Leadership, Managing and Delegating ch.10 PrepU

The new nurse is having difficulty managing the time required to care for a group of complex clients and is several hours behind in completing nursing interventions. Which intervention should the nurse complete first? A)Perform a dressing change to an abdominal abscess that is three hours behind schedule. B)Administer a dose of digoxin that is two hours behind schedule. C)Complete a medication reconciliation form on a client who has recently been admitted to the hospital. D)Obtain discharge orders for a client who is ready to be transferred to a long-term nursing facility.

B)Administer a dose of digoxin that is two hours behind schedule.

In a nursing unit, the RN delegates nursing tasks to the nursing assistant. Keeping in mind the delegation guidelines, which statement denotes the right communication for the nursing assistant? A)"Dispose of the disconnected IV set." B)"Check the infusion rate." C)"Discontinue the IV solution." D)"Inspect the site for thrombophlebitis."

A)"Dispose of the disconnected IV set."

A staff nurse works on a medical unit where staff retention is very high. There is a sense of equality between the leader and the staff nurses. The unit decisions and activities are shared between the leader and the group. The designated nurse leader practices which leadership style? A)Democratic B)Laissez-faire C)Autocratic D)Transformational

A)Democratic

A nurse can improve one's skill with time management by taking which action? A)Evaluating success with accomplishment of goals in client care B)Setting priorities without involving clients or their families C)Allowing the flow of the day to control how time is managed D)Starting each day as a new day without considering the previous day

A)Evaluating success with accomplishment of goals in client care

Which attributes should be characteristic of a nurse mentor? Select all that apply. A)Embraces disruptive conflict B)Is resourceful C)Deconstructs health care networks D)Is supportive E)Is an experienced, licensed professional F)Is driven by financial reward G)Demonstrates leadership abilities

B)Is resourceful D)Is supportive E)Is an experienced, licensed professional G)Demonstrates leadership abilities

The new nurse is evaluating the effectiveness of the assigned nurse mentor. Which characteristic should the new nurse recognize as being inappropriate for the nurse mentor to role model? A)Encouraging the new nurse to enroll in continuing education courses B)Advising the new nurse to consult the nurse mentor before making decisions regarding client care C)Introducing the new nurse to members of the interdisciplinary team D)Providing daily feedback to the new nurse

B)Advising the new nurse to consult the nurse mentor before making decisions regarding client care

A client is received into the emergency department after getting shot in the chest. The client is hemorrhaging profusely and is in hypovolemic shock. The nurse calls a code blue. What type of leadership style will be most effective during the management of the code? A)Laissez-faire leadership B)Autocratic leadership C)Transactional leadership D)Democratic leadership

B)Autocratic leadership

The registered nurse on a busy telemetry floor is delegating tasks to an unlicensed assistive person (UAP). Which task is appropriate for the UAP to complete? A)Assessing a client's wound B)Bathing a combative client C)Inserting an indwelling urinary catheter D)Taking an order over the telephone from a health care provider

B)Bathing a combative client

The case manager works in a facility that supports a participative leadership style. Which action should the nurse recognize as an example of democratic leadership style? A)The nurse implementing the health care provider's written orders for client care B)The unlicensed assistive personnel (UAP) taking vital signs for several nurses C)The interdisciplinary health care team collectively developing plans of care for clients D)The dietitian completing a nutritional assessment for a registered nurse (RN)

C)The interdisciplinary health care team collectively developing plans of care for clients

The registered nurse (RN) wants to delegate measuring a client's urinary output to an unlicensed assistive personnel (UAP). Which factors should the nurse consider before delegating the task? A)The context of the other client needs, the desired outcome, and autonomy of the client B)The complexity of the activity, age of the UAP, and predictability of the outcome C)The stability of the client's condition, potential for harm, and complexity of the activity D)Predictability of the UAP, the amount of time required for the task, and RN's skill level

C)The stability of the client's condition, potential for harm, and complexity of the activity

The nurse manager has recently promoted a staff nurse to the charge nurse position. Which type of power does the charge nurse now have? A)Coercive B)Implied C)Reward D)Explicit

D)Explicit

The nurse manager who asks staff members to give suggestions on how to improve collaboration between nurses and health care providers is exhibiting what style of leadership? A)Laissez-faire B)Democratic C)Transactional D)Autocratic

B)Democratic

A nurse leader on a unit allows the staff to make all decisions and direct themselves, including filling out the work schedule. The nurse leader is practicing which leadership style? A)Democratic B)Laissez-faire C)Transformational D)Autocratic

B)Laissez-faire

The registered nurse (RN) wants to delegate a task to an unlicensed assistive personnel (UAP) but is unsure if the task can be delegated. What is the best resource for the RN to use in determining if the task is appropriate? A)The medical practice act website B)The nurse practice act or facility's policy and procedures C)A nurse mentor or a nurse preceptor D)A more experienced nurse working on the same unit

B)The nurse practice act or facility's policy and procedures

Conflict has emerged on a nursing unit because new graduates have found that some of the more experienced nurses are manipulating the client assignment to ensure a lighter workload during night shifts. How should the manager of the unit best address this conflict? A)Gather evidence over the next several weeks in order to determine if the practice is indeed happening. B)Reassure the new graduates that the more experienced nurses are acting in the interests of both staff and clients. C)Arrange a meeting where the issue can be discussed and addressed by as many of the nurses as possible. D)Arrange for the newer nurses to organize the client assignment for a trial period.

C)Arrange a meeting where the issue can be discussed and addressed by as many of the nurses as possible.

The nurse is preparing to delegate tasks to an unlicensed assistive personnel (UAP) for a client who recently had a stroke and is suffering from mil hemiplegia. Which task would be inappropriate for the nurse to delegate to the UAP? A)Assisting to use a bedpan B)Bathing C)Feeding D)Obtaining vital signs

C)Feeding

The nurse is having difficulty managing time while caring for a group of clients with complex needs. Medications are several hours behind schedule and several nursing procedures have not be performed. What is the first step that the nurse needs to take to resolve the time management issue? A)Identify which nursing interventions can be delegated to other members of the health care team. B)Establish a timeline to get the nursing interventions completed. C)Identify which nursing interventions are priority. D)Evaluate the potential to successfully complete the nursing interventions.

C)Identify which nursing interventions are priority.

A staff nurse is talking with a clinical nurse leader and asks, "What exactly do you do?" Which statement by the clinical nurse leader would be appropriate? A)"I'm an administrator involved with client care." B)"I'm an advanced practice nurse with a specific specialty area." C)"My position is one of management." D)"I collaborate with health care teams to promote client care."

D)"I collaborate with health care teams to promote client care."

The nurse is caring for an older adult client who states the need to use the restroom. Which safety intervention must the nurse perform first? A)Put the client's bedside rails up. B)Arrange furniture so that the client has something to hold on to. C)Apply socks to the client's feet. D)Assess the need for assistance with ambulation.

D)Assess the need for assistance with ambulation.

The unit manager on a medical unit is trying to encourage the nursing staff to use a new protocol for documentation. To help with this, the nurse manager recruits one of the staff nurses to serve as a role model for many of the staff. Which type of power does the staff nurse exhibit? A)Explicit B)Legitimate C)Coercive D)Implied

D)Implied

The registered nurse (RN) and unlicensed assistive personnel (UAP) are working together to admit a pediatric client to a nursing unit. Which task would be inappropriate for the RN to delegate to the UAP? A)Soothing the client during the procedure B)Gathering equipment needed for intravenous therapy C)Securing the client on a papoose board D)Initiating intravenous therapy

D)Initiating intravenous therapy

The charge nurse on the orthopedic unit believes in giving the staff as much power as possible. The nurses are allowed, among other things, to create their own work schedules, provide dates and times for unit meetings, and create the agendas, to which the charge nurse contributes. The charge nurse's style of leadership can be described as which? A)Transformational B)Democratic C)Autocratic D)Laissez-faire

D)Laissez-faire

A nurse manager reviews an employee's contribution to the nursing division annually. This process is: A)performance appraisal. B)employee's job satisfaction survey. C)interpreting quality indicators. D)reward and development survey.

A)performance appraisal.

The nurse is advising a client about health problems related to being overweight. The client acknowledges the need to lose weight. The nurse provides education on how to count calories in food and the importance of daily exercise. The client states an intention to begin counting calories with the next meal. The client also states an intention to begin an exercise program with friends. Which statement associated with this scenario illustrates Lewin's stage of unfreezing? A)The client also states an intention to begin an exercise program with friends. B)The nurse provides education on how to count calories in food and the importance of daily exercise. C)The client acknowledges the need to lose weight. D)The client states an intention to begin counting calories with the next meal.

C)The client acknowledges the need to lose weight.

After a nurse manager implements a solution to the problem of delays in obtaining supplies, the first task for the manager is to: A)make an appointment with the chief nursing officer. B)plan to monitor the supply cabinets. C)ask the staff members for other solutions. D)assess whether the desired results have occurred.

D)assess whether the desired results have occurred.

A charge nurse on a medical-surgical unit is asked by the nurse manager to serve as a mentor to another staff nurse who is less experienced. Which of these would best describe this role? A)The staff nurse is learning about all the hospital policies from the charge nurse. B)The charge nurse is providing support for the staff nurse in new responsibilities. C)The charge nurse is being paid to supervise the staff nurse. D)The staff nurse is orienting to the unit as a newly hired nurse.

B)The charge nurse is providing support for the staff nurse in new responsibilities.

A charge nurse on a medical-surgical unit is asked by the nurse manager to serve as a mentor to another staff nurse who is less experienced. Which of these would best describe this role? A)The staff nurse is orienting to the unit as a newly hired nurse. B)The charge nurse is providing support for the staff nurse in new responsibilities. C)The charge nurse is being paid to supervise the staff nurse. D)The staff nurse is learning about all the hospital policies from the charge nurse.

B)The charge nurse is providing support for the staff nurse in new responsibilities.

Two new nurses are requesting the same preceptor for unit orientation. Both new nurses have been very vocal about being unhappy if they do not receive their choice of preceptor. Which illustrates the nurses using a compromise approach to conflict resolution? A)The nurses agree that one nurse will obtain the preceptor for orientation in exchange for that nurse working each weekend. B)The nurses agree to have the preceptor precept one nurse at the beginning of the orientation and the other at the end. C)The nurses agree to allow the preceptor to decide which nurse to precept. D)The nurses ignore each other's request for the preceptor.

B)The nurses agree to have the preceptor precept one nurse at the beginning of the orientation and the other at the end.

The nurse manager is aware that nurses in the operating room are concerned about a proposed change in their working hours. Which is the nurse manager's best approach to addressing this problem and the nurses? A)Explain the rationale for this change in an e-mail to each of the nurses. B)Discourage the nurses from discussing the problem because the change is going to occur. C)Relate the proposed change to the group's existing beliefs and values. D)Discuss the disadvantages for the hospital if the change is not made.

C)Relate the proposed change to the group's existing beliefs and values.

The proficient nurse wants to become a more effective leader. Which step would be most appropriate for the nurse to take to achieve this goal? A)Review the Nurse Manager Leadership Collaborative model and write delegation competencies. B)Start a transformational change on the nursing unit and engage staff in the movement. C)Become a preceptor and work extra shifts on the nursing unit. D)Promote a healthy work environment and become a nurse mentor.

D)Promote a healthy work environment and become a nurse mentor.