Leadership Exam 2

The nursing assistant tells a nurse that a patient who is receiving oxygen at a flow rate of 6 L/min by nasal cannula is complaining of nasal passage discomfort. What intervention should the nurse suggest to improve the patient's comfort for this problem? 1. Suggest that the patient's oxygen be humidified. 2. Suggest that a simple face mask be used instead of a nasal cannula. 3. Suggest that the patient be provided with an extra pillow. 4. Suggest that the patient sit up in a chair at the bedside.

1

The patient with COPD has a nursing diagnosis of Ineffective Breathing Pattern. Which is an appropriate action to delegate to the experienced LPN under your supervision? 1. Observe how well the patient performs pursed-lip breathing. 2. Plan a nursing care regimen that gradually increases activity intolerance. 3. Assist the patient with basic activities of daily living. 4. Consult with the physical therapy department about reconditioning exercises.

1

An effective leader will have: (SELECT ALL THAT APPLY) 1. Courage and integrity 2. A critical mind-set 3. The ability to set priorities 4. The ability to provide feedback

1,2,3,4

Effective nurse managers have: (SELECT ALL THAT APPLY) 1. Leadership capabilities 2. Clinical expertise 3. Business sense 4. Budgeting savvy

1,2,3,4

George S. has just become a nurse manager in a long-term care facility. He knows he has a lot to learn—what should he tell his staff? 1. Nothing; he should pretend he has experience 2. That he is still learning, too, and values their input 3. Th at the staff needs to manage themselves 4. How little he knows about management

2

A democratic nurse leader consistently works to: 1. Move the group toward the leader's goals 2. Make little or no attempt to move the group 3. Share leadership with the group 4. Dampen creativity

3

A nurse is caring for a patient who is diagnosed with coronary artery disease and sleep apnea. Which action should the nurse delegate to the NAP? 1. Discuss weight-loss strategies such as diet and exercise with the patient. 2. Teach the patient how to set up the CPAP machine before sleeping. 3. Remind the patient to sleep on his side instead of his back. 4. Administer modafinil (Provigil) to promote daytime wakefulness.

3

Nurse Managers know that Theory X emphasizes: 1. Guidance, development, and reward 2. Leadership, not management 3. Supervision, monitoring, and reprimands 4. Evaluation, budgeting, and time studies

3

Servant leadership focuses on: 1. Helping patients care for themselves 2. Removing incompetent managers 3. Creating a supportive work environment 4. Resolving conflicts quickly

3

Scientific management focuses on: 1. Interpersonal relations 2. Servant leadership 3. Staff development 4. Efficiency

4

A nurse is helping an NAP provide a bed bath to a comatose patient who is incontinent. Which of the following actions requires the nurse to intervene? 1. The nursing assistant answers the phone while wearing gloves. 2. The nursing assistant log-rolls the client to provide back care. 3. The nursing assistant places an incontinence diaper under the client. 4. The nursing assistant positions the client on the left side, head elevated.

1

Mara Z. wants to become a nurse manager. She has been offered an opportunity to take a nursing management course. Which topic is most important for her to learn? 1. Managing people 2. Managing the unit's budget 3. Planning for the future 4. Redesigning the unit's workflow

1

The Situational Leadership Model focuses on: 1. Both followers and the task 2. The task 3. The follower 4. The behavior of others

1

Theory Y emphasizes: 1. Guidance, development, and reward 2. Leadership, not management 3. Supervision, monitoring, and reprimands 4. Evaluation, budgeting, and time studies

1

A nurse is caring for a patient who has a pulmonary embolus. Th e patient is receiving anticoagulation with IV heparin. What instructions should the nurse give the NAP who will help the patient with activities of daily living? (SELECT ALL THAT APPLY) 1. Use a lift sheet when moving and positioning the patient in bed. 2. Use an electric razor when shaving the patient each day. 3. Use a soft-bristled toothbrush or tooth sponge for oral care. 4. Use a rectal thermometer to obtain a more accurate body temperature. 5. Be sure the patient's footwear has a non-slip sole when the patient ambulates.

1,2,3,5

Effective followers are those who are: 1. Passive employees 2. Skilled and self-directed employees 3. Less valuable employees 4. Employees who are never supportive of new ideas

2

What is the difference between management and leadership? 1. Management focuses on budget. 2. Management is an assigned position. 3. Leadership is not concerned with getting work done. 4. Leadership is more focused on people.

2

When should a new graduate consider taking on management responsibilities? 1. As soon as they are offered 2. After developing clinical expertise 3. After 15 years on the job 4. Before developing leadership expertise

2

An important competency that nurse leaders need to develop in order to lead effectively is the: 1. Ability to be firm and inflexible 2. Ability to be close-minded and to ignore negative feedback 3. Ability to communicate effectively with others 4. Ability to follow orders without questioning them

3

A registered nurse arrives at work and is told to "float" to the ICU for the day because the ICU is understaffed and needs an additional nurse to care for the clients. The nurse has never worked in the ICU. Which of the following is the most appropriate nursing action? 1. Call the hospital attorney 2. Call the nursing director 3. Report to the ICU and identify tasks that can be safely performed 4. Refuse to float to the ICU

3

Autocratic leaders: 1. Postpone decision making as long as possible 2. Share leadership with members of the team 3. Give orders and make decisions without consulting the team 4. Encourage creativity when problem solving

3

Informational aspects of a nurse manager's job include: 1. Evaluation 2. Resource allocation 3. Being a coach 4. Being a spokesperson

4

A nurse is caring for a patient who has chronic obstructive pulmonary disease (COPD) and is 2 days postoperative after a laparoscopic cholecystectomy. Which intervention for airway management should the nurse delegate to an NAP? 1. Assisting the patient to sit up on the side of the bed 2. Instructing the patient to cough effectively 3. Teaching the patient to use incentive spirometry 4. Auscultating breath sounds every 4 hours

1

An experienced LPN is working under the supervision of the RN. The LPN is providing nursing care for a patient who has a respiratory problem. Which activities should the RN delegate to the experienced LPN? (SELECT ALL THAT APPLY) 1. Auscultate breath sounds. 2. Administer medications via metered-dose inhaler (MDI). 3. Complete in-depth admission assessment. 4. Initiate the nursing care plan. 5. Evaluate the patient's technique for using MDIs.

1,2

Effective nurse leaders: (SELECT ALL THAT APPLY) 1. Are also good followers 2. Effectively work together with shared goals 3. Never act on their ideas 4. Have master's degrees

1,2

A unit team leader who fails to provide direction to his or her nursing care team is a(n): 1. Democratic leader 2. Laissez-faire leader 3. Autocratic leader 4. Situational leader

2

A nurse is assigned to care for the following patients. Which patient should the nurse assess first? 1. A 60-year-old patient on a ventilator for whom a sterile sputum specimen must be sent to the laboratory 2. A 55-year-old with COPD and a pulse oximetry reading from the previous shift of 90% saturation 3. A 70-year-old with pneumonia who needs to be started on IV antibiotics 4. A 50-year-old with asthma who complains of shortness of breath after using a bronchodilator

4

A respiratory therapist performs suctioning on a patient with a closed head injury who has a tracheostomy. Afterward, the NAP obtains vital signs. The nurse should communicate that the NAP needs to report which vital sign value or values immediately? (SELECT ALL THAT APPLY) 1. Heart rate of 96 beats/min 2. Respiratory rate of 24 breaths/min 3. Pulse oximetry of 95% 4. Tympanic temperature of 101.4°F (38.6°C)

4

Transformational nursing leaders have the ability to: 1. Increase the negativity of the team 2. Work best alone 3. Define the group's mission and communicate that mission to others 4. Pay close attention to the weaknesses and shortcomings of others

3

Which of the following is a major reason why newly licensed nurses resign? 1. Poor pay scales 2. Needlestick injuries 3. Unsupportive management 4. Lack of advancement opportunities

3

An assistant nurse manager is making assignments for the next shift. Which patient should the assistant nurse manager assign to a nurse with 6 months of experience and who has been floated from the surgical unit to the medical unit? 1. A 58-year-old on airborne precautions for tuberculosis (TB) 2. A 68-year-old who just returned from bronchoscopy and biopsy 3. A 69-year-old with COPD who is ventilator dependent 4. A 72-year-old who needs teaching about the use of incentive spirometry

4

An emotionally intelligent nurse leader: 1. Seeks the emotional support of others 2. Cannot juggle multiple demands 3. Works alone without help 4. Welcomes constructive criticism

4