Deck 9: The Nurse As Leader and Manager

Question 1

The chair of a hospital committee acts as a facilitator and provides constructive criticism,information,and suggestions.Which style of leadership does this represent?

A)Authoritarian
B)Transformational
C)Democratic
D)Laissez-faire

Answer 1

Democratic

Question 2

What are characteristics of successful leadership? (Select all that apply. )

A)Empowerment
B)Self-understanding
C)Intuition
D)Values incongruence
E)Emphasis on control

Answer 2

Empowerment
Self-understanding
Intuition

Question 3

Which of these statements is most accurate?

A)Managers are born;leaders must be educated.
B)Leaders are born;managers must be educated.
C)Managers have formal leadership titles in the organization;leaders are often informal leaders.
D)Leaders have formal leadership titles in the organization;managers are informal leaders.

Answer 3

Managers have formal leadership titles in the organization;leaders are often informal leaders.

Question 4

The nurse-manager tends to make most unit decisions without consulting the nursing staff.Which word best describes this style of leadership?

A)Authoritarian
B)Situational
C)Transformational
D)Laissez-faire

Question 5

What is the definition of leadership?

A)Coordination and integration of resources.
B)Planning,organizing,directing,and controlling.
C)Process of influencing people to accomplish goals.
D)Accomplishing specific institutional goals and objectives.

Question 6

The home health nurse visits the client three times a week,assesses for health changes,sets up weekly medications for the client,and changes the client's leg dressing.Which type of nursing delivery model is this?

A)Team nursing
B)Case management
C)Total patient care
D)Functional care

Question 7

What is the focus of leadership?

A)People
B)Systems
C)Structures
D)Other organizations

Question 8

Which option characterizes the situational style of leadership?

A)The leader inspires through faith and belief.
B)The leader demonstrates affection and concern for group members.
C)The leader provides direction and support according to the level of the maturity of the group members.
D)The leader negotiates an exchange based on incentives.

Question 9

What is the best way for the nurse to ensure control on the nursing unit?

A)Create tightly written job descriptions
B)Write extensive rules
C)Make certain that procedures are strict
D)Support continuous quality improvement activities

Question 10

What must the nurse consider when delegating responsibility to another? (Select all that apply. )

A)The client's needs
B)The skill level of the worker
C)The client's goals
D)The worker's gender
E)How long the worker has been at the facility

Question 11

The manager of an emergency department tries to involve staff in department decisions.However,when a mass casualty situation arises,the nurse becomes very directive.What style of leadership does this situation describe?

A)Authoritarian
B)Transformational
C)Laissez-faire
D)Situational

Question 12

The nurse is caring for a client who requires an intervention the nurse does not know how to perform.Can the nurse delegate this intervention to another person?

A)No;the nurse should delegate only activities that he or she would be willing and able to do.
B)No;the nurse must transfer the accountability and responsibility for this client to another nurse who knows how to do the skill.
C)Yes;there is no requirement for the nurse to have personal knowledge or expertise in the skill.
D)Yes,but the nurse must then learn to perform the skill within a "reasonable" period of time.

Question 13

At the institutional level,accountability is reflected in which manner?

A)The nurse's personal ethical integrity
B)Philosophy and objectives
C)Standards of practice
D)Nurse practice acts

Question 14

How can planning help the nurse-manager? (Select all that apply. )

A)Identifying future opportunities
B)Quickly fixing current problems
C)Developing strategies
D)Avoiding future problems
E)Designing courses of action

Question 15

What is true of a manager?

A)Has an assigned position in the formal organization.
B)Does not have delegated authority.
C)Emphasizes interpersonal relationships.
D)Directs willing followers.

Question 16

Which option characterizes the charismatic style of leadership?

A)The manager has a close relationship with the nurses on the unit and is an inspiration for them to provide quality care.
B)The unit manager makes all of the decisions on the unit and rarely asks for input from the group.
C)The nurse-manager serves as a facilitator to help the unit nurses provide the best quality care that meets established expected outcomes.
D)The group leader is passive,allowing the group to work on goals independently.

Question 17

The staff members of a unit are inspired by their nurse-manager's leadership and enjoy working to create a positive nursing environment of the unit's patients.What style of leadership does this situation best describe?

A)Transformational
B)Authoritarian
C)Laissez-faire
D)Situational

Question 18

The nurse has been hired by the organization to direct the work of other nurses.What is the term used to describe the type of power this nurse will hold?

A)Responsibility
B)Personal influence
C)Authority
D)Accountability

Question 19

Which option characterizes the laissez-faire style of leadership?

A)The manager has a close relationship with the nurses on the unit and is an inspiration for them to provide quality care.
B)The unit manager makes all of the decisions on the unit and rarely asks for input from the group.
C)The nurse-manager serves as a facilitator to help the unit nurses provide the best quality care that meets established expected outcomes.
D)The group leader is passive,allowing the group to work on goals independently.

Question 20

How does the term vision relate to being a leader?

A)Leaders imagine a different and better situation,and identify ways to achieve it.
B)Leaders are constantly imagining new and original goals.
C)Leaders see the way to meet their own needs.
D)Leaders use vision,rather than intuition,to make institutional changes.

Question 21

Who were the first nurses to use the case management model?

A)Public health nurses
B)Oncology nurses
C)Emergency department nurses
D)Critical care nurses

Question 22

On this nursing unit,one nurse is assigned to administer medications to all the clients.Another nurse provides all the treatments such as dressing changes.Another nurse manages all invasive lines.What type of nursing delivery model is this?

A)Team nursing
B)Case management
C)Total patient care
D)Functional care

Question 23

The nurse serving as a mentor documents the following information in a mentoring log:
Mentee: Sandra Martin,RN: During last shift Sandra questioned her ability to meet goals negotiated several weeks ago.Discussed clarifying the goals strategies to achieve them.Shared personal experiences with achieving goals and efforts taken to be successful.
In which mentoring phase is the nurse when mentoring this new employee?

A)Preceptor phase
B)Invitational phase
C)Questioning phase
D)Transitional phase

Question 24

Which option most closely demonstrates the concept of shared governance in a health care organization?

A)The nurse makes the decision to increase the frequency of output measurement on a postoperative client.
B)The nurse complains to a co-worker that there is not enough staff on duty for the patient acuity this shift.
C)The nurse is asked to serve on one of the strategic planning committees of the hospital.
D)The nurse is asked to be chairperson of a fundraising committee.

Question 25

Which is true of primary nursing?

A)The nurse provides all care.
B)It is the same as primary care.
C)The nurse is responsible for total care of assigned clients.
D)The focus of the care is teaching the client about health and client advocacy.

Question 26

The nurse is planning to apply for a position that has the following information in the position description:
Primary Responsibilities: Supervises charge nurses;Supervises nurse managers;Oversees the activities within designated client care areas;Reports to the Vice President of Nursing Services.For which type of position is the nurse applying?

A)First-level manager
B)Middle-level manager
C)Top-level manager
D)Laissez-faire manager

Question 27

The nursing unit uses a method for nursing care delivery in which nursing assistants and licensed practical nurses provide care to a group of clients on one section of the unit.Another group of nursing assistants and licensed practical nurses provide care to a different set of clients on a different section of the unit.Both these groups of staff provide care under the supervision of a registered nurse.Which type of nursing care delivery is this?

A)Team nursing
B)Case management
C)Total patient care
D)Functional care

Question 28

What is the primary reason for using shared governance in an organization?

A)It ensures high-quality care.
B)It improves nurses' work environment,satisfaction,and retention.
C)Less time is spent in committee work.
D)It creates levels of middle management that increase the numbers of jobs for nurses within the organization