Chapter 2 Flashcards

1
Q

Which of the following nurses is most likely to inspire other professionals to do their best?
a) Clara has been the head nurse on Unit 3Y for years. She is quiet but enjoys patients and their families. She has not been to a conference in years because the unit is her entire life.
b) Roger, RN, has been involved in nursing for several years and is well liked by patients and families. He continually searches for new knowledge and skills, and his sense of humour and optimism are infectious.
c) Katrin is a team leader. She is extraordinarily vigilant about ensuring that everyone is treated fairly in assignments. She is also very conscientious about care and regularly checks up on what everyone is doing to ensure that it is done correctly.
d) Nayla, RN, is an individual who enjoys details and organization. She regularly leaves notes for the next shift about what has been done incorrectly or omitted

A

b) Roger, RN, has been involved in nursing for several years and is well liked by patients and families. He continually searches for new knowledge and skills, and his sense of humour and optimism are infectious.

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2
Q

The adage “leaders are born and not made” reflects which of the following ideas about leadership?
a) Leadership is a natural skill that cannot be refined and developed.
b) Management can be taught; leadership depends on abilities.
c) Mentorship is important in developing innate skills of leaders.
d) Succession planning and formal education related to leadership are ineffective.

A

b) Management can be taught; leadership depends on abilities.

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3
Q

Siwan, a new graduate on the dialysis unit, appears to take the nurse manager’s remarks about possible position terminations very seriously and works even harder, often volunteering for extra assignments. She also is often in the unit manager’s office, advising of successes with her patients and of the extra effort that she is committing. This behaviour suggests that Siwan:
a) Is not intimidated by Kari’s leadership style.
b) Lacks understanding of Kari’s leadership style.
c) Is fearful of losing her job.
d) Knows how to “play the game.

A

d) Knows how to “play the game.

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4
Q

Akash graduated 5 years ago and is keenly interested in pursuing leadership opportunities. She has been active in learning about leadership through workshops and Internet research and recently began a graduate degree program with a focus on nursing administration. She has excellent clinical skills and eagerly accepts responsibility for various projects on the unit. Her sarcastic and sometimes aggressive behaviour tends to alienate other staff members on the unit. Akash is demonstrating which leadership style?
a) Transformational
b) Resonant
c) Transactional
d) Participatory

A

a) Transformational

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5
Q

Miles is interested in leadership positions within his nursing organization. Although he has been on the same unit for 10 years, he has attended two workshops during that time and has steadfastly refused opportunities to engage in leadership development opportunities or other learning offered as part of the hospital’s succession planning strategy. He says that he is interested in a leadership role primarily because it will give him a more stable work schedule and will enable him to spend more time with his family. Miles is demonstrating attributes of which leadership style?
a) Transactional
b) Participatory
c) Transformational
d) Laissez-faire

A

d) Laissez-faire

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6
Q

Which of the following LEADS in a Caring Environment is not one of the five capacities?
a) Develops coalitions
b) Engages others
c) Focuses on leaders
d) Achieves results

A

c) Focuses on leaders

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7
Q

A nurse manager is conducting yearly assessments of staff nurses. One nurse who stands out as being well-liked and receives positive feedback from patients, staff, and families, possesses a high degree of emotional intelligence. Which of the following characteristics indicates emotional intelligence? (Select all that apply).
a) Has confidence dealing with difficult situations.
b) Promotes interprofessional teamwork.
c) Develops trust among staff.
d) Increases staff retention.

A

all

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8
Q

The LEADS framework for leadership is being used to strengthen leadership in many hospitals. Which of the following are considered elements of the LEAD framework when initiating change? (Select all that apply).
a) Does not seek system transformation.
b) Does not pursue building coalitions.
c) Does engage others.
d) Does achieve results.
e) Does lead self.

A

c) Does engage others.
d) Does achieve results.
e) Does lead self.

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9
Q

Kari, a head nurse on the dialysis unit, has been informed during budget planning meetings that budget cuts are likely. She discusses this at the next unit meeting and tells staff members that unless they do their jobs well, their positions may be terminated, and there will be no replacement. Kari is enacting which management style?
a) Trusting
b) Transformational
c) Truthful
d) Transactional

A

d) Transactional

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10
Q

Self-doubt in novice nurses is a common issue and is known as which of the following?
a) Imposter syndrome b) Lack of knowledge
c) Lack of confidence Insecurity

A

a) Imposter syndrome

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11
Q

Nurses are becoming engaged professionally through social media. They are able to share expertise, ideas, and evidence, to become social media leaders at the micro to macro levels. Which of the following are outcomes of nurses’ engagement in social media? (Select all that apply).
a) Engages nurses and patients
b) Makes nurses more visible in health care.
c) Shapes expert nurse leadership.
d) Brings innovation to health care.

A

all

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12
Q

Which relational leadership approach is based on mindfulness and emotional intelligence?
a) Resonant
b) Instrumental
c) Participatory
d) Transactional

A

a) Resonant

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13
Q

Two areas nurses must take leadership in developing knowledge and skills in consideration for the future is?
a) Social media and research
b) Research and technology
c) Health informatics and social media
d) Publications and social media

A

c) Health informatics and social media

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14
Q

Systematic reviews related to patient outcomes in nursing homes identified patients and families responded to this leadership style.
a) Resonant
b) Participatory
c) Instrumental
d) Transactional

A

d) Transactional

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15
Q

Nurse outcomes were identified to be predicated on which leadership styles?
a) Participatory and instrumental
b) Laissez-faire and transformational
c) Resonant and transformational
d) Transactional and instrumental

A

c) Resonant and transformational

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16
Q

The style of leadership that is exhibited by a nursing manager that indicates to staff that with all of the budget cuts there may be lost positions is likely to:
a) Stifle innovative thinking about ways to move out of financial jeopardy.
b) Lead to decreased attrition of staff on her unit.
c) Lead to apathy and disinterest in the organizational goals.
d) Ensure that the organization is financially stable

A

a) Stifle innovative thinking about ways to move out of financial jeopardy.

17
Q

The nurse manager in the emergency department needs to implement new staffing patterns. As a transformational leader, the nurse manager should:
a) Reason with staff members that the new idea will save money and allow more free time.
b) Imply that raises will be smaller than anticipated if the new idea is not accepted.
c) Make staff members think the idea was theirs in the first place.
d) Explain in detail how well the new idea will work.

A

c) Make staff members think the idea was theirs in the first place.

18
Q

Future nursing leaders must consider which of the following concepts? (Select all that apply)
a) Leadership is a skill built over time.
b) To develop an intentional action plan.
c) Need to develop ongoing reflective practice.
d) Assume everyone has inherent leadership abilities.

A

a) Leadership is a skill built over time.
b) To develop an intentional action plan.
c) Need to develop ongoing reflective practice.

19
Q

Change in health care must occur at the micro, meso, and macro policy levels. Which of the following addresses the meso level of change?
a) Ministry of Health
b) Emergency room
c) Clinic
d) College of Nurses

A

d) College of Nurses

20
Q

To achieve strategic priorities the most important activity health care organizations need to address is?
a) Providing education
b) Increasing number of nurses
c) Engaging patients
d) Nurturing future nurse leaders

A

d) Nurturing future nurse leaders

21
Q

Which of the following is a relational leadership approach?
a) Transformational
b) Laissez-faire
c) Transactional
d) Instrumental

A

Transformational

22
Q

Hospital beds may be closed because of a nursing shortage and the increased amount of overtime required to care for patients. For you as the nurse leader on the unit, which of the following leadership approach is most effective to address this issue?
a) Laissez-faire
b) Instrumental
c) Transactional
d) Autocratic

A

b) Instrumental

23
Q

Nursing leaders require several competencies for successful leadership. Which of the following descriptions encompass the best candidate for Director of Nursing in a large urban hospital?
a) Legal knowledge, philanthropy knowledge, undergraduate degree in nursing
c) Finance knowledge, graduate degree in nursing, excellent communication skills
d) Undergraduate degree in nursing, communication skills, social skills
c) Graduate degree in Nursing, social skills, communication skills

A

b) Finance knowledge, graduate degree in nursing, excellent communication skills