Leadership section 2

Which steps are involved in a decision-making process? (Select all that apply.) 1. Determine a desirable outcome. 2. Evaluate alternative solutions. 3. Implement a solution. 4. Evaluate if the solution was effective.

1. Determine a desirable outcome. 2. Evaluate alternative solutions. 3. Implement a solution. 4. Evaluate if the solution was effective.

The process of active listening requires the listener to do which of the following? Select all that apply. 1. Observe nonverbal cues provided by the speaker. 2. Allow the person to finish speaking before you respond. 3. Think about what you want to say so you are ready to respond. 4. Focus on what the person is saying.

1. Observe nonverbal cues provided by the speaker. 2. Allow the person to finish speaking before you respond. 4. Focus on what the person is saying.

You are a nurse leader and want to lead using the principles of quantum mechanics. Which of the following best describes your approach? Select all that apply. 1. Provide opportunities for staff to collaborate on patient care. 2. Allow staff the ability to make decisions. 3. Recognize the potential of each individual. 4. Develop a plan that people need to follow.

1. Provide opportunities for staff to collaborate on patient care. 2. Allow staff the ability to make decisions. 3. Recognize the potential of each individual.

Which qualities best describe informal leaders? Select all that apply. 1. The individual is competent in his or her nursing care. 2. Other staff members seek their assistance. 3. They do not have a formal title. 4. The nurse manager always asks for their advice.

1. The individual is competent in his or her nursing care. 2. Other staff members seek their assistance. 3. They do not have a formal title.

Feedback should be part of every communication to verify that the message you wanted to send was received by the listener. 1. True 2. False

1. True

Nurse leaders need to embrace chaos to be successful in their careers. 1. True 2. False

1. True

The concepts of leadership and management are different. 1. True 2. False

1. True

The reason change can be distressing to individuals is that they function more often in the change-by-drift process than in planning for change. 1. True 2. False

1. True

When making decisions, the LPN likes to keep in mind everyone's self-worth. This is an example of using Maslow's hierarchy of needs as a framework for decisions. 1. True 2. False

1. True

The nurse manager is discussing an important situation with an employee and is not sure the employee understands the importance of what is being said. Which communication tool would be best for the nurse manager to use? 1. Two-Challenge Rule 2. SBAR 3. CUS 4. All of the above

1. Two challenge Rule

A nurse manager would like to employ Kurt Lewin's change theory. She knows she needs to create a plan that utilizes Lewin's theory in the correct order. Which of the following reflects Lewin's phases of change applied in the correct order? 1. Unfreezing, moving, refreezing 2. Unfreezing, driving, restraining forces 3. Moving, unfreezing, refreezing 4. Driving, restraining forces, unfreezing

1. Unfreezing, moving, refreezing

The LPN is starting his first job with a hospice agency. He knows he may have to make decisions in difficult situations. Which statement best describes the first thing he can do to help with the decision-making process? 1. Write his personal value and mission statements. 2. Ask other nurses how they approach decision making. 3. Read several articles about the process of decision making. 4. Do nothing and just wait until a decision needs to be made and hope he makes the best decision.

1. Write his personal value and mission statements.

The LPN is concerned about his facility's current policy on wound-dressing changes. Which of the following are appropriate resources to verify that workplace policies are congruent with evidence-based practice guidelines? Select all that apply. 1. www.cdc.gov 2. www.nih.gov 3. www.Wikipedia.com 4. www.WebMD.com 5. www.Cochrane.org

1. www.cdc.gov 2. www.nih.gov 5. www.Cochrane.org

When communicating with employees, the nurse manager uses an approach that clearly states what the employee needs to know but uses a caring approach. This is an example of: 1. Passive-aggressive communication. 2. Assertive communication. 3. Passive communication. 4. Aggressive communication.

2. Assertive communication.

You are working a day shift on a surgical floor with multiple admissions. Things are quickly getting out of control. Which best describes how you might handle the ensuing chaos? 1. Begin to panic and develop a list of tasks that need to be completed. 2. Continue doing what you can to manage until things slow down. 3. Encourage the nursing assistants to work harder. 4. Call the OR department and ask them to stop sending patients.

2. Continue doing what you can to manage until things slow down

The LPN is taking care of a patient with diabetes. She has several things she needs to teach the patient. Which item should she address first? 1. Managing a diabetic diet 2. Giving insulin 3. Monitoring carbohydrates 4. Preventive foot care

2. Giving insulin

Which of these methods is a nonverbal way of showing openness and nonaggression when seeking to resolve conflict? 1. Standing close to the other person 2. Listening intently 3. Frequently looking at your phone 4. Looking away

2. Listening intently

Which type of workplace conflict occurs when there is a difference in the perception of power between team members? 1. Staffing conflict 2. Nurse-to-provider conflict 3. Nurse-to-nurse conflict 4. Nurse-to-patient conflict

2. Nurse-to-provider conflict

The LPN has a difficult time communicating with a coworker. Which statement best describes what she might do to improve the communication process? 1. Ask for suggestions from other coworkers. 2. Pay more attention to the nonverbal cues used by the coworker. 3. Avoid having conversations with the coworker. 4. Tell the coworker that she needs to learn how to communicate better.

2. Pay more attention to the nonverbal cues used by the coworker.

You are on your way to the cafeteria for lunch. A man in front of you drops to the floor. The person with him starts screaming for help. You stay calm and begin assisting the individual as others arrive to help. The person is transferred to the ED in a timely manner. What could have been a chaotic situation is managed well. What best describes this concept? 1. Chaos theory 2. Strange attractor 3. Quantum physics 4. Newtonian physics

2. Strange attractor

As an LPN, you know that health care is continually changing. Which best describes how to adjust to the dynamic health-care environment? 1. Become a lifelong learner. 2. Understand that change is constant and embrace it. 3. Change professions to one that is more stable. 4. Continue to change clinical specialties until you find a more stable environment.

2. Understand that change is constant and embrace it.

Which of the following statements regarding conflict is true? 1. Conflict is always bad for an organization. 2. Conflict should be avoided at all costs. 3. Conflict can produce positive change. 4. Conflict is a signal of organizational failure.

3. Conflict can produce positive change.

The LPN is working as a charge nurse in a rehabilitation facility. He has concerns about the manner in which staff are providing care to the patients. Which sentence best describes a democratic leadership style? 1. He independently decides how to address the problem with no input from the staff. 2. He sets up a meeting with the staff to obtain their input and then makes the decision about how to proceed. 3. He seeks input from the staff and works with the group to determine a plan. 4. He doesn't do anything and waits for the staff to figure out things on their own.

3. He seeks input from the staff and works with the group to determine a plan.

4. The LPN student is struggling with balancing his personal life with the demands of nursing school. Which of the following skills will be least likely to help him through this transition process? 1. Plan your time. 2. Seek out appropriate supportive resources. 3. Just get over it and keep pushing forward. 4. Seek out a faculty mentor.

3. Just get over it and keep pushing forward.

Following a staff meeting, you and another nurse discuss some differences of opinion regarding a new policy. Which of these would be the best way to communicate in this situation? 1. Adopt passive and avoiding behavior to calm other people down. 2. Speak loudly and repeatedly to ensure that everyone can hear your points of view. 3. Speak calmly, clearly, and state the facts as you see them. 4. To assert your opinion, stare or roll your eyes at anyone who disagrees with you.

3. Speak calmly, clearly, and state the facts as you see them.

The nurse manager needs to change the process for scheduling. She has some ideas about how to make the change but is concerned about the effect of the change on individual staff members. As a leader, she invites input and suggestions from the staff and encourages them to ask questions. Which type of leadership does this best describe? 1. Permissive/laissez-faire 2. Democratic/participative 3. Transformational 4. Multicratic

3. Transformational

Which is the best description of someone who is a good decision maker? 1. Well-liked by coworkers 2. Competent in his or her job 3. Willing to take risks 4. Has several years of experience

3. Willing to take risks

An LPN working on the floor comes across two other employees who are complaining about their recent schedules. To be an effective change agent, the LPN's best response would be which of the following? 1. When speaking with the employees, she states, "Just call in sick for the shifts you don't want to work." 2. Joining in the conversations, she states, "My schedule has a lot of problems with it too." 3. Rather than speaking with the employees, she goes to the nurse manager and says, "Jody and Marsha are always complaining about the schedule." 4. As she approaches the employees, she engages them in a conversation and states, "If you had the opportunity to make changes to the schedule, what would they be?"

4. As she approaches the employees, she engages them in a conversation and states, "If you had the opportunity to make changes to the schedule, what would they be?"

A nurse manager plans to implement a new staffing method for scheduling mandatory shifts during certain times of the year. Senior staff members oppose the change, whereas newer staff members are more supportive. Which is the most effective method for resolving this conflict? 1. Implement the change immediately following a staff meeting in which the manager provides a detailed rationale for the change. 2. The nurse manager sends out an e-mail explaining the importance of the on-call shifts and explains that the change will become effective regardless of staffing preference. 3. Withdraw the proposal based on negative feedback from the nursing staff. 4. Plan a meeting to provide time for discussion, communication, and problem-solving among senior staff members, management, and new employees.

4. Plan a meeting to provide time for discussion, communication, and problem-solving among senior staff members, management, and new employees.

The LPN is concerned about a resident's blood sugar. She mentioned her concerns to the physician but was not happy with the physician's response. If the LPN is demonstrating high emotional intelligence, she will: 1. Immediately tell the physician she does not agree with him. 2. Tell the nurse manager that the physician will not listen to her regarding her concern. 3. Wait for the nurse practitioner to visit the patient to voice her concerns. 4. Take some time to process the conversation and then discuss the matter again with the physician.

4. Take some time to process the conversation and then discuss the matter again with the physician.

Decision making

A cognitive process used to select a course of action

Assertive communication

A communication style in which an individual expresses herself and protects her rights without violating the rights of another person

Passive-aggressive communication

A communication style in which an individual seems agreeable during the communication process but responds negatively afterward

SBAR

A communication style in which an individual seems agreeable during the communication process but responds negatively afterward

CUS

A communication tool used to convey safety concerns

Two-Challenge Rule

A communication tool used to ensure that a message is heard and acknowledged by the receiver

Communication

A dynamic process in which two or more people create shared meaning using verbal or nonverbal processes

Conflict management

A method for resolving conflict in a way that promotes conflict resolution and optimal solutions for all parties

Newtonian age (scientific age)

A period of time during which the focus was on the parts rather than the whole, with a strong sense of organization

Quantam mechanics (new science)

A period of time starting with the beginning of the 20th century during which people began looking at entire experiences, relationships, and processes rather than focusing only on parts of each experience, relationship, or process

interprofessional collaboration

A process by which two or more persons from differing professional backgrounds work together with patients and families to improve health outcomes and deliver the highest quality of patient care

Personal value system

A sentence or paragraph that identifies a person's values

Transition

A significant process of change that revolves around human experience and can be developmental, situational, or organizational

Feedback

A step in the communication process that assists in preventing or correcting failed communications

nonverbal communication

A step in the communication process that assists in preventing or correcting failed communications

Patient-centered care

A type of health care that recognizes the patient or designee as a partner in providing care based on the patient's individual needs

Active listening

A type of listening that focuses attention on the speaker and on observing nonverbal cues

Planned Change

A well-thought-out and deliberate effort to make a change

Change by drift

Also known as accidental change, this is an unplanned change that occurs because of an imbalance in the system

Aggressive communication

An inappropriate method of communication that violates the rights of others

Change agent

An individual who acts as a catalyst for change, through a methodical process, including identifying needs, planning, implementing, and evaluating its effectiveness

Permissive/laissez-faire leader

An individual who avoids leadership responsibilities, leaving employees without direction

Informal leader

An individual who does not have a title but is looked to for leadership based on experience and wisdom

Formal leader

An individual who has a title and job description that denotes leadership

Authoritarian/autocratic leader

An individual who is task-oriented and who prefers to make decisions independently

Multicratic leader

An individual who seeks and values input from others but who chooses to make the final decision

Democratic/participative leader

An individual who seeks input from others and allows decisions to be made as a group

Transformational leader

An individual who understands the importance of interpersonal relationships and who encourages the empowerment of others

Distancing

Behavior by which an individual keeps others at a distance

Workplace violence

Incivility in the workplace that leaves a person feeling harmed by the experience

passive communication

Occurs when the communicator does not express his or her thoughts and feelings and leaves the interaction feeling as though personal needs have not been met

Conflict

Real or perceived differences between individuals with differing values, ideas, or goals

Communication block

Something done or said that breaks the communication process

Leadership

The ability to establish vision and goals, and to influence others to meet the goals

emotional intelligence

The ability to perceive and express your emotions

Management

The ability to plan, organize, and manage the resources of an organization

evidence-based practice

The concept that the practice of nursing should be based on firm data and patient/family preferences rather than anecdote, tradition, intuition, or belief

Chaos

The movement away from order

Change

The opportunity to alter the flow of events in any situation

Strange attractor

The phenomenon of natural organization

conflict resolution

The process by which two or more parties engage in a disagreement, dispute, or debate to reach an agreed-on consensus

Prioritization

The process of designating something more important or determining the order in which to deal with a task

Servant leader

places a priority on staff by providing opportunities and resources that assist employees to reach their own goals