Leadership and management

138問 • 1年前

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A nursing group has been very successful in achieving its goals even though the group has lacked leadership. Which of the following factors is probably most responsible for the group’s success in goal achievement?

Cohesive groups

A leader must be like a chameleon. He should be able to easily blend his style of governance with the type of situation that he has. A nurse manager is informed that a large number of patients will be admitted in response to a terrorist attack. Which type of leadership style is most appropriate in this situation?

Authoritarian

A nurse manager enjoys his staff of talented and self-motivated individuals. He knew the leadership style to suit the needs of this kind of people is called:

Laissez-faire

A nurse manager who uses a leadership style that is participatory and where authority is delegated to others is most likely using which of the following leadership styles?

Democratic

The major leadership theories can be classified according to the following approaches: behavioral, contingency, and contemporary. The leadership theory that considers follower readiness as a factor in determining leadership style is

Situational

The new nurse manager of a medical unit focuses on day-to-day operations and short-term goals, while the nurse manager of the mental health unit is committed to the vision that empowers the staff. The manager of the medical unit would most likely be considered which type of leader?

Transactional leader

The nursing staff perceive the newly hired Chief Nurse Administrator as a leader who is committed to a vision that empowers others. The Chief Nurse Administrator is most likely employing which type of leader?

Transformational leader

The major leadership theories can be classified according to the following approaches: behavioural, contingency, and contemporary. Consider your role as a staff nurse in a patient care unit of a hospital. What factors are present that may serve as a substitute for your need for leadership from your nurse manager?

Professional nursing standards, code of ethics, and the intrinsic reward you get from this important work.

As head of the unit, Nurse Mikaila promises a salary increase for the members of her staff who gets a rating of exceeds expectations in their annual performance appraisal. Nurse Jacob knows that she is patronizing which contemporary leadership theory?

Transactional leadership theory

A teaching plan about the differences between leadership and management would be considered effective if the students identified which as a difference?

Managerial skills are the technical side of leadership.

The need to develop nursing leadership skills has never been greater as reform of health care is being addressed at national and community levels. A nurse is asked to act as a mentor. The nurse interprets this position as:

A formal process for professional growth

The main reason the nurse manager achieves a consensus when making a decision within a group is to:

Facilitate cooperative effort toward goal achievement

Effective nurses are powerful. They show objectivity, creativity, and knowledge throughout their practice and regardless of their work setting. When a person fears another enough to act or behave differently than he would otherwise, the source of the other person’s power is called:

Coercive power

A staff nurse is counselled by the nurse manager regarding excessive time taken for lunch and breaks. The nurse manager indicates that if this behaviour continues then the nurse will receive an undesirable performance evaluation. What type of power did the nurse manager exhibit?

Coercion

A unit manager mentors a new unit manager as part of orientation to the position. Which type of power is being used by the unit manager mentor?

Expert

The new managerial responsibilities placed on organized nursing services call for nurse administrators who are knowledgeable, skilled, and competent in all aspects of management. The more people specialize, the more efficiently they can perform their work. The nurse manager knows that this principle of management is:

Division of labour

The right of the nurse manager to order staff nurses to accomplish tasks rests on his or her possession of:

Authority

Respecting rules and agreements that govern the organization shows that the staff nurse has:

Discipline

Conflict in instructions and confusion of authority usually results from lack of which principle of management inside an organization?

Unity of command

If materials and people are in their right place at the right time, the nurse manager is able to maintain ___________ in the workplace.

Order

Management principles have emerged in the 21st century to explain the complexity of the leader–follower relationship and the environment in which work is accomplished and goals are achieved. A management principle which states that managers need to be able to give orders so that they can get things done.

Authority

A principle in organization that allows some amount of participation among the lower level managers is:

Delegation of authority

A principle in management which states that each employee must receive his or her instructions about a particular operation from only one person

Unity of command

Which of the following is present in a bureaucratic organization as conceptualized by Max Weber?

Activities are adjusted and flexible according to the needs of employees

When special attention is given to the workers, they develop group pride that motivated them to improve their work performance. This phenomenon is known as the:

Hawthorne effect

Management theories have produced many tools to help decision makers make better and more objective decisions. Based on the Theory X view by Douglas McGregor, the nurse manager should:

Guide accordingly to increase level of competency

Management theories have produced many tools to help decision makers make better and more objective decisions. An organizational system is considered open if:

It interacts with its environment.

Management theories have produced many tools to help decision makers make better and more objective decisions. Proponents of this management theory believe that productivity will increase if workers receive proper training and instruction, working conditions are improved, and better work methods are introduced.

Scientific management theory

Proponents of this management theory believe that organizations with a hierarchical structure are most efficient and effective.

Bureaucratic organizational theory

Organizing involves establishing a formal structure that provides the best possible coordination or use of resources to accomplish unit objectives. This element provides the framework in which management process is carried out in an organization. It is also designed to show clear lines of authority, the chain of command, and relationships among the various departments.

Organizational structure

In an informal organizational structure:

Has its own channel of communication called the grapevine

This type of organizational structure is planned and made public.

Formal structure

The organizational chart depicts the formal organization relationships, areas of responsibility, and channels of communication. which of the following are the purposes of an organizational chart? Select all that apply.

Outlines administrative control, Shows relationships with other departments and agencies, Used to orient new personnel to the organization

When is the best time for the chief nurse to organize a task force?

In response to a specific problem in the department solvable in a shorter period of time

The planning phase of the management process is critical and precedes all other functions. Which of the following is NOT a characteristic of planning?

Reactive

The planning phase of the management process is critical and precedes all other functions. All of the following are purposes of planning, EXCEPT:

Keeping executives and managers busy and avert redundancy

The planning phase of the management process is critical and precedes all other functions. Which of the following is a FALSE statement regarding strategic planning?

It encourages duplication of efforts

The main output of strategic planning is:

Goal-setting

Prior to conducting a strategic plan, what is advised by experts among nurse executives?

A situational analysis

All people and organizational units affected by a plan should be included in the planning. SWOT Technique was performed by the nurse executive before strategic planning. Which of the following is considered by them as a threat?

Competition

A document that describes the institution’s values and philosophy is:

The mission statement

A useful tool in performing operational planning or maintenance of day-to-day activities is:

Gantt chart

All people and organizational units affected by a plan should be included in the planning. The planning process is composed of different phases. The first phase consists of:

Determining objectives

– All people and organizational units affected by a plan should be included in the planning. An organizational plan is generally good or acceptable if it:

Is operational, professionally sound and economically feasible

Budgeting, as in all types of planning, is a learned skill that improves with practice. A budget is also called:

Fiscal plan

This component of the budget is said to be the largest part of the total institutional budget since the hospital organization is labour intensive.

Manpower

An operational budget accounts for:

Income and expenses associated with daily activity within an organization

Profit is synonymous with:

Dividends

Budgeting, as in all types of planning, is a learned skill that improves with practice. The following should be done immediately after an operational budget has been put into place:

Budget monitoring

– Organizational structure is effective when the design is clearly communicated. Which of the following is the correct definition of “chain of command”?

The hierarchy of authority and responsibility.

In defining a vertical or tall structure, the nurse manager succinctly tells the staff which accurate statement?

Employees are increasingly supervised but delegation decreases.

Organizational structure is effective when the design is clearly communicated. In an organizational chart, which one represents a line authority between the nurse manager and her subordinate?

A solid, straight line

If a clinical nurse specialist serves as a consultant, the nurse manager represents her in the chart using

A line that is dashed

As a nurse manager in a nursing organization, to communicate is inevitable. To ensure effective communication, the nurse manager needs to follow all of the following guidelines, EXCEPT:

Criticize a subordinate in the presence of executives or employees of equal or lower rank.

Organizational structure affects how people perceive their roles and the status given to them by other people in the organization. If a nurse manager’s span of control is too narrow, it may lead to:

Oversupervision

For a staff nurse to know to whom he or she is supposed to report to or if anyone needs to report to them, the staff nurse should take a look at the:

Organizational chart

The responsibilities assigned to a particular unit of an organization should be well understood. All of the following guidelines follow the aforementioned premise, EXCEPT:

Never permit an organization to grow so elaborately as to hinder work assignment.

Organizational structure affects how people perceive their roles and the status given to them by other people in the organization. A nurse has been assigned to a medical-surgical unit on a stormy day. Three of the staff can’t make it in to work, and no other staff is available. How will the nurse proceed?

Prioritize care so that all patients get safe care.

Delivery systems or modalities of care may have elements of the various designs present in the system in use in any organization. There are four methods commonly used to organize and deliver nursing care to clients. Which of the following is the original method?

Case system

If you are the clinical instructor and you were asked to choose the best modality of care for your RLE group that would foster holistic learning, you would choose:

Case system

Team nursing brings back nurses to the patient’s bedside. To achieve this, the nurse manager:

Employs clerks and office assistants to take over the clerical and non-care related tasks of nurses

What is unique in primary nursing that is not seen in other modalities of care?

Primary nurses have autonomy and authority for the care of their clients.

Patient outcomes are the result of many variables, one being the model of care delivery that is utilized. From the following scenarios, select which is the worst fit between patient need and care delivery model.

Medical intensive care patients being cared for in a team nursing model

Successfully recruiting an adequate workforce depends on many variables, including financial resources, an adequate nursing pool, competitive salaries, the organization’s reputation, the location’s desirability, and the status of the national and local economy. The first step in the selection of personnel is

Recruitment

There are various methods of recruitment. What is a disadvantage of using “word of mouth” to recruit personnel?

It may foster favoritism and nepotism

Following the recruitment process is the screening of the staff. It is best to keep in mind three philosophies during the screening process. Which is NOT included?

Always screen out applicants who are relatives of other staff.

One reason to give an applicant a comprehensive medical exam is:

It is necessary to screen against disabilities that may affect the hiring.

Patient classification systems measure nursing workload required by the patient. The higher the patient’s acuity, the more care the patient requires. Which of the following statements is a weakness of classification systems?

Aggregate patient classification data are useful in costing out nursing services and for developing the nursing budget.

The directing function of a nurse manager acknowledges his/her authority in making sure that the organization realizes its goals and objectives by giving out clear, concise, complete and consistent directions. A chief nurse executive sends a memorandum to the nursing staff announcing a change in the policy concerning absenteeism. This represents an example of ______________communication.

Vertical

The staff nurse answers the telephone on a medical unit and the caller tells the nurse that he has planted a bomb in the facility. Which actions should the nurse implement first?

Write down exactly what the caller says.

A female nurse tells the clinic nurse, “One of the medical interns asked me out on a date. I told him no but he keeps asking.” Which statement is the nurse’s best response?

“You should inform the clinic director of nurses.”

The new graduate working on a medical unit night shift is concerned that the charge nurse is drinking alcohol on duty. On more than one occasion, the new graduate has smelled alcohol when the charge nurse returns from a break. Which action should the new graduate nurse implement first?

Talk with the night supervisor about the concerns.

Controlling should not be viewed as a means of determining success or failure but as a way to learn and grow, both personally and professionally. The nurse prepares the process standards. Which of the following is NOT a process standard?

Each patient has a well lit and a well ventilated room

If performance was found to have deviations from standards, the nurse manager may use any of the following, EXCEPT:

Develop personnel value system to correct error.

During a performance appraisal report, the supervisor should focus on all of the following EXCEPT:

Discussing the employee’s contributions to the organization

It is difficult for most supervisors to avoid bias when evaluating their subordinates, mainly because many of the tools lead to rater errors like the halo effect, which can best be defined as:

Rating someone based on a positive behaviour

To improve quality client care, the nurses created problem solving committees headed by senior nursing staff to review standards of care and develop policies and procedures. Its desired result is best in:

Continuous evaluation of nursing practice/protocols in relation to desired patient outcomes

The quality of nursing care depends largely upon:

Client satisfaction

The nurse has been made the chairperson of a quality improvement committee. Which statement is an example of effective group process?

The nurse involves all members in the discussion.

The nurse is assigned to a quality improvement committee to decide on a quality improvement project for the unit. Which issue should the nurse discuss at the committee meetings?

Systems that make it difficult for the nurses to do their job.

Which of the following nursing actions will adversely affect customer satisfaction of hospitalized clients?

Assessing pain level

According to the definition, which word best describes leadership?

Influence

A nurse is appointed to a leadership position in the local hospital. The nurse’s position would be considered which of the following?

Formal leadership

A leader is most likely to be effective when acting which way? Select all that apply. 1) Adopts the leadership style of the leader who had the position before him or her. 2) Gives equal consideration to group members who are in favor of and opposed to a desired change. 3) Plans and organizes group activities. 4) Modifies his or her own behaviors based on the needs of individual members of the group. 5) Asks members for opinion of the leader’s effectiveness.

2, 3, & 5 only

The new nurse manager of a medical unit focuses on day- to-day operations and short-term goals, while the nurse manager of the mental health unit is committed to the vision that empowers the staff. The manager of the medical unit would most likely be considered which type of leader?

Transactional leader

Which phrase best describes transformational leaders?

Drive rapid organization-wide change

The nurse knows that the laissez-faire leader is characterized by the following behaviors: (Select all that apply.) 1) Is permissive, with little or no control. 2) Motivates by support when requested by the group or individuals. 3) Provides little or no direction. 4) Uses upward and downward communication between members of the group.

1, 2, 3 & 4

Which of the following statements is NOT true regarding the use of rewards as a type of power?

Whatever reward offered and given by the manager or the leader gives the manager or leader power

When the nurse becomes a member of the Philippine Nurses’ Association, she assumes which type of power?

Referrant

When Florence Nightingale used research to quantify the need for nurses in the Crimea (by showing that when nurses were present, fewer soldiers died), she was displaying which type of power?

Expertise

The number of people directly reporting to any one manager represents the:

span of control

Which of the following is a characteristic of a decentralized management system?

Decisions are made by those who are most knowledgeable about the issues being decided.

In the list of the principles of management, this principle refers to the pragmatic concern of how many employees a manager can effectively supervise.

Span of Control

Fayol’s principle of esprit de corps refers to:

Development of a high level of employee morale.

Self-control is seen in the management principle:

Discipline

There are various modes that a nurse manager can use in planning. In the following choices, the nurse manager is NOT utilizing the proactive mode of planning when she:

Maintaining conformity, the nurse manager seeks the status quo and spends her energy preventing change.

There is evidence that planning for change can be beneficial for all. Which sequence would be best for the nurse to use when planning change?

Unfreezing, freezing, and refreezing

An element that a formal organization possesses that an informal organization does not is:

job description.

For her first job, Nurse Reina is working in a training hospital. As a staff nurse, she reports directly to the Senior or Head nurse, who is in charge of the nursing unit. The Head Nurse in turn reports directly to the Supervising Nurse, who is responsible for the supervision of two or more units, who in turn reports to the Chief Nurse. This kind of organizational structure shows which type of structure?

Hierarchical

100

All of the following are definitions of a job description, EXCEPT:

It is a systematic method of evaluating work of each job in relation to all jobs in an organization.

Astignars random QS

Kyla Angelique Son · 19問 · 1年前

Astignars random QS