are at the center of decisions in health care organizations.

Which leadership theory adapts to a management style to different groups and populations? a. Situational b. Behavioral c. Trait d. Contemporary

Situational Adjusting leadership styles to different circumstances and people is characteristic of situational leadership theory, such as changing the leadership style based on the level of experience of the nurse.

The nurse consults with the UAP to determine if an assigned task was completed. Which of the Five Rights of Delegation does this represent? a. Supervision b. Person c. Task d. Circumstance

Supervision This represents the right of supervision because the nurse followed up with the UAP, even though the nurse did not actually watch the UAP perform the assignment.

Prior to delegating an assignment to an LPN/LVN or UAP, the nurse must identify which factors? Select all that apply. a. Task required b. Patient stability c. Care complexity d. Type of care e. Medical diagnoses

Task required Patient stability Care complexity Type of care Medical diagnoses is helpful to know, but not essential as long as the patients condition, potential risks to patient safety related to the task, and the need for assessment, evaluations, and nursing judgement are known.

The manger who makes threats of punishment to motivate staff members is exhibiting which management style? a. Situational b. Transformational c. Theory X d. Theory Y

Theory X Theory X-Style is consistent with this manager's style. The manager motivates through treats or punishment.