Leadership Test 1 Practice Questions

Nurses are expected to fulfill health care's triple aim. This term is named by the Institute of Healthcare Improvement (IHI). An important aspect of the triple aim relates to:

Access, quality, and cost of care

Which of the following is a sign of the continuous and dynamic reach of the human experience in new directions and in new ways? A. Change B. Innovation C. Risk D. Excellence

C. Risk

All of the following are barriers to overcoming personal barriers to engaging conflict except: a. Fear b. Uncertainty c. Arrogance d. Negativity e. No skills f. Poor experience

C. arrogance

Leaders _______ a context for the performance of the people of the organization. A. Coordinate B. Integrate C. Facilitate D. All of these are correct

D. All of these are correct

The critical role played in the representation persons make about themselves includes ________. A.Personal codes of dress B.Conversation C.Action D.All of these are correct

D. All of these are correct

Which of the following statements is true about goals? A. They give a team clear and specific directions. B. They create a point of reference for teams to evaluate their progress and determine movement toward completion C. They involve both the team and individual members in defining the performance expectation of the team D. All of these are correct

D. All of these are correct

Which of the following implies a commitment to engage with others in their learning and developments, and in mentoring and sharing in the learning process in a way that advances the value of the profession's work and its impact on the patient's health experience? a. Organizational ownership b. Accountability c. Responsibility d. Individual ownership

D. Individual Ownership

True or False: Conflict is always a barrier to team effectiveness and success, so it is the role of the team leader to eliminate conflict between team members so the team can proceed to successfully complete its purpose.

FALSE

True or False: Emotions must be controlled and separated from the conflict so that the real issues can be addressed more directly

FALSE

True or False: Evidence-based practice is grounded in good policy and reflects inconsistent standardization and procedures.

FALSE

True or False: Friendship is not a critical element to leadership. Therefore, the wise leader is reserved about transparency and realizes that self-disclosure can create problems between the leader and those whom he or she leads.

FALSE

True or False: Healthcare reform and transformation have made teams less important by advancing the value of individual clinical functions over team activities

FALSE

True or False: Identity issues are the easiest to resolve because they deal only with the values and personal belief, which can be quickly identified. When they are clear, they can help move the parties to early and complete resolution.

FALSE

True or False: In working with teams, it is important for the leader to let the team know about the decisions they need to make and to provide the team with the appropriate direction necessary to get to the right solution.

FALSE

True or False: It is better to adhere to generally accepted leadership principles than to develop an individual personal leadership plan

FALSE

True or False: It is not the mediator's obligation to focus on the core issues of conflict; rather, it is the obligation of the parties to know their core issues and to be willing to negotiate them

FALSE

True or False: It is the obligation of the team leader to establish the goals for team members and make clear to them their obligation to meet these goals

FALSE

True or False: Language is not nearly as important as action. The way in which a nurse acts is the most important indicator of who the nurse is.

FALSE

True or False: Leaders are always interested in finding answers to problems and directing colleagues to seek the most correct answers or solutions

FALSE

True or False: Leadership means providing specific and clear direction to others so that they understand your intention and have a clear idea of your individual leadership vision

FALSE

True or False: Measures of team success are identified only after the team has made progress with its goals, thereby establishing a foundation for measuring the team's degree of success.

FALSE

True or False: Nursing is a fully mature and adult profession now reflecting all of the particular characteristics of professional delineation.

FALSE

True or False: Onboarding interviews are not nearly as important as exit interviews because the staff and leadership get more accurate information from exit interviews about the work environment and staff members' level of satisfaction with their work experience

FALSE

True or False: Performance improvement and innovation cannot occur in the same organization.

FALSE

True or False: Professionals act predominantly on principle, not simply based on their knowledge, reflecting a belief that principle drives knowledge.

FALSE

True or False: Shared governance is a voluntary process that invites staff to participate in decisions that affect patient care.

FALSE

True or False: The conflict mediator manages all elements of the conflict and assists parties to the conflict in their personal expression and in determining who needs to get what from the experience.

FALSE

True or False: The leader works hard to create trust and does everything to make sure that his or her personal principles of trust are apparent to colleagues, so they can work in a trusting environment

FALSE

True or False: Very few professional decisions are made at the point of service or in the patient environment. Most decisions influencing nursing practice in shared governance should be made away from the patient care setting.

FALSE

True or False: A contemporary differentiation between management and leadership is that management focuses on analysis, whereas leadership focuses on synthesis.

TRUE

True or False: All conflict is resolvable if there is a good match between commitment and effort of the parties, use of best methodology, and the clarity and effectiveness of the solutions obtained

TRUE

True or False: All staff must participate in shared governance activities.

TRUE

True or False: All team leaders should have external mentoring, guidance, or advisement to help advance personal insights and skills for team leadership.

TRUE

True or False: For a professional, the identification of the profession becomes a part of a personal identity such that it is impossible to separate the person from the profession.

TRUE

True or False: Individual accountability cannot be sustained if the system structure allows it to be legitimately expressed only by those who own it.

TRUE

True or False: Individual ownership implies a commitment to engage with others in their learning and development and in mentoring and sharing in the learning process

TRUE

True or False: Leadership courage indicates a specific level of self-understanding and personal knowledge about individual motivation, principles, and ethics

TRUE

True or False: Nursing care is as old as human history, but the science-based professionalization of nursing has existed only for the past 100 years of nursing.

TRUE

True or False: One of the differences between management function and the leadership function is that managers are more accountable for staffing, whereas leaders are more accountable for engaging

TRUE

True or False: One of the primary roles of the nurse is to coordinate, facilitate, and integrate interdisciplinary interaction around elements of professional practice and patient care to ensure synthesis and safety for the patient.

TRUE

True or False: One of the unique characteristics of a professional is the recognition of the intensity of the fit between the person as an individual and the person as a professional.

TRUE

True or False: Purpose, goals, roles, and relationships are the four central components upon which team effectiveness depends

TRUE

True or False: Team members need a clear understanding of their individual roles so they know what they are committing to and what is expected for their participation in team activities.

TRUE

True or False: Teams are the central component of the delivery of healthcare services

TRUE

True or False: The Code of Ethics for Nurses serves as a foundation for the exercise of nursing practice.

TRUE

True or False: The leader must set aside time for formal leadership reflection about personal skills and development needs and should develop a strong relationship with the leadership mentor.

TRUE

True or False: The professional nurse is a critical and key leader of clinical and health delivery teams

TRUE

True or False: The team leader must reaffirm the team's purpose and check its progress frequently to help its members understand where they are in the team process, the progress they have made toward their goals, and the need for adjustments and accommodations to changes affecting the team's actions.

TRUE

Innovation and change: a. Are similar but distinct concepts b. Are the same concepts c. Are based on the same assumptions d. Are avoided by healthcare workers

a. Are similar but distinct concepts

Which innovation leadership behaviors support building networks of people? a. Boundary spanning b. Leveraging opportunity c. Risk-taking d. Visioning

a. Boundary spanning

Taking risks to advance change and innovation: a. Catalyzes change efforts b. Disrupts change efforts c. Is not recommended for nurses d. Helps maintain the status quo

a. Catalyzes change efforts

Change competencies include: a. Common understanding of definitions and descriptions of change b. Expertise in completing checklists c. Knowledge of team members' ability to create a business case d. Emphasizing the limitations of other team members' competencies

a. Common understanding of definitions and descriptions of change

Validity of patient classification systems: a. Is about the accuracy of the system to measure the work of patient care b. Requires a minimum amount of clinical intervention categories c. Does not change over time d. Is only essential when the data are used for patient billing

a. Is about the accuracy of the system to measure the work of patient care

Supervision, as a component of the delegation process: a. Is an essential activity of the delegation b. Requires continuing education documentation and verification of competence of the RN c. Is designed to ensure hourly follow-up d. Is required only when there is an assignment of duties involved

a. Is an essential activity of the delegation

Boundary is an important foundation for effective delegation because: a. It provides guidelines for making equitable assignments b. The work of the nurse is clearly defined c. The limits and responsibilities of work are defined d. It provides rules to avoid making errors

a. It provides guidelines for making equitable assignments

Strategies to increase delegation competence include: a. Personal assessment of delegation abilities b. Identification of the need for discipline when delegation does not occur c. Regular training sessions that include scenarios for discussion d. Increasing the time allocation for delegation work

a. Personal assessment of delegation abilities

The RN has delegated the following to other members of the healthcare team. Which delegation is appropriate? a. Patient ambulation to a physical therapy assistant b. Administration of oral antihypertensive medications to a LPN c. Insertion of an indwelling catheter to a certified nursing assistant d. Reassessment of pain response after pharmacological interventions

b. Administration of oral antihypertensive medications to a LPN

Equitable nurse-patient assignments: a. Require experienced nurses to create nurse assignments b. Are positively related to nurse satisfaction c. Are nearly impossible in complex patient care settings d. Are typically limited to core staff

b. Are positively related to nurse satisfaction

Innovation and performance improvement: a. Are two different change methodologies b. Exist as a continuum, each informing the other c. Are in direct opposition to one another d. Are sometimes found in high performing organizations

b. Exist as a continuum, each informing the other

A leader's role in change and innovation is to: a. Take credit for the ideas of others b. Facilitate the conditions for change and innovation to occur c. Provide permission to staff to solve problems d. Take suggestions but make the ultimate decision unilaterally

b. Facilitate the conditions for change and innovation to occur

Resistance to change and innovation: a. Increases the chances for creativity b. Is not uncommon and needs to be mediated c. Provides a stopgap measure that halts inappropriate changes d. Is limited to individuals with excessive workload requirements

b. Is not uncommon and needs to be mediated

Ratio staffing: a. Is strongly correlated with positive patient outcomes b. Is strongly correlated with nursing satisfaction c. Requires specific state legislation to implement d. Does not consider the variations in patient care needs

b. Is strongly correlated with nursing satisfaction

Inappropriate delegation occurs when: a. Effective supervision takes place on site b. Medication administration is delegated by a licensed person to an unlicensed person without medication administration authority c. An unlicensed person delegates to a licensed person d. A licensed practical nurse delegated to a unlicensed person

b. Medication administration is delegated by a licensed person to an unlicensed person without medication administration authority

Non value added work: a. Will continue due to patient expectations b. Should be identified and eliminated whenever possible c. Can be identified easily during unit focus groups d. Is not an area of significant concern for nurses

b. Should be identified and eliminated whenever possible

Challenges for RNs in delegation are significant because: a. Delegation principles are not taught in nursing school b. Some nurses believe their nursing license is at risk when delegating to unlicensed personnel c. Appropriate delegation is difficult to determine d. There are wide variations in delegation rules set by state boards of nursing

b. Some nurses believe their nursing license is at risk when delegating to unlicensed personnel

Legal delegation includes the oversight and delegation of: a. The work of unlicensed support staff b. The operational and clinical work identified in the organizational chart c. The work of licensed persons in providing patient care services d. Specific work of the RN that does not require physician supervision

b. The operational and clinical work identified in the organizational chart

Core schedules: a. Are based on budgeted hours b. Should be adjusted at least quarterly c. Are based on trended patient care needs over time d. Are inconsistent with ratio staffing models

c. Are based on trended patient care needs over time

Staffing adequacy: a. Is determined by multiple factors, including nurse competence and patient care needs b. Does not vary by shift c. Can be assured with good planning of nurse's work schedules d. Requires experienced nurses and supportive managers

c. Can be assured with good planning of nurse's work schedules

Negative fantasies about change: a. Are important considerations in reality checking b. Encourage creativity and innovation c. Can be serious obstacles to embracing change and innovation d. Are more prevalent in newer employees

c. Can be serious obstacles to embracing change and innovation

Project management templates and processes: a. Are ideally suited for complex change and innovation b. Can remove obstacles to creativity c. Consider deviations from the plan to be negative d. Accelerate the orderly work of change

c. Consider deviations from the plan to be negative

Innovation differs from performance improvement because innovation: a. Uses a process to achieve an outcome b. Is founded on evidence c. Creates something new to the population experiencing it d. Improves existing solutions

c. Creates something new to the population experiencing it

Assignment differs from delegation in that: a. Neither delegation nor assignment making requires authority b. Ownership of authority for the tasks belongs only to the RN c. Delegation requires authority for tasks, but assignment does not d. Delegation does not include authority for tasks, while assignment includes authority for tasks

c. Delegation requires authority for tasks, but assignment does not

Change: a. Is always associated with chaos b. Can be controlled using project management software c. Is an inevitable life process d. Is best managed by an individual with expertise in change theory

c. Is an inevitable life process

When preparing to delegate an appropriate task, what should the RN do? a. Avoid delegating to an employee who complains about accepting assignments b. Communicate the expectation that the delegate should ask for assistance when needed c. Provide clear direction on the work that needs to be done d. Identify and communicate the frequency of interactions between the delegator and delegate

c. Provide clear direction on the work that needs to be done

Reliability of patient classification systems: a. Requires the use of a standardized nursing language b. Is high when the ratings by system users are identical c. Required use of the system for at least 12 months d. Does not exist if the interrater reliability is less than 85%

c. Required use of the system for at least 12 months

Accountability differs from responsibility in that: a. Accountability includes expectations to perform authorized work based on licensure or job description b. Responsibility is about provision of resources, policies, and staff development for delegates, which accountability is about using the resources effectively c. Accountability is about ensuring adequate resources and staff development for delegation, while responsibility is about ensuring attendance at staff development workshops d. Accountability is about being able to answer and explain actions and results, and responsibility is about doing the task

d. Accountability is about being able to answer and explain actions and results, and responsibility is about doing the task

Patient care delivery models: a. Are most commonly based on the team model b. Are best used in academic medical centers c. Are required for Medicare reimbursement d. Form the foundation for workforce management goals

d. Form the foundation for workforce management goals

Evidence for staffing specific to nurse fatigue: a. Is unique for each team of nurses on a particular unit b. Is inconclusive for healthcare workers c. Identifies work practices that can be performed safely d. Includes information specific to shift hours works, weekly hours worked, and number of days worked in a row

d. Includes information specific to shift hours works, weekly hours worked, and number of days worked in a row

There are several purposes of delegation. Which of the following is NOT a purpose of the delegation process? a. Increased workload management effectiveness b. Improvement of patient satisfaction c. Full used of scope of practice of licensed and unlicensed personnel d. Increasing the workload of RNs

d. Increasing the workload of RNs

Measuring staffing adequacy: a. Required knowledge of recent research evidence b. Is essential for Medicare certification c. Is a quarterly evaluation of evidence for nurse staffing, physician availability, and reimbursement d. Is an ongoing evaluation of matching patient care needs with appropriate nurse staffing and outcomes achieved

d. Is an ongoing evaluation of matching patient care needs with appropriate nurse staffing and outcomes achieved

Measurement of change: a. Is best done with financial metrics b. Is best done with a single quantitative or qualitative metric c. Should be distinct from measurement of innovation d. Requires consideration of the goals and variables involved in the change

d. Requires consideration of the goals and variables involved in the change

Determining when not to delegate includes consideration of: a. The patient's condition during the previous shift b. The discharge status of the patient c. The significant potential for harm d. The liability for malpractice

d. The liability for malpractice

There are certain times when change is not appropriate and should not occur. Change should be avoided when: a. The funding to support the change is not available b. The anticipated value is positive c. Selected team members are resistant d. There is no clear rationale or improvement anticipated

d. There is no clear rationale or improvement anticipated

An innovation process should start by: a. Brainstorming solutions b. Implementing ideas c. Asking colleagues about possible solutions d. Understanding the evidence and literature of the problem

d. Understanding the evidence and literature of the problem