leadership midterm

Being able to think systematically involves: * Being able to consider the "Big Picture," beyond the needs of your unit. * Considering what nursing tasks need to be completed before the next medication pass. * Focusing on the number of patients each nurse is assigned, unrelated to patient acuity. *Refusing to come to staff meetings on your day off.

* Being able to consider the "Big Picture," beyond the needs of your unit. Correct

Which of the following statements is true regarding complexity theory? *Complexity theory is used to predict the health and illness trajectory of critically ill patients. * Nurses can understand the dynamic nature of health care processes using complexity theory. * The need for additional staff can be justified based on complexity theory. * Complexity theory is used to explain the relationships among leading, managing, and following.

* Nurses can understand the dynamic nature of health care processes using complexity theory. Correct

Managers may or may not be leaders; however, managers do all of the following EXCEPT: *Build a culture of teamwork. *Collaborate and translate direction into action, warning the team of potential barriers to the vision. *Avoid addressing complexity so that the staff does not worry and change may occur anyway. * Organize, plan, control, and solve problems.

*Avoid addressing complexity so that the staff does not worry and change may occur anyway. Correct

Managers can effectively reduce workplace stress, improve job satisfaction, and promote a positive work environment by doing all of the following EXCEPT: *Encouraging autonomy in the workplace. *Bringing in food for all shifts and encouraging social support among the team. *Building strong relationships within the leadership team as well as other peers. *Eliciting support, communicating to the team that deadlines are quickly approaching and that the department is performing poorly.

*Eliciting support, communicating to the team that deadlines are quickly approaching and that the department is performing poorly. Correct

Which of the following best demonstrates the concept of followership? *Completing the tasks associated with your patient assignment without deviation with the intent of receiving praise from your manager *Preparing for a committee meeting by reviewing the agenda and supplemental materials, so that you can be an active participant in the meeting * Assessing a clinical situation and following a set of guidelines in order to delegate tasks to unlicensed personnel *Administering medications to patients in conjunction with other nursing actions in order to make effective use of your time

*Preparing for a committee meeting by reviewing the agenda and supplemental materials, so that you can be an active participant in the meeting Correct

3 traits of effective managers

1) the ability to identify recurring problems that exist where the design of evidence-based routines create structure and improved work efficiency 2) persistent and vigilant behavior in self and others 3) communication that maintains sprit de corps in the face of repetitive work tasks

Which of the generations is challenged by sharing leadership with other generations? Baby Boomers Generation Y Generation X Generation Z

Baby Boomers Correct

Ms. Viola questioned if her staffing ratios demand the use of high-level delegation strategies. What "delegation right" is she assessing? Task Circumstances Person Communication/Direction

Circumstances

Delegation, a multifaceted decision-making process, is implemented for all of the following reasons EXCEPT to: improve the work performance of staff. Decrease the registered nurses' accountability. Achieve nursing goals. Improve patient care outcomes.

Decrease the registered nurses' accountability. Correct

Which of the following represents outcomes of transformational leadership? Deadlines are met. Work is completed according to the rules. Increased job satisfaction Pay tends to be higher.

Increased job satisfaction Correct

You walk into Mr. Smith's room and find him yelling at the LPN, Miss Jones. He is obviously very upset and after you speak with him regarding his behavior, you determine that he has not slept for three nights because of unrelieved pain levels. The LPN is very upset with Mr. Smith and calls him an "ugly, old man." You acknowledge her feelings and concerns and then suggest that Mr. Smith's behavior was aggressive, but is related to lack of sleep and to pain. "Can you both, together with Mr. Smith, determine triggers for the pain and effective approaches to controlling his pain?" This approach demonstrates: Lack of empathy and understanding for Miss Jones. Concern with placating Mr. Smith. Leadership behavior. Management behavior.

Leadership behavior. The situation between Mr. Smith and Miss Jones is a complex situation involving unrelieved patient symptoms and aggressiveness toward a staff member. Providing engaged, collaborative guidance and decision making in a complex situation where there is no standardized solution reflects leadership.

Managers need to address all but which of the following when effectively implementing organizational change that promotes patient safety? * Learn quickly as you must complete all tasks before the end of the shift. * Create and sustain trust. * Actively manage the change process. * Involve the staff in decision making in the redesign of the workflow.

Learn quickly as you must complete all tasks before the end of the shift. Correct

The ability to transfer selected nursing activities in a given situation to a competent individual is known as: Supervision. Accountability. Responsibility. Legal authority.

Legal authority.

Which of the following is not a rule of leadership? Maintain a positive attitude. Listen to people. Maintain balance. Maintain likeability.

Maintain likeability.

A family is keeping vigil at a critically ill patient's bedside. Other distant family members, not yet able to come, call the unit continuously, asking for updates and wanting to express concern. The RN speaks with the distant family members and decides to refer them to the hospital social worker, whose is to work with such situations. What role is the RN assuming through this action? Leadership. Management. Decision making. Vision.

Management

In the delegation process, all of the following factors need to be assessed EXCEPT: Patient's condition. Complexity of the task to be performed. Medical insurance of the patient. Predictability of outcomes.

Medical insurance of the patient. Correct

individual accountability

a component of delegation; an individuals' ability to explain their actions and results

organizational accountability

a component of delegation; the driving principle in decision making is patient/public safety ** making appropriate decisions depends on how well the organization provides adequate resources, including an appropriate ratio of registered nurses to LPNs/UAPs

passive delegation

a position description contains functions that are normally performed or are an essential part of the practice of the individual

authority

ability to perform duties in a specific role

management

ability to plan, direct, control, and evaluate others in situations where the outcomes are known or pre-established, where one of more ways of performing have been agreed upon based upon evidence, where feedback and communication is shared

accountability

determines if the actions were appropriate and provides a detailed explanation of what occurred

follwership

each member contributes optimally, but acquiesces to a peer who is leading or managing in a setting where a team has gathered to ensure the best clinical decision-making and actions are taken to achieve clinical or organizational outcomes

transactional leadership

employees understand that a superior makes the decisions with little or no input from subordinates *they rely on the power of organizational position and formal authority to reward and punish performance ** use a quid pro quo style to accomplish work

supervision

provision of guidance and oversight of a delegated nursing task

responsibility

reliability, dependability and obligation to accomplish work * two way process

active delegation

the RN assesses the situation, determines what is appropriate for pt care, directs a UNP to performance certain tasks and holds the individual accountable

leadership

the use of individual traits and abilities, in relationship with others, and the ability to interpret the environment/context where a situation is emerging, and enter that situation in the absence of a script or defined plan that could have been projected ** required when the unknown presents itself, necessitates the use of principles to improvise solutions, and helps others to cope, thrive, and function at a high capacity based on the situation

complexity theory

traditional organizational hierarchy plays a less significant role as the "keeper of high-level knowledge" replaced with decision making distributed among the human assets within an organization without regard to hierarchy. less time is spent trying to control the future