Question 1

The nursing student plans future goals. Which goal represents a long-term goal?

Accepted Answer

Long-term goals are objectives that will take a significant amount of time, effort, and planning to achieve. Specializing in the care of sick newborns is a long-term goal because it involves completing nursing education, gaining experience, and possibly pursuing additional certifications or education in neonatal care.

Question 2

The medical-surgical unit nurse manager instructs the novice nurse to choose a mentor. Which nurse does the novice nurse ask to accept a mentor position?

Accepted Answer

The nurse who is often consulted by team members for guidance and support is likely to have the experience, respect, and interpersonal skills necessary to be an effective mentor. This choice suggests a nurse who is recognized for their expertise and ability to assist others, making them an ideal mentor for a novice nurse.

Question 3

The nurse manager evaluates a staff nurse who has a history of frequent absences from work. Which strategy does the nurse manager implement to improve the staff nurse's work attendance?

Accepted Answer

A

Question 4

The newly-hired emergency department (ED) staff nurse has close friendships with several members of the hospital's executive leadership council. As a result of personal relationships with institutional leaders, the staff nurse has power and influence in the ED. Which source of power is the staff nurse using?

Accepted Answer

Referent power is derived from the personal relationships and networks that an individual has. In this case, the staff nurse's influence in the ED comes from their close friendships with members of the hospital's executive leadership council, not from their official position, ability to give rewards, or formal authority.

Question 5

The nurse manager leads a staff meeting to inform team members about an upcoming unit reorganization. Which staff nurse's behavior demonstrates passive resistance to the change?

Accepted Answer

Passive resistance to change is often demonstrated through indirect actions, such as increased absenteeism, rather than open confrontation or verbal disagreement. In this case, being silent during the meeting but frequently calling in sick during the implementation phase is a form of passive resistance, as it avoids direct confrontation while still undermining the change process.

Question 6

The nurse manager meets with a team of staff nurses to discuss a proposed fall prevention plan. A staff nurse identifies a problem with the nurse manager's proposed safety plan. Which action by the staff nurse represents effective followership?

Accepted Answer

Informing the nurse manager of the potential problem is an example of effective followership because it involves taking initiative to communicate concerns directly to the leader, which can help in improving plans and preventing issues.

Question 7

The nurse observes an unlicensed assistive personnel (UAP) who fails to perform hand hygiene after placing a patient on a bedpan. When providing negative feedback to the UAP, the nurse should:

Accepted Answer

Conducting the conversation in a private setting is the most appropriate approach. It respects the UAP's dignity, allows for an open discussion, and focuses on correcting the behavior without public embarrassment or unnecessary escalation.

Question 8

Which characteristics must an effective nurse manager possess? Select all that apply.

Accepted Answer

The answer of Which characteristics must an effective nurse manager...

Question 9

The staff nurse sits at a large table in the cafeteria with other nurses who are complaining about the hospital's new policy regarding holiday scheduling. Which statement by the staff nurse demonstrates leadership qualities?

Accepted Answer

C) This statement demonstrates leadership qualities by acknowledging the issue with the new policy and encouraging a constructive discussion for potential solutions, rather than just complaining or dismissing the concerns.

Question 10

The nurse manager instructs a group of staff nurses to create a work schedule for the upcoming month. Conflict arises when several of the nurses express a desire to schedule vacation on the same dates. Which action by the nurse manager represents a laissez-faire leadership style?

Accepted Answer

A laissez-faire leadership style is characterized by minimal intervention in team processes unless absolutely necessary. In this scenario, intervening only if the group is unable to finalize the work schedule aligns with the laissez-faire approach, as it allows the team to operate independently unless they cannot reach a resolution on their own.

Question 11

The nurse manager conducts an informal negotiation between two staff nurses who have had ongoing difficulty working together peacefully. During which step of the informal negotiation process does the nurse leader focus on managing the staff nurses' emotions?

Accepted Answer

During the "Conducting the negotiation" step, the nurse leader focuses on managing emotions to facilitate effective communication and understanding between the parties involved.

Question 12

Medical-surgical unit staff nurses discuss the nurse manager's lack of involvement in unit activities. The nurse manager is rarely visible on the unit and rarely schedules staff meetings. The staff nurses determine the nurse manager's behaviors are reflective of which leadership style?

Accepted Answer

The nurse manager's lack of involvement in unit activities and rare visibility on the unit, along with not frequently scheduling staff meetings, reflects a laissez-faire leadership style. This style is characterized by a hands-off approach, allowing team members to make decisions and carry out tasks with minimal direction or interference from the leader.

Question 13

The nurse manager leads a staff development seminar about leadership styles. Which term does the nurse manager use to describe transformational leadership?

Accepted Answer

Transformational leadership is characterized by matrix communication, where leaders inspire and motivate employees through a shared vision and open communication.

Question 14

The nurse is differentiating between the concepts of leadership and management. Which position does the nurse recognize as a position of leadership as opposed to a management role?

Accepted Answer

Leadership often involves guiding, influencing, and mentoring others without having formal managerial authority, which is why a mentor is recognized as a position of leadership. Unlike management roles such as charge nurse, unit director, or supervisor, which involve overseeing operations and managing resources, leadership roles like that of a mentor focus on personal development, inspiration, and professional growth of individuals.

Question 15

To promote effective time management, the nurse creates a to-do list. Which action does the nurse implement first?

Accepted Answer

Prioritizing the list items is the first step in effective time management, as it helps in identifying the most important tasks that need immediate attention.

Question 16

The charge nurse in an extended care facility responds to a Code Blue. Which leadership style will the charge nurse demonstrate when directing cardiopulmonary resuscitation measures for a patient who is apneic and pulseless?

Accepted Answer

In a Code Blue situation, where immediate and decisive action is required to save a patient's life, the charge nurse will most likely demonstrate a transactional leadership style. This style focuses on clear roles, responsibilities, and tasks, with the leader directing actions and expecting compliance to quickly and efficiently manage the emergency.

Question 17

The nurse manager notices nurse retention has steadily declined since she assumed the unit management position. Which action is most appropriate for the nurse manager to implement?

Accepted Answer

Assessing the staff's perception of the manager's leadership style can provide insights into potential issues affecting retention and help identify areas for improvement.

Question 18

The nurse provides care to an older adult client who is diagnosed with Alzheimer's disease. The nurse delegates the client's bathing and hygiene care to an experienced certified nursing assistant. While shaving the client, the certified nursing assistant accidentally cuts the client's chin. Who is legally liable for this injury?

Accepted Answer

The certified nursing assistant (CNA) is legally liable for the injury because the CNA directly caused the harm to the client while performing the delegated task. Delegation does not transfer legal responsibility for the task's outcome; the person performing the task is responsible for their actions.

Question 19

The staff nurse provides care to a stable patient who is newly diagnosed with diabetes. The patient has been authorized for discharge from the hospital. To promote efficiency, the staff nurse delegates care to an unlicensed assistive personnel (UAP). Which task must be completed by the staff nurse?

Accepted Answer

Teaching the patient about symptoms of hypoglycemia is a task that requires clinical judgment and the ability to assess and evaluate the patient's understanding, which are responsibilities that cannot be delegated to unlicensed assistive personnel (UAP).

Question 20

Physical therapy and nursing staff of a local rehabilitation hospital are in conflict over which department is responsible for transporting patients to and from therapy appointments. The physical therapy team members state they do not have sufficient time to come to the nursing unit to pick up the patients, who often are not ready to be transported. The nursing staff members state transporting patients creates a shortage of nursing personnel on the floor. Managers from both departments have attempted to resolve the conflict with input from the staff members. All attempts at conflict resolution have failed. To promote collaborative conflict resolution, the department managers take which step?

Accepted Answer

Initiating informal negotiation encourages collaboration and communication between the departments to find a mutually beneficial solution, rather than imposing a decision that may not address the concerns of both parties.

Quiz 40: Leading Managing