NURS 203 MIDTERM EXAM REVIEW QUESTIONS
AND DETAILED ANSWERS
◉ Democratic/Participative Leadership Style. Answer: - Input of
decision making encouraged by workers, *leader seems him/herself
as coworkers*
- Communication, consensus & teamwork oriented
- *Leadership by providing information, suggestion direction, and
support*
- Considered preferred style in majority of work situations
◉ Laissez-Faire/Permissive Leadership Style. Answer: - Little to no
direction or guidance provided
- Coworkers develop their own goals and make their own decisions
◉ Multicratic Leadership Style. Answer: - *Combines the positive of
autocratic and participation of democratic leadership*
- Leader provides maximum group participation when needed
- Support & encouragement provided to subordinates at all times
◉ Transformational Leaders. Answer: Leaders who inspire followers
to focus on common, long-term goals
,◉ Transformational Leadership. Answer: Places emphasis on the
collective purpose and mutual growth of both the leader and the
follower(s) and deemphasizes differences in the roles of the leader
and followers
◉ Transactional Leaders. Answer: Leaders who set clear, short-term
goals and reward people who meet them
◉ Transactional Leadership. Answer: Examines leadership in terms
of striking a bargain in which there is a mutual exchange between
leaders and followers of benefits for work, sometimes referred to as
a reward and punishment approach. Maintains stability of
organization while offering rewards to employees for performance
and met goals.
◉ Delegation. Answer: Transfer of responsibility for the
performance of an activity from one individual to another while
accountability for the outcome is retained
◉ RN responsibility r/t Delegation. Answer: RN transfers
responsibility and authority for the performance of an activity but
remains accountable for overall nursing care
◉ RN Delegator is Responsible for.... Answer: - *The act of
delegating/assignment*
,- Supervising the performance of the delegated tasks
- Assessment and follow-up
- Interventions or change in the POC that may be required to ensure
safe and effective care
◉ The Delegatee is Accountable for.... Answer: - His/her own actions,
completing the task assigned
- Accepting delegation within the parameters of his/her training or
education; *must speak up if they do not know something or are not
comfortable*
- Communicating the appropriate information to the delegator
◉ Considerations when Delegating Nursing Care. Answer: - Know
your state's institutional policies on delegation
- Take frequent reports from the delegatee
- Evaluate the delegatee's performance and the patient's response
- The patient's condition, complexity of the activity
- Potential for harm
- Degree of problem solving and innovation needed
◉ ANA Principles for Delegating Care. Answer: - RN is responsible
and accountable for nursing practice
- RN supervises any assistant providing direct care
, - Delegatee's purpose is to work in a supportive role to the RN
- State's NPA definition for delegation
◉ Items that cannot be delegated. Answer: - Assessment
- Planning
- Teaching
- Evaluation
◉ Rights of Delegation. Answer: - Right Task
- Right Circumstances
- Right Direction/Communication
- Right Supervision
◉ Rights of Delegation: Right Task. Answer: One that is delegable for
a specific patient
◉ Rights of Delegation: Right Circumstances. Answer: Appropriate
patient setting, available resources, and other relevant factors
considered
◉ Rights of Delegation: Right Person. Answer: The right person is
delegating the right task to the right person to be performed by the
right person
AND DETAILED ANSWERS
◉ Democratic/Participative Leadership Style. Answer: - Input of
decision making encouraged by workers, *leader seems him/herself
as coworkers*
- Communication, consensus & teamwork oriented
- *Leadership by providing information, suggestion direction, and
support*
- Considered preferred style in majority of work situations
◉ Laissez-Faire/Permissive Leadership Style. Answer: - Little to no
direction or guidance provided
- Coworkers develop their own goals and make their own decisions
◉ Multicratic Leadership Style. Answer: - *Combines the positive of
autocratic and participation of democratic leadership*
- Leader provides maximum group participation when needed
- Support & encouragement provided to subordinates at all times
◉ Transformational Leaders. Answer: Leaders who inspire followers
to focus on common, long-term goals
,◉ Transformational Leadership. Answer: Places emphasis on the
collective purpose and mutual growth of both the leader and the
follower(s) and deemphasizes differences in the roles of the leader
and followers
◉ Transactional Leaders. Answer: Leaders who set clear, short-term
goals and reward people who meet them
◉ Transactional Leadership. Answer: Examines leadership in terms
of striking a bargain in which there is a mutual exchange between
leaders and followers of benefits for work, sometimes referred to as
a reward and punishment approach. Maintains stability of
organization while offering rewards to employees for performance
and met goals.
◉ Delegation. Answer: Transfer of responsibility for the
performance of an activity from one individual to another while
accountability for the outcome is retained
◉ RN responsibility r/t Delegation. Answer: RN transfers
responsibility and authority for the performance of an activity but
remains accountable for overall nursing care
◉ RN Delegator is Responsible for.... Answer: - *The act of
delegating/assignment*
,- Supervising the performance of the delegated tasks
- Assessment and follow-up
- Interventions or change in the POC that may be required to ensure
safe and effective care
◉ The Delegatee is Accountable for.... Answer: - His/her own actions,
completing the task assigned
- Accepting delegation within the parameters of his/her training or
education; *must speak up if they do not know something or are not
comfortable*
- Communicating the appropriate information to the delegator
◉ Considerations when Delegating Nursing Care. Answer: - Know
your state's institutional policies on delegation
- Take frequent reports from the delegatee
- Evaluate the delegatee's performance and the patient's response
- The patient's condition, complexity of the activity
- Potential for harm
- Degree of problem solving and innovation needed
◉ ANA Principles for Delegating Care. Answer: - RN is responsible
and accountable for nursing practice
- RN supervises any assistant providing direct care
, - Delegatee's purpose is to work in a supportive role to the RN
- State's NPA definition for delegation
◉ Items that cannot be delegated. Answer: - Assessment
- Planning
- Teaching
- Evaluation
◉ Rights of Delegation. Answer: - Right Task
- Right Circumstances
- Right Direction/Communication
- Right Supervision
◉ Rights of Delegation: Right Task. Answer: One that is delegable for
a specific patient
◉ Rights of Delegation: Right Circumstances. Answer: Appropriate
patient setting, available resources, and other relevant factors
considered
◉ Rights of Delegation: Right Person. Answer: The right person is
delegating the right task to the right person to be performed by the
right person
