Nursing Leadership UPDATED Questions and CORRECT Answers 1. According to the definition, which word best describes leadership? A Allocate B Influence C Evaluate D Control - ✔✔✔ B Leadership is the ability to guide or influence others. The other words are more applicable to the supervision of resources. 2. A nurse manager will likely have which of the following types of power? A Referent B Informal C Legitimate D Connection - ✔✔✔ C Legitimate power is 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. Although a manager may have the other types of power, they are not a result of the management position alone. 3. Which skill is most important for a nurse to possess when attempting to exerc ise or earn informal power within an organization? A Ability to persuade others B Expert level nursing knowledge C Understanding of management goals D Willingness to compromise with everyone in the team - ✔✔✔ A Informal leadership is exercised by the perso n who has no official or appointed authority to act, but is able to persuade and influence others. The informal leader may have considerable power in the work group and can influence the group's attitude and significantly affect the efficiency and effectiv eness of workflow, goal setting, and problem solving. The other options represent skills that either relates to actual nursing care (expert nursing knowledge and cooperation) or management (goals). 4. Which activity demonstrates the organizational Chaos T heory? A Preparing the yearly unit budget B Planning for unexpected staffing shortages C Preparing a rubric to guide staff performance reviews D Setting unit goals related to quality control of client care - ✔✔✔ B The Chaos Theory suggests that a degree of order can be attained by viewing complicated behaviors and unpredictable situations as predictable by planning for them. The other options are not considered unpredictable. 5. Which of the following activities en gaged in by a nurse manager would be expected to have the greatest impact on patient care? A Role modeling effective communication between all levels of staff B Conducting a survey to identify factors affecting staff job satisfaction C Providing all nursin g staff with opportunities to influence unit policies D Providing all staff members with written copies of organizational policies - ✔✔✔ A Positive role modeling is an effective tool the nurse can use to create a positive team spirit and promote high -quali ty patient care. Positive role modeling simply means that the nurse performs the job in such a way that he or she demonstrates ideal performance as a professional nurse; others hopefully will follow the example. The other options are more related to the wo rking climate and control of staff performance. 8. What interventions will a nurse manager implement when coaching a newly licensed nurse regarding the way a patient's complaint was handled? (Select all that apply.) A Asks, "What will you do differently t he next time this situation occurs?" B Begin the discussion with a personal interpretation of the situation C Focus on how to achieve the "ideal situation" D Approach the conversation in a nonjudgmental fashion E Use close ended questions to help focus the conversation on the situation - ✔✔✔ A B D Effective coaching includes discussing situations in a neutral way —avoid judgmental language that will put the other person on the defensive, encouraging the other person to provide his or her perspective about th e situation and to reflect on his or her performance through open -ended questions. Being realistic by focusing on what is actually achievable. 9. Which situations have been identified as positive factors in achieving job satisfaction among nurses? (Select all that apply.) A Having policy and practice decisions made by administration B Managers taking care not to interfere when a patient focused crisis occurs C Professional development opportunities made available at the facility D Attention is paid to fost ering excellent nurse -physician relationships E Respect is given to and expected by all members of the health care team - ✔✔✔ C D E Nursing job satisfaction depends on attention being paid to professional development and advancement opportunities, support for good nurse -physician cooperation and a pleasant respectful work environment. A lack of collaborative decision making and a manag ement team uninvolved in the daily function of the nursing units serve as negative factors. 10. Which characteristics are expected to be represented in a health care facility's mission statement? (Select all that apply.) A Commitment to professional excel lence B Providing the most economic health care services C Ethical treatment of all patients and staff D Teamwork to deliver quality care E Utilization of innovated service delivery methods - ✔✔✔ A C D E Appropriate philosophies and values include commitm ent to professional and individual excellence, with support for personal and professional growth, ethical and fair treatment for all through a commitment to relationships based on fairness and trust with our patients and our employees. Teamwork is consiste ntly demonstrated as we work together to provide ever -
improving quality care. Compassion is our highest priority; we will always provide care and comfort to people in need with respectful and dignified treatment at all times. Innovation in service delivery is accomplished by investing in the development of new and better ways to deliver health care. When considering the philosophy and values of a health care facility, _____________________ is the highest priority. - ✔✔✔ COMPASSION Compassion is the highest priority when providing care and comfort to people in need with respectful and dignified treatment at all times. REF: The __________________ management style encourages staff involvement in the decision -
making process. - ✔✔✔ Democratic/Participative The Democratic/Participative manager encourages staff participation in decision making. Involves staff in planning and developing new ideas and programs while believing in the best in people. This manager communicates effectively, and provides regular feedback and so builds responsibility in people. Works well with competent, highly motivated people. 1. The most basic factor contributing to the effective supervision of unlicensed assistive personnel (UAP) is the nurse's: A ability to communicate effectively wi th others. B confidence in his or her ability to delegate appropriately. C experience managing other members of the health care team. D ability to teach UAPs the necessary skills for their assigned tasks. - ✔✔✔ B Because RNs are becoming increasingly respo nsible for delegation and supervision in today's health care system, it is imperative that they have confidence in their delegation skills and understand the legal responsibility that they assume when delegating to and supervising licensed personnel and UA P. RNs must know what aspects of nursing and health care can be delegated. Although the other options support their supervision of UAP, the basic component is appropriate delegation. 2. Which statement made by an unlicensed assistive personnel (UAP) would cause the registered nurse team leader the most concern? A "The nurse will follow up to make sure the client is well cared for." B "I wonder who I can ask about how to use this new el ectronic thermometer."
improving quality care. Compassion is our highest priority; we will always provide care and comfort to people in need with respectful and dignified treatment at all times. Innovation in service delivery is accomplished by investing in the development of new and better ways to deliver health care. When considering the philosophy and values of a health care facility, _____________________ is the highest priority. - ✔✔✔ COMPASSION Compassion is the highest priority when providing care and comfort to people in need with respectful and dignified treatment at all times. REF: The __________________ management style encourages staff involvement in the decision -
making process. - ✔✔✔ Democratic/Participative The Democratic/Participative manager encourages staff participation in decision making. Involves staff in planning and developing new ideas and programs while believing in the best in people. This manager communicates effectively, and provides regular feedback and so builds responsibility in people. Works well with competent, highly motivated people. 1. The most basic factor contributing to the effective supervision of unlicensed assistive personnel (UAP) is the nurse's: A ability to communicate effectively wi th others. B confidence in his or her ability to delegate appropriately. C experience managing other members of the health care team. D ability to teach UAPs the necessary skills for their assigned tasks. - ✔✔✔ B Because RNs are becoming increasingly respo nsible for delegation and supervision in today's health care system, it is imperative that they have confidence in their delegation skills and understand the legal responsibility that they assume when delegating to and supervising licensed personnel and UA P. RNs must know what aspects of nursing and health care can be delegated. Although the other options support their supervision of UAP, the basic component is appropriate delegation. 2. Which statement made by an unlicensed assistive personnel (UAP) would cause the registered nurse team leader the most concern? A "The nurse will follow up to make sure the client is well cared for." B "I wonder who I can ask about how to use this new el ectronic thermometer."
