NUR442 Leadership Exam 1

A new nurse confides in a friend a desire to become a "good follower." The friend states, "Anyone can follow --- just walk behind someone and do nothing." How should the new nurse respond?

"Effective followers need to be active participants in the workings of this unit."

A nurse has just completed the first year on a medical-surgical unit. A new graduate who has just started orientation is found crying in the patient lounge saying, "I can't do this. This is just not like we learned in school." What response by the nurse demonstrates emotional intelligence?

"I remember those feelings. Come on, let's talk about it."

When offered a nurse manager position as a new graduate, what is the best response?

"Thank you, but I'm not ready to be a manager."

Which qualities are part of Emotional Intelligence? Select all that apply.

-Acknowledging others. -Listening skills. -Understanding self. -Able to manage emotions.

Behaviors of an effective leader include: Select all that apply.

-Develops oneself and others. -Being able to communicate effectively.

A group leader participates with the group and gathers input before making a final decision. Which behavioral theory of leadership is being utilized?

Democratic.

A nurse preceptor gives a high degree of direction to a new nurse that he is precepting, but offers very little emotional support at this stage in the orientation process. The situational leadership style best represented in this situation is:

Directing.

The RN instructs the LPN "GIve an enema to the patient in room 327 who is being discharged but is complaining of being constipated and document on the medication administration record when given." Which of the five rights of delegation is missing in this situation? The right of:

Direction and communication.

Which client will the nurse plan to assess first?

Fever, diaphoretic and restless.

A manager on the Oncology unit encourages a new staff nurse to attend a nursing conference related to innovative approaches in cancer treatment. This is an example of what type of managerial activity?

Fostering interpersonal relationships.

What is the "essence" of management?

Getting work done through others.

The nurse has 10 clients on her module. The clients have multiple required treatments. She delegates diabetic wound care to the unlicensed assistive personnel (UAP). Which of the following describes this example?

Indirect delegation.

Nurses use personal digital assistants (PDA) to review medications prior to administration to reduce potential adverse reactions. Nurses are best demonstrating which QSEN competency?

Informatics.

The team leader gives assignments to all team members. How should the team leader base this decision?

The condition and needs of each client.

A nurse has been offered the evening supervisor position at a local nursing home. What should be the primary consideration in accepting this position?

The nurse's clinical expertise, business sense, and leadership skills

A nurse manager is having an issue with noncompliant staff. To combat this problem, the manager establishes a reward system for those that complete the assigned task on time. What leadership style is being displayed?

Transactional.

A group leader emphasizes the value that each team member has and is committed to improving the way each employee is treated. What type of leadership tactic is being exercised?

Transformational.

The UAP reports a newly admitted postoperative cardiovascular client's dressing is saturated with bright red blood. Which task could be delegated to the UAP at this time?

Vital signs.

A nurse lead is planning patient assignments for the day. Which client should be assigned to the UAP?

A client on strict bed rest.

When utilizing the safety and risk reduction framework, which client should you see first?

A client with dementia who has an assigned sitter.

Which client would be appropriate to delegate to a LPN? Select all that apply.

A client with new onset confusion requiring frequent monitoring. C. A client with urinary retention requiring placement of a urinary catheter. D. A client with a gastrostomy tube requiring tube feedings every 4 hours. E. A client requiring dressing changes for multiple pressure ulcers.

A nurse is providing care to 4 clients. Which client should the nurse see first based of the understanding of prioritization?

A newly admitted 80 year old COPD client complaining of shortness of breath.

Which client will be assigned to the UAP?

A stable three day postoperative gastric bybass client.

When utilizing the acute versus chronic framework, which client should the nurse see first?

A surgical client with a pulse of 120.

Which client is appropriate for the RN to assign the LPN?

A total right hip replacement client who is two days postoperative.

Which nursing responsibility can never be delegated?

Accountability.

Which task is most likely to be considered in a state practice act as appropriate to delegate to a LPN if the client's condition is stable and competence in the task has been established?

Administer an enema for an elective surgery patient.

A nurse lead brings the nursing team together following a difficult code and ultimate loss of a patient. The goal was to debrief and focus on the emotional needs of the team. Which of Goleman's leadership styles does this nurse employ?

Affiliate.

Servant leadership is best described as:

An "employees first" attitude.

When managing a client assignment, which client would be a priority?

An 80-year-old diabetic who has just fallen.

An RN who has been a nurse for 10 years is precepting a novice RN. The novice is having difficulty prioritizing client care. What should the RN tell the novice about the principles of prioritizing care?

Ask yourself if delaying action would result in a negative outcome.

An RN has delegated the care of a fresh postoperative client to an LPN. The LPN notifies the RN that the client's vital signs are elevated and the client is dyspneic and complaining of pain. What should the nurse do next?

Assess the client and analyze the preoperative and perioperative data before calling the surgeon.

The major hallmark of situational leadership is:

Assessing the readiness of the follower.

A nurse manger exerts little freedom to the staff, gives orders and makes decisions for the group as a whole. Which leadership style is being demonstrated?

Autocratic.

A client is admitted to the hospital for blunt trauma to the abdomen. Which instructions are appropriate for the RN to give to the UAP?

Check vital signs every hour and report all of the findings.

A nurse is delegating to the UAP the task of assisting with oral hygiene. The nurse is correctly using which of the five rights of delegation?

Circumstance.

A client receiving a blood transfusion complains of a cough. Current vital signs include a temperature of 97.2 degrees F, pulse of 108 beats per minute, blood pressure of 152/76, respiratory rate of 24 breaths per minute, and oxygen saturation of 95% on room air. The client denies pain. What is the initial action the nurse should take?

Compare current data to baseline data.

A client with congestive heart failure suddenly complains of shortness of breath and dyspnea. What action should be taken by the nurse first?

Elevate the head of the bed.

A nurse questions a standing order by the physician based upon what he had recently learned at a professional nursing conference. What QSEN competency is he demonstrating?

Evidence-based practice.

A nurse is supervising a patient care assistant and a licensed practical nurse. When giving assignments, the nurse states, "You two decide how you want to divide up the patients." This is an example of what type of leadership?

Laissez-Faire.

An RN recently relocated to another region of the country and immediately assumed the role of charge nurse. When determining the appropriate person to whom to delegate, the RN knows that:

Must review the state's practice act for LPNs.

An client is found lying on the floor. Which action should the nurse do first?

Palpate the client's wrist and evaluate pulse.

Nurses are implementing a policy to include input from the client in the plan of care.This action by the nurses represent which QSEN principle?

Patient-centered care.

According to "trait theories," the most common traits of a good leader are:

Reliability and communication of purpose.

A client in the emergency department has been identified as a victim of physical abuse. What is the priority nursing action?

Removing the client from any immediate danger.

A nurse is floating to the ICU for the first time. The nurse's priority action should be?

Report to the ICU and identify tasks that can be performed safely.

In the framework of emotional intelligence, which competency determines how a nurse handles relationships?

Self-regulation.

A code blue is called on newly admitted ED patient. The nurse lead begins to assign roles to team members, including 2 RNs, a LPN, and a UAP. What leadership style would be best employed in this scenario?

Situational.

The charge nurse is currently monitoring the performance of a new hire registered nurse who is assigned three moderate to severe patients. This is an example of?

Supervision.

A nurse lead provides encouragement to a nurse with 2 years of experience, following a particularly challenging shift. The nurse was competent, but beginning to doubt her abilities. The situational leadership style most represented here is:

Supporting.