Leading and Managing in Nursing exam 1
1. You are a member of a team assigned to care for 15 general
medical/surgical clients. You have all worked well together in the past in this
same type of care. If you are assigned to coordinate this team's work, your
best strategy, based on the Hersey and Blanchard model, would be to::
Provide minimal direction and let them come to you with questions.
2. The nurse manager is setting up the room assignments for the unit. She
has one critical patient on the unit, who is going to require more care than the
others. Before delegating a task, a nurse manager should:: Assess the amount
of guidance and support needed in a particular situation.
3. A key advantage that a nurse manager has in terms of delegating is that::
Team skills can be used more effectively.
4. The nurse on the 7-7 shift is assigning a component of care to an
unlicensed nursing personnel employee. The night nurse should remain::
Accountable.
5. The night nurse understands that certain factors need to be considered
before delegating tasks to others. These factors include the:: Complexity of the
task and the potential for harm.
6. During a fire drill, the nurse manager becomes very assertive and
directive in her communications with staff. This type of situational leadership
depends on:: The development level of the followers and the type of behavior of
the leader.
7. The unit manager is working in a large metropolitan facility and is told
that two UNPs are to be assigned to work with her. Delegation begins with::
Matching tasks with qualified persons.
8. During staff development programs, staff nurses verbalize their
frustration about their workloads and having to delegate so many tasks to
others. One of the main reasons that delegation has emerged as an issue is
because of:: The complexity of client care.
9. The day shift nurse asks an LPN/LVN to complete a component of care
for a client. The day shift nurse is engaging in what function?: Assigning
10. You are working in a home health service and have 3 UNPs assigned to
your team. You have worked with two; the third is new. The two experienced
UNPs have patients with complex illnesses. The third has been assigned to
patients with less complex illnesses.: Meet the new staff member at the first
patient care site and call the others with questions to determine whether anything
is unusual.
, Leading and Managing in Nursing exam 1
11. With delegation, responsibility and accountability remain with the::
Professional who delegates.
12. Which of the following exemplifies accountability? Karen, the nurse
manager on 5E:: Outlines her rationale for reduction of RN coverage on nights to
the Nursing Practice Committee after serious patient injury.
13. Which of the following indicates safe delegation?: A unit manager agrees
to release a staff from her unit to Unit B. The staff member she agrees to release is
experienced on Unit B and is agreeable to the change. The unit manager's unit is
fully staffed and patients are stable.
14. Which of the following would be most in line with Hersey and Blanchard's
concepts?: The team of caregivers on day shift are familiar with their roles and
with the patients. The nurse manager decides to work on the unit budget in her
office.
15. In delegating to a UNP in a home health setting, which of the following
represents the most appropriate delegation communication?: "Mrs. S. needs
help to get into and out of her bathtub. Her bath will need to be completed by 10:00.
When you are helping her to dry, please check between her toes and toenails, and
phone me by 10:30 if you notice nail discoloration or redness."
16. An RN colleague, who is a long-standing and collaborative member of
your team, is performing a complex and novel dressing for the first time
for the patient to whom she has been assigned. Which of the following
would be the most appropriate communication with her?: "Here is what you
need for the dressing, and I will show you what needs to be done."
17. Sally is an experienced nurse on the unit and is very experienced with ICP
monitoring. She is assigned David, a patient who has been admitted with
a severe head injury. In communicating with Sally, you would:: Advise her
that you are available if she needs you.
18. You ask Evelyn to check what is left in Mrs. N.'s inhaler when makes visits
also to check if she is receiving positive effects from medication. for 3
weeks that Mrs. N. is using the inhaler and that there is enough medication
left. day of her last visit to Mrs. N. is admitted to hospital in severe
respiratory distress. When admitted, reports not been using inhaler for 4
weeks.: Failure to follow through.
19. You ask Evelyn, a new UNP, to check what is left in Mrs. N.'s inhaler when
Evelyn makes visits to Mrs. N. and also to check whether Mrs. N. is
, Leading and Managing in Nursing exam 1
receiving any positive effect from the medication. Evelyn reports for 3
weeks that Mrs. N. is using the inhaler and that there is enough medication
left in the device. The day of her last visit to Mrs. N., Mrs. N. is admitted to
the hospital in severe respiratory distress. When she is admitted, she tells
the physician that she has not been using the inhaler for 4 weeks. Before
assigning Evelyn to Mrs.
N.'s care, the most appropriate action of the care coordinator would have been
to:: Ask Evelyn if she has worked with inhalers before and to describe what she
knows about them.
20. You ask Evelyn, a new UNP, to check what is left in Mrs. N.'s inhaler when
Evelyn makes visits to Mrs. N. and also to check whether Mrs. N. is receiving
any positive effect from the medication. Evelyn reports for 3 weeks that Mrs.
N. is using the inhaler and that there is enough medication left in the device.
The day of her last visit to Mrs. N., Mrs. N. is admitted to the hospital in severe
respiratory distress. When she is admitted, she tells the physician that she
has not been using the inhaler for 4 weeks. Determination of Evelyn's
educational preparation and certification is related to the concept of::
Authority.
21. County Hospital has position descriptions for all staff, including RN Team
Leaders. Sarah, a team leader on the rehab unit, assesses the needs of the
patients in her area, assesses the skills and backgrounds of each of the
individuals on her team, and then assigns and delegates the appropriate
care provider to each patient and task. Sarah's activity in the example
described is termed:: Active delegation.
22. Functions such as "delegates tasks to assistive personnel" that are
outlined in a position description for an RN Team Leader would be
considered:: Passive delegation.
23. County Hospital has position descriptions for all staff, including RN Team
Leaders. Sarah, a team leader on the rehab unit, assesses the needs of the
patients in her area, assesses the skills and backgrounds of each of the
individuals on her team, and then assigns and delegates the appropriate
care provider to each patient and task. Sarah provides Colleen, her RN
colleague with details regarding the patients to whom Colleen has been
assigned on the day shift. This is an example of:: Assignment.
24. Leslie, a UNP, transfers a patient while using improper technique. The
patient is injured, and as a result, a suit is launched in which both Sarah
1. You are a member of a team assigned to care for 15 general
medical/surgical clients. You have all worked well together in the past in this
same type of care. If you are assigned to coordinate this team's work, your
best strategy, based on the Hersey and Blanchard model, would be to::
Provide minimal direction and let them come to you with questions.
2. The nurse manager is setting up the room assignments for the unit. She
has one critical patient on the unit, who is going to require more care than the
others. Before delegating a task, a nurse manager should:: Assess the amount
of guidance and support needed in a particular situation.
3. A key advantage that a nurse manager has in terms of delegating is that::
Team skills can be used more effectively.
4. The nurse on the 7-7 shift is assigning a component of care to an
unlicensed nursing personnel employee. The night nurse should remain::
Accountable.
5. The night nurse understands that certain factors need to be considered
before delegating tasks to others. These factors include the:: Complexity of the
task and the potential for harm.
6. During a fire drill, the nurse manager becomes very assertive and
directive in her communications with staff. This type of situational leadership
depends on:: The development level of the followers and the type of behavior of
the leader.
7. The unit manager is working in a large metropolitan facility and is told
that two UNPs are to be assigned to work with her. Delegation begins with::
Matching tasks with qualified persons.
8. During staff development programs, staff nurses verbalize their
frustration about their workloads and having to delegate so many tasks to
others. One of the main reasons that delegation has emerged as an issue is
because of:: The complexity of client care.
9. The day shift nurse asks an LPN/LVN to complete a component of care
for a client. The day shift nurse is engaging in what function?: Assigning
10. You are working in a home health service and have 3 UNPs assigned to
your team. You have worked with two; the third is new. The two experienced
UNPs have patients with complex illnesses. The third has been assigned to
patients with less complex illnesses.: Meet the new staff member at the first
patient care site and call the others with questions to determine whether anything
is unusual.
, Leading and Managing in Nursing exam 1
11. With delegation, responsibility and accountability remain with the::
Professional who delegates.
12. Which of the following exemplifies accountability? Karen, the nurse
manager on 5E:: Outlines her rationale for reduction of RN coverage on nights to
the Nursing Practice Committee after serious patient injury.
13. Which of the following indicates safe delegation?: A unit manager agrees
to release a staff from her unit to Unit B. The staff member she agrees to release is
experienced on Unit B and is agreeable to the change. The unit manager's unit is
fully staffed and patients are stable.
14. Which of the following would be most in line with Hersey and Blanchard's
concepts?: The team of caregivers on day shift are familiar with their roles and
with the patients. The nurse manager decides to work on the unit budget in her
office.
15. In delegating to a UNP in a home health setting, which of the following
represents the most appropriate delegation communication?: "Mrs. S. needs
help to get into and out of her bathtub. Her bath will need to be completed by 10:00.
When you are helping her to dry, please check between her toes and toenails, and
phone me by 10:30 if you notice nail discoloration or redness."
16. An RN colleague, who is a long-standing and collaborative member of
your team, is performing a complex and novel dressing for the first time
for the patient to whom she has been assigned. Which of the following
would be the most appropriate communication with her?: "Here is what you
need for the dressing, and I will show you what needs to be done."
17. Sally is an experienced nurse on the unit and is very experienced with ICP
monitoring. She is assigned David, a patient who has been admitted with
a severe head injury. In communicating with Sally, you would:: Advise her
that you are available if she needs you.
18. You ask Evelyn to check what is left in Mrs. N.'s inhaler when makes visits
also to check if she is receiving positive effects from medication. for 3
weeks that Mrs. N. is using the inhaler and that there is enough medication
left. day of her last visit to Mrs. N. is admitted to hospital in severe
respiratory distress. When admitted, reports not been using inhaler for 4
weeks.: Failure to follow through.
19. You ask Evelyn, a new UNP, to check what is left in Mrs. N.'s inhaler when
Evelyn makes visits to Mrs. N. and also to check whether Mrs. N. is
, Leading and Managing in Nursing exam 1
receiving any positive effect from the medication. Evelyn reports for 3
weeks that Mrs. N. is using the inhaler and that there is enough medication
left in the device. The day of her last visit to Mrs. N., Mrs. N. is admitted to
the hospital in severe respiratory distress. When she is admitted, she tells
the physician that she has not been using the inhaler for 4 weeks. Before
assigning Evelyn to Mrs.
N.'s care, the most appropriate action of the care coordinator would have been
to:: Ask Evelyn if she has worked with inhalers before and to describe what she
knows about them.
20. You ask Evelyn, a new UNP, to check what is left in Mrs. N.'s inhaler when
Evelyn makes visits to Mrs. N. and also to check whether Mrs. N. is receiving
any positive effect from the medication. Evelyn reports for 3 weeks that Mrs.
N. is using the inhaler and that there is enough medication left in the device.
The day of her last visit to Mrs. N., Mrs. N. is admitted to the hospital in severe
respiratory distress. When she is admitted, she tells the physician that she
has not been using the inhaler for 4 weeks. Determination of Evelyn's
educational preparation and certification is related to the concept of::
Authority.
21. County Hospital has position descriptions for all staff, including RN Team
Leaders. Sarah, a team leader on the rehab unit, assesses the needs of the
patients in her area, assesses the skills and backgrounds of each of the
individuals on her team, and then assigns and delegates the appropriate
care provider to each patient and task. Sarah's activity in the example
described is termed:: Active delegation.
22. Functions such as "delegates tasks to assistive personnel" that are
outlined in a position description for an RN Team Leader would be
considered:: Passive delegation.
23. County Hospital has position descriptions for all staff, including RN Team
Leaders. Sarah, a team leader on the rehab unit, assesses the needs of the
patients in her area, assesses the skills and backgrounds of each of the
individuals on her team, and then assigns and delegates the appropriate
care provider to each patient and task. Sarah provides Colleen, her RN
colleague with details regarding the patients to whom Colleen has been
assigned on the day shift. This is an example of:: Assignment.
24. Leslie, a UNP, transfers a patient while using improper technique. The
patient is injured, and as a result, a suit is launched in which both Sarah
