Miami Regional University Florida NURSING 5950 Review for Mid-Term (Leadership)..pdfMiami Regional University Florida NURSING 5950 Review for Mid-Term (Leadership)..pdfMiami Regional University Florida NURSING 5950 Review for Mid-Term (Leadership)..pdfMiami Regional University Florida NURSING 5950 ...
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Review for Mid-Term (Leadership).
1- A nurse manager of a 20-bed medical unit finds that 80% of the patients are older adults. She is
asked to assess and adapt the unit to better meet the unique needs of the older adult patient.
Using complexity principles, what would be the best approach to take for implementation of this
change?
A. Engage involved staff at all levels in the decision-making process.
2- A unit manager of a 25-bed medical/surgical area receives a phone call from a nurse who has
called in sick five times in the past month. He tells the manager that he very much wants to
come to work when scheduled but must often care for his wife, who is undergoing treatment for
breast cancer. According to Maslow’s need hierarchy theory, what would be the best approach
to satisfying the needs of this nurse, other staff, and patients?
B. Work with the nurse, staffing office, and other nurses to arrange his scheduled days
off around his wife’s treatments.
3- A grievance brought by a staff nurse against the unit manager requires mediation. At the first
mediation session, the staff nurse repeatedly calls the unit manager’s actions unfair, and the unit
manager continues to reiterate the reasons for the actions. What would be the best course of
action at this time?
C. Ask each party to examine their own motives and issues in the conflict. Correct
4- At a second negotiation session, the unit manager and staff nurse are unable to reach a
resolution. What is the appropriate next step?
D. Elevate the next negation session to the next manager, one level above. Correct
5- The manager of a surgical area has a vision for the future that requires the addition of RN
assistants or unlicensed persons to feed, bathe, and ambulate patients. The RNs on the staff
have always practiced in a primary nursing-delivery system and are very resistant to this idea.
What would be the best initial strategy for implementation of this change?
E. Exploring the values and feelings of the RN group in relationship to this
change Correct
6- As the RN charge nurse on the night shift in a small long-term care facility, you’ve found that
there is little turnover among your LPN and nursing assistant (NA) staff members, but they are
, not very motivated to go beyond their job descriptions in their work. Which of the following
strategies might motivate the staff and lead to greater job satisfaction?
F. Allow the LPNs and NAs greater decision-making power within the scope of their
positions in the institution. Correct
7- The nurse manager wants to increase motivation by providing motivating factors for the nurse
on the unit. What action would be appropriate to motivate the staff?
G. Implement a model of shared governance. Correct
8- A charge nurse on a busy 40-bed medical/surgical unit is approached by a family member who
begins to complain loudly about the quality of care his mother is receiving. His behavior is so
disruptive that it is overheard by staff, physicians, and other visitors. The family member leaves
the unit abruptly, and the nurse is left feeling frustrated. Which behavior by the charge nurse
best illustrates refined leadership skills in an emotionally intelligent practitioner?
H. Reflect to gain insight into how the situation could be handled differently in the
future. Correct
9- The chief nursing officer has asked the staff development coordinator to facilitate the
development of a clinical competency program for the facility. While making rounds on the units,
the staff development coordinator overhears RN staff complaining that they feel it is insulting to
be required to participate in a competency program. What behavior by the staff development
coordinator is most appropriate in this situation?
I. Facilitate a meeting so nurses can articulate their values and concerns about a
competency program. Correct
10- The nurse manager has been asked to implement an evidence-based approach to teach ostomy
patients self-management skills postoperatively. The program is to be implemented across the
entire facility. What illustrates effective leadership in this situation?
J. An RN who is already familiar with the new approach of volunteers to take the lead
in mentoring and teaching others how to implement it. Correct
, 11- You overhear a new graduate RN telling a nurse colleague that leadership and management
belong to the unit manager, not to her. As a nursing colleague, what do you know to be true in
regard to the statement?
K. The new graduate would benefit from further understanding of her role as a
professional, whose influence may affect the decision making of patients, colleagues,
and other professionals. Correct
12- The charge nurse walks into Mr. Smith’s room and finds him yelling at the LPN. He is obviously
very upset. The charge nurse determines that he has not slept for three nights because of
unrelieved pain levels. The LPN is very upset and calls Mr. Smith an “ugly, old man.” The charge
nurse acknowledges the LPN’s feelings and concerns and then suggests that Mr. Smith’s behavior
was aggressive but was related to lack of sleep and to pain. The charge nurse asks, “Can you,
together with Mr. Smith, determine triggers for the pain and effective approaches to controlling
his pain?” This situation is an example of what?
L. Leadership behavior Correct
13- After assessing an older adult patient in long-term care who has been slowly deteriorating for
weeks, the nurse manager calls the family and asks them to come in, as the patient is dying.
What is the most likely basis for the nurse manager’s request?
M. Experience Correct
14- Chart audits have revealed significant omissions of data that could have legal and financial
guideline ramifications. The unit manager meets with the staff to discuss audit findings and to
find approaches that will address the gaps in charting and achieve desired goals. What is the
manager demonstrating?
N. Management Correct
15- A family is keeping vigil at a critically ill patient’s bedside. Distant family members call the unit
continuously asking for updates and expressing concern. The nurse speaks with the distant
family members and states she is referring them to the hospital social worker, whose role is to
work with family in this situation. What role is the nurse assuming through this action?
O. Manager Correct
16- o unit manager. During the time on the unit, the nurse formed a strong social network among
staff, has promoted the development of relationships between staff and workers in other areas
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