Leadership exam #2|50 Questions with Verified Answers
A clinical nurse leader (CNL) enters the workforce and hopes to use her interdisciplinary
... [Show More] skills to participate on a quality improvement committee. The coordinator of the quality group invites the CNL to join the group. Which type of power is demonstrated by the coordinator of the group?CORRECT ANSWER Legitimate
The healthiest form of communication is the __________ style.CORRECT ANSWER Assertive
The son of the deceased person arrives at the hospital and asks, "Can I just please stay and hold my dad's hand? He was so afraid of dying alone." Which response by the nurse shows empathy?CORRECT ANSWER "I'll close the door so you can spend time with your dad. I will check back in a few minutes."
The nurse manager meets with upper administration and learns that the strategic plan for nursing is to have 80% BSN staff within the next 3 years. The nurse manager then built her budget to meet the organization's strategic goal by providing tuition reimbursement and flexible work hours, which required some agency staffing. Which approach to budgeting is used?CORRECT ANSWER Iterative
A nurse gives Dilantin intravenously with lactated Ringer's solution containing multivitamins. The drug precipitates and obstructs the only existing line. When the team leader informs the nurse that these drugs cannot be mixed, the nurse states, "Everyone just pushes the medicine slowly. No one checks for compatibility. There isn't even a compatibility chart on the unit." Which type of logical fallacy has influenced the nurse?CORRECT ANSWER Appeal to common practice
A nurse is listening to a patient's apical heart rate. The patient asks, "Is everything okay?" The nurse says nothing and shrugs her shoulders. The nurse is demonstrating..CORRECT ANSWER Blocking
A director of nursing (DON) asks the staff to list how their nursing unit can help the organization meet its goal to "provide quality patient care with attention to compassion and excellence." An ad hoc committee is formed to develop a timeline of identified actions. The DON coaches the committee to reach desired outcomes. This DON is demonstrating which other role of leadership and management?CORRECT ANSWER Corporate Supporter
A hospital recently learned that their scorecard did not meet the national benchmark for patient satisfaction and brought in a professional change agent to determine what their issues were and how they could improve their score. The agent collected data and recommended that nurses participate in interdisciplinary walking rounds and allow the patient and family to be participants. Nurses now round every shift and perform "huddles to update the team" as needed throughout the shift as part of best practices. Random visits are made to nursing units to ensure all nurses are participating and patients are interviewed for their involvement. This stage of Lewin's change is:CORRECT ANSWER refreezing
Which component of an e-mail would be both effective and concise?CORRECT ANSWER Body: The next staff meeting is scheduled for Tuesday, January 19, at 5:00 PM in the first floor auditorium. Please send items for the agenda.
Sally Smith, MSN, RN, smith@hospital.org or ext. 5582
A nurse manager wants his nursing unit to be a place where all nurses want to work, where patient satisfaction is high, and care is innovative and interdisciplinary. Staff are encouraged to chair taskforces to improve quality of care and he counsels staff in areas of measuring patient outcomes. Other managers want to mimic this manager's approach to improve their own units. This nurse is which type of leader?CORRECT ANSWER Transformational
In an attempt to persuade employees to bargain for another type of health insurance, a handout is circulated that describes the present employees' health care insurance as being insensitive, limiting choices of care providers, and providing inferior care. This reflects which aspect of Lewin's planned change?CORRECT ANSWER unfreeze
An RN is consistently late to work, causing reassignment of patient care and the need for repeated shift reports. The nurse, who receives a warning for repeated tardiness, states, "My husband left me, I have no car, no family close by, and the bus is always late, which makes me late. The nurse manager doesn't care how hard I try to get here, and I am raising a child by myself." The nurse is using which type of logical fallacy?CORRECT ANSWER appeal to emotion
A licensed practical nurse (LPN) has been practicing for 25 years on a unit where a newly graduated RN with a bachelor's degree is hired. Before the RN arrives on the unit, the LPN is heard saying, "She'll try to tell everyone what to do because she makes more money. She'll sit at the desk and let us do all the work." This is an example of a(n):CORRECT ANSWER preconceived idea
The nurse caring for a patient states, "Your blood pressure is dangerously high. Are you taking antihypertensive medicine?" The patient states, "I can't afford my medicine. I have no insurance." The nurse states "I feel really sorry for that patient. I wish it wasn't against policy to give her money." The nurse wants to help and places a note on Facebook that any donations would be appreciated to help a waitress who works at the cafeteria next door to the hospital buy her medications. The nurse posts that "She was so sick last evening when she came to the ED. I can't believe they don't provide insurance. I can't give her money but you all can help." This nurse:CORRECT ANSWER is at risk for HIPAA violations.
A nurse is asked to "float" to another area where the patients require total care. The nurse smiles, picks up her stethoscope, and says, "I'll come back and eat lunch with everyone here." When she enters the elevator she hits the wall and mutters, "Always me. Don't I have any rights"? The nurse is demonstrating which communication style?CORRECT ANSWER passive-aggressive
A nurse has recently been appointed to the position of nurse manager. To become successful in managing the unit's budget, the new nurse manager should: (Select all that apply.)CORRECT ANSWER read the financial policy manual to learn more about the organization's budgeting process.
communicate regularly with a person in the hospital's finance office about interpreting budget reports.
discuss the process of developing budgets with other members of the management team.
After a meeting given by the hospital CEO on the state of the hospital, employees are asked to "budget wise." Of the following, which is true of...?CORRECT ANSWER Documenting the use of 2 IV catheters to start an IV allows for the item charge of both catheters.
Documenting the assist of 2 staff members to safely move a patient allows for the reimbursement of both personnel
Recruiting an agency staff member to work a shift so the staff nurse can take an unplanned PTO day has a negative impact on the budget.
A nurse who was recently certified in chemotherapy administration fails to check compatibility of phenytoin (Dilantin) before injecting into a continuous infusion of D5W leading to occlusion of the line. Which statement by the nurse demonstrates a red herring?CORRECT ANSWER The nurse states, "You are just upset because I am certified in chemotherapy administration and you are not."
A nurse is reading about positive reinforcement with the goal of increasing staff motivation. Which action would demonstrate positive reinforcement?CORRECT ANSWER Give spur-of-the-moment recognition to an employee who has accomplished a goal.
A nurse is preparing an exercise program as part of a health promotion program for older adults with osteoporosis. Which question would retrieve the most valuable information about health practices?CORRECT ANSWER "What exercise practices do you participate in?"
A nurse wants to apply open communication to obtain a thorough history and to determine cognitive function. Which question represents the use of open communication?CORRECT ANSWER Tell me what day of the week today is
A group of nurses are meeting to decide how to staff the upcoming holidays. Each of the four members freely expresses thoughts about fair staffing but is willing to listen to others thoughts and reconsider their first recommendations. The nurses are avoiding conflict and supporting professional communication through:CORRECT ANSWER supportiveness
A nurse is overhead saying, "I don't mind working during the election and holiday. My parents are divorced, money is tight, and honestly I don't trust any politicians anyway. I plan to take a few weeks off next month." She works independently to research strategies to improve patient-centered care for the large number of immigrants that arrived in the area and then works with the team to share ideas. She recommends, "Let's think the suggestions over and come back together next week." This nurse's communication style is consistent with which generation?CORRECT ANSWER generation X
A new mother is experiencing pain after delivering an infant with Down syndrome. The staff nurse states, "I don't think she is really hurting. Let the next shift give the pain medication." The team leader notices the staff nurse looks agitated and anxious and asks about any concerns in providing care to this new mom. The staff nurse admits having a stillborn infant with Down syndrome. This is an example of which component of communication?CORRECT ANSWER past experiences
Registered nurses who are entering the workforce will have expanded leadership responsibilities that include: (Select all that apply.)CORRECT ANSWER serving on interdisciplinary care teams.
attending a meeting to plan advanced training for unlicensed assistive personnel.
evaluating outcomes of care that are reported to a standing committee.
managing units with higher acuity, shorter lenghts of stay, and more diverse patients and staff
The nurse is demonstrating active listening when:CORRECT ANSWER eye contact is maintained while focusing on the patient as the patient describes the current pain level and location.
A nurse asks, "what is meant by 'internal' customers?" the correct response is (Select all that apply)CORRECT ANSWER x-ray technicians
clinical pharmacist
Chief financial officer
A manager just finished the last annual performance review of the staff, reviews the unexpected expenditures for the month due to use of agency nurses, and shares the latest quality indicators with the staff nurses. This manager is performing which management function?CORRECT ANSWER controlling
A patient's spouse was just diagnosed with lung cancer although there was no history of tobacco use. The spouse states, "I am so mad, how can you get cancer without smoking?" Which statement by the nurse represents empathy?CORRECT ANSWER "I understand how you could feel angry about the diagnosis."
Nurses on a unit met with the nurse manager as part of participatory budgeting. They ask, "What exactly is the difference between fixed and variable costs? Understanding this will help us better understand the budgeting process." The manager provides a definition and asks the staff to list types of direct and indirect cost. Which example would indicate a need for further teaching?CORRECT ANSWER Variable cost would include the salary expense for registered nurses.
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. Which type of leader accurately describes this nurse?CORRECT ANSWER transactional
A staff nurse states, "I really enjoyed having dinner with the Chief of Medical Staff and the President of the hospital. We hope to meet again soon." Which source of power does this nurse possess?CORRECT ANSWER connection
An explosion just occurred at the local factory, and hundreds of employees have sustained varying degrees of injury. Which type of nursing leadership is most effective in this situation?CORRECT ANSWER autocratic
The nurse manager meets with upper management to share strategic goals agreed upon by her staff for their individual nursing unit as the first step to begin budget negotiations. One strategic goal is that staff will have access to technology that will allow them to incorporate point-of-care devices for all RNs. The second goal is to improve RNs' ability to recognize critical indicators that a patient's health status is deteriorating through advanced health assessment skills. During the meeting the manager discusses the strategy options and selecting the one that works for the unit. Which type of budget development is used?CORRECT ANSWER participatory
One difference between a leader and a manager is that a:CORRECT ANSWER manager focuses on coordinating resources
A nurse manager is working with the financial officer to develop the budget of the nursing unit for the next fiscal year. The nurse manager tells the financial officer that which of the following pieces of information will affect budget assumptions?CORRECT ANSWER The patient census likely will increase during the next fiscal year because two large physician groups have transferred their admission privileges to this hospital.
During a health history interview, the nurse listens to a patient relating the precipitating events that led to the onset of chest pain. She focuses her attention on the patient, makes eye contact, and acknowledges what the patient has to say. The nurse is exhibiting:CORRECT ANSWER active listening
Which statement accurately describes communication?CORRECT ANSWER When the receiver becomes the sender, the subcomponent of communication that is in use is feedback.
During height and weight assessments at a school's health fair, a child admits to drinking a cup of coffee with his mother every morning, and another child reports enjoying a morning cup of coffee on the commute to school. These two children are both below average on the height chart, and the nurse states, "Drinking coffee stunts a child's growth." This logical fallacy is referred to as:CORRECT ANSWER confusing cause and effect.
The new director of nurses has instituted "walking rounds" on all nursing units, rather than the usual taped shift reports. A veteran nurse exclaims, "She doesn't know how we do things here!" The nurse is demonstrating:CORRECT ANSWER appeal to tradition
An RN with excellent assessment and psychomotor skills would derive power on the basis of which source?CORRECT ANSWER Expert
A nursing unit's census consists primarily of long-term residents with a high risk for falls. To meet new safety regulations, the nurse manager must plan to replace all 50 patient beds with new beds equipped with Fall Watch electronic sensors that will detect when patients get out of bed. The manager will be involved in which type of budgeting to replace the beds?CORRECT ANSWER capital
Which component of budgeting might normally be addressed in the annual performance evaluation for a nurse manager?CORRECT ANSWER Managing variances in nursing overtime costs and supply usage
Which action represents the key management function of strategic planning?CORRECT ANSWER Developing a 5-year plan that will incorporate the clinical nurse leader as a part of all nursing units
Florence Nightingale is attributed with being intelligent (she developed statistical methods to evaluate health care), dependable (she often worked long hours to care for the injured), and ambitious (she fought against society's perception of nursing). Those who depict her as a leader on the basis of these qualities are practicing which leadership theory?CORRECT ANSWER trait
The first step in the nursing process and in the problem-solving process is to:CORRECT ANSWER gather information
A nurse on the unit is heard saying, "I am not going to document that I used four catheters to start that IV; it doesn't matter anyway." What action can help the staff nurse understand the financial budget goals of the unit?CORRECT ANSWER Ask the nurse to represent the unit on the budget planning committee.
An RN who has worked on this unit for many years is unable to be promoted to a nurse manager position because of his educational status and has been commenting to physicians and staff, "The new nurse manager has book sense but no leadership abilities." What is the best approach that can be used by the new nurse manager who is attempting to gain the trust and respect of the nursing staff on the unit?CORRECT ANSWER Acknowledge the clinical expertise of the upset nurse and clearly explain the expectations for teamwork and open, honest communication.
A nurse manager is preparing a budget that does not base annual budgets on the revenue and expenditures of the prior year and has the advantage that outdated information is not integrated into the budget. The manager is using which budget method?CORRECT ANSWER zero-based
Managers who exhibit the authoritative behavioral style are most likely to use which source of power?CORRECT ANSWER coercive [Show Less]