Ch. 22 prac. questions
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?
Laissez-faire
A charge nurse in a busy hospital manages a skilled nursing unit using an autocratic style of leadership. Which leadership tasks best represent this style of leadership? Select all that apply.
The charge nurse dictates break schedules for the other nurses. The charge nurse schedules a mandatory in-service on new equipment. The charge nurse delegates nursing responsibilities to the staff.
In a nursing unit, the RN delegates nursing tasks to the nursing assistant. Keeping in mind the delegation guidelines, which statement denotes the right communication for the nursing assistant?
"Dispose of the disconnected IV set."
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?
"I've heard those machines don't even cut down on med errors like they say they do."
A nurse manager is attempting to update a physician's office from paper to electronic health records (EHR) by using the eight-step process for planned change. Place the following actions in the order in which they should be initiated:
1. The nurse records the time spent on written records vs. electronic health records. 2. The nurse explores possible barriers to changing to electronic health records. 3. The nurse analyzes all options for converting to electronic health records. 4. The nurse seeks approval from management for new computers. 5. The nurse devises a plan to switch to electronic health records. 6. The nurse installs new computers and provides an in-service for the staff. 7. The nurse evaluates the effects for changing to electronic health records. 8. The nurse follows up with the staff to check compliance with the new system.
Which of the following nurse leaders most clearly exemplifies transformational leadership?
A leader how is dynamic, inspiring, and promotes change by the power of her convictions
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 regular employee who is a natural leader
Conflict has emerged on a nursing unit due to the perception by new graduates that some of the more experienced nurses are manipulating the patient assignment to ensure a lighter workload during night shifts. How should the manager of the unit best address this conflict?
Arrange a meeting where the tissue can be discussed and addressed by as many of the nurses possible
A nurse plans the nursing activities for the shift. Which of the following activities should the nurse assign to the nursing assistant?
Assist a client to ambulate and sit on a bedside chair
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?
Authoritarian
A nurse manager informs the staff members during a meeting that unlicensed assistive personnel will no longer be allowed to check patient's 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?
Autocratic
Which style of leadership describes a nurse leader who assumes control over the decisions and activities of the group?
Autocratic leadership involves a firm, insistent, self-assured leader who keeps at the center of attention
A nurse manager in a long-term care facility threatens to fire subordinates who refuse to work overtime when needed. This manager is displaying what type of power?
Coercive power
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?
Collaborating
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?
Collaborating
The nurse manager in a critical care unit actively listens to his staff and engages the staff to offer decisions regarding problem solving and implementing these decisions. What type of managerial mindset does this manager exhibit?
Collaborative mindset
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?
Conflict resolution
The primary responsibility of the nurse manager is to...
Create plans and budgets
A staff nurse works on a medical unit where staff retention is very high. There is 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?
Democratic
An RN on a surgical unit is behind schedule administering medications. Which of the RN's other tasks can be safely delegated to a UAP?
Documentation of a patient's I & O on the flow chart
How would a nurse leader best address nurses' resistance to a change in the shift-scheduling protocol on their hospital unit?
Explain the benefits of the change and elicit honest feedback
A nurse manager who is attempting to institute the SBAR process to communicate with physicians and transfer patient information to other nurses is meeting staff resistance to the change. Which action would be most effective in approaching this resistance?
Explaining the change and listing the advantages to the individual and the organization
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?
Implied
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?
Laissez-faire
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?
Laissez-faire
How might one define leadership?
Leadership is the process of guiding, educating, motivating, and directing others.
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?
Participative leadership
A new nurse manager at a small hospital is interested in achieving Magnet status. Which action would best help the hospital to achieve this goal?
Promoting self-governance at the unit level
The nurse manager for a surgical unit is planning a significant change in how the unit functions. She plans to include some things that will help the staff overcome any resistance to the change. Which of the following might help overcome resistance to Megan's planned change?
Provide incentives, such as time off
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 own division. What term best describes this scenario?
Resource management
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.
Self-evaluation Communication Problem solving
A nurse manager of a busy cardiac unit observes disagreements between the RNs and the LPNs related to schedules and nursing responsibilities. At a staff meeting, the manager compliments all the nurses on a job well done and points out that expected goals and outcomes for the month have been met. The nurse concludes the meeting without addressing the disagreements between the two groups of nurses. Which of the following conflict resolution strategies is being employed by this manager?
Smoothing
A charge nurse in a busy hospital manages a skilled nursing unit using an autocratic style of leadership. Which leadership tasks best represent this style of leadership? Select all that apply.
The charge nurse dictates break schedules for the other nurses. The charge nurse schedules a mandatory in-service on new equipment. The charge nurse delegates nursing responsibilities to the staff
A nurse who is newly hired to manage a busy pediatric office is encouraged to use a transactional leadership style when dealing with subordinates. Which activities best exemplify the use of this type of leadership? Select all that apply.
The manager institutes a reward program for employees meeting goals and work deadlines. The manager promotes compliance by reminding subordinates that they have a good salary and working conditions.
A nurse is using time management techniques when planning activities for patients. Which nursing action reflects effective time management?
The nurse asks patients what is their priority to accomplish each day
A nurse is asked to act as a mentor to a new nurse. Which nursing action is related to this process?
The nurse mentor advises and assists the new nurse to adjust to the work environment of a busy emergency department
True or False: It is increasingly difficult for the nurse manager to be both a clinical and managerial expert.
True. can be very difficult to be both a clinical & manager expert
Following a myocardial infarction (heart attack), a client beings 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?
Unfreezing