Week 6

A clinical nurse manager has consistently received high performance ratings from the staff nurses on the unit. Which management style does the nurse leader exhibit?

Institutional

The nurse manager on an oncology unit is developing a new protocol that will improve documentation of patient care. Which action should the nurse manager take as a change agent?

Involve all staff members who are responsible for documentation of patient care

2According to the American Organization for Nurse Executives (AONE), what should a new nurse manager do to effect change within an organization?

Use change theory to foster change Identify how one responds to change and keep an open mind Serve as a change agent and support staff during times of change

Which scenarios demonstrate a productive utilization of power?

Utilizing expert power when providing patient and family education Utilizing informational power to coach a new graduate on how to successfully complete a complex nursing procedure Utilizing connection power by identifying and maintaining relationships with individuals who are sources of advice, information, and support

The clinical nurse manager disciplines a newly hired staff nurse by implementing a mandatory extension in working hours after learning that the staff nurse prepared the wrong drug for a patient. Which physical symptoms would the staff nurse likely experience?

Insomnia Nervousness

Which nurse manager enjoys an irreplaceable power?

A nurse manager who speaks fluent English, Spanish, and Chinese

A nurse manager threatens to fire staff nurses who refuse to render overtime. In which manner does the nurse manager display power?

Abuse of power

1A nurse leader explains that starting the next day, a new process for orientation will be implemented. The new process requires all nurses to participate to reduce attrition of new nurses. According to Lewin's change theory, what should have been done differently to influence positive outcomes of this change?

Announce the change as it is developed Involve individuals who are affected by the change to help plan the change

The nurse manager of the Medical-Surgical Unit has noted an increase in patient falls and medication errors over the last quarter. Using Kotter's model, which measures should the nurse manager implement?

Develop a plan for improving patient safetyCreating a vision to foster the change is one of Kotter's principles. Correct Celebrate small improvements in patient safetyOne of Kotter's principles is to celebrate small successes to motivate future successes; simply communicating these changes will not foster change. Correct Join forces with other nurses to help foster changeCreating a coalition group to improve patient safety will foster change and reflects one of Kotter's principles. This will also help to promote the change. Correct Identify barriers to improving patient safety and remove them

A home health nurse visits a patient with newly diagnosed type 2 diabetes. During the nutritional assessment, the nurse notes that the patient regularly eats fast food. Which are appropriate actions for the nurse to take as a change leader?

Help the patient to plan weekly dietary intake Give the patient the phone number for a diabetes educator

A clinical nurse manager is preparing a list of activities to discuss during a staff meeting. Which action by the nurse will promote professional staff development?

Implementing collaboration with staff nurses

4Which actions by the nurse leader support a transformational leadership style?

Inspiring others to create a vision Allowing for input on decision-making among staff as part of providing purpose for subordinates

4A nurse manager has accepted a new position on a labor and delivery unit on the Navajo Reservation. The nurse previously worked on a busy inner-city maternity floor. Which components of foundational expertise should the nurse include in this new transition?

Learn about the health care system in the communityKnowledge about current societal trends, especially when working in an institution that may use alternative care, is a component of foundational expertise. Correct Support the presence of traditional medicine on the unitIntegrating holistic care, such as permitting the practice of traditional medicine, is a component of foundational expertise. Correct Interact closely with nurses who have practiced at the hospital for years

A doctorate level nurse is promoted to Director of Nursing. This nurse leader possesses which type of power?

Legitimate

1Which motivating behaviors are important for nurse leaders to perform?

Motivating patients and family to ensure treatment plans are followedInspiring patients and family members is an important motivational skill that nurse leaders must display to encourage patients to attain their goal, such as to recover or maintain good health. Correct Providing staff with guidance to ensure they achieve the desired patient outcomeSupporting staff in achieving the goals and vision of the organization is a motivational skill for nurse leaders to inspire staff members. Correct Contributing time and knowledge to community outreach programs

Which motivational strategies are utilized by a nurse leader who displays a transformational leadership style?

Provide support and respectProviding support and respect is a strategy used in transformational leadership, which encourages leaders and followers to advance to a higher level of morale and motivation. Correct Provide training and orientationProviding training and orientation is an approach used in transformational leadership to prepare and equip employees to ensure they have the competencies required to perform the job satisfactorily. Correct Demonstrate good performance

Which skills are important for a new nursing graduate to possess when attempting to earn informal power within an organization?

The ability to provide a sense of belonging and recognition to staff members The ability to persuade others by using positive communication skills, such as providing open discussion for concerns

Which scenario characterizes transactional leadership in the nursing discipline?

The nurse leader imposes punishments that include progressive discipline.

2Which scenario represents an internal force of motivation?

Low morale of nursing staff in the unit due to frequent changes in management

A nurse leader should utilize which types of power in managing staff members?

FormalA nurse leader has been given formal power and the ability to utilize sanctions in the form of rewards or punishment. Correct InformalA nurse leader can utilize their influence over others based on their track record of making good decisions. This is a type of informal power and may be even more influential than formal power. Correct Legitimate

3Which attributes allow a nurse leader to advocate for and implement positive changes in patient care?

PersonaWith persona, an individual is self-motivated and generates enthusiasm, and this is an attribute of a nurse leader who is also a change agent. Correct CommitmentCommitment helps one to be excited, and this is an attribute of a nurse leader who is also a change agent. Correct ConsiderationConsideration and care for patients helps one be committed to the patients and patients' welfare. This is an attribute of a nurse leader who is also a change agent. Correct Sense of humor

3Which statements describe factors nurse leaders must know about their role in motivating staff?

"Motivation is an inner drive that controls behavior."Knowing the definition of motivation is one of the fundamental steps that nurse leaders should take to motivate staff. Correct "The nurse leader must be self-motivated in order to effectively motivate others." "Effective motivation helps to persuade and compel others into accomplishing tasks and reaching goals."