Chapter 10: Leading, Managing, and Delegating
How should a nurse leader best address nurses' resistance to a change in the shift-scheduling protocol on their hospital unit? A) Explain the benefits of the change and elicit honest feedback. B) Explain the cost savings that the change will bring for the hospital. C) Allow those who remain unconvinced to temporarily opt out of the proposed change. D) Put the matter to a vote and respect the wishes of the majority.
A
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) Initiating intravenous therapy B) Securing the client on a papoose board C) Soothing the client during the procedure D) Gathering equipment needed for intravenous therapy
A
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) Bathing a combative client B) Inserting an indwelling urinary catheter C) Taking an order over the telephone from a physician D) Assessing a client's wounds
A
A nurse is successful in promoting change on the nursing division. This nurse would be considered a: A) guide. B) leader. C) manager. D) specialist.
B
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 is implementing the physician's written orders for client care. B) The unlicensed assistive personnel (UAP) taking vital signs for several nurses C) The dietician completing a nutritional assessment for a RN D) The interdisciplinary health care team collectively developing plans of care for clients.
D
Two nurse managers working on different units in a hospital are planning for a major change to occur on both units. One nurse manager reports to the other having identified a key power player on the unit. Which description most applies to a key power player in this context? A) A regular employee who is a natural leader B) Someone in whom a nurse manager can confide C) Someone who spreads untrue rumors D) An employee who will resist the change
A
Two staff nurses on a unit disagree with one another over certain key aspects of providing client care. The nurse manager of the unit arranges a meeting with the charge nurse and the two staff nurses at a mutually agreed-upon time to discuss this situation. This activity is most accurately described as what? A) Conflict resolution B) Problem solving C) Delegation D) Client protection
A
Which attributes should be characteristic of a nurse mentor? Select all that apply. A) Is supportive B) Is resourceful C) Is driven by financial reward D) Embraces disruptive conflict E) Demonstrates leadership abilities F) Is an experienced, licensed professional G) Deconstructs health care networks
A, B, E, F
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) Autocratic B) Democratic C) Laisses-faire D) Transformational
B
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) "Discontinue the IV solution." B) "Dispose of the disconnected IV set." C) "Inspect the site for thrombophlebitis." D) "Check the infusion rate."
B
The nurse manager who asks staff members to give suggestions on how to improve collaboration between nurses and physicians is exhibiting what style of leadership? A) Laissez-faire B) Democratic C) Autocratic D) Transactional
B
Which of these statements regarding a nurse manager role is accurate? A) The nurse manager's main role in the nursing unit is to manage the unit budget. B) To effectively manage the nursing unit, the nurse manager should also be a leader. C) A healthy work environment is not within the scope of the nurse manager's role. D) The nurse manager will decide on the financial targets for the nursing unit.
B
Which statement by a RN represents appropriate delegation to a nursing assistant? A) "Discontinue the IV solution." B) "Dispose of the disconnected IV set." C) Inspect the site for thrombophlebitis." D) "Check the infusion rate."
B
A nurse is caring for a client with pneumonia. Which task is most appropriate for the nurse to delegate to an experienced unlicensed assistive personnel (UAP)? A) Assessing for shortness of breath B) Instructing the client about the need to alternate activity with rest C) Obtaining vital signs every 4 hours D) Administering nebulizer treatments as needed
C
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) Autocratic B) Democratic C) Laissez-faire D) Transformational
C
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) "My position is one of management." C)"I collaborate with health care teams to promote client care." D) "I'm an advanced practice nurse with a specific specialty area."
C
After a nurse manager implements a solution to the problem of delays in obtaining supplies, the first task for the manager is to: A) ask the staff members for other solutions. B) plan to monitor the supply cabinets. C) assess whether the desired results have occurred. D) make an appointment with the chief nursing officer.
C
Which of these statements reflects the expected functioning at a hospital that has achieved Magnet status? A) Nursing administration is in control of all decision-making. B) Most client outcomes have improved but are not at target range. C) Staff nurses are developing innovative solutions to problems. D) There is a decreased rate of retention among the nursing staff.
C
The nurse recognizes that a new mother is having difficulty breastfeeding. The nurse demonstrates various positions in which to hold the baby while feeding. The nurse also educates the mother on ways to ensure proper latching. The new mother attempts to breastfeed the baby again using the new techniques and is successful. Which statement in this scenario illustrates Lewin's stage of refreezing? A) The nurse also educated the mother on ways to ensure proper latching. B) The nurse recognizes that a new mother is having difficulty breastfeeding. C) The nurse demonstrates various positions in which to hold the baby while feeding. D) The new mother attempts to breastfeed the baby again using the new techniques and is successful.
D
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 ignore each other's requests for the preceptor. B) The nurses agree to allow the preceptor to decide which nurse to precept. C) The nurses agree that one nurse will obtain the preceptor for orientation in exchange for that nurse working each weekend. D) The nurses agree to have the preceptor precept one nurse at the beginning of the orientation and the other at the end.
D
