Essentials Of Nursing Leadership Management

Essentials of Nursing Leadership & Management Exam

The essence of leadership is the leader's ability to:

• Get people to work together
• Influence other people
• Help others meet their personal goals
• Influence the group to follow the leader's way of thinking

According to "trait theories," the most common traits of a good leader are:

• Information giving and decision-making
• Public speaking and nonrisk behaviors
• Intelligence and initiative
• Verbal and written communication skills

Of the following qualities, which would least likely be attributed to an effective nursing leader?

• Energy and integrity
• Pessimism and stress
• Courage and initiative
• Optimism and perseverance

Behaviors of an effective leader include:

• Denying the exchange of information
• Inability to communicate effectively
• Giving only negative feedback
• Developing oneself and others

Sally has been working only 3 months after graduating from her nursing program. She confides in a friend that she wants to develop herself as a "good follower." Her friend says, "Anyone can follow—just walk behind someone and do nothing." How might Sally respond?

• "I don't mean now, but when I become a nurse manager."
• "Effective followers need to be active participants in the workings of this unit."
• "Effective followers need to do everything the administrators want."
• "Effective followers need to always question the status quo and strive to make

changes."

Jim has demonstrated strong leadership skills during his first year as an RN. He observes that one of his coworkers appears very anxious when dealing with demanding

families. Jim displays emotional intelligence when he:

• Reports to the nurse manager that his friend is very anxious when dealing with

demanding families.

• Says to his friend, "Dealing with these demanding families can be very anxiety-

producing."

• Says to his friend, "You seem very anxious when dealing with these families; maybe

you should seek counseling help."

• Ignores the behavior because everyone takes a different time to adjust to the role of

an RN.

Linda believes she should begin demonstrating leadership skills on her unit. She speaks with her nurse manager about how to do this. The nurse manager, who wants to

encourage Linda's leadership development, responds by saying:

• "Just watch me closely—it will come to you eventually."
• "Develop perseverance—just hang in there and do your work well—someone higher

than I will notice you."

• "It takes a lot of energy to be a leader. You might want to sign up at the local gym."
• "Understand yourself first—what leadership skills do you want to develop?"

Which skills will not be useful in becoming a better follower?

• Supporting the ideas of your colleagues
• Becoming an effective listener
• Demonstrating energy and enthusiasm in the workplace
• Contradicting others if their ideas are not useful to the team

Nancy is supervising a patient care assistant and a licensed practical nurse. When giving them assignments she states, "You two decide how you want to divide up the patients." This is an example of what type of leadership?

• Autocratic
• Laissez-faire
• Democratic
• Situational

Emotional intelligence is also an important part of leadership. Which of these qualities is not part of emotional intelligence?

• Understanding self
• Listening skills
• Acknowledging others
• Responding quickly to a crisis

The major hallmark of situational leadership is:

• Understanding the readiness of the follower
• Major focus on interpersonal relationships
• Effective listening skills
• Motivating others

Matthew is completing his first year of employment as an RN on a medical-surgical unit.A new graduate has just started her orientation on his unit. He found her crying in the patient lounge stating, "I can't do this. This is just not like we learned in school." What response from Matthew demonstrates his leadership skill?

• "If you are already crying this is not the career for you."
• "I remember those feelings—come on—let's talk about it."
• "Why don't you talk to the nurse manager? Maybe she can give you a lighter load."
• "I would consider a transfer to an easier unit."

The role of the manager includes:

• Interpersonal, informational, and decisional actions
• Extroverted personality, hidden agenda, and personal gain
• Introversion, asking questions, and inability to take action
• Extreme prejudice, being unknowledgeable, and being uncaring

Sally meets with all the staff to get input on the governance of the unit. Her

management style is most likely:

• Autocratic
• Participative
• Directive
• Permissive

During a code Sue begins giving order to the staff. Her management style at this time is:

• Nondirective
• Permissive
• Controlling
• Participative

An example of a human relations-oriented manager is one who:

• Motivates employees to work to their highest potential
• Uses control rather than guidance
• Assumes close supervision over staff development
• Implements punishment rather than rewards potential

Which of the following qualities would be detrimental to effective nursing management?

• Leadership
• Clinical expertise
• Business sense
• Minimum communication

Michelle believes that her employees operate from the Theory Y philosophy. Based on this, how would she assist them in developing a scheduling plan for the unit?

• Send a completed schedule for 2 months out over e-mail.
• Ask for a committee of volunteers to develop the schedule.
• Meet with each employee to get his or her input about the best scheduling plan.
• Delegate scheduling to her assistant nurse manager.

Nancy has been working as an RN in long-term care for 4 months. She has been offered the evening supervisor position at a local nursing home. The salary is attractive.What should be her main consideration prior to accepting this position?

• Her clinical expertise, business sense, and leadership skills.
• Staffing ratios and number of RNs on the evening shift.
• Vacation, sick time, and tuition reimbursement.
• Mission and philosophy of the facility.

Which of the following actions would be typical for a manager who adheres to the scientific management approach?

• Reads research studies on management
• Stays in touch with his or her feelings
• Carefully works out the time each nursing task should take
• Allows staff to develop and enforce their own holiday schedule

Servant leadership is best described as:

• An "employees first" attitude
• Emphasis on serving the patient
• A laissiz-faire approach
• Multi-tasking as much as possible

Which of the following is an example of the decisional activities of a manager?

• Providing leadership
• Encouraging continuing education
• Coaching employees
• Completing staff evaluations