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leadership and management

Questions and Answers of Leadership And Management

If an informal negotiation session becomes too highly emotional, what should the nurse manager do?1. Let the feelings fl ow.2. Cancel the negotiation.3. Deal with the feelings fi rst.4. Tell them to
Nursing management and the nursing union are having diff erences on several issues. Th ere may be a need for negotiation. Which of the following is a serious disadvantage to using collective
8. Which of the following issues may be addressed in a collective bargaining agreement?1. Shift diff erentials 2. Safe working environment 3. Grievance procedures 4. All of the above
7. Florence has two team members who continually criticize each other despite being told to stop. Which approach is the most appropriate for this situation?1. Refer each of them for employee
6. What is brainwriting?1. A strategy to encourage the free fl ow of ideas 2. A mutually benefi cial negotiation result 3. A winning approach to formal negotiation 4. A devaluation reaction to
5. What is the most desirable result of a problem resolution?1. Win-lose 2. Lose-lose 3. Win-win 4. None of the above
4. Nursing and respiratory departments both experienced job cuts. Th e nurse manager notices that members of his staff are having more trouble getting a fast response from a respiratory therapist.
3. Th e hospital has recently reorganized; therefore, several departments were closed. Th e patient census on the unit has increased. Th e staff have always had a strong team spirit, but the nurse
2. Diff erences in status and authority within the health-care team can generate confl ict. What is the most common cause of confl ict?1. Disrespect and incivility 2. Inappropriate language and
Th e purpose of learning how to negotiate confl ict is to:1. Eliminate confl ict entirely 2. Resolve confl icts more eff ectively 3. Win 4. Reduce stress
A not-for-profi t hospice center in a small community received a generous gift from the grateful family of a patient who had died recently. Th e family asked only that the money be “put to the best
5. In what ways does collective bargaining increase confl ict? How does it help resolve confl ict?
4. Identify a confl ict (actual or potential) in your clinical area and explain how either problem resolution or negotiation could be used to resolve it.
3. What is the diff erence between problem resolution and negotiation? Under what circumstances would you use one or the other?
2. Give an example of how each of the seven sources of confl ict listed in this chapter can lead to a serious problem. Th en discuss ways to prevent the occurrence of confl ict from each of the seven
1. Debate the question of whether confl ict is constructive or destructive. How can good leadership aff ect the outcome of a confl ict?
10. Who is responsible for accepting, transcribing, and implementing physician orders?1. Unit clerk 2. Medical intern or resident 3. Professional nurse 4. Medical assistant
9. ISBARR provides a framework for communicating critical client information. ISBARR is an acronym for:1. Identify, Study, Background, Assess, Recognize, Readback 2. Issue, Situation, Better, Advise,
8. You are working on the trauma unit today, and your new patient with a femur fracture complains of leg pain and seems a little diaphoretic and short of breath. You assess the patient and prepare to
7. Social media is commonly used to update friends and groups on things we have going on in our lives. Health-care organizations routinely use social media to promote medical facts, services, and
6. Th e EMR has many advantages compared with paper charting. It helps track data through time and can help monitor things such as preventative care in primary care practices. Jane is the offi ce
5. Implicit bias aff ects our understanding in an unconscious manner. A person ’ s ability to recognize these biases can improve communication with patients and colleagues alike. Which of the
4. TJC attributes 80% of all medical errors to:1. Poor hygiene and hand washing 2. Poor hand-off communication 3. Poor work environment 4. Lack of care
3. Bedside shift report is one of the things that Jane reviews at the staff meeting. She stresses the way she would prefer the report to start. Which of these would be the least important to share
2. As Jane speaks with the team, she learns why the staff members have had diffi culty following policies. Which of these would be considered barriers to eff ective communication?1. Th e charge nurse
Jane is a new nurse manager who will be holding her fi rst staff meeting tomorrow. She has learned that the staff members have not been following important patient care policies. What is the most
Corel Jones is a new nonlicensed assistive personnel (NAP) who has been assigned to your acute rehabilitation unit. Corel is a hard worker; he comes in early and often stays late to fi nish his work.
4. Your nurse manager asks you to develop an interprofessional team on the unit. Th is team is to serve as a model for other nursing units. How would you start the process? What qualities would you
3. A patient is admitted to the same-day surgical center for a breast biopsy. Her signifi cant other, who has just had an altercation with an admissions secretary about their insurance, accompanies
2. A health-care provider orders “Potassium chloride 20 milliequivalents IV over 20 minutes.” You realize that this is a dangerous order. How would you approach the health-care provider?
1. Th is is your fi rst position as an RN, and you are working with an LPN who has been on the unit for 20 years. On your fi rst day, she says to you, “Th e only diff erence between you and me is
Th e patient with COPD has a nursing diagnosis of Ineff ective Breathing Pattern. Which is an appropriate action to delegate to the experienced LPN under your supervision?1. Observe how well the
9. Th e nursing assistant tells a nurse that a patient who is receiving oxygen at a fl ow rate of 6 L/min by nasal cannula is complaining of nasal passage discomfort. What intervention should the
8. An assistant nurse manager is making assignments for the next shift. Which patient should the assistant nurse manager assign to a nurse with 6 months of experience and who has been fl oated from
7. An experienced LPN is working under the supervision of the RN. Th e LPN is providing nursing care for a patient who has a respiratory problem. Which activities should the RN delegate to the
6. A respiratory therapist performs suctioning on a patient with a closed head injury who has a tracheostomy. Afterward, the NAP obtains vital signs. Th e nurse should communicate that the NAP needs
5. A nurse is assigned to care for the following patients. Which patient should the nurse assess fi rst?1. A 60-year-old patient on a ventilator for whom a sterile sputum specimen must be sent to the
4. A nurse is caring for a patient who is diagnosed with coronary artery disease and sleep apnea.Which action should the nurse delegate to the NAP?1. Discuss weight-loss strategies such as diet and
3. A nurse is caring for a patient who has chronic obstructive pulmonary disease (COPD) and is 2 days postoperative after a laparoscopic cholecystectomy. Which intervention for airway management
2. A nurse is caring for a patient who has a pulmonary embolus. Th e patient is receiving anticoagulation with IV heparin. What instructions should the nurse give the NAP who will help the patient
1. A nurse is helping an NAP provide a bed bath to a comatose patient who is incontinent.Which of the following actions requires the nurse to intervene?1. Th e nursing assistant answers the phone
Julio works at a large teaching hospital in a major metropolitan area. Th is institution services the entire geographical region, including indigent clients and, because of its reputation,
7. What type of nursing delivery model is implemented on your assigned clinical unit? Give examples of the roles of the personnel engaged in client care to support your answer.
6. Bring the patient diagnosis census from your assigned clinical unit to class. Using the Delegation Decision-Making Grid, decide which patients you would assign to the personnel on the unit. Give
5. Review the scenario on p. 90. If you were the nurse manager, how would you have handled Indigo ’ s situation?
4. What are the nurse manager ’ s legal responsibilities in supervising NAP?
3. What is the diff erence between delegation and assignment?
2. What factors need to be considered when delegating tasks?
1. What are the responsibilities of the professional nurse when delegating tasks to an LPN, LVN, or NAP?
Which of the following is a major reason why newly licensed nurses resign?1. Poor pay scales 2. Needlestick injuries 3. Unsupportive management 4. Lack of advancement opportunities
9. Scientifi c management focuses on:1. Interpersonal relations 2. Servant leadership 3. Staff development 4. Effi ciency
8. Mara Z. wants to become a nurse manager. She has been off ered an opportunity to take a nursing management course. Which topic is most important for her to learn?1. Managing people 2. Managing the
7. George S. has just become a nurse manager in a long-term care facility. He knows he has a lot to learn—what should he tell his staff ?1. Nothing; he should pretend he has experience 2. Th at he
6. When should a new graduate consider taking on management responsibilities?1. As soon as they are off ered 2. After developing clinical expertise 3. After 15 years on the job 4. Before developing
5. Informational aspects of a nurse manager ’ s job include:1. Evaluation 2. Resource allocation 3. Being a coach 4. Being a spokesperson
4. Eff ective nurse managers have: Select all that apply.1. Leadership capabilities 2. Clinical expertise 3. Business sense 4. Budgeting savvy
3. Servant leadership focuses on:1. Helping patients care for themselves 2. Removing incompetent managers 3. Creating a supportive work environment 4. Resolving confl icts quickly
2. Th eory Y emphasizes:1. Guidance, development, and reward 2. Leadership, not management 3. Supervision, monitoring, and reprimands 4. Evaluation, budgeting, and time studies
What is the diff erence between management and leadership?1. Management focuses on budget.2. Management is an assigned position.3. Leadership is not concerned with getting work done.4. Leadership is
Sung Lee completed her 2-year associate degree in nursing right after high school. Upon graduation, she was off ered a staff position at the Harbordale nursing home and rehabilitation center where
Joe Garcia has been an operating room nurse for 5 years. He is often on call on Saturdays and Sundays, but he enjoys his work and knows that he is good at it.Joe was called to come in on a busy
5. List 10 behaviors of nurse managers and then rank them from least to most important. What rationale(s) did you use in ranking them?
4. Describe your ideal nurse manager in terms of the person for whom you would most enjoy working. Th en describe the worst nurse manager you can imagine, and explain why this person would be very
3. Compare servant leadership with scientifi c management. Which approach do you prefer? Why?
2. Which theory, scientifi c management or human relations, do you believe is most useful to nurse managers? Explain your choice.
1. Why should new graduates decline nursing management positions? At what point do you think a nurse is ready to assume managerial responsibilities?
10. Autocratic leaders:1. Postpone decision making as long as possible 2. Share leadership with members of the team 3. Give orders and make decisions without consulting the team 4. Encourage
9. Eff ective followers are those who are:1. Passive employees 2. Skilled and self-directed employees 3. Less valuable employees 4. Employees who are never supportive of new ideas
8. Eff ective nurse leaders: Select all that apply.1. Are also good followers 2. Eff ectively work together with shared goals 3. Never act on their ideas 4. Have master ’ s degrees
7. An eff ective leader will have: Select all that apply.1. Courage and integrity 2. A critical mind-set 3. Th e ability to set priorities 4. Th e ability to provide feedback
6. Transformational nursing leaders have the ability to:1. Increase the negativity of the team 2. Work best alone 3. Defi ne the group ’ s mission and communicate that mission to others 4. Pay
5. An emotionally intelligent nurse leader:1. Seeks the emotional support of others 2. Cannot juggle multiple demands 3. Works alone without help 4. Welcomes constructive criticism
4. Th e Situational Leadership Model focuses on:1. Both followers and the task 2. Th e task 3. Th e follower 4. Th e behavior of others
3. A democratic nurse leader consistently works to:1. Move the group toward the leader ’ s goals 2. Make little or no attempt to move the group 3. Share leadership with the group 4. Dampen
2. A unit team leader who fails to provide direction to his or her nursing care team is a(n):1. Democratic leader 2. Laissez-faire leader 3. Autocratic leader 4. Situational leader
An important competency that nurse leaders need to develop in order to lead eff ectively is the:1. Ability to be fi rm and infl exible 2. Ability to be close-minded and to ignore negative feedback 3.
Two new associate-degree graduate nurses were hired for the pediatric unit. Both worked three 12-hour shifts a week, Jan on the day-to-evening shift and Ronnie at night. Whenever their shifts
5. As a new graduate, what leadership and followership skills will you work on developing during the fi rst 3 months of your fi rst nursing position? Why?
4. Select an individual whose leadership skills you particularly admire. What are some qualities and behaviors that this individual displays? How do these relate to the leadership theories discussed
3. Review the various leadership theories discussed in the chapter. Which ones especially apply to leading in today ’ s health-care environment? Support your answer with specifi c examples.
2. Why are eff ective followers as important as eff ective leaders?
1. Why is it important for nurses to be good leaders? What qualities have you observed from nurses that exemplify eff ective leadership in action? How do you think these behaviors might have improved
An RN calls a health-care provider to report that a patient ’ s condition is deteriorating. Th e physician gives orders on the telephone to draw arterial blood gases. What should the nurse do next
A patient tells a nurse that he has an advance directive from 6 years ago. Th e nurse looks at the medical record for the advance directive. What content should the nurse expect to fi nd in the
A patient is transported to the emergency department by rescue after being involved in a motor vehicle accident. Th e patient is alert and oriented but keeps stating he is having trouble breathing.
7. An RN is obtaining a signature on a surgical informed consent document. Before obtaining the signature, the RN must ensure which of the following? Select all that apply.1. Th e client is not
6. An RN has asked a licensed practical nurse (LPN) to trim the toenails of a diabetic patient.Th e LPN trims them too short, which results in a toe amputation from infection. Th e patient fi les a
5. An RN sees an older woman fall in the mall. Th e RN helps the woman. Th e woman later complains that she twisted and sprained her ankle. Th e RN is protected from litigation under:1. Hospital
4. An RN new to the emergency department documented that “the patient was intoxicated and acted in a crazy manner.” Th e team leader told the RN that this type of documentation can lead to:1.
3. After 3 years of uneventful employment, the nurse made a medication error that resulted in patient injury. What hospital response to this event is ethical?1. Th e hospital was supportive and
2. Th e health-care facility has sponsored a continuing education off ering on emergency management of pandemic infl uenza. At lunch, a nurse is overheard saying, “I ’ m not going to take care of
1. Which common practice puts the nurse at liability for invasion of patient privacy?1. During care, the nurse reveals information about the patient to those in the room.2. Th e nurse releases
Mr. Evans, 40 years old, was admitted to the hospital ’ s medical-surgical unit from the emergency department with a diagnosis of acute abdomen. He had a 20-year history of Crohn ’ s disease and
12. What impact would a law that prevents mandatory overtime have on nurses, nursing care, and the health-care industry? Find out if your state has mandatory overtime legislation.
11. What are the most common errors nurses commit that lead to negligence or malpractice?
10. Look at the forms for advance directives and DNR policies in your institution. Do they follow the guidelines of the PSDA?
9. What is the diff erence between consent and informed consent?
8. Explain the importance of federal agencies in setting standards of care in health-care institutions.
7. Discuss where appropriate standards of care may be found. Explain whether each is an example of an internal or external standard of care.
6. If a nurse is found to be less than profi cient in the delivery of safe care, how should the nurse manager remedy the situation?

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