FINAL EXAM nclex practice questions and power point for LEADING AND MANAGING

The new graduate RN needs to have a preceptor assigned to him as he begins working in the pediatric clinic. The BEST person for this assignment would be A. The charge RN who is a natural leader and knows all of the policies. B. The staff RN who has 3 years of experience and enjoys orienting new employees. C. The LPN with 15 years of experience who knows all of the doctors' preferences. D. The staff RN with 10 years of experience who refuses to work with students.

B

A nurse observes a nursing assistant fail to wash her hands before and after placing a patient on a bedpan. When giving negative feedback to the nursing assistant, the nurse should:

Be certain to offer constructive criticism about the task and do so in private

SATA: Lisa is an RN who transferred to the pediatrics unit 2 months ago. She noted the low morale and conflict among the nurses based on the manager's authoritarian leadership style. What are Lisa's best actions? Select all that apply. A. Talk with the manager in private about the unit's needs. B. Discuss various leadership styles with the nurses. C. Ask the nursing supervisor to talk with the manager about her leadership style. D. Do nothing and continue to observe for improvements. E. Organize a staff meeting so the nurses can voice their concerns to the manager.

A and B

At a recent staff meeting, the chief nursing officer announced that all nursing staff would work 12 hours on a day night rotation schedule that would alternate every 6 weeks. She made this decision as a means to solve discord between the day and night shift nurses. She explained that this plan will allow the staff to experience the work on each shift and to appreciate the various job responsibilities on each shift. What type of leadership is the chief nurse displaying?

Authoritarian

A______________ is an employee of an organization who has the power, authority, and responsibility for planning, organizing, coordinating, and directing the work of others.

Manager

__________ is the ability to influence other people despite resistance from them. Said another way, it is the ability of one person or group to impose his, or their, will on another person or group.

Power

A graduate nurse completed her nursing education 3 weeks ago and has just begun work at the local hospital. She is orienting for her new position with an experienced nurse, one who has been an RN for 15 years and an employee at the hospital for 7. She will provide guidance and practical teaching to the new graduate as she assumes a new position in the nursing unit. What role is the experienced RN assuming?

Preceptor

The new charge RN on a hospital unit is leading a committee that must choose new paint colors for the nurses' station. She elicits the opinions of all group members and then organizes a vote. The charge nurse's leadership style can be said to be A. Laizzez-faire B. Autocratic C. Democratic D. Scientific

c

transactional theory

chain of command motivates by reward or punishment; focuses on supervision, organization, or performance; it is an integral part of the Full Range Leadership Model.

Human relations-oriented management is

considering the feelings of staff and says that work motivates people

trait theories

examine characteristic patterns of behavior

servant leadership

focuses on increased service to others rather than to oneself, how employees are treated at work and changing what causes hardship

challenges to leadership

understanding followership, economic climate, and labor market

Which of the following activities are involved when delegating tasks to other members of the nursing team? 1) supervising patient care 2)determine the skill mix of personnel 3) assessing the needs of the clients involved 4) deciding which tasks to assign a team member

1234

An experienced nurse serves as a mentor to a new graduate. Which of the following are responsibilities of the person being mentored? 1) demonstrate an ability to move toward independence 2)has the ability to encourage excellence in others 3) seeks feedback and uses it to modify behaviors 4)demonstrates flexibility and an ability to change

1,3,4

Which of the following are characteristics of an effective nurse manager? 1) clinical expertise 2)business sense 3)masters degree 4)leadership skills

1,3,4

The physical therapy department and the nursing department at a local rehabilitation hospital are in conflict over which department is responsible for transporting patients to and from therapy appointments. Members of the therapy department say they do not have sufficient time to come to the nursing unit. And the nursing unit says they do not have enough time and it leaves a shortage of nursing personnel on the floor. Managers have attempted to resolve the conflict in both departments but all attempts have failed. What is the next step the managers should take?

Begin informal negotiation

Theories that focus on what a leader does are called

Behavioral theories

The manager is conducting an informal negotiation between two staff members who have ongoing difficulty working together peacefully. Most recently there was an argument for who was going to lunch first. At this stage of the informal negotiation, the manager is focusing on managing the emotions and setting the ground rules. Which stage does this demonstrate? 1) setting the stage 2)conducting the negotiation 3)making offers and counteroffers 4)agreeing on resolution of the conflict

Conduction the negotiation

A nursing unit is now doing a walking changeof-shift report. The unit manager puts out a survey asking for employee feedback about the new process. This would be termed: A. Overcoming resistance B. Unfreezing C. Implementing change D. Integrating change

D

An expert nurse feels confident in her role as a clinician on the unit. The nurse enjoys her work and feels in charge of her career. Which leadership state is she experiencing? 1) Power-based authority 2) Effective management skills 3) Empowerment in her role 4) Followership skills

Empowerment in her role

Compared with management, _______________ is the ability to influence other people with or without an official appointment to a position in the organization.

Leadership

The surgical unit is experiencing difficulty recruiting new RNs, although the hospital has an excellent reputation in the community and has no difficulty recruiting nurses for other units. A task force has been formed, consisting of one nurse from each shift on the unit, the unit manager, and the hospital nurse recruiter. The group has gathered data and identified the problem. What is the next step in this process? 1) Generate possible solutions. 2) Evaluate whether the problem has been resolved. 3) Implement the solution changes. 4) Evaluate suggested solutions.

Generate possible solutions

A nurse with 2 years of experience frequently appears stressed and has difficulty completing his work. He is clocking out 30 to 45 minutes late every day, even when his assignment load is light. The charge nurse describes his problem as "running from one duty to the next and having no organization or daily routine." Which situation most likely describes this nurse? 1) Has time management problems 2) Has a heavy patient load 3) Works at a hospital that is understaffed 4) Is in a management position

Has time management problems

Within the past month, there has been a change in the nursing documentation requirements. The nurses have been trained in the new requirements and are documenting as requested, with the exception of one nurse. The nurse has been to busy to attend any of the documentation service meetings and is too busy to attend a private meeting with the nurse manager. Meanwhile, she continues to use the old documentation process. What do the nurses actions illustrate?

Passive resistance

emotional intelligence theory

Social intelligence is an important indicator of life success. Emotional intelligence is a key aspect, consisting of perceiving, understanding, managing, and using emotions.

SOAR analysis

Strengths, Opportunities, Aspirations, Results

necessary skills for leaders and managers

ability to communicate, ability to delegate, ability to manage change, ability to manage conflict, ability to manage time

task relationship theory

a leader that is motivated by accomplishing tasks and concerned with the delineating roles and specific tasks for employees.

What is the first stage of the complex process of change?

Unfreezing

referent power

informal power that stems from relationships: respecting others

expertise power

intelligence is power

Behavioral Theories

leadership theories that identify behaviors that differentiated effective leaders from ineffective leaders

fredrick taylor argued that

most jobs could be done more efficiently if they were thoroughly analyzed rewarded, for example paying people by the piece, which encourages workers to get the most work done in the least amount of time

transformational theory

people need a sense of mission that goes beyond a relationship to get a job well done

reward power

power that comes from the ability to provide rewards or favors

Coercion Power

power to control others through threats and discipline

Situational Theories

propose that the effectiveness of a particular style of leader behavior depends on the situation

SWOT analysis

strengths, weaknesses, opportunities, threats; guides employees through strengths and weakness

positional power

the person at the top has the most power, authority