leadership questions

Question 1

an accurate assessment drives the rest of the steps of the nursing process. The nurse in charge understands that the management function that drives effective management is

Answer 1

planning

Question 2

which action is an example of a nurse working independently

Answer 2

assigning another nurse to administer medications

(delegating tasks is an independant task)

Question 3

which is most basic for a nurse new to a management position

Answer 3

strong interpersonal comunication skills

Question 4

a unit manager mentors a new unit manager as part of orientation to the position. which type of power is being used by the unit manager mentor

Answer 4

expert (expert power is the respect one receives based on one’s ability, skills, knowlege and expierience)

Question 5

a nurse identifies that a post op patient is hemorrhaging. The nurse direct another nurse to call the surgical resident and sends the nurses aid to grab equipment from utility room and then proceeds to try to stop the bleeding.Which style of leadership did the nurse use in this situation

Answer 5

autocratic

Question 6

which intervention should an RN perform rather than delegate to an unliscensed nursing assistant

Answer 6

assess the skin on a newly admitted patient

Question 7

A nurse arrives on the unit for the last 5 minutes of a 20 minute change of shift report for a second time within a week. How should the charge nurse handle this situation

Answer 7

discuss the lateness with the nurse in private, immediately after the report

Question 8

which specimen collection should a registered nurse delegate to LPN rather than a unlicensed nursing assistant.

Answer 8

wound drainage for culture and sensitivity

Question 9

a nurse manager considers that there are “Five rights of delegation” - right task, right person, right communication, right time, and right…..

Answer 9

supervision

Question 10

what should the manager do first to overcome resistance to change

Answer 10

ensure that the planned change is within the current beliefs and values of the group

Question 11

what activities does a nurse manager engage in who values the importance of positive role modeling

Answer 11

following the policies of the agency (positive role modeling, follow the rules and your employees will too)

Question 12

when condisering leadership styles an “autocratic” leader is to “authoritarian” as a “democratic” leader is to

Answer 12

consultative

Question 13

what nursing care delivery model is based on case management

Answer 13

primary nursing

Question 14

which statement is most significant in relation to the concept of change theory in the health-care environment

Answer 14

weigh the risks and benefits

Question 15

several nurses complain to the nurse manager that one of the patient care aides constantly takes extensive lunch breaks. What should the nurse manager do

Answer 15

talk with the patient care aide to explore the reasons for the behavior and review expectations

Question 16

what should the nurse do to ensure efficiency when managing a daily assignment

Answer 16

organize care around legally required activities

Question 17

a supervisor communicates expectations about a task to be completed and then delegates the task. Which management function is being implemented by the supervisor

Answer 17

directing

Question 18

a student nurse in the clinical area is given an appropriate patient assignment by the instructor. What should the student nurse do

Answer 18

assume accountability for the tasks that are assigned by the instructor

Question 19

which statement is most significant in relation to the concept of change theory in the health care environment

Answer 19

change generates anxiety by moving away from the comfortable

Question 20

a patient is to be discharged from the hospital. which discharge task can be delegated to a nursing assistant

Answer 20

obtaining the patient’s temperature, pulse, and respiratory rate

Question 21

what is the major focus of nursing management

Answer 21

accomplishing an objective

Question 22

A staff nurse must solve a complex problem. Which is the nurse’s most effective resource

Answer 22

unit’s nurse manager

Question 23

when delegating a specific procedure to a patient care aide, the aide refuses to perform the procedure. What should the nurse do first

Answer 23

explore why the patient care aide refused to perform the procedure

Question 24

what is the first thing the nurse hould do when planning to apply for a new position within an agency

Answer 24

review the job description

Question 25

The most important reason why a nurse aide must fully understand how to implement a delegated procedure is because the nurse aide must be able to

Answer 25

complete the procedure safely

Question 26

The nursing team leader delegates a wound irrigation to a licensed practical nurse. It has been a long time since the LPN performed this procedure. To ensure patient safety the nursing team leader should

Answer 26

Have the LPN demonstrate how to perform the procedure

Question 27

a nurse manager is informed that a large number of patients will be admitted in response to a terrorist attack. Which type of leadership style is most appropriate in this situation

Answer 27

authoritarian

Question 28

a nurse manager is experiencing staff resistance when implementing change. What is the most important action by the nurse manager to overcome resistance to change

Answer 28

identify the reason for the resistance

Question 29

what is the major focus of leadership

Answer 29

inspiring people

Question 30

The primary difference between effective leaders and managers is that managers have

Answer 30

Responsibility

Question 31

which situation is most reflective of the saying “a stitch in time saves nine?”

Answer 31

collecting equipment for a procedure before entering the room

Question 32

A RN delegates a procedure to an LPN. what is the primary purpose of delegation

Answer 32

improve productivity

Question 33

a nurse manager plans to provide feedback to a subordinate who needs a change in behavior. What is the best intervention by the nurse manager

Answer 33

identify the unacceptable behavior

Question 34

what is the main reason the nurse manager achieves a consensus when making a decision within a group

Answer 34

facilitate cooperative effort toward goal achievement

Question 35

The nurse manager evaluates the performance of a subordinate. Which mangement function is being implemented by the nurse manager

Answer 35

controlling

Question 36

which is most related to systems theory

Answer 36

cyclical process

Question 37

The nurse and a nursing assistant (unlicensed assistive personnel) are working together on a surgical unit. which nursing activity should the nurse assign to the nursing assistant

Answer 37

emptying a urine collection bag that is attached to continuous bladder irrigation

Question 38

which tasks should be delegated to a RN (select all that apply)

obtaining vitals

providing dishcarge teaching

evaluating a patients repsonse to morphine

administering a cleansing enema to a patient

transporting a patient to the OR for surgery

Answer 38

providing discharge teaching

evaluating a patients response to morphine

Question 39

Lewin’s planned change theory progresses through phases. Order these statements by the nurse manager as change moves through the process

1. “let’s implement a pilot project next week”
2. “this is a new venture that should be exciting”
3. “I know it may be difficult but you are doing a great job”

Answer 39

2. “this is a new venture that should be exciting”
3. “let’s implement a pilot project next week”
4. “I know it may be difficult but you are doing a great job”