Question 1

When explaining delegation to student nurses, what statement by the nurse educator aligns to the ANA regarding delegation?&#10;A) A transfer of authority to a less-qualified individual&#10;B) The nurse transferring accountability to the delegate&#10;C) The transfer of tasks by the nurse while retaining accountability&#10;D) Transferring responsibility for assessments and planning

Accepted Answer

For patient care to be completed in a safe and timely manner, it is sometimes necessary for the nurse to delegate tasks to other health care providers. The National Council of State Boards of Nursing (NCSBN) offers support in this process. In their joint statement (ANA and NCSBN, 2005), the ANA describes delegation as the transfer of responsibility, and the NCSBN calls it a transfer of authority. This transfer gives a competent individual the authority to perform a selected nursing task in a selected situation. The nurse retains accountability for the delegation. Any significant findings during the care such as alterations in skin integrity, shortness of breath, or changes in a patient's condition should be reported to the nurse. The nurse is then responsible for assessing the alterations and addressing them in the plan of care.

Question 2

Upon entering a patient's room, the nurse notes that the patient is unresponsive. The nurse takes control and begins to direct other members of the health care team during this crisis. The nurse is demonstrating characteristics of which type of nursing leadership?

A) Autocratic
B) Democratic
C) Laissez-faire
D) Bureaucratic

Autocratic

Accepted Answer

The authoritarian or autocratic leader exercises strong control over subordinates. In this scenario, the nurse takes charge and gives directions that others will follow. The participative or democratic leader believes that employees are motivated by internal means and want to participate in decision making. The primary function of the leader in this situation is to foster communication and develop relationships with followers. Like the democratic leader, the permissive or laissez-faire leader thinks that employees are motivated by their own desire to do well. The laissez-faire leader provides little or no direction to followers, who develop their own goals and make their own. Like the autocratic leader, the bureaucratic leader assumes that employees are motivated by external forces. This type of leader relies on policies and procedures to direct goals and work processes. The nurse using bureaucratic leadership tends to relate impersonally to staff and exercises power on the basis of established rules.

Question 3

The nurse leader recognizes that to deliver quality care, focus needs to be placed on which participant?&#10;A) Patient&#10;B) Self&#10;C) Other staff members&#10;D) Health care provider

Accepted Answer

It is important for nurse leaders to be focused on the patients rather than themselves to deliver good patient-focused care. Nurses must desire to improve the status quo to provide higher levels of quality in the care delivered. These qualities are also discussed in other works concerning effective managers (Delgado & Mitchell, 2016; Feather, Ebright, & Bakas, 2015).

Question 4

A patient is found unresponsive and pulseless. The nurse begins cardiopulmonary resuscitation (CPR) and calls for help. When help arrives, the nurse should take on which role?&#10;A) Autocratic leader&#10;B) Democratic leader&#10;C) Laissez-faire leader&#10;D) Bureaucratic leader

Accepted Answer

Although autocratic leadership is a strict form of leadership, it is useful in crisis situations. A nurse may act as an autocratic leader when taking charge after a patient is found unresponsive. In this situation, it is helpful to have a leader who takes control and directs other members of the health care team. Democratic leaders may see themselves as equals with other team members and may consult with other nurses, exhibiting a democratic form of leadership. This style of leadership can be used in unit council meetings where nurses collaborate to identify solutions to common problems. A nurse in a leadership position who uses the laissez-faire style of leadership assigns patient care and expects all team members to set goals for the day and manage their time to complete the assignment. Successful implementation of this leadership style in nursing requires a highly efficient and reliable staff, such as seen in some specialized OR nursing teams with a history of working together on a set type of cases. The bureaucratic leader relies on policies and procedures to direct goals and work processes. The nurse using bureaucratic leadership tends to relate impersonally to staff and exercises power on the basis of established rules.

Question 5

The nurse manager of a unit is sharing the most recent results of a patient satisfaction survey to motivate staff. This approach is a characteristic of what type of nursing leader?&#10;A) Transformational&#10;B) Transactional&#10;C) Situational&#10;D) Autocratic

Accepted Answer

Transformational leaders use methods that inspire people to follow their lead. Transformational leaders work toward transforming an organization with the help of others sharing survey results may work to inspire staff. Transactional leaders use reward and punishment to gain the cooperation of followers. The authoritarian or autocratic leader exercises strong control over subordinates. Situational theories suggest that leaders change their approach depending on the situation.

Question 6

The nurse recognizes which leadership theory that assumes that leaders are born with certain leadership skill that few people possess?&#10;A) Trait theory&#10;B) Behavioral theory&#10;C) Situational theory&#10;D) Transformational theory

Accepted Answer

Trait theories assume that leaders are born with the personality traits necessary for leadership, which few people are thought to possess. Behavioral theories assume that leaders learn certain behaviors. These theories focus on what leaders do, rather than on what characteristics they innately possess. Situational theories suggest that leaders change their approach depending on the situation. Transformational leaders use methods that inspire people to follow their lead. Transformational leaders work toward transforming an organization with the help of others.

Question 7

The nurse manager is considered a &#34;great communicator.&#34; She can be found on the unit talking with staff, keeping them informed and asking their opinions. She believes that nurses are motivated by internal means and that they want to participate in making decisions about the unit although the final decision always rests with her. The nurses recognize that this nurse manager is what type of leader?&#10;A) Autocratic&#10;B) Democratic&#10;C) Bureaucratic&#10;D) Laissez-faire

Accepted Answer

The participative or democratic leader believes that employees are motivated by internal means and want to participate in decision making. The primary function of the leader in this situation is to foster communication and develop relationships with followers. The authoritarian or autocratic leader exercises strong control over subordinates. Like the autocratic leader, the bureaucratic leader assumes that employees are motivated by external forces. This type of leader relies on policies and procedures to direct goals and work processes. The nurse using bureaucratic leadership tends to relate impersonally to staff and exercises power on the basis of established rules. Like the democratic leader, the permissive or laissez-faire leader thinks that employees are motivated by their own desire to do well. The laissez-faire leader provides little or no direction to followers, who develop their own goals and make their own decisions.

Question 8

The nurse is acting in the planning function as a manager. The nurse knows which stage should be completed first?&#10;A) Set the plan.&#10;B) Assess the situation and future trends.&#10;C) Convert plan into action statement.&#10;D) Set the goals.

Accepted Answer

The planning function of a manager is comparable to the assessment, diagnosis, and planning portions of the nursing process. It includes four stages: (1) setting goals, (2) assessing the current situation and future trends, (3) setting the plan, and (4) converting the plan into an action statement.

Question 9

The nurse is acting as a leader in the role of charge nurse and notes that the unlicensed assistive personnel (UAP) on the floor are stressed related to their increased workload. The nurse changes the original planned approach based on the presenting situation. Which theory of leadership is the nurse implementing with this action?

A) Situational
B) Transactional
C) Transformational
D) Autocratic

Accepted Answer

Situational theories suggest that leaders change their approach depending on the situation. Transactional leaders use reward and punishment to gain the cooperation of followers. Transformational leaders use methods that inspire people to follow their lead. Transformational leaders work toward transforming an organization with the help of others. The authoritarian or autocratic leader exercises strong control over subordinates.

Question 10

According to Fayol, controlling is a function of management. The nurse understands controlling compares to what phase of the nursing process?&#10;A) Evaluation&#10;B) Diagnosis&#10;C) Assessment&#10;D) Implementation

Accepted Answer

The act of controlling involves comparing expected results of the planned work with the actual results. In the nursing process, evaluation is comparable to controlling. The planning function of a manager is comparable to the assessment, diagnosis, and planning portions of the nursing process.

Question 11

The nurse leader is conducting a staff meeting. During the meeting, staff members have verbalized dissatisfaction with the staffing pattern created by the nurse leader. The nurse listens intently as the staff come up with other options. The staff members recognize that the nurse leader is demonstrating which quality?

A) Openness
B) Integrity
C) Dedication
D) Magnanimity

Accepted Answer

The answer of The nurse leader is conducting a staff...

Question 12

Which delegation of tasks would require the nurse manager to intervene?&#10;A) The UAP re-delegates vital signs to the student nurse.&#10;B) The RN delegates assistance with bathing to the student nurse.&#10;C) The RN delegates monitoring of intake and output to the UAP.&#10;D) The RN delegates assistance with mobility to the UAP.

Accepted Answer

The answer of Which delegation of tasks would require the...

Question 13

The nurse manager of the emergency room believes that efficiency is the expected standard for the department and believes that efficiency lies in following established rules, policies, and guidelines. The only way to change procedures is to changes rules, policies, and guidelines. To run the emergency room with this philosophy, the nurse manager must take on which role?

A) Laissez-faire leader
B) Democratic leader
C) Bureaucratic leader
D) Autocratic leader

Accepted Answer

The answer of The nurse manager of the emergency room...

Question 14

The unit charge nurse uses reward and punishment to gain the cooperation of the nurses assigned to the unit. What type of leader is this charge nurse?&#10;A) Transformation&#10;B) Autocratic&#10;C) Transactional&#10;D) Situational

Accepted Answer

The answer of The unit charge nurse uses reward and...

Question 15

The nurse who plans, organizes, delivers, and evaluates nursing care for patients is functioning in what role?&#10;A) Patient care provider&#10;B) Patient advocate&#10;C) Case manager&#10;D) Clinical nurse leader

Accepted Answer

The answer of The nurse who plans, organizes, delivers, and...

Question 16

The manager of the intensive care unit is accepting an award for excellence and efficiency in the provision of patient care. The manager accepts the award for the unit and cites the contributions of the staff since, without their expertise and dedication, the award may not have been achieved. The staff nurse recognizes the nurse manager is demonstrating which quality?

A) Dedication
B) Openness
C) Magnanimity
D) Creativity

Accepted Answer

The answer of The manager of the intensive care unit...

Question 17

The nurse knows while leadership behaviors and management skills often complement each other they differ in which way?&#10;A) Managers focus on relationships.&#10;B) A manager may not possess leadership traits.&#10;C) Leadership focuses on coordinating and directing others.&#10;D) A manager is a visionary who sets the direction for a group.

Accepted Answer

The answer of The nurse knows while leadership behaviors and...

Question 18

The nurse has made patient care assignments and expects all team members to set their own goals for the day and manage their time to meet their goals. The nurse is implementing what style of leadership?

A) Autocratic
B) Democratic
C) Bureaucratic
D) Laissez-faire

Accepted Answer

The answer of The nurse has made patient care assignments...

Question 19

The nurse manager would counsel the staff nurse for delegating which task to the UAP?&#10;A) Personal hygiene&#10;B) Assistance with eating breakfast&#10;C) Assistance with toileting&#10;D) Interpretation of abnormal vital signs

Accepted Answer

The answer of The nurse manager would counsel the staff...

Question 20

The nurse correctly defines leadership when making which statement?&#10;A) &#34;Leadership is coordinating others toward a common goal.&#34;&#10;B) &#34;Leadership is the ability to influence others.&#34;&#10;C) &#34;Leadership focuses on the task at hand.&#34;&#10;D) &#34;Leadership is based in formal authority.&#34;

Accepted Answer

The answer of The nurse correctly defines leadership when making...

Question 21

The nurse recognizes which skills that are needed to be an effective manager?&#10;A) Understand the concepts of budgeting.&#10;B) Run a unit efficiently without regard to cost.&#10;C) Be able to staff the unit effectively.&#10;D) Be adept at information management.&#10;E) Achieve desired outcomes in any way possible.

Accepted Answer

The answer of The nurse recognizes which skills that are...

Question 22

The nurse has a question regarding scope of practice and delegation. Where should the nurse seek clarification?&#10;A) The state's nurse practice act&#10;B) Theory X management&#10;C) Nurse's Code of Ethics&#10;D) The NCSBN website&#10;E) NCSBN journal articles

Accepted Answer

The answer of The nurse has a question regarding scope...

Question 23

The nurse identifies what decisional roles that are included in Mintzburg's description of management in terms of behavior?&#10;A) Figurehead&#10;B) Spokesperson&#10;C) Entrepreneur&#10;D) Resource allocator&#10;E) Negotiator

Accepted Answer

The answer of The nurse identifies what decisional roles that...

Question 24

When assigning tasks to other health care providers, the nurse understands that each task must be delegated using which guidelines?&#10;A) The task must be within the scope of the person to whom it is being delegated.&#10;B) The task is one that can be delegated to other health care providers.&#10;C) The task can be delegated whenever assessments are required.&#10;D) The task may be re-delegated by the person to whom it was first delegated.&#10;E) The task may require the nurse to procure resources to complete the task.

Accepted Answer

The answer of When assigning tasks to other health care...

Deck 12: Leadership and Management