Question 1 options:
Sara is a new nurse on a med-surg unit at Desert Springs Hospital. She was hired to work day shift,
but there has been a recent exodus of nurses from the night shift. Sara's nurse manager, Kate, let
Sara know by email that she would need to move to nights effective next pay period until the
night nurses were replaced with new staffs. She emphasized that this was only because of the
night shift shortage and that Sara would return to days as soon as possible. Kate also informed
Sara she will need to orient the traveler Kate hired to take Sara's day shifts before Sara moves to
nights. Kate encouraged Sara to discuss any concerns with her before the next pay period.
Sara has three small children and is a single mother. She feels she cannot accommodate Kate's
directive to move to nights. She is also unhappy about having to orient the travel nurse to her day
shift position. She decides to resign her post rather than accommodate Kate's demands.
What type of leadership approach is Kate using?
Ans: Autocratic
Question 2
Sara is a new nurse on a med-surg unit at Desert Springs Hospital. She was hired to work day shift, but
there has been a recent exodus of nurses from the night shift. Sara's nurse manager, Kate, let Sara know
by email that she would need to move to nights effective next pay period until the night nurses were
replaced with new staffs. She emphasized that this was only because of the night shift shortage and that
Sara would return to days as soon as possible. Kate also informed Sara she will need to orient the
traveler Kate hired to take Sara's day shifts before Sara moves to nights. Kate encouraged Sara to
discuss any concerns with her before the next pay period.
Sara has three small children and is a single mother. She feels she cannot accommodate Kate's directive
to move to nights. She is also unhappy about having to orient the travel nurse to her day shift position.
She decides to resign her post rather than accommodate Kate's demands.
Which of the Gardner's Tasks of Leading did Kate NOT manifest? Select all that apply.
Question 2 options:
A) Managing
B) Envisioning Goals
C) Motivating
D) Developing Trust
E) Affirming Values
F) Achieving Unity
Question 3
According to Hoffart, how do ethics relate to effective leadership? Select all that apply.
Question 3 options:
a) Leaders rely on ethical principles to guide decisions
b) Formal leaders practice and role model high ethical standards
c) The Joint Commission scores organizations, in part, of ethical practices
d) The Institutes of Medicine identified lack of ethics as a root cause for poor quality nursing
e) Ethical integrity is a core element of all types of leadership
Question 4
Sara is a new nurse on a med-surg unit at Desert Springs Hospital. She was hired to work day shift, but
there has been a recent exodus of nurses from the night shift. Sara's nurse manager, Kate, let Sara know
by email that she would need to move to nights effective next pay period until the night nurses were
replaced with new staffs. She emphasized that this was only because of the night shift shortage and that
Sara would return to days as soon as possible. Kate also informed Sara she will need to orient the
traveler Kate hired to take Sara's day shifts before Sara moves to nights. Kate encouraged Sara to
discuss any concerns with her before the next pay period.
Sara has three small children and is a single mother. She feels she cannot accommodate Kate's directive
to move to nights. She is also unhappy about having to orient the travel nurse to her day shift position.
She decides to resign her post rather than accommodate Kate's demands.
Which of the following should be concerning to you? Select all that apply.
Question 4 options:
a) Kate provided no explanation for why Sara was selected to alter her schedule
b) Sara elected to resign without speaking to Kate about her concerns
c) Sara has 3 children and leaving them alone is unsafe
d) Kate is tasking Sara to orient a traveler
e) Sara is a new nurse and working nights lacks support for new staffs
f) Kate did not meet with Sara before making any changes to the schedule
Question 5
_The Joint Commission__ is a not-for-profit entity that evaluates the functioning of a hospital making
unannounced site visits. This organization focuses on outcomes and nurses' roles related to the
_accreditation_ process.
Question 6
Sara is a new nurse on a med-surg unit at Desert Springs Hospital. She was hired to work day shift, but
there has been a recent exodus of nurses from the night shift. Sara's nurse manager, Kate, let Sara know
by email that she would need to move to nights effective next pay period until the night nurses were
replaced with new staffs. She emphasized that this was only because of the night shift shortage and that
Sara would return to days as soon as possible. Kate also informed Sara she will need to orient the
traveler Kate hired to take Sara's day shifts before Sara moves to nights. Kate encouraged Sara to
discuss any concerns with her before the next pay period.
Sara has three small children and is a single mother. She feels she cannot accommodate Kate's directive
to move to nights. She is also unhappy about having to orient the travel nurse to her day shift position.
She decides to resign her post rather than accommodate Kate's demands.
What are different responses that Sara could have chosen that would have better manifested effective
followership traits? Select all that apply.
Question 6 options:
a) Accept the new assignment
b) Orient the traveler nurse to her day shift care responsibilities
c) Suggest to Kate that a different nurse who did not have children at home be reassigned to nights
d) Request a transfer to a different department where she could continue working days
e) Take Kate up on her invitation to discuss any concerns
Question 7
Match the Leadership Theory with its descriptor.
a) Effective leaders behave differently than ineffective leaders. They are concerned with employee
morale, needs, and feels while still addressing task completion and productivity. Emotional
Intelligence is considered a hallmark of this theory.
= 2. Behavioral Leadership Theory=
b) The oldest theory, this idealogy assumes that great leaders are born, not made. The leader
emerges when the situation arises that calls for one—prior training and or preparation is not a
prerequisite. Traits of an individual are considered key elements of likely success, such as a
person's personality, intellect, and social attributes.
=1. Great Man / Trait Theory
c) Leaders inspire, intellectually stimulate, and recognize the contributions of their followers. They
are charming and charismatic, leading their followers to meet their high expectations. Leaders
often develop strong and trusting relationships with their followers. They also instill in their
followers a commitment to achieving organizational vision.
4. Charismatic and Transformational Leadership Theory
d) Leaders recognize the interrelationship of people and ideas, seeing that information flows to
them in order to foster innovative solutions to work problems. This theory calls on the removal
of organizational barriers in order to solve problems.
=5. Complexity Leadership Theory=
e) Leaders can be effective in one situation and not another. The theory takes into account the
subtle and complex ways in which leaders' behaviors, followers' needs and values, and
situational parameters interact.
=3. Situational and Contingency Theory
Question 8
Research indicates that effective nursing leadership results in positive outcomes for nurses. What else
does research indicate effective leadership results in? Select all that apply
Question 8 options:
a) Greater application of evidence based practices
b) More opportunities for staff development
c) Better clinical outcomes
d) Higher staff turnover
e) Higher revenue per unit
Question 9
Match the following leadership styles with the nurse leader.
a) Ben goes to his office every day and rarely goes on the unit. He does not much interact with
the nurses he supervises, spending time instead writing schedules and attending meetings.
When crises occur on the unit, though—like a recent suicide attempt—he got involved in a
Root Cause Analysis.
=Laissez-faire
b) Susan created a checklist of tasks for each nurse to complete for every patient every day.
When her nurses submit the completed checklists, she rewards them in various ways—pizza
coupons, a raffle ticket for a massage, etc. Her nurses know that if the tasks are not
completed, they will be "written up".
=Autocratic
c) Diane set a goal for zero falls on her PACU unit in order to align with the organizational
vision of providing safe and effective care. She worked with her team to develop processes
in which they could achieve this goal – far more than they expected to do.
=Transformational
d) Jenna needed to implement a new process to decrease absenteeism on her unit. She set up
multiple meetings to work collaboratively with her team members to come up with new
processes and policies to meet the goal.
=Democratic
e) Barbara shows up on time, follows through on her work, and honors her word. She
encourages her team members to participate in the tuition reimbursement offered at their
hospital so they can further their education.
=Authentic
f)
Kari devotes her time to making sure daily operations on her unit run well. She provides
monthly performance reviews. She rewards team members who score high on performance
matrices and corrects team members whose performance does not meet her expectations.
She wants to advance in her career, so she knows she needs to do a good job in her current
role.
=Transactional
Question 10
What is at the core of leadership, management, and followership?
Question 10 options:
a) Nurse Satisfaction
b) Health
c) Clinical Safety
d) TJC Survey Results