Fundamentals II Chpt. 10 Leadership, Management, Delegation 5-8

Offer 2 days of paid vacation.

A nurse manager has asked the staff to create a plan to improve patient outcomes. In the past, the staff have not met deadlines. How can the nurse manager use transactional leadership style to ensure that the deadline is met? Ask politely. Demand efficiency. Give extensions as needed. Offer 2 days of paid vacation.

problem solving.

An inner-city hospital is seeing a declining client census. The nurse managers begin to strategically plan to determine ways to increase their client population. In the implementation of these strategies, they also evaluate their success and failure and renew their plan. This activity is: directive initiatives. continuing processes. controlling client outcomes. problem solving.

Assess the client with difficulty breathing

The nurse is delegating care to an unlicensed assistive personnel (UAP). Which intervention would be most important for the nurse to perform independently? Obtain a postprandial blood sugar reading Measure the client's blood pressure Assess the client with difficulty breathing Assist the client with turning in bed

Explain the benefits of the change and elicit honest feedback.

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

Case management

In the hospital setting, a nurse is responsible for overseeing the quality and financial outcomes of client care while working collegially with health care providers. What type of professional nursing practice is this considered? Functional nursing Case management Primary nursing Nurse mentorship

Set short-term goals for modifying eating habits. Encourage participation in a diabetes support group. Include the client in creating a list of benefits for exercising.

The home health nurse is caring for a noncompliant client who has been diagnosed with type 2 diabetes. Which nursing interventions would be effective in helping the client change behaviors? Select all that apply. Request immediate changes to behaviors. Set short-term goals for modifying eating habits. Encourage participation in a diabetes support group. Include the client in creating a list of benefits for exercising. Provide information taken from textbooks regarding the consequences of diabetes.

Identify which nursing interventions are priority.

The nurse is having difficulty managing time while caring for a group of clients with complex needs. Medications are several hours behind schedule and several nursing procedures have not be performed. What is the first step that the nurse needs to take to resolve the time management issue? Establish a timeline to get the nursing interventions completed. Identify which nursing interventions are priority. Evaluate the potential to successfully complete the nursing interventions. Identify which nursing interventions can be delegated to other members of the health care team.

Promote a healthy work environment and become a nurse mentor.

The proficient nurse wants to become a more effective leader. Which step would be most appropriate for the nurse to take to achieve this goal? Become a preceptor and work extra shifts on the nursing unit. Promote a healthy work environment and become a nurse mentor. Start a transformational change on the nursing unit and engage staff in the movement. Review the Nurse Manager Leadership Collaborative model and write delegation competencies. TAKE ANOTHER QUIZ

Accommodating

Two nurses are having a disagreement over who will take the next admission to the unit. The nurse manager asks one of the nurses to take the admission and explains that this will be considered a personal favor. Which style of conflict resolution did the nurse manager display? Accommodating Avoiding Competing Collaborating

A leader who is dynamic and inspiring and promotes change by the power of the leader's convictions

Which nurse leader most clearly exemplifies transformational leadership? A leader who is careful to thoughtfully assess the issues and priorities surrounding a problem prior to acting A leader who is dynamic and inspiring and promotes change by the power of the leader's convictions A leader who prioritizes the delegation of leadership to the individual members of the group A leader who prioritizes the fact that every member of the team is considered valuable and equal

Refreezing

A client has been having yearly Pap smears and yearly mammograms for more than 10 years. According to Lewin, this client is in which stage of the change process related to having annual Pap smears and mammograms? Choosing Prizing Unfreezing Refreezing

Evaluating success with accomplishment of goals in client care

A nurse can improve one's skill with time management by taking which action? Allowing the flow of the day to control how time is managed Setting priorities without involving clients or their families Starting each day as a new day without considering the previous day Evaluating success with accomplishment of goals in client care

Resource management

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

Decisions are made by those who are most knowledgeable about the issue.

A nurse manager of a hospital unit is working within a decentralized management structure. Which nursing action best exemplifies this type of system? Senior managers make all the decisions. Nurses are not intimately involved in decisions involving client care. Decisions are made by those who are most knowledgeable about the issue. Nurse managers are not accountable for clients, staffing, supplies, or budgets.

Arrange a meeting where the issue can be discussed and addressed by as many of the nurses as possible.

Conflict has emerged on a nursing unit because new graduates have found 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? Arrange a meeting where the issue can be discussed and addressed by as many of the nurses as possible. Gather evidence over the next several weeks in order to determine if the practice is indeed happening. Arrange for the newer nurses to organize the client assignment for a trial period. Reassure the new graduates that the more experienced nurses are acting in the interests of both staff and clients.

Monitor time clock reports on a monthly basis and enter all nurses who have not been tardy into a raffle for a paid day vacation.

The nurse manager notices a trend in nurses routinely arriving to work late. How can the nurse use the transactional leadership style to get nurses to arrive to work on time? Allow the nursing staff to develop a plan to decrease tardiness within the unit. Emphasize the importance of arriving to work on time during a monthly unit meeting. Monitor time clock reports on a monthly basis and enter all nurses who have not been tardy into a raffle for a paid day vacation. Generate a report of nurses who routinely arrive to work late and set an example by firing the nurse who has been tardy the most.

Approach both nurses to discuss incentives that can be given for agreeing to accept new postoperative surgical clients.

The charge nurse on a postoperative surgical unit is responsible for making client assignments for staff nurses. Two staff nurses have voiced not wanting to assume care for any new postoperative surgical clients during their shifts. How can the charge nurse resolve this conflict using the strategy of compromise to address the immediate concerns of the two staff nurses? Coerce the staff by complimenting on them on how well they care for new postoperative surgical clients. Consult with the nurse manager to decide how postoperative surgical clients should be assigned to the two nurses. Approach both nurses to discuss incentives that can be given for agreeing to accept new postoperative surgical clients. Reassign all nurses' clients in a manner that ensures the two staff nurses will not have to care for new postoperative surgical clients.

Laissez- faire

Which style of leadership is rarely used in a hospital setting because of the difficulty of task achievement by independent nurses? Democratic Autocratic Laissez-faire Transformational

A need for a safer intravenous therapy pump is identified. New intravenous therapy pumps are purchased and training for staff nurses is provided. Intravenous therapy pumps are placed on the nursing unit for client care.

The nurse is conducting an in-serve on change theories. Which example should the nurse include in the presentation illustrating Lewin's three stages of change? Nurses work in groups to care for clients. Physicians collaborate with nurses. Quality client care is provided. Staff voice concerns among themselves about the requirement of mandatory overtime. A unit meeting is called to discuss the issues with management. The mandatory overtime requirement is reinforced by management. A need for a safer intravenous therapy pump is identified. New intravenous therapy pumps are purchased and training for staff nurses is provided. Intravenous therapy pumps are placed on the nursing unit for client care. Multifunctional machines monitor clients' vital signs. Data from the machines is used to create trends in clients' health. The trends are compared to national norms and used to determine if measures can be taken to improve client care.

Recognize the symptoms that indicate a change is needed and collect data

The nurse manager of a medical-surgical unit is planning to make changes, because the unit is understaffed. What is the first action the manager takes to plan the change for the unit? Recognize the symptoms that indicate a change is needed and collect data Determine and analyze solutions to the problem Plan to make the change Evaluate the interventions made to correct the issue

An RN with an MSN who is a nurse manager, has 7 years of nursing experience, is supportive, and is engaged in community service activities

The chief nursing officer (CNO) wants to encourage nurses in the hospital to become clinical nurse leaders (CNL) and is reviewing a roster of nurses working on the medical-surgical unit. Which nurse should the CNO recognize as being qualified to take the CNL examination? An RN who attended a diploma program, has 20 years of nursing experience, is a bedside nurse, is reliable, and provides quality client care An with a BSN who is a case manager; has 16 years of nursing experience, is trustworthy, and provides compassionate client care An RN with an MSN who is a nurse manager, has 7 years of nursing experience, is supportive, and is engaged in community service activities An RN with an ADN who is a charge nurse, has 5 years of nursing experience, is honest, and is enrolled in BSN courses