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35 Cards in this Set
- Front
- Back
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What is the most consistent concern of the nurse as a manager? A. To develop long range career goals B. To coordinate patient care while meeting the agency goals C. To maintain harmony within the agency D. To organize the subordinates to meet agency goals |
B. To coordinate patient care while meeting the agency goals. The role of the nurse manager has evolved into a complex one that includes organizing patient care, directing personnel to achieve agency goals, and allocating resources. We can also see them as planners and controllers. |
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What action would be an appropriate first step for the nurse to take toward becoming an effective manager? A. Learn how to effect and direct the change process. B. Assess individuals source of power C. Develop communication and interpersonal skills. D. Implement effective nursing care plan. |
C. Develop communication and interpersonal skills. Effective managers have a balanced mix of management skills and leadership qualities. There are generally four functions the manager performs: Planning(what is to be done, what they spend most of their time doing), Organizing(how it is to be done, resources available and delegation), directing(who is to do it), controlling(when and how it is done, facilitiy regulations). |
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What do the responsibilities of the nurse manager include? A. Planning and organizing how nursing care can most effectively be delivered on the nursing unit B. Establishing the nursing care standards to be implemented on the unit C. Developing educations programs to assist staff to meet licensure requirements D. Assisting staff to adhere to organizational policies and procedures |
A. Planning and organizing how nursing acre can most effectively be delivered on the nursing unit. Managers must be attentive to both dimensions of their job: the mission and goals of the organization and planning with the staff to meet the nursing care goals of the unit within the overall goals of the institution. |
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The nursing staff on a busy unit enjoys autonomy and needs minimal direction for patient care. Which leadership style would be most effective on this unit? A. Democratic B. Authoritarian C. Laissez-faire D. Bureauratic |
A. Democratic The democratic manager is people oriented and emphasizes effective group functioning. The environment is open, communication is both ways, and staff members are encouraged to participate in decision making. The manager is also willing to take responsibility to make decisions when staff participation isn't necessary. |
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Which statement best describes effective leadership by the nurse manager? A. Directs a staff nurse to modify his or her communication skills B. Fosters behavior changes in one staff member that have positive effects on the nurse manager and his/her peers C. Encourages behavior changes through the annual evaluation process D. Uses the group process to determine what behavior is distressing to staff |
B. Fosters behavior changes in one staff member that have positive effects on the nursing manager and his/her peers. Members should feel positive about their participation and the outcomes of the group process. The manager should be flexible enough to adapt to changing roles of nursing staff and willing and able to share power with the same people that he or she will supervise. Effective leadership revolves around the leader focusing a groups efforts on identifying goals and carrying out the activities needed to reach those goals. |
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The nurse manager is beginning the process of problem solving. Which action should be taken first? A. Define the problem B. Gather information C. Analyze the information D. Consider the alternatives |
A. Define the problem. |
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A nurse is using the decision making process. Which action should be taken first? A. Evaluate the outcome B. Identify and evaluate options C. Set the objective D. Implement the options |
C. Set the objective. Decision making requires the definition of a clear objective to guide to process. The nurse must set the objective before proceeding to the other steps in the decision making process. The second step is to identify and evaluate alternate decisions. The third step is to make the decision and implement, and the last stop is to evaluate the outcome. |
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Which statement by the nurse shows understanding of the primary advantage in using the group process in decision making? The process A. Increases the time spent discussing alternatives B. Eliminates opposition to decisions by administrators C. Allows additional time for the planning process D. Promotes acceptance of the decision by the group |
D. Promotes acceptance of the decision by the group. When the group has input in the decision making process, there is more acceptance of the group decision. Groups can be beneficial to the decision making process. Groups generally offer the benefits of a broader knowledge base for defining objectives and more creativity in identifying alternatives. The effectiveness of the group decision making process is dependent on the dynamics of the group. There may be additional time spend discussing alternatives and more time may be allowed for planning however these aren't advantages. When the group makes a decision it may be easier to deal with administration oppositions. |
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A nurse is interested in moving into a management position. Which action would assist with accomplishing this? A. Use of reward power B. Use of coercive power C. Use of expert power D. Use of legitimate power |
C. Use of expert power An expert refers to someone who is knowledgeable, experienced, and respected in their area of nursing. This type of power would assist the nurse to advance to higher position in nursing. |
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A nurse is respected by peers for clinical skills and effective interpersonal relationships. The nurse has studied diabetic patient educational needs and consults with several units. What type of power does this nurse possess? A. Informational B. Legitimate C. Reward D. Expert |
D. Expert |
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The nurse manager on a surgical unit receives notification that multiple victims of a plane crash will arrive at the hospital momentarily. What is the most appropriate leadership style to adopt in this situation? A. Authoritarian B. Democratic C. Laissez-faire D. Eclectic |
A. Authoritarian The authoritarian style of management has its emphasis on the tasks, which would be effective during an emergency/disaster situation. |
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The nurse manager tells the patient that he must eat his breakfast before getting out of bed. What type of power is the nurse manager using? A. Legitimate power B. Expert power C. Coercive power D. Referent power |
C. Coercive power. This is power derived from fear of consequences. |
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Which statement by the staff nurse shows adequate understanding of the nurse manager role? The nurse manager A. is given information and power through an official position B. coordinates group activities toward a common goal C. is responsible for developing goals to be accomplished D. selects and assumes a role among a group of peers |
B. coordinates group activities toward a common goal. The manager coordinates the activities of a group to maintain balance and direction. There are generally four functions the manager performs planning, organizing, directing, and controlling. Good leaders carefully balance job centered and employee centered behaviors to meet both staff and pt needs effectively and often have information and power through an official position. A good leader works toward developing goals and has a sense of purpose and direction. |
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The nurse manager is giving a presentation on the disadvantages of democratic leadership in group functioning. Which statement shows an understanding of this type of leadership? A. Requires more time and effort to make decisions and accomplish goals B. Discourages participation from quieter members of the group C. Increases the possibility of scapegoating or argumentative behavior D. Is difficult to control the outcomes and decisions of the group |
A. Requires more time and effort to make decisions and accomplish goals. Because of the encouragement of participation in decision making and the democratic leaderships emphasis on group function, decision making becomes more involved with consensus and is less timely. Encourages participation and works to reduce scapegoating behavior because everyone has an equal voice. The group democratically makes decisions and determines outcomes that are not controlled by management. |
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A nurse is unhappy about the way medications are being administered on the unit. What does the nurse need to do first to facilitate a change in the process? A. Initiate a new method starting with assigned patients B. Discuss concerns with fellow nurses C. Develop a better method to administer the medications D. Inform the charge nurse of how it can be done better |
C. Develop a better method to administer the medications. The nurse needs to shift into the moving phase, which incorporates taking the lead by being responsible and willing to implement change by sorting out what must be done and by facilitating an appropriate and effective approach. |
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A nurse wants to implement a change in the work environment. Which of the following actions would be the most important thing to do? A. Ask for suggestions from peers working in other institutions B. Explain to coworkers how a different plan would work better C. Seek input from coworkers from the beginning D. Incorporate all suggestions into the plan before implementing |
C. Seek input from coworkers from the beginning. Seeking the input from coworkers from the beginning is an important component of initiating change in the work environment. In the unfreezing phase, all of the factors that may cause resistance to change are considered. others who may be affected by the change are sought out to determine whether they recognize that a change is needed and the determine their interest in participating in the process. It will be important to determine whether the environment of the institution is receptive to change and then convince others to work with the group initiating the change. |
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If many complaints arise about a newly developed procedure, what is the best way to handle them? A. Discontinue the change because it is not working B. Persuade a few friends to talk positively about it C. Consider the complaints as indication that change is being resisted D. Analyze the complaints and alter the plan as needed |
D. analyze the complaints and alter the plan as needed. In handling complaints about a new procedure, consideration should be given to bringing in a person with expert power and returning to the moving phase for analysis and adjustment of the procedure if needed. Because a complaint occurs does not mean that the change is being resisted. Until the complaint is investigated the change should continue, it should not be d/c until the issue is fully determined and resolved about the newly developed procedure. |
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What types of changes in the management can be anticipated with the introduction of generations X and Y to the nursing work force? A. more flexible work time and increased personal responsiblity for work outcomes B. increased loyalty to the institution and the need for a well defined work enviroment C. increased interest in the goals and needs of the institution D. Increased structure within the nursing environment to more effectively predict outcomes |
A. More flexible work time and increased personal responsiblity for work outcomes. Members of the generations X and Y are more independent and place higher value on personal time. They are not characteristically team players, but they are very creative and want to be responsbile for their work outcomes. Baby boomers are choice C. Vetarans are choice B. |
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The nurse understands that having a stand up meeting vs the traditional sitting at a conference table meeting takes less time to come to a decision based on which of the following ideas? A. contingency style leadership B. Evidence based management protocols and interventions C. Autocratic management style D. Presence of a clinical nurse leader |
B. Evidence based management protocols and interventions. Nurses are expected to practice using evidence based protocols and interventions for clinical decision making, and managers are expected to use those management practices that are not simply based on conventional wisdom but on demonstrated outcomes. Evidence indicates that stand up meetings took 34% less time to make decisions. Using this model could save an organization many hours a year that can be put to another productive use or could eliminate from payroll this extra time. |
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A nurse manager has an adequate understanding of their nursing role when making which of the following statements? A. A manager selects or assumes a role B. I have the same function as a floor nurse C. I have the same authority as the director of the hospital D. I was appointed to my role |
D. I was appointed to my role Whereas a manager is assigned or appointed to a role, a leader selects or assumes a role. The nurse manager functions differently than a floor nurse, and although the nurse manager has some authority it is less than a director of the hospital. |
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Which of the following actions is consistent with a nurse leader? A. A nurse who encourages staff to give excellent pt care B. A nurse who performs chart audits on her staff C. A nurse who writes yearly staff evaluations D. A nurse who gives pain medication to an assigned pt |
A. A nurse who encourages staff to give excellent patient care A nurse leader is someone who influences others, as a nurse who encourages staff to give excellent pt care. A nurse who performs chart audits and writes staff evaluations is functioning as a nurse manager. Giving pain meds is a function of a staff nurse. |
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A nurse manager has received a report that indicates the infection rate on the unit has gone up by 25% in the past month. The control phase of the management requires that the nurse manager take action. What should the nurse manager do? A. post the report for staff to read B. Pull a couple of nurses aside and discuss the issue with them C. send and email out to the staff with information regarding upcoming infection prevention conference D. Provide mandatory handwashing in service to all staff |
D. Provide a mandatory handwashing in service to all staff. The nurse manager has a duty to implement and mandate interventions to reduce infection rates on her unit. Providing mandatory handwashing service to all staff is the best way to do this and to ensure that every staff member is competent. |
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Which of the following actions by the nurse manager would indicate an autocratic management style? A. Allow staff members to make most of the decisions B. Makes most of the decisions without input from the staff members C. Exerts little control over staff D. Emphasizes effective group functioning |
B. Makes most of the decisions without input form the staff members. |
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The nurse manager identifies which of the following as the most critical step in problem solving? A. Brainstorm all possible solutions B. Identify the problem C. Evaluate possible solutions C. Choose a solution |
B. Identify the problem. |
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Which action by the nurse indicates placement in the unfreezing phase of Lewins change theory? A. The nurse reconsiders what has caused themself to be resistant to change B. The nurse begins the process of implementing change C. The change has become routine D. The change is permanent |
A. The nurse reconsiders what has caused themself to be resistant to change Choice B is part of the moving phase Choices C & D are part of the refreezing phase |
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Which of the following actions is consistent with a manager? (Select all that apply) A. Planning the agenda for a staff meeting B. Directing nurse assistants in how to divide up pt care assignments C. Organizing a group of nurses to present a topic at a staff meeting D. Giving blood at the local hospital E. Assume control of the guidelines for how hourly rounding will work on the unit |
A,B,C,E Managers plan, direct, organize, and control activities designated to their staff. |
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A nurse manager is in the planning phase in a new job. Which action shows this?(select all that apply) A. developing goals that reflect the mission and vision of the organization B.Defining strategies to meet the mission and vision of the organization C. Providing direction for staff to perform the work of the organization D. Retaining accountability for all work completed by staff E. Planning for contingencies which may interfere with the work of the organization |
A, B, E In the planning phase the nurse manager will develop goals, define strategies, and plan for contingencies that may interfere with the work. |
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Which of the following statement by the nurse reflect transformation leaders? (select all that apply) A. Lifelong learners B. Courageous change agents C. Slow to change D. Value driven visionaries E. Hesitant to follow |
A,B,D Transformational leaders are lifelong learners, courageous change agents, and value driven visionaries. They are not slow to change or hesitant to follow. |
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Which of the following describes reward power used by the nurse manager? (select all that apply) A. A nurse manager uses fear of consequences to motivate staff B. A nurse manager who uses salary increases to motivate staff C. A nurse manager who is perceived as an expert due to specailized knowledge D. A nurse manager who is well liked by the majority of staff E. A nurse manager who has information that others need to perform their jobs |
A, B reward power occurs when nurse managers provide or withhold rewards. |
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Complexity theory |
Needs to look at systems such as those in health care organizations, as patterns of relationships and the interactions that occur among those in the system |
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Interactional Leadership |
Development of trust in relationship, uses democratic concepts of management and views the task to be accomplished from the stand point of a team member |
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Transactional leadership |
Holds power and control over followers by providing incentives when the follower respond in a positive way to the leaders vision and the actions needed to reach that vision |
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Situational Leadership |
Situatino is analyzed and leadership style is selected that will best address issues |
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Transformational leadership |
Process in which leader and followers work together in a way that changes or transforms the organization, that employees or follower and the leader |
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Contingency leadership |
Leadership is flexible enough to address varying situations |
