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,Chapter 01: Leadership and Management Principles
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Huber: Leadership & Nursing Care Management, 6th Edition
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MULTIPLE y u CHOICE
1. Leadership is best defined as: yu yu yu y u
a. an interpersonal process of participating by encouraging fellowship.
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b. delegation of authority and responsibility and the coordination of activities.
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c. inspiring people to accomplish goals through support and confidence building.
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d. the integration of resources through planning, organizing, and directing.
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ANS: C y u
Leadership is the process of influencing people to accomplish goals by inspiring
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confidence and support among followers.
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DIF: Cognitive Level: Remember yu yu
(Knowledge) TOP: Nursing Process:
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Assessment
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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2. A medical-surgical unit reports higher rates of patient satisfaction coupled with high
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rates of staff satisfaction and productivity. Which of the following is attributed to
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the data findings?
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a. Effective leadership y u
b. Management involvement y u
c. Mentoring
d. Rewards and recognition yu yu
ANS: A yu
Effective leadership is important in nursing because of the impact on nurses’ work
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lives, it being a stabilizing influence during change, and for nurses’ productivity and
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quality of care.
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DIF: Cognitive Level: Apply yu yu
(Application) TOP: Nursing Process:
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Assessment
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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3. A staff registered nurse (RN) is leading a multidisciplinary clinical pathway team
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in the development of care for patients with total knee replacement. Which of
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the following statements exemplifies leadership behaviors in a clinical pathway
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team meeting?
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a. “Nursing is responsible for pain control of the total knee replacement patient.”
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b. “Our pharmacist has provided some excellent pain control literature.”
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c. “Physical therapy’s expertise is in rehabilitation, not pain control.”
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d. “Total knee replacement patients require optimal pain control.”
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ANS: B y u
Leadership is the process of influencing people to accomplish goals by inspiring
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confidence and support among followers. The correct answer is supportive of a team
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member’s work and depicts some skill at interpersonal relationships.
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DIF: Cognitive Level: Apply yu yu
(Application) TOP: Nursing Process:
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Assessment
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MSC: Client Needs: Physiological Integrity: Pharmacological and Parenteral Therapies
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,Med C
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, 4. Which of the following is true of management activities?
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a. Inspiring a vision is a management function. yu yu yu yu yu yu
b. Management is focused on task accomplishment. y u yu yu yu yu
c. Management is more focused on human relationships. yu yu yu yu yu y u
d. Management is more important than leadership. yu yu yu y u yu
ANS: B y u
Management is focused on task accomplishment. y u yu yu yu yu
DIF: Cognitive Level: Remember yu yu
(Knowledge) TOP: Nursing Process:
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Assessment
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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5. During a staff meeting, a group of RNs has complained that medications are not
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arriving to the unit in a timely manner. The nurse manager suggests that the group
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resolve this issue through the development and work of a multidisciplinary team led
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by one of these RNs. This scenario demonstrates:
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a. adaptation.
b. empowerment.
c. flexibility.
d. relationship management. y u
ANS: B y u
Empowerment is the giving of authority, responsibility, and the freedom to act. In
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this situation, the manager has given authority, responsibility, and the freedom to
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act in the investigation and resolution of this issue.
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DIF: Cognitive Level: Apply
N( A ppRlic aIt ionG) TOP: Nursing UProcess:
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Assessment
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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6. A nurse is caring for an elderly patient who was admitted after sustaining a fall at
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home. When creating a care plan for the patient, she requests that the doctor order a home
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health visit to assess for home safety and medication compliance. In addition, the
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nurse is concerned about the nutrition of the patient and requests a dietitian
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evaluation. The nurse is demonstrating which of the following leadership skills?
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a. Care provider yu
b. Business principles y u
c. Care coordination yu
d. Change management yu
ANS: C y u
Care coordination is the delivery of nursing services that involves the organization and
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coordination of complex activities. The nurse uses managerial and leadership skills
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to facilitate delivery of quality care.
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DIF: Cognitive Level: Apply (Application) y u yu yu TOP: Nursing Process: yu yu
Planning MSC: Client Needs: Physiological
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7. Interpersonal communication and the ability to apply are two critical skills every
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nurse needs to enhance professional practice.
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a. vision
Med C
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