Week 5 Sherpath Flashcards
Florence Nightingale is attributed with developing statistical methods to evaluate health care, working long hours to care for the injured, and fighting against society’s perception of nursing. Those who depict her as a leader on the basis of these qualities are practicing which leadership theory?
Behavioral
Contemporary
Situational
Trait
Trait
A nurse manager who informs a nurse about being selected to go to an out-of-town nursing conference as a reward for excellent performance is demonstrating a concept from which leadership theory?
Democratic
Transactional
Transformational
Laissez-Faire
Transactional
Which statements are true about situational theories?
Select all that apply.
They state that different circumstances drive leaders to change their approach.
They focus on how leaders can be taught to be good leaders.
They are based on flexibility and critical thinking.
They propose that leaders are born with leadership traits.
They propose that leaders adapt their responses based on what is happening.
They state that different circumstances drive leaders to change their approach.
They are based on flexibility and critical thinking.
They propose that leaders adapt their responses based on what is happening.
A leader often keeps members in the dark about organizational goals while citing policy and rules as the rationale behind prescribed actions. Which leadership style does this describe?
Democratic
Laissez-faire
Autocratic
Bureaucratic
Bureaucratic
The charge nurse who takes responsibility for coordinating the staff schedule and asks the staff to develop their own schedule is demonstrating which type of leadership style?
Bureaucratic
Autocratic
Laissez-faire
Democratic
Laissez-faire
A leader on a hospital unit encourages nurses to form a leadership committee made up of staff members related to professional practice. This leader is exhibiting which leadership style?
Democratic
Autocratic
Laissez-faire
Bureaucratic
Democratic
As the nurse prepares to identify strategies to implement change on the new unit, which leadership style is she utilizing?
Bureaucratic
Autocratic
Democratic
Laissez-faire
Democratic
Which leadership quality is the nurse demonstrating when giving credit to those who achieve their goals?
Magnanimity
Dedication
Integrity
Openness
Magnanimity
When a nurse leader is willing to work an additional 4 hours to cover a portion of another staff member’s shift, which leadership quality is the nurse leader exhibiting?
Creativity
Dedication
Integrity
Openness
Dedication
If a nurse leader complains about patient assignments to another staff member within hearing distance of another patient’s family, which leadership quality would the manager need to develop?
Integrity
Humility
Magnanimity
Openness
Integrity
Which management function is similar to the first steps of the nursing process?
Planning
Organizing
Directing
Coordinating
Planning
A manager is ordering extra supplies and putting staff into groups to accomplish a task. Which management function is the manager performing?
Directing
Controlling
Planning
Organizing
Organizing
Which belief does the Theory X–style manager hold?
Personnel consider work like play.
Workers are capable of self-direction.
Staff members take initiative.
Employees are motivated by punishment.
Employees are motivated by punishment.
The nurse exhibits which role when actively monitoring patient costs and preventing waste?
Financial resource manager
Collaborative team member
Patient advocate
Case manager
Financial resource manager
Which role is the school nurse performing when coordinating the health care for a group of children to identify issues and overcome health care barriers?
Clinical nurse leader
Nurse educator
Collaborative team member
Case manager
Case manager
A nurse speaks up for a child to keep her favorite blanket, labels the blanket, and communicates both verbally and in the child’s electronic health record that the child will keep the blanket. Which role is the nurse exhibiting through these actions?
Patient advocate
Case manager
Financial resource manager
Clinical nurse leader
Patient advocate
The nurse consults with the UAP to determine if an assigned task was completed. Which of the Five Rights of Delegation does this represent?
Right Supervision
Right Person
Right Task
Right Circumstance
Right Supervision
Which statement represents the second principle of delegation?
The person to whom the assignment was delegated cannot delegate it to someone else.
The assignment must be within the delegatee’s scope of practice, knowledge, and skill level.
The patient’s condition must be such that it does not require ongoing or frequent assessment or intervention.
If the delegatee does not carry out the assignment in a satisfactory manner, the RN is responsible.
If the delegatee does not carry out the assignment in a satisfactory manner, the RN is responsible.
Which rights are included in the Five Rights of Delegation?
Select all that apply.
Task
Condition
Supervision
Assignment
Circumstance
Scope of practice
Task
Supervision
Circumstance
Which question would the nurse ask before delegating the task of ambulating the patient to a UAP?
Has the patient’s bed been made?
Will the UAP be able to judge the patient’s ability to walk without falling?
Is the assignment within the UAP’s ability to perform safely?
Is the patient a male or female?
Is the assignment within the UAP’s ability to perform safely?
When the RN gives the UAP specific instructions about an assignment, which right of delegation is the nurse demonstrating?
Right Circumstance
Right Supervision
Right Communication
Right Person
Right Communication
A nurse manager is concerned with restocking the emergency cart, creating the staff schedule, requesting floor stock from pharmacy, and checking the orders on patient charts. Based on contemporary leadership theories, which type of leader accurately describes this nurse?
Transactional
Servant
Transformational
Autocratic
Transactional
A new nurse manager is attending a week-long training course to learn to become a better leader. Which leadership theory best matches this nurse manager’s actions?
Transformational
Behavioral
Trait
Situational
Behavioral
The staff nurse who is recognized by peers as being a leader is demonstrating which type of leadership?
Appointed
Formal
Informal
Assumed
Informal
Which leadership style is most useful in reducing errors or during a health crisis situation in the workplace?
Autocratic
Bureaucratic
Democratic
Laissez-faire
Autocratic
Which leadership style is represented by a leader who believes that employees want little or no direction in obtaining organizational goals?
Bureaucratic
Laissez-faire
Autocratic
Democratic
Laissez-faire
A nurse manager is discussing nursing assignments with team members and makes the following statement: “We are going to do what I think is best.” Which leadership style is being demonstrated?
Autocratic
Bureaucratic
Democratic
Laissez-faire
Autocratic
Which qualities do effective nurse leaders possess?
Select all that apply.
Integrity
Humility
Education
Personality
Openness
Integrity
Humility
Openness
Match the leadership quality with the appropriate behavior.
Demonstrating clear ethical principles
Spending time needed to accomplish tasks
Giving credit where it is due
Appreciating others’ contributions
Answer choices
Humility
Integrity
Dedication
Magnanimity
Compassion
Empathy
Demonstrating clear ethical principles
Integrity
Spending time needed to accomplish tasks
Dedication
Giving credit where it is due
Magnanimity
Appreciating others’ contributions
Humility
Which characteristics of effective leaders inspire successful teams?
Select all that apply.
Uses excellent communication skills
Uses different leadership styles appropriately
Seeks multiple opinions
Identifies and supports change
Readily assigns blame
Displays understanding and empathy
Uses excellent communication skills
Uses different leadership styles appropriately
Seeks multiple opinions
Identifies and supports change
Displays understanding and empathy
Staff members recognize which skill in nurse managers who hold themselves accountable with the highest level of ethical behavior?
Business sense
Professionalism
Leadership aptitude
Communication
Professionalism
The manager who makes threats of writing up errors to motivate staff members is exhibiting which management style?
Situational
Theory X
Theory Y
Transformational
Theory X
A nurse manager is assessing the need to hold immunization clinics on Saturdays one month before school begins to increase immunization rates among children in the community. Which leadership function is demonstrated by the nurse manager?
Planning
Organizing
Directing
Controlling
Planning
Which nursing actions demonstrate human skills?
Select all that apply.
Maintaining competency and currency of clinical skills
Creating an open, nonthreatening environment
Acting as a willing expert or teacher of a psychomotor task
Understanding the needs of external customers
Maintaining honesty and integrity in work and relationships
Creating an open, nonthreatening environment
Maintaining honesty and integrity in work and relationships
Which role does the nurse exhibit by providing the newest evidence-based practice to other members of the health care staff in providing patient care?
Patient advocate
Case manager
Resource manager
Clinical nurse leader
Clinical nurse leader
A nurse who accepts the realities of complex health care systems is demonstrating skills in which area of effective leadership?
Conceptual
Technical
Human
Communication
Conceptual
The ANA describes delegation as the transfer of responsibility. Which action does the transfer of responsibility allow a competent person such as the UAP to do?
Make decisions about tasks to be delegated.
Reassign tasks to other qualified persons.
Perform a selected task in a selected situation.
Decide which similar tasks can be completed without supervision.
Perform a selected task in a selected situation.
Which reliable resources would a new nurse consult to learn how to safely delegate to others in the employment setting?
Select all that apply.
Job descriptions
The UAP
Another new nurse
Hospital policy manual
Nurse practice acts
Job descriptions
Hospital policy manual
Nurse practice acts
Which tasks might the nurse delegate to a UAP?
Select all that apply.
Assessing a 17-year-old’s pain
Shampooing a 23-year-old’s hair
Bathing a 41-year-old who is incontinent
Ambulating a steady 50-year-old after surgery
Taking vital signs on a 35-year-old with hypertension
Shampooing a 23-year-old’s hair
Bathing a 41-year-old who is incontinent
Ambulating a steady 50-year-old after surgery
Before delegating an assignment to an LPN/LVN or UAP, the nurse must identify which factors?
Select all that apply.
Task required
A safe environment
Medical diagnosis
Strengths and weaknesses of the delegatee
Ability to supervise the task
Task required
A safe environment
Strengths and weaknesses of the delegatee
Ability to supervise the task
Which application of the ethical principal of fidelity specific to the heart transplant case study is correct?
Entitlement of equal treatment for all regardless of poor past choices/decisions
The duty to do no harm to a teenager in need of a heart transplant for survival
Faithfulness and keeping the promise to do the best you can for the patient, regardless of the patient’s past history
Denying the heart transplant to maximize the chance of survival and increased likelihood of a good outcome for the next person on the wait list
Faithfulness and keeping the promise to do the best you can for the patient, regardless of the patient’s past history
Which phrase best describes the ethical principle of justice?
The greatest good for the greatest number of people
The belief that everybody is entitled to be treated fairly regardless of race, gender, or wealth
The belief that the rightness of the action is based on the outcome and is acceptable as long as it benefits many
The belief that those with more wealth have earned the right to be treated above others
The belief that everybody is entitled to be treated fairly regardless of race, gender, or wealth
Which statement best describes the ethical principle of utility?
The needs of one individual outweigh the needs of many.
Everybody is entitled to be treated fairly.
The equal distribution of a limited resource is priority.
It does not matter what the action is as long as the outcome is positive and benefits many.
It does not matter what the action is as long as the outcome is positive and benefits many.
Which phrases describe the ethical principle of beneficence?
Select all that apply.
Action equals a direct benefit
Maximizing of good
Doing what you feel is best for another
Promoting of good
Promoting a positive outcome
Action equals a direct benefit
Maximizing of good
Promoting of good
Promoting a positive outcome
Which ethical theory would best support the decision that the hospital was correct in obtaining state custody of a child to administer chemotherapy?
Deontology
Teleology
Rights-based theory
Virtue ethics
Deontology
Which description of rights-based ethical theory is accurate?
Consequentialist theory based on the belief that all individuals are entitled to certain rights that cannot be taken away
Nonconsequentialist theory based on the belief that all individuals are entitled to certain rights that cannot be taken away
Nonconsequentialist theory based on the belief that there are people in this world who are entitled to more rights and freedoms than others
Consequentialist theory based on the belief that some people in this world are entitled to more rights and freedoms than others
Nonconsequentialist theory based on the belief that all individuals are entitled to certain rights that cannot be taken away
Which statements describe the ethical theory of deontology?
Select all that apply.
Its aim is to have the right outcome.
It reflects the beliefs of nonconsequentialists.
It reflects the beliefs of consequentialists.
The primary intent of the action is judged, not the repercussions.
Its aim is to perform the right action.
It reflects the beliefs of nonconsequentialists
The primary intent of the action is judged, not the repercussions.
Its aim is to perform the right action.
The phrase “I just knew it was the right thing to do” is an example of using which ethical theory?
Intuitionist theory
Virtue ethics
Rights-based theory
Duty-based theory
Intuitionist theory
Which theories are examples of agent-based ethical theories?
Select all that apply.
Rights-based theory
Virtue ethics theory
Duty-based theory
Intuitionist theory
Utilitarianism
Virtue ethics theory
Intuitionist theory
Which actions apply to provision 1 of the ANA Code of Ethics: “The nurse practices with compassion and respect for the inherent dignity, worth, and unique attributes of every person”?
Select all that apply.
Building respectful, caring, and compassionate relationships with colleagues
Recognizing a person’s inalienable rights
Being responsible and accountable for one’s own nursing practice
Recognizing and caring for all humans with dignity and compassion regardless of disease, - disability, or religious or lifestyle choice
Maintaining professional competence and professional growth
Building respectful, caring, and compassionate relationships with colleagues
Recognizing a person’s inalienable rights
Recognizing and caring for all humans with dignity and compassion regardless of disease, - disability, or religious or lifestyle choice