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PPL - Huber Chapter 1

Terms in this set (26)

Leadership is best defined as
Inspiring people to accomplish goals through support and confidence building
A Medical-Surgical unit reports higher rates of patient satisfaction coupled with high rates of staff satisfaction and productivity. Which of the following is attributed to the data findings?
Effective leadership - Important in nursing because of the impact on nurses' work lives, it being a stabilizing influence during change, and for nurses' productivity and quality of care
A staff RN is leading a multidisciplinary clinical pathway team in the development of care for patients with total knee replacement. Which of the following statements exemplifies leadership behaviors in a clinical pathway team meeting?
"Our pharmacist has provided some excellent pain control literature"

Leadership is the process of influencing people to accomplish goals by inspiring confidence and support among followers. The correct answer is supportive of a team member's work and depicts some skill at interpersonal relationships
Which of the following is true of management activities?
Management is focused on task accomplishment
During a staff meeting, a group of nurses have complained that medications are not arriving to the unit in a timely manner. The nurse manager suggests that the group resolve this issue through the development and work of a multidisciplinary team led by one of these RNs. This scenario demonstrates:
Empowerment

The giving of authority, responsibility, and the freedom to act in the investigation and resolution of this issue
A nurse is caring for an elderly patient who was admitted after sustaining a fall at home. When creating a care plan for the patient, she requests that the doctor order a home health visit to assess for home safety and medication compliance. In addition, the nurse is concerned about the nutrition of the patient a requests a dietitian evaluation. The nurse is demonstrating which of the following leadership skills?
Care coordination

The delivery of nursing services that involves the organization and coordination of complex activities. The nurse uses managerial and leadership skills to facilitate delivery of quality care
Interpersonal communication and the ability to apply ____ are 2 critical skills every nurse needs to enhance professional practice
Problem solving

Every nurse needs 2 critical skills to enhance professional practice. One is a skill at interpersonal relationships. This is fundamental to leadership and the work of nursing. The second skill is applying the problem-solving process. This involves critical thinking, problem identification, and the development of objectivity
Good leaders need to be able to demonstrate an intuitive skill of empathy and expressiveness when dealing with others in the workplace. This requires sensitivity and awareness of the emotions and moods of others and is known as:
Social awareness
The personal leadership skill for nurses that consists of self-awareness, discipline, motivation, social awareness, and relationship management is known as what?
Emotional intelligence

Among the important personal leadership skills for nurses is emotional intelligence (EI). EI traits are emotional factors consisting of 5 defining attributes: self-awareness, self-regulation or discipline, motivation, social awareness, and relationship management
______ are vital to good leaders because they are able to take the vision of the leader and achieve the determined goals
Followers

Without followers, there is no leadership. followers are vital because they accept or reject the leader and determine the leader's personal power
The best leadership style for unfavorable conditions is:
Task-oriented structure

The need for task-oriented leaders occurs when the situation is extreme. The best leadership style for unfavorable conditions is task-oriented
Nursing management:
The coordination and integration of nursing resources by applying the management process to accomplish nursing care and service goals and objectives
A nursing unit has demonstrated lower patient satisfaction scores during the last quarter. The manager of the unit has formed a small team to set long- and short-term goals for the unit with action plans to increase patient satisfaction. This is an example of which management process?
Planning

The managerial function of selecting priorities, results, and methods to achieve results
A nursing unit has discovered a series of medication errors with regard to a particular computerized physician order set and the calculation within the order. The unit manager has a theory on changes that should be made within the order to decrease the confusion for nursing staff. However, the nurse manager realizes that changes would need to be made with pharmacy input as well as other nursing units within the facility and the multihospital system. Which of the following management theories is exemplified when the nurse manager considers the impact of change on the organization as a whole?
Systems theory

Systems theory helps managers recognize their work as being embedded within a system. Managers use this theory to learn that changing one part of a system inevitably affects the whole system
The role of the ______ is to provide leadership and direction for all aspects of nursing services with a focus on integrating the system and building a culture
Nurse executive

The nurse executive's role and functions concentrate on long-term administration of an institution or program that delivers nursing services, focusing on integrating the system and building a culture
The post-op patient with anterior cervical laminectomy is complaining of tightness in his throat. His voice is raspy. The staff nurse asks the unit secretary to page Dr. Julio STAT. This is an example of ____ leadership
Authoritarian

Uses directive and controlling behaviors in which the leader determines policies and makes decisions in isolation. The leader orders subordinates to carry out tasks or work. This style is helpful in crisis situations
A quality improvement team is working to enhance teamwork among the staff in a newly developed Alzheimer's program. Which of the following statements would be an expected behavior that illustrates quantum leadership?
"How would you describe an ideal collaborative practice environment?"

Quantum leadership fosters an environment of curiosity, questioning, and exploration.
A nursing executive is leading a multidisciplinary team of professionals who have worked well together on prior initiatives. Which of the following leadership styles might work best in this situation?
Democratic

Implies a relationship and person orientation and policies are a matter of group discussion and decision
Which of the following are crucial leadership traits to exhibit in the nursing profession?
The nurse leader needs to by dynamic

Leadership is considered key to the success of health care organizations. A nurse leader needs to be dynamic, show interpersonal skills, and be a visionary for the organization and the profession. The ability to inspire and motivate followers to carry out the vision is crucial. Effective nurse leaders set department goals without micromanaging
Which of the following behavioral aspects are present in the feminist perspective leadership style? SATA

a. Builds relationships
b. Focuses on completing tasks and achieving goals
c. Empowers others
d. Fosters an environment of mothering
e. Supports bargaining of tasks and roles
f. Promotes personal growth
A, C, F

Builds relationships
Empowers others
Promotes personal growth

Leaders using the feminist perspective use these to Promote teamwork and accomplish goals
A nurse manager at Great Lakes Hospital is meeting with the dean of a well-recognized university who is the keynote speaker today at the nursing conference. He remembers that one of the RNs is interested in attending a well-known university to obtain a doctorate. The nurse manager arranges for the RN to meet with this dean. The nurse manager is exhibiting leadership behaviors consistent with: SATA

a. feminist perspective
b. servant leadership
c. transactional leadership
d. transformational leadership
e. authoritarian leadership
A, B, D

Feminist perspective
Servant leadership
Transformational leadership

This behavior nurtures personal growth (servant leadership) and assists the RN to attain their fullest potential (transformational leadership). This behavior also helps the RN build a connection with the dean, a representative of the university (feminist perspective)
A nurse manager at Morgan Hill Community Hospital is known to be an excellent nursing manager by the personnel working on her nursing unit. The nurse manager exhibits which of the following behaviors? SATA

a. Knows the personnel and addresses them by name
b. Intervenes when she receives complaints
c. Has a consistent style that never varies
d. Is visible on the nursing unit by all shifts on a frequent basis
e. Evaluates a number of aspects of problems prior to making decisions
f. Uses decision by consensus to resolve conflicts
g. Fosters collaboration
A, D, E, G

A - Knows the personnel and addresses them by name

D - Is visible on the nursing unit by all shifts on a frequent basis

E - Evaluates a number of aspects of problems prior to making decisions

G - Fosters collaboration

These behaviors foster teamwork and positive morale
To reach Magnet status the nursing service in a hospital must attain competency in which of the following areas? SATA

a. Professionalism
b. Use of critical thinking skills
c. Business skills and principles
d. Leadership
e. Communication and relationship management
f. Knowledge of the health care environment
g. Implementation of an acuity-based staffing system
A, C, D, E, F

A: Professionalism
C: Business skills and principles
D: Leadership
E: Communication and relationship management
F: Knowledge of the health care environment

Magnet hospitals are recognized for the nurse's critical role in the business of health care. Professionalism, leadership, communication, and the ability to work with others as well as understanding the business and principles of running a hospital business and health care environment are required
Which of the following behaviors build trust between leaders and employees in an organization? SATA

a. Sharing relevant information
b. Encouraging competition via winners and losers
c. Reducing controls
d. Meeting expectations
e. Avoiding discussion of sensitive issues
A, C, D

A: Sharing relevant information
C: Reducing controls
D: Meeting expectations

Leadership is founded on trust. Behaviors that build trust include sharing relevant information, reducing controls, and meeting expectations. Trust-destroying behaviors include being insensitive to beliefs and values, avoiding discussion of sensitive issues, and encouraging competition
Which of the following traits describe a transactional leader? SATA

a. Functions in a caregiver role
b. Surveys their followers' needs and sets goals for them
c. Uses charisma to produce greater effort in followers
d. Focuses on the maintenance and management of ongoing and routine work
e. Motivates followers to perform to their full potential
A, B, D

A: Functions in a caregiver role
B: Surveys their followers' needs and sets goals for them
D: Focuses on the maintenance and management of ongoing and routine work

A transactional leader is a leader/manager who functions in a caregiver role and is focused on day-to-day operations. Such leaders survey their followers' needs and set goals for them based on expectations. They are also leaders who are focused on maintenance and management of ongoing and routine work. Transformational leaders use charisma to produce greater effort and are able to motivate followers to perform to their full potential over time
Which of the following definitions apply to management? SATA

a. It is a process of inspiring people to accomplish goals through support and confidence building
b. It is the process of coordination and integration of resources to accomplish specific goals
c. It includes the activities of planning, organizing, coordinating, directing, and controlling
d. It is a process of planning and directing human effort to achieve established objectives
e. It is the directing of the organizations' money, facilities, and supplies to achieve results
B, C, D, E

B. it is the process of coordination and integration of resources to accomplish specific goals
C. It includes the activities of planning, organizing, coordinating, directing, and controlling
D. It is a process of planning and directing human effort to achieve established objectives
E. It is the directing of the organizations' money, facilities, and supplies to achieve results
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