Leadership and Management test 2
Questions – 100% Correct, Expert
Verified Answers with A+ Grade
Assurance
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:
a. Have a list of tasks to be accomplished and tell each member of the team
what he or she must do.
b. Encourage people to discuss their frustrations in providing this care.
c. Ignore them—they've done it before.
d. Provide minimal direction and let them come to you with questions. ANSW
✔✔ ANS: D
According to the Hersey and Blanchard model, when ability (skills, job
knowledge) and willingness are strong, the role of the delegator is less
("delegating behavior").
An outpatient clinic advertised for RN positions. Before authorizing an open
position, the nurse manager should:
a. Review the position description and performance expectations for the
opening.
b. Place an ad in the local newspaper and on the telephone job line.
c. Review all current applications on file.
d. Look for employees within the system who might best fill the position.
ANSW ✔✔ ANS: A
The position description provides the basis for this position within the
organization and communicates expectations for the role. When applying for a
position, researching the facility and position description will help an applicant
,gain insight into the organization; therefore, the position description should be
current and communicate expectations.
The most important approach that a nurse manager can take with an
emotionally troubled employee is to:
a.Act as a therapist for the employee.
b.Adjust the standard of care to assist the employee.
c.Assist the employee in obtaining professional help.
d.Adjust the employee's work schedule to decrease stress ANSW ✔✔ Assist
the employee in obtaining professional help.
Your healthcare organization places a high value on workplace safety and
integrates this into all aspects of administrative and patient care processes. As
a unit manager, you thoroughly endorse this direction, and during the
selection and hiring of new staff, you consistently:
a. Refuse to hire applicants who are pushy during interviews.
b. Thoroughly follow up with all references before offering a position.
c. Ask applicants during the interview if drug or alcohol abuse is a problem.
d. Refuse to interview applicants with sporadic work histories ANSW ✔✔ ANS:
B
Determining if current employees pose a danger in the workplace is a critical
factor that is often overlooked. In addition to personal and psychological
factors, behaviors can be observed in employees that may be related to
violence or aggression in the workplace (Paludi, Nydegger, & Paludi, 2006). The
most obvious indicator is a previous history of aggression and substance abuse.
Screening potential employees through drug testing, background checks, and
references can help reduce the risk of hiring someone who may pose a danger
in the workplace.
REF: Page 469 | Page 470 TOP: AONE competency: Business Skills
,In a small rural nursing home, a director of nursing decides, because of a
shortage of nurses, to implement a partnership model to help with basic tasks
that comply with state rules regarding delegation. What type of design
constitutes a partnership care delivery model?
a. RN and LPN/LVN
b. RN and RN
c. RN and medication assistants
d. RN and certified nurses' aides ANSW ✔✔ ANS: C
The partnership care delivery model is a variation of primary nursing in which
an RN works with a consistent assistant, who performs basic nursing functions
consistent with state delegation rules.
The team leader notices at the beginning of the shift that all of the IV ABX for a
client are still in the medication room. Which action should the team leader
take first?
1. ask client if client received the meds on previous shift
2. return meds to pharmacy so client does not get billed
3. ask nurse who cared for the client about the medications
4. notify the nurse-manager of the unit ANSW ✔✔ 3.
team leader should attempt to clarify with the involved staff first
The nurse manager knows that the most serious effect that absenteeism has
on the nursing unit is that:
a.Using replacement personnel with new ideas may be beneficial.
b.Salary costs are lower because personnel are fewer, and outcome is
favorable.
c.Absence on the part of the rest of the staff is decreased.
, d.Unacceptable patient care may result. ANSW ✔✔ Unacceptable patient
care may result.
The relief charge nurse has assigned a newly licensed baccalaureate-prepared
nurse to be one of the team leaders for the 3-11 shift. In making this decision,
the charge nurse has overlooked this nurse's:
a. Clinical expertise.
b. Leadership ability.
c. Communication style.
d. Conflict-resolution skills. ANSW ✔✔ ANS: A
Because the basic education of baccalaureate-prepared RNs emphasizes
critical-thinking, clinical reasoning, and leadership concepts, they are likely
candidates for such roles. Benner (2001), however, identified five stages of
clinical competence for nurses: novice, advanced beginner, competent,
proficient, and expert. She suggests that competence is typified by a nurse
who has been on the job in the same or similar situation 2 to 3 years. Nurses
who are at the novice or advanced beginner stage would be less likely than
their more experienced counterparts to implement any type of delivery model
effectively and thus, this assignment overlooks the nurse's level of clinical
expertise and leadership experience.
2. You need to terminate Gregory, who has had a long-standing history of
conflict with you and the staff, and who recently was charged with theft of
patient belongings. You consult Human Resources, and together, you develop a
plan, which includes:
a. A private meeting with Gregory, a Human Resources representative, and you
to deliver the news and deliver the termination notice and all other documents
that are related.
b. Planning an opportunity for Gregory to return and be recognized at a staff
farewell.
c. Calling Gregory at home to tell him that he is fired and that his paperwork
will be sent to him at a future date.
Questions – 100% Correct, Expert
Verified Answers with A+ Grade
Assurance
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:
a. Have a list of tasks to be accomplished and tell each member of the team
what he or she must do.
b. Encourage people to discuss their frustrations in providing this care.
c. Ignore them—they've done it before.
d. Provide minimal direction and let them come to you with questions. ANSW
✔✔ ANS: D
According to the Hersey and Blanchard model, when ability (skills, job
knowledge) and willingness are strong, the role of the delegator is less
("delegating behavior").
An outpatient clinic advertised for RN positions. Before authorizing an open
position, the nurse manager should:
a. Review the position description and performance expectations for the
opening.
b. Place an ad in the local newspaper and on the telephone job line.
c. Review all current applications on file.
d. Look for employees within the system who might best fill the position.
ANSW ✔✔ ANS: A
The position description provides the basis for this position within the
organization and communicates expectations for the role. When applying for a
position, researching the facility and position description will help an applicant
,gain insight into the organization; therefore, the position description should be
current and communicate expectations.
The most important approach that a nurse manager can take with an
emotionally troubled employee is to:
a.Act as a therapist for the employee.
b.Adjust the standard of care to assist the employee.
c.Assist the employee in obtaining professional help.
d.Adjust the employee's work schedule to decrease stress ANSW ✔✔ Assist
the employee in obtaining professional help.
Your healthcare organization places a high value on workplace safety and
integrates this into all aspects of administrative and patient care processes. As
a unit manager, you thoroughly endorse this direction, and during the
selection and hiring of new staff, you consistently:
a. Refuse to hire applicants who are pushy during interviews.
b. Thoroughly follow up with all references before offering a position.
c. Ask applicants during the interview if drug or alcohol abuse is a problem.
d. Refuse to interview applicants with sporadic work histories ANSW ✔✔ ANS:
B
Determining if current employees pose a danger in the workplace is a critical
factor that is often overlooked. In addition to personal and psychological
factors, behaviors can be observed in employees that may be related to
violence or aggression in the workplace (Paludi, Nydegger, & Paludi, 2006). The
most obvious indicator is a previous history of aggression and substance abuse.
Screening potential employees through drug testing, background checks, and
references can help reduce the risk of hiring someone who may pose a danger
in the workplace.
REF: Page 469 | Page 470 TOP: AONE competency: Business Skills
,In a small rural nursing home, a director of nursing decides, because of a
shortage of nurses, to implement a partnership model to help with basic tasks
that comply with state rules regarding delegation. What type of design
constitutes a partnership care delivery model?
a. RN and LPN/LVN
b. RN and RN
c. RN and medication assistants
d. RN and certified nurses' aides ANSW ✔✔ ANS: C
The partnership care delivery model is a variation of primary nursing in which
an RN works with a consistent assistant, who performs basic nursing functions
consistent with state delegation rules.
The team leader notices at the beginning of the shift that all of the IV ABX for a
client are still in the medication room. Which action should the team leader
take first?
1. ask client if client received the meds on previous shift
2. return meds to pharmacy so client does not get billed
3. ask nurse who cared for the client about the medications
4. notify the nurse-manager of the unit ANSW ✔✔ 3.
team leader should attempt to clarify with the involved staff first
The nurse manager knows that the most serious effect that absenteeism has
on the nursing unit is that:
a.Using replacement personnel with new ideas may be beneficial.
b.Salary costs are lower because personnel are fewer, and outcome is
favorable.
c.Absence on the part of the rest of the staff is decreased.
, d.Unacceptable patient care may result. ANSW ✔✔ Unacceptable patient
care may result.
The relief charge nurse has assigned a newly licensed baccalaureate-prepared
nurse to be one of the team leaders for the 3-11 shift. In making this decision,
the charge nurse has overlooked this nurse's:
a. Clinical expertise.
b. Leadership ability.
c. Communication style.
d. Conflict-resolution skills. ANSW ✔✔ ANS: A
Because the basic education of baccalaureate-prepared RNs emphasizes
critical-thinking, clinical reasoning, and leadership concepts, they are likely
candidates for such roles. Benner (2001), however, identified five stages of
clinical competence for nurses: novice, advanced beginner, competent,
proficient, and expert. She suggests that competence is typified by a nurse
who has been on the job in the same or similar situation 2 to 3 years. Nurses
who are at the novice or advanced beginner stage would be less likely than
their more experienced counterparts to implement any type of delivery model
effectively and thus, this assignment overlooks the nurse's level of clinical
expertise and leadership experience.
2. You need to terminate Gregory, who has had a long-standing history of
conflict with you and the staff, and who recently was charged with theft of
patient belongings. You consult Human Resources, and together, you develop a
plan, which includes:
a. A private meeting with Gregory, a Human Resources representative, and you
to deliver the news and deliver the termination notice and all other documents
that are related.
b. Planning an opportunity for Gregory to return and be recognized at a staff
farewell.
c. Calling Gregory at home to tell him that he is fired and that his paperwork
will be sent to him at a future date.
