Leadership Test 2 – Flashcards
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What term is used to identify previously acquired skills that are necessary for further learning?
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Experiential factors: skills previously acquired that are needed for next stage of learning
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Which method best provides a structured orderly approach to communicating accurate, relevant information, in emergent patient situations as well as routine handoffs?
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SBAR: situation, background, assessment, recommendation
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Which statement demonstrates an intervention focused on the primary disadvantage of team nursing?
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Disadvantages to team nursing are improper implementation, not enough time for planning and communication need team communication and regular team planning conferences team nursing: ancillary personnel collaborate in providing care to a group of patients under the direction of a professional nurse. Allows members to contribute their own special expertise or skills
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Which assessment must the RN do initially when assigning tasks to non-licensed personnel (NAP)?
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Evaluate the NAP's skills and knowledge level
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Which statement about the proper placement of employees within the organization is correction?
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Occurs when an attempt is made to place employees in units where they have the greatest chance of success
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Which statement best describes functional nursing care delivery?
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Nurse assigned to administer medications to all patients during entire shift Emphasis is on getting the work done through divided and distributed tasks Requires completion of specific tasks by different nursing personnel
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Which statement describes assertive communication?
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assertive communication is not rude or insensitive behavior, rather it's having an informed voice that insists on being heard reduces stress, improves productivity, and contributes to a healthy workforce can express in direct, honest, appropriate way that doesn't infringe on other's rights use "I" statement with direct eye contact and calm voice assertive is not the same as aggressive
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Which statement best describes andragogy?
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the method and practice of teaching adult learners; Learner is self-directed, internally motivated; Task or problem centered; Self-directed; Climate is relaxed and informal; Collaboration encouraged; Teacher and class set goals; Decisions are made by teacher and students; Teacher, self, and peers evaluate
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Which vocal delivery suggests that a person is asking a question rather than making a statement?
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tentativeness: vocal clues such as tone, volume, and inflection add to the message being transmitted. Tentative statements sound more like questions than statements, leading listeners to think you are unsure of yourself and speaking quickly may be interpreted as being nervous. Loud and slurred speech can be barriers to communication
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You overhear an experienced nurses say to a new nurse, "Sorry you won't be able to join us for our weekly get-together at the local yogurt shop. I see you are going to be here charting for a while yet." What is this an example of?
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An application of a sanction regarding group norms
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Which statement about the role of unit managers in recruitment and selection is accurate?
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Regardless of the extent of their involvement, all managers must be aware of recruitment and selection constraints within their organization.
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Which behavior by a team member is demonstrated through cynicism and a nonchalance attitude about the group's work?
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Playboys: remain uninvolved and demonstrate cynicism, nonchalance, or horseplay
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What cultural phenomena must be considered for the biopsychosocial differences between racial and ethnic groups that have susceptibility to disease and physiologic differences?
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Biological variations
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Which statement accurately identifies a concern associated with decentralized staffing?
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It carries a risk that employees will be treated unequally or inconsistently
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What is the advantage of decentralized scheduling?
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Unit manager understands the needs of the unit and staff intimately
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When a manager appropriately recognizes the successful completion of a delegated team task, what is the primary reward for the manager?
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Professional recognition as a leader
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Which statement is true regarding legislated minimum staffing ratios?
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In 2008, legislation passed to make the expected legal ratio 5:1 (Quizlet) They are proposed to improve patient care (quizlet)
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Primary care nursing is organized so that the patient is at the center of the structure. How many nurses have 24-hour responsibility for care planning and coordination?
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One
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The Omnibus Budget Reconciliation Act of 1987 established regulations for the education and certification of which health-care worker?
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Nurse Aids
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What is an inappropriate reason for delegation?
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When the task is not a challenge for the manager
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Which statement about PCSs is accurate?
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Internal and external forces may affect classification systems
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How does decentralized organizational structure promote decision making?
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Problems can be solved at the levels in which they occur
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What is the first step to developing an educational program for an organization?
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Identifying the desired skills or knowledge the staff should have
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Which statement supports the manager's commitment to staff empowerment? Select all that apply.
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empowerment occurs when leaders communicate their visions; employees are given the opportunity to make the most of their talents; and learning, creativity and exploration are encouraged
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What is the first step the manager takes when a subordinate is having difficulty carrying out a delegated task?
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Be available to the employee as a role model and resource for the task
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What is one of the most politically serious errors one can make?
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Lying to others within the organization. It destroys trust and leaders must never underestimate the power of trust
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What communication mode is considered most reliable in conveying the emotional component of the message?
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Nonverbal
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What is the traditional form of communication in organizations that helps to coordinate activities in various levels of the hierarchy?
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Downward
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Which statement concerning nonverbal communication is true?
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The nurse's verbal messages should be reinforced by nonverbal cues.
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Which is a motivating factor identified in Herzberg's motivation-hygiene theory?
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A chance for promotion
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Which statement describes the informal communication referred to as "the grapevine?
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The office grapevine usually is not linear at all but an informal ____ communication network. a. chain b. Y c. circle d. all-channel e. wheel Most personnel engaging in the unofficial exchange of information
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Which statement concerning organizational culture is true?
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Organizational culture can be a source of competitive advantage because it influences employee behavior and the firm's conduct in the marketplace. staff retention, workplace safety, and patient outcomes are directly affected by the organizational culture/climate
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Which characteristic is most important when the nurse-manager is considering staff for a delegated role?
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Willingness to grow professionally
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What is the goal of case management?
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contain health care costs OR to provide the client with necessary, cost-effective care
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What did motivational theorist Victor Vroom state?
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a person's expectations about his or her environment or a certain event will influence behavior.
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What type of power does a professional nursing certification provide?
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Expert
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Which action by the nursing manager will have the greatest impact on staff satisfaction regarding the filling of an assistant management position?
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;)
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Which is an appropriate strategy for planning, conducting, and controlling the interview?
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When an applicant clearly does not have the proper qualifications for a position, the interviewer should be tactful, but advise the applicant as soon as possible that there is a lack of appropriate qualifications for the job.
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What determines the size of the authority-power gap between a manager and an employee?
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Widens as the manager expresses a personal interest in his or her employees. Can be decreased by the visible exercise of authority in decision making. Increases when the manager loses credibility with employees. Is determined by how much status the manager has. The negative effect of a wide authority-power gap is that organizational chaos may develop. Both the women's movement and the student unrest of the 1960s have contributed to the widening of the authority-power gap.
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Which statement is typically true of job satisfaction levels?
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Intrinsic factors are related to job satisfaction.
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What is the most important component in being well organized and increasing productivity on the unit?
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A well-thought-out plan
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What is the most important strategy for avoiding burnout and maintaining a high motivation level?
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Self-care
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What factor contributed significantly to the beginning of the acute RN shortage that originated in the late 1990s?
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Hospital downsizing
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Which statement concerning women's views of power is true?
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Women are far more accommodating and submissive than their male partners. Part of women's reluctance to embrace power in relationships is due to their socialization to the female role. Some women view power as dominance versus submission; associated with personal qualities, not accomplishment; and dependent on personal or physical attributes, not skills. Also, some women believe that they do not inherently possess power but instead must rely on others to acquire it. Thus, rather than feeling capable of achieving and managing power, some women feel that power manages them.
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When do nursing shortages historically occur?
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When the economy is beginning an upswing AND when the economy is receding.
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Which external and internal forces must a manager adjust for when implementing the PCSs associated with unit staffing? Select all that apply.
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Presence of nursing students on the unit the hiring of two graduates as staff the increase of scheduled medical students Language barriers presented by nursing staff
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What is the primary responsibility of the committee chairperson during a committee meeting?
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Keeping members on task
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Which would suggest that flattening of the organization is occurring?
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There is a reduction in administrative levels
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Which statement describes both self-power and feminist power?
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self-power and feminist power are the same thing. It is based by individual gains over one's own life time. The source of this power is maturity and ego strength.
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What does the term unity of command mean?
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Each employee has only one boss so that there is less confusion and greater productivity