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,Chapter 01: Leadership and Management Principles
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Huber: Leadership & Nursing Care Management, 6th Edition
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MULTIPLE CHOICE h
1. Leadership is best defined as: h h h h
a. an interpersonal process of participating by encouraging fellowship.
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b. delegation of authority and responsibility and the coordination of activities.
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c. inspiring people to accomplish goals through support and confidence building.
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d. the integration of resources through planning, organizing, and directing.
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ANS: C h
Leadership is the process of influencing people to accomplish goals by inspiring confidence and
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support among followers.
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DIF: Cognitive Level:Remember (Knowledge) h h h
TOP: Nursing Process: Assessment
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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2. A medical-surgical unit reports higher rates of patient satisfaction coupled with high rates of staff
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satisfaction and productivity. Which of the following is attributed to the data findings?
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a. Effective leadership h
b. Management involvement h
c. Mentoring
d. Rewards and recognition h h
ANS: A h
Effective leadership is important in nursing because of the impact on nurses’ work lives, it being a
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stabilizing influence during change, and for nurses’ productivity and quality of care.
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DIF: Cognitive Level:Apply (Application) h h h
TOP: Nursing Process: Assessment
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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3. A staff registered nurse (RN) is leading a multidisciplinary clinical pathway team in the
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development of care for patients with total knee replacement. Which of the following
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statements exemplifies leadership behaviors in a clinical pathway team meeting?
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a. “Nursing is responsible for pain control of the total knee replacement patient.”
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b. “Our pharmacist has provided some excellent pain control literature.”
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c. “Physical therapy’s expertise is in rehabilitation, not pain control.”
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d. “Total knee replacement patients require optimal pain control.”
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ANS: B h
Leadership is the process of influencing people to accomplish goals by inspiring confidence and
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support among followers. The correct answer is supportive of a team member’s work and depicts
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some skill at interpersonal relationships.
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DIF: Cognitive Level:Apply (Application) h h h
TOP: Nursing Process: Assessment
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MSC: Client Needs: Physiological Integrity: Pharmacological and Parenteral Therapies
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,4. Which of the following is true of management activities?
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a. Inspiring a vision is a management function. h h h h h h
b. Management is focused on task accomplishment. h h h h h
c. Management is more focused on human relationships. h h h h h h
d. Management is more important than leadership. h h h h h
ANS: B h
Management is focused on task accomplishment. h h h h h
DIF: Cognitive Level:Remember (Knowledge) h h h
TOP: Nursing Process: Assessment
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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5. During a staff meeting, a group of RNs has complained that medications are not arriving to the
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unit in a timely manner. The nurse manager suggests that the group resolve this issue through the
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development and work of a multidisciplinary team led by one of these RNs. This scenario
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demonstrates:
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a. adaptation.
b. empowerment.
c. flexibility.
d. relationship management. h
ANS: B h
Empowerment is the giving of authority, responsibility, and the freedom to act. In this h h h h h h h h h h h h h
situation, the manager has given authority, responsibility, and the freedom to act in the
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investigation and resolution of this issue.
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DIF: Cognitive Level: ApplyN
(Ap R
p l icaIti o nG)
TOP: Nursing Process: Assessment
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U S N T h
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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6. A nurse is caring for an elderly patient who was admitted after sustaining a fall at home. When
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creating a care plan for the patient, she requests that the doctor order a home health visit to assess for
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home safety and medication compliance. In addition, the nurse is concerned about the nutrition of
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the patient and requests a dietitian evaluation. The nurse is demonstrating which of the following
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leadership skills?
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a. Care provider h
b. Business principles h
c. Care coordination h
d. Change management h
ANS: C h
Care coordination is the delivery of nursing services that involves the organization and
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coordination of complex activities. The nurse uses managerial and leadership skills to facilitate
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delivery of quality care.
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DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Planning h h h h h h
MSC: Client Needs: Physiological Integrity: Reduction of Risk Potential
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7. Interpersonal communication and the ability to apply h h h h h h are two critical skills every nurse
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needs to enhance professional practice.
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a. vision
, b. supervision
c. delegation
d. problem solving h
ANS: D h
Every nurse needs two critical skills to enhance professional practice. One is a skill at interpersonal
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relationships. This is fundamental to leadership and the work of nursing. The second skill is
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applying the problem-solving process. This involves critical thinking, problem identification, and
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the development of objectivity.
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DIF: Cognitive Level:Remember (Knowledge) h h h
TOP: Nursing Process: Assessment
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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8. Good leaders need to be able to demonstrate an intuitive skill of empathy and expressiveness
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when dealing with others in the workplace. This requires sensitivity and awareness of the
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emotions and moods of others and is known as:
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a. social awareness. h
b. self-awareness.
c. self-management.
d. relationship management. h
ANS: A h
Social awareness is an intuitive skill of empathyand expressiveness in being sensitive and aware of
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the emotions and moods of others.
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DIF: Cognitive Level: Remember (Knowledge) h h h
TOP: Nursing Process: AssessN t INGTB.C OM
menR
U S Care
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MSC: Client Needs: Safe and Effective
h Environment: Management of Care
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9. The personal leadership skill for nurses that consists of self-awareness, discipline, motivation,
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social awareness, and relationship management is known as what?
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a. Leadership.
b. Management.
c. Emotional intelligence h
d. Vision
ANS: C h
Among the important personal leadership skills for nurses is emotional intelligence (EI). EI traits
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are emotional factors consisting of five defining attributes: self-awareness,
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self-regulation or discipline, motivation, social awareness, and relationship management.
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DIF: Cognitive Level:Remember (Knowledge) h h h
TOP: Nursing Process: Implementation
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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10. are vital to good leaders because they are able to take the vision of the leader and
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achieve the determined goals.
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a. Managers
b. Motivators
c. Visionaries
d. Followers