EVOLVE- Concept 41
Hospital leadership seeking Magnet™ status implemented a new governance structure, including a clinical nursing council that governs clinical nursing standards and care for the organization. This is an example of which leadership style? A.Shared leadership B.Transformational leadership C.Democratic leadership D.Autocratic leadership
A. Shared leadership In shared leadership, employees are empowered to make decisions for the organization. In transformational leadership, the leader provides the vision. In democratic leadership, the leader involves the followers in decision making. The leader still makes the final decision. In autocratic leadership, the leader makes all the decisions.
A leader exhibiting the attribute of change is best portrayed by which of the following descriptions? A.The leader tells the staff that they must comply with the new program to be implemented. B.The leader communicates the vision and goals of the organization and how the departmental goals will serve these goals. C.The leader develops goals for the department that will promote the department at the cost of other departments' goals. D.The annual plan for the department is not changed, so the department will not have additional work.
B. The leader communicates the vision and goals of the organization and how the departmental goals will serve these goals. Aspects of leadership that influence change are communication, understanding the organizational culture, and considering alternate paths to achieve a goal. In telling staff that they must comply with a new program, the leader does not value communication and alternate paths to achieve a goal. The leader who develops goals for the department that will promote the department at the cost of others' goals does not value organizational culture. The leader who does not change the annual plan for the department does not value change and does not strive to achieve the goals of the organization.
Which statement, if made by a new nurse, requires further explanation? A.Leaders are made, not born. B.Leadership in health care is an act reserved only for designated administrators and managers. C.Clinical leaders are needed in every setting to ensure that quality patient care is delivered and that new evidence and research findings are adopted to improve patient care. D.It is important for nurses who aspire to be leaders.
B.Leadership in health care is an act reserved only for designated administrators and managers. "Leaders are made, not born" is true because leaders must continuously develop leadership skills. Leadership skills in every setting will improve the quality of patient care. Nursing leaders are vitally important to improve patient care at the bedside.
Which of the following statements is true? A.Communication is the least important function of leadership. B.Task leaders will communicate the most effective ways to accomplish the work. C.Autocratic leaders value feedback from their followers. D.Leaders who have little communication with their staff are socioemotional leaders.
B.Task leaders will communicate the most effective ways to accomplish the work. All answers except "Task leaders will communicate the most effective ways to accomplish the work" are false because communication is the most important function of leadership. Autocratic leaders do not seek feedback from their followers, because they make all the decisions. Socioemotional leaders communicate frequently to gage followers' feelings and emotions.
Which is characteristic of the formal nursing leadership model? A.Has the same structure in any health care organization B.Uses one leadership style throughout the organization C.Always has a chief nursing officer position to lead the nursing staff D.Adapts to the size and needs of the health care system
D.Adapts to the size and needs of the health care system The size and complexity of the nursing leadership team depend on the size and needs of the health care agency. Using the same structure in any health care organization does not adjust for the specific needs of the health care agency. Using one leadership style throughout the organization does not adjust for the specific needs of the departments in the health care agency. Always having a chief nursing officer position to lead the nursing staff does not adjust to the specific needs of the health care agency.
