Deck 29: Leading and Managing

Question 1

A nurse manager is having problems with filling the night duty roster in the ward. The nurse manager promises one of the staff an extra weekend off in exchange for working the night shift. This is an example of:

A) charismatic leadership.
B) transactional leadership.
C) transformational leadership.
D) autocratic leadership.

Answer 1

transactional leadership.

Question 2

A hospital was named in a lawsuit after a client had to undergo a second surgical procedure 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) Accountability.
B) Coordinating.
C) Directing.
D) Planning.

Answer 2

Accountability.

Question 3

The nurse leader who recognises a group's need for autonomy and professional motivation without actually controlling the behaviour is an example of which leadership?

A) Authoritarian.
B) Democratic.
C) Permissive.
D) Bureaucratic.

Answer 3

Permissive.

Question 4

Which of the following is not an example of clinical governance?

A) Reviewing the nursing professional standards in the workplace.
B) Implementing a new procedure to reduce medication errors.
C) Undertaking a review of managers' tasks and styles.
D) Undertaking a consumer satisfaction survey.

Question 5

An Assistant in Nursing (unlicensed health care worker) is working on a rehabilitation unit. Which of the following tasks would be appropriate for this person to delegate?

A) An unlicensed health care worker may not delegate tasks.
B) Assisting with bathing.
C) Taking and recording vital signs.
D) Making a bed.

Question 6

A group of community health nurses work together in the same office. They are each responsible for their own caseloads and scheduling of appointments. Their major leadership directives come from the State Government Department of Health corporate office, several hundred miles away. This group of nurses is functioning under what type of leadership?

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

Question 8

A nurse manager is responsible for evaluating the group's work in a specific area. Match the following outcome measures with the statement.
1. Effectiveness
2. Efficiency
3. Productivity
A. Patient-nurse dependence system information
B. Clinical audit of nursing service
C. Costs of clinical supplies used

Question 9

A nurse has worked on the same unit for a number of years. He is highly respected by his peers and physicians and is able to influence his co-workers to achieve group goals. This is an example of a/an ________ leader.

Question 10

A charge nurse has just started working on a rehabilitation unit. This 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) Upper-level.
B) Top-level.
C) Middle-level.
D) First-level or frontline.

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) "The new work schedule is posted for the next six weeks."
B) "I put the new procedure manual out. Please add your comments to the blank sheet of paper attached to the front."
C) "I'm putting a suggestion box in the break room if anyone has ideas that would be helpful to the unit."
D) "I'd like to hear from you (addressing the staff) about what your ideas are for promoting better morale in this unit."

Question 12

Risk management is part of the planning function of management. Put the following steps of risk management in order from the first step (1) to the last (5).

A) Analysing, classifying, and prioritising risks.
B) Evaluating and modifying risk reduction programs.
C) Anticipating and seeking sources of risk.
D) Developing a plan to avoid and manage risk.
E) Gathering data that indicate success at avoiding or minimising risk.

Question 13

A nursing student would like to do an observation on one of the inpatient units at a hospital. In assisting the student to meet this desire, the educator would look for which of the following?

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

Question 14

An RN delegates the task of taking a newly admitted client's vital signs to an Enrolled Nurse (EN). The client's blood pressure was 182/98, but did not get reported to the doctor for several hours. Who is responsible for the lapse in time between discovery and action?

A) RN.
B) EN.
C) Client.
D) Nurse Manager.

Question 15

A hospital is implementing a computerised 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) Unplanned change.
B) Drift.
C) Overt change.
D) Covert change.

Question 16

Servant leadership is a philosophy in nursing that aligns with a person-centred approach. Which of the following principles is not part of this style of leadership?

A) Empathy and awareness.
B) Persuasion and foresight.
C) Commitment to others.
D) Healing relationships.
E) Control and direction.

Question 17

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) Organising.
B) Coordinating.
C) Directing.
D) Planning.

Question 18

During a particularly heated staff meeting regarding staff assignments, the nurse manager makes this comment: "When you can all 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) Bureaucratic leader.
B) Permissive leader.
C) Situational leader.
D) Democratic leader.

Question 19

A nurse manager has had to handle a particularly difficult medical practitioner (specialist) who is demanding as well as demeaning. Through this situation, the nurse manager has learned that assertiveness, accuracy, and honesty are attributes of which skill necessary for managers?

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

Question 20

According to the Australian Nursing and Midwifery Council (ANMC), which of the following are involved with the responsibilities of delegation?

A) Supervision.
B) Evaluation.
C) Client.
D) Time.
E) Task.

Question 21

A nurse manager allows the staff to make their own schedules and do their own client assignments on their shifts. However, during a hospital emergency code situation, the nurse manager will make decisions for the staff-instructing which nurse to assume which responsibility in the given code situation. This manager is exemplifying which style of leadership?

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