Leadership Exam 2 Practice Questions (chapters 1 and 11)

A nurse manger wants to ensure that a staff member attends a particular training session. What is the best way to achieve this? - Explain that the training session won't be very difficult - Explain that other staff members are also attending the training session - Communicate the benefits of learning the ideas that will be taught in the training - Make attending the training session mandatory

Communicating the benefits of learning the ideas that will be taught in the training

A newly employed nurse is reviewing the organizational chart of the facility, observing that there is shared governance. What type of organizational chart does the nurse recognize the facility follows? - Flat - Matrix - Traditional - Magnet

Matrix Matrix organizations typically have some hierarchy to them but if there is a change initiative that impacts a nursing procedure across the board, the communication will be more direct.

What is the best way for a nurse instructor to evaluate whether a staff member has learned an important new procedure as part of an educational development program? - Interview the staff member a month after the training to see if the info was retained - Observe if the staff member has adopted the desired behavior change - Have the staff member complete a thorough evaluation form at the end of training - Require the staff member to recite key points of the procedure without referencing notes

Observe if the staff member has adopted the desired behavior change.

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 - Role modeling - Decides daily patient assignments - The assigned position - Planning a unit's goals

Role modeling

A nurse manager is mentoring a new nurse manager regarding strategies for teaching staff. What does the new nurse manager learn is the goal of staff training? - To transfer new learning to the work setting - To practice new skills multiple times - To demonstrate memorization of concepts - For training to occur as quickly as possible

To transfer new learning to the work setting

A new nurse manager is learning about staff development. Which are the most important reasons that staff require education? (Select all.) - Staff must keep abreast of current science - Staff must learn about new technology - To learn for the sake of learning - To ensure the employee's competency - To keep pace with new educational trends

- Staff must keep abreast of current science - Staff must learn about new technology - To ensure the employee's competency

Which reasons would a nurse manger consider for carrying out staff development? (Select all.) - To establish competence - To test new teaching strategies - To satisfy specific interests of staff - To promote group activity - To meet learning needs

- To establish competence - To satisfy specific interests of staff - To meet learning needs

A nurse in a leadership role is committed to a vision for retention in the med-surg unit and is able to empower others with this vision. What form of leadership is the nurse demonstrating? - Interactional - Beureaucratic - Transactional - Transformational

Transformational

All people and organizational units that will be affected by a planned change should be included in the planning - True - False

True

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 - "I don't think you heard what the rest of us had to say" - "Your plans for the changes will be difficult to implement" - "Can you tell me why my suggestion will not work?" - "Do you have an idea what direction we need to go?"

"I don't think you heard what the rest of us had to say"

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). - Providing a motivational speech at the new employee orientation - Appointing a successor - Mentoring two new managers - Advocating for an employee regarding personnel policies - Establishing goals for the coming year - Providing feedback about job performance

- Providing a motivational speech at the new employee orientation - Mentoring two new managers - Advocating for an employee regarding personnel policies - Establishing goals for the coming year - Providing feedback about job performance

A new nurse manager is learning about staff development. What are driving forces or assets that motivate adult learners? (Select all.) - Self-direction - Institutional barriers - Family reaction - Self-motivation - Situational obstacles

- Self-direction - Self-motivation

A nurse instructor is teaching a student who often asks for thorough explanations of each new concept. What learning style does this student have? - Visual - Kinesthetic - Auditory - Tactile

Auditory

A nurse manager is reviewing current staff development activities. Which is critical to ensure that staff development activities are successful? - The education department identifies all needs for education and training - Management is responsible for education and training -Scheduling education and training as non-paid time - Communicating shared responsibilities for education and training

Communicating shared responsibilities for education and training

A nurse manager evaluates the performance of a staff member and provides the following feedback: "When you didn't contact the attending physician after you registered the patient's low blood pressure reading, the patient went into respiratory arrest that might have been prevented. Next time you have a patient with an unexpected change in their vitals and can't get in touch with their doctor, contact the nursing supervisor so we can get help to that patient sooner." What type of feedback has the nurse manager provided? - Constructive - Negative - Destructive - Positive

Constructive

An experienced nurse using contingency theory is orienting a new grad to the unit. What needs will the nurse meet with the new grad using this theory (select all)? - Discipline - Counseling - Developing - Coaching - Team-building

Counseling, developing, coaching

A nurse educator in a college setting has developed leadership skills as a result of attaining further education and sharing positive change within the department. What transformational leadership characteristic is the nurse educator demonstrating? - Influencing others - Guiding others - Directing others - Empowering others

Empowering others

A nurse leader is considering using transformational leadership. What information would the nurse leader need to keep in mind? - Employees are expected to lead from their organizational position. - Empowerment of both the leader and follower occurs. - Informal leadership is highly recognized. - The locus of power rests with the employees

Empowerment of both the leader and follower occurs.

The chief nursing officer (CNO) at an acute care facility has weekly mandatory meetings with all managers and staff members to discuss what is going well, what could be better, and communication from the executive team. This CNO is part of what type of organization? - Traditional - Mission - Flat - Matrix

Flat Flat organizations are characterized by the accessibility of upper management and a flow of information that is both top-down and bottom-up.

A nurse instructor is creating a lesson plan to help develop the learning needs of a diverse staff. What should the instructor do to make an effective plan? - Maintain total control over the goals of the lesson plan - Convey each important concept through problem-focused instruction - Incorporate a variety of teaching strategies in the lesson plan - Focus on the predominant learning style in the group of students

Incorporate a variety of teaching strategies in the lesson plan.

What is the effect on a nurse who experiences a disconnection between personal and organizational values? - Unrealistic expectations - Leads to goal evaluation - Change that leads to effective leadership - Intrapersonal conflict and burnout

Intrapersonal conflict and burnout

A nurse on a busy medical surgical unit must delegate some care assignments to an experienced nursing assistant. What factors does the nurse consider prior to delegating the care to the nursing assistant? - State or national standards - Organizational mission - Organizational structure - Organizational philosophy and values

State or national standards

The new nurse manager is learning about staff development. Which are characteristics of pedagogy? (Select all.) - Competition is encouraged - The teacher sets the goals - Learners depend on the teacher - Learners are self-directed - The teacher evaluates

- Competition is encouraged - The teacher sets the goals - Learners depend on the teacher - The teacher evaluates

A staff nurse informs the NM that the nurse would like to gain broader experience in other departments of the acute care facility. What response by the NM demonstrates effective leadership - "Would you be willing to work with one of the senior nurses for a while, until you learn how we operate here?" - "Would you be willing to help on another unit? They need a shift leader for a couple weeks." - "I would like you to be a preceptor for the new nurse that was just hired." - "Getting broader experience isn't as valuable as specializing."

"Would you be willing to help on another unit? They need a shift leader for a couple weeks."

A nurse manager is evaluating the effectiveness of the most recent staff development activity. Which strategy would be most useful in validating competency of each of the staff on the unit after a staff development activity? - Assessing if the activity provided entertainment for the participants - Assessing learning by administering a post-test after the activity - Assessing the length of time that the staff development activity lasted - Assessing whether the participants can transfer knowledge to practice

- Assessing whether the participants can transfer knowledge to practice

A new nurse manager is learning about staff development. Which statement reflects elements of Bandura's social learning theory? (Select all.) - Knowledge may be gained vicariously. - People learn as a result of direct experiences. - Learning requires utilization of pedagogy - Learning may occur from judgement of peers - People evaluate new information from reasoning

- People learn as a result of direct experiences - Knowledge must be gained vicariously - Learning may occur from judgment of peers - People evaluate new information from reasoning

A nurse manager is evaluating the critical thinking competency of a staff member. What method would be most effective in making this evaluation? - Directly observe the staff member's skills in order to complete validation checklist. - Obtain feedback on others' perception of the staff member's communication - Request the staff member's rationale for decision making, and share the nurse manager's own rationale. - Have the staff member draft entries for verification before entering them into permanent documentation.

- Request the staff member's rationale for decision making, and share the nurse manager's own rationale.

A new nurse manager is learning about staff development. Which statements about the implications of Knowles' learning theory are accurate? (Select all.) - Adults do not need to be involved in the process of their evaluation. - Mistakes should be viewed as opportunities. - Assessment of need is absolutely essential. - The adult will not feel rejected if the value of their experience is rejected. - Adults learn best by using experiential techniques.

- Mistakes should be viewed as opportunities to learn - Assessment of need is absolutely essential - Adults learn best by using experiential techniques

A nurse manager is evaluating the effectiveness of staff development activities that have occurred in the past year. Which criteria should be included in this eval? (Select all.) - Time utilized - Organizational impact - Learner's reaction - Cost-effectiveness - Behavior change

- Organizational impact - Learner's reaction - Cost-effectiveness - Behavior change

The mission of the acute care facility is, "We are dedicated to creating a health community, one person at a time." What nursing leadership activity would correlate with that mission? (Select all). - Placing a staff member on probation for tardiness and excessive break times - Reviewing HCP orders to guarantee the nursing staff is appropriately carrying them out - Mentoring a nursing student who is interested in introducing smoking cessation to patients and patient families without being preachy - Notifying nursing staff of an upcoming CEU seminar on healthy eating for low-income families - Mediating a dispute between two nurses about the shift schedule

- Reviewing HCP orders to guarantee the nursing staff is appropriately carrying them out - Mentoring a nursing student who is interested in introducing smoking cessation to patients and patient families without being preachy - Notifying nursing staff of an upcoming CEU seminar on healthy eating for low-income families

A new nurse manger is implementing an educational needs assessment. Why is it necessary to conduct this assessment? - Staff perception of educational needs is a greater priority - The manger's perception of educational needs is accurate - Educational resources in nursing units are usually unlimited - Staff and management may prioritize learning needs differently

- The manager's perception of educational needs is accurate

A nurse manager has evaluated a recent staff development activity. which variables may have limited the transfer of knowledge and ultimately the success of the activity? (Select all.) - The training included one example so that the staff could apply information specifically - The training context of the staff development activity was different from the work context - Important steps or features of the process were emphasized during the training activity - Staff had one opportunity to practice the skill and then were required to return demonstration - The basic principles underlying the process and how situations may modify the process

- The training included one example so that the staff could apply information specifically - The training context of the staff development activity was different from the work context

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, she should - Involve several staff members on the unit to assist with the decision - Base the decision on the first impression of the staff member - Make the decision based on past history - Choose a decision-making style that will best fit the situation

Choose a decision-making style that will best fit the situation

A nurse leader has an idea for changing the intake flow in the ER to leverage more of the nursing staff. The leader knows that if they could implement the idea as a pilot program, they could prove its effectiveness and then use it in all the ERs in the region. The nurse leader is frustrated, however, because in order to implement even a pilot of the idea, a proposal must be submitted to the ER Supervisor with a start to finish scenario that details not only the process but also the risks, liabilities, and cost estimates. If the supervisor approves, the proposal would then be sent to the Chief Nursing Officer, who would then send it to the Administrator and Board of Directors for review and approval. Which of these factors are influencing the nurse leader's ability to implement the pilot program? - State or national standards - Organizational mission - Organizational structure - Organizational philosophy and values

Organizational structure

A nurse manager is instructing a staff member with a pragmatic learning style who is interested in applying information immediately to solve problems in the real world. What would be the best teaching strategy in this situation? - Invite the staff member to set goals for the lesson plan - Present content that is theory-focused rather than problem-focused - Present content that is problem-focused rather than theory-focused - Ask the staff member to assess the logical flow of the content

Present content that is problem-focused rather than theory focused.

Which of the following delineates the set of values and beliefs of an organization's goals and guides the development of the philosophy statement? - Purpose or mission statement - Unit philosophy - Organizational statement - Department philosophy and mission

Purpose or mission statement

A new nurse manager is learning about staff development. Which statement about either training or education is most accurate? - Training is designed to develop individuals in the broader sense. - Education has immediate use and applicability. - Training ensures knowledge and skills necessary for the job. - The words training and education are synonymous.

Training ensures knowledge and skills necessary for the job

The manager of several related depts brings the team together to inform them that they will all be cross training to other units for the purpose of increasing productivity. What form of leadership does this manager demonstrate? - Transformational - Laissez-faire - Contingency theory - Transactional

Transactional