Management and Leadership HESI Practice Questions
Management and Leadership HESI Practice Questions
1.After attending a nursing management course, a
... [Show More] student nurse understands that the most effective managers must
develop communication and interpersonal skills.
periodically promote nurses based on time employed by agency.
promote the use of self-scheduling.
develop methods for patient satisfaction.: Option A is essential as a manager to communicate with staff and therefore either should possess or acquire these skills. The other options are not examples of effective management.
2.An agency nurse is assigned to work on a unit that uses the team nursing model of health care delivery. The nurse understands that the advantage to patient care delivery in this model is that the nurse
must make all patient care decisions.
can delegate patient care to other team members.
begins working on discharge plans at the time of admission.
administers all medications to the team patients.: Can delegate patient care
The advantage to the team nursing patient care delivery model is that UAPs are used to assist the RN and tasks can be delegated to them. The other options are examples of the primary nursing delivery model.
3.The following traits are seen in a leader EXCEPT
they are present oriented.
they empower others to set and achieve organizational goals.
they are visionary.
they focus on purposes.: Option A is correct because all leaders are future oriented, not present oriented. The other options are leader traits.
4.In a primary care delivery model, which of the following would be an expected assignment for a staff member for the day?
Two UAPs taking vital signs and blood sugars on all patients
Two LPNs administering medications to all patients
RN verifies new order for patient started on Lopressor (metoprolol) with a history of asthma.
RN holds morning dose of Lopressor (metoprolol) on a patient scheduled for an exercise stress test today.: Hold lopressor
In a primary care delivery model, the nurse acts autonomously. Options A and B indicate functional nursing. Option C should be seen in any delivery system.
5.Key tasks that the care manager may perform including all of the following EXCEPT
deal with personal issues arising during a shift.
use resources efficiently.
observe whether unit policies and objectives are meeting the needs of the patients and staff.
perform staff evaluations.: objectives are meeting the needs of the patients and staff.
Option C is a task for the middle-level manager. The other options are tasks of the care manager.
6.The management process consists of all of the following five phases EXCEPT
budgeting.
identification of needs.
planning
organization and direction.
identification of resources.: budgeting.
Budgeting is not part of the five phases of the management process.
7.A new nurse is interviewed at a facility where various models of patient care delivery are used. The nurse is interested in developing clinical decision-making skills. After the interview, the nurse determines the best position for enhancing those skills is the unit that uses which of the following models?
Primary nursing
Team nursing
Functional nursing
Case management: Primary Nursing
In primary nursing, clinical decision making is focused at the bedside by the nurse administering the care. The other options are a patient care delivery model whose focus is not bedside decision making.
8.A patient tells the day shift nurse that the night shift did not answer her call light for over an hour. Which statement by the nurse is most appropriate when practicing in a functional nurse delivery model?
"The night shift staff must care for more patients than does the day shift."
"I will notify my charge nurse."
"I will answer your call light promptly today."
"I will speak to the individual privately.": Option D is correct because in a functional model, each staff member is assigned one task for all patients. The other options may be seen in other or no models of care delivery.
9.A patient tells the day shift nurse that the night shift did not answer her call light for over an hour. Which statement by the nurse is most appropriate when practicing in a primary nurse delivery model?
"The night shift staff must care for more patients than does the day shift."
"I will notify my charge nurse."
"I will answer your call light promptly today."
"I will be sure the UAP is doing her job.": Option C is correct because the nurse works autonomously in the primary nurse delivery model. The other options are incorrect because they indicate other or no delivery care models.
10.The student nurse is shadowing on a medical/surgical unit and observes the duties of the charge nurse. Which of the following would the student identify as a quality attributed to a nurse in a leadership role?
A. Delays admission from emergency department until staff has appropriately educated a newly diagnosed diabetic patient on insulin administration.
B. Spends time with a newly diagnosed lung cancer patient to allow him to communicate his future health concerns.
C. Reevaluates staffing needs after one RN "calls in sick."
D. Counsels a UAP (unlicensed assistive personnel) after arriving late for work the third time that week.: B. Spends time with a newly diagnosed lung cancer patient to allow him to communicate his future health concerns.
Rationale:
Leaders do the right thing.
Therefore focus on effectiveness whereas a manager focuses on efficiencies.
11.The student nurse is shadowing on a medical/surgical unit and observes the duties of the charge nurse. Which of the following would the student identify as qualities attributed to a nurse in a management role? (Select all that apply.)
Arranges time schedule so that all staff can attend their mandatory skills day
Councils a staff member regarding personal family issues
Attends organizational meetings for the surgical service
Counsels a UAP after arriving late for work the third time that week
Participates in delivering care to a client who has returned from the recovery room
Speaks with family members who are concerned about extended care for their family member: Managers' responsibilities include the daily running of the unit which encompasses the first four options. Options E and F are tasks that a leader would perform.
12.There are four core components of transformational leadership. Which one is one of the four core components?
Emotional Stimulation (EI)
Spiritual Motivation (SM)
Idealized Influence (II)
Individualized Courtesy (IC): Idealized Influence is one of the four core components of transformational leadership. Intellectual Stimulation, Inspirational Motivation, and Individualized Consideration are additional components of transformational leadership.
13.Transformational leadership is a leadership theory used in nursing practice. The nurse understands that the type of nursing practiced in this environment would be most beneficial to
financial compensation.
tuition reimbursement.
personal empowerment.
best practice.: Personal empowerment is a basic component of transformational leadership. Options A, B, and D are not necessarily a component of transformational leadership.
14.Which of the following is NOT an example of the behavioral theory of leadership?
Democratic leader
Republican leader
Laissez faire leader
Bureaucratic leader: Republican Leader
Republican is a political party not a behavioral characteristic. The others are behavioral characteristics.
15.Which of the following is NOT a task or responsibility of the first-level manager?
Staff assignments for patient care during shifts
Conducting staff meetings
Making daily patient rounds
Initiate changes to unit policies based on current evidence: Initiate changes to unit policies based on current evidence
Rationale:
Initiating change to the unit policies based on current evidence is done by the middle-level manage. The other options describe tasks of the first-level manager. [Show Less]