Chapter 10 Leading, Managing and Care Delegating
Nurses with varying levels of experience possess leadership skills. A graduate nurse walks out of the nurse manager's office after a meeting. The graduate nurse reflects on the positive and negative feedback that she received from the manager regarding her three months working on the unit. What nursing leadership skill is best illustrated by the graduate nurse in this scenario?
self evaluation skills
which type of skill is not needed for nursing leadership?
technical skills
in lewins classic theory of change, what happens during unfreezing?
the need for change is recognized
a nurse is considering the delegation of administering medications to an unskilled assistant. what is the first question the nurse must ask herself before doing so?
is the delegated task permitted by law?
which of the following is a characteristic of mentorship?
it is a link to a protege with common interests
the ANA, which is committed to monitoring the regulation, education, and use of NAPs, recommends adherence to which one of the following principles?
it is the nursing profession that determines the scope of nursing practice
a student nurse has just graduated with a baccalaureate degree in nursing. what type of nursing leadership will this nurse be expected to provide?
nursing care of the individual client
what type of leader shares decisions and activities with group participants?
democratic
what type of leadership can a graduate nurse working in a magnet hospital expect?
democratic
Which of the following tasks could the nurse safely delegate to unlicensed assistive personnel?
documentation of client's I+O on a flow sheet
During a staff meeting, the nurse is discussing new quantum leadership. The nurse explains that in this type of leadership change is viewed as which of the following?
dynamic and constantly unfolding
the nurse is having an exceptionally busy shift on an obstetrical unit. which of the following tasks is the nurse justified in delegating to an unlicensed care provider?
emptying a foley catheter bag and reporting the volume to the nurse
a nurse manager has encountered resistance to a planned change. what is one way the nurse can overcome the resistance?
encourage open communication and feedback
The nurse is a manager on an orthopedic unit. The unit changed to a new computer documentation system three days ago. One of the night nurses has called in sick every shift since the new system started. The nursing manager is aware that this situation has to do with resistance change. Which of the following are common reasons why people resist change. Choose all that apply.
-feel threatened -fear increased responsibility -lack of understanding -see no benefits to the change
A head nurse assumes the leadership role when directing and supervising coworkers. Which of the following are attributes of a leader? Select all that apply.
-philosophical -charismatic -dynamic
in general, how do most people view change?
By how they are affected personally
planned change is a purposeful, systematic effort to alter or bring about change. what occurs next after alternative solutions to a problem are determined or analyzed?
a course of action is chosen from among the alternatives
a nurse is described as "quantum leader". which action characterizes this type of leadership?
a nurse conducts a blind survey to evaluate her leadership skills.
a nurse working on leadership skills should keep in mind which of the following accurate statements regarding leaders?
all nurse leaders began as inexperienced nurses
the nurse has just graduated with a bachelors of science in nursing and is eager to find a mentor at this early stage in her career. which of the following individuals is most likely to be an appropriate mentor for the nurse?
an experienced nurse who was a preceptor in a previous clinical placement
which of the following nursing care tasks is acceptable for a graduate nurse to delegate to UAP-unlicensed assistive personnel?
assisting a client with ambulation
The nurse is caring for a client who had a sudden episode of vomiting, which produced 900mL of frank blood. The nurse directed and delegated to colleagues in order to notify the physician. She started intravenous fluids, and provided physical and emotional support for the client. Different situations call for different leadership styles. Which of the following leadership styles did the nurse display in this situation?
autocratic
The nursing student is working to improve his time management. Which of the following would assist the nursing student in accomplishing his goal? Choose all that apply.
-identify priorities for the day -evaluate time management at the end of the day -establish a reasonable time line
Which of the following statements accurately describes recommended guideline for overcoming resistance to change? Select all that apply.
-list the advantages of the proposed change for members of the group -if possible, introduce change gradually
A nurse attempting to change the method for documenting client care in a hospital setting. Which of the following should be considered before planning change? Select all that apply.
-what is amenable to change? -how does the group function as a unit? -is the group ready for change? -are changes major or minor?
a nurse manager has directed a RN who is out of school for one year to become a member of the institutions policy and procedure committee. a goal in the nurse managers delegation is to assist the nurse to what?
grow in her profession
in which of the following conflict resolution strategies is the conflict rarely resolved?
smoothing
when comparing team nursing with functional nursing, what characteristic is found?
team nursing focuses on individual client care
which of the following statements accurately describes the use of power by change agents?
they are often accomplished professional women
a nurse leader is described as charismatic, motivational and passionate. communications are open and honest, and the nurse is willing to take risks. what type of leadership is the nurse practicing?
transformational
a nurse manager makes all of the decisions for staff activities. what type of leadership is demonstrated by this action?
autocratic (this leadership involves the leader assuming complete control over the decisions and activities of the group)
a nurse believes in listening to clients and co workers more than talking to them, allowing more personal control for all involved. this is a quality of which of the following managerial mindsets?
collaborative
a nurse strives to establish trusting interpersonal relationships with clients, peers, subordinates, and superiors to facilitate goal achievement and personal growth of all participants. which types of skills is this nurse demonstrating?
communication skills
a senior student has been elected president of the student nurses association. which of the following qualities is essential to being a nursing leader?
flexibility