Nurse Leader, Manager, and Care Coordinator Exam 46 Questions with Verified Answers
Leadership - CORRECT ANSWER Type of power. Ability to direct or
... [Show More] motivate a person or group to achieve set goals.
Explicit Power - CORRECT ANSWER Power by virtue of position.
Implied Power - CORRECT ANSWER Power due to other factors, such as personality. Have the power to influence.
Leadership Qualities - CORRECT ANSWER Charismatic
Dynamic
Enthusiastic
Poised
Confident
Self-directed
Flexible
Knowledgeable
Politically aware.
Leadership Skills - CORRECT ANSWER Commitment to excellence
Problem-solving skills
Commitment and passion for one's work
Trustworthiness and integrity
Respectfulness
Empathy and caring
Responsibility to enhance personal growth of all staff.
Achieving Self-Knowledge - CORRECT ANSWER -Identify your strengths
-Evaluate how you accomplish your work
-Clarify your values
-Determine where you belong and what you can contribute
-Assume responsibility for relationships.
Leadership Styles - CORRECT ANSWER *Autocratic*
*Democratic*
*Laissez-faire*
*Quantum*
*Transactional*
*Transformational.*
Autocratic - CORRECT ANSWER Also known as authoritarian leadership. Leader has complete control of group decisions and activities.
Democratic - CORRECT ANSWER Also known as participative leadership. Decision making is shared among leader and group members.
Laissez-faire - CORRECT ANSWER Also known as non directive leadership. Power is given to the group making it hard to distinguish the leader of the group. Depends on strength of followers to direct group activities. Effective when staff are clinical experts.
Quantum - CORRECT ANSWER Moves beyond traditional modes previously experienced by all levels of workers.
Transactional - CORRECT ANSWER Also known as managerial leadership. Leaders promote compliance through rewards and punishment. Unlike transformtional leaders, they're not looking for change but rather for things to remain the same.
Transformational - CORRECT ANSWER Leader creates an intellectual stimulating practice environment and challenge themselves and others to grow personally and profesionally and to learn.
leadership involves a firm, insistent, self-assured leader who keeps at the center of attention.
1). Autocratic
2).Democratic
3). In laissez-faire leadership,
4). Transformational - CORRECT ANSWER Autocratic
leadership is characterized by a sense of equality among the leader and other participants.
1). Autocratic
2).Democratic
3). In laissez-faire leadership,
4). Transformational - CORRECT ANSWER Democratic
the leader relinquishes power to the group.
1). Autocratic
2).Democratic
3). In laissez-faire leadership,
4). Transformational - CORRECT ANSWER laissez-faire leadership
leadership can create revolutionary change instituted by charismatic leaders.
1). Autocratic
2).Democratic
3). In laissez-faire leadership,
4). Transformational - CORRECT ANSWER Transformational
Role of Nurse Manager - CORRECT ANSWER Planning: Identifying problems, developing goals, objectives, and related strategies to meet the demands of the clinical arena.
Organization: Acquiring, managing, and mobilizing resources to meet both clinical and financial objectives.
Directing: Leading others in achieving goals within the constraints of the current fiscal and workforce shortage scenarios.
Controlling: Implementing mechanisms for ongoing evaluation, particularly in areas of clinical quality and financial accountability.
Management Structures - CORRECT ANSWER Centralized
-Senior managers generally make decisions with little input from group
Decentralized
-Decisions made by those knowledgeable about issue being decided
-Nurses are thus intimately involved in decisions concerning patient care.
Conflict Resolution Strategies - CORRECT ANSWER Avoiding; Collaborating; Competing; Compromising; Cooperating/Accommodating; Smoothing.
Avoiding - CORRECT ANSWER Issue is known but is not resolved. Group ignores it or postpones resolution.
Collaborating - CORRECT ANSWER Joint effort to resolve problem with win-win solution. Parties set aside previous goals, determine common goal and accept responsibility for achieving this goal.
Competing - CORRECT ANSWER One party wins at the expense of others. Utilized when one party is more knowledgeable about situation or when resistance is appropriate because of ethical concerns and unsafe patient care.
Cooperating/Accomodating - CORRECT ANSWER One party gives in.
Compromising - CORRECT ANSWER Both parties relinquish something of equal value.
Smoothing - CORRECT ANSWER An effort to complement other party and focus on agreement rather than disagreement thus reduce emotion in conflict. Issue is swept under the rug.
Lewin's Theory of Change - CORRECT ANSWER 1). Unfreezing: The need for change is recognized.
2). Moving: Change is initiated after a careful process of planning.
3). Refreezing: Change becomes operational.
Considerations for Planned Change - CORRECT ANSWER -What is amenable to change?
-How does the group function as a unit?
-Is the group ready for change and at what rate?
-Are the changes major or minor?
Planned Change: An Eight-Step Process - CORRECT ANSWER -Recognize symptoms that indicate that change is needed and collect data
-Identify a problem to be solved through change
-Determine/analyze alternative solutions to the problem
-Select a course of action from possible alternatives
-Plan for making the change
-Implement the selected course of action to effect change
-Evaluate the effects of change
-Stabilize the change.
Reasons for Resistance to Change - CORRECT ANSWER -Threat to self
-Lack of understanding
-Limited tolerance for change
-Disagreements about the benefits of change
-Fear of increased responsibility.
Overcoming Resistance to Change - CORRECT ANSWER -Explain proposed change to all affected
-List the advantages of the change
-Relate the change to the person's existing beliefs and values
-Provide opportunities for open communication and feedback
-Indicate how change will be evaluated
-Introduce change gradually
-Provide incentives.
Factors Increasing the Power Base of Nursing - CORRECT ANSWER -Right timing
-Size of the nursing profession
-Nursing's referent power
-Increasing knowledge base and education for nurses
-Nursing's unique perspective
-Desire of consumers and providers for change.
Evidence Based Strategies to Improve Leadership Skills - CORRECT ANSWER -Strive to become an authentic leader
-Develop leadership skills
-Promote a healthy work environment
-Engage staff to commit to their best effort at work
-Assist new graduates to transition into the RN roles.
Clinical Nurse Leader Role - CORRECT ANSWER -Created by AACN (American Association of Colleges of Nursing) as a leadership role
-CNL works with healthcare team to oversee, facilitate, coordinate patient care.
-CNL should communicate with other health care professionals, integrate evidence based practices and evaluate patient risks and outcomes
-Person centered focus of CNL include: patient advocate, educator, and provider of patient care in complex situations.
Considerations When Delegating Nursing Care - CORRECT ANSWER -Patient's condition
-Complexity of the activity
-Potential for harm
-Degree of problem solving and innovation necessary
-Level of interaction required with the patient
-Capabilities of the UAP (Unlicensed Assistive Personnel)
-Availability of professional staff to accomplish workload.
ANA Principles for Delegating Care - CORRECT ANSWER -The nursing profession determines the scope of nursing practice
-The nursing profession defines and supervises UAPs involved in providing direct nursing care
-The RN is responsible and accountable for nursing practice
-The RN supervises any assistant providing direct patient care
-The purpose of UAP is to work in supportive role to the RN.
Developing Leadership Responsibilities - CORRECT ANSWER *Mentorship*
*Preceptorship*
Nursing organizations
Continuing education.
Mentorship - CORRECT ANSWER A relationship in which an experienced individual (mentor) advises and assists a less experienced individual (protege).
Preceptorship - CORRECT ANSWER The preceptor (experienced nurse) is selected (generally paid) to introduce and employee to new responsibilities through teaching and guidance.
Communication - CORRECT ANSWER Interpretation
-How we process and analyze information, influenced by environment, opinions, past experiences, personal perceptions.
Verbal vs. Nonverbal
-Facial expressions, eye contact. Not spoken; expressed.
Communication Techniques - CORRECT ANSWER -Develop trust
-Use "I" statements
-Eye contact
-Empathy
-Open communication, open ended questions
-Clarify information
-Body language
-Use touch
-Active listener
-Special circumstances.
Written and Electronic Communication - CORRECT ANSWER -State what is observed, not judgmental
-Quantify
-Don't include irrelevant information.
what is car coordination? - CORRECT ANSWER defined as the organization of patient care activities to facilitate the delivery of quality health care services in an efficient person-centered manner (ANA)
True or false: A good example of explicit power is a class bully who gets his way by intimidating his classmates - CORRECT ANSWER False
True or false: It is increasingly difficult for the nurse manager to be both clinical and managerial expert - CORRECT ANSWER True
Which style of leadership describes a nurse leader who assumes control over the decisions and activities of the group?
a) autocratic leadership
b) democratic leadership
c) laissez-faire leadership
d) Transformational leadership - CORRECT ANSWER A [Show Less]