Leadership Midterm (1-25)

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Q15. The staff nurse is considered to be a leader by nursing peers on the unit. What characteristics does this nurse likely possess? Select all that apply. 1. Awareness of happenings throughout the hospital. 2. Ability to encourage newly hired nurses. 3. Skepticism about using technology for standard nursing tasks. 4. Adaptability. 5. Collaboration skills.

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Select the reason the transformational leadership sometimes fails in an organization. 1. The need to change is addressed urgently. 2. The coalition guiding the facility is too diverse. 3. Working on the change long after a victory should have be declared. 4. Poor recognition of organizational culture.

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Compare and contrast manager roles and leadership roles by choosing the options that are more aligned with the manager role. Select all that apply. 1. Focus is change. 2. Have the ability to influence others. 3. Control the environment. 4. Focus is on people. 5. Focus on efficiency.

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Identify typical health care areas in which the states have input. Select all that apply. 1. Public health and safety. 2. Provision of indigent care. 3. Purchase care. 4. Regulation. 5. Resource allocation.

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Typically the nurse manager of a unit uses a participatory style of leadership. Today a patient suffered a cardiac arrest; the manager took over the patient's care, issuing orders, and expecting staff to obey them immediately. Which type of leadership did this manager exhibit today? Select all that apply. 1. Bureaucratic. 2. Autocratic. 3. Permissive. 4. Directive. 5. Authoritarian.

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Which option represents a situation exemplifying the need for nurses to become involved in health care planning? 1. The nurse omitted documentation of a surgical dressing change. 2. The nurse must have an advanced practice license to prescribe medications. 3. The nurse administered oral medications to the patient. 4. The nurse discussed do-not-resuscitate decisions with the patient and the family.

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Which scenarios are examples of external environment issues facing nursing in this contemporary age of health care change? Select all that apply. 1. Six of the 18 nurses working on a unit speak English as their second language. 2. The hospital has decreased medication errors dramatically in each of the last two quarters. 3. The unit manager has been asked to use a creative strategy for scheduling with fewer staff. 4. There was a report on the nightly news about recruitment and retention of nurses. 5. An Emergency Room nurse was injured by a patient seeking drugs.

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Which statement is true about hospital classification? 1. Hospital accreditation is voluntary. 2. Licensure of hospitals is provided by the Joint Commission. 3. To provide services, a hospital must be accredited but not necessarily licensed. 4. For a hospital to receive Medicare and Medicaid reimbursement, it must be a not-for-profit hospital.

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Which strategy could the nurse use to avoid disparity in health care delivery? 1. Recognize the cultural issue related to patient care. 2. Request more health plan options. 3. Care for more patients even if quality suffers. 4. Campaign for fixed nurse-patient ratios.

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A key skill in today's health care environment is the ability to collaborate with others. A nurse identifies need to improve in this area. Which skills or traits would be essential for an effective nurse manager to develop to improve collaboration with others? Select all that apply. 1. Flexibility. 2. The ability to share information and ideas. 3. A service orientation. 4. A desire to work hard. 5. The ability to listen to others.

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A staff nurse in a small rural hospital is concerned about the future of health care in the rural environment. How can this nurse be involved in health care policy development? Select all that apply. 1. Join local and national nursing organizations. 2. Contact elected representatives regarding nursing and health care. 3. Act as a patient advocate. 4. Use the Internet to keep current on health care policy issues. 5. Serve on the Infection Control committee of the local hospital.

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A very young nurse has been promoted to nurse manager of an inpatient surgical unit. The nurse is concerned that older nurses may not respect the manager's authority because of the age difference. How can this nurse manager best exercise authority? 1. Use critical thinking to solve problems on the unit. 2. Give assignments clearly, taking staff expertise into consideration. 3. Understand complex health care environments. 4. Maintain an autocratic approach to influence results.

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Compare and contrast transformational leaders and transactional leaders by choosing the options that are examples of transformational leadership. Select all that apply. 1. The leader is very concerned with the critical organizational functions that are required to provide services in the health care facility. 2. The most common type of leader in today's health care arena. 3. This leader follows the leadership style that is recommended by the Institute of Medicine. 4. The leader allows the staff to take risks to improve. 5. The leader seeks to guide staff in their understanding of their importance to the work of the facility.

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Describe the primary focus of a manager in a knowledge work environment. 1. Developing the most effective teams. 2. Taking risks. 3. Routine work. 4. Understanding the history of the organization.

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Peter Drucker's view of management stimulated the shift toward the realization of the importance of participatory organizations. Which option provides a scenario that is an example of a participatory organization? 1. The control of the organization is centralized, and decisions are made by upper-level management. 2. Staff nurses are expected to provide support and nurturing for management's decisions. 3. The organization's approach to leadership is autocratic and bureaucratic. 4. Staff nurses provide input into planning and changes for their own unit.

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The nurse executive of a health care organization wishes to prepare and develop nurse managers for several new units that the organization will open next year. What should be the primary goal for this work? 1. Focus on rewarding current staff for doing a good job with their assigned tasks by selecting them for promotion. 2. Prepare these managers so that they will focus on maintaining standards of care. 3. Prepare these managers to oversee the entire health care organization. 4. Prepare these managers to interact with hospital administration.

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The nurse executive wishes to be a transformational leader. What should this nurse focus on to become effective in this role? Select all that apply. 1. Improving interpersonal skills. 2. Advancing personal formal education. 3. Identifying mentors. 4. Becoming an expert clinician. 5. Creating a vision for the future of nursing in the facility.

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The nurse has just been promoted to unit manager. Which advice, offered by a senior unit manager, will help this nurse become inspirational and motivational in this new role? 1. "If you make a mistake with your staff, admit it, apologize, and correct the error if possible." 2. "Don't be too soft on the staff. If they make a mistake, be certain to reprimand them immediately." 3. "Give your best nurses extra attention and rewards for their help." 4. "Never get into a disagreement with a staff member."

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The nurse has read about the concept of "dispersed leaders" in nursing. How should the nurse expect this concept to be operationalized at the unit level? 1. Leaders will be spread across different units so that each leader has responsibility for two or more units. 2. Leaders from the hospital will be "loaned" out into the community to improve community health services. 3. Each nurse in the unit will be expected to assume leadership responsibilities. 4. Leaders will divide the responsibilities of the unit among the nurses available each shift.

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The nurse manager has asked that all staff nurses develop effective leadership competencies. How should the staff nurses interpret this request? 1. This is an unrealistic expectation, because only managers are leaders. 2. If the nurses learn about and use relevant leadership and management theories and styles this is possible. 3. In order to become leaders, the staff nurses will have to emphasize control, competition, and getting the job done. 4. Unless the staff nurses possess the traits of a natural born leader, this is an unrealistic expectation.

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The nursing staff communicates that the new manager has a focus on the "bottom line," and little concern for the quality of care. What is likely true of this nurse manager? 1. The manager is looking at the total care picture. 2. The manager is communicating the importance of a caring environment. 3. The manager understands the organization's values and how they mesh with the manager's values. 4. The manager is unwilling to listen to staff concerns unless they have an impact on costs.

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The staff nurse has been invited to become a member of the hospital policy and procedure committee. What should the nurse expect in regard to this committee? 1. The committee will meet on an ad hoc basis but will have designated meeting times, will keep minutes, make decisions, and develop reports. 2. The decisions that the committee makes will be the final authority for policy and procedures in the facility. 3. The first step the committee will take to develop policies and procedures is to ask the administration to identify the overall objectives for the committee. 4. The committee will be comprised of 10 or more members, with a chairperson.

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There have been several patient complaints that the staff members of the unit are disorganized and that "no one seems to know what to do or when to do it." The staff members concur that they don't have a real sense of direction and guidance from their leader. Which type of leadership is this unit experiencing? 1. Autocratic. 2. Bureaucratic. 3. Laissez-faire. 4. Authoritarian.

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What is different about today's health care environment that makes it crucial that nurses are involved in the development of health care policy? Select all that apply. 1. The focus of this new environment is on the one-to-one nursing care. 2. There has been a shift from curing patients to prevention of illness. 3. Care must be cost-effective. 4. There is a need to reinvent nursing's professional culture. 5. High quality care will again be provided primarily in acute care settings.

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What was the American Nurses Association's stance on the health care reform plan supported by the Obama administration? Select all that apply. 1. This law is a significant victory for patients. 2. The debate over health care reform is finally over. 3. There is need to help nurses understand the significance of this law. 4. Access to primary care will be more difficult for most Americans. 5. There will be greater protection against being denied health insurance.