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NURS 201-Chapter 10
Leading, Managing, & Delegating
Question | Answer |
---|---|
Which style of leadership is rarely used in a hospital setting because of the difficulty of task achievement by independent nurses? | Laissez-faire (nondirective leadership) -The leader relinquishes power to the group, such that an outsider could not identify the leader in the group |
The nurse is working to enhance time management skills and has to administer pain medications to several clients, obtain vital signs, and assist clients with bathing. What should the nurse do next? | Delegate bathing and vital signs tasks |
A nurse is in charge of a large group of employees on a busy surgical floor. Today's care must be completed early due to a special event involving most of the employees. Which management style would work best in this situation? | Authoritarian |
The nurse manager who asks staff members to give suggestions on how to improve collaboration between nurses and health care providers is exhibiting what style of leadership? | Democratic |
Several staff members say to a nurse manager, "Why do we have to change the procedure? The one we're using is working just fine." Which action would be important for the nurse manager to take first? | Explain the change using simple, concise language |
A nurse is successful in promoting change on the nursing division. This nurse would be considered a: | Leader |
Two new nurses are requesting the same preceptor for unit orientation. Both nurses have been very vocal about being unhappy if they do not receive their choice of preceptor. Which illustrates the nurses using a compromise approach to conflict resolution? | The nurses agree to have the preceptor precept one nurse at the beginning of the orientation and the other at the end |
A nurse manager is trying to resolve a conflict between the day and night shifts. They want to convince the people to set aside their differences and determine a priority common goal. The nurse manager is using which type of conflict resolution? | Collaborating |
A nurse can improve one's skill with time management by taking which action? | Evaluating success with accomplishment of goals in client care |
After a nurse manager implements a solution to the problem of delays in obtaining supplies, the first task for the manager is to: | Assess whether the desired results have occurred |
Autocratic leadership (directive leadership or authoritarian leadership) | Involves the leader assuming control over the decisions and activities of the group |
Transformational leadership (charismatic) | Leaders that are unique in their ability to inspire and motivate others |
Democratic leadership (participative leadership) | Characterized by a sense of equality among the leader and other participants |
Steps to enhancing time management include: | -establish goals -evaluate ability to meet goals and identify tasks that can be delegated -establish a timeline -evaluate success of the plan -use the evaluation to make future plans |
Transactional leadership | Involves little input by staff into decision-making and is instead focused on providing rewards when tasks are completed |
Laissez-faire leadership | Gives all control to staff members to determine how to improve collaboration |
Role of a manager | To plan, organize, direct, and control available human, material, and financial resources to deliver quality care to clients and families |
Role of a guide | Show the way to a desired result but cannot effect change in the way that a leader can |
Role of a leader is to direct or motivate a person or group to achieve set goals | To direct or motivate a person or group to achieve set goals |
Role of a specialist | One who has expert skills and knowledge in a specific area of practice |
New mom is having difficulty breastfeeding. Nurse demonstrates various positions to hold the infant and ways to ensure proper latching; feeds using the new techniques = successful. Which statement in this scenario illustrates Lewin's stage of refreezing? | The new mother attempts to breastfeed the infant again using the new techniques and is successful |
The nurse is caring for an older adult client who states the need to use the restroom. Which safety intervention must the nurse perform first? | Assess the need for assistance with ambulation |
A staff nurse who has been working as a clinical manager is demonstrating strong leadership qualities on the unit. Which behaviors and competencies by the nurse would be recognized by senior management as indicators of strong leadership during evaluation? | -Unlicensed assistive personnel, the nurse supervises, guides care, and evaluates outcomes -Has certification in field of professional practice and belongs to that professional practice -Recognizes errors and is managing a task force to change policy |
A nurse manager reviews an employee's contribution to the nursing division annually. This process is: | Performance appraisal |
Which attributes should be characteristic of a nurse mentor? | -Supportive -Resourceful -Demonstrates leadership abilities -Is an experienced, licensed professional |
Staff retention is very high. There is a sense of equality between the leader and the staff nurses. The unit decisions and activities are shared between the leader and the group. The designated nurse leader practices which leadership style? | Democratic |
A registered nurse is delegating activities to unlicensed assistive personnel (UAP) on a hospital unit. Which activity(ies) could this nurse normally delegate? | -transferring a client to another floor -taking routine vital signs -giving client a bath |
Unfreezing stage of Lewin's Theory of Change | Need for change is recognized |
Moving stage of Lewin's Theory of Change | Change is initiated after planning has occurred |
Refreezing stage of Lewin's Theory of Change | Change becomes operational; living with the change |