HESI 101-RN Leadership Final Exam-with latest solutions-
2024-2025
Nursing Leadership
1. #1 thing to remember
about negative Unsatisfactory work must be acknowledged and
feedback discussed
2. 2 biggest/worst actions Altering/falsifying a medical record, violation of
that lead to an internal or external standard of practice
malpractice lawsuits
3. 2 out of 3 people leave Ineffective/incompetent management
a job because of this
4. 2 types of change Planned/Managed, Unplanned/Reactive
5. 2 types of resistance Active resistance and passive resistance
to change
6. 2 ways to be an 1. Recognize and understand your own emotions,
emotionally stable learn to manage them, stay calm and clear
leader headed.
2. Listen to others, perceive unspoken concerns,
7. 3 qualifications for acknowledge others perspectives, helpful
RN licensure in the Graduate from an approved RN program, english
USA language proficiency, disclosure of criminal
convictions
8. 3 quality behaviors of Interpersonal, decisional and informational
effective nurse behaviors along with leadership, business sense
managers? and clinical expertise
9. 3 stages of lewins Unfreeze(take out of comfort zone),
theory of change Change(discomfort), Refreeze(new comfort zone)
10. 3 types of liability Personal, vicarious, employer/corporate
11. 4 stages of burnout 1. high expectations and idealism, 2. pessimism
and early job dissatisfaction, 3. withdrawal
and isolation 4. irreversible detachment and
loss of interest
12. According to JCAHO 13. According to Rogers what are typical
what is the reason for a
large number of
sentinel events that
occur?
,Communication
deficits among innovators, early adapters, early majority,
health care providers late majority, laggards and rejectors.
, responses to change?
14. Advice for Give both negative and positive, give
giving feedback immediately, give frequently, give negative
feedback in private, base it on observed
behavior, include suggestions for change.
15. AKA - Bottling emotions Rutter
(inappropriate way of
dealing reality shock)
16. These are activities Initial and follow up assessments, decisions and
that an RN may NOT judgements about client plan of care,
delegate interventions that require professional RN
knowledge or skills, decisions/judgements
needed to evaluate care
17. These are clinical Critical pathways
protocols involving
all disciplines
18. These are established Nursing Standards
guidelines for the
nursing profession to
ensure quality of
care
Choices
19. are
influenced by values
Extrinsic values
20. These are non life
essential values (things,
people, ideas, kindness,
and understanding)
Criminal acts
21. These are offenses
committed against state
laws
Beliefs
22. These are
organized thoughts
about why people
exist in the universe
History of violent behavior, delusions paranoia
23. Behaviors at risk for suspicion, aggression, threats, rapid speech,
violence anger, stiff posture, clenched fists, ETOH/drug
, use, male or youth, unrealistic
policies/procedures
24. Causes of reality shock Culture shock (expectations distorted with
reality), incongruent school values and work
values, lack of support, lack of a mentor
25. Choices to Avoid it, accommodate, compete,
resolve conflict compromise, collaborate
26. Common actions Fail to assess properly, fail to report changes in pt
leading to status, fail to document, fail to obtain informed
malpractice lawsuits consent, fail to report co-worker negligence, fail to
provide adequate education * TWO BIGGEST*
Altering/falsifying a medical record and Violation
of an internal or external standard of practice
27. Common causes of Client falls, equipment injuries, failure to monitor,
negligence failure to communicate, medication errors, medical
errors
28. Common mistakes Failure to make need for change clear, unclear
made during goals, too little time, poor leadership, insufficient
change coordination of the change process, insufficient
implementation education, dismissing complaints
1.Structure within which care is given, 2. the
29. The CQI process of giving the care 3. the outcome of that
program care
evaluates what 3
things? Tall and narrow chain of command - Employees
ranked top to bottom with the number on bottom
30. Describe the greater than the top, authority is at the top only,
traditional power is distributed, communication is a challenge
organizational because of all of the layers of power
structure
31. Dont's of feedback Focus on negatives, let personalities intrude, be
vague, play favorites, correct people publicly
32. Do's and Don'ts Do - recognize it, value it and develop support for
for managing it, Ensure fairness, make all of the above part of
diversity your philosophy. Don't- pretend all are alike,
expect everyone to conform, seek quick solutions,
2024-2025
Nursing Leadership
1. #1 thing to remember
about negative Unsatisfactory work must be acknowledged and
feedback discussed
2. 2 biggest/worst actions Altering/falsifying a medical record, violation of
that lead to an internal or external standard of practice
malpractice lawsuits
3. 2 out of 3 people leave Ineffective/incompetent management
a job because of this
4. 2 types of change Planned/Managed, Unplanned/Reactive
5. 2 types of resistance Active resistance and passive resistance
to change
6. 2 ways to be an 1. Recognize and understand your own emotions,
emotionally stable learn to manage them, stay calm and clear
leader headed.
2. Listen to others, perceive unspoken concerns,
7. 3 qualifications for acknowledge others perspectives, helpful
RN licensure in the Graduate from an approved RN program, english
USA language proficiency, disclosure of criminal
convictions
8. 3 quality behaviors of Interpersonal, decisional and informational
effective nurse behaviors along with leadership, business sense
managers? and clinical expertise
9. 3 stages of lewins Unfreeze(take out of comfort zone),
theory of change Change(discomfort), Refreeze(new comfort zone)
10. 3 types of liability Personal, vicarious, employer/corporate
11. 4 stages of burnout 1. high expectations and idealism, 2. pessimism
and early job dissatisfaction, 3. withdrawal
and isolation 4. irreversible detachment and
loss of interest
12. According to JCAHO 13. According to Rogers what are typical
what is the reason for a
large number of
sentinel events that
occur?
,Communication
deficits among innovators, early adapters, early majority,
health care providers late majority, laggards and rejectors.
, responses to change?
14. Advice for Give both negative and positive, give
giving feedback immediately, give frequently, give negative
feedback in private, base it on observed
behavior, include suggestions for change.
15. AKA - Bottling emotions Rutter
(inappropriate way of
dealing reality shock)
16. These are activities Initial and follow up assessments, decisions and
that an RN may NOT judgements about client plan of care,
delegate interventions that require professional RN
knowledge or skills, decisions/judgements
needed to evaluate care
17. These are clinical Critical pathways
protocols involving
all disciplines
18. These are established Nursing Standards
guidelines for the
nursing profession to
ensure quality of
care
Choices
19. are
influenced by values
Extrinsic values
20. These are non life
essential values (things,
people, ideas, kindness,
and understanding)
Criminal acts
21. These are offenses
committed against state
laws
Beliefs
22. These are
organized thoughts
about why people
exist in the universe
History of violent behavior, delusions paranoia
23. Behaviors at risk for suspicion, aggression, threats, rapid speech,
violence anger, stiff posture, clenched fists, ETOH/drug
, use, male or youth, unrealistic
policies/procedures
24. Causes of reality shock Culture shock (expectations distorted with
reality), incongruent school values and work
values, lack of support, lack of a mentor
25. Choices to Avoid it, accommodate, compete,
resolve conflict compromise, collaborate
26. Common actions Fail to assess properly, fail to report changes in pt
leading to status, fail to document, fail to obtain informed
malpractice lawsuits consent, fail to report co-worker negligence, fail to
provide adequate education * TWO BIGGEST*
Altering/falsifying a medical record and Violation
of an internal or external standard of practice
27. Common causes of Client falls, equipment injuries, failure to monitor,
negligence failure to communicate, medication errors, medical
errors
28. Common mistakes Failure to make need for change clear, unclear
made during goals, too little time, poor leadership, insufficient
change coordination of the change process, insufficient
implementation education, dismissing complaints
1.Structure within which care is given, 2. the
29. The CQI process of giving the care 3. the outcome of that
program care
evaluates what 3
things? Tall and narrow chain of command - Employees
ranked top to bottom with the number on bottom
30. Describe the greater than the top, authority is at the top only,
traditional power is distributed, communication is a challenge
organizational because of all of the layers of power
structure
31. Dont's of feedback Focus on negatives, let personalities intrude, be
vague, play favorites, correct people publicly
32. Do's and Don'ts Do - recognize it, value it and develop support for
for managing it, Ensure fairness, make all of the above part of
diversity your philosophy. Don't- pretend all are alike,
expect everyone to conform, seek quick solutions,
