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NURB 4230 - Leadership Final Exam Latest Update
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NURB 4230 - Leadership FinalExam Latest Update
A manager demonstrates one of the four principles of scientific management when he or
she: - Answer hires and promotes employees on the basis of their competence and skills
A nurse-manager has recently been accused of assigning work unequally. The manager
has recognized the need to revise the process for assigning work to nurses. How can
the manager best apply the principles of Theory Z? - Answer gathering input from
employees in order to reach a consensus
Accreditors are scheduled to visit a hospital site and staff members have been made
aware of what they will be assessing. What staff behavior would most clearly suggest
the presence of the Hawthorne effect? - Answer The nurses consciously improve their
performance because they know it is being scrutinized.
Caregivers at a public health center believe that their manager adheres to Theory X.
What action by the manager best confirms this suspicion? - Answer The manager insists
on accompanying nurses to community events and observes them closely.
The failure to engage in which activities are considered a fatal flaw of leadership? -
Answer self-improvement
staff development
communication with employees
collaboration with colleagues
The nurse-manager is addressing a nurse's suspected breach of client confidentiality in
a social media posting. What function of the management process is the nurse-manager
demonstrating? - Answer controlling
What action by the nurse-manager in a health organization best demonstrates
transformational leadership? - Answer The manager holds a workshop to outline a new
vision for patient-centered care.
What aspect of the way that work is organized on a nursing unit best reflects the
management theories of Max Weber? - Answer The hierarchy of authority and the
policies and procedures on the unit are clearly posted.
What characteristic of a nurse-manager suggests that he or she is acting in the role of a
traditional manager rather than an integrated leader-manager? - Answer The manager's
influence is limited to his or her group.
,Which statement best depicts leadership? - Answer People will follow a person in a
leadership position only by choice.
A leader is applying the principles of emotional intelligence. What outcome indicates a
successful application of these principles? - Answer Emotions are used effectively.
A nurse-manager has proposed a change in the skills mix on a hospital unit, with fewer
registered nurses and more nursing assistants. What outcome best demonstrates that
the nurse is applying the principles of thought leadership? - Answer Skeptics of the plan
have begun to see it as innovative and beneficial.
A nurse-manager will soon be introducing a significant change in the way that overtime
shifts are allocated on a hospital floor. What action by the manager will best
demonstrate the principles of thought leadership? - Answer Convincing employees that
the change will be beneficial and innovative.
The leader-manager provides oversight on a busy medical-surgical unit. There has
recently been an incident where two nurses were not honest about neglecting a
controversial new protocol and misled the leader. How can the leader-manager best
prevent similar episodes? - Answer Support employees' right to disagree with proposed
changes.
The nurse-manager who seeks to exemplify emotional intelligence should: - Answer
regulate his or her own emotions and those of others
To decrease overtime, the manager of a surgical unit offers nurses who get their work
finished on time for an entire 2-month period an extra day off with pay at regular time.
The nurse is enacting what model of leadership? - Answer Principal agent theory
Two nurse have approached the manager and have asked the manager to speak to a
nurse on the unit who has a reputation for being difficult to get along with. How can the
manager best implement authentic leadership? - Answer Analyze the facts of the
situation before making a decision.
What actions by the nurse-manager are consistent with relationship age leadership? -
Answer Including committee representatives from all areas that will be affected by a
change.
Encouraging teamwork to solve problems and address issues.
Recognizing staff members who have contributed to the organization's goals.
Communicating regularly and openly with employees.
Which statement regarding the characteristics of a good leader is true? - Answer They
may have character flaws.
A subordinate has accused a manager of favoritism after the manager created the work
assignment for the day. How should the manager apply the principles of emotional
, intelligence? - Answer Identify and reflect on the feelings that she experiences after
being accused.
A charge nurse has discovered that a medication error was made on the previous shift.
What is the nurse's best action? - Answer Document the incident and follow it up as per
hospital policy.
A nurse is facing a malpractice suit after an incident where a client received the wrong
dose of medication. Which elements must be present to prove malpractice? - Answer
Causal relationship between inadequate care and injury
Breach of duty
Presence of injury
Ability to foresee harm
For which client are the provisions of the Patient Self-Determination Act most likely to be
significant? - Answer A client who has just experienced an ischemic stroke and whose
prognosis is poor.
In which situations does the nurse-manager have a legal responsibility for reporting? -
Answer A nursing assistant has reported a suspected incident of elder abuse.
A nurse is suspected of providing substandard medical care.
A pediatric client reports physical abuse I the home.
There is a confirmed care of a reportable infectious disease.
Which action should the nurse prioritize when trying to prevent malpractice claims? -
Answer Always functioning with the scope of the nursing practice act.
A state Nurse Practice Act is an example of which source of law? - Answer Statutes
A manager is trying to get in the habit of creating a daily list of tasks. The manager
should: - Answer include flexibility in the implementation of the list.
The nurse-manager of a hospital unit has categorized some tasks in the "do now"
category. The tasks most likely reflect: - Answer the unit's day-to-day operational needs
What is the best response for a nurse-manager to handle someone who has a pattern of
lengthy chatter? - Answer "I can't speak with you now, but I'm going to have free time at
11 a.m."
What is the primary reason for documenting nursing interventions as soon as possible
after an activity is completed? - Answer Decreasing the risk of inaccurate
documentation
Which activity is associated with a leadership role in time management? - Answer
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