Leadership Roles and Management Functions in Nursing: Exam Questions and Answers, Exams of Nursing

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Chapter 6- Leadership Roles and

Management Functions exam

Pre-shift team report occurs with each shift change at the acute care facility where a nurse is employed as a LPN/LVN. The team takes report together and discusses the upcoming duties for the nurse's shift, making sure delegated tasks are clearly understood and all questions are answered. During this time, which management technique is being employed? - answer - collaboration In light of the recent transition to a new skill mix that increases the role of unlicensed care providers, the nurse manager of the unit has enacted new policies and procedures to maximize both patient safety and staff performance during the transition to the new model. Which of the following skills has the nurse demonstrated? - answer - Management skills An LPN wishes to take up the position of team leader and asks for suggestions from an experienced nurse. What role should the experienced nurse suggest the LPN to take? - answer - Supervise unlicensed assistive personnel (UAP) Jon is the only registered nurse at the hospital who is certified to insert percutaneous intravenous catheters. What type of power does this certification provide? - answer - Expert What is important for the nurse to do when assigning tasks to UAP? - answer - Needs to assess carefully the skills and knowledge of each UAP

A new nurse asks a mentor for advice about the best ways to manage time. Which of the following techniques would the nurse mentor be most likely to recommend? - answer - Use a worksheet to identify specific tasks. The nurse accidentally left a confidential lab report on a table in one of the exam rooms. The nurse is attending to another client in that room and realizes the mistake when the client says, "I didn't know that my neighbor was one of your patients. I must have just missed her!" The nurse plans to tell her supervisor about the mistake immediately upon finishing with this client. This is an example of: - answer - accountability. As part of effective time management, a nurse should prioritize items needed to: - answer - maintain life. The RN who is assisting a new LPN/LVN team leader to understand the five rights of delegation knows that this new team leader needs further teaching if what is identified as one of the five rights of delegation? - answer - Right price Prior to delegating any task to a UAP, which information must be known by the LPN/LVN team leader? - answer - The nurse practice act of the state the LPN/LVN practices A team leader in a healthcare facility is using an autocratic leadership style. What should the team leader do when dealing with a life- threatening emergency situation? - answer - Instruct the staff members on duties they need to do Which statement about time management is true? - answer - Nurses who are self-aware and have clearly identified personal goals and priorities have greater control over how they spend their time; expend their energy, and what they accomplish.

A nurse is considered powerful by her peers because her mother is a well-known community leader and her aunt is an administrator at the same hospital. Which of the following is the power this nurse has? - answer - Referent power Due to many changes within the healthcare facility, employee morale is low. High client loads, frequent call-offs, and increasing acuity levels all contribute to the sense of discouragement within the unit. An LPN begins to place small, anonymous "thank-you" gifts in staff members' mailboxes a few times a week and monitors their reactions. Within a month, attitudes are more positive, staff members are bringing treats to share, and teamwork has improved. These actions represent: - answer - leadership. An LPN has just been named team leader, and is determined to establish a leadership style that encourages input from staff and focuses on effective communication and teamwork. Which leadership style will the LPN be using? - answer - democratic Preshift team report occurs with each shift change at the acute care facility. The team discusses the upcoming duties for the shift, making sure delegated tasks are clearly understood and all questions are answered. During this process, which function of LPN/LVNs as team leaders is taking place? - answer - collaboration An LPN working in a longterm care facility checks with the UAPs on the team to make sure that all their assigned clients have been given needed help with bathing and dressing before morning medications are distributed. The LPN's actions involve which aspect of the job? - answer - supervision A worksheet can be an effective tool for identifying specific tasks and assessments that must be completed during a given shift. This tool, sometimes called a "to-do" list or "brain sheet," is helpful in regard to which aspect of management? - answer - time management

The new graduate licensed practical nurse may have the most difficulty becoming oriented to this new role if employed on a nursing unit that utilizes which form of leadership style? - answer - Laissez-faire An LPN has worked as a staff nurse in a long-term care facility for three years and is interested in applying for a position as a team leader. This nurse is aware that what skills are necessary to fulfill this position? Select all that apply. - answer - An obligation to ensure that a task is completed Ability to determine if a staff member is able to accomplish a certain task Evaluation of staff members to ensure assigned tasks are completed Successfully carrying out the five rights of delegation requires following steps similar to those of the nursing process. The final step includes a very important aspect to unlicensed personnel to perfect their art. What is that aspect? - answer - providing feedback When delegating tasks to unlicensed assistive personnel, a licensed practical nurse (LPN) should assess the situation. Which of the following is the first step involved in assessing the situation? - answer - Know the client's needs and priorities. Delegation is an integral part of nursing, regardless of the educational level of the nurse. Additionally, the proper use of delegation assures timely, cost-effective care. Which "rights" are included in the five rights of delegation? - answer - All of the responses are correct. A nurse manager informs the staff members during a meeting that unlicensed assistive personnel will no longer be allowed to check patients' blood glucose levels. The nurse manager informs the group this was a new policy on the unit, and discussions will not change the enforcement of this policy. What type of leadership style is the nurse manager demonstrating? - answer - Autocratic

What does one realizes when examining leaders and managers? - answer - There is a need to integrate management and leadership. A patient wants to sign them self out of the hospital against medical advice (AMA). After talking with the patient at length, you determine that the patient is fully aware of all the ramifications of this decision. What would the nurse as a patient advocate? - answer - Make sure the patient has a follow-up appointment What is coercive power based? - answer - Fear and punishment What is correct about fiscal accountability for staffing? - answer - A critical responsibility of mangers Which of the following is not one of the Five Rights of Delegation? - answer - Right intention Prior to delegating a task to a UAP, the LPN knows that the five rights of delegation are similar to what other operation commonly used in caring for clients? - answer - Nursing process Morale is at a low level among staff at a healthcare facility. High client loads, frequent call-offs, increasing acuity levels all add to the discouragement. A nurse has an idea to encourage co-workers and supervisors, and places a small, anonymous gift in staff members' mailboxes (a few per week) and monitors reactions. Within a month attitudes have improved, people are bringing treats to share, teamwork has improved. What type of power does this represent? - answer - reward After working for many years in a hospital which practices team nursing, a nurse accepts an office manager position with a thriving pediatric practice. Which aspect of the new job is the most different from the hospital position? - answer - scheduling staff

In an annual message to hospital staff, the CEO of an acute care facility indicated that additional cost-saving measures would be implemented in order to decrease the potential of staff reductions to balance the budget. Understanding that excellent care also includes being frugal with resources, a nurse considers methods of resource management. Which of the following is not prudent resource management? - answer

• taking extra dressing supplies into a client's room A nurse manager makes all of the decisions for staff activities. What type of leadership is demonstrated by this action? - answer - autocratic A nurse is successful in promoting change on his nursing division. This nurse would be considered a(an) - answer - Leader A nurse manager she must provide care to her clients and her employees under the constraints of her resources. This involves maintaining the financial constraints of her division. What term best describes this scenario - answer - Resource management Which is the first step in time management - answer - Allow time for planning and establishing priorities. What is the most critical skill in good time management? - answer - Priority setting After morning report, the nurse manager held a mini conference with a team member, a licensed nurses' aide, and assigned the following duties: bathe and make beds for all your assigned patients, answer lights, ambulate all those ambulatory and turn nonambulatory patients every 2 hours, and report complaints or needs of the patients. Periodically during the day the nurse manager checked with the aide to determine whether the aide was having difficulty in completing the tasks. The nurse manager was frequently in patient rooms observing and performing her own duties. What is this an example of? - answer - Effective delegation

The LPN team leader has designed a program for the long-term care facility that involves giving out stars to team members who go above and beyond to meet the needs of the residents of the facility. These stars can then be redeemed for items such as tee shirts, and blankets with the long-term care logo on them. This team leader is using which type of power in the team leader position? - answer - motivational The team leader is an RN who is an excellent nurse, shares report for the team this shift, including fresh post-ops and expected admissions. The RN outlines expectations for the team and targets specific tasks for team members to complete. What type of leadership is the RN demonstrating? - answer - authoritarian A nurse has been the Wound Care/Stoma nurse at a hospital for many years. The nurse has an amazing rapport not only with colleagues but with clients. People seem to hang on every word of education or encouragement the nurse offers. What type of power does the nurse wield? - answer - expert power How is the action of advocacy best described? - answer - Informing others of their rights and making certain they have sufficient information to make decisions The head nurse on a busy floor tells the staff that this year she will be assigning vacation times rather than allowing the others to choose convenient times for them. What type of power is the head nurse displaying? - answer - Coercive A nurse is figuring out the best way to manage her clinical time. Place in order the sequence the nurse should use, from first step to last. - answer - Plan and establish priorities. Complete the highest priority task. Move from completing one task to beginning another. Re-assess and reprioritize tasks based on any changes.

A nurse is responsible for the following duties with a client. Place the tasks in the order of priority for the nurse to address them, from highest to lowest. - answer - Assessing neurologic stability. Administering antidiarrheal medication. Assisting the client to complete menu card for next meal. Placing an extra pillow behind the client's back. The wound care/stoma nurse at the hospital has an amazing rapport with both colleagues and clients. People seem to hang on every bit of education the nurse offers and to be extremely grateful for encouragement from this nurse during stressful times. Which type of power does this nurse wield? - answer - expert power Which of the following describes the purpose of power in regard to people in a leadership role? - answer - For a person in a leadership role to be effective, he or she must have some degree of power to support that role. An LPN/LVN has just been chosen to be a team leader on a very busy unit in a long-term care facility and knows that which type of leadership style is considered to be the best of all styles? - answer - Multicratic A supervisor invests much time and energy in talking with staff within the department to gather data for departmental goals, promotion of teamwork, and attainment of job satisfaction. While an excellent integrated leader/manager, what is the supervisor's key function as department manager? - answer - accountability for task accomplishment A nurse working on leadership skills should keep in mind the following accurate statement regarding leaders: - answer - All nurse leaders began as inexperienced nurses. A nurse manager has directed a registered nurse who is out of school for one year to become a member of the institution's policy and

procedure committee. A goal in her delegation is - answer - To assist the nurse to grow in her profession The LPN is in the midst of a client's assessment when the client mentions not having had a bath yet today. The LPN asks the CNA to complete the client's bath before lunch. Just before lunch the LPN checks in with the client about the bath. What does this behavior demonstrate? - answer - All of the responses are correct. The RN provides the LPN with an update on current clients, fresh postoperative clients, and expected admissions. The RN also outlines the treatments the LPN is expected to perform and targets specific tasks for the LPN to complete. Which leadership style do her actions demonstrate? - answer - authoritarian The unit manager always keeps calm, demonstrates strong leadership, is a calming influence during a crisis, and always seems to do the right thing at the right time. Which type of leadership style does this nurse demonstrate? - answer - multicratic Successfully carrying out the five rights of delegation requires following steps similar to those of the nursing process. The final step in the delegation process is important, yet sometimes overlooked. Which step is this? - answer - evaluating the results A committee is evaluating a number of LPN/LVNs who have applied to be team leaders. The committee recognizes that which LPN/LVN will have more difficulty in the leadership role if what is identified as a way of managing time on a day-to-day basis? - answer - The LPN/LVN who manages by crisis and completes tasks as the necessity of the task occurs