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chapter 28 (528-529)

Question 1 of 10

1

The nurse leader informs the staff of a local emergency and instructs them to stay at the hospital to prepare for major casualties. The staff displays high levels of anxiety and disorganization. Which is the most appropriate leadership style at this time is?

Select one of the following:

  • Autocratic

  • Democratic

  • Laissez-faire

  • Bureaucratic

Explanation

Question 2 of 10

1

During client rounds, a client tells the nurse manager that he has not received his medications all shift. In using the skills and competencies of a manager, what will be the nurse’s first action?

Select one of the following:

  • Communicate: Discuss the client’s statement with the assigned nurse.

  • Manage resources: Assign another nurse to administer the client’s medications.

  • Enhance employee performance: Provide the client’s nurse with a mentor to review proper medication procedures.

  • Manage conflict: Call the nurse into the client’s room and mediate a discussion between them.

Explanation

Question 3 of 10

1

Which example reflects a nurse manager with accountability but not authority?

Select one of the following:

  • To reduce costs, administrators instruct the manager to inform the staff to reduce overtime.

  • The manager evaluates the unit staff but cannot promote or terminate staff.

  • The manager is to recommend a new staffing procedure to the institution’s nurse manager group

  • The manager prepares a monthly budget variance report that includes plans to correct overspending.

Explanation

Question 4 of 10

1

An unlicensed assistant (UAP) has previously performed client transfers safely (bed to chair) on many occasions. It would be inappropriate to delegate this unsupervised task to the UAP under which condition?

Select one of the following:

  • The unit had a new wheelchair

  • This was an elderly client.

  • It was the client’s first time out of bed after surgery.

  • The UAP has just returned from an extended leave of absence.

Explanation

Question 5 of 10

1

The nurse manager plans to implement a new method for scheduling staff vacations. Senior staff members oppose the change while newer staff members are more accepting. Which is the most effective strategy for resolving this difference?

Select one of the following:

  • Provide extensive and detailed rationale for the proposed change, then implement.

  • Explain that the change will occur as designed, regardless of the staff’s preference.

  • Withdraw the proposal to prevent a decrease in staff morale.

  • Encourage interaction between the opposing sides to attempt resolution.

Explanation

Question 6 of 10

1

Which is more commonly a characteristic of a manager rather than a leader?

Select one of the following:

  • Visionary

  • Has been given legitimate power by the organization

  • Primary effectiveness is through influencing others

  • Often takes risks and explores new solutions to
    problems

Explanation

Question 7 of 10

1

A leader is most likely to be effective when acting which way? Select all that apply

Select one or more of the following:

  • Adopts the leadership style of the leader who had the position before him or her

  • Gives equal consideration to group members who are in favor of and opposed to a desired change

  • Plans and organizes group activities

  • Modifies his or her own behaviors based on the needs of individual members of the group

  • Asks members for opinion of the leader’s effectiveness

Explanation

Question 8 of 10

1

When economic conditions are tight, a hospital may reduce the number of middle-level nurse managers. This can potentially disrupt nursing care because middle-level managers are responsible for which of the following?

Select one of the following:

  • Supervision of nonmanagerial staff

  • Reporting institutional changes to direct-care staff

  • Productivity and effectiveness of a group of managers

  • Creating institutional goals and strategic plans

Explanation

Question 9 of 10

1

A management function of bedside direct-care nurses includes determining whether the client has reached the intended outcomes designated in the care plan. This is an example of which of the four management functions?

Select one of the following:

  • Planning

  • Organizing

  • Directing

  • Coordinating

Explanation

Question 10 of 10

1

The nurse asks an unlicensed assistant (UAP) to weigh a client. The UAP carefully assists the client out of bed to stand on the scale, weighs the client, and safely returns the client to bed. Later, when the UAP reports the weight to the nurse, it is discovered that the client had been placed on bed rest and should not have been allowed out of bed. This situation violates which of the following five rights of delegation?

Select one of the following:

  • Right task

  • Right person

  • Right direction and communication

  • Right supervision and evaluation

Explanation

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