Nursing Leadership Exam 3

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What is an organizational culture?
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A system of symbols, beliefs, values, history, and communication patterns
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What is unity of command?
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Each employee having only one boss
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Who is not a first-level manager?
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Nursing supervisor
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What is having official power to act?
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Authority
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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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What should the leader remember in forming committees?
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There should be sufficient expertise among committee members to accomplish the assigned task.
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During a strategic planning committee meeting to develop futuristic technology goals, several unit managers spend a considerable amount of time discussing current staffing problems. What is the primary action of the chairperson of this committee?
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Request that committee members return to discussing items on the agenda.
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When does discharge planning begin _____________________.
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on admission
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_________________________ refers to the consistency of care provided as clients move through the health care system.
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Continuity of care
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List the 5 rights of delegation:
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1.) ATI right task 2.) Right circumstances 3.) Right person 4.) Right direction/communication 5.) Right supervision/evaluation
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True or False: Open communication among staff and clients can help defray the need for conflict resolution.
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True
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True or False:Ineffective communications not a common cause of organizational conflict.
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False
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Jon is the only registered nurse at the hospital who is certified to insert percutaneous intravenous catheters. What type of power does this certification provide?
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Expert
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Which statement represents a powerful image of a team leader?
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“We have a great deal to accomplish today, but I am confident that, by working together, we can do it and do it well.”
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Which strategy is most effective in empowering staff?
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Serve as a role model of an empowered nurse.
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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
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What does empowerment, a hallmark of transformational leadership, encompass?
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Sharing powers with others
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Two of the organizational goals where you are employed as a unit supervisor are to increase physician satisfaction and reduce costs. One of your unit goals for the coming year is to increase your professional RN staff. Which of the following statements to the fiscal manager of your organization would most likely have a favorable outcome for you?
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Increasing the RN staff will free more nurses to be available to answer doctors’ concerns during their rounds and will reduce our costly use of overtime.
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How is a person’s response to authority conditioned?
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Through authority figures in the family unit
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What is coercive power based on?
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Fear and punishment
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The nurse is assigned to administer medications to all patients throughout the shift. What is this an example of?
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Functional nursing care
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A nurse has accepted a position as a staff nurse and will practice small team or modular nursing. The nurse will be the only RN on the team. What is an appropriate role expectation for role fulfillment?
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Assigning work to be done according to the expertise of group members
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With modular nursing, who checks the completion of tasks assigned to a team member?
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The team leader
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What is a goal of case management?
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Contain health care costs
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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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Critical pathways outline a patient’s expected progress from admission to discharge, and where did they originate from?
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Case management
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What is the oldest form of organizing patient care that is still widely used today?
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Total patient care
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What should managers do to maintain adequate staff in their organization?
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Use knowledge of turnover rates on their units for planning and hiring.
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Which is an accurate statement about the role of unit managers in recruitment and selection?
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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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What is the relationship between the national and local economy and an organization’s ability to maintain an adequate workforce?
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When a recession occurs it causes many part-time nurses to return to full-time employment and others to delay their retirement.
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Which would be an illegal interview inquiry?
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Questions about the applicant’s marital status or number of children
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What should selectors do when processing the employment application?
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Always follow up on references and verify employment history
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Which question asked during an interview is acceptable?
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What professional organizations do you belong to?
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From an economic perspective, what is driving the current nursing shortage?
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Supply side of the supply/demand equation
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What type of interview is a predictor of job performance and overall effectiveness?
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Structured
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What must be completed before a position is offered?
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Reference check
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Which best describes mentorship?
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Staff cannot be assigned to become mentors. It is a role voluntarily chosen by the mentor.
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You are the supervisor of a new RN graduate on your unit. What would be the most helpful action for you to take to help the new RN adjust to the new role?
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Be alert to signs and symptoms of the shock phase of role transition.
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Which statement best describes the manager’s role in socialization?
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Sharing organizational values, expected attitudes, and history
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Which action would be the most likely to result in encouraging evidence-based practice?
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Provide a computer program to nurses for access to the latest nursing research.
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What is the relationship between an employee and a role model?
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Passive
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You are working in the staff development department and must organize a class to prepare nurses to function in the new neonatal ICU. Which task should you do first?
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Identify the knowledge or skill needed.
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Which statement best describes andragogy?
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Andragogy works well with people who have had life experiences.
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What does readiness to learn imply for individuals?
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Have acquired the skills necessary for what is to be learned
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The RN is attempting to teach a patient how to give insulin. What is the best way?
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Teach in short, frequent sessions.
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What does social learning theory suggest?
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Most behavior is learned by direct experience and observation.
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What is the emphasis for the manager in the coaching role?
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Helping employees reach an optimum level of performance
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What is the best method for determining the effectiveness of a staff development program for managing IV puncture sites?
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Observing staff implement and document the changes recommended
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Which is a common feature of the learning organization?
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A tolerance of mistakes
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Which statement best describes functional nursing care delivery?
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Emphasis is on “getting the work done” through tasks.

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