Deck 2: The New World and New Leadership: Changing Our Thinking About Leaders

Question 1

Co-missioning was developed by Covey to demonstrate that leaders must have a vision as well as a method to evaluate the outcomes of one's visionary plan.This framework of thought is helpful in nursing because our care is always directed to:

A)Measuring patient outcomes
B)Providing patient satisfaction
C)Accomplishing tasks
D)Giving holistic care

Answer 1

Measuring patient outcomes

Question 2

Leaders using the New Science of Leadership philosophy recommend that nurses:

A)Become more task oriented to increase efficiency.
B)Use more prediction formulas to plan staffing.
C)Facilitate more of the processes needed to obtain desired goals.
D)Focus on short- and long-term planning strategies.

Answer 2

Facilitate more of the processes needed to obtain desired goals.

Question 3

The New Science of Leadership focuses on a whole new way of viewing life.Which of the following reflects this perspective?

A)Goal-oriented
B)Dynamic
C)Very risky
D)Cost-effective

Answer 3

Dynamic

Question 4

Nurses need to be confident and competent to practice successfully.The Institute of Medicine (IOM)identifies which of the following areas as one of nursing's utmost priority?

A)Providing safe,quality patient care
B)Identifying lowest risk patients to receive the most care
C)Providing best practice first to older adults
D)Alleviating suffering by enforcing do not resuscitate (DNR)status to patients with more than three comorbidities

Question 5

The New Science of Leadership focuses most specifically on:

A)Relationships
B)Strategic planning
C)Hierarchical organizational structure
D)Task accomplishment

Question 6

Which of the following best describes quantum theory with regard to leadership?

A)A rationale for the movement of molecules in a vertical and horizontal way
B)An explanation of gravity
C)Interfacing among all group members
D)A scientific way of thinking

Question 7

Nurses need to change practice focus to generating the best patient outcomes rather than being centered on accomplishing tasks.One way to do this is to:

A)Use the functional method of nursing care delivery.
B)Require all nurses be paired with an unlicensed patient assistant.
C)Assign each RN a research project due at the end of every month.
D)Practice evidence-based nursing care.

Question 8

Which of the following is an example of using the New Science of Leadership framework to schedule staff on a high acuity medical unit?

A)Computerized formula that projects the needed staff mix according to patient medical diagnoses
B)Nurse-generated staffing ratio using current patient acuity status
C)Nurse supervisor input identified over the last 24 hours
D)Computerized formula predicting staff needs according to unit full-time equivalent (FTE)allotment

Question 9

Nurses need to develop new ideas and new ways of working with others.One activity that leaders will need to focus on to accomplish this is to:

A)Free up nurses from the bedside.
B)Allow nurses to join a union.
C)Empower nurses to increase their self-concept and confidence.
D)Establish a listserv for all staff to discuss work issues while away from the work setting.

Question 10

Which of the following characteristics best reflect Covey's definition of leadership?

A)Image,credibility,and critical-thinking ability
B)Creativity,vision,and integrity
C)Vision,courage,and humility
D)Critical-thinking ability,vision,and flexibility

Question 11

Nurses need to assess and monitor their patients' abilities and needs frequently.As they plan and intervene for their patients,they need to evaluate the outcomes.Which of the following best reflects this definition?

A)Data collection
B)Quality management
C)Outcome management
D)Quality improvement

Question 12

It is important for nurses to identify and publicize what the roles of nurses and advanced practice nurses are.During which of the following would it be particularly important for nurses to do so to maximize nurses' participation?

A)Collaboration with the health team on any issue
B)Management of patient data
C)Management of all information for the critical path
D)Centralization of unit decision making

Question 13

Which of the following activities is currently one of the most challenging opportunities for nurses in acute care institutions to become involved with?

A)Participation in case management just prior to discharge
B)Development of creative staffing mixes to provide optimum care
C)Use of standardized critical paths without any individual variation
D)Training of unlicensed assistive personnel to do patient assessment

Question 14

The New Science of Leadership stresses that each nurse be a leader and acquire which of the following skills?

A)Planning,budget development,and 6-month staff scheduling
B)Instituting change,evaluating current practice,and creating new practice methods
C)Personnel evaluation,motivating others,and requiring overtime
D)Focusing on cost-cutting practice,resource management,and cross-training

Question 15

Many of the nurses in acute care hospital settings feel that health-care delivery as it exists is "hopeless." Using chaos theory,it would be helpful for each nurse to try to:

A)Identify patterns of order that exist and focus on best practice using these observations.
B)Alleviate the chaos by mandating patients follow lockstep procedures.
C)Develop step-by-step care plans that are focused on the average patient with a specific problem who does not have other comorbidities.
D)Create a time management system using task accomplishment as the goal.

Question 16

The theory that describes the way our life is ordered and emphasizes that it is based on the principles of emergence more so than any other variables is:

A)Complexity theory
B)Cognitive theory
C)Developmental theory
D)Transformation theory

Question 17

Which of the following most closely describes chaos theory?

A)Confusion yields negative outcomes.
B)Growth is generated from disequilibrium.
C)Feeling total control yields maximum growth.
D)Feeling overwhelmed always brings negative outcomes.

Question 18

Chaos is considered a positive state for instigating organizational growth and improvement.Use of which of the following frameworks should assist nurses in improving their own leadership abilities and accomplishing their personal and professional visions?

A)Theory of conflict assessment
B)Quantum theory
C)Senescence
D)Adaptation

Question 19

It is always important to evaluate and "work out the kinks" of a new change in practice.Using perspective transformation theory,this process is called:

A)Resolution
B)Return to stability
C)Dissonance
D)Reconceptualization

Question 20

Organizations practicing the New Science of Leadership differ from those using Scientific or Newtonian principles.The Old Newtonian principles fostered which of the following?

A)Risk or financial management
B)Quality and prioritization
C)Use of integrated documentation
D)Short- and long-term planning with centralized decision making

Question 21

With the uncertainty that a multiple trauma accident poses in an Emergency Department,the physicians and nursing staff generally tend to come together for the "common good." This is illustrated by which of the following communication strategies?

A)Less enthusiasm and frantic,quick statements of doom
B)Somber tone with short,monosyllabic words
C)More professional wording and less familiarity with team members
D)More personal and group approach

Question 22

Nurses are challenged to think critically and in new ways with the constant crises they face at work every day.Experience assists the nurse to evolve from merely reacting to a crisis,such as the nurse had learned to do in school,to actually critically analyzing the situation and creating a solution.This type of growth is termed:

A)Cognitive
B)Developmental
C)Maturational
D)Perspective transformation

Question 23

Angela McBride,a significant leader in nursing,has suggested that leadership will move the nursing profession forward.This is similar to what Bennis and Nanus have said about how important it is for leaders to follow their vision,be consistent,have self-respect,and communicate effectively.Nurses will need which of the following to accomplish this?

A)Knowledge about the institution's budget and political acumen
B)Self-confidence and assertiveness
C)Ability to negotiate with physicians for more financial reimbursement for nursing and aggressive communication skills
D)Increased nursing staff with critical care competency and financial motivation for nurses

Question 24

The newest IOM Report was published in 2010 and included which of the following recommendations for the nursing profession?

A)Increase collaboration of nurses with the health-care team,increase bachelor of science in nursing (BSN)and doctorally prepared nurses,and increase nursing leadership at each level of the profession.
B)Reimburse RNs who acquire certification in their specialty area,increase staff nurse-to-patient ratio in acute care institutions,and provide employee paid malpractice insurance for every staff nurse.
C)Identify more cross-training units for more efficient use of RNs in each institution,apply for Magnet status to increase consumer interest in agency,and provide nurses a patient written report card on their performance.
D)Require all acute care institutions to provide 100% tuition reimbursement for associate degree nurses to obtain a BSN,perform patient satisfaction surveys weekly,and collaborate 100% with academic nursing programs.

Question 25

Serving on a Board of Directors for an agency would afford a good opportunity for a nurse to practice leadership.Which of the following boards would a new graduate nurse,who has worked for 1 year on a neuromedicine unit,might be best able to participate?

A)Budget and Salary Board of the Hospital
B)The regional Multiple Sclerosis (MS)Research Protocol Board
C)Research and Quality Improvement for Physical Resources Board
D)State Medical Association Board