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chapter 28 (528-529)

Pregunta 1 de 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?

Selecciona una de las siguientes respuestas posibles:

  • Autocratic

  • Democratic

  • Laissez-faire

  • Bureaucratic

Explicación

Pregunta 2 de 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?

Selecciona una de las siguientes respuestas posibles:

  • 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.

Explicación

Pregunta 3 de 10

1

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

Selecciona una de las siguientes respuestas posibles:

  • 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.

Explicación

Pregunta 4 de 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?

Selecciona una de las siguientes respuestas posibles:

  • 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.

Explicación

Pregunta 5 de 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?

Selecciona una de las siguientes respuestas posibles:

  • 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.

Explicación

Pregunta 6 de 10

1

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

Selecciona una de las siguientes respuestas posibles:

  • Visionary

  • Has been given legitimate power by the organization

  • Primary effectiveness is through influencing others

  • Often takes risks and explores new solutions to
    problems

Explicación

Pregunta 7 de 10

1

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

Selecciona una o más de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 8 de 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?

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 9 de 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?

Selecciona una de las siguientes respuestas posibles:

  • Planning

  • Organizing

  • Directing

  • Coordinating

Explicación

Pregunta 10 de 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?

Selecciona una de las siguientes respuestas posibles:

  • Right task

  • Right person

  • Right direction and communication

  • Right supervision and evaluation

Explicación

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