ch6,5,9,10 AVR

What is correct about fiscal accountability for staffing?

• A critical responsibility of mangers

Which is the first step in time management?

• Allow time for planning and establishing priorities.

A nurse informs the client that he has no choice and must take his bath in the morning. What type of leadership does this exemplify?

• Autocratic Directive leadership describes a leader who makes all the decisions and tells followers what to do.

Jon is the only registered nurse at the hospital who is certified to insert percutaneous intravenous catheters. What type of power does this certification provide?

• Expert

What is coercive power based?

• Fear and punishment

A team leader in a healthcare facility is using an autocratic leadership style. What should the team leader do when dealing with a life-threatening emergency situation?

• Instruct the staff members on duties they need to do

What type of leader shares decisions and activities with group participants?

• democratic Democratic leadership, also called participative leadership, is characterized by equality among the leader and other participants. Decisions and activities are shared.

An LPN wishes to take up the position of team leader and asks for suggestions from an experienced nurse. What role should the experienced nurse suggest the LPN to take?

• Supervise unlicensed assistive personnel (UAP)

In an annual message to hospital staff, the CEO of an acute care facility indicated that additional cost-saving measures would be implemented in order to decrease the potential of staff reductions to balance the budget. Understanding that excellent care also includes being frugal with resources, a nurse considers methods of resource management. Which of the following is not prudent resource management?

• taking extra dressing supplies into a client's room

What is the most important thing the manager should consider when identifying an appropriate person to whom to delegate?

• The qualifications and willingness of a person to carry out the task

The wound care/stoma nurse at the hospital has an amazing rapport with both colleagues and clients. People seem to hang on every bit of education the nurse offers and to be extremely grateful for encouragement from this nurse during stressful times. Which type of power does this nurse wield?

• expert power Explanation: Expert power results from knowledge, expertise, or experience in a particular area. Managers typically possess expert power through education and work experience. Connection power involves the use of networking or involving more than one person to work collaboratively toward a common goal. Referent power (also known as charismatic power) concerns the power a person has because of his or her association with others who are powerful. For example, society perceives that physicians are powerful. A new physician may use this referent power to his or her advantage. Reward power is power that a person attains through the ability to grant favors or rewards. For example, organizational leaders have the ability to grant financial rewards or special favors.

A new nurse asks a mentor for advice about the best ways to manage time. Which of the following techniques would the nurse mentor be most likely to recommend?

• Use a worksheet to identify specific tasks. The following techniques are useful in learning to manage time: (1) assess expectations for the shift, doing so in a chart that identifies specific periods (e.g., 30-minute increments); (2) use a worksheet to identify specific tasks and important assessments that need to be done for that particular shift; (3) prioritize tasks that need to be accomplished; (4) write things down to remember later for charting and reporting; (5) develop efficiency and the ability to multitask, which means engaging in more than one task at a time; (6) delegate appropriate tasks to appropriate personnel.

A nurse manager makes all of the decisions for staff activities. What type of leadership is demonstrated by this action?

• autocratic Autocratic leadership involves the leader assuming complete control over the decisions and activities of the group. An extremely autocratic leader might make all decisions for workers without considering their ideas or feelings.

Successfully carrying out the five rights of delegation requires following steps similar to those of the nursing process. The final step includes a very important aspect to unlicensed personnel to perfect their art. What is that aspect?

• providing feedback

Which of the following is not one of the Five Rights of Delegation?

• Right intention The Five Rights of Delegation are right task, right circumstances, right person, right direction/communication, and right supervision/evaluation.

A patient wants to sign them self out of the hospital against medical advice (AMA. After talking with the patient at length, you determine that the patient is fully aware of all the ramifications of this decision. What would the nurse as a patient advocate?

• Make sure the patient has a follow-up appointment As advocate for this patient, you have made sure he is informed of the ramifications of leaving AMA; however, it is a patient's right to refuse treatment.

Pre-shift team report occurs with each shift change at the acute care facility where a nurse is employed as a LPN/LVN. The team takes report together and discusses the upcoming duties for the nurse's shift, making sure delegated tasks are clearly understood and all questions are answered. During this time, which management technique is being employed?

• collaboration

Due to many changes within the healthcare facility, employee morale is low. High client loads, frequent call-offs, and increasing acuity levels all contribute to the sense of discouragement within the unit. An LPN begins to place small, anonymous "thank-you" gifts in staff members' mailboxes a few times a week and monitors their reactions. Within a month, attitudes are more positive, staff members are bringing treats to share, and teamwork has improved. These actions represent:

• leadership. Explanation: Leadership involves qualities related to a person's character and behaviors as well as roles within a group or organization. It requires that a person have the ability to guide and influence another person, group, or both to think in a certain way, achieve common goals, or provide inspiration for change. The nurse may be in a management role, but these actions do not represent management. These actions do not represent delegation. These actions do not represent responsibility.