quiz 1 Due Jul 26 at 11:59am Points 31 Questions 31 Time Limit None Attempt History LATEST Attempt Time Score Attempt 1 20 minutes 23.33 out of 31 Score for this quiz: 23.33 out of 31 Submitted Jul 26 at 11am This attempt took 20 minutes. Question 1 1 / 1 pts A new nurse has just graduated with a baccalaureate degree in nursing. What type of nursing leadership will this nurse be expected to provide? Correct! Nursing care of the individual client Demonstration of selected critical skills Ability to be a follower rather than a leader Nursing care of large groups of clients New graduates have leadership responsibilities when they begin nursing. Nursing leadership begins with nursing care of the individual client. 1/22 7/26/2021 Question 2 0.33 / 1 pts A nurse assumes the leadership role while directing and supervising coworkers. Which attributes of a leader should the nurse display? Select all that apply. Correct! Respectful ou Answered Discipline oriented orrect Answer Charismatic Correct! Dynamic Intimidating Question 3 1 / 1 pts A nurse has been working on a unit for several years and has begun precepting a new graduate. If achieved, what outcome would the preceptor determine to be the best indicator for a successful orientation? The new graduate has made several new friends on the unit Correct! The new graduate is able to safely and efficiently care for a group of clients The new graduate has accepted a full-time position on the evening shift The new graduate is prepared to be in charge of the unit 2/22 7/26/2021 After the orientation by the preceptor, an achievable outcome that demonstrates the new graduate is successful is determined by gaining the appropriate knowledge, skills, and support to care for clients safely and efficiently. It is an unrealistic expectation that a new graduate is prepared to be in charge of a unit and may set the nurse up for failure. Taking a position is not a measurement of a successful orientation, since the orientee may be uncomfortable asking for more time if needed. Making friends on the unit does not demonstrate an effective orientation. Question 4 0.75 / 1 pts A nurse is attempting to change the method for documenting client care in a hospital setting. What questions should be considered before planning change? Select all that apply. Correct! Is the group amenable to change? Correct! How does the group function as a unit? orrect Answer Correct! Is the group ready for change? Are the changes major or minor? How can I keep from changing again? Question 5 1 / 1 pts A nurse is considering the delegation of administering topical medications to an unlicensed assistive personnel (UAP). What is the first question the nurse must ask herself before doing so? 3/22 7/26/2021 Has the UAP been trained to perform the task? Have I evaluated the client's response to this task? Correct! Does the nurse practice act and agency policy allow this delegation? Is appropriate supervision available for the UAP? The first question the nurse should always consider before delegating a task is "Is the delegated task permitted by the state nurse practice act and the agency policy" In this case, it would not be, and the task (administering medications) would not be delegated. Question 6 1 / 1 pts A nurse is described as a "quantum leader." Which action characterizes this type of leadership? Correct! A nurse conducts a blind survey to evaluate her leadership skills. A nurse relinquishes power to a group deciding hospital policy. A nurse makes policy decisions for coworkers without consulting them. A nurse sticks to the "tried and true" methods when implementing client care. 4/22 7/26/2021 Quantum leaders must have excellent communication skills, encourage personal critiques, and challenge current ways of thinking and doing. A nurse who relinquishes power to a group to make decisions is using laissez-faire leadership. A nurse making decisions for coworkers without considering their feelings is an autocratic leader. Question 7 0 / 1 pts A nurse leader is described as charismatic, motivational, and passionate. Communications are open and honest, and the nurse is willing to take risks. What type of leadership is the nurse practicing? Democratic Autocratic ou Answered Quantum orrect Answer Transformational Transformational leaders are often described as charismatic, challenging, and passionate about their vision. They communicate openly and honestly, show concern for others, and are willing to take risks. Question 8 0 / 1 pts 5/22 7/26/2021 A nurse manager has directed a registered nurse who is out of school for one year to become a member of the institution's policy and procedure committee. A goal in the nurse manager's delegation is to assist the nurse to what? Be involved in the hospital Be confident in employment orrect Answer Grow in her profession ou Answered Understand the hospital setting Delegation of activities to staff members will assist them to grow and become more committed to their organization. Question 9 1 / 1 pts A nurse manager has encountered resistance to a planned change. What is one way the nurse can overcome the resistance? Tell the staff that if they don't like it, they can quit. Implement change rapidly and all at once. Correct! Encourage open communication and feedback. Let the staff know that the change is mandated. 6/22 7/26/2021 Providing opportunities for open communication and feedback is one way to overcome resistance to change. The nurse needs to gather information regarding the resistance so as to provide a more cooperative acceptance. Letting the staff know the change is mandated and if they don't like it they can quit are not leadership qualities. Implement change should occur over time to facilitate cooperation and acceptance. Question 10 1 / 1 pts A nurse manager makes all of the decisions for staff activities. What type of leadership is demonstrated by this action? Democratic Self-governance Laissez-faire Correct! Autocratic 7/22 7/26/2021 Autocratic leadership involves the leader assuming complete control over the decisions and activities of the group. An extremely autocratic leader might make all decisions for workers without considering their ideas or feelings. Democratic leadership, also known as participative leadership or shared leadership, is a type of leadership style in which members of the group take a more participative role in the decision-making process. Self-governance is the leader's ability to delegate parts of the leadership tasks to followers. Laissez-faire leadership, also known as delegative leadership, is a type of leadership style in which leaders are hands-off and allow group members to make the decisions. Question 11 1 / 1 pts A nurse working in a physician's office uses the managerial function known as "organizing." What is involved in this function? Correct! resources problems workforce evaluation The organizing function of the nurse manager involves acquiring, managing, and mobilizing resources to meet both clinical and financial objectives. Question 12 1 / 1 pts 8/22 7/26/2021 A senior student has been elected president of the Student Nurses Association. Which of the following qualities is essential to being a nursing leader? Physical stamina Vulnerable Correct! Flexible Independent Flexibility is a must for all nurse leaders. The needs of clients, families, and the nursing team can change from minute to minute. Leaders of nursing organizations must also demonstrate the characteristics of a nursing leader. Question 13 0 / 1 pts A senior student nurse has been elected class president. What type of power will the student have in this position? orrect Answer explicit power ou Answered assumed power absolute power implied power 9/22 7/26/2021 Leadership is the ability to direct or motivate others to achieve set goals. An elected class leader has explicit power. Question 14 1 / 1 pts During a staff meeting, the nurse is discussing new quantum leadership. The nurse explains that in this type of leadership change is viewed as which of the following? Constant and predictable Correct! Dynamic and constantly unfolding Evolving very slowly An entity needing planning We are in a difficult transition period between the old and the new age. In the old age, change was viewed as an entity to be planned, carefully managed, and accepted. In the new quantum age, change is conceived as dynamic, ever-present, and continually unfolding. Question 15 1 / 1 pts In general, how do most people view change? By how it affects the cohesiveness of the group 10/22 7/26/2021 By how much it will cost in time and resources Correct! By how they are affected personally By how it will affect others on the staff In general, people view change in terms of how they are affected personally. Examples include threats to self-esteem, amount of work required, and effect on social relationships. Question 16 0 / 1 pts In Lewin's classic theory of change, what happens during unfreezing? Planning is conducted. Change is initiated. ou Answered Change becomes operational. orrect Answer The need for change is recognized. In Lewin's change theory, during unfreezing the need for change is recognized. Unfreezing does not include planning, initiating, or operationalizing change. Question 17 0 / 1 pts 11/22 7/26/2021 In which of the following conflict resolution strategies is the conflict rarely resolved? Collaborating Compromising ou Answered Competing orrect Answer Smoothing Smoothing is an effort to complement the other party and focus on agreement rather than disagreement, thus reducing the emotion in the conflict. The original conflict is rarely resolved with this technique. Question 18 1 / 1 pts Nurses with varying levels of experience possess leadership skills. A graduate nurse walks out of the nurse manager's office after a meeting. The graduate nurse reflects on the positive and negative feedback that she received from the manager regarding her three months working on the unit. What nursing leadership skill is best illustrated by the graduate nurse in this scenario? Correct! Self-evaluation skills Communication skills Problem-solving skills Management skills 12/22 7/26/2021 Self-evaluation skills incorporate the ability to assess honestly one's effectiveness, to accept both praise and criticism, and to direct personal professional growth. Communication skills demonstrate the ability to establish trusting interpersonal relationships with clients, peers, subordinates, and superiors to maximize goal achievement. Problem-solving skills include the ability to analyze all sides of a problem, to suspend judgment, to explore multiple options, and to work toward a creative solution. Management skills are the ability to direct others toward goal achievement. Question 19 1 / 1 pts Planned change is a purposeful, systematic effort to alter or bring about change. What occurs next after alternative solutions to a problem are determined and analyzed? All of the alternative solutions are implemented. Correct! A course of action is chosen from among the alternatives. The effects of the change are evaluated. The change is stabilized and established. After determining and analyzing alternative solutions to a problem, select a course of action from the possible alternatives. It is best to avoid initiating too many courses of action and thereby dissipating resources and energy. 13/22 7/26/2021 Question 20 1 / 1 pts The nurse has been hired to manage a nursing unit that has had a variety of problems. The nurse manager has assessed possible reasons for the problems and has set a vision for the unit. The nurse manager has engaged the staff individually and in group settings to accept this vision. The nurse manager has established committees to set a practice of staff members leading themselves. What type of leadership style has the nurse manager demonstrated? Autocratic Laissez-faire Correct! Servant Transactional A servant leader develops a vision, listens and learns before speaking and acting, envisions and invests in others' greatness, gives away power, and builds a community by developing strategic relationships. An autocratic leader assumes control over the direction and activities of the group. Staff has limited opportunity to participate in decisions. A laissez-faire leader relinquishes power to the group and encourages independent activity. Task achievement is difficult since each staff member works independently and has varying levels of maturity. A transactional leader maintains control by rewarding good behavior and punishing behavior perceived as negative by the leader. Staff members have little involvement in decisions for the nursing unit. There may not be a common vision. Question 21 1 / 1 pts 14/22 7/26/2021 The nurse has just graduated with a Bachelor of Science in Nursing and is eager to find a mentor at this early stage in her career. Which of the following individuals is most likely to be an appropriate mentor for the nurse? Correct! An experienced nurse who was a preceptor in a previous clinical placement The nurse educator on the hospital unit where the novice nurse has been hired A colleague who graduated with honors at the same time as the novice nurse. The unit manager who is a personal friend of the novice nurse. A person who demonstrates positive qualities and who possesses more experience is often a good choice to be a nurse's mentor. A person in formal authority or oversight, such as the unit educator or manager, is a less ideal choice, and a peer is not normally an ideal choice of mentor. Question 22 0.75 / 1 pts The nurse is a manager on an orthopedic unit. The unit changed to a new computer documentation system three days ago. One of the night nurses has called in sick every shift since the new system started. The nursing manager is aware that this situation has to do with resistance to change. 15/22 7/26/2021 Which of the following are common reasons why people resist change? Select all that apply. Correct! Feel threatened Correct! Fear increased responsibility orrect Answer Correct! Lack of understanding See no benefits to the change Dislike hospital chief officer Question 23 1 / 1 pts The nurse is having an exceptionally busy shift on an obstetrical unit. Which of the following tasks is the nurse justified in delegating to an unlicensed care provider? Correct! Emptying a client's Foley catheter bag and reporting the volume to the nurse Helping a first-time mother achieve a good latch when breast-feeding her infant Assessing the size and quantity of clots that are in a client's bedpan and informing the nurse Giving an anti-inflammatory medication to a client who is eight hours postdelivery 16/22 7/26/2021 Emptying a Foley catheter bag and reporting the volume is within the scope of an unlicensed care provider. Assistance with breastfeeding, assessments, and medication administration are not tasks that should be delegating to anyone but an RN. Question 24 0 / 1 pts There is a perception in a long-term care facility that the older adult residents are experiencing falls more often than in the past. An audit of incident reports has confirmed this, and the nursing leadership has recognized the need to make changes to reduce the incidence of falls. How should the leaders proceed with this planned change? Place the following steps in the correct order. A. Determine and analyze different solutions to the problem. B. Choose a new protocol that is likely to reduce falls. C. Develop a plan for implementing the change. D. Implement the change in nursing practice. E. Take measures to ensure that nursing practice does not revert. ou Answered orrect Answers abcde A, B, C, D, E Question 25 1 / 1 pts What type of leader shares decisions and activities with group participants? Correct! Democratic 17/22 7/26/2021 quiz 1: 202107E VBHS NUR168 D Concepts of Nursing III J. Wood Autocratic Laissez-faire Situational Democratic leadership, also called participative leadership, is characterized by equality among the leader and other participants. Decisions and activities are shared. Autocratic leadership, also known as authoritarian leadership, is a leadership style characterized by individual control over all decisions and little input from group members. Laissez-faire leadership, also known as delegative leadership, is a type of leadership style in which leaders are hands-off and allow group members to make the decisions. Situational leadership is not based on a specific skill of the leader; instead, he or she modifies the style of management to suit the requirements of the organization. Question 26 1 / 1 pts Which of the following is a characteristic of mentorship? It is a paid position to orient new nurses to the workplace. It involves membership in a professional organization. Correct! It is a link to a protégé with common interests. It is not encouraged in health care settings 18/22 7/26/2021 Mentorship is a relationship in which an experienced individual (the mentor) advises and assists a less experienced individual (protégé). This is an effective way of easing a new nurse into leadership responsibilities. Mentors link with protégés by common interest and provide support, information, and network links. The relationship does not include financial reward. An alternative model is preceptorship. The preceptor (experienced nurse) is selected (and generally paid) to introduce an employee to new responsibilities through education and guidance. Question 27 1 / 1 pts Which of the following nursing care tasks is acceptable for a graduate nurse to delegate to unlicensed assistive personnel (UAP)? Correct! Assisting a client with ambulation Evaluation of nursing care delivered to a client Initial and ongoing assessments Development of a client teaching plan Tasks that should be performed by a registered nurse include initial and ongoing assessments, determining nursing diagnoses, plan of care, evaluation of client progress, evaluation of the nursing care delivered to the patient, supervision and education of nursing personnel, and client education. Tasks such as ambulation, assistance with meals and hygiene, and obtaining vital signs are acceptable tasks for a UAP to perform. 19/22 7/26/2021 Question 28 0.5 / 1 pts Which of the following statements accurately describes recommended guidelines for overcoming resistance to change? Select all that apply. Explain the proposed changes only to the managers of the people involved. ou Answered Correct! Whenever possible, use technical language to describe the changes. List the advantages of the proposed change for members of the group. Avoid relating the change to the group's existing beliefs and values. Correct! If possible, introduce change gradually. Question 29 1 / 1 pts Which of the following statements accurately describes the use of power by change agents? They know that power comes from one source—management. When introducing change they do not enlist the support of key power players. Correct! They are often accomplished professional women. They do not recognize their own strengths and weaknesses. 20/22 7/26/2021 Power,the ability to influence others to achieve a desired effect, has many sources. When introducing change, it is helpful to recognize and enlist the support of key power players who can then encourage others to become involved. Women are accomplished professionals and occupy powerful leadership positions in corporations, health care organizations, and political arenas. Nursing leaders recognize the strengths and limitations of their own power and encourage others to develop and use power constructively. Question 30 1 / 1 pts Which of the following tasks could the nurse safely delegate to unlicensed assistive personnel? An initial assessment of a client Determination of a nursing diagnosis Evaluation of client progress Correct! Documentation of client's I+O on a flow sheet 21/22 7/26/2021 Nursing care or tasks that should never be delegated except to another RN include (Ayers & Montgomery, 2008) the following: the initial and ongoing nursing assessment of the client and his or her nursing care needs; the determination of the nursing diagnosis, nursing care plan, evaluation of the client's progress in relation to care plan, and evaluation of the nursing care delivered to the client; the supervision and education of nursing personnel; client education that requires an assessment of the client and his or her education needs; and any other nursing intervention that requires professional nursing knowledge, judgment, and/or skill. 1 / 1 pts Question 31 Which type of skills is not needed for nursing leadership? Communication skills Correct! Technical skills Problem-solving skills Self-evaluation skills The four basic types of skills needed for nursing leadership are communication, problem solving, management, and selfevaluation. Technical skills are important to other nursing roles, but are not leadership skills. Quiz Score: 23.33 out of 31 22/22
