Deck 22: Nurse Leader, Manager, and Care Coordinator

Question 1

The nurse has just graduated with a Bachelor of Science in Nursing and is eager to find a mentor at this early stage in her career. Which of the following individuals is most likely to be an appropriate mentor for the nurse?

A) An experienced nurse who was a preceptor in a previous clinical placement
B) The nurse educator on the hospital unit where the novice nurse has been hired
C) A colleague who graduated with honors at the same time as the novice nurse.
D) The unit manager who the novice nurse.

Answer 1

An experienced nurse who was a preceptor in a previous clinical placement

Question 2

A nurse is described as a "quantum leader." Which action characterizes this type of leadership?

A) A nurse conducts a blind survey to evaluate her leadership skills.
B) A nurse relinquishes power to a group deciding hospital policy.
C) A nurse makes policy decisions for coworkers without consulting them.
D) A nurse sticks to the "tried and true" methods when implementing client care.

Answer 2

A nurse conducts a blind survey to evaluate her leadership skills.

Question 3

In Lewin's classic theory of change, what happens during unfreezing?

A) Planning is conducted.
B) Change is initiated.
C) Change becomes operational.
D) The need for change is recognized.

Answer 3

The need for change is recognized.

Question 4

Which type of skills is not needed for nursing leadership?

A) Communication skills
B) Technical skills
C) Problem-solving skills
D) Self-evaluation skills

Question 5

A senior student has been elected president of the Student Nurses Association. Which of the following qualities is essential to being a nursing leader?

A) Physical stamina
B) Physical attractiveness
C) Flexibility
D) Independence

Question 6

Planned change is a purposeful, systematic effort to alter or bring about change. What occurs next after alternative solutions to a problem are determined and analyzed?

A) All of the alternative solutions are implemented.
B) A course of action is chosen from among the alternatives.
C) The effects of the change are evaluated.
D) The change is stabilized and established.

Question 7

What type of leadership can a graduate nurse working in a magnet hospital expect?

A) Democratic
B) Autocratic
C) Situational
D) Quantum

Question 8

Nurses with varying levels of experience possess leadership skills. A graduate nurse walks out of the nurse manager's office after a meeting. The graduate nurse reflects on the positive and negative feedback that she received from the manager regarding her three months working on the unit. What nursing leadership skill is best illustrated by the graduate nurse in this scenario?

A) Self-evaluation skills
B) Communication skills
C) Problem-solving skills
D) Management skills

Question 9

A nurse leader is described as charismatic, motivational, and passionate. Communications are open and honest, and the nurse is willing to take risks. What type of leadership is the nurse practicing?

A) Democratic
B) Autocratic
C) Quantum
D) Transformational

Question 10

A nurse manager has encountered resistance to a planned change. What is one way the nurse can overcome the resistance?

A) Tell the staff that if they don't like it, they can quit.
B) Implement change rapidly and all at once.
C) Encourage open communication and feedback.
D) Let the staff know that the change is mandated.

Question 11

Which of the following nursing care tasks is acceptable for a graduate nurse to delegate to unlicensed assistive personnel (UAP)?

A) Assisting a client with ambulation
B) Evaluation of nursing care delivered to a client
C) Initial and ongoing assessments
D) Development of a client teaching plan

Question 12

Which of the following statements accurately describes the use of power by change agents?

A) They know that power comes from one source-management.
B) When introducing change they do not enlist the support of key power players.
C) They are often accomplished professional women.
D) They do not recognize their own strengths and weaknesses.

Question 13

A nurse manager makes all of the decisions for staff activities. What type of leadership is demonstrated by this action?

A) Democratic
B) Self-governance
C) Laissez-faire
D) Autocratic

Question 14

In general, how do most people view change?

A) By how it affects the cohesiveness of the group
B) By how much it will cost in time and resources
C) By how they are affected personally
D) By how it will affect others on the staff

Question 15

A nurse believes in listening to clients and coworkers more than talking to them, allowing more personal control for all involved. This is a quality of which of the following managerial mindsets?

A) Reflective
B) Analytical
C) Worldly
D) Collaborative

Question 16

A nurse strives to establish trusting interpersonal relationships with clients, peers, subordinates, and superiors to facilitate goal achievement and personal growth of all participants. Which type of skills is this nurse demonstrating?

A) Communication skills
B) Problem-solving skills
C) Management skills
D) Self-evaluation skills

Question 17

When comparing team nursing with functional nursing, what characteristic is found?

A) Team nursing is very similar to functional nursing.
B) Team nursing focuses on individual client care.
C) Functional nursing has a stronger focus on the client.
D) Functional nursing is based on total client care.

Question 18

In which of the following conflict resolution strategies is the conflict rarely resolved?

A) Collaborating
B) Compromising
C) Competing
D) Smoothing

Question 19

The nurse is having an exceptionally busy shift on an obstetrical unit. Which of the following tasks is the nurse justified in delegating to an unlicensed care provider?

A) Emptying a client's Foley catheter bag and reporting the volume to the nurse
B) Helping a first-time mother achieve a good latch when breast-feeding her infant
C) Assessing the size and quantity of clots that are in a client's bedpan and informing the nurse
D) Giving an anti-inflammatory to a client who is eight hours postdelivery

Question 20

What type of leader shares decisions and activities with group participants?

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

Question 21

The nursing student is working to improve his time management. Which of the following would assist the nursing student in accomplishing his goal? Choose all that apply.

A) Identify priorities for the day.
B) Evaluate time management at the end of the day.
C) Establish a reasonable time line.
D) Plan to arrive right at start of shift.
E) Plan on his cohorts helping him

Question 22

Which of the following is a characteristic of mentorship?

A) It is a paid position to orient new nurses to the workplace.
B) It involves membership in a professional organization.
C) It is a link to a protégé with common interests.
D) It is not encouraged in health care settings

Question 23

The nurse is a manager on an orthopedic unit. The unit changed to a new computer documentation system three days ago. One of the night nurses has called in sick every shift since the new system started. The nursing manager is aware that this situation has to do with resistance to change. Which of the following are common reasons why people resist change? Choose all that apply.

A) Feel threatened
B) Fear increased responsibility
C) Lack of understanding
D) See no benefits to the change
E) Dislike hospital chief officer

Question 24

Which of the following statements accurately describes recommended guidelines for overcoming resistance to change? Select all that apply.

A) Explain the proposed changes only to the managers of the people involved.
B) Whenever possible, use technical language to describe the changes.
C) List the advantages of the proposed change for members of the group.
D) Avoid relating the change to the group's existing beliefs and values.
E) If possible, introduce change gradually.

Question 25

A student nurse has just graduated with a baccalaureate degree in nursing. What type of nursing leadership will this nurse be expected to provide?

A) Nursing care of the individual client
B) Demonstration of selected critical skills
C) Ability to be a follower rather than a leader
D) Nursing care of groups of clients

Question 26

A head nurse assumes the leadership role when directing and supervising coworkers. Which of the following are attributes of a leader? Select all that apply.

A) Philosophical
B) Task-oriented
C) Charismatic
D) Dynamic
E) Intimidating

Question 27

A nurse is attempting to change the method for documenting client care in a hospital setting. Which of the following should be considered before planning change? Select all that apply.

A) What is amenable to change?
B) How does the group function as a unit?
C) Is the group ready for change?
D) Are the changes major or minor?
E) How can I keep from changing again?

Question 28

The ANA, which is committed to monitoring the regulation, education, and use of NAPs, recommends adherence to which one of the following principles?

A) It is the nursing profession that determines the scope of nursing practice.
B) It is the RN who defines and supervises the education, training, and use of any unlicensed assistant roles.
C) It is the assigned NAP who is responsible and accountable for his or her nursing practice.
D) It is the purpose of the RN to work in a supportive role to the assistive personnel.

Question 29

During a staff meeting, the nurse is discussing new quantum leadership. The nurse explains that in this type of leadership change is viewed as which of the following?

A) Constant and predictable
B) Dynamic and constantly unfolding
C) Evolving very slowly
D) An entity needing planning

Question 30

A nurse manager has directed a registered nurse who is out of school for one year to become a member of the institution's policy and procedure committee. A goal in the nurse manager's delegation is to assist the nurse to what?

A) Be involved in the hospital
B) Be confident in employment
C) Grow in her profession
D) Understand the hospital setting

Question 31

Which of the following tasks could the nurse safely delegate to unlicensed assistive personnel?

A) An initial assessment of a client
B) Determination of a nursing diagnosis
C) Evaluation of client progress
D) Documentation of client's I+O on a flow sheet

Question 32

A nurse working on leadership skills should keep in mind which of the following accurate statements regarding leaders?

A) People are born leaders.
B) Leadership should be approached quickly.
C) Leaders develop leadership skills in undefined situations.
D) All nurse leaders began as inexperienced nurses.

Question 33

The nurse is caring for a client who had a sudden episode of vomiting, which produced 900 mL of frank blood. The nurse directed and delegated to colleagues in order to notify the physician. She started intravenous fluids, and provided physical and emotional support for the client. Different situations call for different leadership styles. Which of the following leadership styles did the nurse display in this situation?

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

Question 34

A nurse is considering the delegation of administering medications to an unskilled assistant. What is the first question the nurse must ask herself before doing so?

A) Has the assistant been trained to perform the task?
B) Have I evaluated the client's response to this task?
C) Is the delegated task permitted by law?
D) Is appropriate supervision available?