Managing (Exam 5)

d ( This is the essence of leadership. Effective leaders enable people to move in the "same direction, toward the same destination, at the same speed..because they want to.")

A new nurse is learning about different concepts of leadership. What is the most important concept of leadership? A leader helps others develop a mission and vision. A leader builds commitment through motivation. A leader confronts challenges that arise from innovation and change. A leader has the ability to influence other people and motivate action toward a common goal.

strengths

A nurse is considering applying for a management position. One process that could be used is the SOAR analysis. What does the S stand for? Standards Strengths Strategies Support

a, b, c, d, h

Authoritarian leaders are characterized by; a. giving orders b. inhibiting creativity c. making all decisions d. bearing most of the responsibility e. supporting motivation f. Groups lacking productivity g. Rarely meeting outcomes h. Providing direction

SOAR

Becoming a leader and manager. Identify skills possessed and skills needed: What does the following stand for? Strengths, Opportunities, Aspirations, Results

SWOT

Becoming a leader and manager. Identify skills possessed and skills needed: What does the following stand for? strengths, weaknesses, opportunities, threats

no

Can you delegate an initial and ongoing nursing assessment of a patient? yes or no

no

Can you delegate any nursing intervention requiring professional nursing knowledge, judgement or skill? Yes or no?

no

Can you delegate determination of nursing diagnosis, plan, progress and evaluation of care delivered to patient? Yes or no.

a, d, e, f (Self determination is feeling free to decide how to accomplish work; D= Meaning involves caring about your work, enjoying it, and taking it seriously; E = competence is confidence in your ability to do your work successfully; F = impact is a feeling that others listen to your ideas and can make a difference)

Empowerment is a psychological state in which one has been given power to solve problems, take initiatives, and exercise autonomy. What feelings encompass empowerment? Select all that apply. Self-determination Rewarding Aspirations Meaning Competence Impact

a, b, e, f (Good nurse followers are open, honest, and up front without being argumentative. They have positive self-worth and invest in the goals of the organization. They are actively involved and contribute to the growth of the organization.

Good nurse followers share which characteristics? a. inform leader of problems b. give open input c. formulate an opinion before reflecting d. gossip e. suggest ways to improve f. work toward group goals g. keep personal issues to themselves h. dont invest additional time in their work

informal negotiation

If problem-solving does not resolve the conflict, you may have to move on to the next step, which is ________ ___________.

b, c, d, g (laissez-faire leaders are permissive and nondirective. They give little direction and often frustrate their followers. Production is of poor quality. These leaders make little or no attempt to move the group forward)

Laissez-faire leaders are characterized by a. having direction b. having lack of guidance and direction c. having an inactive style d. keeping distance from action e. making decisions promptly f. being followers g. having followers be in control h. having high-quality outcomes

b ( An authoritarian leader gives direction, makes the final decisions, and bears most of the responsibility for the outcomes. It is an efficient method to achieve high productivity, but there is less focus on relationships.)

Leadership is viewed as a personality trait within behavior theories. What type of leadership is called autocratic, directive, or controlling? Democratic leadership Authoritarian leadership Laissez-faire leadership Emotional intelligence leadership

transformational

Martin is a leader who inspires and motivates others. He listens, communicates clearly, and mentors new staff. Which type of leadership style best describes his actions? Transactional Transformational Authoritarian Democratic

c ( The theory Y manager is concerned with staff morale and supports a working environment where people can perform their best.)

McGregor's Theory X and Theory Y is different from scientific management. What is the primary characteristic of a Theory Y manager? Strict rules and constant supervision Selflessly serving others and cultivating trust Human-relations oriented Employees paid by number of tasks completed

leadership

The following are all qualities of _____________ -intelligence -initiative -excellent interpersonal skills -high self-esteem -creativity -knowledgeable -willingness to take risks -problem solving ability

managing conflict

The following are steps that should be taken when _________ ___________. -identify the problem or issue -Generate a possible solution -Evaluate suggested solutions -Choose the best solution -Implement the solution chosen -Evaluate (is the problem resolved?) *Our aim should be to work together in healthcare

delegation

The following are the five rights of _____________. 1. right task 2. right circumstances 3. right person 4. right direction/communication 5. right supervision

c

The new charge RN on a hospital unit is leading a committee that must choose new paint colors for the nurse's station. She elicits the opinions of all group members and then organizes a vote. The charge nurse's leadership style can be said to be A.Laissez-faire B.Autocratic C.Democratic D.Scientific

a, c, e

The nurse manager of a medical-surgical unit is considered a strong leader by those that he leads. Which characteristics does he likely possess? Select all that apply. a. Provides great patient care b. Implements goals independently c. Has financial knowledge d. Assigns without input e. Has open communication skills

transactional

Which leadership styles show a "top-down" decision-making and management style? Authoritarian Laissez-Faire Democratic Transformational Transactional

leadership

___________ is the ability to directly motivate an individual or group to achieve a set of gals. Set direction, build commitment, confront challenges. Negotiate. Referee.

a, b, d (a= Setting short and long term goals is important to make decisions about your future: b = a significant time management technique is to be organized. Being unorganized wastes valuable time, and it may be more difficult to manage client needs; d= lists and schedules help the nurse to remember tasks and when to complete them)

A new nurse is learning about time management techniques to be more efficient in her job. What skills are important to implement? Select all that apply. Setting short- and long-term goals Being organized Work harder, not smarter Lists and schedules Multitasking Saying yes to every request

a (this is an oxygen problem and the client is not stable. Therefore, the RN should be assigned to this client.)

A nurse is making an assignment for the unit. What client should the RN assign to himself or herself? A client with an oxygen saturation of 89% on room air A client with a blood pressure of 126/76 A client who will be going to the OR that evening A client who is receiving SQ insulin

b ( this client is stable and can be assigned to the NAP)

A registered nurse (RN) is assigning clients on her unit. What client can the RN assign to the NAP? A client who is 4 hours post appendectomy A client who will be discharged in 30 minutes A client with a newly inserted chest tube A client who has TPN infusing through a central line

d (integrating change occurs after the change has been made and involves evaluating acceptance, comfort levels, and residual resistance of those affected)

A nursing unit is now doing a walking change-of-shift report. The unit manager puts out a survey asking for employee feedback about the new process. This would be termed A.Overcoming resistance B.Unfreezing C.Implementing change D.Integrating change

a, b, c, d (a= NAPS may take vital signs on clients who are stable. B= naps may dress a client with a stroke if the client is stable. C= naps can make an occupied and unoccupied bed. D=Naps can deliver food trays and set them up for clients.)

A registered nurse is making an assignment for the unit. What activities can the registered nurse delegate to the NAP? Select all that apply. Taking vital signs Dressing a client with a stroke Making beds Delivering meals and setting up trays Changing a dry sterile dressing Transporting critical clients from the ER

a, b, c, d (A= according to emotional intelligence theory, a leader can connect with others; this is referred to as empathy.: B = Self-awareness is an attribute of a leader to recognize and comprehend ones own emotions.: C = Emotional intelligence theory states that social awareness is the ability to correctly evaluate and respond to others emotions: D = self management is an attribute of a leader, whereby the leader can control his or her emotions)

According to Emotional Intelligence Theory, which traits does a nurse leader possess? Select all that apply. a. Empathy b. Self-awareness c. Social awareness d. Self-management e. Creates feelings of loyalty f. Motivates by fear of punishment

a, b, c, d (A = according to emotional intelligence theory, a leader can connect with others; this is referred to as empathy; B=Self-awareness is an attribute of a leader to recognize and comprehend one's own emotions; C= Emotional intelligence theory states that social awareness is the ability to correctly evaluate an respond to others emotions. D = Self-management is an attribute of a leader, whereby the leader can control his or her emotions.)

According to Emotional Intelligence Theory, which traits does a nurse leader possess? Select all that apply. Empathy Self-awareness Social awareness Self-management Creates feelings of loyalty Motivates by fear of punishment

a, b, d, e, f (a=appropriate delegation activities are identified for specific clients; b=The right person is delegating the right task to be performed on the right person; d=the appropriate client setting, available resources, and other relevant factors are considered; e=direction refers to a clear, concise description of the task including its objective limits and expectations; f= supervisions entails appropriate monitoring, evaluation, intervention and feedback)

According to the American Nurses Association and National Council of the State Boards of Nursing, what are the five rights of delegation? Select all that apply. Task Person Education Circumstance Direction Supervision

no

Can you delegate vitals to the CNA as soon as a patient comes back from surgery? Yes or no.

no

Can you delegate supervision and education of nursing personnel; patient teaching requiring assessment of the pts education needs? Yes or no.

a (the unfreezing phase is the first phase when there is a personal or organizational change that moves an individual out of his or her comfort zone)

Change is inevitable in the health-care environment. Lewin developed three stages of change. What is the unfreezing stage? The stage when someone moves out of his or her comfort zone The process of training and minimizing avoidance of the change Stabilizing the change through new organizational policies and procedures Assuring there are multiple changes at once so they will be more acceptable

Time management

The following are things you should do to have good _________ __________. Set goals -Prioritize these goals Organize your work -time inventory -energy use -lists and schedules -daily worksheet -know when to say no -delegate -DO NOT MULTITASK -streamline your work

manger

The following describes a _________. -Appointed officially -Position of power and authority -Employee of an organization -Responsible for directing the work of others. Qualities include: -Leadership -Clinical expertise -Business sense Activities of an effective ________; -interpersonal activities -decisional activities -informational responsibilities

b (the preceptor role often includes orienting a new employee to the routine of the work area as well as to the policies and procedures. The preceptor must have ample time, adequate experience, and a positive attitude to complete the new employees training.)

The new graduate RN needs a preceptor assigned to him as he begins working in the Pediatric Clinic. The BEST person for this assignment would be A.The charge RN who is a natural leader and knows all of the policies. B.The staff RN who has 3 years of experience who enjoys orienting new employees. C.The LPN with 15 years of experience who knows all of the doctor's preferences. D.The staff RN with 10 years of experience who refuses to work with students.

opportunities

The nurse is evaluating her personal leadership skills using a SWOT analysis. What will be included in the self-reflection? Opportunities Observation Objectives Organization

a, c ( A= the fact that the nurse possesses an MSN degree is a strength because it falls under advanced education. C= The nurse documents ICU experience as a strength because it falls under relevant work experience)

The nurse is performing an inventory of his or her skills using the SWOT (strengths, weaknesses, opportunities, threats) analysis. Which aspects would the nurse document as strengths? Select all that apply. a. Master's degree in nursing (MSN) b. Career advancement in a new setting c. Fourteen years of intensive care experience d. Ability to work in a variety of clinical sites e. History of poor communication and listening

d (the nurse and student nurse should transport the client to the intensive care unit, as the client is unstable. This should not be delegated to the UAP)

The nurse is working with a student nurse regarding appropriate delegation to unlicensed assistive personnel (UAP). Which action by the nursing student requires correction? a. Having the UAP feed a client breakfast b. Obtaining vital signs during a blood transfusion c. Restocking the client rooms with needed supplies d. Transporting a client who sustained cardiac arrest to the intensive care unit

a, b, d (A= The nurse manager expects the successful candidate to be organized. Organizational skills are essential for a graduate nurse to possess. B= Nurses must be able to critically think, analyze, and plan for client needs, prevent complications, and prioritize care. The nurse manager assesses this ability in the candidate: D = the role of the nurse includes client education. Therefore, the nurse manager wants the successful candidate to be able to educate others.)

The nurse manager is interviewing a graduate nurse for a new position on the unit. Which attributes would the nurse manager want the successful candidate to possess? Select all that apply. a. Organization b. Critical thinking skills c. Dependence on others d. Ability to educate others e. Requires a long orientation

b, c, e (B=The mentor should encourage others to excel in all tasks. This provides a positive work environment. C= The mentor must possess good decision-making skills as he or she is a role model for the mentee: E= It is important for the mentor to be an excellent communicator and listener so the mentee can feel open to discuss issues with the mentor)

The nurse manager is selecting a mentor for a new graduate nurse. Which qualities should the mentor possess? Select all that apply. a. evaluates choices and outcomes b. encourages excellence in others c. exhibits good decision-making skills d. seeks feedback for modifying behaviors e. shows excellent communication and listening skills

empowerment

_____________ is a feeling of competence, control, and entitlement. Feeling this includes; -self-determination -caring about work -Confidence in your ability -Impact-knowing you can make a difference

advocacy (The nurse manager is advocating for the nursing staff when going to administration for needed equipment)

The nurses on a unit are concerned about the lack of equipment to perform tasks. The nurse manager approaches administration with these concerns. Which role is the nurse leader performing? Coaching Advocacy Networking Conflict negotiation

democratic ( a democratic leader shares the planning an decisions making and takes responsibility for outcomes with the group. This leader provides guidance instead of control.)

The nursing leader is developing a task force to strategize ways to decrease the use of sitters in the rooms of clients who are confused. The leader allows the members of the group to make decisions and guides the members through discussions. Which type of nursing leader is this? Authoritarian Democratic Laissez-faire Nondirective

registered nurse (the rn is the only trained professional to assess, prioritize nursing diagnoses, plan, implement interventions, and evaluate goals)

The nursing process is implemented to deliver safe and quality client care. What role can implement the nursing process? Licensed practical nurse (LPN) Registered nurse Nursing assistive personnel Unit secretary

c, d, e (C= Transformational leaders empower employees to share ideas for how to improve client care. Ideas are embraced and appreciated. D= Transformational leaders are flexible and build on feelings of trust and satisfaction; E = creativity is experienced and embraced in a transformational style to improve client outcomes)

There are differences between transactional and transformational leadership styles. What are the traits of transformational leaders? Select all that apply. Directive Task focused Bottom up Flexible Creativity Rules

a, b, c (a= prioritizing tasks as scheduled or anytime during the shift will assure all activities are completed; b= the nurse must ensure that delegated tasks are completed and documented accordingly; c= it is important to identify what tasks are in your control and what tasks are not.)

There are several time management components that are important for a new nurse. What skills are important to develop? Select all that apply. Prioritize tasks based on client needs. Recheck any unfinished or delegated tasks. Practice self-reliance and be flexible. Try not to take any breaks because client care may suffer. Decide not to delegate because the RN is responsible for all care provided.

c (This is coercion power)

There are various sources of power that a nurse may experience. What is coercion power? Power created through relationships with people within the organization Power created by an individual's knowledge and analytical skills deemed critical to the organization Power by controlling others through threats or discipline Power derived from a role in the organization's hierarchy

b, c, e, f, g (Transactional leaders use more of a "telling" style of leadership. Transactional theory assumes that people are motivated by reward and punishment and that they work best within a clear chain of command. They are quick to point out errors and prefer to use discipline.)

Transactional leaders are characterized by; a. taking risks b. being directive c. making top-down decisions d. being creative e. being rigid f. being controlling g. being traditionalists h. being accountable

a, e, f, g, h (The transformational leader has the ability to inspire and motivate by creating a supportive environment, listening to followers, and acting as a coach and mentor for others)

Transformational leaders are characterized by: A. having a vision b. Giving information c. Focusing on tasks d. Focusing on events e. Being inspiring f. Being motivational g. coaching and mentoring h. Listening to followers

a, b, c, d, g (Although providing the best quality care is the primary goal of healthcare, many factors impact decisions that are made. The ever-changing economic climate of healthcare includes scarce resources, multipurposing of resources, and a variety of personal preferences and philosophical differences. The changing workforce also plays a significant role in the daily challenges of the leader and manager)

What are some of the challenges to being an effective leader and manager? a. scarce resources b. changing labor market c. individuals with different needs d. resources with alternative uses e. policy changes with legislation f. budget balancing g. differences in opinions h. varying level of education for nurses.

a, c ( A= the nurse manager must understand client acuity to plan staffing needs for an area; C = Nurse managers must have clinical expertise. They must have a strong knowledge base acquired thorough education and clinical experience.)

Which factors are unique to being a manager in the nursing profession? Select all that apply. a. Client acuity b. Communication c. Clinical expertise d. Outcome measurement e. Reimbursement knowledge

a, b, e (A= Performance evaluations are performed by the nursing manager to promote unit effectiveness. This allows for professional growth: B= The nurse manager is responsible for analyzing and redesigning jobs to effectively meet the units needs: E= It is the responsibility of the nurse manager to hire new employees and terminate those who are ineffective)

Which jobs are performed by a nursing manager in order to promote unit effectiveness? Select all that apply. a. Performance evaluations b. Job analysis and redesign c. Professional development d. Hospital-wide committees e. Hiring and terminating employees

C (clustering activities such as combining aspects of the physical assessment while giving a bath saves time and is an example of working smarter, not harder)

Which nurse is demonstrating the concept of working smarter, not harder? A. Deviating from the schedule when changes occur B. Answering the phone when passing medications C. Performing the nursing assessment while giving a bath D. Ignoring gut instincts about the status of a client

a, b, e (A= The nurse plans tasks in order of importance when prioritizing an organizing client care: B = The nurse should be using prioritization to identify events that can be controlled versus those that are uncontrollable: E= The nurse using prioritization when performing essential tasks first and completing other tasks later.)

Which nursing actions would be considered prioritization? Select all that apply. a. Plan tasks in order of importance. b. Identify events that can be controlled. c. Determine completion of delegated tasks. d. Attend a professional development session. E. Perform essential tasks before those that can be completed at any time.

democratic

Which of the three leader styles does the following describe: -Also called a participative leader, this elader shares the planning, decision making and responsibility for outcomes with members of the group. -provides guidance rather than control -group output tends to be of high quality -It is more flexible and to foster motivation and creativity.

Laissez-Faire

Which of the three leader styles does the following describe: -Also called permissive or nondirective leadership, this leadership gives followers the majority of control in the decision making process. -inactive style and intervenes only when goals have not been met or a problem arises. -offers little feedback and support to followers -often postpones or fails to make decisions which leads to poor quality and inefficient work output.

authoritarian

Which of the three leader styles does the following describe: -This type of leadership, also called autocratic, directive, or controlling, is an efficient way to achieve high productivity when a group needs lots of direction. -This leader gives lots of direction, makes the final decisions, and bears most of the responsibility for the outcomes. E.g., When a decision needs to be made, this type of leader would say "Ive given this a great deal of thought and decided this is the way were going to solve our problem." -Inhibits creativity and motivation -This type of leadership may be either punitive or kind and compassionate.

a

Which statement about a leader and manager is correct? a. Not every manager is a good leader. b. A leader oversees the day-to-day business of an organization. c. One must be a leader to become a manager. d. A manager holds a position of power, a leader does not.

c (a preceptor is an experienced nurse who provides practical teaching and guidance for a student or new employee)

Which statement best explains the function of a preceptor? a. A preceptor is a more experienced nurse who provides coaching and challenging assignments. b. A preceptor is a person who takes another person as a role model to support and advocate for others. c. A preceptor is an experienced nurse who provides practical teaching and guidance for student nurses. d. A preceptor is a new nurse hired into an organization to provide care to clients in an acute care setting.

a, b, c (A= The nurse manager should involve as many people as possible in both the design and implementation of the change: B= The nurse manager should point out the ways the change can provide new opportunities and challenges to staff. C= Reassure the staff that no one will be terminated with the proposed changes)

Which strategies should the nurse manager include to obtain staff approval when planning to change procedures regarding communication between nursing shifts? Select all that apply. a. Involve staff in the change process. b. Mention the positives of the change. c. Reassure the staff that no one will lose a position. d. Send a memo to all staff involved regarding the change. e. Provide staff with the deadline to make changes.

a, b, c (A= A nursing leader must be able to develop goals and keep these goals in mind when performing tasks. B= The nursing leader must confront challenges that come from change: C= the nursing leader is responsible for motivating employees and keeping them on task)

Which tasks are essential for a nursing leader? Select all that apply a. develop goals b. confront challenges c. motivate employees d. discipline employees e. establish boundaries

preceptor

_________ is an experienced nurse that provides practical teaching and guidance. *newly licensed RNs will likely have one of these.

power

_________ is the ability to influence other people despite resistance from them. -Sources = -authority -reward -expertise -coercion

mentor

___________ is an experienced nurse who provides career development assistance. *offer a constructive example as a role model to novices

a, b, e, h

democratic leaders are characterized by: a. Providing guidance b. Sharing group planning c. Inhibiting motivation d. Limiting flexibility e. sharing decision making f. limiting creativity g. Creating poor-quality outcomes h. sharing outcomes