RNSG 1413 - Nursing Leadership

Which leadership style is most useful in a health crisis situation?

- Autocratic The autocratic leadership style is most useful in crisis situations. They do exert strong control over subordinates, but in a crisis such as CPR, an autocratic leader who is in control fits the situation well, particularly if inexperienced nurses are working at that time

Which statement is true about democratic leadership?

- Decision-making can be time consuming. With democratic leadership, decisions take time due to schedules, consensus building, and participant agreement on decisions.

Prior to delegating an assignment to an LPN/LVN or UAP, the nurse must identify which factors? (select all that apply)

- Task required Prior to delegating an assignment to an LPN/LVN or UAP, the nurse must identify the task to be performed and the specific time frame in which the task must be completed. - Patient stability Patient stability is an assessment that must be made by the nurse before an assignment can be delegated. - Care complexity The complexity and frequency of care required are assessments that must be made by the nurse before an assignment can be delegated. Type of care The type of nursing care needed is an assessment that must be made by the nurse before an assignment can be delegated.

Which statements are true about leaders?

- Their power lies in building relationships. - They share a common vision with followers. - They use interpersonal skills to influence others.

Which leadership theory is dependent on personality?

- Trait Trait leadership theory relies on traits and personality characteristics, such as strength, organization, or confidence.

A nurse leader who rewards health care team members in order to gain their cooperation is which type of leader?

- Transactional A transactional leader is one who rewards or punishes health care team members to gain their cooperation.

Which leader believes that employees want to participate in decision-making

- democrat

A nurse is very busy caring for five patients. Which tasks can the nurse delegate to a UAP? (Select all that apply)

-Shampooing a 23-year-old's hairShampooing is part of patient hygiene and can be delegated, as it does not go beyond the UAP's scope of practice. -Bathing a 41-year-old who is incontinentBathing is part of personal hygiene and can be delegated; it does not go beyond the UAP's scope of practice. -Ambulating a 50-year-old after surgeryAssisting a patient in ambulation does not go beyond the UAP's scope of practice and can be delegated.

Which aligns with the delegation right of circumstance?

A patient is acutely ill with a high acuity level. Patient acuity aligns with the right of circumstance. Patient acuity and type of unit is part of a situation that can affect whether or not delegation can occur.

Which nurse leader uses coercion to ensure staff members accomplish unit goals?

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?

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 who determined that the patient's care was too complex to delegate to the UAP demonstrated which right of delegation?

Circumstance Circumstance refers to delegation depending on the patient's care situation. When the nurse determined the patient's care was too complex to delegate, the nurse demonstrated the right of circumstance.

Which nurse leader requires certification?

Clinical nurse leader A clinical nurse leader requires a master's degree and certification from the American Association of Colleges of Nursing (AACN). A clinical nurse leader provides and oversees patient care.

Which nurse updates patient care plans based on patient outcomes and evidence-based findings?

Clinical nurse leader Clinical nurse leaders evaluate patient outcomes and update care plans based on evidence-based practice guidelines.

Which management skill is the foundation for nursing practice?

Communication Communication is the management skill that is the foundation for nursing practice. Communication skills are essential for a leader to accomplish work.

When the RN gives the UAP specific instructions about an assignment, which right of delegation is the nurse demonstrating?

Communication The right communication does involve clear, concise, correct, and complete communications to the UAP about all aspects of the assignment, including any patient-specific instructions and limitations, possible complications, and timelines for completion.

A nurse manager who informs a nurse about a salary increase for excellent performance is demonstrating a concept from which leadership theory?

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?

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

When a nurse leader proposes multiple solutions to a problem, even though some solutions seem unrealistic, which leadership quality is the nurse leader exhibiting?

Creativity Creativity is an ability to consider multiple approaches or solutions to a situation, such as a problem or patient care. Creativity is a willingness to consider different ideas or combinations of ideas that may seem unrealistic.

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?

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

A leader suggests to staff members the formation of a shared governance council related to professional practice. This leader is exhibiting which leadership style?

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.

The nurse manager recognizes staff members are busy and assists with admissions and discharges. Which function was the nurse manager demonstrating?

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 nurses to access when unsure about assignments that can be legally delegated to UAPs?

Employee job descriptions Job descriptions outline specific skills and limitations of employees. Job descriptions are based on scope of practice and provide guidelines about skills that can be legally delegated to UAPs. This is the best resource to access for this information.

Which does the X-style manager believe?

Employees are motivated by punishment. X-style managers believe employees are motivated by punishment. Employees are believed to be motivated by external rewards and punishment.

What role did the nurse manager exhibit by giving the patient his wound care supplies that would have been otherwise discarded when he was discharged?

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 costs for the patient.

The nurse serving in which role helps prevent waste and misuse of patient supplies?

Financial resource manager The nurse serving in the role as financial resource manager is responsible for supply usage, cost containment, and prevention of waste.

The nurse who takes responsibility for coordinating the staff schedule is demonstrating which type of leadership?

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

Which level of managerial work does Mintzberg's Contemporary Model describe? (Select all that apply)

Information Information is a level in Mintzberg's Contemporary Model. This involves communicating and controlling. Information is used to accomplish work. People People is a level in Mintzberg's Contemporary Model. The leader focuses on leading and linking people. Action Action is a level in Mintzberg's Contemporary Model. The focus is doing and accomplishing objectives.

Effective nurse leaders possess which qualities? (Select all that apply)

Integrity Integrity refers to having clear ethical principles and aligning one's actions with stated values; this is a quality of an effective nurse leader. Humility Humility refers to the ability to recognize that no one person is superior to another; it is a quality of an effective nurse leader. Openness Openness refers to the leader's ability to listen to other points of view without prejudging or discouraging others; itis a quality of an effective nurse leader.

If a nurse manager complains within hearing distance of a patient's family, which leadership quality does the manager need to develop?

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

Which question should the RN ask before delegating the task of ambulating the patient to a UAP?

Is the assignment within the UAP's ability to perform safely? This is a question the nurse should ask prior to delegating this task: Is the task within the scope and abilities of the person to whom it is being delegated? It is one of the first principles of delegation.

Which are useful to nurses learning how to safely delegate to others in the employment setting? (select all that apply)

Job descriptions Job descriptions are resources for safe delegation because they include or list appropriate skills for the respective job. Skills that are listed in a job description are skills that can be performed by someone in that job. Nurse practice acts The nurse practice acts are resources for safe delegation because they define the scope of practice for registered nurses and other nursing roles. The nurse practice act is the authoritative statement for scope of nurses' practice in a state. Hospital policy manual Organizational policies are resources for safe delegation because they describe who may perform procedures and skills. For example, an RN or GN may be able to perform a task. Other procedures may require a nurse practitioner.

When a nurse gives credits to those who achieve their goals which leadership quality does the nurse possess?

Magnanimity Magnanimity is a quality of effective leadership that means giving credit where credit is due. This type of leader recognizes subordinates' ideas and accomplishments, rather than taking credit for them.

Which responsibilities are involved in the right of supervision when the RN delegates to a UAP?

Monitoring, evaluation, and feedback Supervision during delegation includes: monitoring to ensure the task is complete; evaluation to ensure the quality of the work; and feedback, or how well the task that was delegated was performed. Intervention is also part of supervision.

Who is ultimately accountable when delegated patient assignments are not completed?

Nurse The nurse is ultimately accountable for the care that is delegated. The person, in this case the nurse, is responsible for the assignment being completed.

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?

Openness Openness involves listening to another's view without judging. By being willing to listen to a new nurse's idea, the manager is open to ideas from subordinates.

What role did the nurse exhibit by following the family's request of labeling a child's favorite blanket, and communicating the request to others both verbally and in the child's EHR?

Patient advocate The nurse is speaking and acting on the patient's behalf and, therefore, advocating for the patient.

When the nurse improves a patient's knowledge of and compliance with the treatment plan, what role has the nurse performed?

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

The ANA describes delegation as the transfer of responsibility. What does the transfer of responsibility allow the competent person such as the UAP to do?

Perform a selected task in a selected situation The transfer of responsibility as described by the ANA gives a competent individual, such as the UAP, the authority to perform a selected nursing task in a selected situation. The nurse, however, retains accountability for the delegation.

Which leadership function is demonstrated when the nurse manager determines a set of actions to address hospital-acquired pressure ulcers?

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 plan.

Which function of a manager is similar to the nursing process? (Select all that apply)

Planning The planning function is similar to the nursing process of assessing, diagnosing, and planning; a nurse assesses and plans with a patient and family, as a manager makes plans to reach goals.

Staff members recognize which competency in nurse managers who ensure patients are at the center of decisions in health care organizations?

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.

The nurse exhibits which role when actively monitoring patient costs and preventing waste?

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 leadership theory adapts to a management style to different groups and populations?

Situational Adjusting leadership styles to different circumstances and people is a 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?

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.

Which rights are included in the Five Rights of Delegation? (select all that apply)

Task The right task is one of the Five Rights of Delegation. A task should match the person's skill and scope of practice. Circumstance The right circumstance is one of the Five Rights of Delegation. Circumstance and situation, such as patient acuity and unit type, affect delegation. Supervision The right supervision is one of the Five Rights of Delegation. Supervision means to oversee a task to make sure it is carried out correctly, such as performing hygiene care for a patient.

Which statement is the third principle of delegation?

The person to whom the assignment was delegated cannot delegate it to someone else. This statement is from the third principle of delegation. If the person to whom the assignment was delegated cannot complete it, the RN should be notified so the assignment can be delegated to someone else.

The manager who makes threats of punishment to motivate staff members is exhibiting which management style?

Theory X Theory X-style is consistent with this manager's style. The manager motivates through treats or punishments, which is characteristic of this management style.