Yoost Chapter 12: Leadership and Management practice questions

1. According to Mintzberg's 1994 model, what are the three levels of management?

a. Thinking, feeling, and doing
b. Informing, directing, and controlling
c. Autocratic, democratic, and laissez-faire
d. Information, people, and action
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3. Your patient is preparing for discharge. In discussing one of the discharge medications ordered, he mentions that he doesn't know how he will pay for such an expensive drug. What is your best course of action as the patient's advocate?

a. Explain to the patient that he must have the medication as ordered for his own benefit.
b. Get the names of local pharmacies that offer discounted prescriptions.
c. Contact the physician to schedule a follow-up appointment to be sure the patient is taking the medication as prescribed.
d. Contact the social worker to assist with checking prescription benefits and applications for subsidized prescription programs.
4. The nurse is speaking to UAP about Mr. Seo, an Asian immigrant for whom they are caring. The UAP states, "I don't trust him. He never looks you in the eye. He must be lying about something." What must the nurse recognize in order to effectively manage the situation?

a. The UAP is unaware of the cultural tradition of Mr. Seo, who views eye contact as disrespect.
b. The UAP most likely has some good insight into Mr. Seo's behavior.
c. The UAP requires much closer social space than does Mr. Seo and is probably making him uncomfortable.
d. Mr. Seo most likely does not feel well and is avoiding eye contact because he wants to rest.
5. You are the nurse in charge of a care team consisting of a new graduate, a male UAP, and an LPN. You are caring for Mr. P, a patient with renal failure and congestive heart failure. Mr. P is bedridden and weighs 227 kilograms. He must be turned every 2 hours. In making out assignments, what is your best approach?

a. Assign Mr. P to the new nurse so she can get experience with a large patient.
b. Assign Mr. P to the UAP because he is a male and is stronger.
c. Assign Mr. P to the LPN and the new RN so the new RN can perform assessments.
d. Take Mr. P as your own assignment and assign the other staff to assist with turns every 2 hours.
6. Bob is a staff nurse in the critical care unit. He routinely assists with calling staff to find coverage for the next shift and volunteers to coordinate policy and procedure revision and development on the unit. Which type of leadership is Bob demonstrating?

a. Formal
b. Informal
c. Laissez-faire
d. Democratic
7. A nurse manager receives two vacation requests from staff for the same days off. Unit policy states that only one person may be off at a time. The manager decides to allow the staff the time off anyway. What type of leadership is the manager demonstrating?

a. Democratic
b. Bureaucratic
c. Laissez-faire
d. Autocratic
8. A nurse is making outpatient assignments for the day. One of the LPNs is newly returned from a medical leave due to a back injury. Which patient would be most appropriate to assign to this nurse?

a. Mr. D., a confused patient who is ambulatory and requires assistance with feeding.
b. Mr. J., a recent postoperative patient who received a total knee replacement who has not yet been out of bed.
c. Mrs. K., an elderly woman requiring one-person assistance for bed-to-chair transfers.
d. Miss L., a cerebral palsy patient with pneumonia who uses a wheelchair.
9. A nurse in an oncology unit has used the available resources. She has also considered other relevant factors such as specific isolation requirements when determining who can care for this patient. This is a demonstration of what right of delegation?

a. Right task
b. Right person
c. Right circumstance
d. Right supervision
1. Processes used in management parallel the nursing process. Which sentence describes a nurse using a management principle paralleled with the nursing process? a. Planning is demonstrated when the nurse motivates others. b. Directing is demonstrated when the nurse plans care for the patient. c. Organizing is demonstrated when the nurse coordinates care for patients. d. Controlling is demonstrated when the nurse tells other staff members what to do.c. Organizing is demonstrated when the nurse coordinates care for patients.2. Which statement most closely reflects the differences between nurse leaders and managers? a. Nurse leaders are always in formal positions of authority. b. Nurse managers use transactional principles to accomplish goals. c. Nurse leaders rely primarily on interpersonal skills to accomplish goals. d. Nurse managers rely on supervisors for accountability and responsibility.c. Nurse leaders rely primarily on interpersonal skills to accomplish goals.3. The nurse manager is monitoring overtime for the unit. She closely monitors staff hours and does not allow staff to come in for extra hours if they are over their allotted time per week. This is an example of which of Mintzberg's decisional roles of the manager? a. Entrepreneur b. Disturbance handler c. Negotiator d. Resource handlerd. Resource handler4. A nurse manager is trying to improve patient satisfaction ratings for her area of responsibility. The manager meets with the staff and forms an ad hoc committee to address the issues around the problem. This is an example of what style of leadership? a. Bureaucratic b. Democratic c. Laissez-faire d. Autocraticb. Democratic5. A nurse is volunteering in the community to educate parents to increase the number of children in the school district who are immunized. The nurse oversees the activities of a group of volunteers. Which role best describes the nurse's activity in this situation? a. Management b. Leadership c. Volunteerism d. Activismb. Leadership6. Which statement is an example of the use of situational leadership? a. The emergency room manager takes a vote on holiday coverage and then responds to a Code Blue by directing orders at the nursing staff. b. The manager in surgery uses the vacation policy to grant time off and then performs a surgical count in an operating room using a checklist. c. A vice president of nursing allows the department directors to make a decision about a hospital policy on holiday time and then sides with a nurse who does not want to work the required time. d. The CEO of the hospital instructs the nursing senate to develop a dress code and then changes the dress code after determining he does not like it.a. The emergency room manager takes a vote on holiday coverage and then responds to a Code Blue by directing orders at the nursing staff.7. Effective nurse managers focus on which area? a. Cost-effective operation of the unit b. Motivation of staff c. Accomplishing organizational goals d. The patients and their needsd. The patients and their needs8. A nurse states she believes in the dignity of each patient. At break, she is overheard talking about a patient in a persistent vegetative state as a "lump." This represents an inconsistency in which quality of an effective leader? a. Dedication b. Magnanimity c. Integrity d. Humilityc. Integrity9. A nurse delegates a bed bath to unlicensed assistive personnel (UAP). After lunch, the patient complains that he has not yet been cleaned up. He is very upset and angry. What should the nurse's next action be? a. Assist the patient in getting cleaned up. b. Write up the UAP for not carrying out the assignment. c. Report the UAP to the unit manager. d. Go find the UAP, and tell her to complete the bath immediately.a. Assist the patient in getting cleaned up.10. The registered nurse on an inpatient medical unit delegates vital signs and morning care to the UAP for five stable patients. The nurse asks the UAP to document the vital signs and report any abnormal results immediately. Which rights of delegation is the nurse demonstrating? (Select all that apply.) a. Right person b. Right circumstance c. Right time d. Right supervision e. Right patienta. Right person b. Right circumstance d. Right supervision