Deck 1: Leadership and Management

Question 1

The fundamental element of any patient care delivery combines work allocation with

A)patient acuity.
B)leadership.
C)clinical decision making.
D)delegation.

Answer 1

clinical decision making.

Question 2

The nurses are complaining about how busy they are this shift.The charge nurse must do which of the following to ensure the safety of the patients and staff for this and future shifts?

A)Take responsibility for a team of patients.
B)Delegate care to the UAPs.
C)Assist the RNs to prioritize their patients and their responsibilities.
D)Call the supervisor for more staff.

Answer 2

Assist the RNs to prioritize their patients and their responsibilities.

Question 3

First-level managers are responsible for the day-to-day activities of the unit.Which activity would the nurse expect to see only from a first-level manager?

A)Making daily staffing assignments
B)Managing the unit's budget
C)Maintaining currency in profession
D)Making daily patient rounds

Answer 3

Managing the unit's budget

Question 4

Upper-level managers are responsible for the management of the nursing organization of the institution.What activity would the nurse expect to see only from an upper-level manager?

A)Supervising patient care delivery
B)Establishing strategic goals for nursing
C)Maintaining currency in profession
D)Being responsible for activities on the unit 24/7

Question 5

Health care is seen and managed as a business today.Which skills are considered essential to managing health care as a business?

A)Ability to pressure staff to do what you want
B)Resource utilization
C)Cutting corners to make money
D)Providing bonuses to staff members who help the organization to save money

Question 6

Much like a politician, a nurse manager must exhibit leadership that inspires and motivates.In which instance is a nurse demonstrating leadership qualities?

A)A staff nurse becomes aware of increased infection rates following cardiac surgery.The nurse takes it upon herself to research the possible causes and prevention measures and to make suggestions to better protect patients.
B)A staff nurse acts quickly when a cardiac arrest is called on her patient.
C)A staff nurse notifies another staff member that she is being "pulled" today.
D)A new nurse volunteers to work when another staff member must leave work because her child is ill.

Question 7

To become a leader, one must develop certain personal aspects.Which of the following can be identified as competencies expected in creating leadership in oneself? (Select all that apply.)

A)Asking for overtime
B)Asking for certain patient assignments
C)Personal and professional accountability
D)Acquiring advanced degrees
E)Personal discipline

Question 8

A nurse manager must exhibit qualities of efficiency and organization.Which nurse is demonstrating the qualities necessary for a manager?

A)A nurse becomes aware of increased infection rates following cardiac surgery.The nurse takes it upon herself to research the possible causes and prevention measures and to make suggestions to better protect patients.
B)A nurse acts quickly when a cardiac arrest is called on her patient.
C)A nurse notifies another staff member that she is being "pulled" today.
D)A nurse volunteers to work when another staff member must leave work because her child is ill.

Question 9

A nurse manager encourages the nursing staff using a transformational leadership environment.The nurse manager interprets that a successful transformational environment is one in which (Select all that apply.)

A)a staff nurse provides advice and guidance to new nurses.
B)a clinical ladder is used for advancement.
C)a staff nurse researches an increase in surgical wound infections and makes recommendations to prevent them.
D)annual performance appraisals are provided with competitive raises.
E)decisions are made from the top down.

Question 10

Middle-level managers are responsible for planning for changes of the unit.What activity would the nurse expect to see only from a middle-level manager?

A)Maintaining currency in profession
B)Planning for changes within the service line in the organization
C)Being responsible for activities on the unit 24/7
D)Supervising patient care delivery

Question 11

There are three levels of management in nursing.Which action by the nurse would indicate the nurse is a first-line nurse manager?

A)Responding to a patient complaint
B)Deciding to incorporate walking rounds shift report hospitalwide
C)Reevaluating the nursing policy permitting IV push of certain medications by RNs
D)Designating assignment of new admissions

Question 12

Which nursing actions demonstrate the role of management in nursing?

A)Encouraging autonomous decision making
B)Observing the documentation of appropriate charges to patients
C)Assisting in a code
D)Asking the patient/family about advance directives

Question 13

The management process consists of six functions: planning, staffing, organizing, directing, controlling, and decision making.What might be seen in the planning step of the process?

A)Identifying the problem of the lack of ICU beds
B)Organizing a meeting to address the problem
C)Establishing an alternate site within the hospital for these patients
D)Assigning experienced staff to implement care of these patients

Question 14

The management process consists of six functions: planning, staffing, organizing, directing, controlling, and decision making.What might be seen in the decision-making process?

A)Organizing a meeting to address the problem
B)Establishing an alternate site within the hospital for these patients
C)Assigning experienced staff to implement care of these patients
D)Establishing the new area as a step-down unit

Question 15

The student nurse, shadowing on a medical-surgical unit, observes the charge nurse.Which action would the student identify as a leadership quality in the nurse's actions?

A)Making patient care assignments distributed equally to staff
B)Sitting with a confused combative patient
C)Calling the nursing office for extra staff when an RN calls in sick
D)Assisting in a code

Question 16

The patient care delivery system used by an institution should be based on which fundamental elements? (Select all that apply.)

A)Work allocation
B)Accountability
C)Allocation of resources
D)Mission statement
E)Leadership style
F)Cultural diversity of patients

Question 17

Nurse managers can best be described as people who

A)develop institutional goals based on staff suggestions.
B)develop institutional goals based on a personal theory.
C)motivate staff to meet institutional goals through positional power.
D)inspire staff to meet institutional goals through personal power.

Question 18

A nurse has accepted a position on a nursing unit where the nurse manager promotes autonomy and staff involvement in decision making.What would the nurse expect to observe on this unit?

A)Nurse manager mandates changes.
B)Staff takes responsibility for assignments.
C)Staff participates on hospital committees.
D)Nurses are recognized for excellence in practice.

Question 19

Nurses can be leaders without being managers.Which nursing actions demonstrate leadership?

A)Assisting a new nurse with enteral tube feedings
B)Counseling a new nurse regarding attendance
C)Adjusting assignments after a staff member calls in sick
D)Calling a physician for new order clarification

Question 20

The novice nurse is speaking with the nurse manager about their roles within the hierarchy of the institution.The nurse manager would most likely identify which role as having the most internal conflict?

A)Coordinating institutional goals with the immediate demands of the clinical area
B)Determining which of the staff members should get better raises than other members
C)Deciding which employees should be recommended for promotion
D)Determining which staff members get Christmas day off

Question 21

The organizational hierarchy is used in which of the following situations? (Select all that apply.)

A)A staff member is observed taking money from a patient's bedside table.
B)A staff member is found to be drinking alcohol while at work.
C)A nurse refuses to care for a patient receiving peritoneal dialysis because he has not been trained on this procedure.
D)A nurse refuses to be floated to the ICU while still in orientation.
E)A nurse fails to respond to repeated requests by the UAP to check on the condition of a patient.

Question 22

A nurse leader, according to the American Organization of Nurse Executives ( AONE ), is competent in the areas of (Select all that apply.)

A)knowledge of the health care environment.
B)communication.
C)business management.
D)demanding participation by the staff.
E)providing a financial incentive.