Deck 27: Leading,managing,and Delegating

Question 1

A charge nurse's responsibilities include the day-to-day management and coordination of therapies for the clients,client assignments,and scheduling.This is an example of which level of management?

A)Top-level
B)Middle-level
C)First-level
D)Upper-level

Answer 1

First-level

Question 2

A nursing student would like to have an observation experience on one of the inpatient units at a local hospital.In assisting the student to fulfill this wish,the educator would look for staff in which of the following roles?

A)Mentor
B)Manager
C)Team leader
D)Preceptor

Answer 2

Preceptor

Question 3

Which style of situational leadership is demonstrated by a leader who is helping the nursing staff adopt a new computer system with which they have had no experience?

A)High task-high relationship
B)High task-low relationship
C)Low task-high relationship
D)Low task-low relationship

Answer 3

High task-low relationship

Question 4

A hospital is implementing a computerized charting system,and all nursing staff are required to be oriented to the system by a specific deadline.This is an example of which type of change?

A)Overt change
B)Covert change
C)Unplanned change
D)Drift

Question 5

A leader who believes that group members are incapable of making their own decisions is demonstrating what type of leadership?

A)Autocratic leadership
B)Democratic leadership
C)Laissez-faire leadership
D)Managerial leadership

Question 6

An RN delegates the task of taking a newly admitted client's vital signs to an unregulated care provider (UCP).The client is told his blood pressure is 182/98,but it does not get reported to the physician for several hours.Who is responsible for the lapse in time between discovery and action?

A)Nurse manager
B)UCP
C)Client
D)RN

Question 7

Which of the following is the best example of a management function?

A)Directing and evaluating nursing staff members
B)Influencing the decision of an ethics committee
C)Explaining medication side effects to a client
D)Writing a letter to the editor of a nursing journal

Question 8

Which of the following illustrates a health care team guided by the principles of shared leadership?

A)The physician makes all decisions regarding the client's care.
B)The team utilizes the expertise of its members to influence decisions regarding the client's care.
C)Each team member independently makes decisions about client care without consulting others.
D)Nurses decide nursing care; physicians decide medical and other treatments.

Question 9

A nurse has worked on the same unit for a number of years.The nurse is highly respected by peers and physicians,and is able to influence co-workers to achieve group goals.This is an example of what kind of leader?

A)Coordinator
B)Informal
C)Nurse manager
D)Formal

Question 10

A nurse manager is working on new job descriptions for all nursing units of the hospital.This is an example of which function of management?

A)Planning
B)Organizing
C)Directing
D)Coordinating

Question 11

A nurse manager has the reputation of being an autocratic leader.Which of the following statements by this manager would support that reputation?

A)"I'd like to hear what your ideas are for promoting better morale on this unit."
B)"I'm putting a suggestion box in the breakroom for your ideas that would be helpful to the unit."
C)"The new work schedule is posted for the next six weeks."
D)"I released the new procedure manual.Please add your comments to the front sheet."

Question 12

A hospital was named in a lawsuit because an arthroscopy was performed on the wrong knee during surgery.The hospital settled out of court with the client for damages.This is an example of which principle of management?

A)Authority
B)Responsibility
C)Coordination
D)Accountability

Question 13

A group of community health nurses work together in the same office,and each are responsible for their own caseloads.Their major leadership directives come from a head office,several hundred km away.This group of nurses is functioning under what type of leadership?

A)Charismatic
B)Shared
C)Transformational
D)Transactional

Question 14

A nurse manager who allows self-scheduling,but during a code situation makes decisions regarding each staff member's responsibilities is exemplifying which style of leadership?

A)Permissive
B)Democratic
C)Situational
D)Bureaucratic

Question 15

An unregulated care provider (UCP)is working on a rehabilitation unit.Which of the following tasks would be appropriate for the UCP to delegate?

A)Taking and recording vital signs
B)Assisting with bathing
C)Making a bed
D)No tasks

Question 16

While implementing a computerized charting system,nursing staff have demonstrated various attitudes.During a particularly busy month with high client census,the nursing staff was aware of the need for changing the current system of record keeping and charting to make it more efficient.This is an example of which stage of change?

A)Refreezing
B)Unfreezing
C)Moving
D)Drift

Question 17

During an emotional staff meeting regarding staff assignments,the nurse manager makes this comment: "When you all can come to a decision,let me know and we'll move on from there." This leader is best identified as which of the following?

A)Democratic leader
B)Permissive leader
C)Bureaucratic leader
D)Situational leader

Question 18

A nurse identifies a better way to instruct clients with diabetes how to self-administer insulin and decides that a change is needed in the unit's diabetic teaching program.Which stage of Lewin's change theory does this represent?

A)Unfreezing
B)Moving
C)Refreezing
D)Contemplation

Question 19

Stella,a nurse manager,experiences interactions with some difficult people from time to time in her role.She has learned that assertiveness,accuracy,and honesty are attributes of which skill necessary for managers?

A)Critical thinking
B)Communication
C)Networking
D)Responsibility

Question 20

Which is an example of situational or natural change?

A)Because of her child's illness,a nurse has been working night shift full-time.
B)After considering alternatives,a hospital installs a new computer system.
C)After working with a preceptor,a new graduate begins to care for her clients on her own.
D)Nurses are notified that they may no longer park in the covered parking area effective immediately.

Question 21

Which of the following tasks can be delegated to unregulated care providers (UCPs)?

A)Evaluating care effectiveness
B)Assessment
C)Client education
D)Established gastrostomy feedings

Question 22

A nurse manager realizes that working with the new computer system will be stressful for the staff nurses.She is aware that they do not view this change positively.How could she help them cope with the stress of this change?

A)Providing opportunities for them to talk about the system and provide support for each other
B)Convincing them that it is beyond their control anyway,so it is best to just accept it
C)Acknowledging that they do not value the change and reassuring them that this does not matter
D)Allowing nurses to decide whether they want to use the computers or continue with paper charting

Question 23

Which generation of nurses are known to be resilient,confident,and independent,and are more likely to be committed to their clients and colleagues than they are to the employer?

A)Generation X
B)Baby boomers
C)Generation Y
D)Silent generation

Question 24

Having accepted the need to change the staff rotation system,the nurse manager collects data about alternate rotation plans,sends out surveys to staff members,and selects an optimum time to initiate the new rotation.The nurse manager is demonstrating which level in Lewin's change model?

A)Unfreezing
B)Moving
C)Refreezing
D)Transformation

Question 25

What term is used to describe the respect others have for a person's personal abilities,knowledge,or skills?

A)Position power
B)Task power
C)Personal power
D)Relationship power

Question 26

A staff nurse with no authority over other nurses,but who is liked and respected,uses influence to persuade other nurses to strike for better staffing and client care conditions.This nurse is performing which role?

A)Nurse manager
B)Formal leader
C)Informal leader
D)Driving force

Question 27

When delegating aspects of a client's care to unregulated care providers (UCPs),what is known regarding the nurse's participation in the situation?

A)The nurse is relieved of the need to supervise or evaluate the UCPs.
B)The nurse must know how to perform the task that has been delegated.
C)The responsibility,but not the accountability,for those tasks is delegated.
D)Assignments for UCPs should be based on the learning needs of the members.

Question 28

What term is used to describe an approach to organization change that focuses on sharing experiences and successes?

A)Unfreezing
B)Appreciative inquiry
C)Productivity
D)Planned change