Deck 40: Leading Managing

Question 1

Staff nurses on the medical unit are discussing how they never see their unit manager and that she lacks involvement in unit activities.What leadership style is this manager displaying?

A) Authoritarian
B) Democratic
C) Laissez-faire
D) Transformational

Answer 1

Laissez-faire

Question 2

The nurse distinguishes the nurse holding which position as a leader rather than a manager?

A) Charge nurse
B) Unit director
C) Mentor
D) Supervisor

Answer 2

Mentor

Question 3

The nurse sits at a large table in the cafeteria with other nurses who are complaining about the hospital's new policy regarding holiday scheduling.What statement by the nurse demonstrates leadership qualities?

A) "It's easy for management to make these rules because they'll be off for the holidays."
B) "You guys are just a bunch of complainers. You knew nursing required working holidays."
C) "The new policy is not ideal. What ideas do you have for a better approach?"
D) "Why don't you people stop complaining and come up with a few solutions?"

Answer 3

"The new policy is not ideal. What ideas do you have for a better approach?"

Question 4

The student nurse sits down to plan goals for the future.Which goal would the nurse identify as a long-term goal?

A) Study every night from 8 to 10 p.m.
B) Find a babysitter for clinical days
C) Dress professionally for clinical
D) Specialize in care of sick newborns

Question 5

Physical therapy and nursing at a local rehabilitation hospital are in conflict over which department is responsible for transporting patients to and from therapy appointments.The members of the therapy department 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.Nursing staff members state that they do not have the time to transport the patients from the unit and this leaves 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.What is the next step the managers should take?

A) Inform the nurses that they must take the patients to and from therapy.
B) Inform the therapists that they must take the patients to and from therapy.
C) Ask the hospital administrator to make an unbiased decision.
D) Begin informal negotiation between the two departments.

Question 6

A nurse manager who is self-confident,committed,and ambitious is implementing which leadership theory as a guide to her own personal governance style?

A) Behavioral theory
B) Contingency theory
C) The task versus relationship theory
D) Trait theory

Question 7

Which of the following are characteristics of an effective nurse manager? Select all that apply.

A) Clinical expertise
B) Business sense
C) Master's degree
D) Leadership skills

Question 8

What leadership style will be most effective for the nurse to use when managing a Code Blue and resuscitating a patient who is not breathing and has no pulse?

A) Democratic
B) Laissez-faire
C) Transformational
D) Transactional

Question 9

The student nurse is starting the first clinical shift in a new facility and assesses the nurses working on the unit to identify a possible mentor.Which nurse would be the best choice for a mentor?

A) The friendliest, most outgoing nurse on the shift
B) The new graduate who remembers what it is like to be a student
C) The nurse others come to when they are unsure of how to proceed
D) The nurse who is the most outspoken during change of shift report

Question 10

The manager is conducting an informal negotiation between two staff members who have had ongoing difficulty working together peacefully.Most recently,there was an argument about who would be scheduled first for lunch each day.At this stage of the informal negotiation,the manager is focusing on managing the emotions and setting the ground rules.Which stage does this demonstrate?

A) Setting the stage
B) Conducting the negotiation
C) Making offers and counteroffers
D) Agreeing on resolution of the conflict

Question 11

Delegation is the process of transferring work to subordinates.A nurse manager can appropriately delegate which task?

A) Scheduling staff assignments for the next month
B) Terminating a nursing assistant for insubordination
C) Deciding on salary increases for licensed practical nurses
D) Telling a staff nurse to initiate disciplinary action against a peer

Question 12

Which of the following types of followers may best enhance a leader's performance?

A) Followers demonstrating high critical thinking and who passively contribute
B) Followers who are dependent and passive when they disagree
C) Followers who are active contributors but who may not contribute to idea development
D) Followers who are active contributors and who participate in developing and analyzing ideas

Question 13

The nurse manager holds a staff meeting to inform everyone about the unit reorganization.Which staff nurse demonstrates passive resistance to the changes? The nurse who:

A) Threatens to quit if this reorganization is put into action
B) Stands up during the meeting and says, "This is stupid and won't work!"
C) Listens quietly and makes suggestions for implementation
D) Is quiet at the meeting but calls in sick frequently during implementation

Question 14

The nurse is working to manage time effectively and has created a to-do list.What is the first thing the nurse should do?

A) Prioritize list items.
B) Question item effectiveness.
C) Practice self-reliance.
D) Get a treat.

Question 15

A nurse observes a nursing assistant (NAP)fail to wash her hands before and after placing a patient on a bedpan.When giving negative feedback to the NAP,the nurse should:

A) Be certain to offer constructive criticism about the task and do so in private
B) Ask the unit manager to be present to document responses of both parties
C) Call a meeting of all NAPs and stress handwashing to the entire group
D) Keep a record of the NAP's actions and save them for her annual formal review

Question 16

The nurse tells the nurse manager that the nurse practitioner makes her nervous by constantly watching the care she provides.The nurse practitioner tells the nurse manager,"I just don't trust the nurse; her care is lacking." The nurse manager brings the nurse and the nurse practitioner together to discuss the problem.What role is the nurse manager playing?

A) The problem solver
B) The negotiator
C) Counselor
D) The mediator

Question 17

What source of power can an experienced staff nurse effectively use to convince other nurses to follow her?

A) Authority
B) Reward
C) Expert
D) Coercion

Question 18

The nurse manager has evaluated a staff nurse who needs to improve attendance.What strategy can the nurse manager use to correct this staff nurse's attendance?

A) Provide recognition.
B) Reinforce constructive behavior.
C) Discourage unproductive behavior.
D) Assign someone to monitor attendance.

Question 19

The nurse delegates bathing an older adult client diagnosed with Alzheimer's disease to an experienced certified nursing assistant.The assistant accidentally nicks the client while shaving his chin.Who is legally liable for this error?

A) The nurse who delegated the activity
B) The certified nursing assistant
C) Both the nurse and the certified nursing assistant
D) Both the nurse and the nurse's supervisor

Question 20

The unit nurse manager notices that nurse retention has steadily declined since she assumed the management position.What is the most appropriate action for the nurse manager to take?

A) Assess the staff's perception of the manager's leadership style.
B) Throw monthly pizza parties for the unit.
C) Give all of the nurses on the unit a 5% raise in pay.
D) Consult the manager's supervisor for guidance.

Question 21

Which of the following activities are involved when delegating tasks to other members of the nursing team? Select all that apply.

A) Supervising patient care that is given
B) Determining the skill mix of unit personnel
C) Assessing the needs of the clients involved
D) Deciding which tasks to assign to a team member
E) None of the above

Question 22

What statements made by the new graduate to the unit manager reflect effective followership? Select all that apply.

A) "I was reading a nursing journal yesterday and found new evidence I'd like to share with you."
B) "I understand what you are saying, but I don't think you are seeing my perspective about the situation."
C) "I have an idea to solve the weekend staffing problem. What if we started by finding nurses who prefer working weekends?"
D) "This problem is getting worse instead of better, so your solutions aren't working! You need to offer effective solutions."
E) "I would be happy to join the education committee to develop a handbook for newly hired nurses."
F) None of the above

Question 23

What actions might a new nurse take to increase feelings of empowerment? Select all that apply.

A) Attend seminars
B) Join a unit-based committee
C) Serve as a mentor to a student nurse
D) Obtain psychological counseling
E) Direct others' work assignments

Question 24

An experienced nurse serves as a mentor to a new graduate.Which of the following are responsibilities of the person being mentored? Select all that apply.

A) Demonstrates an ability to move toward independence
B) Has the ability to encourage excellence in others
C) Seeks feedback and uses it to modify behaviors
D) Demonstrates flexibility and an ability to change