leadership exam 1

what is the best focused response when asked, "what does clear/effective comm mean?"

a thorough handoff checking for the receiver's understanding before moving on information is presented in language receiver can understand

a nurse on a busy med surg unit must delegate some care assignments to an experienced nursing assistant. what factor does the nurse consider prior to delegating the care to the nursing assistant?

state or national standards

a nurse manager is conducting a meeting w/ staff. what factors may sign. influence how comm is received and perceived during the meeting

stress levels the level of the manager gender differences

when a charge nurse is met w/ resistance after delegating to a UAP, what is the best action to be taken

the charge nurse should meet w/ the person to find out why the task was not completed

the role of clinical nurse leader is directly assc w/ succ leadership of an interprofessional health care team/ which statements express components of that role?

I've worked w/ clients diagnoses w/ cardiac issues for 15 years the unit nurses have talked w/ family and identified a need for social services consult we need to determine safety issues r/t client's ability to ambulate indp I'll share the pt's care outcomes w/ pt today

a nurse on the acute care unit demonstrates the pos traits of a good leader when working w/ new employees. what traits does the nurse manager cite when performing the nurse's eval

role modeling

in an interprof team, waht do teammates need to understand in order to have shared vision

after care options potential challenges to meeting outcomes desired outcomes

in SBAR, when giving recommendations what kinds of things should be comm

any new txs or changes ordered opinions for further action

what behaviors should a nurse manager exhibit to narrow the power authority gap b/w manager and staff

asking personal questions of your staff being accountable holding others accountable

when you explain what the nurse believes the issue is, which stage of SBAR is this

assessment

a new nurse leader asks for strategies to improve comm skills since there has been a large turnover of nursing staff. what suggestion from the director would be beneficial

be congruent in your verbal and nonverbal comm

the nurse manager is aware that there will be critical changes made to staffing due to low census in an acute care facility, and staff is already lacking trust in admin. what would be the best way for manager to handle situation?

be truthful regarding the situation about staffing and census

what factors are considered when determining the approp of implementing care via interprof team

skill of attending staff complexity of required pt care acuity level of pt pop facility's yearly budget

a nurse manager must make an important decision regarding a staff member's continued employment on the unit. in order to avoid the pitfalls involved in decision making, what should the nurse manager do?

choosing a decision making style that will best fit the situation

a nurse manager informs the staff that if they do not inc productivity by 15%, people will lose their jobs. what form of power is the manager displaying?

coercive power

an experienced nurse using contingency theory is orienting a new graduate to the unit. what needs will the nurse meet w/ the new graduate using this theory?

counseling coaching developing

what is the first action the nurse should do before delegating to a UAP

determine whether the task is w/in scope of UAP

a nurse manager is relaying info about staffing changes to staff on night shift. what form of comm is the nurse manager using to deliver changes?

downward

which step to acquiring cultural competence does the nurse determine will involve learning how to read verbal and nonverbal messages

learning specific comm strategies

a hcp is attempting to improve their connection w/ nursing staff. what comm strategy would be approp. for the hcp to use to make this change?

maintain eye contact, nod, or vocalize to show interest in conversation

which aspects of creating succ interprof team are addressed by SBAR

maintaining shared vision comm effectively and efficiently offering a recommended plan or next steps ensuring role clarity

a nurse manager wants to incr the effectiveness of communication w/ a staff member since the staff member did not respond pos to same message previously. what action by the manager would improve the comm

make the message clear and concise have the staff member state understanding of the message use common terms stay pos when sending the message

a newly employed nurse is reviewing the org chart of the facility observing that there is a shared governance. what type of org chart does the nurse recognize the facility follows?

matrix

a nurse exhibits leadership traits assc w/ role of nurse leader. what activities would exhibit these traits?

mentoring two new managers establishing goals for the upcoming year advocating for an employee regarding personnel policies providing a motivational speech at a the new employee orientation providing feedback about job performance

what might be reasons that a nurse is resistant to being delegated a task

nurse feels incapable, overloaded, or has an inherent resistance to authority

what is considered to be the greatest challenge to the implementation of an interprof primary health care team

overcoming the traditional provider dom role of determining pt care

the current assistant managers states to the manager, "i may not be the right fit, i can't keep up w/ amount of work and delegated tasks". what error is this

overdelegating

what action can a nurse take to ensure when delegating to UAP, creativity and indp thinking is encouraged for task completion

provide consistent and constructive feedback

what task may be best delegated to a nurse from a future oriented culture

working on a strategic team plan for unit

a staff nurse informs the nurse manager that the nurse would like to gain broader experience in other dept of the acute care facility. what response by nurse manager demonstrates effective leadership

would you be willing to help on another unit/ they need a shift leader for a couple weeks

a nurse leader is introducing a new glucometer protocol to members of the staff. what method of comm would be used to make all of the staff aware of this change

written comm

nurse leader is reluctant to delegate bc "whenever i do, they always come back w/ so many questions, i just need them to do it". what error is the nurse making

improper delegating

pt on busy neurosurgery unit requires q1h checks but nurse is too busy and delegates this to a UAP. What error is this?

improper delegation

a nurse manager is using face to face comm when discussing a staff member's performance eval. what does the manager determine are the pros of this method of comm in this situation?

it will strengthen the connection b/w manager and staff member it will combo verbal and non verbal comm to convey messages the manager can determine if the staff members understands the eval

a nurse has just been promoted to a managerial position in ICU of busy hospital, and is worried that members will not take them as serious as the previous manager that was well regarded. what behaviors would reinforce new manager's authority and power?

demonstrating influence w/ hospital's senior leadership team reminding staff how their effors contribute to the unit's goals

a new nurse from a foreign country is training in the surgical unit. after working and meeting w/ the nurse, the charge nurse observes that there is a discomfort in making eye contact while speaking. what task would the charge nurse avoid delegating to this nurse?

education a patient and ensuring a full understanding

a client who experienced a traumatic muscolo injury to r arm was transported to local ED. initial care was delivered by an interprofessional team. what specialized, patient focused care should this form of care delivery provide the pt?

effective comm b/w indiv team members and w/ pt will be a priority

charge nurse is delegating to LPN/LVN. what would be considered improper delegation

employee is given highly detailed exact instructions to complete the task

a nurse educator in a college setting has developed leadership skills as a result of attaining further edu and sharing positive change w/in the dept. what transformational leadership characteristic is this nurse educator demonstrating?

empowering others

a nurse leader is considering using transformational leadership. what info would be the nurse leader need to keep in mind?

empowerment of both the leader and follower occurs

after delegating a task to the staff member who is resistant to authority, what action should the charge nurse have the staff member due to ensure compliance

ensure the staff member has a voice in how the task is completed

After a UAP informs the nurse that the task is completed after being delegated a task, what is the approp action by the nurse

evaluate outcome of task

in SBAR, what should be conveyed when explaining situation

events currently happening objective statement of prob assessment date collected recommendations for tx changes

a member of a nursing team reports that being given too much to do and that they will not be able to complete the work on time. what action will the nurse take to effectively manage this situation

examine the workload and assist the ind in reprioritizing

the CNO at an acute care facility has weekly mandatory meetings w/ all managers and staff members to discuss what is going well, what could go better, and comm. from executive team. this CNO is part of what type of org?

flat

what factors contribute to success of interprof teams

forming clear and efficient comm acknowledging the shared vision having role clarity

what situation would be considered appropriate delegation to members of transcultural team

holding a negative performance eval in private for a nurse whose cultural tradition puts emphasis on avoiding "losing face" delegating the interviewing of a reticent pt to a nurse who is outgoing/inquisitive as result of her cultural tradition giving a task that requires indp thinking to a nurse who believes in an internal locus of control as a result of her cultural traditional

a nurse leader is having a discussion w/ a team member about changes that will be made on the unit/ which statement by the team member demonstrates the greatest problem for the leader?

i don't think you heard what the rest of us had to say

a nurse leader has an idea for changing the intake flow in the ER to leverage more of the nursing staff. the leader knows that if they could implement the idea as a pilot program, they could prove its effectiveness and then use it in all the ERs in the region. the nurse leader is frustrated, however, bc in order to implement even a pilot of the idea, a proposal must be submitted to the ER supervisor w/ start to finish scenario, that details not only the process but also risk, liabilities, and cost estimates. if supervisor approves, the proposal then would be sent to CNO, who would then send it to the admin. and board of directors for review and approval. which of the factors are influencing the nurse leader's ability to implement the pilot program?

organizational structure

a charge nurse informs a staff nurse that they will be admit the next pt that arrives on the unit. the staff nurse states acceptance and then proceeds to tell the other nurses that the charge nurse is unfair. what type of comm is the staff nurse using?

passive-aggressive comm

using SBAR, when nurse is providing background of pt to team, what info should nurse include

pt's name and room # current meds admitting dx past medical hx

what would be important for the nurse to consider when delegating to UAP

qualifications of person who will carry out task what can and can't be delegated safely

the mission of the acute care facility is, "we are dedicated to creating a healthy community, one person at a time." what nursing leadership activities would correlate w/ that mission?

reviewing hcp orders to guarantee the nursing staff is appropriately carrying them out mentoring a nursing student who is interested in introducing smoking cessation to pts and pt families w/out being preachy notifying nursing staff of an upcoming CEU seminary on healthy eating for low income families

what criteria should the nurse leader be sure are followed during delegation

right circumstance, task, level of supervision, person, communication

in an interprof team, the role of a nurse leader is elevated from caregiver to include which essential respons

supporting client autonomy r/t care decisions implementing a team approach to care assuring the effective transition from facility to home care assuring the pt and family satisfaction integrating all aspects of client care

which tasks would the nurse consider enviro control when delegating to members of transcultural team

tasks w/ a degree of predictability requiring indp thinking to accomplish routine tasks that are done every day tasks that require imagination, vision, and sstrategic planning

a nurse working in a large, diverse uni hospital inform the charge nurse, "i never know how far apart to stand from someone since we have pts from many cultures" what is the best response by the charge nurse?

the degree of space is going to vary w/ cultural norms

which statements demosntrate the pt benefits derived from care provided by interprof team

the pt and my nurse worked together to schedule my therapy before my wife came to visit the nurses all seem to really care about their pts my dr, the nurse, the social works, and the dietitian had a meeting w/ me today about my discharge we have been so pleased w/ the care my mother has been given after her fall

what does an interprof team member need to understand about role clarity?

the role and responsibilities of all teammates

a nurse educator has a very narrow power authority gap when interacting w/ students in clinical. what negative student outcome may occur bc of this?

the students will question their ability to make indp decisions

what steps should the manager take in the delegation process

train person delegated for the task monitor the person until the task is done comm the time frame in which task should be completed comm what the task is

the manager of several related dpts brings the team together to inform them that they will all be cross training to other units for the purpose of incr productivity. what form of leadership does this manager demonstrate?

transactional

a nurse in a leadership role is committed to a vision for retention in the med surg unit and is able to empower others w/ this vision. what form of leadership is this nurse demonstrating?

transformational

a new charge nurse is leaving work feeling overwhelmed and not completing tasks. what error is this?

underdelegating

nurse manager is assessing internal climate of comm w/ a group of staff members prior to meeting. what would the manager consider to be a part of the internal climate?

values feelings stress