Leadership test 3
In order to determine when not to delegate, the nurse needs an in-depth understanding of a. the nurse practice act b. legal issues c. the patient privacy act d. informed consent
a
Using the SBAR model, when the nurse is providing the background of a patient to teammates, what information should the nurse include? (SATA) a. past medical history b. issues identified for discussion c. admitting diagnosis d. patients name and room number e. current medications
a,c,d,e
The case manager is part of the interdisciplinary team who is a nurse leader whose role is to (SATA) a. monitor patient care b. coordinate patient care c. provide informed consent for procedures d. evaluate options for patient care e. advocate for the patient
a,b,d,e
A nurse manager is conducting a meeting with staff. What factors may significantly influence how communication is received and perceived it during the meeting? Select all that apply A) The unit mission B) gender differences C) stress levels D) The age of the manager E) The level of the manager
B,C,E
Some facilities have included an "Introduction step" to SBAR now called ISBAR in efforts to include an introduction for clinicians during a patient handoff. a. true b. false
a
A Nurse manager is using face-to-face communication when discussing a staff member performance evaluation. What does the manager determine are the benefits of this method of communication in this situation? Select all that apply A) it will combine verbal and nonverbal communication to convey messages B) The staff member will agree with all aspects of the evaluation C) The manager can determine if the staff member understands the evaluation D) it will prevent any misunderstandings from occurring E) it will strengthen the connection between the manager and staff member
A,C,E
A nurse is planning to delegate tasks to members of a transcultural team. Which tasks would the nurse consider environmental control when delegating to these members? (SATA) a. Routine tasks that are done every day b. Tasks that are ambiguous c. Tasks that require imagination, vision, and strategic planning d. Tasks that require direct supervision e. Tasks with a degree of predictability requiring independent thinking to accomplish
A,C,E,
Which of the following qualities do nurse leaders possess that makes them obtain excellence in their role? a. ability to act in a positive and reactive manner b. ability to provide clear visions, goals, and expectations c. ability to provide occasional constructive feedback d. ability to be a reactive communicator
B
A nurse is to provide an in-service training on cultural factors that influence delegation and enhance nursing care. Which step to acquiring cultural competence does the nurse determine will involve learning how to read verbal and nonverbal messages? a. Becoming culturally aware b. Interacting with different cultures c. Learning specific communication strategies d. Indemnifying biases in ones own self
C
A charge nurse is preparing to delegate tasks to UAP. What is the first action the nurse should do before delegating. a. determine whether there is enough time to adequately supervise the task b. ask which UAP are interested in the task c. determine who would be the best person for the task d. determine whether the task is within the scope of UAP
D
A new nurse from the foreign country is training in the surgical unit. After working and meeting with the nurse, the charge oversees that there is a discomfort in making eye contact while speaking. What task would the charge nurse avoid delegating to this nurse? a. Starting an IV prior to surgery b. Inserting and indwelling c. Obtaining blood for transfusion d. Education a patient and ensuring full understanding
D
A nurse manager must make an important decision regarding a staff members continued employment on the unit, in order to avoid the pitfalls involved in decision making, what should the nurse manager do? a. Involve several staff members on the unit to assist with the decision b. Base the decision on the first impression of the staff member c. Make the decision based on past history d. Choose a decision-making style that will best fit the situatio
D
A charge nurse is delegating to a LPN/LVN. What would be considered IMPROPER delegation for the charge nurse to delegate? a. the employee is given highly detailed exact instructions to complete the task b. the charge nurse and the person to whom the task is delegate exchange regular updates on the task c. momentary authority is given to support completion of a delegated task d. the person to whom a task is delegated considers it a challenge
a
A nurse delegates a task to unlicensed assertive personnel (UAP). After the UAP informs the nurse that the task is complete, what is the appropriate action by the nurse? a. evaluate the outcomes of the task b. no further action is required since the task is complete c. redo the task if not acceptable d. Inform the UAP that you will confirm that the work is complete
a
The bachelor's degree-prepared nurse is tasked with the need to understand interproessional communication and collaboration in order to be prepared to improve patient health care outcomes? a. true b. false
a
A charge nurse has delegated a task to unlicensed assistive personnel. When the nurse is met with resistance after delegating, what is the best action to be taken? a. the charge nurse should ask someone else to do the task b. the charge nurse should meet with the person to find out why the task was not completed c. the charge nurse should report the staff member to the nurse manager d. the charge nurse should just complete the task
b
Which of the following is important for ensuring team collaboration efforts will be successful? a. Effective communication, team leader is the primary care provider, and sound delivery models b. Shared vision, role clarity, and use of effective communication c. Share visions, effective communication, and primary care provider acts as a team leader d. Role clarity, primary care provider acts as a team leader, and nurse leader is a subordinate
b
A new charge nurse is leaving work each day feeling overwhelmed and not completing task. What kind of delegation error is the charge nurse making? a. overdelgating b. not delegating the right task c. improperly delegating d. underdelegating
d
What factors contribute to the success of inter-professional teams? (SATA) a. acknowledging the shared vision b. forming clear and efficient communication c. enjoying the work experience d. establishing an interpersonal relationship with team members e. having role clarity
a, b, e
A nurse informs the nurse leader that it would be beneficial to delegate more to the UAP but the nurse leader is reluctant to do so, stating, "whenever I do, they always come back with so many questions. I need them to just do it!" What kind of delegation error is the nurse making a. overdelegating b. improperly delegating c. underdelegating d. delegating the wrong task
b
A nurse leader identifies that a competent RN is incapable of completing a task that falls within the RN scope of practice. Which of the following actions should the nurse leader take next? a. suggest the RN transfer to another place of work b. cease delegating to this particular RN c. assign a mentor or coach to the RN to achieve competence d. delegate a different task to the RN
c
Rapidly advancing communication technology has great potential for increasing the productivity and effectiveness of an Organization. What is the threat for challenge that exist with new methods that include intranet and electronic information systems? a. Ineffective communication tool b. Replace active listening c. Pose a threat to patient confidentiality d. Will replace nonverbal communication
c
A nurse working in a large, diverse university hospital informed the charge nurse, "I never know how far apart to stand from someone since we have patience for many cultures" what is the best response by the charge nurse? A) The degree of space is going to vary with cultural norms B) it really doesn't matter, people should just accept it C) About 14 inches is appropriate for social interaction D) for personal interactions, you should stand at least 5 feet away
a
A charge nurse has delegated specific task to the team and feels as though one of the nurses is resistant to the tasks delegated. What might be reasons that the nurse is resistant? (SATA) a. the task is well communicated b. the nurse has an inherent resistance to authority c. the task has a specific time frame d. the nurse feels incapable e. the nurse feels overloaded
b,d,e
Hey nurse manager has A high turnover rate of assistant managers in the unit. The current assistant manager states to the manager, "I may not be the right fit for this position. I can't keep up with the amount of work and delegated task." What delegation error is the manager making? a. overdelegating b. underdelegating c. delegating to the wrong person d. improper delegating
a
A nurse manager is considering delegating an important task. What steps should the manager take in the delegation process? (SATA) a. monitor the person until the task is done b. communicate the time frame in which the task should be completed c. train the person delegated for the task d. ask for volunteers e. communicate what the task is
a,b,c,e
A healthcare provider is attempting to improve their connection with the nursing staff. What communication strategy would be appropriate for the healthcare provider to use to make this change? A) use touch as a nonverbal cue of acceptance B) maintain eye contact and nod or vocalize to show interest in conversation C) interrupt nurses going off on tangents in order to model keeping them focused D) hesitate prior to responding
b
Which of the following are delegation errors made by nurse leaders? (SATA) a. failure to delegate b. failure to release control of task c. failure to provide adequate directions d. failure to follow up e. failure to provide clear directions
a,b,c,d,e
In the SBAR model, when giving recommendations, what kind of things should be communicated? (SATA) a. any new treatments or changes ordered b. opinions for further action c. a concise evaluation of the situation in a couple of sentences d. the background or context of the situation e. the patients condition and state what you think the problem is
a,b
Which aspects of creating a successful interprofessional team are addressed by SBAR? (SATA) a. offering a recommended plan of action or next steps b. ensuring role clarity c. determining leadership of the team d. communicating effectively and efficiently e. maintaining a shared vision
a,b,d,e
A member of the nursing team reports that being given too much to do, and that the member will not be able to complete the work on time. What action will the RN take to effectively manage the situation? a. take on the responsibility of the task b. Examine the workload and assist the individual in re-prioritizing c. assign the work to another team member d. have the team member perform only the necessary task
b
What is the best focused response when asked, "what does clear and efficient communication mean"? (SATA) a. Information is presented in language the receiver can understand b. giving as much information as possible about everything related to the patient on hand-off c. always presenting information in a concrete manner d. a thorough handoff of the situation, including background, your assessment, and any recommendations e. checking for the receiver's understanding before moving on
a, d, e
Delegation by a licensed professional such as the registered nurse to an unlicensed professional can assist with time management if the delegation has been correctly accomplish. a.true b.false
a
The SBAR tool was first used in the hospital to facilitate safe patient handoffs a. true b. false
b
Elements that affect the nurse leaders ability to properly delegate to members of the diverse workforce include which of the following? a. social organization b. social benefits. c. Social responsibility d. socializing
a
The nurse leader should respond to resistance of authority in a calm but firm fashion a. true b. false
a
What is considered to be the greatest challenge to the implementation of an inter-professional primary healthcare team? a. The cost of implementation of such a varied team b. getting nurses to actively participate in the planning go patient care using this model c. overcoming the traditional provider-dominated role of determining patient care d. assuring patient acceptance of the care model
c
The american nurses association and the national council of state boards of nursing have established principles for social networking? a. true b. false
A
SBAR and ISBAR provide the nurse leader with tools to effectively communicate between team members a. true b. false
a
What action can a nurse take to ensure that when delegating to unlicensed assistive personnel, creativity and independent thinking is encourage for task completion? a. provide consistent and constructive feedback b. have the UAP report to the nurse several times c. assigned the same routine task d. be sure the task is completed the nurses way
a
It is not imperative for nurse leaders to understand how to delegate to a diverse workforce because all healthcare workers receive similar training a. true b. false
b
The nurse delegates a test to an incompetent individual. Who is held accountable for the outcome of the task? a. both individuals b. the nurse delegator c. it depends on the situation or circumstance d. the individual who was delegated to
b
The nurse leader understands when delegating, subordinate resistant should never occur among staff members a. true b. false
b
Channels of communication include upward communication, Downward communication, horizontal communication, diagonal communication, and Grapevine. a. true b.false
True
A nurse on the acute care unit demonstrates the positive traits of a good leader when working with new employees. What trait does the nurse manager sight when performing the nurses evaluation? a. Role modeling b. Decides daily patient assignments c. The assigned position d. Planning unit's goals
A
Effective leadership requires the nurse manager or leader to develop verbal communication skills in order to decrease tension in relationships, decrease anxiety, and prevent depression a. True b. False
A
Which of the following is a form of communication that allows people to express themselves in direct, honest, and appropriate ways reducing tension in the workplace? a. assertive communication b. passive aggressive communication c. passive communication d. aggressive communication
A
Which of the following are sources conflicts that nurse leaders might face? (SATA) a. novice and seasoned nurses b. Patient's support system c. Multigenerational nurses d. Between members of the health care team e. Cultural differences
A,B,C,D,E
Nurse manager wants to increase the effectiveness of communication with a staff member since the staff member did not respond positively to the same message previously. What action by the nurse manager would improve the communication? Select all that apply A) stay positive when sending the message B) make the message clear and concise C) use the previous technique with the staff member D) have the staff member state understanding of the message E) use common terminology
A,B,D,E
In the SBAR model, what should be conveyed when explaining the situation? (SATA) a. objective statement of the problem b. information in a narrative or story form c. recommendations for treatment changes d. assessment data collected e. events currently happening
A,C,D,E
A charge nurse informs a staff nurse that they will be admitting the next patient arrives on the unit. The staff nurse states acceptance and then proceeded to tell the other nurses that the charge nurse is unfair. What type of communication is the stuff nurse displaying? A) aggressive communication B) passive aggressive communication C) passive communication D) assertive communication
B
A staff nurse informs the Nurse Manager that the nurse would like to gain broader experience in other departments of the acute care facility. What response by the Nurse Manager demonstrates effective leadership a."Would you be willing to work with one of the senior nurses for a while, until you learn how we operate here?" b."Would you be willing to help on another unit? They need a shift leader for a couple weeks." c. "I would like you to be a preceptor for the new nurse that was just hired." d. "Getting broader experience isn't as valuable as specializing."
B
A nurse manager is assessing the internal climate of communication with a group of staff members prior to the meeting. What would the nurse manager consider to be part of the internal climate of communication? Select all that apply A) Power B) values C) feelings D) stress E) status
B,C,D
A nurse leader is introducing a new glucometer protocol to members of the staff. What method of communication would best be used to make all of the stuff aware of this change? A) nonverbal communication B) telephone communication C) verbal communication D) written communication
D
A nurse manager is relaying information about staffing changes to the staff on the night shift. What form of communication is the nurse manager using to deliver the changes? A) grape vine B) diagonal C) horizontal D) downward
D
When you explain what the nurse believes the issue is, which stage of SBAR would the nurse be demonstrating? a. recommendation b. situation c. background d. assessment
D
Which of the following best describes the nurse leader in the role of negotiator? a. Focuses on external conflicts that negatively impact the health care delivery system b. Resolves internal conflict with all team members c. Focus is primarily resolving conflict between patient support system and staff d. Mediates internal or external conflict with various stakeholders
D
A patient on a busy neurosurgical unit just returned from surgery requires neurological checks every hour, but the nurses too busy to do it and delegate this task to the unlicensed assistant personnel. What error in delegation has the nurse made? a. delegation at the wrong time b. improper delegation c. overdelegation d. underdelegation
b
What does an inter-professional team member need to understand about role clarity for the team to be successful? a. roles and responsibilities of those outside the team b. The role and responsibilities of all teammates c. Why the roles and responsibilities exist d. Individual role and responsibilities
b
Which of the following creates the potential for successful delegation as emphasized by the national council state board of nursing? a. Evaluating difficult tasks very closely b. effective communication c. determining how to monitor and supervise d. monitoring difficult tasks very closely
b
Hey charge nurse is delegating to A staff member who is resistant to authority. After delegating a task to the staff member, what action should the charge nurse have the staff member due to ensure compliance? a. follow the charge nurses direction exactly b. submit a progress report to the charge nurse c. ensure the staff member has a voice and how the task is completed d. decide the best time to complete the task
c
A new nurse leader asks for strategies to improve communication skills since there has been a large turn over for nursing staff. What suggestion from the director would be beneficial for the nurse leader? A) Used aggressive communication to show the stuff you're in charge B) Restate messages using passive language C)Allow them to think you were listening to their complaints D) be congruent in your verbal and non-verbal communication
d
A nurse manager determines that a nurse on the team comes from a future oriented culture. What task may be best to delegate? a. Making assignments for the unit b. Performing a retrospective study on infection rates c. Overseeing daily stock of supplies d. Working on a strategic team plan for the unit
d
The diversity in current healthcare workforce affects how each member approach specific assigned goals which influences completion of delegated tasks. This is thought to be related to the a. differences in approach to task relation today or night shift preferences b. differences in approach to task relation to gender differences c. differences in approach to task relation to priority setting d. differences in approach to test relation to religious preferences
c
A nurse is struggling with time management and thinks it might help alleviate stress and strength and leadership skills if some task are delegated to unlicensed assistant personnel. What would be important for the nurse to consider when delegating to UAP? (SATA) a. the monetary cost of the delegation b. if the UAP wants to do the task c. qualifications of the person who will carry out the tasks d. whose turn it is to be delegated to e. what can and can't be delegated safely
c,e
Nonverbal communication is thought to make up _____% of the communication process a. 35%-50% b. Less than 35% c. Over 90% d. 50%-70%
D
It is the charge nurses responsibility to affectively delegate and provide the right direction and communication for the delegated task for the staff nurses. a. true b. false
b
In an interprofessional team, what do teammates need to understand in order to have a shared vision? (SATA) a. desired outcomes b. after-care options c. why certain members are included d. potential challenges to meeting outcomes e. cost of the implemented services
a, b, d
A nurse leader is having a discussion with 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 a. "I don't think you heard what the rest of us had to say" b. "Your plans for the changes will be difficult to implement" c. "Can you tell me why my suggestion will not work?" d. "Do you have an idea what direction we need to go?"
A
A nurse is planning to delegate tasks to the transcultural team. What situation would be considered appropriate delegation to the team members? Select all a. Holding a negative performance evaluation in private for a nurse whose cultural tradition puts emphasis on avoiding losing face b. Giving a task that requires independent thinking to a nurse who believes in an internal locus of control as a result of her cultural tradition c. Delegating a task that requires educating a hard of hearing patient to a nurse who is sly and reserved as a result of her cultural tradition d. Delegating the interviewing of a reticent patient to a nurse who is outgoing and inquisitive as a result of her cultural tradition e. Delegating a task that requires calming a hysterical patient and family to a nurse who is uncomfortable with touch as a result of culture.
A,B,D
A nurse exhibits leadership traits associated with the role of a nurse leader, what activities demonstrated by the nurse would demonstrate leadership traits (Select all). a. Providing a motivational speech at the new employee orientation b. Appointing a successor c. Mentoring two new managers d. Advocating for an employee regarding personnel policies e. Establishing goals for the coming year f. Providing feedback about job performance
A,C,D,E,F
A new nurse leader has the opportunity to delegate to a member of the staff. What criteria should the nurse leader be sure are followed before doing this? (SATA) a. The right circumstance b. The right time c. The right person d. The right level of supervision e. The right communication f. The right task
A,c,d,e,f
