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Which of the following roles of a nurse is an example of legitimate power?
- A. Director of nursing
- B. Team leader making assignments
- C. Head nurse scheduling vacations
- D. Shift supervisor
Correct Answer: A
Rationale: Legitimate power is power by virtue of the management position. Director of nursing is an example of legitimate power. Team leader making assignments is an example of reward power. Head nurse scheduling vacations is an example of coercive power. Shift supervisor is an example of referent power.
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The nurse is planning care for the day for a client with multiple diagnoses. Which of the following criteria should the nurse consider first when setting priorities for the care of the client?
- A. Consider the priority of maintaining vital signs.
- B. Consider the priority of symptom management.
- C. Consider the priority of management of pain.
- D. Consider the priority of preventing spread of disease.
Correct Answer: A
Rationale: When prioritizing, vital signs provide data on maintaining life and are considered first. All other options come after.
A new client charting system is in the education phase at a healthcare facility. Much discussion has been prompted regarding the new system. With which statement does the nurse best exhibit the integrated leader/manager traits?
- A. Let's look at the daily benefits of using the new technology on the clinical unit.'
- B. I am not used to the new technology, but if it better serves the client and enables easy sharing of client authorized records, I see a benefit.'
- C. New technology may be costly up front but will serve us well in the future.'
- D. I do not believe that this technology will be helpful in caring for a client because it often is down during peak use times and is difficult to train for.'
Correct Answer: B
Rationale: The traits of an integrated leader/manager combine understanding the daily operations on a clinical unit while seeing the big picture, thinking in the long term, and embracing change. Better serving the client and sharing records as needed demonstrates the willingness to think positively and take risks on improvement for the future. Focusing only on the daily benefits or only on the future impact of using the new technology each only look at one aspect of leadership and management. Stating that the new technology will not be helpful in client care is a negative statement and does not show that the manager is able to embrace change.
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.
The manager of the surgical unit is presenting the benefits of a new computer documentation system on reducing the nurse's time documenting, thus increasing the time to care for clients at the bedside. Increasing nurse excitement in the changes within the system is a form of which type of power?
- A. Referent power
- B. Motivational power
- C. Legitimate power
- D. Authoritarian power
Correct Answer: B
Rationale: Motivational power refers to the ability to create enthusiasm for a collaborative project or achievement of a common goal. Referent power relates to being in or associating with someone who is in the position of power. Legitimate power is afforded to the management position but is not the best answer for this scenario. Authoritarian power relates to leadership styles.
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.