NRSAD 114 Units 1-3 STUDY EXAM Material Questions And Answers Pass Guaranteed

Define the roles of a leader and a manager. How are they different? How are they similar? "Budgeting is the responsibility of the nurse manager. The role of the nurse leaders is to motivate the nursing subordinates. Resolving conflicts is the responsibility of both the nurse leader and the nurse manager. Penalizing for poor performance is a behavior of transactional leadership." - evolve - correct answers Leader: {"Ability to guide or influence others"} - Attempt to influence the beliefs, opinions, and behaviors of a person or group - Guide people and groups to accomplish common goals -May not have formal authority but are still able to influence others ( can be formal or informal) Manager: {" Coordination of resources, time, people, supplies to achieve desired outcomes in a defined area "} - Have an appointed management position and a formal line of authority & accountability - Managers focus on coordination of day to day resources. Different: - Leader: ability to guide & influence others (more based on patient care) - Managers: have the responsibility of coordinating , time , people, resources. (more geared towards day to day tasks) Similar: They both have an affect on the group, they both hold power, they can both motivate. Compare transactional and transformational leaders. How might these leadership roles look in the practice setting? - correct answers Transactional - Concerned with the day-to-day-operations of the facility - "I'll give you off a weekend shift if you work on Monday night." - Comfortable with the status quo - Monitor work performance and correct as needed - Wait until problems occur, and then deal with them Transformational (admired and Emulated) - Committed to organizational goals and clearly communicate vision and direction - Empower the work group to accomplish goals - Impart meaning and challenge to work - Acts as a role model - Provide mentoring to individual staff members on the basis of need - Fosters creativity, risk taking, commitment, and collaboration by empowering the group to share in the organization's vision Identify the different types of power and how power can be utilized in nursing leadership and management. - correct answers Reward power: Giving them something positive. Praises, incentives......("comes from the ability to reward others for complying and may include such rewards as salary, desired assignments, and acknowledgment of accomplishments." Coercive power: Using fear, aggression, or something negative. based on fear and punishment "termination"......("the opposite of reward power, is based on fear of punishment for failure to comply. Sources of coercive power include withholding of pay increases, undesired assignments, verbal and written warnings, and termination.") Legitimate power: Having given authority........("based on an official position in the organization. Through legitimate power, the manager has the right to influence staff members, and staff members have an obligation to accept that influence.") Referent power: Having strong personal skills......("comes from the followers' identification with the leader. The admired and respected nurse is able to influence other nurses because of their desire to emulate him or her.") Expert power: Having experience......("based on knowledge, skills, and information. For example, nurses who have expertise in areas such as physical assessment or technical skills or who keep up with current information on important topics will gain respect from others.") Informational power: Having information.....("based on a person's possession of information that is needed by others.") Connection power: Having a relationship.....("based on a person's relationship or affiliation with other people who are perceived as being powerful.") Identify the various management styles. Describe a clinical situation where each style would be beneficial. - correct answers Authoritarian (Autocratic) - Makes all decisions for the group - Gives little feedback or recognitions for work - Ignores subordinates ideas and suggestions - Dictates the work with much control - Makes Fast decisions - Doesn't encourage individual initiative - Believes individuals are externally motivated and are incapable of independent decision making - **BENEFICIAL: during a code, emergency, code, OR, & with employees with little education or training "The autocratic method results in rapid decision-making and is more appropriate in a crisis situation"- evolve Democratic (Participative) [ allows each member to participate in the decision making process] - Encourages group discussion and decision making - Involves staff in planning and developing new ideas and programs - Believes in the best in people - Communicates effectively, and provides regular feedback -Builds responsibility in people - Leader acts as a catalyst or facilitator to keep everybody on track - Actively guides a group toward achieving the group's goals - Productivity and satisfaction are high - Good broadly speaking; not for high or low stakes scenarios...just normal operations - **BENEFICIAL: med surge, when a lot of direction is needed, Nursing home. Works well with competent, highly motivated people Laissez-faire [ your on ur own, unit runs itself, hands off, team members make their own decisions] - Recognizes the groups need for autonomy and self regulation - Does not provide guidance or direction - Unable or Unwilling to make decisions - Does not provide feedback -Initiates little change - Communicates by memos or email - "Hands off" approach - Presupposes the group is internally motivated - Group may act in opposition of one another - **BENEFICIAL: clinical setting, ( not used with new grad students)- Best with groups who have profession optimizing decision making - correct answers Optimizing decision making is when the nurse considers both pros and cons of each position Analyzing the pros and cons to make decisions reflects an optimizing approach to decision making. Bureaucratic style of supervision - correct answers The supervisory style that emphasizes strict compliance with organizational policies, rules, and directives The bureaucratic style is focused on organizational rules and policies. What are techniques the nurse can use to empower others? - correct answers You're sharing your power and control with the expectation that people are responsible for themselves. Give opportunities to... - Education -Role Modeling -Positive Reinforcement - Gain new skills and knowledge - Network