Nursing Leadership Practice Questions

Questi  The first step in the Nursing Process Process is: on  a. Assessment  b. Planning  c. Implementation  d. Synthesize Questi  The goal of brainstorming is to: on  a. Ealuate problem solutions and possible scenarios  b. !riti"ue the ideas of others inoled  c. #enerate as many solutions as possible  d. Identify only practical and realistic ideas Questi Problem soling is best defined as: on  a. A higher$order thin%ing process  b. Selecting the best option to reach a predefined goal  c. Identifying a gap bet&een '&hat is' and '&hat should be'  d. (etermining creatie approaches to resole a problem or issue Questi  The second step in the nursing process process is: on  a. Planning  b. Assessment  c. Interention

 d. Ealuation Questi (uring the ealuation session of a nurse the manager on should:  a. )aintain a professional and distinct presence to establish authority  b. In"uire about the employee*s personal life and ho& it might affect future performance  c. Allo& the employee to e+press opinions orally and in &riting  d. Plan to gie specific e+amples only for poor performance Questi  The most important approach that a nurse manager can on ta%e &ith an emotionally troubled employee is to:  a. Act as a therapist for the employee  b. Ad,ust the standards of care to assist the employee  c. Assist the employee to obtain professional help  d. Ad,ust the employee*s &or% schedule to decrease stress Questi (ocumentation of disciplinary problems shouldon  a. Include a plan to correct and preent future occurrences  b. State a detailed history of past problems related to the current one  c. e &ritten at the conenience of the manager  d. Should accumulate until the ealuation period Questi !onflict arises from: on  a. #roup decision$ma%ing options  b.

Perceptions of incompatibility  c. Increases in group cohesieness  d. (ebates/ negotiations/ and compromises Questi An e+ample of a team is: on  a.  The parishioners of the 0irst 1nited )ethodist !hurch in (ener/ !olorado  b.  The baccalaureate students at 2ush 1niersity !ollege of Nursing  c.  The police officers of the 3os Angeles Police (epartment  d.  The Indiana 1niersity bas%etball team Questi  The %ey concept of a team include: on  a. !onflict  b.  Tas% clarity  c. )ission  d. A designated leader Questi Identify one of the %ey "uestions each member of a team on as%s himself or herself on an ongoing basis:  a. Am I in or out4  b. Am I li%ed by all members of the team  c. 5hen &ill I be the team leader  d. !an I conince the team leader to eliminate the unproductie members Questi 3eadership occurs: on  a. 6nly at the highest leel of the organization

 b. ecause one is born to lead  c. 5hen it is effectiely taught  d. As a result of the deelopment of specific characteristics  The state of being emotionally impelled/ demonstrated by Questi a sense of passion and dedication to a pro,ect or eent/ on describes:  a. !ommitment  b. !ontrol  c. 5illingness to cooperate  d. !ommunication Questi 5hich of the follo&ing best describes communication4 on  a. !ommunication is a reflection of self analysis  b. !ommunication is a result of thoughtful consideration  c. !ommunication consists of thoughts/ ideas/ opinions/ emotions/ and feelings  d. !ommunication focuses on the sender of the message

Questi Effectie communication patterns include: on  a. Al&ays laming  b. Al&ays !ontrolling  c. Neer haing 2eleance  d. !ongruence

Questi Serious pitfalls to communication include: on  a. 5ho/ &hat/ &here/ and ho& "uestions  b. Actie listening  c. 0raternization  d. Adice giing all the time Questi #uidelines for actie listening include &hich of the on follo&ing4  a. Speed up your internal processes so that you can process more data  b. 2ealize that the first &ords from the sender are the most important  c. e prepared to ma%e an effectie ,udgment of the communication sender  d. ased on a desire to learn about another person As a nurse manager you obsere a staff nurse &ho oer Questi the past fe& &ee%s has become &ithdra&n and has had on seeral absences due to minor ailments. 7our best action &ould be:  a. As% the nurse if she is o%ay during report  b. 2efer the nurse to the employee assistance program  c. As% the nurse to meet &ith you for a fe& minutes before she leaes for the day  d. 5rite a note to the nurse adising her that her &or% attendance must improe  7ou hae decided that you must institute some personal Questi time management steps in order to surie &or% and on home life. 7our first step should be to:  a. (etermine &hat ta%es up so much of your time and

energy  b. 6rganize your personal and &or% space  c. (etermine your personal and professional goals  d. Purchase a handheld personal digital assistant to help remind you of important meetings

Questi efore delegating a tas% to an indiidual/ a registered on nurse needs to:  a. Perform an admission assessment on the patient  b. 2eie& the employee*s performance assessment for the most recent period  c. Assess the amount of guidance and support needed in a particular situation  d. !reate a tas% analysis of critical behaiors for the indiidual Questi A %ey adantage of delegating is that: on  a. !lient*s receie less attention because there are too many staff to coordinate care  b. Nurses report less pressure to perform necessary tas%s themseles  c. Administration can predict oertime more accurately  d.  Team s%ills can be used more effectiely

Questi 2ules and regulations for delegation by registered nurses on are created by the:  a. State nurses association  b. 0ederal goernment  c. State boards of nursing  d. National !ouncil of State oards of Nursing uestio  7ou are assigning a component of care to an unlicensed n personnel 81AP9 employee. 7ou should remain:  a. Accountable and responsible for &hat is delgated  b. Accountable and liable  c. Authoritatie and liable  d. 2esponsible and tas% oriented Questi 0actors that nurses should consider before delegating on tas%s to others include:  a.  The comple+ity of tas% and age of the delegatee  b.  The potential for benefit and the comple+ity of the tas%  c.  The potential for benefit and the numbers of staff   d.  The comple+ity of the tas% and the potential for harm

 7ou are &or%ing in a large metropolitan facility and hae Questi been told that you &ill hae t&o 1APs assigned to &or% on &ith you. delegation begins &ith:  a. Ac%no&ledging the arrial of the second 1AP on your unit  b. Proiding clear directions to both 1APs  c.

)atching the tas% &ith the "ualified person  d. 2eceiing report from the prior shift

Questi 5hen you as% another team member to complete a on component of care for a client/ you are:  a. (elegating care  b. Assigning care  c. Sharing care  d. Authorizing care A nurse manager notices that ital signs are fre"uently Questi not documented after clients return from surgery. on According to "uality management philosophy/ the manager should:  a. Assemble a group to reie& postoperatie care 8Assessment9  b. Present an inserice on postoperatie care to the unit staff   c. !all a meeting and firmly remind the staff about this responsibility  d. #ather data about the errors using a fishbone diagram

A nurse is as%ed to participate in a chart audit. The nurse Questi %no&s that this process inoles comparing specific chart on information to:  a.  The ANA standards of nursing care  b. Similar chart data from other units

 c.  The nursing care plan  d. !riteria based on standards of care ospitalized clients consistently complain about the Questi "uality of the hospital*s food. )anagement forms a on "uality improement team to reie& this problem. 5hich department representaties should be on the team4  a. (ietary  b. (ietary and nursing serice  c. (ietary/ administration/ and medical staff   d. (ietary/ nursing serice/ and administration

A "uality improement team in a large/ urban trauma center notices an increase of bac% in,uries of staff in the critical care units. The team &ants to identify a Questi benchmar% to determine the 'best practices' against on &hich to compare their practice and processes. To determine the benchmar%/ the "uality improement team should identify the outcomes from agencies such as:  a. Similar urban trauma centers across the country  b. All Smaller tertiary hospitals in the region  c. All e+tended care facilities in the same city  d. All ealth care centers from arious parts of the &orld

Points:

In Prioritizing care the first patient that needs to be seen is:  a. Patient admitted for uncontrolled blood

glucose  b. Patient admitted for S6 &ith no %no&n etiology  c. Patient &ith Scalp laceration  d. Patient &ith heart palpitations

1sing data about client outcomes post cardiac Questi catheterization for the last ; months to modify practice is on an e+ample of:  a. Information  b. !ost$effectie care  c. )eeting standards  d. Eidenced$based practice8Assessment9

Questi on )aslo&s ierarchy of needs:  a. 6nly helpful in sociology  b. 6nly helpful in psychology  c. !an be utilized &ith the A!s in prioritizing care  d. 6nly helpful in anthropology Questi  The indiidual &ho is ie&ed as lazy/ unmotiated and on irresponsible is based on &hich theory4  a.  Theory <  b. #reat )an Theory

 c.  Theory =  d.  Trait Theory  The nurse manager &ho is permissie and offers little or Questi no direction to her staff e+hibits &hich type of leadership on style4  a. Authoritarian  b. (emocratic  c. 3aissez$faire  d. A contingency approach Questi Early leadership theory 8early to mid$>?th century9 on deelopment suggested that:  a. 3eadership is a process of influencing others &ithin an organizational culture  b.  The interactie relationship bet&een the leader and the follo&er is significant  c. Some men are born to lead/ &hereas others are born to be led  d. @ision and empo&erment are t&o of the most critical leadership s%ills Questi 5hich of the follo&ing leadership styles emphasizes team on decision ma%ing4  a. (emocratic  b. 3aissez$faire  c. (irectie  d. Authoritarian Questi A nurse &ho is organized can ma%e hisher day smoother on by:

 a. Prioritizing care  b. Assisting eeryone in their nursing care  c. Allo&ing all of your time to be occupied in your patients room  d. Neer delegating 5hich of the follo&ing actions during change increases Questi the li%ihood that a planned change &ill be maintained4 on  The leader or change agent:  a.  Terminates employees &ho resist change  b. )aintains strong control &ithout relin"uishing responsibility to others  c. !ontinues to energize and guide but gradually relin"uishes responsibility and superision to others  d. !oerces members to accept change Questi  The purpose for studying leadership and management on theories is to:  a. E+plain client response8s9 to illness  b. Predict enironmental conditions  c. E+plainunderstand people*s behaior at &or%  d. 2ecruit high "uality employees Planned change is a nursing management interention Questi strategy. 5hich of the follo&ing is an e+ample of planned on change4  a. A nurse manager informs the staff of a change in lunch schedules that is effectie immediately  b.

A clinical nurse presents her ideas for changing the nursing uniforms on the unit and as% for olunteers to help her &ith the pro,ect  c. A ice$president of nursing calls a staff meeting &ith a fe& selected staff to discuss union actiity  d. A clinical nurse in the emergency room triages clients and establishes priorities for care Questi (emocracy is: on  a. Not a positie &ay to empo&er &or%ers  b. Al&ays a good &ay to empo&er &or%ers  c. A good &ay to empo&er &or%ers  d. Neer a good &ay to empo&er &or%ers Questi  The first step in time management is: on  a. 0ocusing on the tas% at hand  b. Setting goals  c. (elegating  d. )a%ing a to do list half&ay thru the shift Questi 5hich of the follo&ing strategies &ill enhance your on efficiency in time management4  a. )a%ing shift assignments  b. (elagating all tas% first  c. As%ing for help  d. 6rganizing &or% space and %eeping it neat and clean Questi 5hen a co$&or%er &ho fre"uently goes on smo%e brea%s on throughout the &or%$day 8this is her ;th brea%9 as% if you could ta%e care of her patients for a little &hile/ &hat is

the appropriate response4  a. Sure/ I %no& you need to smo%e  b. No/ I hae to ta%e care of my patients  c.  7ou need to as% etty/ she is not doing anything  d. (o you eer get tired of smo%ing4

 7ou are the charge nurse on a nursing unit. A certified nursing assiatant 8!NA9 needs a ital sign machine Questi to obtain a blood pressure. The only machine is on a on patient receiing blood. The !NA as% if you &ant her to get the blood pressure of the person receiing blood. The best response is4  a.  Than% you/ that &ill sae me some time  b. Sure. 7ou can get them again in B hour also  c. No/ I &ill do them and after&ards I &ill gie you the machine  d. No/ but you can go and as% )issy/ the 3PN to get the ital signs A registered nurse is planning client assignments for the day and has a licensed practical nurse and a nursing Questi assistant on the nursing team. The nurse most on appropriately assigns &hich client to the licensed practical nurse4 a. An older client recoering from pneumonia &ho re"uires ambulation eery C hours  b. A client &ith a tracheostomy &ho re"uires fre"uent suctioning  c. An older client &ho re"uires turning and repositioning eery > hours and 26) e+ercises eery D hours

 d. A client &ho re"uires the collection of urine for a >D$hour period Questi Some teams function synergistically because: on  a. )embers do not olunteer un&anted information  b. )embers actiely listen to each other  c. )embers listen to the person &ho beliees he or she is an e+pert  d. )embers do not spea% unless they are absolutely sure they are correct in their ie&s A nurse is planning client assignments for the day and needs to assign four clients. There is a registered nurse/ a Questi licensed practical nurse/ and t&o nursing assistants on on the nursing team. 5hich client &ould the nurse most appropriately assign to the registered nurse4  a. A client &ith a right leg amputation &ho re"uires a dressing change  b. A client re"uiring a bed bath  c. A client re"uires fre"uent ambulation  d. A client &ho &as admitted to the hospital during the night after e+periencing an acute asthma attac% Questi  The third step in the nursing process is: on  a. Assessment  b. Planning  c. Interention  d. Ealuation