PrepU Chapter 1&Concept 41 – Leadership Questions with Answers
A nurse wishes to advance his or her career and work as a clinical nurse specialist.
... [Show More] Which statement regarding scope of practice should the nurse keep in mind? - CORRECT ANSWER The nurse may teach advanced education for nurses.
A clinical nurse specialist may offer advanced education for nurses. A clinical nurse leader, not a clinical nurse specialist, oversees the care coordination of a specific group of clients. A career as a clinical nurse specialist requires at least a master's degree in nursing, not a doctoral degree. Clinical nurse specialists do not practice with private practitioners only. They can also work in hospitals and community health agencies.
The first nursing journal owned, operated, and published by nurses was: - CORRECT ANSWER American Journal of Nursing
The American Journal of Nursing was first published in 1900 and was owned, operated, and published by nurses. It continues to provide information that may be of interest to nurses in all nursing specialties, and those who practice general nursing. Nurse Educator is a more recently developed journal which specializes in nursing education and targets nurse educators. Nursing Research is also a more recently developed nursing journal with a focus on nursing research and targets nurses interested in research. Standards of Clinical Nursing Practice are directives and guidelines that may be published as books available to nurses for purchase and review. It is not a nursing journal.
The registered nurse communicates with the physical therapist that a client is now on strict bed rest due to bradycardia. Which statement best explains the standard exemplified by the nurse? - CORRECT ANSWER The RN coordinates care delivery.
There are 12 Standards of Practice: assessment, diagnosis, outcomes identification, planning, implementation, evaluation, ethics, culturally congruent practice, communication, collaboration, leadership, and education. The standard exemplified by the nurse is 5a, implementation via coordination of care in which the RN coordinates care delivery. Standard 5b is health teaching and health promotion in which the registered nurse employs strategies to promote health and a safe environment. Standard 3 is outcomes identification, in which the registered nurse identifies expected outcomes for a plan individualized to the health care consumer or the situation. Standard 2, diagnosis, is when the registered nurse analyzes the assessment data to determine the actual or potential diagnoses, problems, and issues. Standard 1 is assessment, in which the registered nurse collects pertinent data and information relative to the health care consumer's health or the situation.
The nurse conducts a home safety assessment for a client. Which statement best explains the standard of care being implemented? - CORRECT ANSWER The RN promotes a safe environment.
The standard of care being exemplified is standard 5b: health teaching and promotion: The RN employs strategies to promote health and a safe environment. Standard 3, which is outcomes identification, involves the registered nurse identifying expected outcomes for a plan individualized to the health care consumer or the situation. Standard 12 is education, in which the registered nurse seeks knowledge and competence that reflects current nursing practice and promotes futuristic thinking. Standard 4 is planning, in which the registered nurse develops a plan that prescribes strategies and alternatives to attain expected, measurable outcomes.
The nurse is caring for a client with a new diagnosis of cancer, and allows the client to verbalize fears relating to how to tell the children. The nurse's intervention reflects which aspect of nursing? - CORRECT ANSWER art of nursing
In this example, the nurse is utilizing a holistic approach to the provision of nursing care based on the knowledge of providing psychosocial interventions, such as allowing the client to verbalize feelings/fears. This application of knowledge is the art of nursing. The science of nursing is the knowledge base for the provision of care. Evidence-based practice and application of research are using research to make decisions on how to care for clients.
The RN is working with hospital administrators to transform care at their facility. Which nursing competency will be critical for the nurse to utilize? - CORRECT ANSWER Work effectively in interdisciplinary teams
The RN working with administrators to transform care will need to be able to work effectively as part of an interdisciplinary team. The nurse will need to work as a team member with members of the administration, as well as representatives from other health disciplines involved in the project. The ability to use and troubleshoot equipment and to navigate the electronic medical records are important to the nurse, but will not necessarily help when working with administration to transform care. Doing things the way they have always been done is a barrier to transformation of care.
A nurse is providing care for clients in a long-term care facility. What should be the central focus of this care? - CORRECT ANSWER The client receiving the care
The client receiving the care is always the central focus of the nursing care provided. The central focus is not the nurse, the nursing actions, or nursing as a profession.
The nurse is helping the unlicensed assistive personnel (UAP) bathe the client, who is experiencing a lot of pain when repositioned in bed. Which nursing responsibility is the nurse demonstrating? - CORRECT ANSWER Client advocate
Nurses act as client advocates in many situations. Examples include communicating the needs and concerns of clients and ensuring that clients understand their treatments. In this case, the nurse is advocating for the client by providing the client dignity of personal hygiene and cleanliness. The nurse is not teaching as in the role of the educator. The nurse is not deciding on what is best for the client as a decision maker. The nurse is not managing the client nor coordinating care with other health care providers.
The nurse is caring for a postoperative client. The health care provider has written a prescription for a pain medication, and the prescription gives a dosage range for the amount the nurse may give depending on the severity of the client's pain. This type of functioning within the health care team is called: - CORRECT ANSWER collaborative functioning.
Nurses manage collaborative problems using both nurse- and health care provider-prescribed interventions to reduce the risk of complications. In this situation, the nurse is not operating authoritatively or independently, but within the parameters established by the health care provider. The nurse is not merely acting in an assistive capacity, as the nurse is performing interventions in the absence of the health care provider.
The primary aim of the Healthy People 2020 initiative is: - CORRECT ANSWER health promotion.
Healthy People 2020 establishes health promotion guidelines for the nation as a whole. The guidelines contain Leading Health Indicators, which are used to measure the health of the nation over a 10-year period. Illness prevention, health restoration, and coping with disability are components of the Healthy People 2030 guidelines, but are not considered as the primary goal of the initiative.
The nursing unit director exhibits the definition of leadership in which of the following responses?
a. The nurse manager refers the concern to the director of the department.
b. The nurse manager corrects the concern with the patient directly and does not communicate her actions to the staff.
c. The nurse manager meets with the staff to discuss the concern and identify solutions.
d. The nurse manager tells the staff that they need to correct the situation by tomorrow and leaves the meeting. - CORRECT ANSWER ANS: C
Leadership is defined as an interactive process that provides needed guidance and direction which is present in the correct answer. The other choices do not involve an interactive process with staff to resolve the concern.
The nurse who is certified as a Critical Care Registered Nurse (CCRN™) represents the unit on the organizational performance improvement team. This is an example of _____ leadership.
a. formal
b. unit
c. organizational
d. informal - CORRECT ANSWER ANS: D
Informal leaders are recognized as leaders because of their capabilities and actions. Formal leaders are recognized because of the position they hold such as director or manager. Unit leadership refers to the leader of the particular unit. Organizational leadership refers to any leader within the organization.
The hospital must reduce the number of readmissions from 11% to 8% in the next year. Which of the following best represents the transformational leadership style in accomplishing this goal?
a. The director communicates the goal of reducing readmissions to the hospital operations team and tells them to submit their action plan by the end of the week.
b. The organization charters three work teams to identify solutions for the top three causes for readmissions. These teams are given full authority to implement their solution.
c. The director of quality develops a vision statement and action plan to achieve the goal. The director works directly with the involved departments to implement the action plan.
d. The CEO communicates the goal to the organizational directors and managers and states that they are entrusted to solve the problem. - CORRECT ANSWER ANS: C
Transformational leaders communicate a vision and motivate employees to accomplish the goal. The director who communicates the goal of reducing readmissions to the hospital operations team and tells them to submit their action plan by the end of the week leaves the solution to achieve the goal to the followers to develop without motivating them. The solution that is left to the work teams to resolve is not an example of transformational leadership. The CEO entrusts the managers and directors to solve the problem without giving them a vision or engaging in the solution with them.
The new director of case management assessed the need to improve the organization's patient satisfaction with the discharge process. Which statement below illustrates the vision that would lead the team to this goal?
a. "The department will deliver reliable, collaborative, and compassionate discharge planning services to all patients."
b. "The department will hold weekly meetings every Tuesday at 11:00 AM."
c. "There will be implementation of a new uniform policy so staff can be readily identified."
d. "Staff are encouraged to complain about difficult patients, families, and physicians." - CORRECT ANSWER ANS: A
A vision is a statement about the long-term desired state for the department. The other choices describe specific actions, not a long-term vision statement.
The clinical nurse leader needs to identify the staff who must go home due to low census. Which answer below describes a democratic style of decision making?
a. The clinical nurse leader identifies the staff person with the most vacation and asks them to go home.
b. The clinical nurse leader tells the last person to show up for their shift to go home.
c. The clinical nurse leader decides not to send anyone home because it is too difficult to decide who should lose hours.
d. The clinical nurse leader asks the group if any of them would like the opportunity to go home and selects staff who volunteer. - CORRECT ANSWER ANS: D
Democratic leaders use a participatory style of decision making. In the other choices, the clinical nurse leader makes the decision independent of the staff.
According to situational and contingency theory, which of the following is true?
a. The theory challenges the concept that one leadership style is always best.
b. The theory supports employee feelings, morale, and feedback during the change process.
c. Motivation through inspiration and recognition is the focus for transforming employee behavior.
d. A leader is someone who possesses great intelligence and decision-making authority. - CORRECT ANSWER ANS: A
Situational and contingency theory challenges the assumption that there is "one best way" to lead. "The theory supports employee feelings, morale, and feedback during the change process" describes behavioral leadership. "Motivation through inspiration and recognition is the focus for transforming employee behavior" describes transformational leadership. "A leader is someone who possesses great intelligence and decision-making authority" describes Great Man or Trait theory.
The main features of complex adaptive systems that are relevant to nursing leadership are
a. focused on creating organizational change and looking at the whole versus individual parts.
b. defined by efforts of leadership to mandate organizational change.
c. autocratic in nature with a top-down structure for change.
d. dependent on employees knowing what change is necessary and acting independently. - CORRECT ANSWER ANS: A
Complexity science posits that interactions of the parts within a system are more important than the individual parts. The autocratic top-down decision-making and mandates do not create a sustainable change. Being dependent on employees knowing what change is necessary and acting independently lacks interaction of leadership to stimulate change and adaptation among employees.
To be an effective nursing leader today requires effective collaboration, which is modeled by which answer below?
a. The nursing manager of the observation unit was certain the psychology department would assist the unit with a motivational plan, so she did not request their assistance.
b. The nursing manager of the observation unit worked with the psychology department and physical therapy to develop a motivational plan for patients on the unit.
c. The nursing director of behavioral health services followed the administrative directive to reduce services and refused to provide services for patients on other units.
d. Frustrated by the trend of patients unwilling to work with therapy, the unit manager recommended that these patients be placed on another unit. - CORRECT ANSWER ANS: B
The nursing manager works collaboratively with other departments to solve the patient care issue. In the other choices, the unit manager does not involve collaboration to resolve the patient concern. [Show Less]