Nursing Leadership And Management Practice Questions

Nursing Leadership And Management Practice Questions Related

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A nurse manager has two out of six staff nurses call in sick for one shift. Because of reduced availability of staff, the manager decides to manage the unit with the three remaining nurses, which keeps the unit at minimal staffing standards. What type of decision-making strategy would this be?

  • A. Satisficing
  • B. Routine
  • C. Adaptive
  • D. Rationalizing
Correct Answer: A

Rationale: The correct answer is A: Satisficing. Satisficing is a decision-making strategy where the decision-maker selects the first option that meets the minimum criteria or satisfies the immediate need. In this scenario, the nurse manager is making a decision to manage the unit with the three remaining nurses to meet the minimal staffing standards due to the unexpected absence of two nurses. This decision is based on satisfying the immediate need of maintaining minimal staffing levels despite not having the full staff complement available.

Summary:
B: Routine decision-making involves following established procedures and protocols, which is not the case in this scenario.
C: Adaptive decision-making involves adapting to changing circumstances, which is not the primary focus here.
D: Rationalizing decision-making involves thoroughly evaluating options and selecting the best one, which is not happening in this situation where the focus is on meeting minimum staffing standards quickly.

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Which of the following is a key aspect of transformational leadership?

  • A. Maintaining the status quo
  • B. Encouraging innovation
  • C. Focus on short-term goals
  • D. Top-down communication
Correct Answer: B

Rationale: The correct answer is B: Encouraging innovation. Transformational leadership involves inspiring and motivating followers to think creatively, embrace change, and strive for continuous improvement. By encouraging innovation, transformational leaders empower their team to challenge the status quo, adapt to new situations, and drive growth and success. This approach fosters a culture of creativity and openness to new ideas, leading to organizational transformation and long-term success.

Now, let's analyze why the other choices are incorrect:
A: Maintaining the status quo goes against the essence of transformational leadership, which is about driving change and growth.
C: Focus on short-term goals is more aligned with transactional leadership, where the emphasis is on achieving immediate results rather than long-term vision and innovation.
D: Top-down communication is characteristic of traditional, hierarchical leadership styles, whereas transformational leadership emphasizes open and collaborative communication to inspire and engage followers.

During a staffing crisis, managers may need to use nurse extenders. These individuals are better known as:

  • A. Float RNs.
  • B. Unlicensed assistive personnel.
  • C. LPNs.
  • D. Agency nurses.
Correct Answer: B

Rationale: The correct answer is B: Unlicensed assistive personnel. Nurse extenders are typically nursing assistants or other unlicensed staff who provide basic patient care under the supervision of registered nurses. They help alleviate the workload during staffing shortages but do not have the same level of education and training as licensed nurses. Float RNs (A) are registered nurses who work in various units as needed. LPNs (C) are licensed practical nurses who have more training than nursing assistants. Agency nurses (D) are temporary nurses hired from external agencies. Unlicensed assistive personnel best fit the description of nurse extenders due to their role in providing direct patient care under supervision.

Which of the following statements about ethical principles and laws is true?

  • A. The government holds the power to enforce ethics.
  • B. Laws provide standards that assist in decision making.
  • C. Ethics are very specific.
  • D. As a standard for measuring actions, ethical principles may be the basis for laws.
Correct Answer: D

Rationale: The correct answer is D because ethical principles can serve as the foundation for laws. Ethical principles often guide the creation of laws to ensure societal order and justice. Laws are based on ethical values and aim to regulate behavior accordingly. Therefore, ethical principles can be seen as a standard for measuring actions, influencing the development and enforcement of laws.

Summary:
A: Incorrect. The government enforces laws, not ethics.
B: Incorrect. Laws are based on ethics, but they are not the same.
C: Incorrect. Ethics are broad principles, not specific rules.

When someone is consistently late for work due to unreliable transportation, this is known as which type of barrier?

  • A. Attendance
  • B. Voluntary
  • C. Motivation
  • D. Involuntary
Correct Answer: A

Rationale: The correct answer is A: Attendance. This is because being consistently late for work due to unreliable transportation directly impacts one's ability to be present at work on time, affecting attendance. It is not voluntary (B) as the individual is not choosing to be late, nor is it related to motivation (C) as it is an external factor beyond their control. It is also not involuntary (D) as the lateness is a result of a specific issue rather than a lack of intention.

A unit director at a local hospital knows even leadership may face ethical dilemmas. Which of the following should the director take into consideration when dealing with an employee who is incompetent?

  • A. The situation should be tolerated for as long as possible because of the amount of time and paperwork required to terminate an incompetent nurse.
  • B. Incompetence only impacts the individual nurse.
  • C. The director should follow her institution’s formal process for reporting and handling practices that jeopardize patient safety.
  • D. Most nurse practice acts direct how to handle incompetent nurses.
Correct Answer: C

Rationale: The correct answer is C because the director should follow the institution's formal process for reporting and handling practices that jeopardize patient safety. This is crucial to maintain high standards of patient care and ensure accountability. Choice A is incorrect as tolerating incompetence can lead to serious consequences for patient safety. Choice B is incorrect as incompetence can impact patient outcomes and overall quality of care. Choice D is incorrect as nurse practice acts may provide guidelines but the institution's specific process should be followed to address incompetence effectively.

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