Deck 41: Leading Managing

Question 1

The nurse desires to improve time management skills.What action should the nurse take first?

A) Make a to-do list.
B) Use a daily worksheet.
C) Complete a time inventory.
D) Focus on completing the most difficult tasks first.

Answer 1

Complete a time inventory.

Question 2

A nurse with 2 years' experience frequently appears stressed,has difficulty completing work,and clocks out late even when the assignment is light.The charge nurse describes the nurse as "running from one duty to the next and having no organization or daily routine." Which situation most likely describes this nurse?

A) Has time management problems
B) Has a heavy patient load
C) Works at a hospital that is understaffed
D) Is in a management position

Answer 2

Has time management problems

Question 3

An organization changed the documentation system a month ago; however,one staff nurse has missed every training session and continues to use the previous documentation system.What is this nurse demonstrating?

A) Unfreezing
B) Active resistance
C) Passive resistance
D) Comfort zone

Answer 3

Passive resistance

Question 4

A nurse observes a nursing assistive personnel (NAP)fail to wash her hands before and after placing a patient on a bedpan.What should the nurse do when providing negative

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 hand washing to the entire group.
D) Keep a record of the NAP's actions and save them for her annual formal review.

Question 5

The manager is conducting an informal negotiation between two staff members and 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 6

The managers of the physical therapy and nursing departments are having conflict about who is responsible for transporting patients for rehabilitation.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 negotiations between the two departments.

Question 7

An expert nurse feels confident in the role as a clinician on the unit,enjoys the work,and feels in charge of career direction.Which leadership state is the nurse experiencing?

A) Power-based authority
B) Effective management skills
C) Empowerment in the role
D) Followership skills

Question 8

The nurse is identifying short-term goals for the day.Which statement exemplifies this type of goal?

A) Register for a certification review course in a year.
B) Complete documentation prior to hand-off communication.
C) Discuss the implementation of a new checklist for staff to use.
D) Plan a cruise with family after graduating from a master's degree program.

Question 9

The nurse with 15 years of experience and 7 years of employment with an organization will provide guidance and advice to a new graduate nurse.What is the role of the experienced nurse?

A) Mentor
B) Manager
C) Preceptor
D) Leader

Question 10

The nurse manager is completing a SWOT analysis on personal attributes.What should the nurse include when focusing on the W of the analysis?

A) Time constraints
B) Work experience
C) Changes in healthcare
D) Inconsistent time management skills

Question 11

The nurse thanks a nursing assistive personnel (NAP)for helping with client care and praises the NAP's patience with a challenging client.What is the possible outcome from the

A) Motivation
B) Time management
C) Improved skill level
D) Improved resource use

Question 12

The nurse plans to attend a seminar to learn how to become a legal nurse consultant because this has been a long-standing interest.What is the best way to describe this nurse's decision?

A) Strategy
B) Outcome
C) Intervention
D) Long-term goal

Question 13

A nursing assistive personnel (NAP)with limited direct care experience is assigned to help on a care area.Which task should the nurse safely delegate to the NAP to complete?

A) Feeding
B) Ambulating
C) Transporting
D) Vital sign measurement

Question 14

At a recent nurse staff meeting,the chief nursing officer (CNO)announced that all nursing staff would work 12-hour shifts on a day-night rotation schedule that would alternate every 6 weeks.This decision was made to solve discord between the nurses who work the different shifts in order for all staff to appreciate the different job responsibilities.What type of leadership is the CNO displaying?

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

Question 15

The nurse manager desires to use the SOAR process to improve the care area performance.On what should the manager focus when using SOAR for this analysis?

A) Results
B) Strengths
C) Inspiration
D) Opportunities

Question 16

Which theories focus on what the leader does?

A) Trait theories
B) Behavioral theories
C) Situational theories
D) Transformational theories

Question 17

What is the first stage of the complex process of change?

A) Recognizing resistance
B) Unfreezing
C) Forming a comfort zone
D) Actively resisting

Question 18

The surgical unit is experiencing difficulty recruiting new RNs,although the hospital has an excellent reputation in the community and has no difficulty recruiting nurses for other units.A task force has been formed,consisting of one nurse from each shift on the unit,the unit manager,and the hospital nurse recruiter.The group has gathered data and identified the problem.What is the next step in this process?

A) Generate possible solutions.
B) Evaluate whether the problem has been resolved.
C) Implement the solution changes.
D) Evaluate suggested solutions.

Question 19

The nurse manager is reviewing information about power to include in a staff presentation on empowerment.Which type of power does the manager possess?

A) Reward
B) Referent
C) Expertise
D) Legitimate

Question 20

The nurse manager is in the midst of creating a budget for the next year.Which economic information should the nurse keep in mind when preparing this budget?

A) Resources are scarce.
B) The need for nurses will increase.
C) The number of vacant positions for nurses will grow.
D) There is an increased need for advanced practice nurses.

Question 21

The nurse is beginning a new position as a manager.Which is an informational responsibility of this nurse's new role? Select all that apply.

A) Monitor
B) Advocacy
C) Spokesperson
D) Public relations
E) Employee development

Question 22

An experienced nurse serves as a mentor to a new graduate.Which is a responsibility 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
D) Demonstrates flexibility and an ability to change
E) Demonstrates trustworthiness

Question 23

Which is a characteristic of an effective nurse manager? Select all that apply.

A) Clinical expertise
B) Business sense
C) Master's degree
D) Leadership skills
E) Worked as a staff nurse on the care area

Question 24

The nurse manager identifies several staff as "good followers." Which statement best describes these nurses' behavior? Select all that apply.

A) Demonstrates teamwork
B) Acts in accordance with another
C) Strives to prevent group cohesion
D) Takes another person as a role model
E) Works with others to accomplish a group mission

Question 25

Which activity is involved in 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) Completing evaluations of staff