EXAM 1 Leadership (NURSE 420)

NURSE 420 Exam 1 leader Spring 2020 Exam 1 Leadership. 1. When your nurse leader maintains strong control over the nursing staff and makes most of the decisions about how the unit will function, your leader is demonstrating what style of leadership? a. Laissez-faire b. Authoritarian c. Democratic d. transactional 2. Which of the following is an example of laissez-faire style of leadership? a. A nurse manager allows staff to participate in a trial use of new IV pumps and contribute input when choosing a new product. b. A nurse manager instructs two staff nurses to work out a problem themselves when a conflict arises between them. c. A nurse manager allows the staff to select one of six colors of scrubs for the unit nursing staff to wear. d. A nurse manager allows the nursing staff to choose which holiday they would prefer to take off before completing the work schedule. 3. The home health RN is planning for the day’s visits. Which client should be seen first? a. The five-month-old discharged one week ago with pneumonia who is being treated with amoxicillin liquid suspension. b. The 50-year-old with multiple stage 3 & 4 pressure ulcers requiring dressing changes. c. The 30-year-old with an exacerbation of multiple sclerosis being treated with cortisone via a centrally placed venous catheter. d. The 78-year-old who had a gastrectomy three weeks ago with a PEG tube. 4. Which statement accurately reflects leadership? a. The position of a leader is always assigned. b. Members of a group will follow a person in a leadership position only by choice. c. A leader carries a legitimate source of power. d. Being leader required meeting organizational goals. 5. A manager who use a rational-empirical change strategy understands which one of the following to be relevant: a. Peer pressure influences change b. Reward-based incentives influence change c. Information supports change d. Punishment supports the acceptance of change. 6. You are the supervisor of a new RN graduate on your unit. What would be the most helpful action for you to take to help the new RN adjust to the new role? a. Tell the new RN to avoid confrontations with doctors whenever possible. b. Advise the new RN that this is the real world, like it or not c. Be alert to signs and symptoms of the shock phase of role transition. d. Tell the new RN to let go of unrealistic nursing school values. 7. Which one of the following principles of effective time management is most important for a charge nurse to remember about the use of a daily “to do” list? a. It is a planning tool, and thus must have flexibility in its implementation b. It should remain unchanged once initial planning is completed. c. It should address short-term, intermediate, and long-term goals for the week. d. It should be highly structured, thus decreasing the possibility of procrastination. 8. What is the first step to developing an educational program for nursing staff? a. Surveying the staff on what educational program they would like b. Identifying the resources available to meet their needs. c. Identifying the desired skills or knowledge the staff should have. d. Assessing the staff’s willingness to learn new skills. 9. In relation to Kurt Lewin’s Change Theory, which statement is NOT true? a. During unfreezing, the goal of a change agent is to make staff aware of a situation needing change. b. Refreezing often requires a change agent to stay involved over time to help stabilize and support the change at the new level. c. During the movement phase, it is important to keep the driving and restraining forces equal to each other. d. Changes should only be implemented for good reasons and include persons affected by the change in the planning. 10. Which term best describes the stress a new graduate RN experiences during the socialization process when transitioning from the student nurse role to the professional RN role? a. Student burnout b. Reality shock c. Role redefinition d. Role confusion 11. Good management in staffing nursing units in larger healthcare facilities usually includes all but which one of the following practices: a. Using a decentralized approach to ensure there is adequate staffing throughout the medical center. b. Ensuring that fair and uniform staffing and scheduling policies are in place. c. Using an in-house registry/float pool to assist in covering sick calls, weekend shifts and holidays. d. Using traveling nurses wisely to fill longer term staff vacancies or leaves of absences. 12. According to the Stages of Change Model, which one of the following is NOT accurately described? a. Pre-contemplative: A patient asks his friends about local fitness centers. b. Contemplative: A patient recognizes he needs more exercise. c. Preparation: A patient researches and buys new exercise equipment d. Action: A patient starts exercising 3 times/week with friends. e. Maintenance: A patient gets up and goes to the gym, even though his friend cannot go with him today. 13. After receiving a report from the night-shift RN, which of the following should the oncoming day-shift RN assess first? a. A 65-year-old man with a draining nasogastric tube who had a bowel resection the previous day b. A 55-year-old man with left-sided weakness who is asking for assistance to use a urinal