Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition - Leadership Roles and Management Functions

Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition - Leadership Roles and Management Functions Related

Review Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition - Leadership Roles and Management Functions related questions and content

An LPN is a team leader for three nursing assistants covering a unit in a long-term care facility. At the beginning of each shift, the LPN instructs the nursing assistants to decide among themselves their client assignments. The LPN administers the clients' medications and some treatments but rarely checks in with the nursing assistants during the shift. The LPN's behavior reflects which managerial style?

  • A. Authoritarian
  • B. Laissez-faire
  • C. Democratic
  • D. Multicratic
Correct Answer: B

Rationale: Laissez-faire leadership involves the least structure and control. In this scenario, the LPN allows the nursing assistants to make their own assignments and rarely checks in with them during the shift. This allows for minimal communication, which is one of the characteristics of the laissez-faire leadership style. Authoritarian leadership entails strong control by the manager over the work group, which is not demonstrated in this scenario. Democratic leadership involves more participation in decision-making by the work group. Although the nursing assistants decided among themselves about the client assignments, the LPN did not participate in the decision-making at all. There is also no communication between the nursing assistants and the LPN, which is not a characteristic of the democratic leadership style. Multicratic leadership allows a leader to determine which approach is best for a particular circumstance. This characteristic is not demonstrated in the scenario.

You may also like to solve these questions

Which of the following is the perceived advantage of authoritarian leadership styles?

  • A. Staff members are invested in management's goals.
  • B. Decisions are made without any input from staff.
  • C. Communication is limited to memos.
  • D. Decisions may not occur on time.
Correct Answer: B

Rationale: In the authoritarian leadership style, the lines of authority and policies are clear, and communication is directive and flows downward. In addition, decisions are made quickly, and staff members are not invested in management's goals.

A nurse is caring for clients on a surgical unit. Which nursing action(s) positively impacts the goal of healthcare cost containment? Select all that apply.

  • A. Completing a nursing assessment and setting up a breakfast tray in an isolation client's room
  • B. Teaching and encouraging the use of an incentive spirometer.
  • C. Delegating the ambulation of a client three times daily in the hall
  • D. Completing client wound dressing change prior to physician rounds
  • E. Checking the completion of Foley catheter care with the nursing assistant.
  • F. Initiating a turning protocol for a bedbound client
Correct Answer: A,B,C,E,F

Rationale: Cost-consciousness measures include prudent use of expensive supplies, careful monitoring of clients to reduce potential complications and lengths of stay, and reduction of waste of limited resources. Completing client wound dressing change prior to physician rounds is not an example of cost containment.

The LPN on the clinical unit is discussing client medication administration. The medication nurse states, 'I crushed the medication because the nurse on the prior shift told me to do it.' This statement indicates a lack of which of the following?

  • A. Responsibility
  • B. Management
  • C. Accountability
  • D. Leadership
Correct Answer: C

Rationale: Accountability means being answerable for one's actions. Following another's actions and using that as a rationale is not being accountable for the action taken. Responsibility is the duty or assignment to a specific task. Management entails assigning functions to meet particular objectives. Leadership provides guidance to achieve common goals.

The leader is making all the decisions for the group. Which type of leadership is being exhibited?

  • A. Authoritarian
  • B. Democratic
  • C. Laissez-faire
  • D. Multicratic
Correct Answer: A

Rationale: Authoritarian leadership entails strong control by the manager over the work group. Democratic leadership involves more participation in decision-making by the work group. Laissez-faire leadership involves the least structure and control. Multicratic leadership allows a leader to determine which approach is best for a particular circumstance.

The nurse is caring for pediatric clients on an oncology unit. The unit is experiencing a renovation, and the nurse manager is requesting suggestions for placement of the nurse's station with the goal of close pediatric client access. Which type of leadership style is the nurse manager employing?

  • A. Political leadership style
  • B. Democratic leadership style
  • C. Laissez-faire leadership style
  • D. Authoritarian leadership style
Correct Answer: B

Rationale: When a manager uses the democratic leadership style, the manager welcomes participation in decision making with a goal of consensus and teamwork. Political leadership is not a nursing leadership style. Laissez-faire leadership is a leadership style that involves little structure and guidance. Authoritarian leadership is a leadership style in which the manager has strong control over the work group.

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