Davis Edge Leadership and Management Quiz

A new nurse is learning about time management techniques to be more efficient in her job. What skills are important to implement? Select all that apply. 1. Setting short- and long-term goals 2. Being organized 3. Work harder, not smarter 4. Lists and schedules 5. Multitasking 6. Saying yes to every request

ANS: 1, 2, 4

A nurse is considering applying for a management position. One process that could be used is the SOAR analysis. What does the S stand for? 1. Standards 2. Strengths 3. Strategies 4. Support

ANS: 2 Rationales Option 1: Although standards are important for a management position, it is not the S in SOAR. Option 2: Strength assessment is relative to the SOAR and SWOT analyses. Option 3: Strategies is not part of the SOAR acronym. Option 4: Support is an important factor in a management role but is not part of the SOAR analysis.

A nurse performs a self-evaluation using the SWOT model. What is an example of a threat? 1. Computer skills 2. Poor time management skills 3. Lack of time 4. Variety of clinical experiences

ANS: 3 Option 1: In the age of health-care technology, computer skills are a strength. Option 2: Lack of time management skills is a weakness and an area for improvement. Option 3: In a SWOT analysis, this would be an example of a threat. Option 4: A variety of clinical experiences is an opportunity, not a threat.

In which order would the nurse perform appropriate delegation? 1. Implement interventions as required. 2. Set goals. 3. Assess needs. 4. Plan interventions. 5. Evaluate the outcomes.

ANS: 3, 2, 4, 1, 5

Which best describes an organization? 1. Involves leaders and followers 2. Involves a hierarchy of people 3. Involves a mentor and a mentee 4. Involves budgeting effectiveness

ANS: 1 Option 1: An organization is comprised of leaders and followers. Option 2: Organizations may contain a hierarchy of people, but this is not the best description. Option 3: Leadership that effectively orients new employees involves mentors and mentees. This is not the definition of an organization. Option 4: Nurse managers work to budget resources effectively in an organization; however, this does not define an organization

Which factors are unique to being a manager in the nursing profession? Select all that apply. 1. Client acuity 2. Communication 3. Clinical expertise 4. Outcome measurement 5. Reimbursement knowledge

ANS: 1, 3 Rationales Option 1: The nurse manager must understand client acuity to plan staffing needs for an area. Option 2: All managers, even those outside of nursing, must be good communicators. Option 3: Nurse managers must have clinical expertise. They must have a strong knowledge base acquired through education and clinical experience. Option 4: Managers in all settings must be able to measure outcomes. This is not unique to nursing. Option 5: Different types of managers must understand how to be reimbursed for services. This is not unique to nursing.

The nurses on a unit are concerned about the lack of equipment to perform tasks. The nurse manager approaches administration with these concerns. Which role is the nurse leader performing? 1. Coaching 2. Advocacy 3. Networking 4. Conflict negotiation

ANS: 2 Option 1: The nurse manager talks an employee through a task using coaching. This is not related to the nurse manager voicing staff concerns. Option 2: The nurse manager is advocating for the nursing staff when going to administration for needed equipment. Option 3: The nurse manager is networking when he or she is discussing needs with outside vendors. Option 4: The nurse manager is negotiating conflict when discussing issues between different staff members.

There are several management theories that are utilized by nurse managers. What management theory cultivates a culture of trust, selflessly serves others, and believes employees are valuable? 1. Theory X leadership 2. Scientific leadership 3. Theory Y leadership 4. Servant leadership

ANS: 4 Rationales Option 1: Theory X leaders believe that most people do not want to work hard, and they use strict rules and threat of punishment to get work completed. Option 2: Like the Theory X leader, scientific leaders believe that a properly designed task and incentives will get the work completed. This leader encourages workers to get the most quality work done in the least amount of time. Option 3: A Theory Y leader is human-relations oriented and is concerned about keeping staff morale high. Option 4: Servant leadership is more than Theory Y leadership, as this leader puts the needs of employees above self.

There are several time management components that are important for a new nurse. What skills are important to develop? Select all that apply. 1. Prioritize tasks based on client needs. 2. Recheck any unfinished or delegated tasks. 3. Practice self-reliance and be flexible. 4. Try not to take any breaks because client care may suffer. 5. Decide not to delegate because the RN is responsible for all care provided.

ANS: 1, 2,3 Option 1: Prioritizing tasks as scheduled or anytime during the shift will assure all activities are completed. Option 2: The nurse must ensure that delegated tasks are completed and documented accordingly. Option 3: It is important to identify what tasks are in your control and what tasks are not. Option 4: The nurse should practice self-care throughout the shift when he or she can. This will reduce stress and burnout. Option 5: The RN can delegate according to the nurse practice act. Not delegating appropriately may cause personal risk to your license.

The nurse is performing an inventory of his or her skills using the SWOT (strengths, weaknesses, opportunities, threats) analysis. Which aspects would the nurse document as strengths? Select all that apply. 1. Master's degree in nursing (MSN) 2. Career advancement in a new setting 3. Fourteen years of intensive care experience 4. Ability to work in a variety of clinical sites 5. History of poor communication and listening

ANS: 1, 3, Option 1: The fact that the nurse possesses an MSN degree is a strength because it falls under advanced education. Option 2: Career advancement in a new setting is an opportunity, not a strength. Option 3: The nurse documents ICU experience as a strength because it falls under relevant work experience. Option 4: The ability to work in a variety of clinical sites is an opportunity for the nurse. This would not be a strength. Option 5: A history of poor communication and listening is a weakness, not a strength.

Which problems impact health-care finances? Select all that apply. 1. Decreased resources 2. Decreased salaries of nurses 3. Multiple uses for resources 4. Other therapies preferred 5. Increased reimbursement from clients

ANS: 1, 3, 4 Option 1: Resources are decreased as insurance companies and the government continue to cut health-care reimbursements. Option 2: Nursing salaries have increased in the recent economic climate. They have not decreased. Option 3: Allocation of resources can change based on community needs. If a community has a mass casualty such as a tornado, resources will be redirected to manage the care of the injured, instead of being allocated to preventive care. Option 4: Some clients prefer holistic treatment instead of traditional medicine. This can affect the use of medical services. Option 5: Reimbursement has decreased; it has not increased.

Empowerment is a psychological state in which one has been given power to solve problems, take initiatives, and exercise autonomy. What feelings encompass empowerment? Select all that apply. 1. Self-determination 2. Rewarding 3. Aspirations 4. Meaning 5. Competence 6. Impact

ANS: 1, 4, 5, 6 Rationales Option 1: Self-determination is feeling free to decide how to accomplish work. Option 2: Rewarding is a source of power, not empowerment. Option 3: Aspirations is part of the SOAR acronym and not a feeling related to empowerment. Option 4: Meaning involves caring about your work, enjoying it, and taking it seriously. Option 5: Competence is confidence in your ability to do your work successfully. Option 6: Impact is a feeling that others listen to your ideas and can make a difference.

A registered nurse is making an assignment for the unit. What activities can the registered nurse delegate to the NAP? Select all that apply. 1. Taking vital signs 2. Dressing a client with a stroke 3. Making beds 4. Delivering meals and setting up trays 5. Changing a dry sterile dressing 6. Transporting critical clients from the ER

ANS: 1,2,3,4 Rationales Option 1: NAPs may take vital signs on clients who are stable. Option 2: NAPs may dress a client with a stroke if the client is stable. Option 3: NAPs can make an occupied and unoccupied bed. Option 4: NAPs can deliver food trays and set them up for clients. Option 5: NAPs cannot be delegated to change a dressing; only an LPN or RN can do this. Option 6: NAPs cannot transport clients who are critical, because they require frequent assessments.

Leadership is viewed as a personality trait within behavior theories. What type of leadership is called autocratic, directive, or controlling? 1. Democratic leadership 2. Authoritarian leadership 3. Laissez-faire leadership 4. Emotional intelligence leadership

ANS: 2 Option 1: A democratic or participative leader shares the planning, decision making, and responsibility for outcomes with the team. Option 2: An authoritarian leader gives direction, makes the final decisions, and bears most of the responsibility for the outcomes. It is an efficient method to achieve high productivity, but there is less focus on relationships. Option 3: Laissez-faire leadership is called permissive or nondirective leadership and allows for followers to control the decision-making processes. This type of leader is typically inactive until there is a problem. Option 4: The emotional intelligence leader possesses empathy, self-awareness, self-management, and social awareness.

The nursing leader is developing a task force to strategize ways to decrease the use of sitters in the rooms of clients who are confused. The leader allows the members of the group to make decisions and guides the members through discussions. Which type of nursing leader is this? 1. Authoritarian 2. Democratic 3. Laissez-faire 4. Nondirective

ANS: 2 Option 1: An authoritarian leader makes all the decisions and gives direction. This type of leader does not allow the members to make decisions. Option 2: A democratic leader shares the planning and decision making and takes responsibility for outcomes with the group. This leader provides guidance instead of control. Option 3: A laissez-faire leader gives little to no guidance and only intervenes when goals are not met. Option 4: A nondirective leader allows its participants to do the work and does not provide direction.

A nurse manager is learning about various leadership theories. Which theory requires the most adaptability? 1. Emotional intelligence theory 2. Situational theory 3. Transformational theory 4. Transactional theory

ANS: 2 Option 1: Emotional intelligence focuses on the ability of leaders to manage their emotions and those of their followers. Option 2: Situational theory emphasizes that it is important to understand all the factors of a particular group, and vary the leadership style to meet the needs of rapidly changing situations. This theory does not address meaning, inspiration or vision. Option 3: Transformational leaders create a supportive, safe climate and act as a coach and mentor. Option 4: Transactional leaders assume that people are motivated by reward and punishment and that they work best with a clear chain of comma

The nursing process is implemented to deliver safe and quality client care. What role can implement the nursing process? 1. Licensed practical nurse (LPN) 2. Registered nurse 3. Nursing assistive personnel 4. Unit secretary

ANS: 2 Option 1: The nursing process cannot be delegated to an LPN; only an RN can assess and implement the nursing care plan. Option 2: The registered nurse is the only trained professional to assess, prioritize nursing diagnoses, plan, implement interventions, and evaluate goals. Option 3: The nursing assistive personnel can perform certain interventions such as vital signs, I&O, ambulation, and bathing clients. Option 4: The unit secretary cannot be delegated the nursing process. The unit secretary can transcribe orders but not perform the nursing process.

A registered nurse (RN) is assigning clients on her unit. What client can the RN assign to the NAP? 1. A client who is 4 hours post appendectomy 2. A client who will be discharged in 30 minutes 3. A client with a newly inserted chest tube 4. A client who has TPN infusing through a central line

ANS: 2 Rationales Option 1: This client is not stable and must be assigned to the RN. Option 2: This client is stable and can be assigned to the NAP. Option 3: This client is not stable and must be assigned to the RN. Option 4: This client should be assigned to the RN because TPN is running through a central line and requires frequent assessments.

An effective nurse manager performs interpersonal, decisional, and informational activities. What activities are included in the interpersonal category? Select all that apply. 1. Resource allocation 2. Networking 3. Conflict negotiation 4. Hiring and terminating employees 5. Advocacy 6. Public relations

ANS: 2, 3, 5 Option 1: Resource allocation is a decisional activity. The nurse must be able to budget and use funds wisely. Option 2: Nurse managers must be able to articulate nursing's role and value to the organization. Option 3: Conflict may arise on a unit or on a larger scale. Managers must be skilled to resolve conflict for a win-win outcome if possible. Option 4: Hiring and firing employees is a decisional activity of a nurse manager. Option 5: Managers must be able to advocate for and support staff to upper level management for resources, staff, and technology. Option 6: Nurses share information with staff, clients, employers, and community members.

The nurse manager is selecting a mentor for a new graduate nurse. Which qualities should the mentor possess? Select all that apply. 1. Evaluates choices and outcomes 2. Encourages excellence in others 3. Exhibits good decision-making skills 4. Seeks feedback for modifying behaviors 5. Shows excellent communication and listening

ANS: 2, 3, 5 ption 1: The mentee, not the mentor, evaluates choices and outcomes. Option 2: The mentor should encourage others to excel in all tasks. This provides a positive work environment. Option 3: The mentor must possess good decision-making skills as he or she is a role model for the mentee. Option 4: It is the role of the mentee to obtain feedback for modifying behaviors. This is not the role of the mentor. Option 5: It is important for the mentor to be an excellent communicator and listener so the mentee can feel open to discuss issues with the mentor.

A nurse manager is planning strategies to increase psychological safety during an organizational restructuring. What strategies will be most successful? Select all that apply. 1. Limit the amount of people who need to be involved in the change. 2. Provide a climate of trust and acceptance. 3. Allow time for learning and implementing new policies. 4. Prevent employees from participating in meetings. 5. Promise that no one will lose their job. 6. Brainstorm with staff how the change will create new opportunities and challenges.

ANS: 2, 3, 6 Rationales Option 1: The manager should involve as many people as possible in both the design and implementation of the change when possible. Option 2: Employees must be able to trust that the process is transparent, and that their concerns will be addressed. Option 3: Employees need time to process changes and have opportunities to learn and practice new procedures or policies. Option 4: Preventing employees from participating in the process will not facilitate the proposed changes. Employees want to be empowered through the process. Option 5: A manager may not be able to promise this and, therefore, it should not be stated as such to staff. Option 6: Brainstorming is a safe and effective method for the manager and staff to express the pros and cons of the proposed change.

A nurse manager is planning to hire two full-time registered nurses. What are desirable job candidate skills? Select all that apply. 1. Inability to accept constructive feedback 2. Motivation and initiative 3. Fixed and rigid work schedule 4. Self-discipline 5. Verbal and written communication skills 6. Critical thinking skills

ANS: 2, 4, 5, 6 Rationales Option 1: A nurse must be able to accept feedback on performance and embrace changes for improvement. Option 2: Motivation and initiative are important qualities for a nurse to have in order to consider improving client care. Option 3: Nurses need to be flexible in every aspect of their work life and have the ability to move out of their comfort zones. Option 4: Self-discipline is necessary for a nurse to deliver safe and competent care. Option 5: Verbal and written communication skills are necessary when communicating with other health-care professionals and documenting care. Option 6: The essence of competent nursing care is to be able to critically evaluate client care and respond accordingly.

Change is inevitable in the health-care environment. Lewin developed three stages of change. What is the freezing stage? 1. The stage when someone moves out of his or her comfort zone 2. The process of training and minimizing avoidance of the change 3. Stabilizing the change through new organizational policies and procedures 4. Assuring there are multiple changes at once so they will be more acceptable

ANS: 3 Option 1: The unfreezing phase is the first phase when there is a personal or organizational change that moves an individual out of his or her comfort zone. Option 2: This is the resistance stage and may either be active or passive. Some individuals may become negative about the change, and others may be too busy to implement the change. Option 3: The refreezing stage is the last stage when there is a stabilization with the "new" policy or procedure. Option 4: This is not an ideal method to manage change. Employees need to buy into the proposed change so that it will be successful. There may be passive or active resistance along the process.

Which statement best explains the function of a preceptor? 1. A preceptor is a more experienced nurse who provides coaching and challenging assignments. 2. A preceptor is a person who takes another person as a role model to support and advocate for others. 3. A preceptor is an experienced nurse who provides practical teaching and guidance for student nurses. 4. A preceptor is a new nurse hired into an organization to provide care to clients in an acute care setting.

ANS: 3 Rationales Option 1: A mentor, not a preceptor, is a more experienced nurse who provides career development assistance, such as coaching, sponsoring advancement, providing challenging assignments, protecting protégés from adversity, and promoting positive visibility. Option 2: A follower is an individual who takes another person as a role model and support and advocates the ideas and opinions of others. Option 3: A preceptor is an experienced nurse who provides practical teaching and guidance for a student or new employee. Option 4: A new nurse is a new employee hired to the organization. This is not the role of the preceptor.

McGregor's Theory X and Theory Y is different from scientific management. What is the primary characteristic of a Theory Y manager? 1. Strict rules and constant supervision 2. Selflessly serving others and cultivating trust 3. Human-relations oriented 4. Employees paid by number of tasks completed

ANS: 3 Rationales Option 1: These are the qualities of a Theory X manager. Option 2: These are the characteristics of a servant leader, one who is committed to improve the way each employee is treated at work and to removing barriers and making work easier. Option 3: The Theory Y manager is concerned with staff morale and supports a working environment where people can perform their best. Option 4: This is scientific management that was developed 100 years ago by Frederick Taylor. It is based on the premise that the more tasks completed, the more money a person could make.

There are various sources of power that a nurse may experience. What is coercion power? 1. Power created through relationships with people within the organization 2. Power created by an individual's knowledge and analytical skills deemed critical to the organization 3. Power by controlling others through threats or discipline 4. Power derived from a role in the organization's hierarchy

ANS: 3 Rationales Option 1: This is referent power. Option 2: This is expertise power. Option 3: This is coercion power. Option 4: This is positional power

Which nurse is demonstrating the concept of working smarter, not harder? 1. Deviating from the schedule when changes occur 2. Answering the phone when passing medications 3. Performing the nursing assessment while giving a bath 4. Ignoring gut instincts about the status of a client

ANS: 3 Which nurse is demonstrating the concept of working smarter, not harder? 1. Deviating from the schedule when changes occur 2. Answering the phone when passing medications 3. Performing the nursing assessment while giving a bath 4. Ignoring gut instincts about the status of a client

There are differences between transactional and transformational leadership styles. What are the traits of transformational leaders? Select all that apply. 1. Directive 2. Task focused 3. Bottom up 4. Flexible 5. Creativity 6. Rules

ANS: 3, 4, 5 Leaders in a transactional style are directive to subordinates instead of participative. Option 2: Transactional leaders are more concerned with tasks than the overall experiences of employees. Option 3: Transformational leaders empower employees to share ideas for how to improve client care. Ideas are embraced and appreciated. Option 4: Transformational leaders are flexible and build on feelings of trust and satisfaction. Option 5: Creativity is expected and embraced in a transformational style to improve client outcomes Option 6: Transactional leaders are rules-based, and employees are rewarded with a salary and benefits. Employees are expected to follow rules with little variance.

Which are examples of ways registered nurses use power in their job positions? Select all that apply. 1. Reward power 2. Referent power 3. Power of coercion 4. Legitimate power 5. Power of expertise

ANS: 3, 4, 5 Rationales Option 1: Nurse managers and administrators have the power to reward employees, not the registered nurse. Option 2: Nurses do not have referent power, as this is created through relationships in the organization. This power falls to nurse managers. Option 3: Nurses can threaten licensed practical nurses and unlicensed assistive personnel by coercion. Option 4: Nurses have legitimate power over licensed practical nurses and unlicensed assistive personnel. Option 5: Nurses have clinical and theoretical knowledge that makes them experts in their field. Therefore, they have the power of expertise.

The nurse is working with a student nurse regarding appropriate delegation to unlicensed assistive personnel (UAP). Which action by the nursing student requires correction? 1. Having the UAP feed a client breakfast 2. Obtaining vital signs during a blood transfusion 3. Restocking the client rooms with needed supplies 4. Transporting a client who sustained cardiac arrest to the intensive care unit

ANS: 4 It is appropriate for the student nurse to ask the UAP to feed a client breakfast. Option 2: The student nurse can ask the UAP to obtain vital signs during a blood transfusion. Option 3: The UAP can place needed supplies in the clients' rooms. Option 4: The nurse and student nurse should transport the client to the intensive care unit, as the client is unstable. This should not be delegated to the UAP.

A new nurse is learning about different concepts of leadership. What is the most important concept of leadership? 1. A leader helps others develop a mission and vision. 2. A leader builds commitment through motivation. 3. A leader confronts challenges that arise from innovation and change. 4. A leader has the ability to influence other people and motivate action toward a common goal.

ANS: 4 Option 1: This is a primary task of a leader; to set direction for a group. Option 2: This is a primary task of a leader. Option 3: This is a primary task of a leader. Option 4: This is the essence of leadership. Effective leaders enable people to move in the "same direction, toward the same destination, and at the same speed...because they want to."

There is a problem-solving process that can be implemented to resolve conflict. Put the steps in order. 1. Choose the best solution. 2. Evaluate if the problem or issue is resolved 3. Identify the issue or problem. 4. Evaluate suggested solutions with an open mind 5. Generate possible solutions with creativity 6. Implement the best solution.

3,5,4,1,6,2 Correct Correct Feedback First, identify the issue or problem. Next, generate possible solutions with creativity. Then, evaluate suggested solutions with an open mind. Choose the best solution, and then implement it. Finally, evaluate if the problem or issue is resolved.

The nurse manager makes the day's assignments based on the acuity of the clients and their needs. One nurse approaches the nurse manager and asks why he or she has a heavier load than a different nurse. What is a possible reason for this assignment? 1. A group of clients may need the expertise of a certain nurse. 2. The nurse manager tries to rotate the clients between the nurses. 3. The nurse manager ignores the behavior, as this nurse constantly complains. 4. The nurse manager may have made a mistake and needs to redo the assignments.

ANS: 1 Option 1: A client or a group of clients may require treatments that most nurses are not able to perform. Therefore, the nurse manager may shift assignments to one nurse who is capable of managing those clients. Option 2: The nurse manager may try and rotate staff amongst areas, but this would not explain why one nurse gets a heavier client load. Option 3: Assignments should be made based on client needs. The nurse manager should not ignore negative behavior but should provide constructive feedback to allow the nurse to change the behavior. Option 4: The nurse manager may have made a mistake; however, this is the least likely reason because the nurse manager looks at the clients' needs and matches their needs with nurse's abilities.

A nurse is receiving a report on four clients. Which client should the nurse see first? 1. An older client with IV fluids running at 125 cc/hour and complaining of shortness of breath 2. A client who is requesting pain medication 3. A client who wants to leave against medical advice 4. A client who requires an interpreter for the admission process

ANS: 1 Option 1: An older client with shortness of breath and IV fluids running at that rate could be in respiratory failure. According to Maslow, this client requires immediate assessment. Option 2: Pain is a psychosocial need and can be delegated to another RN or LPN if appropriate. Option 3: A client who wants to leave AMA is not a life or death situation and could be delegated to another RN. Option 4: This task can be delegated to a NAP or unit secretary.

Change is inevitable in the health-care environment. Lewin developed three stages of change. What is the unfreezing stage? 1. The stage when someone moves out of his or her comfort zone 2. The process of training and minimizing avoidance of the change 3. Stabilizing the change through new organizational policies and procedures 4. Assuring there are multiple changes at once so they will be more acceptable

ANS: 1 Option 1: The unfreezing phase is the first phase when there is a personal or organizational change that moves an individual out of his or her comfort zone. Option 2: This is the resistance stage and may either be active or passive. Some individuals may become negative about the change, and others may be too busy to implement the change. Option 3: The refreezing stage is the last stage when there is a stabilization with the "new" policy or procedure. Option 4: This is not an ideal method to manage change. Employees need to buy into the proposed change so that it will be successful. There may be passive or active resistance along the proces

Conflict is inevitable in health care. What is the primary goal of conflict resolution? 1. A win-win resolution 2. A tie 3. Avoiding the conflict 4. Disciplining the employees who are not willing to compromise

ANS: 1 Rationales Option 1: The best resolution is when both sides gain a result through compromise and negotiation. Option 2: Neither side wins or loses, but the problem is not resolved. Option 3: Avoiding a conflict is not a solution. Steps should be taken either informally or formally to resolve the problem with both parties. Option 4: This would not be a goal of conflict resolution, and it may even cause the conflict to be escalated.

A nurse is making an assignment for the unit. What client should the RN assign to himself or herself? 1. A client with an oxygen saturation of 89% on room air 2. A client with a blood pressure of 126/76 3. A client who will be going to the OR that evening 4. A client who is receiving SQ insulin

ANS: 1 Rationales Option 1: This is an oxygen problem and the client is not stable. Therefore, the RN should be assigned to this client. Option 2: This is a normal blood pressure and can be assigned to an LPN or NAP. Option 3: The preoperative teaching can wait until the client with the oxygen problem is stable. Option 4: This client can be assigned to an LPN.

The nurse manager asks other nurses to perform tasks that are the responsibility of the nurse manager in exchange for days off. Which source of power is the nurse manager using? 1. Reward 2. Referent 3. Coercion 4. Expertise

ANS: 1 Option 1: The nurse manager is using rewards such as preferential days off for employees to perform tasks. Option 2: Referent power is obtained by influence in order to gain respect. Option 3: Coercion works by threats to get tasks accomplished. It is not done to obtain preferential staffing days off. Option 4: Expertise is when the nurse's skills are used to improve the organization.

Which tasks are essential for a nursing leader? Select all that apply. 1. Develop goals. 2. Confront challenges. 3. Motivate employees. 4. Discipline employees. 5. Establish boundaries.

ANS: 1, 2, 3 Option 1: A nursing leader must be able to develop goals and keep these goals in mind while performing tasks. Option 2: The nursing leader must confront challenges that come about from change. Option 3: The nursing leader is responsible for motivating employees and keeping them on task. Option 4: While a nurse manager will have to discipline employees, the essential tasks of a nursing leader does not include employee discipline. Option 5: The nurse manager, not the nursing leader, would establish boundaries.

Which strategies should the nurse manager include to obtain staff approval when planning to change procedures regarding communication between nursing shifts? Select all that apply. 1. Involve staff in the change process. 2. Mention the positives of the change. 3. Reassure the staff that no one will lose a position. 4. Send a memo to all staff involved regarding the change. 5. Provide staff with the deadline to make changes.

ANS: 1, 2, 3 Rationales Option 1: The nurse manager should involve as many people as possible in both the design and implementation of the change. Option 2: The nurse manager should point out the ways the change can provide new opportunities and challenges to staff. Option 3: Reassure the staff that no one will be terminated with the proposed changes. Option 4: The nurse manager should not send a memo or e-mail regarding changes in procedures. Staff should be able to discuss this in an open environment. Option 5: The nurse manager would need to set a deadline, but this is not a strategy to obtain staff approval.

According to Emotional Intelligence Theory, which traits does a nurse leader possess? Select all that apply. 1. Empathy 2. Self-awareness 3. Social awareness 4. Self-management 5. Creates feelings of loyalty 6. Motivates by fear of punishment

ANS: 1, 2, 3, 4 Option 1: According to Emotional Intelligence Theory, a leader can connect with others; this is referred to as empathy. Option 2: Self-awareness is an attribute of a leader to recognize and comprehend one's own emotions. Option 3: Emotional Intelligence Theory states that social awareness is the ability to correctly evaluate and respond to other's emotions. Option 4: Self-management is an attribute of a leader, whereby the leader can control his or her emotions. Option 5: Transformational leaders create feelings of loyalty as they try to meet the self-actualization needs of the members of the group. It is not part of Emotional Intelligence Theory. Option 6: Transactional Theories, not Emotional Intelligence Theory, is based on its members being motivated by fear of punishment.

The nurse manager is interviewing a graduate nurse for a new position on the unit. Which attributes would the nurse manager want the successful candidate to possess? Select all that apply. 1. Organization 2. Critical thinking skills 3. Dependence on others 4. Ability to educate others 5. Requires a long orientation

ANS: 1, 2, 4 Option 1: The nurse manager expects the successful candidate to be organized. Organizational skills are essential for a graduate nurse to possess. Option 2: Nurses must be able to critically think, analyze, and plan for client needs, prevent complications, and prioritize care. The nurse manager assesses this ability in the candidate. Option 3: The nurse manager wants to hire a nurse that is independent, not dependent on others. Option 4: The role of the nurse includes client education. Therefore, the nurse manager wants the successful candidate to be able to educate others. Option 5: The nurse manager wants to hire a graduate nurse that adapts and learns new information quickly.

Which statements identify changes that will negatively impact the future of health care by the year 2030? Select all that apply. 1. The age of people over 65 years old will double. 2. The lack of nursing staff to care for these clients. 3. There will be changes in technology used in direct client care. 4. There will be decreased reimbursement from insurance providers. 5. The number of advanced practice registered nurses will increase.

ANS: 1, 2, 4 Rationales Option 1: Between now and 2030, the baby boomers will become over 65 years old, causing this age group to double in size. Option 2: The median age of nurses is growing, leaving a lack of nurses. This will result in fewer nurses to care for more clients. Option 3: Technology helps facilitate and communicate regarding care provided and is not a negative impact. Option 4: Decreased reimbursement from insurance providers affects the organization's finances. Option 5: Increased numbers of advanced practice registered nurses impact the number of available nurses for bedside care.

Which are attributes of followers in an organization? Select all that apply. 1. Listening carefully 2. Being innovative and creative 3. Being dependent on coworkers 4. Having heated discussions privately 5. Avoiding gossip and discussing situations objectively

ANS: 1, 2, 4, 5 Rationales Option 1: A follower should listen carefully and reflect on what the nurse leader says. Option 2: A follower should attempt to be creative and innovative in finding solutions to problems. Option 3: A follower should try to be independent from coworkers and be a self-starter. Option 4: A follower should have heated discussions in a private area and not in public. Option 5: A follower should avoid gossip to prevent creating a negative environment.

According to the American Nurses Association and National Council of the State Boards of Nursing, what are the five rights of delegation? Select all that apply. 1. Task 2. Person 3. Education 4. Circumstance 5. Direction 6. Supervision

ANS: 1, 2, 4, 5, 6 Rationales Option 1: Appropriate delegation activities are identified for specific clients. Option 2: The right person is delegating the right task to be performed on the right person. Option 3: The role of a health-care worker is determined by the worker's education, and therefore what can be delegated to him or her. Education is not one of the five rights. Option 4: The appropriate client setting, available resources, and other relevant factors are considered. Option 5: Direction refers to a clear, concise description of the task, including its objective, limits, and expectations. Option 6: Supervisions entails appropriate monitoring, evaluation, intervention, and feedback

Which jobs are performed by a nursing manager in order to promote unit effectiveness? Select all that apply. 1. Performance evaluations 2. Job analysis and redesign 3. Professional development 4. Hospital-wide committees 5. Hiring and terminating employees

ANS: 1, 2, 5 Rationales Option 1: Performance evaluations are performed by the nursing manager to promote unit effectiveness. This allows for professional growth. Option 2: The nurse manager is responsible for analyzing and redesigning jobs to effectively meet the unit's needs. Option 3: Professional development is performed for the nurse manager's personal benefit, not to promote unit effectiveness. Option 4: The nurse manager has the responsibility of sitting on hospital-wide committees; however, these do not promote unit effectiveness. Option 5: It is the responsibility of the nurse manager to hire new employees and terminate those who are ineffective.

Which nursing actions would be considered prioritization? Select all that apply. 1. Plan tasks in order of importance. 2. Identify events that can be controlled. 3. Determine completion of delegated tasks. 4. Attend a professional development session. 5. Perform essential tasks before those that can be completed at any time.

ANS: 1, 2, 5 Rationales Option 1: The nurse plans tasks in order of importance when prioritizing and organizing client care. Option 2: The nurse should be using prioritization to identify events that can be controlled versus those that are uncontrollable. Option 3: The nurse determines the completion of delegated tasks under recheck, not prioritization. Option 4: The nurse attending a professional development session is not prioritization. Option 5: The nurse is using prioritization when performing essential tasks first and completing other tasks late