Leadership and Managment

Question 1

ANA Leadership Competencies

Answer 1

1. Promotes relationships to achieve outcomes and a culture of safety
2. Leads group decision making
3. Interpersonal environment promotes trust, integrity, & respect
4. Embracing practice innovations and role performance
5. Communication to influence others & lead change
6. Implements evidence-based practice
7. Demonstrates authority, ownership, accountability, and responsibility for delegation
8. Mentors colleagues
9. Participates in professional activities
10. Advocates for all aspects of human and environmental health in practice and policy

Question 2

Influencing & motivating others toward a common goal achievement involves having a clear vision, inspiring others to work at the highest level of achievement of desired outcomes, engaging others to participate, and having integrity, passion, and a guiding vision.

Answer 2

Leadership

Question 3

Form of leadership chosen by the administration and given official or legitimate authority to act in that role.

Answer 3

Formal Leadership Position

Question 4

Form of leadership chosen by a group and doesn’t have any official title or sanction to direct others.

Answer 4

Informal Leadership Position

Question 5

Leader has full power, gives directions, makes final decisions, and bears responsibility for outcomes.

Answer 5

Authoritative/Autocratic Leadership

Question 6

When is Authoritative/Autocratic Leadership used?

Answer 6

In emergency situations and codes. It is effective in crisis.

Question 7

Participative leader balances authority and decision-making between team members, shares responsibility with the group, and provides guidance rather than control.

Answer 7

Democratic Leadership

Question 8

When is Democratic Leadership used?

Answer 8

Collaborative environments like meetings and huddles where decision-making is required. Quality improvement meetings, policy change meetings, etc.

Question 9

Permissive leadership with the leader deferring the decision-making on the team. Leaders are relatively inactive and only intervene when a problem occurs or goals are not met.

Answer 9

Laissez-faire Leadership

Question 10

When is Laissez-faire Leadership used?

Answer 10

Only when the team is HIGHLY skilled and requires no guidance.

Question 11

Why is Laissez-faire Leadership RARELY used?

Answer 11

1. It’s difficult to achieve tasks and team members become confused and frustrated with no guidance.
2. Poor quality and inefficient work output due to little feedback and no goals.

Question 12

Leadership with a flexible response. Leaders adapt support and direction based on follower’s level of readiness.

Answer 12

Situational Leadership

Question 13

When is Situational Leadership used?

Answer 13

A preceptor/preceptee relationship.

Question 14

Leaders who avoid taking responsibility and confronting others. They react and take corrective action only after serious problems occur.

Answer 14

Passive/Avoidant Leadership?

Question 15

What is the disadvantage of Passive/Avoidant Leadership?

Answer 15

Results in a high staff turnover and low staff retention rate due to the lack of control and absence of clear direction.

Question 16

Leader concerned with day-to-day operations providing structure, reward and punishment, and utilizing chain of command. “You scratch my back, I scratch yours” mentality.

Answer 16

Transactional Leadership

Question 17

Motivating others by behaving in accordance with values, providing vision that reflects mutual values and empowering others to contribute.

Answer 17

Transformational Leadership

Question 18

What leadership style is desirable in nursing and why?

Answer 18

Transformational Leadership because it creates a supportive environment and inspires commitment in others.

Question 19

Focuses on growth of followers while promoting quality of care through teamwork and shared decisional making while putting other’s needs first.

Answer 19

Servant Leadership

Question 20

Honest and direct approach with followers that strives for close relationships with the team.

Answer 20

Authentic Leadership

Question 21

Leaders are in intune with the emotions of those around them, using empathy and managing their own emotions to build strong, trusting relationships in a climate of optimism.

Answer 21

Resonant Leadership

Question 22

What is the “Quadruple Aim” framework?

Answer 22

The framework used for optimizing healthcare performance that focuses on better care supported by EBP, being sensitive to patient needs resulting in more satisfied patients, lowering total medical care costs, and more satisfied providers.

Question 23

Nontraditional theory examines how systems adapt, and function by responding to patient and organizational problems by examining multiple through lenses and understanding systems can restore themselves.

Answer 23

Complexity Theory

Question 24

What are the nursing responsibilities in Complexity Theory?

Answer 24

• Caring for individual patients who each present unique challenges.
• Recognizing patterns of patient behaviors and physiologic processes and interconnected nursing actions/treatments
• Identifying solutions are not linear and require adaptation
• Relationships and communications are central factors
• Diverse thinking is required for problem-solving

Question 25

What are the 10 tasks of leadership?

Answer 25

1. Envisioning Goals 2. Affirming Values 3. Motivating 4. Managing 5. Achieving Workable Unity 6. Developing Trust 7. Explaining 8. Serving as a Symbol 9. Representing the Group 10. Renewing

Question 26

What are Covey's 8 Characteristics of Effective Leaders?

Answer 26

1. Engage in lifelong learning 2. Service-oriented 3. Concerned with the common good 4. Radiate positive energy 5. Believe in others 6. Lead balanced lives 7. Synergistic 8. Engage in self-renewal

Question 27

Using one's power and authority to enforce decisions while planning, organizing, coordinating, and directing the work of others.

Answer 27

Management

Question 28

What are the qualities & responsibilities of an effective manager?

Answer 28

Qualities include leadership, clinical expertise, and business sense. Responsibilities include interpersonal activities, decision-making activities, and informational responsibilities.

Question 29

Characterized by self-awareness, self-regulation, empathy, and social skills that help people harmonize to increase their value in the workplace. This is combined with critical thinking and action.

Answer 29

Emotional Intelligence

Question 30

What is the nursing management process?

Answer 30

1. Planning - defining goals/objectives 2. Organizing - bringing resources together to accomplish goals 3. Directing - providing guidance to achieve goals 4. Staffing - hiring, recruiting, determining assignments, scheduling 5. Controlling - monitoring progress toward goal, employee performance evals 6. Problem-solving - taking corrective action when off track

Question 31

Purposeful and goal-directed effort that uses a systematic process to identify and select options or alternatives.

Answer 31

Decision Making

Question 32

Focused on trying to resolve any issues that can be viewed as the gap between what is currently happening and what is the best available option..

Answer 32

Problem Solving

Question 33

The intellectually disciplined process of actively and skillfully conceptualizing, applying, analyzing, synthesizing, and/or evaluating information gathered from observation, experience, reasoning, or communication to guide a belief or action.

Answer 33

Critical Thinking

Question 34

Conceptualizing new and innovative ideas/approaches to problems by using flexible and independent thinking. This is essential to generate or identify solutions.

Answer 34

Creativity

Question 35

An individual who takes another person as a role model and who acts in accordance with support and advocates ideas/options of others.

Answer 35

Follower

Question 36

Willingness to work with others to accomplish a group mission, those who show a high degree of teamwork and build cohesion among the group.

Answer 36

Followership

Question 37

The ability to act to get things done, created through formal and informal systems, and ability to influence others in an effort to achieve goals.

Answer 37

Power

Question 38

Closely linked to how an individual perceives power, how others perceive the individual and the extent to which one can influence others.

Answer 38

Personal Power

Question 39

Power given to us by the members of our profession and the largest society to which we belong.

Answer 39

Professional Power

Question 40

One's position in an organizational hierarchy and being authorized to function powerfully within an organizational culture.

Answer 40

Organizational Power

Question 41

Power based on one's reputation for expertise and credibility that is derived from ability, knowledge, or skill.

Answer 41

Expert Power

Question 42

Power possessed by virtue of one's position within an organization or status within a group. Recognized by title and hired into the position.

Answer 42

Legitimate/Position Power

Question 43

Power that stems from one's possession of selected information needed by others; attaining and sharing knowledge that is accurate, useful, and timely.

Answer 43

Information Power

Question 44

Power gained by association with people who are powerful or who have links to powerful people.

Answer 44

Connection Power

Question 45

Granted by association with a powerful person; creased through relationships; people who lead by example. Power acquired through ability to influence and gain respect.

Answer 45

Referent Power

Question 46

Power that stems from fear of someone's real or perceived fear of another person who controls others through threats/discipline. NOT used in nursing.

Answer 46

Coercive Power

Question 47

Power perceived through ability to provide favors or rewards. Not nursing at the bedside but nursing managers.

Answer 47

Reward Power

Question 48

Power from the ability to influence/convince others to agree with one's opinion or agenda by leading others to viewpoint with data, facts, skills, etc., is not forceful.

Answer 48

Persuasive Power

Question 49

The ability to share power to build the exercise of power by others

Answer 49

Empowerment

Question 50

Energizes what we value, personally & professionally, and stimulates growth and movement toward the vision; whatever influences and creates directions for our behaviors.

Answer 50

Motivation