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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.
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A nurse manager typically exhibits which type of power when using education and work experience?
- A. Referent
- B. Legitimate
- C. Coercive
- D. Expert
Correct Answer: D
Rationale: Expert power results from knowledge, expertise, or experience in a particular area. Referent power concerns the power a person has because of an association with others who are powerful. Legitimate power is obtained through a designated position. Coercive power is the ability to threaten or punish someone who fails to meet expectations.
Which of the following would be considered an indirect activity that may be delegated to unlicensed assistive personnel?
- A. Delivering meal trays
- B. Obtaining vital signs
- C. Ambulation
- D. Specimen collection
Correct Answer: A
Rationale: Indirect activities are focused on environmental tasks, such as cleaning equipment, emptying trash or soiled linen receptacles, and delivering meal trays. Direct activities are those that help clients meet basic needs, including vital signs, weights, specimen collection, and ambulation.
Which of the following would not be considered one of the five rights of delegation?
- A. Educational level
- B. Task
- C. Circumstances
- D. Person
Correct Answer: A
Rationale: The NCSBN (2019) identified the five rights of delegation: right task, right circumstances, right person, right direction/communication, and right supervision/evaluation. Educational level is not one of the five rights of delegation.
A nurse manager who denies vacation time to an employee who failed to meet expectations is exhibiting what type of power?
- A. Legitimate
- B. Coercive
- C. Reward
- D. Referent
Correct Answer: B
Rationale: Coercive power is the ability to threaten or punish someone who fails to meet expectations. Legitimate power is obtained through a designated position. Reward power occurs when a person attains power through the ability to grant favors or rewards. Referent power is the power a person has because of an association with others who are powerful.
A nurse at a long-term care facility is receiving an admission to a skilled medical unit with a full census. Which nursing situation is the best example of a nurse demonstrating appropriate time management skills in the care of a client?
- A. The nurse is arranging the room to best accommodate the client's medical equipment.
- B. The nurse is obtaining the needed paperwork to begin the admission process.
- C. The nurse is delegating client orientation to the room while obtaining contact information from the family.
- D. The nurse is obtaining a urinary collection hat for the toilet.
Correct Answer: C
Rationale: The best example of time management is for the nurse to delegate orientation to the room while the nurse obtains information from the family. Arranging the room to accommodate medical equipment, obtaining paperwork, or obtaining a urinary collection hat are tasks that can be delegated to unlicensed assistive personnel allowing the nurse time for something that cannot be delegated, such as an assessment or obtaining information from the client's family.