Nurse as Leader Final Exam Questions
and Answers
Leadership - ANSWER-The use of individual traits and abilities, in relationship with
others, to interpret the
environment/context where a situation is emerging and enter that situation w/o the use
of predesigned plans.
Employ critical thinking skills to manage team
A combination of nursing practice, business, and leadership skills
Actions of a leader - ANSWER-Inspire & Influence
The 5 rules of leaders: - ANSWER-1. Maintain balance
2. Generate self-motivation
3. Build self-confidence
4. Listen to constituents
5. Maintain a positive attitude
Leadership Qualities in Nursing: - ANSWER-Communication and collaboration
Education and quality of practice (continued professional development is important to
keep up with relevant evidence-based practice)
Environmental Health and Resource Utilization (want to create a safe and healthy
environment) Ethics and Professional Practice Evaluation
Professionalism and Leadership
Leadership Traits: - ANSWER-Articulating a vision for the desired future
Seeing possibilities amid challenging, complex, uncharted circumstances
Communicating effectively
Adapting to new environments and situations
Using experiences and knowledge to judge reasonable risks
Management: - ANSWER-Requires determining routines and practices that offer
structure and stability to others
Ability to plan, direct, control, and evaluate others
Management traits: - ANSWER-Ability to identify recurring problems and design EBP
routines
Persistent and vigilant behavior in self and others
Communication that maintains cohesion in repetitive tasks
,Laissez-Faire leadership style - ANSWER-"Puts faith in every facet of a well-oiled
machine"
Works well with experienced teams or self-directed nurses
laissez-faire nursing leaders provide minimal direction and feedback to their team. They
allow the team to function as it prefers w/o much supervision
Autocratic Leadership - ANSWER-Nurse leader makes quick decisions with little input
from employees & excels at task
delegation
most effective in emergency situations
Servant leadership - ANSWER-Focuses on employee development & individual needs
Works well with goal-driven environments or as a nurse educator
Leaders who influence and motivate others by building relationships and developing the
skills of individual team members
Democratic Leadership - ANSWER-Collaborative & focuses on team success
Excels in quality improvement roles but may not be effective in situations requiring
independent decisions
Welcomes and encourages input and communication from the team when making
decisions/relationships are highly valued by democratic leaders
Situational Leadership - ANSWER-Most adaptable since it analyzes the situation &
determines the appropriate approach
Flexible enough to modify their approach based on the organization or individual needs
Works well with nursing students but may divert from the organization's long-term goals
Transactional Leadership - ANSWER-Does well with short-term goals by focusing on
efficiency & performance
This task-oriented system reduces errors & works well with tight deadlines
hierarchy is important - nurses must follow rules and procedures, fulfill clearly defined
roles, and complete assigned duties
Transformational leadership - ANSWER-the nurse leader works to inspire nurses to
achieve a greater vision by helping with
strength development
works well with mentoring
Followership - ANSWER-Each group member contributes optimally, in tandem with
other group members, to
achieve clinical or organizational outcomes.
Each team member offers optimal contributions
Followership Traits: - ANSWER-Acting synergistically with others
Enthusiastic and responsible
Speaking and acting with principle and integrity
, Adding value to the work being accomplished
Question decisions and directions that are not congruent with goal
Complexity theory in healthcare - ANSWER-Promotes the idea that the world is full of
patterns that interact and adapt through
relationships
Uses a multifaceted approach, rather than linear
Critical thinking/ Clinical Judgment Model - ANSWER-Critical Thinking = problem
solving, decision making, clinical judgement, creativity
Clinical Judgement requires critical thinking
Nursing Process - ANSWER-ADPIE (Assessment, Diagnosis, Planning,
Implementation, and
Evaluation)
Bureaucratic Organizational Leadership: - ANSWER-Leadership that follows
established rules and regulations
Follows hierarchy - chain of command
Ex - Military
Cultural Linguistic Appropriate Services: - ANSWER-15 action steps to advance health
equity, improve quality, and eliminate health
disparities.
Provides blueprint for health organizations to implement services
Language assistance service
Elements of person centered care - ANSWER-1. Dignity
2. Compassion
3. Respect
*personalized, coordinated, enabling/supporting
Team STEPPS:
Decision Making - ANSWER-Goal directed, systematic process of making choices;
evaluate alternatives
Leader strategies: clarify the problem and decide if its routine
Tools - Clinical Judgement Model, grids, trees
Internal factors (within) vs External factors (outwardly)
Team STEPPS:
Brainstorming/Problem Solving: - ANSWER-Making a decision, but focusing on closing
the gap "what it is vs. what It could/should
be"
Evaluating solutions
Team STEPPS principles
and Answers
Leadership - ANSWER-The use of individual traits and abilities, in relationship with
others, to interpret the
environment/context where a situation is emerging and enter that situation w/o the use
of predesigned plans.
Employ critical thinking skills to manage team
A combination of nursing practice, business, and leadership skills
Actions of a leader - ANSWER-Inspire & Influence
The 5 rules of leaders: - ANSWER-1. Maintain balance
2. Generate self-motivation
3. Build self-confidence
4. Listen to constituents
5. Maintain a positive attitude
Leadership Qualities in Nursing: - ANSWER-Communication and collaboration
Education and quality of practice (continued professional development is important to
keep up with relevant evidence-based practice)
Environmental Health and Resource Utilization (want to create a safe and healthy
environment) Ethics and Professional Practice Evaluation
Professionalism and Leadership
Leadership Traits: - ANSWER-Articulating a vision for the desired future
Seeing possibilities amid challenging, complex, uncharted circumstances
Communicating effectively
Adapting to new environments and situations
Using experiences and knowledge to judge reasonable risks
Management: - ANSWER-Requires determining routines and practices that offer
structure and stability to others
Ability to plan, direct, control, and evaluate others
Management traits: - ANSWER-Ability to identify recurring problems and design EBP
routines
Persistent and vigilant behavior in self and others
Communication that maintains cohesion in repetitive tasks
,Laissez-Faire leadership style - ANSWER-"Puts faith in every facet of a well-oiled
machine"
Works well with experienced teams or self-directed nurses
laissez-faire nursing leaders provide minimal direction and feedback to their team. They
allow the team to function as it prefers w/o much supervision
Autocratic Leadership - ANSWER-Nurse leader makes quick decisions with little input
from employees & excels at task
delegation
most effective in emergency situations
Servant leadership - ANSWER-Focuses on employee development & individual needs
Works well with goal-driven environments or as a nurse educator
Leaders who influence and motivate others by building relationships and developing the
skills of individual team members
Democratic Leadership - ANSWER-Collaborative & focuses on team success
Excels in quality improvement roles but may not be effective in situations requiring
independent decisions
Welcomes and encourages input and communication from the team when making
decisions/relationships are highly valued by democratic leaders
Situational Leadership - ANSWER-Most adaptable since it analyzes the situation &
determines the appropriate approach
Flexible enough to modify their approach based on the organization or individual needs
Works well with nursing students but may divert from the organization's long-term goals
Transactional Leadership - ANSWER-Does well with short-term goals by focusing on
efficiency & performance
This task-oriented system reduces errors & works well with tight deadlines
hierarchy is important - nurses must follow rules and procedures, fulfill clearly defined
roles, and complete assigned duties
Transformational leadership - ANSWER-the nurse leader works to inspire nurses to
achieve a greater vision by helping with
strength development
works well with mentoring
Followership - ANSWER-Each group member contributes optimally, in tandem with
other group members, to
achieve clinical or organizational outcomes.
Each team member offers optimal contributions
Followership Traits: - ANSWER-Acting synergistically with others
Enthusiastic and responsible
Speaking and acting with principle and integrity
, Adding value to the work being accomplished
Question decisions and directions that are not congruent with goal
Complexity theory in healthcare - ANSWER-Promotes the idea that the world is full of
patterns that interact and adapt through
relationships
Uses a multifaceted approach, rather than linear
Critical thinking/ Clinical Judgment Model - ANSWER-Critical Thinking = problem
solving, decision making, clinical judgement, creativity
Clinical Judgement requires critical thinking
Nursing Process - ANSWER-ADPIE (Assessment, Diagnosis, Planning,
Implementation, and
Evaluation)
Bureaucratic Organizational Leadership: - ANSWER-Leadership that follows
established rules and regulations
Follows hierarchy - chain of command
Ex - Military
Cultural Linguistic Appropriate Services: - ANSWER-15 action steps to advance health
equity, improve quality, and eliminate health
disparities.
Provides blueprint for health organizations to implement services
Language assistance service
Elements of person centered care - ANSWER-1. Dignity
2. Compassion
3. Respect
*personalized, coordinated, enabling/supporting
Team STEPPS:
Decision Making - ANSWER-Goal directed, systematic process of making choices;
evaluate alternatives
Leader strategies: clarify the problem and decide if its routine
Tools - Clinical Judgement Model, grids, trees
Internal factors (within) vs External factors (outwardly)
Team STEPPS:
Brainstorming/Problem Solving: - ANSWER-Making a decision, but focusing on closing
the gap "what it is vs. what It could/should
be"
Evaluating solutions
Team STEPPS principles
