A charge nurse in a busy hospital manages a skilled nursing unit using an autocratic style of leadership. Which leadership tasks best represents this style of leadership?
The charge nurse polls the other nurses for input on nursing protocols.
The charge nurse dictates break schedules for the other nurses.
The charge nurse schedules a mandatory in-service on new equipment.
The charge nurse allows the other nurses to divide up nursing tasks
The charge nurse delegates nursing responsibilities to the staff
The charge nurse encourages the nurses to work independently
A nurse who is newly hired to manage a busy pediatric office is encouraged to sue a transactional leadership style when dealing with subordinates. Which activities best exemplify the use of this type of leadership?
The manager institutes a reward program for employees meeting goals and work deadlines
The manager encourages the other nurses to participate in health care reform by joining nursing organizations
The manager promotes compliance by reminding subordinates that they have a good salary and working conditions
The manager makes sure all the employees are kept abreast of new developments in pediatric nursing
The manager works with subordinates to accomplish all the nursing tasks and goals for the day
The manager allows the other nurses to set their own schedules and perform nursing care as they see fit
A nurse manager of a busy cardiac unit observes disagreements between the RNs and LPNs related to schedules and nursing responsibilities. At a staff meeting, the manager compliments all the nurses on a job well done and points out that expected goals and outcomes for the month have been met. The nurse concludes the meeting without addressing the disagreements between the two groups of nurses. Which of the following conflict resolution strategies is being employed by this manager?
Collaborating
Competing
Compromising
Smoothing
A nurse manager in a long-term care facility threatens to fire subordinates who refuse to work overtime when needed. This manager is displaying what type of power?
Expert power
Referent power
Coercive power
Informational power
A nurse manager is attempting to update a physician's office from paper to electronic health records (EHR) by using the eight-step process for planned change. Place the following actions in the order in which they should be initiated:
The nurse devises a plan to switch to electronic health records: ❌ The nurse records the time spent on written records vs. electronic health records: ❌ The nurse seeks approval from management for new computers: ❌ The nurse analyzes all options for converting to electronic health records: ❌ The nurse installs new computers and provides an in-service for the staff: ❌ The nurse explores possible barriers to changing to electronic health records: ❌ The nurse follows up with the staff to check compliance with the new system: ❌ The nurse evaluates the effects of changing to electronic health records: ❌
A nurse manager who is attempting to institute the SBAR process to communicate with physicians and transfer patient information to other nurses is meeting staff resistance to the change. Which action would be most effective in approaching this resistance?
Containing the anxiety in a small group and moving forward with the initiative
Explaining the change and listing the advantages to the individual and the organization
Reprimanding those who oppose the new initiative and praising those who willingly accept the change
Introducing the change quickly and involving the staff in the implementation of the change
A nurse is asked to act as a mentor to a new nurse. Which nursing action is related to this process?
The nurse mentor accepts payment to introduce the new nurse to his or her responsibilities
The nurse mentor hires the new nurse and assigns duties related to the position
The nurse mentor make it possible for the new nurse to participate in professional organizations
The nurse mentor advises and assists the new nurse to adjust to the work environment of a busy emergency department
An RN on a surgical unit is behind schedule administering medications. Which of the RN's other tasks can be safely delegated to a UAP?
The assessment of a patient who has just arrived on the unit
Teaching a patient with newly diagnosed diabetes about foot care
Documentation of a patients's I&O on the flow chart
Helping a patient who has recently undergone surgery out of bed for the first time
A nurse is using time management techniques when planning activities for patients. Which nursing action reflects effective time management?
The nurse asks patients what is their priority to accomplish each day
The nurse includes a "nice to do" for every "need to do" task on the list
The nurse "front loads" the schedule with "must do" priorities
The nurse avoids helping other nurses if scheduling does not permit it
A new nurse manager a a small hospital is interested in achieving Magnet status. Which action would best help the hospital to achieve this goal?
Centralizing the decision-making process
Promoting self-governance at the unit level
Deterring professional autonomy to promote teamwork
Promoting evidence-based practice over innovative nursing practice
Conflict has emerged on a nursing unit due to the perception by new graduates that some of the more experienced nurses are manipulating the client assignment to ensure a lighter workload during night shifts. How should the manager of the unit best address this conflict?
Gather evidence over the next several weeks in order to determine if the practice is indeed happening
Arrange for the newer nurses to organize the client assignment for a trial period
Reassure the new graduates that the more experienced nurses are acting in the interest of both clients and staff
Arrange a meeting where the issue can be discussed and addressed by as many as the nurses as possible
A nurse manager and the charge nurse have two employees who disagree with the accomplishment of client care. The management determines a mutually agreed-upon time to discuss this situation with all the members involved. This activity is called what?
Delegation
Conflict resolution
Problem solving
Client protection
How might one define leadership?
Leadership is the process of interviewing, hiring and firing personnel
Leadership is the process of guiding, educating, motivating, and directing others
Leadership is the process of planning, organizing, directing and controlling activities
Leadership is the process by which the leader shares power with others
The primary responsibility of the nursing manager is to
create plans and budgets
evaluate nursing care plans
direct discharge planning
provide direct client care
A nurse plans the nursing activities for the shift. Which of the following activities should the nurse assign to the nursing assistant?
Administer anti-emetics to a post-operative client
Assist a client to ambulate and sit on a bedside chair
Assess the airway of a mechanically ventilated airway
Perform tracheostomy suction for a client
How should a nurse leader best addresses nurses' to a change in the shift-scheduling protocol on their hospital unit?
Put the matter to a vote, and respect the wishes of the majority
Allow those who remain unconvinced to temporarily opt out of the proposed change
Explain the cost savings that the change will bring to the hospital
Explain the benefits of the change and elicit honest feedback
April and Sara are nurse managers for different units in the hospital. They are planning for a major change to occur on both units. Sara tells April she has identified a key power player on her unit. Which of the following describes what Sara means by this term?
Someone in whom Sara can confide
A regular employee who is a natural leader
An employee who will resists the change
Someone who spreads untrue rumors
Karen Wolf, RN, is the charge nurse on the orthopedic unit. She believes in giving the staff as much power as possible. The nurses are allowed, among other things, to create their own work schedules, provide dates and times for unit meetings, and create the agendas, to which Karen contributes. Karen's style of leadership can be described as which of the following?
Transformational
Laissez-faire
Autocratic
Democratic
Following a myocardial infarction a client begins to recognize the need to increase exercise, eat a low fat diet, and implement relaxation techniques. According to Lewin, this is an example of what type of change?
Unfreezing
Refreezing
Movement
Prizing
A nurse manager informs the staff members during a meeting that unlicensed assistive personnel will no longer be allowed to check patient's glucose levels. The nurse manager informs the group this was a new policy on the unit, and discussions will not change the enforcement of this policy. What type of leadership style is the nurse manager demonstrating?
The designated charge nurse on the telemetry unit organizes and facilitates the unit meetings; however, during most of the meetings, another registered nurse runs the show and influences staff decisions just by her charisma and personality. Her power to lead is defined by which of the following terms?
Implied
Explicit
Situational
The nurse manager for the psychiatric unit sees that there are a major conflicts between the day and night shift staff. The nurse manager suggests that each shift put aside their differences for a time and determine a common major goal. Which of the following conflict resolution styles does the nurse manager display?
Avoiding
A nurse is considering applying for a leadership role on her medical unit. She asks her colleagues what they consider to be good personal leadership skills. Which of the following would be appropriate?
Knowledge of all nursing
Self-evaluation
Communication
Religious values
A registered nurse serves as the chair of the Nursing Practice Committee for the hospital. The meetings do not have a planned agenda, members of the committee who are interested in a particular topic feel free to suggest it and then to lead the subsequent discussion. The chair's leadership style could be termed what?
Decentralization
A nurse manager tells her staff that they need to increase response time to client requests, by five minutes, beginning tomorrow. The time to begin this activity has been established by the manager and her staff. This action involves goal setting. What leadership style is noted with the implementation of goal setting?
Shared governance
Institutional governance
Directive leadership
Participative leadership
In a nursing unit, the RN delegates nursing tasks to the nursing assistant. Keeping in mind the delegation guidelines, which of the following statements denotes the right direction for the nursing assistant.
Inspect the site for thrombophlebitis
Discontinue the IV solution
Check the infusion rate
Dispose of the disconnected IV set
The nurse manager in a critical care unit actively listens to his staff and engages staff to offer decision regarding problem solving and implementing these decisions. What type of managerial mindset does this manager exhibit?
Analytical mindeset
Action mindset
Collaborative mindset
Reflective mindset
A staff nurse works on a medical unit where staff retention is very high. There is a sense of equality between the leader and the staff nurses. The unit decisions and activities are shared between the leader and the group. The designated nurse leader practices which of the following leadership styles?
Laissez-Faire
The nurse manager for a surgical unit is planning a significant change on how the unit functions. She plans to include some things that will help the staff overcome any resistance to the change. Which of the following might help overcome resistance to Megan's planned changes?
Refuse to hear any discussion
Provide incentives, such as time off
Threaten to end staff 's employment
Demand loyalty and commitment
A nurse manager must provide care to her clients and to her employees under her constraints of her resources. This involves maintaining the financial constraints of her division. What term best describes this scenario?
Financial management
Allocation
Resource management
Management
A staff nurse works on a surgical unit where the nurse leader allows the staff to make all decisions and direct themselves. The staff nurses fill out the work schedule and sometimes there are days where the unit is short staffed. The staff nurse feels the unit needs better leadership. The nurse leader is practicing which of the following leadership styles?
Which of the following nurse leaders most clearly exemplifies transformational leadership?
A leader who prioritizes the delegation of leadership to the individual members of the group
A leader who is dynamic, inspiring, and promotes change by the power of her convictions
A leader who prioritizes the fact that every member of the team is considered valuable and equal
A leader who is careful to thoughtfully assess the issues and priorities surrounding a problem prior to acting
A nurse is in charge of a large group of employees on a busy surgical floor. Today's care must completed early due to a special event involving most of the employees. Which management style would work best in this situation?
Authoritarian
Coercive
The nurses who provide care on a medical unit are skeptical about the planned change from a traditional narcotic cupboard to a computerized medical supply and management system. Which of the following statements demonstrates mistrust about the benefit of this proposed change?
Those machines cost a fortune and there are way better ways to spend that money
There's no way that i'm going to be able to learn deal with a computer
I think that they want us to use these machines just so they can track or work activity closer
I've heard those machines don't even cut down on med errors like they say they do.
theory views an organization and its members as interconnected and collaborative.
