HESI EAQ Leadership

The senior manager reviews the performance of the transformational leader on the basis of the feedback given by the nurse leader's team. Which statements describe the attributes of a transformational leader? Select all that apply.

"He/she is charismatic." "He/she is motivational." "He/she shows individualized consideration."

The registered nurse, as a leader, is teaching about leadership roles to a group of nurse practitioners. Which statement made by a nurse practitioner indicates effective learning?

"I should use experience and knowledge to judge reasonable risks."

The nurse as a leader is teaching about the Organizational Behavior Modification (OB Mod) theory of leadership to a group of student nurses. Which statement made by the student nurse indicates effective learning?

"I should use punishment sparingly."

Which statements indicate that the nurse leader is adapting to changes in leadership practices to adjust to complex changes in healthcare systems? Select all that apply.

"I will be clear about purpose and process." "I will involve stakeholders and listen to them." "I will align systems and processes to support the change."

The nursing leader is teaching the newly hired nurse about the use of an electronic medication administration record. Which statement of the newly hired nurse indicates effective learning?

"It will identify medication errors."

The nurse organizes a meeting of health care team members after finding no improvement in the condition of a client recovering from major surgery. Which statement made by the nurse during the discussion signifies transformational leadership?

"My active participation will also be required moving forward."

The leader is teaching a nursing student about systems theory. Which statement by the student nurse indicates the need for further teaching? Select all that apply.

"Systems theory accounts for unpredictability." "Systems theory focuses on the effect of random events."

The nurse leader working in a 50-bed surgical unit accrued 765 client days in November and 189 of the clients were discharged during the month. What is the average length of stay for November? Record your answer using a whole number. _____ days

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Which factors are associated with transformational leadership? Select all that apply.

A shared vision Increased self worth of followers Coaching and mentoring by the leader

The registered nurse is evaluating a group of student nurses after teaching how leaders should maintain balance. Which statement by a student nurse indicates effective learning?

"A good strategy for retaining control is to get control over communication."

What are the power strategies for nursing leaders? Select all that apply.

Accept responsibility for one's mistakes. Give credit to others where credit is due. Use business cards when introducing yourself to new contacts.

The nurse as a leader explains ethical principles to the student nurse. Which example does the leader give for autonomy?

Accepting the client's wish to donate his/her organs after death

A senior nurse finds that a nurse leader is implementing the dialogue method while working along with the team. Which nurse leader's action supports the senior nurse's finding?

Allowing team members with different perspectives to come together and find common goals

The chief operating officer (COO) discusses the performance of a newly appointed leader with the nursing staff. The team communicates that the practical approach of the leader fulfills the quantum theory. What type of work environment does the COO understand that the leader creates at the workplace?

An environment that is rapidly changing and dynamic

What are the responsibilities of a nurse manager when leading a case-management system? Select all that apply.

Assessing the quality improvement constantly Coordinating communication among all systems Educating the staff of other departments about nursing care management (NCM)

A hospital is planning to implement the functional model of nursing. Which action performed by a nurse leader would be effective under this model?

Assigning individual duties to different nurses and nursing students for different tasks

Which behavior of the registered nurse would be appropriate for a management position according to Gardner's tasks of leading/managing?

Assisting the staff to interpret organizational values

A client requires emergency cardiac surgery. The leader nurse wants to make the client aware of the situation and wants the client to decide what should be done. Which ethical model does the leader nurse follow here?

Autonomy model

The nurse, as a leader, is planning to provide information about personal hygiene to a group of clients. Which communication methods should the nurse use to talk to the clients? Select all that apply.

Being sensitive to nonverbal communication Providing the opportunity for dialogue and feedback Presenting information that addresses the listener's self-interest

A nurse manager promotes a staff nurse to assistant manager of the medical unit as the staff nurse had expressed interest in taking on more responsibilities. Which type of ethical principle is exhibited by the nurse manager by this activity?

Beneficence

While having a group discussion in an organization, one of the team members criticizes an idea of another team member. Which strategy should the leader apply to resolve the issue?

Brainstorming

The leader is devising a strategy to connect individuals, groups, and organizations to attune them toward a common goal. Which political strategy is the leader pursuing?

Building coalitions

The nurse leader performs his or her own honest appraisals on a regular basis and feels good about the job. Which rule is the nurse leader implementing by this action?

Building self-confidence

A nurse manager in a surgical unit finds that many clients are developing urinary tract infections post-operatively and wants to discuss the measures to prevent it with the team. Which action of the nurse manager reflects good communication practice?

Calling the team for a brief meeting

The nurse is learning about the rules of leaders. Which actions of the nurse indicate effective implementation of these rules in the profession? Select all that apply.

Communicating in a simple language with followers Giving a chance to the followers to express their views Ensuring proper eye contact while communicating with followers

The registered nurse is interviewing for a management position and wants to present a powerful image. What can the nurse focus on when preparing for the interview? Select all that apply.

Conveying positive body language Appearing well groomed and well dressed Showing confidence in work and abilities

The nurse as a leader teaches staff about organizational disciplines to support change and evolution. Which statement of the nurse is relevant in the context of maintaining self-awareness and using reflection?

Correct2 "Personal mastery fosters openness in the face of change."

Which initiatives for leaders and managers are set forth in the Institute of Medicine's core relevance report "The Future of Nursing?" Select all that apply.

Created state coalitions focused on nursing Provided a framework for considering how nurses could determine staffing requirements

Which group discussion technique involves a large number of respondents who may be participating in the discussion remotely?

Delphi technique

A senior nurse finds that the nurse leader is implementing Gardner's task of "achieving workable unity" effectively. Which action of the nurse leader supports the senior nurse's finding?

Developing conflict resolution skills effectively

The nurse as a leader is sharing organizational information openly and honestly. Which of Gardner's tasks of leadership is the nurse manager applying in practice?

Developing trust

The nursing leader is giving a demo on using computerized provider order entry (CPOE) to a newly hired nurse for automatic dose calculation. The nurse leader observed that the staff nurse was not concentrating on the instructions and seemed distressed. After completing the demo, the nurse leader asked the staff nurse to operate the CPOE, but the nurse misused the system. Which communication barrier does the nurse leader suspect to be the reason?

Emotions and personality

Which transformational leadership practices are involved when a leader empowers people and offers praise for the work done by one of the team members? Select all that apply.

Enabling Encouraging

While providing the feedback to student nurses, the registered nurse provides specific information about positive performance. Which type of theory is the registered nurse applying practically as a leader?

Expectancy

Which leadership theory is being followed in a hospital if the nurse leader tells newly hired team members that they will be appreciated and rewarded if they perform well?

Expectant Theory

A team member has asked the nurse leader about changes in the work schedule. What is the accurate action to be taken by the nurse leader in this situation?

Explaining the reason for the change to the team member clearly

The nurse manager is implementing a change in evening care for clients to include back rubs to promote sleep. The nurse manager convinces the managers of various nursing units and also supports nursing staff who are willing to implement the change. Which component of Kotter's eight step model is involved in this scenario?

Forming a powerful coalition

What are the desirable actions of the nurse as a transformational leader? Select all that apply.

Fostering a shared vision Providing coaching and mentoring

What is the correct order of steps that should be followed by a leader to create a vision and foster major organizational transformation?

Generate an open dialogue about external and internal realities. Develop a core group of change advocates. Create a vision for change. Communicate the change vision regularly and consistently. Keep an alert for barriers in structure and processes. Report differences and honor the people who implement.

Which action of the clinical nurse is consistent with Gardner's task of "achieving work unity"?

Helping clients accomplish optimal functioning

A nurse manager is assessing the qualities of a team that is led by the nurse leader. Which qualities indicate an effective team? Select all that apply.

Informal in the work environment Ability to handle conflicts by open discussions

A nurse leader is educating student nurses in helping clients to perform their difficult self-care activities. Which key idea from a Source of Power is this statement referring to?

Information power

Which characteristics should a nurse focus on to become an effective transformational leader? Select all that apply.

Inspiring a shared vision Improving interpersonal skills Being able to motivate the nursing staff

A nurse manager proposes to change a protocol regarding the care of postoperative clients. However, the nursing staff openly expresses their resistance to the change and wants to continue with the original protocol. Which behavioral pattern in response to change best describes the nursing staff?

Laggards

The nurse leader finds that a client with a severe vitamin B12 deficiency is extremely fatigued and tends to fall. Which theory does the student nurse think that the nurse leader would find appropriate for prioritizing the need of the client?

Maslow's theory

The nurse is attending a city commission meeting being held to discuss using a community park to build a museum. How should the nurse advocate as a community opinion leader to help maintain a health conscious society?

Oppose building the museum

The nurse manager uses operant conditioning when managing the staff by providing positive reinforcement to motivate them to repeat constructive behavior. Which leadership theory is reflected in this practice?

Organizational behavior (OB) modification

While providing feedback to nurse practitioners, the registered nurse uses the extinction approach to handle negative behaviors. Which theory of leadership is the registered nurse applying in this scenario?

Organizational behavior modification (OB Mod) theory

A staff nurse states "I am sorry, I am responsible for the situation" while communicating to the nurse leader. Which communication pattern is the staff nurse using?

Placation

The nurse manager is looking to include members of the health care team in the decision-making process but finds that many members are reluctant to offer ideas. Which approach by the manager generates a large volume of creative options while encouraging reticent members of the team to participate?

Planning brainstorming sessions

Which actions would the nurse describe as defining the role of a senior leader? Select all that apply.

Providing resources Defining procedures for immediate response to errors

The registered nurse assigned a task to a licensed practical nurse. The task was not successfully completed by the deadline. Which action by the registered nurse would be characteristic of a transactional leader?

Punishes the nurse

A nurse manager asks for extra help from other nurses in the unit. In exchange, the nurse manager ensures special care for the parent of a staff nurse who is currently a client in the hospital. Which behavior does the nurse manager exhibit?

Quid pro quo

Which actions illustrate Kotter's eight-step change model? Select all that apply.

Removing the obstacles to support the change effectively Creating a vision for change and communicating it within the team Reporting the difference that the change is making in the organization

A client arrives in the emergency department in cardiac arrest. Which priority action indicates that the nurse is acting as a leader?

Resuscitating the client using clinical protocols

The direct care nurse wishes to improve her understanding of the steady-state career style in order to get promoted as the nurse leader. On which quality attributes would the nurse want to focus?

Rewarding competence and tenure

The nurse leader is guiding members of the organization to visualize their futures and develop appropriate procedures to actualize the future through strategic planning. What is the order followed in strategic planning?

Search for internal, external, and organizational environment. Analyze the organization's potential for dealing with change. Develop and evaluate various strategies. Revise organizational mission. Select the best strategic option. Prepare, execute, and evaluate the strategy.

In what order should the tasks be performed by the nurse leader when implementing evidence-based practice?

Search for most relevant evidence. Appraise the evidence. Integrate the best evidence with one`s clinical expertise. Evaluate the outcomes of the practice design. Disseminate the outcomes of the decision.

Which action of the leader signifies the implementation phase of the nursing process to teaching?

Sequencing different tasks

The nurse leader and the team received recognition because of a follower on the team. What could be the most important action of the nurse leader?

Sharing the appreciation with the team

The nurse manager evaluates the performance of a group of nurse leaders on a project. One nurse leader performs exceedingly well by assuring that change happens and is promoted as the leader. Which quality attributes would have been shown by the nurse? Select all that apply.

Taking initiative Going beyond the role Thinking outside the box

The nurse manager oversees an organization that provides secondary care for clients with cancer. Which service would be provided by this type of organization?

Teaching the client about prevention of infection

Which critical factors would the nurse say are associated with situational-contingency theory? Select all that apply.

The ability of the leader to reward followers The degree of trust and respect between leaders and followers The task structure about goals and the complexity of the problems being faced

The nurse as a leader is using a transactional leadership style. Which effect on followers often results from this style of leadership?

The followers will correct errors in a reactive manner

The nurse leader wants to avoid a conflict and postpone its resolution. What could be the reason for this avoidance?

The leader wants to gather more information.

What would the nurse describe as "leadership" in nursing practice?

The use of individual traits to interpret the environment in an emerging situation to execute a plan

The nurse leader has implemented a change in documentation of nursing care. The nurse leader finds that the licensed practitioner nurse (LPN) is resistant to change and is not participating in the change process. Which approach made by the nurse leader would be appropriate in dealing with the LPN?

To confront the LPN and encourage verbalization of feelings regarding the change

What is the key idea of role theory in nurse leadership? Select all that apply.

To understand behavior in certain circumstances To collect concepts that predict the actors' performance in a given role

According to style theory of leadership, which is an action of a nurse leader?

Using feedback from superiors to measure own performance