Leadership Exam 2

Differences in status and authority within the health-care team can generate conflict. What is the most common cause of conflict? 1. Disrespect and incivility 2. Inappropriate language and sarcasm 3. Blaming and finger pointing 4. Physical violence

1

Mara Z. Wants to become a nurse manager. She had been offered an opportunity to take a nursing management course. Which topic is most important for her to learn? 1.Managing people 2. managing the units budget 3. planning for the future 4. Redesigning the Units workflow

1

Several of your colleagues are going to join the American Nurses Association. You know the annual dues are a little more than you can afford right now, but you want to learn more. Your friends think that joining the ANA will help empower them. How do professional organizations empower nurses? 1. They represent nurses in the political arena 2. They equalize power between employees and staff 3. They provide opportunities for promotion 4. They provide health insurance

1

Social media is commonly used to update friends & groups on things we have going on in our lives. Health care organizations routinely use social media to promote medical facts, services, and recognitions. What is important for nurses to remember when deciding to post something with related on a social media site. 1. Nurses should never post protected health information on a social media site. 2. Stories with god outcomes can be posted to your media page 3. Stories & photos can always be shared if the patients name or face is not visible 4. Posting stories on personal time is ok because the nurse is not working

1

Theory Y emphasizes: 1. Guidance, development, & reward 2. Leadership, not management 3. Supervision, monitoring, & reprimands 4. Evaluation, budgeting, & time studies

1

There are numerous sources of power in an organization. Several are available to nurses. Which one is not? 1. Authority 2. Reward 3. Control of information 4. Coercion

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What is brainwriting? 1. A strategy to encourage the free flow of ideas 2. A mutually beneficial negotiation result 3. A winning approach to formal negotiation 4. A devaluation reaction to negotiation

1

What is the best explanation of authority? 1. It is position dependent 2. It is based upon the ability to lead others 3. It is expertise-driven 4. It resides primarily in the clients served

1

Effective nurse leader's: Select all that apply 1. Are also good followers 2. Effectively work together with shared goals 3. Never act on their ideas 4. Have masters degrees

1,2

An effective leader will have: Select all that apply 1. Courage & integrity 2. A critical mind-set 3. The ability to set priorities 4. The ability to provide feedback

1,2,3,4

Effective nurse managers have: Select all that apply 1. Leadership capabilities 2. Clinical expertise 3. Business sense 4. Budgeting savvy

1,2,3,4

The Situational Leadership Model focuses on: 1. Both followers and the task 2. The task 3. The follower 4. the behavior of others

1.

Bedside shift report is one of the things that Jane reviews at the staff meeting. She stresses the way she would prefer the report to start. Which of these be the least important to share with the oncoming nurse? 1. Telling the oncoming nurse what happened on the unit during the shift 2. Introducing the client and their diagnosis to the oncoming nurse 3. Sharing the nurses personal op of the client 4. Reviewing new medication orders and the medication administration record

2

Effective followers are those who are: 1. Passive employees 2. Skilled & self-directed employees 3. Less valuable employees 4. Employees who are never supportive of new ideas

2

Florence has two team members who continually criticize each other despite being told to stop. Which approach is the most appropriate for this situation? 1. Refer each of them for employee counseling 2. Engage in a problem resolution 3. Bring in a union representative 4. Engage n a formal negotiation process

2

George S. has just become a nurse manager in a long-term care facility. He knows he has a lot to learn—what should he tell his staff? 1. Nothing; he should pretend he has experience 2. That he is still learning, too, & values their input 3. That the staff needs to mange themselves 4. How little he knows about management

2

Nurses who feel empowered can make significant contributions to a health-care organization. Feeling empowered includes feeling as if you make a difference, that colleagues value your opinion, and that your voice is important. What is essential to nurse empowerment? 1. Belonging to a professional organization 2. Participating on a unit practice council 3. Reasonable work assignments 4. A reward and recognition program

2

Nursing management and the nursing union are having differences on several issues. There may be a need for negotiation. Which of the following is a serious disadvantage to using collective bargaining to resolve this conflict? 1. Protecting the right to fair treatment 2. Creating an adversarial relationship between staff and management 3. Lacking professionalism on the part of the collective bargaining unit members 4. Failing to uphold important standards of care

2

TJC attributes 80% of all medication errors to: 1. Poor hygiene & hand washing 2. Poor hand-off communication 3. Poor work environment 4. Lack of care

2

The EMR has many advantages compared with paper charting. It helps track days through time & can help monitor things such as preventative care in primary care practices. Jane is the office nurse in a local practice. She is meeting a new patient for the very first time who informs her that he was recently hospitalized. Jane pulls up the patients EMR & sees no information regarding his recent hospital staff. How could this have happened? 1. The pt discharge was so recent that it is not available yet 2. EMRs are usually practice or hospital specific, so the pts information would not be accessible to Jane 3. The patient was hospitalized out of state 4. The patient has not signed the necessary consents to give Jane access

2

The purpose of learning how to negotiate conflict is to: 1. Eliminate conflict entirely 2. Resolve conflicts more effectively 3. Win 4. Reduce stress

2

When should a new graduate consider taking on management responsibilities? 1. As soon as they are offered 2. After developing clinical expertise 3. After 15 years on the job 4. Before developing leadership expertise

2

What is the difference between management & leadership? 1. Management focuses on budget 2. Management is an assigned position 3. Leadership is not concerned with getting work done 4. Leadership is more focused on people

2, everyone can exert leadership at various times, but manager is a designated position assigned by upper level administration

A unit team leader who fails to provide direction to nursing care team is a: 1. Democratic leader 2. Laissez-faire leader 3. Autocratic leader 4. Situational leader

2. Laissez-faire leaders are passive, inactive leaders who would not provide direction

Autocratic leaders: 1. Postpone decision making as long as possible 2. Share leadership with members of the team 3. Give orders & make decisions without consulting the team 4. Encourage creativity when problem solving

3

Creating a culture of safety requires organizational commitment to preventing harm. Which of the following is not a key feature of a culture of safety? 1. Provision of adequate resources to provide care and service 2. Use of interprofessional collaboration to solve problems and assess risk 3. Adherence tp staffing ratios 4. Encourages the reporting of errors and near misses

3

ISBARR provides a framework for communicating critical client information. ISBARR is an acronym for: 1. Identify, Study, Background, Assess, Recognize, Readback 2. Issue, Situation, Better, Advise, Refer with Recommendations 3. Introduce, Situation, Background, Assess, Recommend, Readback 4. None of the above

3

If an informal negotiation session becomes too highly emotional, what should the nurse manager do? 1. Let the feelings flow 2. Cancel the negotiation 3. Deal with the feelings first 4. Tell them to ignore the feelings and deal with the issues

3

If you are employed at a hospital owned by a corporation listed on the stock market, in which category does your facility belong? 1. Publicly (government) supported 2. Voluntary, not-for-profit 3. For-profit 4. All of the above

3

Jamie is a new nurse manager who will be holding her first staff meeting tomorrow. She has learned that the staff members have not been following important patient care policies. What is the most important communication skill that she should use at the meeting? 1. Talking to the staff 2. Laughing with them 3. Listening 4. Crying

3

Servant leadership focuses on: 1. Helping patients care for themselves 2. Removing incompetent managers 3. Creating a supportive work environment 4. Resolving conflict quickly

3

Transformational nursing leaders have the ability to: 1. Increase the negativity of the team 2. Work best alone 3. Define the groups mission and communicate that mission to others 4. Pay close attention to the weaknesses and shortcomings of others

3

What is the most desirable result of a problem resolution? 1. Win-lose 2. Lose-lose 3. Win-win 4. None of the above

3

Which of the following is a characteristic of a bureaucratic organization? 1. Organic structure 2. Flexible teams 3. Rigid unit structures 4. Self-correction and self-control

3

Which of the following is a major reason why newly licensed nurse's resign? 1. Poor pay scales 2. Needlestick injuries 3. Unsupportive management 4. Lack of advancement opportunities

3

Who is responsible for accepting, transcribing, & implementing physicians orders? 1. Unit clerk 2. Medical intern or resident 3. Professional nurse 4. Medical assistant

3

You have been asked to serve on your unit practice council. This is an important role and one that you are excited to perform. What should you know about professional governance so that you are prepared for this work? Professional governance in nursing involves: 1. Working longer hours 2. Attending a lot of meetings 3. Nurses setting nursing standards for daily practice 4. Changing the organizations culture

3

A democratic nurse leader consistently works to: 1. move the group toward the leaders goals 2. make little or no attempt to move the group 3. Share leadership with the group 4. Dampen creativity

3.

An emotionally intelligent nurse leader: 1. Seeks the emotional support of others 2. Cannot juggle multiple demands 3. Works alone without help 4. Welcomes constructive criticism

4

As Jane speaks with the team, she learns why the staff members have had difficulty following policies. Which of these would be considered barriers to effective communication? 1. The charge nurse is unavailable to help the nurses when they have questions about policies 2.Some staff are afraid to ask particular charge nurses for help for fear of retribution 3. The use of acronyms is confusing to staff members who are new to the unit 4. All of the above

4

Communities and regulatory agencies continually challenge hospitals, skilled nursing facilities, and home health companies to enhance, improve, or change care delivery and the care environment to ensure safe, high-quality care. Which factors are important in improving a hospitals care environment? 1. Adequate staffing 2. Collegial relationships among staff 3. Emphasis on staff development 4. All of the above

4

Implicit bias affects our understanding in an unconscious manner. A persons ability to recognize these biases can improve communication with patients and colleagues alike. Which of the following statements is true about implicit bias? 1. Implicit bias forms during a lifetime 2. Implicit bias can influence clinical decision making & treatment 3. Implicit bias contributes to an individual's social behavior 4. All the above

4

Informational aspects of a nurse managers job include: 1. Evaluation 2. Resource allocation 3. Being a coach 4. Being a spokesperson

4

Nursing and respiratory departments both experienced job cuts. The nurse manages notices that members of his staff are having more trouble getting a fast response from a respiratory therapist. What source of conflict is probably operating here? 1. Union-management conflict 2. Interpersonal problem 3. Cultural differences 4. Work intensification

4

Organizational culture is best defined as: 1. The stated vision and mission of an organization 2. Policies and procedures 3. The type of decor that was chosen for the facility 4. An enduring set of shared values and beliefs

4

Scientific management focuses on: 1. Interpersonal relations 2. Servant leadership 3. Staff development 4. Efficiency

4

The hospital has recently reorganized; therefore, several departments were closed. The patient census on the unit has increased. The staff have always had a strong team spirit, but the nurse manager knows that workflow changes can cause conflict. What can the nurse manager do to reduce the possibility of conflict among her team? 1. Monitor the quality of patient care 2. Ensure that supplies and equipment are readily available 3. Assess the equity of nursing assignments 4. All of the above

4

Which of the following issues may be addressed in a collective bargaining agreement? 1. Shift differentials 2. Safe working environment 3. Grievance procedures 4. All of the above

4

You are working on the trauma unit today, & your new patient with a femur fracture complains of leg pain & seems a little diaphoretic & short of breath. You assess the patient and prepare to contact the surgeon. In preparation for contacting the physician, you: 1. Immediately page the MD; it could be a pulmonary embolism, & time is of the essence. You will give him the particulars when the MD arrives. 2. Wait for the MD to round on his patient because it should be within the next hour or so. 3. Medicate the payment for pain & plan to contact the MD when he rounds. 4. Jot down notes about the situation as it is presented to you, review the patients history, focus your assessment, & determine what you need for the patient.

4

An important competency that nurse leaders need to develop in order to lead effectively is the: A. Ability to be firm & inflexible B. Ability to be close-minded & to ignore negative feedback C. Ability to communicate effectively with others D. Ability to follow orders without questioning them

C. Ability to communicate effectively with other people is one of the three competencies identified by Hersey & Campbell