Nurs 222 CoursePoint Chapter 10
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) Democratic
The nurse has recently been promoted to nurse manager on a pediatric unit and has decided to accept input from staff regarding changes they would like to see on the unit. Which type of leadership style is the nurse embodying? a) Quantum b) Autocratic c) Democratic d) Laissez-faire
c) Democratic
A registered nurse serves as the chair of the Nursing Practice Committee for the hospital. The meetings of this committee do not have a planned agenda; members of the committee who are interested in a particular topic feel free to suggest it and then to lead the subsequent discussion. This chair's leadership style could be most accurately termed what? a) Decentralization b) Democratic c) Autocratic d) Laissez-faire
d) Laissez-faire
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 request 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) The nurses agree to have the preceptor precept one nurse at the beginning of the orientation and the other at the end.
A nurse manager is trying to resolve a conflict between the day and night shifts. The nurse manager wants to convince the involved persons to set aside their differences, determine a priority common goal having to do with improved client care, and accept mutual responsibility for achieving this goal. The nurse manager is using which type of conflict resolution? a) Avoiding b) Collaborating c) Competing d) Compromising
b) Collaborating
The nurse is working to enhance time management skills and has to administer pain medications to several patients, obtain vital signs, and assist clients with bathing. What should the nurse do next? a) Bathe clients b) Obtain vital signs c) Administer pain medications d) Delegate bathing and vital signs tasks
d) Delegate bathing and vital signs tasks
A nurse informs the client that the client has no choice and must take a bath in the morning. What type of leadership does this exemplify? a) Directive leadership b) Participative leadership c) Shared governance d) Institutional governance
a) Directive leadership
The nurses who provide care on a medical unit are skeptical about the planned change from a traditional narcotic cupboard to a computerized medical supply and management system. Which statement best demonstrates mistrust about the benefits of this proposed change? a) "There's no way that I'm going to be able to learn to deal with a computer." b) "I've heard those machines don't even cut down on medication errors like they say they do." c) "I think that they want us to use these machines just so they can track our work activity closer." d) "Those machines cost a fortune and there are way better ways to spend that money."
b) "I've heard those machines don't even cut down on medication errors like they say they do."
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) Laissez-faire d) Transformational
b) Democratic
Which style of leadership is rarely used in a hospital setting because of the difficulty of task achievement by independent nurses? a) Democratic b) Autocratic c) Laissez-faire d) Transformational
c) Laissez-faire
The nurse manager is concerned about the large number of teenage mothers being seen in the obstetrics clinic. How can the nurse manager use the transformational leadership style to address the concern? a) Create a new policy that will limit the number of teenage mothers the clinic can treat. b) Talk to each teenager who comes in to the clinic about ways to not get pregnant again. c) Conduct community-based research into the number of teenagers who have become parents over the last five years. d) Enlist volunteers to help develop a community outreach project that will educate teenagers on methods to prevent pregnancy.
d) Enlist volunteers to help develop a community outreach project that will educate teenagers on methods to prevent pregnancy.
Which nurse leader most clearly exemplifies transformational leadership? a) A leader who is dynamic and inspiring and promotes change by the power of the leader's convictions. b) A leader who is careful to thoughtfully assess the issues and priorities surrounding a problem prior to acting. c) A leader who prioritizes the delegation of leadership to the individual members of the group. d) A leader who prioritizes the fact that every member of the team is considered valuable and equal.
a) A leader who is dynamic and inspiring and promotes change by the power of the leader's convictions.
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 the nurse manager can confide. c) Someone who spreads untrue rumors. d) An employee who will resist the change.
a) A regular employee who is a natural leader.
Conflict has emerged on a nursing unit due to the perception by new graduates that some of the more experienced nurses are manipulating the client assignment to ensure a lighter workload during night shifts. How should the manager of the unit best address this conflict? a) Arrange a meeting where the issue can be discussed and addressed by as many of the nurses as possible. b) Gather evidence over the next several weeks in order to determine if the practice is indeed happening. c) Arrange for the newer nurses to organize the client assignment for a trial period. d) Reassure the new graduates that the more experienced nurses are acting in the interests of both staff and clients.
a) Arrange a meeting where the issue can be discussed and addressed by as many of the nurses as possible.
The older client tells the nurse that the client needs to use the restroom. Which safety intervention must the nurse perform first? a) Assess the need for assistance with ambulation. b) Ask the unlicensed assistive personnel (UAP) to help the client to the restroom. c) Offer the bedpan to keep the client safe. d) Ask a family member to help the client to the restroom.
a) Assess the need for assistance with ambulation.
On a medical unit, the nurses complain that they have no voice in the decisions that are made in the operation of the unit. The nurses state they are always told by the nurse manager to perform tasks instead of being asked. Which of these best describes the leadership style of the nurse manager? a) Autocratic b) Democratic c) Laissez-faire d) Nondirectional
a) Autocratic
A client is received into the emergency department after getting shot in the chest. The client is hemorrhaging profusely and is in hypovolemic shock. The nurse calls a code blue. What type of leadership style will be most effective during the management of the code? a) Autocratic leadership b) Laissez-faire leadership c) Democratic leadership d) Transactional leadership
a) Autocratic leadership
The charge nurse on a unit receives a report that a licensed practical nurse (LPN) is taking clients' narcotics and hiding them in the nurses' lounge. The charge nurse disregards the report and continues to work on a scheduled task. Which conflict resolution style is the charge nurse using? a) Avoiding b) Collaborating c) Compromising d) Accommodating
a) Avoiding
A nurse manager values group satisfaction and tries to motivate the staff to be the best nurses possible. In which style of leadership is the group satisfaction and motivation the primary benefit? a) Democratic b) Autocratic c) Laissez-faire d) Transformational
a) Democratic
A nursing facility has recently implemented new policies regarding nurse-to-patient ratios. The nursing staff seems very resistant to the change. How can the nurse manager help the staff accept the change? a) Hold a unit meeting to discuss how the changes will benefit staff. b) Use the laissez-faire leadership style to address staff concerns. c) Challenge staff's beliefs and values regarding providing quality patient care. d) Institute the changes immediately and collectively to decrease anticipation anxiety.
a) Hold a unit meeting to discuss how the changes will benefit staff.
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) Is supportive b) Is resourceful e) Demonstrates leadership abilities f) Is an experienced, licensed professional
The nurse is advising a client about health problems related to being overweight. The client acknowledges the need to lose weight. The nurse provides education on how to count calories in food and the importance of daily exercise. The client states an intention to begin counting calories with the next meal. The client also states an intention to begin an exercise program with friends. Which statement associated with this scenario illustrates Lewin's stage of unfreezing? a) The client acknowledges the need to lose weight. b) The client also states an intention to begin an exercise program with friends. c) The client states an intention to begin counting calories with the next meal. d) The nurse provides education on how to count calories in food and the importance of daily exercise.
a) The client acknowledges the need to lose weight.
Which statement by a registered nurse (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) "Dispose of the disconnected IV set."
A staff nurse is talking with a clinical nurse leader and asks, "What exactly do you do?" Which statement by the clinical nurse leader wouid be appropriate? a) "I'm an administrator involved with client care." b) "I collaborate with health care teams to promote client care." c) "I'm an advanced practice nurse with a specific specialty area." d) "My position is one of management."
b) "I collaborate with health care teams to promote client care."
A nurse is in charge of a large group of employees on a busy surgical floor. Today's care must be completed early due to a special event involving most of the employees. Which management style would work best in this situation? a) Coercive b) Authoritarian c) Democratic d) Laissez-faire
b) Authoritarian
The charge nurse on the orthopedic unit believes in giving the staff as much power as possible. The nurses are allowed, among other things, to create their own work schedules, provide dates and times for unit meetings, and create the agendas, to which the charge nurse contributes. The charge nurse's style of leadership can be described as which? a) Democratic b) Laissez-faire c) Autocratic d) Transformational
b) Laissez-faire
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) Leader
A nurse in an intensive care unit places a request with the nurse manager to modify the nurse's work schedule. The nurse desires to return to college and obtain an advanced nursing degree. Which action by the nurse manager in response to the nurse's request illustrates the transformational style of leadership? a) Suggesting that the nurse postpone attending nursing school. b) Rearranging the nurse's schedule such that the nurse can attend college. c) Disregarding the nurse's request and continuing to schedule the nurse as previously. d) Advising the nurse to find another job, one that will better fit with the nurse's class schedule.
b) Rearranging the nurse's schedule such that the nurse can attend college.
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) To effectively manage the nursing unit, the nurse manager should also be a leader.
Following a myocardial infarction (heart attack), a client begins to recognize the need to increase exercise, eat a low-fat diet, and implement relaxation techniques. According to Lewin, this client is in which stage of the change process? a) Prizing b) Unfreezing c) Moving d) Refreezing
b) Unfreezing
A nurse leader is working with a client with hypertension who needs to learn about a low-sodium diet. The nurse recognizes that the client is in the unfreezing stage of Lewin's Change theory with which client statement? a) "I don't see a problem with what I normally eat." b) "I am developing a daily meal plan for a low-sodium diet." c) "I have selected my daily menu with low-sodium foods." d) "I understand why I need to eat a low-sodium diet."
d) "I understand why I need to eat a low-sodium diet."
The charge nurse on a postoperative surgical unit is responsible for making client assignments for staff nurses. Two staff nurses have voiced not wanting to assume care for any new postoperative surgical clients during their shifts. How can the charge nurse resolve this conflict using the strategy of compromise to address the immediate concerns of the two staff nurses? a) Coerce the staff by complimenting on them on how well they care for new postoperative surgical clients. b) Consult with the nurse manager to decide how postoperative surgical clients should be assigned to the two nurses. c) Approach both nurses to discuss incentives that can be given for agreeing to accept new postoperative surgical clients. d) Reassign all nurses' clients in a manner that ensures the two staff nurses will not have to care for new postoperative surgical clients.
c) Approach both nurses to discuss incentives that can be given for agreeing to accept new postoperative surgical clients.
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) Assess whether the desired results have occurred.
The registered nurse (RN) is preparing to delegate tasks to an unlicensed assistive personnel (UAP). Which task would be appropriate for the RN to delegate to the UAP? a) Calculating fluid volume resuscitation b) Monitoring intracranial pressure (ICP) c) Assessing oxygen (O2) saturation d) Measuring intravenous therapy intake
c) Assessing oxygen (O2) saturation
The nurse is working at a facility that is applying for Magnet® Recognition. The nurse knows that compared with other hospitals, Magnet® hospitals have which direct effect on client care? a) Higher nurse retention b) Longer patient stays c) Better patient outcomes d) Improved job satisfaction scores
c) Better patient outcomes
A nurse manager of a hospital unit is working within a decentralized management structure. Which nursing action best exemplifies this type of system? a) Senior managers make all the decisions. b) Nurses are not intimately involved in decisions involving client care. c) Decisions are made by those who are most knowledgeable about the issue. d) Nurse managers are not accountable for clients, staffing, supplies, or budgets.
c) Decisions are made by those who are most knowledgeable about the issue.
A registered nurse checks the American Nurses Association (ANA) regulations prior to delegating tasks to unlicensed assistive personnel (UAP) on a burn unit. Which principles regarding the regulation, education, and use of UAP are recommended by the ANA? Select all that apply. a) It is the health care institution that determines the scope of nursing practice. b) It is the LPN who supervises any assistant involved in providing direct client care. c) It is the purpose of assistive personnel to work in a supportive role to the registered nurse. d) It is the role of the assistive personnel to carry out tasks to enable the professional nurse to concentrate on nursing care for the client. e) It is the role of the LPN to assign nursing duties to the UAP. f) It is the registered nurse who is responsible and accountable for nursing practice.
c) It is the purpose of assistive personnel to work in a supportive role to the registered nurse. d) It is the role of the assistive personnel to carry out tasks to enable the professional nurse to concentrate on nursing care for the client. f) It is the registered nurse who is responsible and accountable for nursing practice.
A nurse on a telemetry unit is admitting a client and has an unlicensed assistive person (UAP) helping with the admission process. Which task can the nurse delegate to the UAP? a) Gathering information about the client's medical history and any allergies. b) Listing the client's home medications on a medication reconciliation form. c) Obtaining an admission weight for the client utilizing the client's bed scale. d) Determining what heart rhythm the client is in based on telemetry reading.
c) Obtaining an admission weight for the client utilizing the client's bed scale.
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) Obtaining vital signs every 4 hours.
A nurse manager reviews an employee's contribution to the nursing division annually. This process is: a) Interpreting quality indicators b) Employee's job satisfaction survey c) Performance appraisal d) Reward and development survey
c) Performance appraisal
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) Staff nurses are developing innovative solutions to problems.
A charge nurse on a medical-surgical unit is asked by the nurse manager to serve as a mentor to another staff nurse who is less experienced. Which of these would best describe this role? a) The charge nurse is being paid to supervise the staff nurse. b) The staff nurse is learning about all the hospital policies from the charge nurse. c) The charge nurse is providing support for the staff nurse in new responsibilities. d) The staff nurse is orienting to the unit as a newly hired nurse.
c) The charge nurse is providing support for the staff nurse in new responsibilities.
Two new nurses are requesting the same preceptor for unit orientation and say they will be unhappy if they do not receive their choice of preceptor. Which illustrates the nurses using an accommodating approach to conflict resolution? a) The nurses ignore each other's request for the preceptor. b) The nurses allow the preceptor to decide which nurse to precept. c) The nurses agree for one nurse to obtain the preceptor for orientation in exchange for that nurse working each weekend. d) The nurses discuss the situation with the preceptor to come to an agreement mutually beneficial for both parties.
c) The nurses agree for one nurse to obtain the preceptor for orientation in exchange for that nurse working each weekend.
The new nurse is having difficulty managing the time required to care for a group of complex clients and is several hours behind in completing nursing interventions. Which intervention should the nurse complete first? a) Perform a dressing change to an abdominal abscess that is three hours behind schedule. b) Obtain discharge orders for a client who is ready to be transferred to a long-term nursing facility. c) Complete a medication reconciliation form on a client who has recently been admitted to the hospital. d) Administer a dose of digoxin that is two hours behind schedule.
d) Administer a dose of digoxin that is two hours behind schedule.
The new nurse is evaluating the effectiveness of the assigned nurse mentor. Which characteristic should the new nurse recognize as being inappropriate for the nurse mentor to role model? a) Providing daily feedback to the new nurse. b) Introducing the new nurse to members of the interdisciplinary team. c) Encouraging the new nurse to enroll in continuing education courses. d) Advising the new nurse to consult the nurse mentor before making decisions regarding client care.
d) Advising the new nurse to consult the nurse mentor before making decisions regarding client care.
A nurse can improve one's skill with time management by taking which action? a) Allowing the flow of the day to control how time is managed. b) Setting priorities without involving clients or their families. c) Starting each day as a new day without considering the previous day. d) Evaluating success with accomplishment of goals in client care.
d) Evaluating success with accomplishment of goals in client care.
The designated charge nurse on the telemetry unit organizes and facilitates the unit meetings, makes assignments, and performs staff evaluations. This nurse's power to lead is of which type? a) Implied b) Situational c) Democratic d) Explicit
d) Explicit
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) Securing the client on a papoose board b) Soothing the client during the procedure c) Gathering equipment needed for intravenous therapy d) Initiating intravenous therapy
d) Initiating intravenous therapy
The nurse manager calls a staff into a unit meeting to discuss patient satisfaction. During the meeting, several staff members assume control. The nurse manager does not intervene to regain control of the group. Which type of leadership style is the nurse embodying? a) Quantum b) Autocratic c) Democratic d) Laissez-faire
d) Laissez-faire