Ch. 10 Leading, Managing, Delegating

Karen Wolf, RN, is the charge nurse on the orthopedic unit. She believes in giving the staff as much power as possible. The nurses are allowed, among other things, to create their own work schedules, provide dates and times for unit meetings, and create the agendas, to which Karen contributes. Karen's style of leadership can be described as which of the following? a. Autocratic. b. Laissez-faire c. Transformational d. Democratic.

b

The primary responsibility of the nurse manager is to... a. Provide direct client care. b. Create plans and budgets. c. Evaluate nursing care plans. d. Direct discharge planning.

b

Following a myocardial infarction (heart attack), a client begins to recognize the need to increase exercise, eat a low-fat diet, and implement relaxation techniques. According to Lewin, this is an example of what type of change? a. Unfreezing b. Movement. c. Refreezing. d. Prizing

a

The nurse manager for a surgical unit is planning a significant change in how the unit functions. They plan to include some things that will help the staff overcome any resistance to the change. Which of the following might help overcome resistance to the nurse manager's planned change? a. Provide incentives such as time off. b. Threaten to end staffs employment. c. Demand loyalty, and commitment. d. Refused to hear any discussion.

a

Which of the following nurse leaders most clearly exemplifies transformational leadership? a. A leader who is dynamic, inspiring, and promotes change by the power of her convictions b. A leader who is careful to thoughtfully assess theissues and priorities surrounding a problem prior to acting c. A leader who prioritizes the fact that every member of the team is considered valuable and equal d. A leader who prioritizes the delegation of leadership to the individual members of the group

a

A registered nurse (RN) serves as the chair of the Nursing Practice Committee for the hospital. The meetings do not have a planned agenda; members of the committee who are interested in a particular topic feel free to suggest it and then to lead the subsequent discussion. This chairman's leadership style could be termed what? a. Autocratic. b. Laissez-faire c. Decentralization d. Democratic.

b

A staff nurse works on a surgical unit where the nurse leader allows the staff to make all decisions and direct themselves. The staff nurses fill out the work schedule and sometimes there are days where the unit is short staffed. The staff nurse feels the unit needs better leadership. The nurse leader is practicing which of the following leadership styles? a. Autocratic. b. Laissez-faire c. Transformational d. Democratic.

b

April and Sara are nurse managers for different units in the hospital. They are planning for a major change to occur on both units. Sara tells April she has identified a key power player on her unit. Which of the following describes what Sara means by this term? a. Someone who spreads untrue rumors b. A regular employee who is a natural leader. c. Employee who will resist the change. d. Someone in whom Sara can confide.

b

The nurses who provide care on a medical unit are skeptical about the planned change from a traditional narcotic cupboard to a computerized medical supply and management system. Which of the following statements demonstrates mistrust about the benefits of this proposed change? a. "I've heard those machines don't even cut down on med errors like they say they do." b. "I think that they want us to use these machines just so they can track our work activity closer." c. "There's no way that I'm going to be able to learn to deal with a computer." d. "Those machines cost a fortune and there are way better ways to spend that money."

a

A nurse in an intensive care unit places a request with the nurse manager to modify her work schedule. The nurse desires to return to college and advance her nursing degree. Which of the following illustrates that the nurse manager approaches the situation using a transformational leadership style? a. She rearranged the nurses schedule in a manner that will allow her to attend college. b. She suggests that the nurse post pone attending nursing school at the present time. c. She disregards the nurses request and continue scheduling the nurse, as previously agreed upon. d. She advises the nurse to consider finding another job that will better fit within her class schedule.

a

A nurse manager informs the staff members during a meeting that unlicensed assistive personnel will no longer be allowed to check patients' blood glucose levels. The nurse manager informs the group this was a new policy on the unit, and discussions will not change the enforcement of this policy. What type of leadership style is the nurse manager demonstrating? a. Autocratic. b. Transformational c. Democratic. d. Laissez-faire.

a

A nurse manager must provide care to her clients and her employees under the constraints of her resources. This involves maintaining the financial constraints of her division. What term best describes this scenario? a. Resource management b. Financial management. c. Management d. Allocation.

a

A nurse is considering applying for a leadership role on her medical unit. She asks her colleagues what they consider to be good personal leadership skills. Which of the following would be appropriate? Choose all that apply. a. Self-evaluation. b. Religious values c. Problem-solving. d. Knowledge of all nursing. e. Communication.

a, c, e

A nurse is in charge of a large group of employees on a busy surgical floor. Today's care must be completed early due to a special event involving most of the employees. Which management style would work best in this situation? a. Laissez-faire b. Democratic. c. Authoritarian d. Coercive.

c

A nurse manager is trying to resolve a conflict between the day and night shifts. She wants to convince the involved persons to set aside their differences, determine a priority common goal having to do with improved client care, and accept mutual responsibility for achieving this goal. The nurse manager is using which of the following types of conflict resolution? a. Competing b. Comprising c. Collaborating d. Avoiding.

c

A nurse manager tells her staff that they need to increase response time to client requests by five minutes, beginning tomorrow. The time to begin this activity has been established by the manager and her staff. This action involves goal setting. What leadership style is noted with the implementation of goal setting? a. Institutional governance. b. Shared governance. c. Participative leadership. d. Directive leadership.

c

How might one define leadership? a. Leadership is the process of interviewing, hiring and firing personal b. Leadership is the process by which the leader shares power with others. c. Leadership is the process of guarding educating, motivating and directing others. d. Leadership is the process of planning, organizing, directing and controlling activities.

c

How should a nurse leader best address nurses' resistance to a change in the shift-scheduling protocol on their hospital unit? a. Explain the cost savings that the change will bring for the hospital. b. Allow those who remain on convince to temporally opt out of the proposed change c. Explain the benefits of the change in elicit honest feedback. d. Put the matter to a vote and respect the wishes of the majority.

c

The designated charge nurse on the telemetry unit organizes and facilitates the unit meetings; however, during most of the meetings, another registered nurse runs the show and influences staff decisions just by her charisma and personality. Her power to lead is defined by which of the following terms? a. Situational b. Explicit c. Implied. d. Democratic.

c

The nurse manager for the psychiatric unit sees that there are major conflicts between the day and night shift staff. The nurse manager suggests that each shift put aside their differences for a time and determine a common major goal. Which of the following conflict resolution styles does the nurse manager display? a. Competing b. Smoothing c. Collaborating d. Avoiding.

c

The nurse manager is concerned about the large number of teenage mothers being seen in the obstetrics clinic. How can the nurse manager use the transformational leadership style to address the concern? a. Create a new policy that will limit the number of teenage mothers the clinic can treat. b. Conduct community based research into the number of teenagers who have become parents over the last five years. c. And list volunteers to help develop a community outreach project that will educate teenagers on methods to prevent pregnancy. d. Talk to each teenager who comes into the clinic about ways to not get pregnant again.

c

A nurse manager and the charge nurse have two employees who disagree with the accomplishment of client care. The manager determines a mutually agreed-upon time to discuss this situation with all the members involved. This activity is called what? a. Delegation b. Client protection. c. Problem-solving. d. Conflict resolution.

d

A staff nurse works on a medical unit where staff retention is very high. There is a a sense of equality between the leader and the staff nurses. The unit decisions and activities are shared between the leader and the group. The designated nurse leader practices which of the following leadership styles? a. Autocratic. b. Laissez-faire c. Transformational d. Democratic.

d

Conflict has emerged on a nursing unit due to the perception by new graduates that some of the more experienced nurses are manipulating the client assignment to ensure a lighter workload during night shifts. How should the manager of the unit best address this conflict? a. Reassure the new graduates that the more experienced nurses are acting in the interests of both staff and clients. b. Arrange for the newer nurses to organize the client assignment for a trial period. c. Gather evidence over the next several weeks in order to determine if the practice is indeed happening. d. Arrange a meeting where the issue can be discussed and addressed by as many of the nurses as possible.

d

In a nursing unit, the RN delegates nursing tasks to the nursing assistant. Keeping in mind the delegation guidelines, which of the following statements denotes the right direction for the nursing assistant? a. "Discontinued the IV solution." b. " check the infusion rate." c. " inspect the site for thrombophlebitis." d. "Dispose of the disconnected IV set"

d

The charge nurse on a unit receives a report that a licensed practical nurse (LPN) is taking clients' narcotics and hiding them in the nurses' lounge. The charge nurse disregards the report and continues to work on a scheduled task. Which conflict resolution style is the charge nurse using? a. Collaborating. b. Accommodating. c. Comprising. d. Avoiding.

d

The nurse has recently been promoted to nurse manager on an oncology unit and has decided to be the sole decision maker regarding issues that concern the unit. Which type of leadership style is the nurse embodying? a. Quantum b. Laissez-faire c. Democratic d. Autocratic

d

The registered nurse on a busy telemetry floor is delegating tasks to an unlicensed assistive personnel member. Which task is appropriate for the unlicensed personnel member to complete? a. Inserting an indwelling urinary catheter. b. Taking an order over the telephone from a physician. c. Assisting a client wound. d. Bathing a combative client

d