Exam 1: Chapter 5 Flashcards
As a new nurse manager, you are aware of leadership, management, and followership principles. What is the first step to becoming an effective leader?
a. Being an effective follower
b. Taking a class on leadership
c. Taking a class on management
d. Getting an advanced degree
ANS: A
Being an effective follower is the first step in becoming an effective leader. A leader may take classes on leadership and classes on management and secure and advanced degree. The first step to effective leadership is effective followership.
As a nurse manager, you are a leader in health care and on the unit you manage. Looking at the larger picture of health care and patient environment on the unit, what is your primary role when evaluating the care provided on your nursing unit?
a. Focus on cost outcomes.
b. Assess staff for contentment on unit.
c. Ensure quality patient care on unit.
d. Provide education to the staff of the unit.
ANS: C
Your primary role is a nurse manager is to ensure quality patient care is rendered. You must also focus on cost outcomes, assess your staff frequently, and provide education to the staff. However, as a leader in evaluating the larger picture of health care, quality
care is a priority.
The chief nursing officer (CNO) is appointed for the local hospital in a rural area. The nursing committee agreed with the
appointment of the new CNO offered the position. What is this type of leadership position considered?
a. Formal leadership
b. Informal leadership
c. Director leadership
d. Personal leadership
ANS: A
This position is an appointed/hired position and is one of formal leadership based on the hiring from the outside and the job description. Formal leadership positions often have a title and are assigned leadership by the role of the position.
The core of leadership is awareness. The text by Don Miguel, The Four Agreements, presents a set of agreements to enhance
personal growth and awareness. What is not one of the four agreements?
a. Be impeccable with your word.
b. Take things personally.
c. Do not make assumptions.
d. Always do your best.
ANS: B
The four agreements include all with the exception of taking things personally. The second agreement is to not take things personally. When a person speaks or engages a leader, it is often from their reality and not reflective of your reality. Listen to their information, and assess, then formulate decisions.
The core of nursing leadership incorporates integration of unique qualities to include us as individuals. Which is not considered part of leadership integration?
a. Person
b. Leader
c. Nurse
d. Position
ANS: D
Position is not considered part of leadership integration. The provided model discusses the use of nurse, person, leader, and
integration of the unique personal aspect to form the integration of leadership.
A new graduate nurse has accepted a position in an intensive care unit. The nurse is assigned a preceptor with several years of experience. The new nurse also notices the other staff seek this nurse out for answers to questions and as a resource to the unit.
What does the new nurse consider the role of the mentor nurse?
a. A formal leader
b. A positional leader
c. An official leader
d. An informal leader
ANS: D
Formal leaders, positional leaders, and official leaders hold positions of leadership or titles. In this scenario, the nurse is the formal leader of the unit. The nurse is noted to be an informal leader is one who does not hold an actual leadership title, but leads from an informal position based on experience and behavior.
The manager of a nursing unit is having difficulty working with a new graduate nurse. The new graduate nurse is excited and full of ideas she wants to try. The manager decides to journal her feelings regarding the new nurse and her feelings. What is the nurse manager practicing in this situation?
a. Leadership
b. Reflection
c. Knowledge
d. Action
ANS: B
Using reflection to evaluate her own feelings, the nurse manager is practicing self-awareness to go beyond the surface and evaluate self for determination of personal feelings. This is a higher level of thinking and assist in exploring one’s individual thoughts and experiences.
A staff nurse is taking leadership classes in an advanced degree program as the nurse wants to become a manager. The instructor requires the students to create a journal and make notes of their feelings when they experience conflicts at work over the next few
weeks. The assignment calls for the use of reflection. What is the purpose of this assignment?
a. Log of conflicts which occur
b. Reflection for self-awareness in conflict situations
c. Assess the students conflict management skills
d. Analysis of student lead conflicts
ANS: B
The use of journaling, when done with self-reflection and use of value to evaluate situations and reflect, assist in self-awareness of situations. In this instance, the instructor is wanting the students to use self-awareness through evaluation of conflict occurrences.
The nurse manager is working with a group of new nurses. The new nurses ask questions about leadership and the role of a manager in leading nursing. The manager shares she has incorporated her core values and beliefs into her role and responsibilities
as a nurse manager. What type of leadership has she described?
a. Positional leadership
b. Personal leadership
c. Formal leadership
d. Information leadership
ANS: B
The manager has described the use of personal leadership. This incorporates core values and beliefs of the person to improve their
role and responsibilities.
Excellent leaders need to have or develop the skills of empathy and expressiveness when dealing with others in the workplace. This is also known as understanding and managing own feelings and emotions as well as discerning the emotions of others. What is this an example of required by good leaders?
a. Social awareness
b. Self-awareness
c. Emotional intelligence
d. Intellectual ability
ANS: C
Emotional intelligence is defined as understanding and managing our emotions with the added awareness of discerning the emotions of others. Many organizations will assess leaders for their level of emotional intelligence to assist the individuals
understanding their ability to relate to others.
A nurse manager when in the formal leadership position attempts to translate the picture or vision of her facility across for the staff nurses. The manager is faced with a staff who is resistant to the vision of the facility. What is the theory the manger needs to incorporate to be effective?
a. Model the Way
b. Inspire a Shared Vision
c. Challenge the Process
d. The Four Agreements
ANS: B
In this instance, the nurse manager needs to utilize the theory of Inspire a Share Vision. This is an expectation of leaders to be able to contribute by translating the big picture vision to the staff.
The manager is using self-reflection to gain insight into improving the leadership skills. By using self-awareness what does a leader develop?
a. New knowledge
b. Personal growth
c. Improved self esteem
d. Management skills
ANS: A
By using the self-awareness, and essential task for leadership the leader cultivates personal insights and new knowledge of themselves as a leader. Personal growth may or may not occur with self-reflection, improved self-esteem is not guaranteed, and management skills are not obtained.
In developing leadership skills, one should focus on authentic leadership. The theory of authentic leadership focuses on various factors. What is the top priority in development of authentic leadership?
a. Honest relationships
b. Organizational task
c. Accomplishment of goals
d. Exploring others
ANS: A
The top priority in development of authentic leadership is development of honest relationships. Valuing what each person brings to the group trusting the group, exploring other ideas, accomplishing goals, and being ineffective organizer are important. However, development and honest relationships is the foundation of authentic leadership.
As a leader in nursing, one must seek new insights and establish personal tools to improve their lifelong learning. Which behavior
by manager would be a concern for a chief nursing executive?
a. Journaling for self-reflection
b. Authentic relationships
c. Complacent behavior
d. Improved knowledge of staff
ANS: C
A chief nursing officer should be concerned if a manager demonstrates complacent behavior. A manager should continually seek to improve leadership skills. All other options are ways to improve personal leadership.
The charge nurse of a unit is asking the staff what patients they had the day before to make assignments for the day. A new nurse complains about having the same patients every day. The charge nurse considers the new nurse request at an assigned to different patient for today. What type of leadership is the charge nurse displaying?
a. Informal leadership
b. Formal leadership
c. Favoritism
d. No leadership displayed
ANS: B
The charge nurse is using formal leadership to assigning patients to the nurses were today. By asking the staff she is gathering input she uses to make assignments. And is demonstrating good leadership skills. She has the authority based on the position in a formal
leadership model to make the assignments for the day.
