Download PNVN 1150 MANAGEMENT EXAM QUESTIONS AND ANSWERS A GRADED and more Exams Nursing in PDF only on Docsity!
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1. Which type of leadership is reflected when a nurse delegates tasks to a rescue
team caring for a group of clients who survived an earthquake?
a. Autocratic
b. Situational
c. Democratic
d. Laissez-faire: a. Autocratic
rationale: During autocratic leadership, the leader retains authority and responsibility. An autocratic leader places little trust and confidence in others during a natural disaster. Situational leadership requires flexibility on the part of the manager in adapting to the needs of the work group. Democratic leadership involves treating every statt member equally; this type of leadership is not appropriate in a crisis situation. Laissez-faire leadership involves delegating decision-making to the group.
2. Which action of the nurse indicates effective implementation of the rules
of leaders in the profession? Select all that apply. One, some, or all responses may be correct.
a. Communicating in a simple language with followers
b. Giving a chance to the followers to express their views
c. Instructing followers to decide the actions to be performed
d. Avoiding communicating the clear boundaries with followers
e. Ensuring proper eye contact while communicating with followers: a. Communi-
cating in a simple language with followers b. Giving a chance to the followers to express their views e. Ensuring proper eye contact while communicating with followers rationale: An ettective leader should use the simplest and fastest method to communicate with followers. An ettective leader should give a chance to the followers to express their views, as followers have many questions to ask. Proper eye contact ensures ettective communication; therefore, an ettective leader should maintain proper eye contact while communicating with followers. An ettective leader should use critical thinking to decide the actions to be performed but should not instruct the followers. An ettective leader should communicate clear boundaries with followers.
3. Which action about documenting and transcribing prescriptions indicates
a need for further teaching?
a. Processing the stat prescription last to avoid confusion
b. Reading through all prescriptions before transcribing them
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c. Checking computer entry prescriptions with the intended order
d. Reading back the verbal prescriptions and then documenting the details: a.
Processing the stat prescription last to avoid confusion rationale: A stat prescription usually contains a single dose of medication to be administered immediately. Therefore, the nurse would process a stat prescription first. The nurse would read all prescriptions before transcribing them to avoid confusion. The nurse would check whether the computer entry prescriptions correspond correctly to the intended chart. If the nurse takes a verbal prescription, he or she would write down the prescription on the prescription sheet first. Then the nurse would read the prescription back for confirmation of the details and document the conversation for further verification.
4. Which role can assume responsibility for the nurse when the nurse takes
a break?
a. Charge nurse
b. Chief nursing officer
c. Health care provider
d. Licensed practical nurse (LPN): a. Charge nurse
rationale: The charge nurses have knowledge and expertise in critical thinking, clinical practice, leadership, and communication; therefore, the charge nurse can assume the duties when the registered nurse (RN) goes for a break. Chief nursing oflcers are accountable for establishing systems to communicate competency requirements related to delegation. Health care providers may delegate and assign tasks for unlicensed nursing personnel (UNPs). LPN are not eligible for delegation; the LPNs are delegatees.
5. Which characteristic is necessary to become an effective
transformational leader? Select all that apply. One, some, or all responses may be correct.
a. Acquiring a mentor
b. Inspiring a shared vision
c. Upgrading self-knowledge
d. Improving interpersonal skills
e. Being able to motivate the nursing staff: b. Inspiring a shared vision
d. Improving interpersonal skills e. Being able to motivate the nursing statt rationale: Having a shared vision helps ettective transformational leaders and their teams become inspired and commit- ted to a shared goal. Being an ettective transformational leader depends on one's interpersonal skills; improving these can help in interactions with the statt. The ability to motivate the nursing statt is also important for a transformational leader
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arrest, autocratic leadership behavior is suitable. The time it takes the leader to make decisions in situational leadership, democratic leadership, and laissez-faire leadership would be too long in these situations.
9. Which explanation is the key idea of "role theory" in nurse leadership?
Select all that apply. One, some, or all responses may be correct.
a. Allowing a nonlinear change
b. Understanding behavior in certain circumstances
c. Considering the lower level of basic needs as important
d. Clarifying the relationship between the pathway employees
e. Collecting concepts that predict the actor's performance in a given role: b.
Understanding behavior in certain circumstances e. Collecting concepts that predict the actor's performance in a given role rationale: Role theory involves understanding behavior in certain circumstances. It also includes collecting the concepts that predict the leader's performance in a given role. Dittusion theory focuses on allowing a nonlinear change. The lower levels of the basic needs are considered important according to McGregor's theory. Pathgoal theory focuses on the environment for clarifying the relationship between the pathway employees.
10. Which action on the part of the nurse constitutes transactional
leadership?
a. Rewarding the licensed practical nurse for high performance
b. Encouraging innovative thinking by the licensed practical nurse
c. Encouraging the licensed practical nurse to transcend self-interest
d. Motivating the licensed practical nurse by articulating an inspirational vision-
: a. Rewarding the licensed practical nurse for high performance rationale: Transactional leadership depends on the power of organizational position and formal authority to reward and punish performance. Therefore rewarding the licensed practical nurse for high performance indicates transactional leadership. Encouraging innovative thinking in the licensed practical nurse is transformational leadership. Encouraging the licensed practical nurse to transcend self-interest is also transformational leadership. Motivating the licensed practical nurse by articulating an inspirational vision is transformational leadership as well.
11. Which action is the most appropriate for the team leader to
approach an ethical situation of a nurse arriving at work after drinking alcohol?
a. Counsel the nurse about the problem.
b. Ignore the problem until it happens again.
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c. Notify the nurse manager about the problem.
d. Resolve the problem by sending the nurse home.: c. Notify the nurse manager about the
problem. rationale: After identifying the problem, the nurse should explore options to address the situation; this is best accomplished in collaboration with the nurse manager. Counseling the nurse about the problem is not the role of a nurse; the nurse who has been drinking needs professional counseling. Ignoring the problem until it happens again is unsafe; clients may be placed in jeopardy. Resolving the problem by sending the nurse home delays addressing the problem.
12. Which statement is true regarding autocratic style leadership?
a. Autocratic style leadership completely relinquishes control.
b. It allows employees to have more control.
c. It involves establishing one-way communication with the group.
d. It encourages individual participation in the decision-making process.: c. It
involves establishing one-way communication with the group. rationale: In autocratic style leadership, the leader retains all authority and responsibility. The leader is primarily concerned with task and goal accomplishment; therefore, he or she establishes one-way communication with the group. In laissez-faire leadership, the leader completely relinquishes control and delegates all decision making to the group. Democratic style leadership is a people-centered approach in which employees are allowed more control and the leader encourages individual participation in the decision-making process.
13. Which task can the nurse delegate to the unlicensed assistive
personnel (UAP) based on their knowledge and qualifications?
a. An invasive procedure
b. A repetitive, simple skill
c. A skill that is used during a crisis
d. An intervention that facilitates goal accomplishment: b. A repetitive, simple skill
rationale: According to the five rights of delegation, a task that can be delegated to UAP should be a skill that is repetitive and requires little supervision. Noninvasive processes that pose minimal risk to the client can be delegated to UAP. The UAP should not be assigned to perform skills used during a crisis or skills that facilitate goal accomplishment.
14. Which of Gardner's tasks involves anticipating client outcomes for
single clients or families and helping them formulate their vision of future well-be- ing?
a. Explaining
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unlicensed health care worker?
a. Assessing a newly admitted client's contraction pattern
b. Discussing pain management options with a laboring client
c. Providing ice chips to a client in early labor per the primary health care
provider's prescription
d. Obtaining a sterile urine specimen for a suspected urinary tract infection: c.
Providing ice chips to a client in early labor per the primary health care provider's prescription rationale: Providing ice chips to a client in early labor per the primary health care provider's prescription does not require clinical knowledge or judgment for safe, ettective care. Assessment, discussion of alternative actions, and the use of sterile technique during an invasive procedure all require clinical knowledge and judgment beyond the scope of practice of an unlicensed health care provider.
18. Which task would the nurse delegate to an unlicensed health care
worker?
a. Evaluation of a postpartum client's lochia
b. Vital signs on a client 4 hours after delivery
c. Assessment of a postpartum client's episiotomy
d. Assisting the postpartum client to breastfeed for the first time: b. Vital signs on
a client 4 hours after delivery rationale: Evaluating the client's lochia, assessing the client's episiotomy, and helping the client breastfeed for the first time would involve assessment, teaching, or evaluation and should not be delegated. The only task that does not require any of these is taking vital signs 4 hours after delivery.
19. Which client care activity would a nurse safely delegate to an
unlicensed health care worker?
a. Assessing a client's mastectomy incision for signs of inflammation
b. Assisting a client who is recovering from an abdominal hysterectomy to the
bathroom
c. Providing information about side effects to a client receiving chemotherapy
for breast cancer
d. Evaluating the effectiveness of an antiemetic that was administered to a
client to relieve nausea: b. Assisting a client who is recovering from an abdominal hysterectomy to the bathroom
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rationale: An unlicensed health care worker is taught how to safely ambulate clients; this activity does not require extensive nursing knowledge or expert clinical judgment. Assessment, teaching, and evaluation of client responses to care all require clinical judgment and a license to practice nursing.
20. Which leadership style is reflected when the nurse leader asks the
team, "What do you think should be done in this situation?"
a. Autocratic
b. Situational
c. Democratic
d. Laissez-faire: c. Democratic
rationale: Democratic leadership is a people-centered approach that allows employees and other individuals to be involved in decision making. This leadership is demonstrated by the nurse asking his or her subordinates questions about care implementation. A leader who uses an autocratic leadership style displays little trust and confidence in employees. Situational leadership otters flexibility to the manager. Laissez-faire leadership involves the nurse avoiding responsibility and delegating decision making to the group
21. Which advice would a nurse give to a newly hired nurse who is not
wearing gloves while vaccinating an infant at a well-child clinic?
a. Speak with the nurse manager regarding techniques
b. Put on gloves because standard precautions are required
c. Continue with the immunizations because gloves are not needed
d. Evaluate the child's appearance to determine whether gloves are needed: b.
Put on gloves because standard precautions are required rationale: The protocol of the Centers for Disease Control and Prevention (CDC) (Canada: Public Health Agency of Canada [PHAC]) for administering parenteral medications requires standard precautions including the use of gloves. It is the nurse's responsibility to maintain standard precautions within the clinic environment. Gloves are needed and must be worn when children are given parenteral medications. The child's appearance is not a factor. The CDC (Canada: PHAC) protocol for administering parenteral medications requires standard precautions.
22. Which initiative demonstrated by the nurse is an effective art of
communi- cation of a leader?
a. Keeping the information broad
b. Ignoring the loss involved in the change
c.Being sensitive to verbal communication d. Reinforcing the values behind the
change: d. Reinforcing the values behind the change
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a. Building a society that treats men and women equally
b. Following new innovations in the organization effectively
c. Providing culturally competent care to clients effectively
d. Conducting research on diseases that do not have treatment: a. Building a
society that treats men and women equally rationale: The community opinion leaders, in partnership with others, can build a more just society. Therefore, the statement indicating building a society that treats men and women equally makes the nurse a community opinion leader. Following new innovations in the organization, providing culturally competent care, and conducting research on diseases to find treatments indicate the role of a nurse, not a community opinion leader.
26. A nurse leader finds a postoperative client in a semiconscious state
with impaired psychomotor functions resulting from the after effects of anesthesia. According to Maslow's hierarchy of human needs, which client need would the nurse leader prioritize?
a. Esteem
b. Self-actualization
c. Safety and security
d. Love and belonging: c. Safety and security
rationale: The client is suttering from the after ettects of anesthesia, which is marked by an altered state of conscious- ness. Thus the nurse leader's priority is meeting the client's safety and security needs to ensure that the client is not physically harmed. Esteem, self-actualization, and love and belonging needs are not a priority for a client in this situation.
27. Which statement about the situational leadership role is correct?
a. "Situational leadership is also called free-run style."
b. "This style allows the manager to grow professionally."
c."This style of leadership works well in highly motivated professional groups."
d. "The basis of this leadership style is the manager's flexibility in adapting to
the needs of the group or individual.": d. "The basis of this leadership style is the manager's flexibility in adapting to the needs of the group or individual." rationale: In situational leadership theory, the manager has flexibility in adapting to the needs of the group or individual. Laissez-faire leadership is called free-run style. This type of leadership style fosters professional growth of the manager and statt, and it does not work well with highly motivated professional groups.
28. A client learns that he has acquired immune deficiency syndrome
(AIDS). The nurse provides support to the client and his family. According to
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Maslow's hierarchy of needs, which level of need is the nurse addressing?
a. Esteem need
b. Self-actualization need
c. Safety and security need
d. Love and belongingness need: d. Love and belongingness need
rationale: According to Maslow's hierarchy of needs, the love and belongingness need involves the nurse lending support to a client and his or her loved ones when the client is diagnosed with a life-threatening disease. Self-esteem needs are addressed when dignity and recognition are taken into consideration in health care. Selfactualization needs involve personal growth and maturity. Safety and security needs are associated with protection from physical harm.
29. Which skill would be essential for an effective nurse manager to
develop and improve collaboration with others? Select all that apply. One, some, or all responses may be correct.
a. Flexibility
b. Reacting hastily
c. Showing frustration
d. Ability to listen to others
e. Ability to share information and ideas: a. Flexibility
d. Ability to listen to others e. Ability to share information and ideas rationale: To collaborate ettectively, the nurse should be flexible, must be willing to listen to others, and must share information and ideas with others. The nurse manager should plan a thoughtful response, consider others' perspective first, and not react hastily. The nurse manager should not share his or her anger or frustration with other statt.
30. Which right of delegation is implemented when the nurse instructs
the unlicensed nursing personnel to help a high-fall-risk client with toileting every 2 hours?
a. Right task
b. Right direction
c. Right supervision
d. Right circumstance: b. Right direction
rationale: Delegating the right direction or communication between the nurse and the unlicensed nursing personnel is important, especially during a shift of care. The nurse should give a clear, concise description of the task to the
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34. Which action would the nurse leader perform while
preparing to share information with the team?
a. Giving complete information at one time
b. Avoiding sharing information through mail
c. Determining which information is to be shared
d. Sending text messages instead of face-to-face communication: c. Determining
which information is to be shared rationale: The nurse leader would determine the information that has to be shared with followers but would not give all information at once. The nurse leader would give only limited information; giving too much at once can create disinterest in the listeners. The nurse leader can share in- formation through mail as a primary communication method. The nurse leader would use face-to-face communication over text messages.
35. While addressing the group, a nurse places an emphasis on team
building. The nurse also specifies that the individuals within the team will be credited based on their behavior and performance during the decision-making process. Which type of leadership is displayed when there is an emphasis on team building and individuals are credited for their behavior and performance?
a. Situational
b. Autocratic
c. Democratic
d. Free-run style: c. Democratic
rationale: In democratic leadership, the lead nurse emphasizes team building and collaboration while delegating care. These team members are credited based on their behavior to promote growth and development of the statt. Situational leadership enables professional growth for both managers and statt by managing tasks based on the situation. In autocratic leadership, the lead nurse makes firm decisions, which are unidirectional. In free-run style leadership, there is no sense of direction unless it is provided by the group or an informal leader.
36. According to Maslow's hierarchy, which category of human needs
would be prioritized while caring for the client experiencing depression caused by professional problems?
a. Belonging
b. Physiologic
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c. Self-esteem
d. Self-actualization: d. Self-actualization
rationale: A client suttering from depression caused by professional problems would be taught about problem-solving abilities. This activity would be included under self- actualization needs according to Maslow's hierarchy. Belonging needs may include actions such as warm communication with the client and showing love and attection. Physiologic needs may include monitoring the client's oxygen, nutrition, and elimination. Self-esteem needs may include instilling self- respect and self-confidence in the client.
37. Which statement regarding leadership is true?
a. Transactional leadership uses motivation and inspiration strategies.
b. Democratic leadership is useful in times of natural disaster.
c. Situational leadership is the most commonly used leadership style.
d. Autocratic leadership stresses prompt and orderly performance.: d. Autocratic
leadership stresses prompt and orderly performance. rationale: An autocratic leader retains all authority and responsibility and stresses prompt and orderly performance of tasks. Successful organizations require both leadership and management. The autocratic leader is useful in times of natural disaster. The most commonly used styles of leadership are autocratic, democratic, and laissez-faire.
38. Which strategy is first for burnout prevention?
a. Focus
b. Choice
c. Balance
d. Awareness: d. Awareness
rationale: Awareness is the first strategy of burnout prevention because it deliberately reflects on the stress in one's life. Focusing on the goals to be achieved with full energy and the ability to make choices and prioritize are helpful, but these are not the first strategies. The important step next to awareness is to prevent or deal with burnout for restoring balance in one's life.
39. Which factor would be considered when delegating a task
to the licensed practical nurse (LPN)? Select all that apply. One, some, or all responses may be correct.
a. Client's condition
b. Complexity of the task
c. Number of LPNs available
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rationale: An autocratic leader is an expert in handling crisis conditions such as natural disasters (floods) and is often reputed for being able to skillfully handle diflcult assignments. An autocratic leader is firm, insistent, dominating, and quick at making decisions and taking necessary actions. This type of leader clearly assigns defined tasks to the working group to complete the work on time. A democratic leader involves statt members in the decision-making process. A situational leader manages tasks by adapting to the needs of the work group, which enables professional growth.
42. Which model of nursing care would include working
"within the walls" as well as "beyond the walls" of the hospital?
a. Primary nursing method
b. Practice partnership model
c. Patient-focused care model
d. Nursing case-management model: d. Nursing case-management model
rationale: In the nursing case-management model, the nurse needs to provide care for a client in nurse-managed centers, home health agencies, urgent care centers, schools, and rural settings. In the primary nursing method, a single nurse cares for a client while that client is in the hospital. In the practice partnership model, a registered nurse (RN) is paired with an unlicensed nursing personnel. In the patient-focused care model, a RN is paired with a crosstrained technician who provides patient-side care.
43. When a bedridden client complains that they are thirsty,
the nurse says, "I want to make you comfortable. Here is a glass of water, please take it." Which communication skill is the nurse using to make caring visible?
a. Listening actively
b. Expressing appreciation
c. Showing caring nonverbally
d. Making their positive intent explicit: d. Making their positive intent explicit
rationale: The nurse is making their positive intent explicit by explaining the purpose and demonstrating that what they are doing is in the client's best interest. Listening actively indicates acknowledging and reflecting back the person's feelings in a nonjudgmental way. Expressing appreciation refers to giving the personal gift of positive reward. Showing caring nonverbally can be done by using a facial expression, intonation, posture, eye contact, and body language to mirror the client's feelings.
44. The nurse manager enlists several nurses for a project
addressing the needs of the client diagnosed with human immunodeficiency virus (HIV). Which essential factor would be the
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most important element for the success of the project?
a. Offering ideas to the direct care nurses
b. Providing training to the direct care nurses
c. Allowing the direct care nurses to share ideas
d. Promoting discipline among the direct care nurses: c. Allowing the direct care nurses to
share ideas rationale: The most important element of success for the nursing manager is to allow the direct care nurses to share their ideas about the project and participate in decision making. This approach will increase their organizational commitment and increase the feeling of self-worth. The nurses will then be more likely to invest extra ettort for successful completion of the project. The other factors necessary for successful completion of the project include providing ideas, training the nurses, and promoting discipline.
45. While communicating with a nursing peer, the nurse leader
reports, "I allow my team to work freely and accomplish their own tasks without oversight." Which style of leadership is the nurse following?
a. Autocratic style
b. Situational style
c. Democratic style
d. Laissez-faire style: d. Laissez-faire style
rationale: A laissez-faire leader chooses to avoid responsibility by delegating all decision-making to the group. This type of leader would want the group members to feel free to accomplish their own tasks. An autocratic leader is firm, insistent, and dominating. A situational leader makes decisions based on the situations to be handled. A democratic leader encourages the participation of workgroups and facilitates goal accomplishment while stressing the self-worth of everyone.
46. Which statement by the nurse indicates an autocratic
leadership style?
a. "I guide my co-team members simultaneously when required."
b. "I treat my team members as equally important while making a decision."
c. "I ask my team members to feel free to express their opinion while making
decisions."
d. "I have the power to intimidate any team members who fail to adhere to
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49. Which statement by a nurse reflects an understanding of advocacy
for clients with heart disease? Select all that apply. One, some, or all responses may be correct.
a. "There are grassroots networks to provide input on tobacco regulation."
b. "Promoting healthier food options in our hospital's cafeteria is a form
of advocacy."
c. "It is important to advocate for the protection of federal support of
heart disease research."
d. "To advocate for our clients with heart disease, I am forming a committee
to petition for a pedestrian trail."
e. "To advocate for the uninsured and underinsured people in our
community, I would like us to provide free lipid and glucose screenings twice a year.": a. "There are grassroots networks to provide input on tobacco regulation."
b. "Promoting healthier food options in our hospital's cafeteria is a
form of advocacy."
c. "It is important to advocate for the protection of federal support of
heart disease research."
d. "To advocate for our clients with heart disease, I am forming a
committee to petition for a pedestrian trail."
e. "To advocate for the uninsured and underinsured people in
our community, I would like us to provide free lipid and glucose screenings twice a year." rationale: All of these plans are advocating for clients with heart disease. Joining grassroots tobacco coalitions, promoting healthier cafeteria choices, advocating for the National Institutes of Health (NIH) and other organizations to maintain and increase research, creating safe places to promote physical activity in the community, and providing free screenings and education are all excellent ways to promote the well-being of the population.
50. Which extra responsibility would the nurse leader need to provide
if given an additional duty as a nurse navigator? Select all that apply. One, some, or all responses may be correct.
a. Plan care for clients.
b. Address barriers to care.
c. Provide psychosocial support.
d. Communicate effectively to facilitate care.
e. Provide health education about the disease.: b. Address barriers to care.
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c. Provide psychosocial support. e. Provide health education about the disease. rationale: A nurse navigator may help clients with serious chronic diseases by assessing, screening, diagnosing, treating, and providing follow-up care. The responsibilities of a nurse navigator include overcoming health system barriers and providing psychosocial support while treating the client. Providing health education about the disease, from prevention to treatment, is also the responsibility of a nurse navigator. Planning the client's care and communicating ettectively are the responsibilities of a nurse leader and not a nurse navigator.
51. A health care facility expects their nurse leaders to
understand and choose the appropriate leadership style that fits situations they will encounter with their staff. Which situation most needs an autocratic leader?
