Exam 1: Leading, managing, and Following

A unit manager of a 25-bed medical/surgical area receives a phone call from a nurse who has called in sick five times in the past month.He tells the manager that he very much wants to come to work when scheduled,but must often care for his wife,who is undergoing treatment for breast cancer.In the practice of a strengths-based nursing leader,what would be the best approach to satisfying the needs of this nurse,other staff,and patients?

A grievance brought by a staff nurse against the unit manager requires mediation.At the first mediation session,the staff nurse repeatedly calls the unit manager's actions unfair,and the unit manager continues to reiterate the reasons for the actions.What would be the best course of action at this time?

The manager of a surgical area envisions a future that requires the addition of registered nurse (RN)assistants or unlicensed persons to feed,bathe,and walk patients.The RNs on the staff have always practiced in a primary nursing-delivery system and are very resistant to this idea. The best initial strategy in this situation would include:

When attending a clinical rotation in a geriatric setting a group of student nurses,Ashley observed all staff worked seamlessly,morale was high,and resident and family satisfaction rates are high.Upon discussing with the nurse manager their observations,the term "authentic leadership" was identified as the primary reason.What characteristics of authentic leadership support this observation? (Select all that apply.)

The Canadian government identifies the first point of care for Canadian residents.

You pull staff together to assess a situation in which the family of a seriously ill patient is anxious and is absorbing a great deal of staff time in consultation,discussion,and questioning of treatment decisions.Staff members are beginning to distance themselves from the family.After inviting the concerns of staff,you explain that the organization values patient-centred care and suggest that evidence indicates that acting as an advocate and a listener is helpful to families.You ask the staff for ideas as to strategies that are effectively patient-centred in these situations.In this situation,you are taking on which role?

Sarah is concerned about your direction regarding management of incontinent,confused patients.She brings you evidence that she has found regarding incontinence interventions and asks you whether you both could talk about the guidance that you have given after you have had an opportunity to read the articles.This is an example of (Select all that apply.)

Marie-Claire,the nursing unit manager,finds it difficult to work with Thomas,a new graduate.Thomas has many ideas and his manner of presenting them irks Marie-Claire.After reflection and discussion with others,Marie-Claire recognizes that she also feels threatened by his behaviour.She comes to understand that Thomas is trying to establish his own role on the unit,is not trying to challenge her,and needs guidance,coaching,and affirmation.Marie-Claire is demonstrating

According to complexity science,which of the following should be the focus of measurement?

You recently acquired a position as a unit manager.During your time on the unit,you have formed a strong social network among your staff,have promoted the development of relationships between your staff and workers in other areas of the organization,and have formed relationships that generate ideas from patient organizations and the local nursing education program.According to complexity science,you are engaging which principle?