Which objective is associated with creating urgency in Kotter's eight-step model?
1
To create short-term targets
2
To honor the people who helped complete a task
3
To create a culture with continuous improvement
Correct4
To generate open dialogue about ex
The attribute of creating urgency is associated with generating open dialogue about external and internal realities. Short-term targets are created for creating short-term wins. Honoring the people who help complete the task anchors the changes in the cul
A client who was in an accident is admitted to the hospital. Which decision making approach by the nurse leader indicates the 'satisficing' approach?
1
Informing the client's family members
Correct2
Providing preliminary care to the client
3
Waiting for t
In the satisficing approach to decision making, the nurse makes a quick decision by selecting an acceptable solution, even if it isn't the best one. Therefore the nurse leader makes a decision to provide preliminary care to the client, which meets the obj
A discussion between a group of team members results in a serious conflict in an organization. The nurse, as a leader, accepts the challenge of the situation and uses an adaptive style. Which theory of leadership is the nurse applying in practice?
1
Trait
Situational-contingency theory takes into account the challenge of a situation and encourages an adaptive style of leadership. Trait theory holds that self-awareness of traits is required to inspire others to achieve a goal. The two-factor theory of leade
In evaluating risks, what does the nurse understand is the responsibility of risk managers?
1
Using a single data source to interpret data
Correct2
Involving perspectives from numerous disciplines
3
Using only quantitative methods in gathering data
4
Anal
Involving perspectives from numerous disciplines helps to discover underlying problems that a single discipline might miss. Risk managers should use multiple data sources, multiple data collection techniques, and multiple perspectives to collect and inter
The nurse manager is assisting the nursing staff with planning, priority setting, and decision making. Which Gardner's task of leading is being applied in this practice?
Correct1
Managing
2
Motivating
3
Affirming values
4
Developing trust
According to Gardner's tasks of leading, the nursing manager carries out the task of managing by assisting the staff with planning, priority setting, and decision making. Motivating involves inspiring and relating to staff to achieve the mission of the or
The nurse manager threatens a staff nurse about being penalized for poor performance in the unit. Which type of leader behavior did the staff nurse experience?
Correct1
Punitive
2
Charismatic
3
Laissez-faire
4
Intellectual stimulation
Punitive behavior is experienced in transactional leadership; this occurs when the nurse manager aims at punishing the staff nurse by penalizing for poor performance. Charismatic behavior and intellectual stimulation are seen in transformational leadershi
A nurse manager promotes a staff nurse to assistant manager of the medical unit as the staff nurse had expressed interest in taking on more responsibilities. Which type of ethical principle is exhibited by the nurse manager by this activity?
1
Fidelity
2
According to ethical principles, beneficence states that the actions one takes should promote good; it is the basic obligation to assist others. Therefore, by employing this principle, the nurse manager as a leader is encouraging employees to seek more ch
The nurse manager shares experiences faced during the journey to leadership with other staff members. Which statement made by the nurse appropriately describes the barriers faced during the leadership journey? Select all that apply.
Correct1
"It requires
Leadership requires commitments to be fulfilled within a time frame. It is a false assumption to think that the leadership position and the title are equivalent in nurse leadership; it should be considered an earned honor and an action-oriented responsibi
A senior nurse finds that the nurse leader is implementing Gardner's task of "achieving workable unity" effectively. Which action of the nurse leader supports the senior nurse's finding?
1
Being honest and keeping promises to clients
2
Representing the va
Gardner's task of "achieving workable unity" can be implemented by inculcating the unity in the team. This can be achieved by developing the conflict resolution skills effectively. The nurse leader implements the Gardner's task of "developing trust" by be
Which question asked by a nurse leader establishes and maintains a human rapport with staff?
Correct1
"How are your children?"
2
"How is your daily work going?"
3
"Can you tell me some daily obstacles you run into?"
4
"Do you support changes made by the o
Establishing interpersonal relationships and understanding each other's feelings by asking questions such as "how are your children" ensure establishing and maintaining human rapport. Questions such as "how is your daily work going?", "can you tell me som
A nurse manager receives a complaint from a client that a particular staff member had been rude when providing care. The nurse, rather than punishing the staff member, listens to his or her side of the story and then talks to the client to clarify the mis
Situational-contingency theory encourages an adaptive leadership style to focus on the issue being faced. The nurse manager understands the situation and makes a decision based on the complete information obtained. Trait theory explains a set of leadershi
A nurse leader is given an additional duty of nurse navigator. Which extra responsibilities does the nurse leader need to provide as a nurse navigator? Select all that apply.
Incorrect1
Plan care for clients
Correct2
Address barriers to care
Correct3
Prov
A nurse navigator may help clients with serious chronic diseases by assessing, screening, diagnosing, treating, and follow-up care. The responsibilities of a nurse navigator include overcoming health system barriers and providing psychosocial support whil
What would the nurse consider to be the two contingent variables of path-goal theory? Select all that apply.
1
Intellectual stimulation
Correct2
Environmental demands
3
Feedback from followers
4
Reinforcement strategies
Correct5
Personal characteristics o
Environmental demands and personal characteristics of followers are two contingent variables of path-goal theory. Intellectual stimulation is a characteristic of transformational theories of leadership. Feedback from followers is a characteristic of the s
The registered nurse (RN) is teaching a student nurse about the qualities of a transactional leader. Which statement made by the student indicates effective learning?
Correct1
"I will penalize team members for poor performance."
2
"I will motivate employe
A transactional leader is responsible for penalizing a nurse executive for poor performance. This type of leader influences followers to fulfill their contracts or get penalized. Motivating employees by articulating an inspirational vision is the behavior
The leader has planned to assist staff in order to achieve workplace unity. Which of Gardner's tasks would the leader apply in practice?
Correct1
Assisting clients to accomplish optimal functioning
2
Relating to and inspiring clients to achieve their visi
Assisting clients to accomplish optimal functioning is a behavior of Gardner's task of Achievable Work Unity. It is applied in practice to benefit the transition to enhanced health functions. Relating to and inspiring clients to achieve their vision and e
A hospital management team has conducted a randomized controlled trial to decrease the occurrence of ventilator-associated pneumonia .The trial was successful and had positive outcomes. The nurse manager, in collaboration with other hospital management st
PBE is a research methodology that helps inform practice. It uses an observational cohort study design that compares clinically relevant interventions, includes diverse study participants, uses heterogeneous practice settings, collects data on a broad ran
Which qualities should a nurse who is promoted to leader of a unit possess? Select all that apply.
Correct1
Having adaptability to hospital rules
Correct2
Encouraging the newly appointed nurses
3
Penalizing the nurses for poor performance
4
Doubting the h
As a leader, the nurse should be able to adapt to the rules of the hospital to perform accordingly. A nurse leader should motivate or encourage the newly appointed staff to reach the desired goals. A nurse leader should also be aware of any organization e
Which task followed by the executive nurse is a leadership development task?
1
Maintaining balance
Correct2
Having a clear vision
3
Listening to constituents
4
Maintaining a positive attitude
Having a clear vision and seeing beyond where one is and where one is going is a leadership development task. Maintaining balance, listening to constituents, and maintaining a positive attitude are rules for a leader.
Which individual would be an appropriate member of a critical incident stress debriefing (CISD) team for a group of staff nurses? Select all that apply.
Correct1
Staff nurse
2
Organization chaplain
3
Organization media representative
Correct4
Physician tr
The critical incident stress debriefing (CISD) team includes a peer member of the group being debriefed. For this group, the CISD team would include a staff nurse. The team may include a physician trained in critical debriefing. The team leader would be s
The registered nurse (RN) is delegating a task to an unlicensed nursing professional (UNP). Which client care is appropriate for the UNP to achieve a proper outcome in the care?
Correct1
Client A
2
Client B
3
Client C
4
Client D
Client A needs assistance in oral care and personal hygiene which can be performed by an unlicensed nursing professional (UNP). Client B is undergoing bladder irrigation and needs monitoring for the presence of blood clots; this care should be done by an
The behaviors of four nurses are described in the table. Which nurse is exhibiting the management-level behavior according to Gardner's tasks?
1
A
2
B
3
C
Correct4
D
Sharing organizational information openly and being honest in the performance as leader reflectsthe management-level behavior of Gardner's task of developing trust. Representing the values and beliefs of an organization and client care services to interna
Which statement is true regarding the framework of delegation related to the Hersey's Situational Leadership Model? Select all that apply.
1
Single factor influences the effectiveness of a leader
2
Ability relates to the individual's attitude and commitme
Hersey's Situational Leadership Model serves as a foundation for delegation decision making. Willingness is the individual's attitude and commitment towards the task. The ability to diagnose the performance and commitment of others is a core competency of
The nurse is learning about the rules of leaders. Which actions of the nurse indicate effective implementation of these rules in the profession? Select all that apply.
Correct1
Communicating in a simple language with followers
Correct2
Giving a chance to
An effective leader should use the simplest and fastest method to communicate with followers. An effective leader should give a chance to the followers to express their views, as followers have many questions to ask. Proper eye contact ensures effective c
The nurse leader working in a 30-bed intensive care unit accrued 792 client days in January. What is the percentage of occupancy calculated by the leader nurse? Record your answer using a whole number. _____%
85
The formula is average daily census (ADC) (rounded) divided by the number of beds in the unit multiplied by 100. ADC equals the client days in a given time period divided by the number of days in the time period. Therefore 792/30 = 25.5. Therefore the per
The nurse leader working in a 50-bed surgical unit accrued 765 client days in November and 189 of the clients were discharged during the month. What is the average length of stay for November? Record your answer using a whole number. _____ days
4
The formula for average length of stay is number of client days divided by the number of discharges. 765/189 = 4 days.
The nurse manager is explaining how intramuscular (IM) injection techniques are an example of the theory of diversion of innovation. Which statement made by the nurse manger is accurate?
1
The use of the dorsogluteal site is recommended.
2
The IM injectio
The practice of administering IM injections for pain management to adults in acute care settings has virtually disappeared with the use of intravenous and epidural routes. The use of the dorsogluteal site is no longer recommended. IM injections are used t
The registered nurse assigned a task to a licensed practical nurse. The task was not successfully completed by the deadline. Which action by the registered nurse would be characteristic of a transactional leader?
1
Provides training
Correct2
Punishes the
The transactional leader often reacts by punishing subordinates if the task is not fulfilled. He or she is not concerned with offering the training, motivation, and ideas to the medical professional. These activities are typical of transformational leader
What is the key element of success for a nurse manager as a leader?
Correct1
Including the direct care nurses in decision making
2
Allocating different nurses for specific tasks effectively
3
Leading a team with a limited number of team members
4
Resolvin
Involving the direct care nurses in decision making is an essential element of success for a nurse manager as a leader. An effective leader should lead a team either with limited or many team members. Allocating different nurses or resources for specific
The nurse leader teaches the student nurse about the quality assurance (QA) process. Which statement made by the student nurse indicates ineffective learning?
1
"The goal is to improve quality."
Correct2
"The major task is staff development."
3
"The focus
Staff development is the major task of the quality improvement process while the goal of the QA process is to improve quality. The focus of the QA process is on discovery and correction of errors. The outcomes of the QA process are set by the QA team with
Which are the organizational outcomes of transformational leadership? Select all that apply.
Correct1
Increased loyalty
2
Met deadlines
3
Limited job satisfaction
Correct4
Increased commitment
Correct5
Increased performance
Transformational leadership refers to an inspiring vision to change the structure of the organization for the employees. It helps create an emotional engagement with the employees. The organizational outcomes of transformational leadership are increased l
A hospital administrator is evaluating the nursing teams of different units. Which team was found to be effective and will have positive outcomes?
1
Team A
2
Team B
Correct3
Team C
4
Team D
Team C is found to be effective because it consists of a manager who collaborates with nursing staff in decision making. Here the leader with charismatic behavior motivates team members, which may help in improving the quality of the performance of the te
Which behavior is an example of the nurse's role as an executive in the Gardner task of leadership?
1
Helping staff achieve optimal functioning to benefit transition
2
Representing nursing and the organization on assigned boards
Correct3
Representing the
Representing the organization and client care services on councils are activities of an executive position, according to Gardner's task of leadership. Representing nursing and the organization on assigned boards are management activities, per Gardner's ta
In evaluating risks, what does the nurse understand is the responsibility of risk managers?
1
Using a single data source to interpret data
Correct2
Involving perspectives from numerous disciplines
3
Using only quantitative methods in gathering data
4
Anal
Involving perspectives from numerous disciplines helps to discover underlying problems that a single discipline might miss. Risk managers should use multiple data sources, multiple data collection techniques, and multiple perspectives to collect and inter
Which initiatives for leaders and managers are set forth in the Institute of Medicine's core relevance report "The Future of Nursing?" Select all that apply.
Correct1
Created state coalitions focused on nursing
2
Reinforced the disparities that occur with
The core relevance report "The Future of Nursing" created state coalitions focused on nursing and provided a framework for considering how nurses could determine staffing requirements. The core relevance report "Crossing the Quality Chasm" reinforced the
The nurse is relating to and inspiring the client who has a psychiatric disorder to achieve the client outcomes. Which of Gardner's leadership tasks is reflected in the nurse's actions?
Correct1
Motivating
2
Envisioning goals
3
Serving as symbol
4
Achievi
When the nurse relates to and inspires the client with a psychiatric disorder to achieve the client outcomes, the nurse is motivating according to Gardner's leadership tasks. Gardner's leadership task of envisioning goals involves envisioning client's out
Which type of behavior by the registered nurse results in a low-to-stable level of commitment?
Correct1
Punitive
2
Charismatic
3
Inspirational
4
Intellectual stimulation
Punitive behavior is a type of transactional leadership behavior that results in a low-to-stable level of commitment as an organizational outcome. Charismatic, inspirational, and intellectual stimulation are transformational leadership behaviors that resu
The nurse, as a leader, is planning to provide information about personal hygiene to a group of clients. Which communication methods should the nurse use to talk to the clients? Select all that apply.
1
Giving abundant information
Correct2
Being sensitive
The nurse should be sensitive to nonverbal communication because it may require interpretation of key points in complex situations. The nurse should provide the opportunity for dialogue and feedback. The nurse should present information that addresses the
The senior leader instructs the direct care nurses about asking the right question in PICOT (patient population, intervention, comparison, outcome, and time frame) format. During the discussion, the leader discussed factors such as complication rate, sati
Outcome means the result. There are multiple strategies to measure outcome, such as complication rate, satisfaction, a nursing diagnosis, and a nursing quality indicator. Time indicates short-term or long-term interventions. Comparison means to compare a
Four nurse leaders are performing different tasks. Which nurse leader's action indicates the role of the community nurse leader?
1
A
2
B
3
C
Correct4
D
The nurse as a community leader has the unique opportunity to work with schools, city or county governments, and other community entities. The nurse as a community leader formulates a vision for improving the health of the community through disease preven
The nurse leader monitors the direct care nurse administering pain medication to the client. The leader tells the client "I will come back in 30 minutes to check your pain level." Which right of the client does the leader fulfill if the leader returns wit
Fidelity addresses the nurse keeping promises or commitments. Veracity is concerned with telling the truth and demands that the truth be conveyed completely. Beneficence states that good actions should be promoted and is the basic obligation for assisting
The leader is teaching a nursing student about systems theory. Which statement by the student nurse indicates the need for further teaching? Select all that apply.
Correct1
"Systems theory accounts for unpredictability."
Correct2
"Systems theory focuses o
Systems theory tends not to account for unpredictability and random events. In contrast, chaos theory focuses on unpredictability and random events. Systems theory involves open as well as closed systems. It is viewed as inputs, throughputs, and outputs.
Why does the leader ask the direct care nurse, "Do you block cooperative efforts to resolve issues?"
Correct1
The direct care nurse uses avoidance often.
2
The direct care nurse uses competing often.
3
The direct care nurse uses negotiation often.
4
The d
Avoidance in conflict management style means that conflict is postponed. Often people do this when they have far more important issues pressing, when they have to gather more information, or when people need to cool down. Therefore the question asked by t
A nurse is helping a client determine and articulate personal values about health problems. The nurse also explains the effect of these problems on lifestyle adjustments. Which Gardner's task of leadership is the nurse leader applying?
1
Explaining
2
Mana
Values are the connecting thoughts and inner driving forces that give purpose, direction, and precedence to life priorities. According to the Gardner's tasks of leadership, helping the client sort out and articulate personal values that are related to hea
A nurse manager proposes to change a protocol regarding the care of postoperative clients. However, the nursing staff openly expresses their resistance to the change and wants to continue with the original protocol. Which behavioral pattern in response to
Laggards value their traditional practices and may openly express their resistance to the change. Rejectors actively resist the change and may use sabotage to avoid the change. An early majority may prefer a conventional approach but accept the change gra
The nurse manager shares experiences faced during the journey to leadership with other staff members. Which statement made by the nurse appropriately describes the barriers faced during the leadership journey? Select all that apply.
Correct1
"It requires
Leadership requires commitments to be fulfilled within a time frame. It is a false assumption to think that the leadership position and the title are equivalent in nurse leadership; it should be considered an earned honor and an action-oriented responsibi
Which characteristic of a manager should the nurse leader exclude while addressing the complex issues of the hospital?
Correct1
Developing a vision
2
Budgeting the target goal
3
Organizing and planning to address the issue
4
Addressing the complex issue o
Developing a vision in solving a complex issue is the characteristic of a leader, not a manager. Budgeting the target goal, organizing and planning the issue, and addressing complex issues first are the characteristics of a manager.
When a bedridden client complains that he or she is thirsty, the nurse leader says, "I want to make you comfortable. Here is a glass of water, please take it." Which communication skill is the nurse leader using to make caring visible?
1
Listening activel
The nurse is making explicit her or his positive intent by explaining the purpose and by showing what he or she is doing in the client's best interest. Listening actively indicates acknowledging and reflecting back the person's feelings in a nonjudgmental
The nurse organizes a meeting of health care team members after finding no improvement in the condition of a client recovering from major surgery. Which statement made by the nurse during the discussion signifies transformational leadership?
Correct1
"My
Transformational leadership refers to an inspiring vision to change the structure of the organization for the employees which creates an emotional engagement with the employees. It requires a leader to show active participation in the ongoing treatment al
The nurse leader sent a team of followers to conduct a community health session. The session was completed successfully. Which action of the nurse indicates leadership quality?
1
Expecting praise from the followers
2
Asking for rewards from the followers
Followers expect rewards from leaders in appropriate situations. Giving rewards for good performance can motivate and instill interest in the followers. Therefore the nurse as a leader should reward the followers for the success. Expecting praise from the
Which behavior is an example of the nurse's role as an executive in the Gardner task of leadership?
1
Helping staff achieve optimal functioning to benefit transition
2
Representing nursing and the organization on assigned boards
Correct3
Representing the
Representing the organization and client care services on councils are activities of an executive position, according to Gardner's task of leadership. Representing nursing and the organization on assigned boards are management activities, per Gardner's ta
The nurse manager is evaluating different Bleich's tasks of followership performed by members of the nursing team. Which team member's action indicates incorrect implementation of Bleich's tasks of followership?
Correct1
A
2
B
3
C
4
D
Offering rewards and recognition to individuals and teams is a management task, not a task of followership. Demonstrating accountability to the team effort; offering knowledge, skills, and abilities to achieve the task at hand; and taking reasonable risks
While providing the feedback to student nurses, the registered nurse provides specific information about positive performance. Which type of theory is the registered nurse applying practically as a leader?
1
Trait
2
Style
Correct3
Expectancy
4
Two-factor
According to the expectancy theory, satisfying individual needs influences the behavior of those individuals. Therefore, when the nurse provides specific feedback about positive performance, the nurse is applying expectancy theory as a leader. Trait theor
The nurse manager reviews the performance report of a direct care nurse and asks the nurse to focus on "emotional intelligence" in order to be promoted as the nurse leader. Which statement would the nurse leader most likely use while advising the nurse on
Emotional intelligence is advising the nurse to be more sensitive to the experiences of others. The process of thinking systematically requires the nurse to balance short-term and long-term objectives. Under the "explaining" process of Gardner's tasks of
The leader is devising a strategy to connect individuals, groups, and organizations to attune them toward a common goal. Which political strategy is the leader pursuing?
1
Negotiating
Correct2
Building coalitions
3
Adopting an empowering attitude
4
Foster
Developing coalitions is a political strategy that involves groups of individuals or organizations joining together temporarily around a common goal. It is often focused on an effort to effect change. Negotiating is a very important skill for organization
Four nurse leaders are performing different tasks. Which nurse leader's action indicates the role of the community nurse leader?
1
A
2
B
3
C
Correct4
D
The nurse as a community leader has the unique opportunity to work with schools, city or county governments, and other community entities. The nurse as a community leader formulates a vision for improving the health of the community through disease preven
A nurse leader wants to communicate and explain changes to hospital rules to team members. Which approaches should the nurse leader follow for effective communication? Select all that apply.
1
Providing all the information related to the topic
Correct2
Ex
While communicating and explaining the rules of the hospital, listeners should be informed about the reason and values behind the changes. This may help them understand and reinforce the changes effectively. Opportunities for dialogue and feedback should
Which behavior of the nurse indicates management skills according to Gardner's task of achieving workable unity?
1
Assisting the client/family with planning, priority setting, and decision making
2
Assisting multidisciplinary leaders to achieve optimal fu
According to Gardner's task of achieving workable unity, the nurse in a management position helps the staff achieve optimal functioning to benefit transition to enhanced organizational functions. Assisting the client/family with planning, priority setting
Which of Gardner's tasks involves anticipating client outcomes for single clients or families and helping them formulate their vision of future well-being?
1
Explaining
2
Motivating
3
Affirming values
Correct4
Envisioning goals
Envisioning goals is one of Gardner's tasks of leading. It involves anticipating client outcomes for single clients/families and helping clients formulate their vision of future well-being. Explaining involves teaching and providing information to promote
The nurse leader has implemented a change in documentation of nursing care. The nurse leader finds that the licensed practitioner nurse (LPN) is resistant to change and is not participating in the change process. Which approach made by the nurse leader wo
The appropriate strategy to manage resistance to change is to confront the LPN and encourage him or her to verbalize feelings regarding the change. Ignoring the resistance may lead to overall poor performance by the LPN. Threatening loss of employment may
After oral surgery the dentist writes a prescription for pain medication for an 18-month-old child. Which medication does the nurse question?
1
Acetaminophen
2
Codeine
Correct3
Oxycodone/aspirin
4
Morphine
Oxycodone/aspirin (Percodan) is a combination drug that contains aspirin as well as oxycodone. Aspirin should not be given after surgery because it affects platelets, prolonging bleeding. In addition, it should not be given to children because it is assoc
The mental health nurse is facilitating a therapy group. How can the nurse further develop trust among the members of the group?
1
By discussing the importance of their trusting one another
2
By revealing some personal data as an example of trusting behav
Members must feel comfortable discussing things in the group; there must be an understanding that what is discussed in the group will remain in the group. Talking about trust does little to foster it. Revealing personal data about one's self or having gro
Which point should the nurse exclude when developing strategies to project a powerful image?
Correct1
Using authoritative language
2
Maintaining good body posture
3
Making good eye contact with clients
4
Ensuring that clothing and hair are appropriate to
The nurse should treat people with courtesy and respect. The use of authoritative language does not help in developing a powerful image. The nurse should also maintain good body posture because it conveys self-confidence. Good eye contact helps in develop
An infant with a congenital heart defect is returned to the unit after cardiac catheterization. The nurse manager is observing a nurse newly assigned to the unit. Which nursing intervention should the nurse manager interrupt?
1
Offering fluids and foods a
Range-of-motion exercises of the limb bearing the catheterization site might cause the dislodgement of a clot and result in hemorrhage. Intake should start with fluids and progress as tolerated. The apical pulse is monitored because a common complication
The nurse leader taught the student nurse the principles of quality management and quality improvement. Which statement made by the student nurse indicates ineffective learning?
Correct1
"Managers define the quality."
2
"Decisions should be based on data.
The quality is defined by the clients, not by the managers. All the decisions should be based on the data and not on the theory. Quality improvement focuses on outcomes. Quality improvement is based on the work commitment of both the manager and the worke
The registered nurse (RN) is caring for a client who was admitted to the hospital due to severe diarrhea. The RN assigns the unlicensed assistive personnel (UAP) to check on the client hourly and perform hygiene care as needed. Which concept best explains
Delegation involves transfer of responsibility for the performance of tasks and skills for the ultimate outcome. Here the registered nurse (RN) is delegating a task to the unlicensed assistive personnel (UAP). Supervision involves directing, guiding, and
Which principle of systems thinking theory involves the nurse focusing on the needs of all residents in a long-term care facility?
Correct1
Thinking of the big picture
2
Balancing short-term and long-term objectives
3
Using non-measurable data systems
4
R
Thinking of the big picture involves the nurse understanding the needs of the hospital as a whole or focusing on the needs of all residents in a long-term care facility. This application of the principle helps the nurse envision the context of the needs b
What are the desired attributes of the nurse as a leader? Select all that apply.
Correct1
Identifying the needs of followers
2
Avoiding the use of personal intuition over facts
Correct3
Motivating others assertively towards the objective
4
Focusing on a s
A desired attribute of a nurse as a leader includes the identification of others' needs. The nurse should assertively motivate others towards the objective. A critical thinking approach is the desired attribute to make decisions in nurse leadership. The n
The nurse manager is evaluating a primary nurse who is working with a hospitalized adolescent client with the diagnosis of conduct disorder. Which intervention by the primary nurse should the nurse manager question?
1
Discussing unit rules
2
Giving the cl
Verbalization of negative feelings to others may escalate and result in antisocial or acting-out behavior. The environment must be consistent and predictable to limit manipulative behavior. Allowing opportunities for choices provides opportunities for the
The transformational leader demonstrates charismatic behavior and the careful consideration of the value of every individual in the organization. What might be the expected organizational outcomes with this type of leadership? Select all that apply.
Corre
Charismatic behavior and individual consideration are the behaviors of transformational leadership. A leader displaying this behavior would increase the loyalty and performance level of the followers. In transactional leadership, deadlines are typically m
The staff nurses complain the unit is disorganized and that there is no proper guidance from the nurse leader in regards to client services. Which type of leadership does the unit experience?
1
Directive
2
Autocratic
Correct3
Laissez-faire
4
Participative
Laissez-faire is a hands-off style of leadership in which the nurse leader allows the staff nurses a high degree of autonomy and self-rule. In a directive style of leadership, the nurse leader sets clear objectives and rules for the nursing staff. Autocra
Which action makes a nurse manager also a nurse leader?
1
Implementing best management skills when hiring employees
2
Having financial accountability associated with the organization
3
Screening effectively to select the right employees for the organizati
A nurse leader helps employees reach their highest level of potential excellence and raises their level of expectations. Therefore, to stand out as a nurse leader, a nurse manager should help with employee development. Implementation of management skills
The nursing leader stated, "The reimbursed cost is less than the full charge for a service in the hospital." Which type of health reimbursement does the nurse leader describe?
Correct1
Contractual allowance
2
Value-based purchasing
3
Cost-based reimbursem
When the reimbursed cost is less than the full charge for a service in the health organization, a contractual allowance or discount exists. Offering rewards and incentives to high performing organizations is value-based purchasing. In cost-based reimburse
Which statement is true regarding leadership theories?
1
Trait theory is sometimes referred to as the group and exchange theory of leadership.
2
Hierarchy of needs theory focuses on what leaders do in relational and contextual terms.
Correct3
Expectancy t
According to the expectancy theory of leadership, the nurse as a leader should provide specific feedback about positive performance. This increases motivation and performance in subordinates. Trait theory is sometimes referred as the Great Man theory. Sty
During a feedback session, the nursing staff communicates that a recently appointed nurse is using "empowerment theory." Which statement of the nursing team members most supports this position? Select all that apply.
Correct1
"He/she can share power with
Empowerment theory suggests that power be shared with others in the organization. Through the practical application of this theory, the direct care nurse could be given an opportunity to provide input while making a decision. This theory also includes sha
What should a nurse manager as a leader do to provide a non-threatening and positive environment to the group members? Select all that apply.
1
Ask indirect and close-ended questions
Correct2
Encourage group members to actively participate
Correct3
Create
Encouraging group members to actively participate may help elicit different ideas from different members. An environment conducive to solving problems helps in keeping the group focused on tasks and strategies. Protecting members and their suggestions fro
The nurse manager is promoting a nurse who has the qualities to become a team leader. What responsibilities are allotted to a team leader? Select all that apply.
1
To assign work to an associate nurse
2
To take care of the client 24 hours a day
Correct3
T
The team leader must face the challenge of changing team membership on a daily basis. The team leader plans the care, delegates the work, and follows up with members to evaluate the quality of care for clients assigned to his or her team. The associate nu
Which behavior is an example of the nurse's role as an executive in the Gardner task of leadership?
1
Helping staff achieve optimal functioning to benefit transition
2
Representing nursing and the organization on assigned boards
Correct3
Representing the
Representing the organization and client care services on councils are activities of an executive position, according to Gardner's task of leadership. Representing nursing and the organization on assigned boards are management activities, per Gardner's ta
Which nurse has the following authorizations: change plans whenever necessary; function as part of the interprofessional team by communicating, planning, and implementing care directly to the client; and assess the cohort risks?
1
Nurse manager
Correct2
C
A CNL is a nurse who has successfully completed the CNL certification examination. A CNL functions as part of the interprofessional team by communicating, planning, and implementing care directly with healthcare professionals. A CNL has the authority to a
The nurse as a leader is sharing organizational information openly and honestly. Which of Gardner's tasks of leadership is the nurse manager applying in practice?
1
Renewing
2
Explaining
Correct3
Developing trust
4
Affirming values
When the nurse leader shares organizational information openly and honestly, it indicates developing trust in a management position. The task of renewing in a management position involves providing self-care to enhance the ability to care for staff, famil
The nurse leader is representing the nursing unit and the values and beliefs of the organization to staff members. Which leadership task does the nurse's behavior indicate according to Gardner's tasks of leadership?
1
Serving as a symbol in an executive p
When the nurse represents the nursing unit and the values and beliefs of the organization to staff, it indicates the nurse is serving as a symbol in a management position. When serving as a symbol in an executive position, the nurse represents client care
The chief operating officer (COO) discusses the performance of a newly appointed leader with the nursing staff. The team communicates that the practical approach of the leader fulfills the quantum theory. What type of work environment does the COO underst
Quantum theory lays its foundation on an environment that is rapidly changing. It does not focus on a single event. Hygienic factors in the environment are an aspect of the two-factor theory. The nurse leader, through the transformational theory, provides
A hospital wants to implement the primary nursing model on the premises. Which challenges are likely to be faced by the management? Select all that apply.
1
Lack of client rapport
Correct2
Lack of nurse availability
Correct3
Lack of experienced nurses
4
D
In the primary nursing model, a single nurse cares for a client while that client is in the hospital. This model requires a nurse to be available 24 hours a day, but it is not possible for any nurse to work for that whole time period. A nurse may not be s
The registered nurse, as a leader, is teaching about leadership roles to a group of nurse practitioners. Which statement made by a nurse practitioner indicates effective learning?
1
"I should identify recurring problems."
2
"I should have persistent and v
Leadership is the use of individual traits and abilities in relationships with others. It is the ability to interpret the environment and act in the absence of a defined plan. The nurse, as a leader, should use experience and knowledge to judge reasonable
Which qualities of a nurse leader can move the organization in a forward direction to continue delivering the best possible care? Select all that apply.
Correct1
Supporting the followers effectively
2
Implementing the care plan of the client effectively
3
The nurse leader should serve to better the organization and to deliver the best possible care. Continual learning is essential to keep the organization moving forward. This can be done by supporting and nourishing the followers to make them future leader
A nurse leader changes the work schedule after a team member asks for more flexibility in the schedule. Which theory outlines this nurse leader's approach?
1
Maslow's theory
Correct2
Herzberg's theory
3
Great Man theory
4
McGregor theory X
Herzberg's theory (also known as the two-factor theory) states that hygienic factors, such as working conditions, motivate an employee by meeting that employee's safety and security needs and also help to avoid job dissatisfaction. Therefore changing the
A medical care facility is seeking to establish an orthopedic center of excellence. The nurse manager teaches direct care nurses about opportunities available to them in the process. Which task would a direct care nurse be eligible for?
1
Developing a bud
In an orthopedic center, the direct care nurse is eligible for participating on the council to conduct a literature review on topics related to orthopedic product lines, innovative orthopedic joint replacement procedures, and programs related to the ortho
The nurse leader is focused on recognizing the dynamic, complex, and interdependent nature of systems in an organization. Which nursing action indicates an effective implementation of this principle of systems thinking theory?
1
Focusing on the measuring
Identifying and understanding the relationship of client, families, communities, and local economies indicates recognizing the dynamic, complex, and interdependent nature of systems related to systems thinking theory. Measuring morale, working relationshi
The nurse leader actively participates in the quality improvement process. Arrange the steps in a sequence that the nurse leader will follow while implementing the quality improvement process?
Incorrect
1.
Select a plan to meet the outcomes.
Incorrect
2.
The first step of the quality improvement process involves identifying the needs that are important to the consumer of healthcare services. Collaborating with the interprofessional team to review the needs that are identified is done to avoid bias. The ne
The nurse leader is involved in the planning of initiation of a healthcare organization. What is the correct sequence of events for strategic planning?
Incorrect
1.
Develop protocols to standardize client care.
Incorrect
2.
Assess rates of healthcare cost
Strategic planning to set up an organization includes four phases. The first step is to assess the internal and external environments that include economic factors such as rates of healthcare costs and technological factors such as availability of diagnos
When a client with cancer reaches an incurable last stage, the nurse explains the situation to the client and calls the client's family members to provide support. Which need of the client does the nurse prioritize here?
1
Safety need
Correct2
Belonging n
The client at an incurable stage of cancer might need the support of loved ones for emotional support. Therefore the belonging need is fulfilled through this action. Safety needs may not be the top priority of the client at this stage. Self-esteem needs m
In today`s workplace, female-male collaboration should provide efficacious models for the future." Which statements support this saying? Select all that apply.
Correct1
Men and women must learn to work together.
2
Male managers make decisions on limited
Men and women must learn to work together and value the contributions of others and the differences they bring to any situation. Not all male managers make decisions on limited data. Women and men bring separate perspectives to resolve problems, which can
The nurse manager enlists 10 direct care nurses for a project addressing the needs of the human immunodeficiency virus (HIV). The project successfully completes within the timeline. What would be the most essential factor for the success of the nursing ma
The most important element of success for the nursing manager is to allow the direct care nurses to share their ideas about the project and participate in decision making. This approach will increase their organizational commitment and increase the feelin
While providing feedback to nurse practitioners, the registered nurse uses the extinction approach to handle negative behaviors. Which theory of leadership is the registered nurse applying in this scenario?
1
Hierarchy of needs
2
Transactional theories
3
Extinction is purposefully ignoring negative behavior. According to the OB Mod theory, the nurse as the leader should ignore negative behaviors as a form of non-reinforcement. A leader employs the hierarchy of needs by developing an awareness of what moti
The student nurse is assisting the registered nurse (RN) in collecting feedback from superiors and peers. The questions they are asking address comments to the RN about his or her work quality that affects the environment and overall productivity. Which t
Style theory measures the achievement of satisfactory performance. It requires supervisors to pursue an effective relationship with their followers. Therefore leaders need to obtain feedback from their followers, peers, and superiors. Trait theory involve
The nurse leader is promoted to nurse manager and has a plan of implementing an effective client counseling center in the outpatient department. The nurse gathers data from different healthcare providers and compares methods. Which type of quality improve
Benchmarking is a process of conducting a widespread search to identify the best method, which helps to identify desired standards of quality performance. Risk management involves analyzing problems and minimizing losses after an occurrence of an adverse
During an interview for a nurse manager position, the panel asks the nurse about the primary role of a leader. Which answer provided by the nurse would be most appropriate?
Correct1
"To inspire followers"
2
"To provide training to the followers"
3
"To sha
The primary role of a leader is to inspire the followers by actively participating in the task along with the followers. It also involves changing the workplace to increase work satisfaction. The other roles of a leader are to provide training to the foll
Which theory of nursing leadership involves the traditional organizational hierarchy playing a less significant role as the "keeper of high-level knowledge?"
1
Style theory
2
Thinking theory
3
Motivation theory
Correct4
Complexity theory
Complexity theory involves the traditional organizational hierarchy playing a less significant role as "keeper of high-level knowledge." Style theory focuses on the achievement of an effective and productive work environment through employee-centered lead
The nurse as a leader provides feedback to a recently recruited student nurse after checking performance reports that show a disregard for the Organizational Behavior Modification (OB Mod) theory. Which activity of a student nurse would the nurse leader m
OB Mod theory uses positive reinforcement to promote constructive behavior in the workplace. It involves motivating the staff by avoiding certain situations that cause discomfort. Therefore discussing the past mistake of a subordinate only creates a negat
An obese client leads a sedentary lifestyle and complains of leg pain when walking long distances. A nurse leader is teaching the client different exercises that can relieve the pain and can be performed while working in an office or doing daily activitie
The nurse leader is performing the explaining element of Gardner's leadership tasks. Explaining includes teaching and interpreting information to promote client functioning and well-being. Managing involves assisting the client with planning, priority set
What are the attributes of a nurse leader? Select all that apply.
Correct1
Identifying the needs of others
2
Accepting responsibility willingly
Correct3
Using critical-thinking skills in making decisions
Correct4
Using focused energy and stamina to accomp
A nurse leader should possess attributes such as identifying the needs of others. A nurse leader should also use critical-thinking skills in making decisions and focused energy and stamina to accomplish a vision. Accepting responsibility willingly and per
The registered nurse is interviewing for a management position and wants to present a powerful image. What can the nurse focus on when preparing for the interview? Select all that apply.
Correct1
Conveying positive body language
Correct2
Appearing well gr
Positive body language, appearing well groomed and well dressed, and conveying self-confidence are essential for establishing a powerful image. An effective leader should always be ready to take risks rather than maintaining a conservative, safe philosoph
The nurse manager implements a change in the back care routine provided to bedridden clients to help prevent pressure ulcers. The nurse manager observes a decrease in the incidences of pressure ulcers in the unit and appreciates the efforts of the team me
Recognizing the change and appreciating the team members who implemented the change help anchor the change in the work culture, which is the final step in Kotter's eight-step change model. Creating urgency involves initiating dialogue around the need for
A nurse manager in a surgical unit finds that many clients are developing urinary tract infections post-operatively and wants to discuss the measures to prevent it with the team. Which action of the nurse manager reflects good communication practice?
Corr
Communication is a very important aspect of any leader. Solving a client care-related issue such as increasing incidences of urinary tract infections may require discussion with team and input form the team members to arrive at any decision. Therefore a f
Which action of the clinical nurse is consistent with Gardner's task of "achieving work unity"?
Correct1
Helping clients accomplish optimal functioning
2
Relating to and inspiring clients to achieve their vision
3
Providing self-care to enhance the abilit
Helping clients accomplish optimal functioning is a behavior of Gardner's task of "achieving work unity." It is applied in practice to benefit the transition to enhanced health functions. Relating to and inspiring clients to achieve their vision and enhan
The nurse leader is monitoring a student nurse who is accessing various databases. Which search platform should the nurse leader suggest to access a variety of databases including Cumulative Index to Nursing and Allied Health Literature (CINAHL) and MEDLI
OVID and EBSCO are search platforms for a variety of databases including CINAHL and MEDLINE. PubMed is an abstract database of the National Library of Medicine, providing access to over 15 million citations from 1950s to the present. PsycINFO is an abstra
Which actions of a nurse as a leader demonstrate a hands-off approach in practice? Select all that apply.
Correct1
The nurse leader avoids making conscious decisions.
2
The nurse leader avoids acting in situations beyond his or her control.
Correct3
The n
A hands-off approach may signify that the leader does not make a conscious decision while solving a problem. Moreover, he or she chooses not to act when an intervention is indicated. In a situation beyond the leader's control, he or she not taking any act
The nurse manager finds that there is an increased infection rate in the unit due to an increased number of client visitors. The nurse believes that a change in the visitor policy could help reduce the infection rates. The leader is initiating an open dia
The nurse leader generating an open dialogue regarding the need for a change in visitor policy reflects the attribute of creating urgency in Kotter's eight-step model. Creating short-term wins involves setting short-term targets; success meeting these tar
Which statement reflects the concept of "referent power" to the nurse?
1
The nurse leaders share their power with the direct care nurses in client care.
Correct2
The nurse manager hires the student nurse she advised to work in the agency after graduation.
Referent power is granted by a powerful person having an association. Therefore managers hiring student nurses to work in the agency is considered a use of referent power. The use of empowerment involves the nurse leader sharing power sources. In reward p
The nurse manager sends the nursing team to perform a pediculosis screening at an elementary school and stays behind to catch up on administrative work. Which leadership quality does the manager fail to demonstrate in this instance?
1
Willingness to grow
An effective leader actively leads members toward a mutual goal as a team, rather than simply sending them to do the job. Willingness to grow as a leader is demonstrated in activities like reading about new ideas and approaches and experimenting with new
Which actions should a nurse leader avoid in order to implement changes effectively?
1
Answering tough questions raised by the staff
2
Asking the staff what is not working well for them
Correct3
Maintaining a boss-employee relationship with the staff
4
As
To effectively implement change, a leader nurse should establish and maintain rapport with staff. Therefore maintaining a rigid boss-employee relationship should be discouraged. Answering tough questions faced by the staff will promote a good work culture
The registered nurse is teaching a group of student nurses about the role of the nurse as a leader. Which statement by a student nurse indicates effective learning?
1
"The nurse manager has a plan for identification of charge nurses."
2
"The nurse executi
The goal of a nurse manager as a leader is to develop a shared vision of the future with direct care nurses. The nurse manager ensures that the day-to-day elements of the workplace are being performed correctly. The nurse executive has a plan for identifi
The senior nurse finds that a novice nurse is mainly emphasizing leadership activities in a healthcare facility. Which action of the senior nurse indicates effective leading ability?
1
Asking the new nurse to stop doing it
Correct2
Encouraging and develop
Effective leadership is responsible for achieving an effective workplace, and therefore succession of the leadership is an important consideration. This can be done by encouraging and developing the leading skills of the new nurse and supporting current l
According to Kouzes and Posner, which key practices are involved when a leader takes an active role in the work of change and creative thinking about new solutions? Select all that apply.
1
Inspiring
2
Enabling
Correct3
Modeling
Correct4
Challenging
5
Enc
Modeling the way and challenging the process are two of the key practices described by Kouzes and Posner in their work on transformational leadership. Modeling the way means that a leader must take an active role in the work of change. Challenging the pro
A staff member is planning to start a new job but is worried about the impact it might have on future growth opportunities. The nurse leader is helping the staff member understand all the implications. Which ethical principle is the nurse manager as a lea
Paternalism is assisting people to make decisions when they do not have sufficient data or expertise. Helping the staff member understand all effects of a possible career change and how the potential change could impact his or her future growth reflects t
A nurse leader is teaching the nursing staff about preparing objectives. Which statements by a member of the nursing staff indicate effective learning? Select all that apply.
Correct1
"I will specify the target to be achieved."
Correct2
"I will not includ
An effective objective should be a S.M.A.R.T. goal, i.e., it should be specific, measurable, agreed upon, realistic, and time bound. Therefore it is important to include statements that specify the target that needs to be achieved. As the objective needs