Deck 28: Leading, Managing, and Delegating

Question 1

A hospital was named in a lawsuit after a client had to undergo a second surgical procedure because an arthroscopy was performed on the wrong knee during surgery.The hospital settled out of court with the client for damages.This is an example of which principle of management?

A)Authority
B)Responsibility
C)Coordination
D)Accountability

Answer 1

Accountability

Question 2

According to the National Council of State Boards of Nursing (NCSBN),which "rights" of delegation should the nurse follow?
Standard Text: Select all that apply.

A)Supervision
B)Evaluation
C)Client
D)Time
E)Task

Answer 2

Supervision
Evaluation
Task

Question 3

A group of community health nurses work together in the same office.They are each responsible for their own caseloads and scheduling of appointments.Their major leadership directives come from the state health office,several hundred miles away.This group of nurses is functioning under what type of leadership?

A)Charismatic
B)Shared
C)Transformational
D)Transactional

Answer 3

Shared

Question 4

A staff nurse has been identified by others as being an effective leader.With this designation,the nurse implements which principles?
Standard Text: Select all that apply.

A)Vision
B)Influence
C)Serve as a role model
D)Planning
E)Organizing

Question 5

A nurse manager is working on new job descriptions for all nursing units of the hospital.Which management function is this nurse conducting?

A)Planning
B)Organizing
C)Directing
D)Coordinating

Question 6

An unlicensed assistive person (UAP)is working on a rehabilitation unit.Which task would be appropriate for this person to delegate?

A)Taking and recording vital signs
B)Assisting with bathing
C)Making a bed
D)An unlicensed assistive person may not delegate tasks.

Question 7

The nurse has been promoted to the role of manager for a client care area.What responsibilities of the nurse will this new role include?
Standard Text: Select all that apply.

A)Accomplish the goals of the organization.
B)Use the organization's resources efficiently.
C)Ensure effective client care.
D)Ensure compliance with regulatory standards.
E)Manage relationships.

Question 8

A nursing student would like to do an observation on one of the inpatient units at a hospital.In assisting the student to meet this desire,the educator would look for which type of nurse?

A)Mentor
B)Manager
C)Team leader
D)Preceptor

Question 9

A hospital is implementing a computerized charting system,and all nursing staff is required to be oriented to the system by a specific deadline.Which type of change is occurring with the staff?

A)Overt change
B)Covert change
C)Unplanned change
D)Drift

Question 10

A nurse manager allows the staff members to make their own schedules and do their own client assignments on their shifts.However,during a code situation,the nurse manager will make decisions for the staff by instructing which nurse to assume which responsibility.This manager is exemplifying which style of leadership?

A)Permissive
B)Democratic
C)Situational
D)Bureaucratic

Question 11

A nurse manager has the reputation of being an autocratic leader.Which of the following statements by this manager would support that reputation?

A)"I'd like to hear from you (addressing the staff)what your ideas are for promoting better morale in this unit."
B)"I'm putting a suggestion box in the break room if anyone has ideas that would be helpful to the unit."
C)"The new work schedule is posted for the next 6 weeks."
D)"I put the new procedure manual out.Please add your comments to the blank sheet of paper attached to the front."

Question 12

A nurse manager has had to handle a particularly difficult physician who is demanding as well as demeaning.Through this situation,the nurse manager has learned that accuracy and honesty are attributes of which skill necessary for managers?

A)Critical thinking
B)Communication
C)Networking
D)Responsibility

Question 13

A charge nurse's responsibilities include the day-to-day management and coordination of therapies for the clients,client assignments,and scheduling.Which type of management is the charge nurse performing?

A)Top level
B)Middle level
C)First level
D)Upper level

Question 14

The nursing staff is informed that the current system of record keeping is going to be changed to make it more efficient.In which stage of change is the nursing staff?

A)Refreezing
B)Unfreezing
C)Moving
D)Drift

Question 15

The nurse is reviewing feedback from other staff members on leadership behaviors.Which characteristics are consistent with being an effective leader?
Standard Text: Select all that apply.

A)Energetic
B)Creative
C)Optimistic
D)Open
E)Risk taking

Question 16

During a particularly heated staff meeting regarding staff assignments,the nurse manager makes this comment: "When you all can come to a decision,let me know and we'll move on from there." This leader is best identified as which of the following?

A)Democratic leader
B)Permissive leader
C)Bureaucratic leader
D)Situational leader

Question 17

Prior to delegating a task,the nurse reviews the "rights" of delegation;these include which rights?
Standard Text: Select all that apply.

A)Supervision
B)Evaluation
C)Client
D)Time
E)Task

Question 18

A nurse is identified as being an effective leader.With this designation,the nurse will most likely demonstrate which characteristics?
Standard Text: Select all that apply.

A)Self-aware
B)Focus on people
C)Excellent communicator
D)Mentor to others
E)Focus on systems

Question 19

The nurse has been promoted to a position that includes the supervision of first-level management and responsibility for activities in a specific department.This nurse will most likely have which title?
Standard Text: Select all that apply.

A)Supervisor
B)Nurse manager
C)Head nurse
D)Primary care nurse
E)Vice president

Question 20

An RN delegates the task of taking a newly admitted client's vital signs to a nurse's aide.The client's blood pressure was 182/98,but did not get reported to the physician for several hours.Who is responsible for the lapse in time between discovery and action?

A)Nurse manager
B)Aide
C)Client
D)RN

Question 21

The nurse practices responsibility when functioning in the role of manager of a care area.What will the nurse manager demonstrate as evidence of responsibility?
Standard Text: Select all that apply.

A)Effective utilization of resources
B)Communication to subordinates
C)Implementation of organizational goals and objectives
D)Problem solving
E)Managing the work team

Question 22

The manager identifies a staff nurse to serve as a change agent for the implementation of a computerized documentation system.What attributes did the manager observe to designate the staff nurse to have this role?
Standard Text: Select all that apply.

A)Self-confident
B)Skilled in teaching
C)Hesitant with decision making
D)Excellent communication skills
E)Effective utilization of resources

Question 23

The manager determines that a new graduate nurse needs additional training on the principles of delegation.What delegation to unlicensed assistive personnel did the manager observe to make this decision?
Standard Text: Select all that apply.

A)Bathing a patient recovering from surgery
B)Weighing a patient who is prescribed diuretics
C)Discharge instruction teaching
D)Transferring and ambulating a client after hip replacement surgery
E)The care of an intravenous access device

Question 24

The nurse is determining whether an activity can be delegated to a UAP.What will the nurse use to make this determination?
Standard Text: Select all that apply.

A)Determine whether it is the right task.
B)Determine whether it is under the right circumstances.
C)Determine whether it is to the right person.
D)Determine the type of communication.
E)Determine whether there is enough time.