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Exam (elaborations)

Nsg 441 Leadership Exam 1 Questions & Answers

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NSG 441 LEADERSHIP EXAM 1 QUESTIONS & ANSWERS

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NSG 441 LEADERSHIP EXAM 1 QUESTIONS &
ANSWERS

The nurse manager is coaching a new graduate nurse about role performance on the
clinical unit. Which types of power are effective when coaching a new employee to
improve role performance? Select all that apply.
-expert
-position
-reward
-coercive
-information
-connection - Answer -expert, position, information

Effective coaching makes use of expert power, position power, and information power.
Expert power is based on expertise and credibility. The new employee needs
knowledge and skills of the nurse manager to identify role performance expectations
with position power. Information power stems from the nurse manager's possession of
critical information needed by the new employee. Coercive power is derived from
someone's perceived fear of another person and is not a positive motivating tool in
coaching. in this situation, the nurse managers i the power figure; the manager is not
using connection with a powerful figure. reward powers i being able to provide rewards
for favor and is not illustrated in this scenario.

The leadership role of professional nurses in the united states has evolved in the 21st
century. Which factor most describes the nurse's leadership role in shaping the
healthcare environment?
- nurses remaining neither powerful nor political
-nurses providing education to patients and families
-nurses influencing health care through political action
-nurses exercising power to create a strong voice for nursing. - Answer -nurses
exercising power to create a strong voice for nursing

Rationale: in the 21st century, nurses must exercise their power to create a strong voice
for nursing in shaping an evolving healthcare environment. Nurses providing education
to patients influences the patients to charge behavior to promote optimal health. in the
19th century, women were viewed as neither powerful nor political. nurses can influence
health care through politics, but this is not the only way to do so.

The key for renewal is the release of human energy and talent. Leaders know that
which elements are required for renewal to occur? Select all that apply.
- focused energy
- staff recognition
- development of trust
- conflict management

,- personal well-being - Answer -focused energy and personal well-being

Rationale: Focused energy and personal well-being are essential for the release of
human energy and talent; according to Gardner, the task of renewing. Staff recognition
is important and helps build confidence in the team. Developing trust in one of
Gardner's tasks of leading and managing and is important to help keep staff aware of
the organizational decisions and initiatives., but it is not involved in renewal. The skill of
conflict management is essential for mangers to master to keep the lines of
communication open and for the team to grow.

Which statement describes complex adaptive leadership theory?
- Leaders attend to the needs and motives of followers.
- Leaders have a certain set of traits that inspire others.
- Leaders motivate others through the hierarchy of human needs.
- Leaders respond to patient and organization problems differently. - Answer -- Leaders
respond to patient and organization problems differently.

Rationale: In complex, adaptive leadership, leaders respond to patient and organization
problems differently. In transformational leadership, leaders attended to the needs and
motives of followers. Trait theory states that leaders have a certain set of traits that
inspire others. The hierarchy of needs theory states that leaders motivate others
through the hierarchy of human needs.

Which statement describes trait theory?
-Leaders have a certain set of characteristics that inspire others.
- Leaders motivate others through the hierarchy of human needs.
- Leaders attend to the needs and motives of followers.
- Leaders respond to patient and organization problems differently. - Answer -Leaders
have a certain set of characteristics that inspire others.

Rationale: Trait theory states that leaders have a certain set of physical and emotional
characteristics that inspire others. The hierarchy of needs theory states that leaders
motivate other through the hierarchy of human needs. In transformational leadership,
leaders attend to the needs and motives of followers. In complex adaptive leadership,
leaders respond to patient and organization problems differently.

Which statements below reflect traits emotionally intelligent nurses display as credible
leaders? Select all that apply.
-Awareness of the individual, family, or community
- Enhanced organizational skills
-Investment in relationships
- Adoption of group behaviors
-Commitment to self-growth - Answer -All of these EXCEPT adoption of group
behaviors

, Rationale: Emotionally intelligent nurses are credible as leaders because they possess
awareness of the individual, family, or community being cared for; have enhanced
organizational skills resulting from investment in relationships; and a commitment to
self-growth. Adoption of group behaviors would not yield a credible leader if the
behaviors were negative or ineffective.

Which statement is accurate regarding the difference between leading and managing?
- A leader functions without the use of a predesigned plan, whereas a manager focuses
on situations where the outcomes are known or preestablished.
-A leader relies on control in situations with known outcomes, whereas a manager
inspires trust through honest communication.
- A leader imitates established protocols, whereas a manager originates new ideas to
address emerging situations.
- A leader administers policies adhering to processes for efficiency, whereas a manager
innovates in the midst of complex, uncharted circumstances. - Answer -A leader
functions without the use of a predesigned plan, whereas a manger focuses on
situations where the outcomes are known or preestablished.

Rationale: Leading is required when the unknown presents itself, necessitating the use
of principles to improvise solutions and help others cope, thrive, and function in the
situation. Managing is the ability to plan, direct, control, and evaluate others in situations
where the outcomes are known or preestablished. A manger relies on control, whereas
a leader inspires trust. The manager imitates, whereas the leader originates. The
manager administers; the leader innovates.

The nurse manager of a large medical-surgical unit wants to ensure brief and concise
daily communication exchange that engages team members to identify any important
needs or safety issues. Which strategy should the nurse manager use to communicate
in this way?
- Email
-Huddle
- Newsletter
-Staff meeting - Answer -Huddle
Rationale: the nurse manager of a large unit would implement the huddle as a daily brief
and concise communication exchange that engages team members to identify any
important needs or safety issues. Emails can become lost within the team's electronic
mailboxes, not be identified as urgent or important, or may go unread. Newsletters, in
either paper or electronic form, will not be identified by the team as urgent or important
and there is no way to ensure that they are read. Daily staff meetings would not be
feasible.

The new graduate nursing orientation program supports professional development
throughout the nurse's career. Which theorist developed this approach?
- Robert Kelley
- Patricia Benner
- Dorothea Orem

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