Exam 1: Chapter 6 Flashcards
As a new nurse manager, you are aware of leadership, management, and followership principles. The concept of followership is rather new as relating to leadership. What is the role of the follower in followership?
a. Leading the group in task
b. Submission position in organization
c. Person who may influence team
d. Negative meaning for worker
ANS: C
The principle of followership allows for the follower to have a role and say, and ability to provide influence to the team. Based on new principles of leading and following, the leader is a follower and needs those to further goals for the team at all levels.
As a nurse manager, you are a leader and a follower 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 the primary role of the followers on the unit, as defined in nursing?
a. Direct care provider
b. Implements leader’s policy unquestioned
c. Passive role on unit
d. Devalued staff member
ANS: A
Often, the staff nurses are the followers and the role in nursing is the one of direct care provider. The nurses are independent thinkers who implement policy with understanding and question if needed, they are not possible and one of the most valued
members of the health care team.
In nursing theory, one theorist developed the theory of self-care of patients. In the theory, the nursing action of providing care and educating the patients can be interpreted in the form of followership for the patient. Who was their theorist?
a. Dorothea Orem
b. Patricia Benner
c. Ida Jean Orlando
d. Robert E. Kelley
ANS: A
Dorothea Orem created the theory of self-care. In using the theory related to leadership and followership, the nurse participates and provides quality care when the patient is unable and educates the patient when needed. In this theory, the nurse is the follower in active, participatory role with the patient.
The definition of leader refers to a person who has ability to guide people. In nursing, the leader does more. What is NOT a role of a leader in nursing?
a. Active listening
b. Open communication
c. Accountability in decisions
d. Tight control of decisions
ANS: D
In leadership and when defining a leader, one does not keep tight control of decisions. Leaders incorporate the follower into decision making and adapt to changes during events and as needed.
The definition of follower has historically referred to a person who is subservient and submissive. The new principles of followership offer a different perspective. What is NOT considered an attribute of followership in nursing?
a. Independent decision making
b. Critical thinking
c. Patient advocate
d. No influence over leaders
ANS: D
A followership in nursing does have influence over the leaders in an organization. The followers are an integral part of the healthcare team in nursing and provide support, patient care, critical thinking, and decision-making skills.
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 keeps pushing the manager to make changes. The manager decides to provide the new nurse with an opportunity to present an idea to the staff at the next meeting. What is the manager providing the new nurse?
a. Leadership opportunity
b. Working to improve patient care
c. Input to the unit
d. All of the above
ANS: D
The manager is offering the new nurse an opportunity for unit leadership. By presenting ideas to the staff, the nurse will be working to develop input into the unit, and the idea if patient related, will possibility influence and improve patient care.
A staff nurse is taking leadership classes in an advanced degree program with a goal to become a nurse manager. The nurse is studying the leader-follower relationship. What has the nurse discovered as accurate part of the leader-follower relationship?
a. Leaders are also followers.
b. Followers need to linear structures.
c. Followers are submissive in nature.
d. Leaders should dictate to the group.
ANS: A
In the leader-follower relationship, it is important to be aware the leaders are also followers. In reality, a core part of leadership is being an effective follower as well. There is no linear structure any longer and followers have as much input in decision making as is needed based on the topic. The older days of dictatorship as leadership are antiquated and no longer valid in true leader-follower relationships.
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 the desire to have engaged staff nurses who participate in a team environment. What is the manager describing?
a. Effective follower
b. Effective leader
c. Ineffective follower
d. Ineffective leader
ANS: A
The manger has described the role of an effective follower on the unit. The effective follower identifies and engages and participates as member of the team to work to achieve the team goals.
A new graduate nurse is working in an outpatient surgical center with the circulating nurse. The nurse is reviewing the patient’s chart and orders. The patient has been in pre-op receiving eye drops in her right eye as preparation for cataract removal surgery. The pre-operative orders indicate a marking has been made above the right eyebrow by the pre-operative nurse for surgery. The pre-operative nurse has been instilling the medicated eye drops to dilate the right eye for surgery. Upon further review of surgical consent, the consent was for surgery on the left eye and the history and physical by the surgeon indicate the patient is supposed to have surgery on her left eye. What action by the new nurse is considered appropriate followership? (Select all that apply.)
a. Alert the pre-operative nurse to the chart discrepancy.
b. Ask the charge nurse to double check the chart together.
c. Notify the surgeon to the issue for further orders.
d. Complete a hospital incident report.
e. Do nothing; assume the nurse was correct.
ANS: A, B, C, D
The appropriate role of the follower is to be a patient advocate, role model patient care, be an active part of the team and influence outcomes. The nurse needs to notify the pre-operative nurse, double check the chart, and notify the surgeon for further orders or possible cancelation of surgery. In addition, this is an error and requires reporting and completion of a hospital incident report.
