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.
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A nurse is caring for a client with stage IV colon cancer and multiple-stage two wounds on the coccyx area. The client confides feeling very weak and wanting to discontinue further aggressive treatment. Which nursing action best demonstrates the nurse in the role of the client advocate?
- A. The nurse relays the message to the physician and requests an antidepressant.
- B. The nurse asks the client how might their family feel with this decision.
- C. The nurse sits with the client and suggests that the client reconsider.
- D. The nurse offers to be present to support the client at a family meeting.
Correct Answer: D
Rationale: Advocacy means promoting the cause of another person. The nurse functions as a client advocate by supporting the client and the client's decisions. Offering to support the client as the client expresses healthcare decisions is the best example of a client advocate. Relaying the message to the physician and asking for an antidepressant does not demonstrate supporting the client. Opening conversation related to family response is appropriate for discussion but is not the best choice to support the client. The nurse would not ask the client to reconsider because this is a block to communication.
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.
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.
The licensed practical nurse (LPN) and other nursing staff on a rehabilitation unit are meeting to discuss an assigned client's progress. This is an example of which function?
- A. Time management
- B. Collaboration
- C. Advocacy
- D. Resource management
Correct Answer: B
Rationale: Collaboration involves a team effort to achieve client care outcomes. Time management involves organizing time, delegating tasks to other personnel, and optimizing available time. Advocacy is a means of promoting the cause of another person or organization. Resource management means using resources, which include money, supplies, equipment, buildings, and personnel, optimally.
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