Leadership EAQ's

A hospital wants to implement the primary nursing model on the premises. Which challenges are likely to be faced by the management? Select all that apply

lack of nurse availability lack of experienced nurses

The nurse is teaching a student nurse about Covey's eight characteristics of effective leaders. Which statement of the student nurse indicates the need for further teaching?

"Effective leaders are self-oriented and engage in implementing tasks for followers."

The nurse manager finds that there is an increased infection rate in the unit due to an increased number of client visitors. The nurse believes that a change in the visitor policy could help reduce the infection rates. The leader is initiating an open dialogue about external and internal realities among the team members. Which attribute of Kotter's eight-step model is involved in this action by the nurse manager?

creating urgency

Which type of performance appraisal method is depicted when a nurse manager keeps a written record of positive and negative performance of employees in a designated time period?

critical incident method

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

helping clients accomplish optimal functinoing

The nurse manager orders the direct care nurse to assist in providing tertiary care to a client. Which type of treatment would the direct care nurse be involved in?

rehabilitation

The nurse leader conducts an education session for the nursing staff regarding case management. Which statement made by the nursing staff indicates they do not understand the role of case management?

"It represents that primary health prevention is managed by a single case manager."

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."

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

Fostering a shared vision Providing coaching and mentoring

Which behavior of the nurse as a leader indicates Gardner's task of renewing at an executive level?

Providing self-care to enhance the ability to care for clients, families, staff, and the organization

The nurse leader is focused on recognizing the dynamic, complex, and interdependent nature of systems in an organization. Which nursing action indicates an effective implementation of this principle of systems thinking theory?

Identifying and understanding the relationships between clients, families, communities, and local economies

While reviewing the work of a team, the nurse observes a conflict among the members. How should the nurse build in consultation before and feedback after the negotiations in a conflict resolution?

providing a forum for open disscussion

The nurse, as a leader, takes care of himself or herself to promote the nurse's ability to care for the staff. Which of Gardner's tasks of leadership is the nurse applying in practice?

renewing

A client is concerned about not receiving treatment due to a Medicare policy change. What is the accurate response of a nurse as a leader?

the change will not affect your treatment

A hospital management team has conducted a randomized controlled trial to decrease the occurrence of ventilator-associated pneumonia .The trial was successful and had positive outcomes. The nurse manager, in collaboration with other hospital management staff, conducted the same trial in another hospital, but the results were different. Which research strategy implementation would the nurse manager consider to be beneficial in preventing dramatic differences in trial results?

Practice based evidence

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)

When a bedridden client complains that he or she is thirsty, the nurse leader says, "I want to make you comfortable. Here is a glass of water, please take it." Which communication skill is the nurse leader using to make caring visible?

making explicit her or his positive intent

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 senior nurse advises a newly promoted nurse concerning various aspects of the leadership role. Which advice by the senior nurse would the newly promoted nurse most likely consider as leading by example?

"Try to be a participant in political activity in the local community."

When a client with cancer reaches an incurable last stage, the nurse explains the situation to the client and calls the client's family members to provide support. Which need of the client does the nurse prioritize here?

Belonging need

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?

Expectancy theory

Which behavioral manifestations in the nursing staff should alert the nurse manager of moral distress? Select all that apply.

Failing to act as a client advocate Withdrawing from client care situations

Which Institute of Medicine Report attempted to help interprofessional teams work more effectively together?

Health Professions Education: A Bridge to Quality

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

Which initiative demonstrated by the registered nurse is an effective art of communication of a leader?

Reinforcing the values behind the change

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 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

Which application would the registered nurse state is related to the trait theory in practice?

to develop assertiveness

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

using feedback from superiors to measure own performance

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

Which type of leadership theory explains the effectiveness of leadership and depends on the match between a leader's style and the demands of a situation?

Contingency model

The registered nurse instructs a student nurse to perform an action as a community volunteer. Which action should the student nurse perform as a community volunteer?

Organizing individuals in the community to develop healthcare delivery

The nurse manager is teaching the nursing team about funds allocated to health departments for personal health services by local, state, and federal governments. Which statement made by a member of the team would indicate effective learning? Select all that apply.

"The funds provide care for newborns." The funds provide care for clients with tuberculosis." "The funds provide care for children with birth defects."

A nurse leader wants to communicate and explain changes to hospital rules to team members. Which approaches should the nurse leader follow for effective communication? Select all that apply.

Explaining the reason behind the change Providing the opportunity for dialogue and feedback Giving information that addresses the listener's self-interest

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?

OB modification

What tasks should the nurse perform as a leader to increase productivity? Select all that apply.

Provide coaching and mentoring to the staff. Provide information and direction related to meeting unit productivity goals. Prepare a staffing plan that balances the organizational directives with unit needs.

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

Which actions of a nurse as a leader demonstrate a hands-off approach in practice? Select all that apply.

The nurse leader avoids making conscious decisions. The nurse leader chooses to do nothing when an intervention is indicated.

Which objective is associated with creating urgency in Kotter's eight-step model?`

To generate open dialogue about external and internal realities

The nurse leader is teaching nursing executives regarding the primary nursing model of practice implemented in healthcare systems. Which statement made by the nurse executive indicates effective learning?

"I will incorporate total client care from the client's admission to discharge."

The nurse leader is teaching about the role of followers to the nursing staff. Which statement made by the nursing staff is true regarding the followers' traits? Select all that apply.

A follower demonstrates collaborative behavior in daily practice. A follower cooperates with the leader and peers to reach the team goal.

The nurse manager monitors employees' performance and takes punitive action when necessary. What could be the expected organizational outcomes in this type of leadership? Select all that apply.

Adherence to deadlines Limited job satisfaction low to stable levels of commitment

Which performance appraisal method is used by nurse managers to measure the performance of the nurse both qualitatively and quantitatively?

Behaviorally anchored rating scale

Which action makes a nurse manager also a nurse leader?

Helping employees reach the highest level of their potential excellence

The nurse leader suffers from headaches, hypertension, and gastrointestinal problems. Which affirmative statement by the leader reflects an appropriate way to manage the stress?

I will get enough sleep

"In today's workplace, female-male collaboration should provide efficacious models for the future." Which statements support this saying? Select all that apply.

Men and women must learn to work together Women and men bring separate perspectives to resolving problems

A senior nurse is teaching about leadership qualities to a new nurse. Which action of the new nurse represents his or her leadership quality?

Organizing a group of colleagues to address organizational problems

A discussion between a group of team members results in a serious conflict in an organization. The nurse, as a leader, accepts the challenge of the situation and uses an adaptive style. Which theory of leadership is the nurse applying in practice?

Situational-contingency theory

The nurse leader is executing quality improvement (QI) processes in a team. Why are QI processes important?

They review the nursing activities

The leader teaches the student nurse about STAMP (staring, tone and volume of voice, anxiety, mumbling, pacing) assessment. During the session, the leader mentions rapid speech and dilated pupils. What component is responsible for these two conditions?

anxiety

Which system thinking theory principle is involved when the nurse considers the decision of a client to terminate clinical treatment?

balancing short term and long term objectives

An obese client leads a sedentary lifestyle and complains of leg pain when walking long distances. A nurse leader is teaching the client different exercises that can relieve the pain and can be performed while working in an office or doing daily activities. Which of Gardner's leadership tasks is the leader nurse following?

explaining

Which question related to quality of decisions would the nurse leader consider while assessing the degree of conflict resolution?

how creative are the resulting plans?

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 registered nurse is teaching a group of student nurses about the role of the nurse as a leader. Which statement by a student nurse indicates effective learning?

"The goal of the nurse manager is to develop a shared vision of the future with direct care nurses."

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

Which nursing actions indicate effective implementation of systems thinking theory principle with respect to "thinking of the Big Picture"? Select all that apply.

Focusing on the needs of all the residents in a long-term care facility Knowing about the complications of emergency department overcrowding in an urban setting

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

During an interview for the position of manager in the healthcare industry, the candidate is asked about the important qualities of a successful manager. Which responses would be appropriate? Select all that apply.

"A successful manager should take risks." "A successful manager should tolerate uncertainty." "A successful manager should experiment with ideas for a unique situation."

The nurse manager is in charge of a relatively inexperienced nursing staff. The manager inspires followers through displayed optimism, by providing intellectual stimulation, and by encouraging follower creativity. Which leadership theory is most closely aligned with the manager's approach?

Transformational theory

Which theory would the nurse describe as addressing the follower's needs so that the interaction raises the follower to higher levels of motivation?

Transformational theories

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

Delphi technique

The nurse leader arranges a meeting with the staff members to learn how satisfied they are with their jobs. Which approach by the nurse leader would outline effective leadership? Select all that apply.

Seeking feedback from the team Motivating the team to reach the desired goals Asking the team to participate in decision making

After assessing the behavior of team members, the nurse leader concludes that the team is ineffective. Which activities by the team members might have led to this conclusion? Select all that apply.

They are unclear about their assignments. They are uncomfortable with disagreement. They frequently use formal voting to make decisions.

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

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