Sherpath: Nursing Leadership

6 qualities of effective leaders:

- Integrity - Dedication - Magnanimity - Humility - Openness - Creativity

openness

- a quality of effective leadership, but it entails listening without prejudging. - refers to the leader's ability to listen to other points of view, which differs from proposing multiple solutions to a problem.

dedication

- a quality of effective leadership, but it entails perseverance. - spending the time necessary to accomplish a task - it differs from proposing multiple solutions to a problem.

creativity

- ability to consider multiple approaches or solutions to a situation, such as a problem or patient care. - a willingness to consider different ideas or combinations of ideas that may seem unrealistic.

Which does the X-style manager believe?

- employees are motivated by punishment

second principle of delegation

- if the delegatee does not carry out the assignment in a satisfactory manner, the RN is responsible.

first principle of delegation

- nurses must have knowledge of the nurse practice act in the state where they are licensed - the patient's condition must be such that it does not require ongoing or frequent assessment or intervention.

Which function of a manager is similar to the nursing process?

- planning - similar to the nursing process of assessing, diagnosing, and planning; a nurse assesses and plans with a patient and family, as a manager makes plans to reach goals.

what are the 5 rights of delegation?

- right task - right person - right circumstance - right communication - right supervision

What is the third principle of delegation?

- the person to whom the assignment was delegated cannot delegate it to someone else.

Which leadership style is most useful in a health crisis situation?

Autocratic

Which nurse leader uses coercion to ensure staff members accomplish unit goals?

Autocratic These leaders exercise strong control over subordinates, often using coercion to ensure accomplishment of goals

Which leadership style is demonstrated when a nurse manager relates to staff members impersonally and relies heavily on policies and procedures to direct work processes?

Bureaucratic

The nurse who determined that the patient's care was too complex to delegate to the UAP demonstrated which right of delegation?

Circumstance

Which statement is true about democratic leadership?

Decision-making can be time consuming

Which is the best resource for nurses to access when unsure about assignments that can be legally delegated to UAPs?

Employee job descriptions

The nurse who takes responsibility for coordinating the staff schedule is demonstrating which type of leadership?

Informal These leaders exhibit strong interpersonal skills and easily build relationships with others.

If a nurse manager complains within hearing distance of a patient's family, which leadership quality does the manager need to develop?

Integrity

Who is ultimately accountable when delegated patient assignments are not completed?

Nurse

Which quality is displayed when a new nurse approaches the manager with an idea about how to solve a problem with the dietary department, and the manager encourages the nurse to schedule a meeting to discuss over coffee?

Openness Openness involves listening to another's view without judging.

What role did the nurse exhibit by following the family's request of labeling a child's favorite blanket, and communicating the request to others both verbally and in the child's EHR?

Patient advocate

Which leadership function is demonstrated when the nurse manager determines a set of actions to address hospital-acquired pressure ulcer?

Planning entails assessing the current situation and deciding on a plan of action.

Staff members recognize which competency in nurse managers who ensure patients are at the center of decisions in health care organizations?

Professionalism Refers to the ability to hold others and one's self accountable for actions and outcomes

The nurse exhibits which role when actively monitoring patient costs and preventing waste?

Resource manager

A nurse is very busy caring for five patients. Which tasks can the nurse delegate t a UAP?

Shampooing a 23-year-old's hair, Bathing a 41-year-old who is incontinent, Ambulating a 50-year-old after surgery

Which leadership theory adapts to a management style to different groups and populations

Situational such as changing the leadership style based on the level of experience of the nurse

The nurse consults with the UAP to determine if an assigned task was completed. Which of the five rights of delegation does this represent?

Supervision

Prior to delegating an assignment to an LPN/LVN or UAP, the nurse must identify which factors?

Task required, patient stability, care complexity, type of care

Which statements are true about leaders?

Their power lies in building relationships, they share a common vision with followers, they use interpersonal skills to influence others

The manager who makes threats of punishment to motivate staff members is exhibiting which management style?

Theory X Motivates through treats or punishments

A nurse leader who rewards health care team members in order to gain their cooperation is which type of leader

Transactional leader

Leadership

ability to guide, influence, or direct others

Bureaucratic leader:

assumes that employees are motivated by external forces

Three basic styles of leadership:

autocratic, democratic, and laissez-faire (bureaucratic leadership has also been identified)

Which level of managerial work does Mintzberg's Contemporary Model describe? Select all that apply. a) role b) information c) people d) action e) identity

b) information c) people d) action

Democratic leader:

believes that employees are motivated by internal means and want to participate in decision-making

Which management skill is the foundation for nursing practice?

communication

Transactional leader:

use reward and punishment to gain cooperation of followers

Which responsibilities are involved in the right of supervision when the RN delegates to a UAP?

- *monitoring* to ensure the task is complete - *evaluation* to ensure the quality of the work - *feedback* or how well the task that was delegated was performed - *intervention*

Which does the Y-style manager believe?

- Personnel consider work like play. - Staff members take initiative. - Workers are capable of self-direction.

magnanimity

- a quality of effective leadership that means giving credit where credit is due. This type of leader recognizes subordinates' ideas and accomplishments, rather than taking credit for them

integrity

- a quality of effective leadership, but entails having clear ethical principles. - refers to a nurse leader having clear ethical principles, which is a quality of effective leadership, but not related to offering multiple solutions to a problem.

A nurse manager who informs a nurse about a salary increase for excellent performance is demonstrating a concept from which leadership theory?

Contemporary Include concepts based on punishments and rewards. An increase in salary is a reward that, according to this theory, could motivate similar practice by the nurse in the future.

When the nurse manager stays longer than needed to ensure staff members have appropriate resources for their shift, the manager is displaying which leadership quality?

Dedication Dedication is making time to accomplish a task and persevering through difficult situations

Which leader believes that employees want to participate in decision-making?

Democratic

A leader suggest to staff members the formation of a shared governance council related to professional practice. This leader is exhibiting which leadership style?

Democratic These leaders believe in shared decision making and view themselves as equal to their followers.

The nurse manager recognizes staff members are busy and assists with admissions and discharges. Which function was the nurse manager demonstrating?

Directing

What role did the nurse manager exhibit by giving the patient his wound care supplies that would have been otherwise discarded when he was discharged?

Financial resource manager

When the nurse improves a patient's knowledge of and compliance with the treatment plan, what role has the nurse performed?

Patient advocate

The nurse manager reviews monthly urinary tract infection rates to determine if rates have declined after implementing new infection control procedures. Which management function is the nurse demonstrating?

controlling

When a nurse leader proposes multiple solutions to a problem, even though some solutions seem unrealistic, which leadership quality is the nurse leader exhibiting?

creativity

Transformational leaders:

employ methods that inspire people to follow their lead

Autocratic leader:

exercises strong control over subordinates

Behavioral leader:

focus on accomplishing tasks that need to be accomplished, do not engage in rewarding or punishing team members

When a nurse gives credits to those who achieve their goals which leadership quality does the nurse possess?

magnanimity

Laissez-Faire leader:

permissive, thinks that employees are desired by their own desire to do well, little or no direction to followers, few policies and procedures in place

Management

the process of coordinating others and directing them toward a common goal

Which leadership theory is dependent on personality?

trait

Charismatic leader:

use charm and emotion to form allegiances and motivate other often for personal gain