Chapter 2- Developing the Role of the Leader Flashcards
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. Emergency room
b. Clinic
c. Ministry of Health
d. College of Nurses
D
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. Graduate degree in Nursing, social skills, communication skills
b. 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
Self-doubt in novice nurses is a common issue and is known as which of the following?
a. Insecurity
b. Imposter syndrome
c. Lack of confidence
d. Lack of knowledge
B
Two areas nurses must take leadership in developing knowledge and skills in consideration for the future is?
a. Health informatics and social media
b. Research and technology
c. Social media and research
d. Publications and social media
A
Nursing informatics competencies is one method to support nurses globally in addressing new health care challenges globally into the future. Appropriate use of social media is part of health informatics.
Which of the following is a relational leadership approach?
a. Transactional
b. Laissez-faire
c. Transformational
d. Instrumental
ANS: C
Transactional, Laissez-faire, and instrumental are task focused. Transformational, resonant, and participatory leadership are relational leadership approaches.
The nurse manager in the emergency department needs to implement new staffing patterns. As a transformational leader, the nurse manager should:
a. Explain in detail how well the new idea will work.
b. Make staff members think the idea was theirs in the first place.
c. Reason with staff members that the new idea will save money and allow more free
time.
d. Imply that raises will be smaller than anticipated if the new idea is not accepted.
B
Transformational leadership inspires and motivates other people through influence and persuasion rather than through rewards (e.g., free time) and punishment (e.g., smaller raises).
Which relational leadership approach is based on mindfulness and emotional intelligence?
a. Resonant
b. Instrumental c. Participatory d. Transactional
A
Systematic reviews related to patient outcomes in nursing homes identified patients and families responded to this leadership style.
a. Resonant
b. Transactional
c. Instrumental d. Participatory
B
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. Transactional
b. Laissez-faire
c. Autocratic d. Instrumental
ANS: D
Instrumental leadership focuses on choosing strategy and resources to solve a problem. Leaders with this style strive to maintain productivity and complete tasks that are in line with the organization’s strategic direction.
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. Transformational
b. Laissez-faire
c. Participatory
d. Transactional
ANS: B
Laissez-faire leadership uses a hands off approach allowing others to do the leading. They usually let things happen and do not address problems or assist others to make improvements.
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. Participatory
c. Transactional
d. Resonant
ANS: A
Leadership involves radiating positive energy and the ability to inspire and motivate others. Transactional leaders are closed minded and controlling and exhibit negative behaviours using blame and punishment. Transactional leaders do not consider input from others.
To achieve strategic priorities the most important activity health care organizations need to address is?
a. Providing education
b. Nurturing future nurse leaders
c. Engaging patients
d. Increasing number of nurses
B
Which of the following nurses is most likely to inspire other professionals to do their best?
a. 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.
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. 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.
d. 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.
ANS: B
To be inspired, people must have a positive leader who radiates energy, a zest for learning, and an interest in the common good and who is engaged in self-renewal. This leader is hopeful and optimistic. Leaders, not managers, inspire other professionals to achieve their highest level.
The adage “leaders are born and not made” reflects which of the following ideas about
leadership?
a. Management can be taught; leadership depends on abilities.
b. Mentorship is important in developing innate skills of leaders.
c. Leadership is a natural skill that cannot be refined and developed.
d. Succession planning and formal education related to leadership are ineffective.
ANS: A
Leadership is an abilities-dependent role that can be developed and refined through such strategies as coaching, mentorship, and reflection. Management can be taught and learned through traditional teaching techniques. Similarly, leadership is a learnable set of practices that requires continued opportunity for application and feedback.
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. Transformational b. Transactional
c. Trusting
d. Truthful
B
Transactional leaders tend to rely on position, power, and reward and punish according to performance and conformity with expectations.
