Deck 40: Leading Managing

Question 1

The nursing student plans future goals. Which goal represents a long-term goal?
1)Study every night for at least two hours
2)Find a babysitter for clinical days
3)Dress professionally for clinical
4)Specialize in care of sick newborns

Answer 1

4

Question 2

The medical-surgical unit nurse manager instructs the novice nurse to choose a mentor. Which nurse does the novice nurse ask to accept a mentor position?
1)The nurse who serves as a charge nurse and part-time house supervisor
2)The nurse who recently graduated and who remembers the challenges of being a novice
3)The nurse who is often consulted by team members for guidance and support
4)The nurse who is most outspoken and interactive during nursing staff meetings

Answer 2

3

Question 3

The nurse manager evaluates a staff nurse who has a history of frequent absences from work. Which strategy does the nurse manager implement to improve the staff nurse's work attendance?
1)Provide negative feedback.
2)Share public feedback.
3)Praise desirable behaviors.
4)Reinforce constructive behaviors.

Answer 3

1

Question 4

The newly-hired emergency department (ED) staff nurse has close friendships with several members of the hospital's executive leadership council. As a result of personal relationships with institutional leaders, the staff nurse has power and influence in the ED. Which source of power is the staff nurse using?
1)Positional
2)Rewards
3)Legitimate
4)Referent

Question 5

The nurse manager leads a staff meeting to inform team members about an upcoming unit reorganization. Which staff nurse's behavior demonstrates passive resistance to the change?
1)Threatening to quit if the reorganization is put into action
2)Standing up during the meeting and stating, "This is stupid and won't work!"
3)Listening quietly and making suggestions for implementation
4)Being silent at the meeting but frequently calling in sick during implementation

Question 6

The nurse manager meets with a team of staff nurses to discuss a proposed fall prevention plan. A staff nurse identifies a problem with the nurse manager's proposed safety plan. Which action by the staff nurse represents effective followership?
1)Informing the nurse manager of the potential problem
2)Advising the other staff nurses that the fall prevention plan will not be effective
3)Requesting that the nurse manager identify a potential solution to the issue
4)Sharing only positive feedback while in a group setting

Question 7

The nurse observes an unlicensed assistive personnel (UAP) who fails to perform hand hygiene after placing a patient on a bedpan. When providing negative feedback to the UAP, the nurse should:
1)Conduct the conversation in a private setting.
2)Ask the unit manager to be present to document responses of both parties.
3)Address the issue of hand hygiene to all UAPs as a group.
4)Document the UAP's actions for discussion during an upcoming annual review.

Question 8

Which characteristics must an effective nurse manager possess? Select all that apply.
1)Clinical expertise
2)Business sense
3)Graduate education
4)Leadership skills
5)Referent power

Question 9

The staff nurse sits at a large table in the cafeteria with other nurses who are complaining about the hospital's new policy regarding holiday scheduling. Which statement by the staff nurse demonstrates leadership qualities?
1)"It's easy for management to make these rules because they'll be off for the holidays."
2)"You guys are just a bunch of complainers. You knew nursing required working holidays."
3)"The new policy is not ideal. What ideas do you have for a better approach?"
4)"Why don't you people stop criticizing our bosses and come up with a few solutions?"

Question 10

The nurse manager instructs a group of staff nurses to create a work schedule for the upcoming month. Conflict arises when several of the nurses express a desire to schedule vacation on the same dates. Which action by the nurse manager represents a laissez-faire leadership style?
1)Directing the group's decisions about the scheduling process
2)Assuming responsibility for the group's scheduling decisions
3)Taking over the process of developing the work schedule
4)Intervening if the group is unable to finalize the work schedule

Question 11

The nurse manager conducts an informal negotiation between two staff nurses who have had ongoing difficulty working together peacefully. During which step of the informal negotiation process does the nurse leader focus on managing the staff nurses' emotions?
1)Setting the stage
2)Conducting the negotiation
3)Making offers and counteroffers
4)Agreeing on resolution of the conflict

Question 12

Medical-surgical unit staff nurses discuss the nurse manager's lack of involvement in unit activities. The nurse manager is rarely visible on the unit and rarely schedules staff meetings. The staff nurses determine the nurse manager's behaviors are reflective of which leadership style?
1)Authoritarian
2)Democratic
3)Laissez-faire
4)Transformational

Question 13

The nurse manager leads a staff development seminar about leadership styles. Which term does the nurse manager use to describe transformational leadership?
1)Directive
2)Individual performance
3)Traditional
4)Matrix communication

Question 14

The nurse is differentiating between the concepts of leadership and management. Which position does the nurse recognize as a position of leadership as opposed to a management role?
1)Charge nurse
2)Unit director
3)Mentor
4)Supervisor

Question 15

To promote effective time management, the nurse creates a to-do list. Which action does the nurse implement first?
1)Prioritize the list items.
2)Question each item's effectiveness.
3)Practice self-reliance.
4)Evaluate personal efficacy.

Question 16

The charge nurse in an extended care facility responds to a Code Blue. Which leadership style will the charge nurse demonstrate when directing cardiopulmonary resuscitation measures for a patient who is apneic and pulseless?
1)Democratic
2)Laissez-faire
3)Transformational
4)Transactional

Question 17

The nurse manager notices nurse retention has steadily declined since she assumed the unit management position. Which action is most appropriate for the nurse manager to implement?
1)Assess the staff's perception of the manager's leadership style.
2)Throw monthly pizza parties for the unit.
3)Give each nurse on the unit a 5% raise in pay.
4)Consult the facility's chief nursing officer for guidance.

Question 18

The nurse provides care to an older adult client who is diagnosed with Alzheimer's disease. The nurse delegates the client's bathing and hygiene care to an experienced certified nursing assistant. While shaving the client, the certified nursing assistant accidentally cuts the client's chin. Who is legally liable for this injury?
1)The nurse who delegated the activity
2)The certified nursing assistant
3)Both the nurse and the certified nursing assistant
4)Both the nurse and the nurse's supervisor

Question 19

The staff nurse provides care to a stable patient who is newly diagnosed with diabetes. The patient has been authorized for discharge from the hospital. To promote efficiency, the staff nurse delegates care to an unlicensed assistive personnel (UAP). Which task must be completed by the staff nurse?
1)Teaching the patient about symptoms of hypoglycemia
2)Obtaining the patient's pulse rate
3)Assisting the patient with ambulation to the bathroom
4)Measuring the patient's blood pressure

Question 20

Physical therapy and nursing staff of a local rehabilitation hospital are in conflict over which department is responsible for transporting patients to and from therapy appointments. The physical therapy team members state they do not have sufficient time to come to the nursing unit to pick up the patients, who often are not ready to be transported. The nursing staff members state transporting patients creates a shortage of nursing personnel on the floor. Managers from both departments have attempted to resolve the conflict with input from the staff members. All attempts at conflict resolution have failed. To promote collaborative conflict resolution, the department managers take which step?
1)Instructing the nursing staff to identify patient transport solutions that have worked well in the past.
2)Advising the physical therapy staff they are responsible for transporting patients to and from therapy.
3)Asking the hospital administrator to make an unbiased decision.
4)Initiating informal negotiation between the two departments.

Question 21

The unit manager evaluates the graduate nurse's followership. Which statements by the graduate nurse reflect effective followership? Select all that apply.
1)"I was reading a nursing journal yesterday and found new evidence I'd like to share with you."
2)"I understand what you are saying, but I don't think you are seeing my perspective about the situation."
3)"I have an idea to solve the weekend staffing problem. What if we started by finding nurses who prefer working weekends?"
4)"I think my time management skills are getting worse instead of better, so your solutions aren't working. You need to offer effective solutions."
5)"I would be happy to join the education committee to develop a handbook for newly hired nurses."

Question 22

The novice nurse is assigned a nurse mentor. As a mentee, what are the responsibilities of the novice nurse? Select all that apply.
1)Demonstrating an ability to move toward independence
2)Encouraging excellence in others
3)Using feedback to modify behaviors
4)Displaying flexibility and the ability to change
5)Exhibiting an eagerness to learn

Question 23

Safe, effective delegation of tasks must include implementation of which nursing actions? Select all that apply.
1)Supervising the patient care delivery
2)Determining the skill mix of unit personnel
3)Assessing the needs of the clients who are involved
4)Deciding which tasks to assign to a team member
5)Consulting with the charge nurse

Question 24

The novice nurse creates a plan to promote personal empowerment. Which strategies does the novice nurse include in the empowerment plan? Select all that apply.
1)Attending seminars
2)Joining a unit-based committee
3)Serving as a mentor to a nursing student
4)Obtaining psychological counseling
5)Achieving a formal position of power