Leadership final course point

A nursing instructor is discussing ways to improve critical thinking during a clinical rotation with a student. The student asks the nurse what critical thinking is. What is the best response by the nursing instructor? A. It requires reasoning and creative analysis

A. It requires reasoning and creative analysis

A nurse manager schedules a meeting with the staff to discuss policy changes. What does the manager hope to achieve by having some upper left-brain dominant staff members lend their input? logical and rational analysis

Answer: logical and rational analysis Expplanation: some people tend to be more "left-brain oriented" and prefer progress in a logical, linear manner. Being analytical is a major characteristic of left-brain thinkers. Left-brain users are great at designing data, gathering processes, and analyzing the data. Creativity, intuitive, and holistic are characteristics of right-brain-dominant people.

The nurse is admitting a new patient and is collecting data through obtaining a health history and physical assessment. What phase of the problem solving process is the nurse focusing on with the patient? Assessing

Assessing

A nursing staff is presently using disposable biopsy forceps in the endoscopy suite, and the nurse manager is questioning the cost of effectiveness of this practice. What would be an appropriate decision making model to find a cost efficient solution? Decision Grid

Decision Grid

A nurse is determining whether the outcomes were met for a patient preparing for discharge with an open abdominal wound and reassessing if not met. What phase of the nursing process is the nurse performing? Evaluating

Evaluating

Decision making tools such as decision trees or consequences tables are in place to prevent errors in the decision making process. TRUE or FALSE

FALSE

Change should be immediately implemented if the need for change has been identified? True or false

False

A nurse is caring for a patient that suddenly Becomes SOB and has decrease in SPO2 to 86%. The nurse palces pt on O2 via NC @ 4 LPM and elevated HOB/ what decision tree would the nurse have used in this situation. Intuitive judgement

Intuitive judgement

When making a decision about using a PRN pool for added staffing, what can the nurse manager do to make the best decision? Make a decision with all of the cts

Make a decision with all of the cts

A nurse leader is working in the ER when a patient presents with a deep head laceration requiring immediate suturing. Went to the shelf to get supplies and it was very messy. Talked to co workers about it and how to change it, what is the next stage of change the nurse leader should address. Plan

Plan

A nursing staff member in the ED has noted where improvement of a procedure would bring about more efficiency. The staff member wants to share their idea with their supervisor. What would be the best option to facilitate the possibility of change? Schedule a meeting with your supervisor and submit a concise plan related to your idea of consideration.

Schedule a meeting with your supervisor and submit a concise plan related to your idea of consideration.

Which of the following stages should nurse leaders use to promote evidence based practice? Staying current with professional issues

Staying current with professional issues

A nurse manager is having a difficult time in making a decision about reprimanding a staff nurse who has exceeded the absentee policy. Why would the manager's values cause personal conflict in making this decision? Values often collide with one another

Values often collide with one another

The nurse is using the nursing process in order to plan the care of a newly admitted patient that has had a CVA. what is the benefit to using the nursing process of devise a care plan? This method of problem solving can be transferable to non-patient problems

This method of problem solving can be transferable to non-patient problems

An organization's culture can affect the decision-making process True or False

True

Effective decision making is a learned behavior True or False

True

Effective nurse leaders have developer critical thinking and decision making skills that assist with collaborative leadership. True or False

True

Rationales and justification for decisions need to be communicated to stakeholders only when there is lack of clarity. True or False

True

A nurse makes a decision using intuitive judgement regarding a patient's rabid change in condition. What action should the nurse takes after the decision? Use evidence based data to validate decision

Use evidence based data to validate decision

A single parents raising two children and relying on public transportation, is determined to become a registered nurse. What are the restraining forces in this situation? (select all that apply.) a. Stress of being away from children b. Relying on public transportation c. An Advancement in medicine d. Student success center established within the nursing department e. Being a single mother

a. Stress of being away from children b. Relying on public transportation e. Being a single mother

A nurse manager is using the decision making model "SWOT" to determine whether it is reasonable to add another on call team in perioperative services. What words does the acronym SWOT represent a. strengths, weaknesses, opportunities, threats

a. strengths, weaknesses, opportunities, threats

Which of the following is not included in the contemporary change process? a. Action b. Evaluation c. Preparation d. Contemplation

b. Evaluation

A nurse manager notices that supply carts are unorganized and could Use some attention. What strategy can the manager use to help implement change in the area? a. Proceed slowly in making the change b. Ensure that each subordinate knows they're are no exceptions. c. Encourage input from subordinates for potential options. d. Allow each individual to decide how he or she will make the change.

c. Encourage input from subordinates for potential options.

Which step in the problem solving process assists the nurse leader to prioritize the problem or issue? identify the problem

identify the problem

The director of a busy outpatient department is meeting with staff to ask input and make decisions about the feasibility of a freestanding unit. What issue by the nurse manager can stop the entire process if not rectified? keeping the objective and expectations for the group undefined.

keeping the objective and expectations for the group undefined.

The nurse leader should not only understand the change process but also understand how to adapt the various methods in order to become an effective change agent in their organizations. True or false

true

A nurse leader is thinking about approaching their manage with a new idea. To be properly prepared the nurse leader should recognize this as a natural an expected response to change: a. Blockage b. Acceptance c. Resistance d. passivity

c. Resistance

A nurse is making a decision based on a problem with a staff member. What would be the optimal end product of the decision? a. A chosen course of action

a. A chosen course of action

The nurse manager for a medical surgical unit is implementing a change in unit procedures as it relates to patient discharge. During the fourth phase of change known as "Action," the manager should incorporate the major component known as: a. Communication b. Intervention c. Assessment d. Evaluation

a. Communication

Which of the following is a decision making tools often used by today's nurse leaders/ managers for program/ unit evaluation? a. Flow charts

a. Flow charts

The charge nurse of a step-down unit is implementing a new procedure for charting, which will impact all of the nursing staff. According to Lewin's model of change, the "movement stage" can be more successful if certain things are considered by the change agent. (Select all that apply.) a. Implement the change b. Have flexible target dates c. Set target dates d. Ignore resistance to change e. Include all stakeholders

a. Implement the change c. Set target dates e. Include all stakeholders

The oncology unit has recently experienced a higher-than-normal patient census, which is requiring that nurses to pick up an additional patient. The hospital CFO has indicated that there are no additional funds available to hire additional full-time nurses. As such, the unit manager anticipates some behavioral responses by the stakeholders of change (the nursing staff) within the unfreezing phase. What are some possible behavioral responses? (Select all that apply) a. Withdrawal b. Acceptance c. Discontentment d. Anger e. Passivity

a. Withdrawal c. Discontentment d. Anger

A nurse manager is assigned to a new unit due to issues of administrative mismanagement , which had resulted in staff becoming disillusioned as to the mission of the unit. As the unit. As the unit manager, you are expected to develop new policies for the staff to follow. What is one of the greatest factors that may contribute to resistance of change on this unit? a. Resistance b. Lack of trust c. Passivity d. Anger

b. Lack of trust

You are the nurse manager of a med surg-unit that is need of a change in staffing rotation patterns, which will lead to major changes in how the unit is staffed. According to Lewins' change theory, what forces are in pay to enact these changes? a. Restraining forces b. Refreezing forces c. Freezing forces d. Driving forces

d. Driving forces

The unit manager of the medical-surgical unit is transitioning the unit to electronic charting. According to Lewin's model, which of the following roles describes you as the change agent? a. The refreezer b. The mover c. The role player d. The unfreezer

d. The unfreezer

A nurse manager is holding a meeting to discuss a sensitive issue with the staff. A previous meeting was held regarding the same issue and it ended in a negative manner. What action can the manager take in order to minimize the impact of leader/group style mismatch? use a decision-making model

use a decision-making model