NURSING 101Leadership Exam 3 1
Leadership Exam 3
1. The nursing leadership team within a medical center plans to initiate a change in their
approach to improving patient satisfaction. Nurse Leaders recognize that communication about
the new change will have a higher likelihood of being accurately interpreted if they use which
one of the following strategies:
- Use a variety of communication methods to convey a consistent message about the
change.
- Send a carefully worded letter to all nursing staff explaining the change.
- Schedule staff meetings to announce the change.
- Share the message with their nursing supervisors first and then ask each of them
to discuss the change during their shifts with staff.
2. The RN team leader, near the end of her shift, notices that a newly hired UAP has not
calculated the intake and output for several clients. Which of the following actions should
the RN take first?
- Notify the nurse manager.
- Complete an incident report.
- Delegate this task to the LVN on the team.
- Ask the UAP if assistance is needed to complete the intake and output records.
3. A nurse manager calls dietary services to request a late tray for a patient and speaks with
a dietary technician. This is an example of what kind of communication?
- Vertical
- Diagonal
- Downward
- Lateral
4. Two RNs on the unit are complaining that their patient assignment is too heavy. Each feels
the other RN has a lighter workload. Each complains to the RN Charge nurse. The charge nurse
asks them to please calm down and focus on their current patients' needs right now so that
everyone can get through the difficult shift. Which of the following conflict resolution strategies
is the charge nurse demonstrating?
- Negotiating
- Cooperating
- Smoothing
- Avoiding
5. Progressive discipline is a strategy used by mangers to deal with problem employees.
Which of the following is the usual order of steps in a progressive discipline process?
- Suspension, Verbal Warning, Written Warning, Dismissal
- Verbal Warning, Suspension, Written Warning, Dismissal
- Written Warning, Verbal Warning, Suspension, Dismissal
- Verbal Warning, Written Warning, Suspension, Dismissal
, NURSING 101Leadership Exam 3 2
6. In the Emergency Department (ED), staff share a staff break room area. One of the male
emergency technicians posts a calendar with suggestive female pictures on it. A female RN is
offended by the pictures on the calendar. What is the best course of action for the offended RN
to take first:
- Take down the calendar
- Report the emergency technician to Human Resources for sexual harassment.
- Tell the manager about the situation
- Tell the emergency technician that she finds the pictures offensive and ask him to
remove it.
7. An unlicensed assistive personnel (UAP) "suffers in silence" instead of speaking up about
an unfair assignment to the charge RN. This is an example of which of the following
communication styles?
- Aggressive
- Indirectly aggressive
- Passive
- Assertive
8. A UAP and a Unit Secretary have helped the nurse manager plan the holiday party for the
past two years. They learn that other staff members are not happy with the party themes,
locations and activities they planned for the last two holiday parties. As it is not that important
for them to do, the two decide to let other interested staff members take over doing the holiday
party planning this year. This UAP and the Unit Secretary are using which of the following
conflict resolution strategies?
- Accommodating
- Competing
- Smoothing
- Collaborating
9. A quiet, passive nurse who hates conflict is not likely to use which one of the following
conflict resolution strategies:
- Avoiding
- Compromising
- Competing
- Smoothing
10. A RN is caring for a 17 year-old client who is experiencing a relapse of leukemia and is very
vocal in refusing treatment. The client's mother insists that her daughter receive continued IV
chemotherapy as ordered. Which nursing action is most appropriate at this time?
- Tell the daughter that she is sorry, but her mother has the legal right to give consent
for her treatment.
- Give the IV Chemotherapy to the daughter as ordered by the physician.
- Administer a sedative first to calm the daughter; then start the chemotherapy.
- Notify the charge nurse of the situation to get Bioethics Committee help in
exploring options
Leadership Exam 3
1. The nursing leadership team within a medical center plans to initiate a change in their
approach to improving patient satisfaction. Nurse Leaders recognize that communication about
the new change will have a higher likelihood of being accurately interpreted if they use which
one of the following strategies:
- Use a variety of communication methods to convey a consistent message about the
change.
- Send a carefully worded letter to all nursing staff explaining the change.
- Schedule staff meetings to announce the change.
- Share the message with their nursing supervisors first and then ask each of them
to discuss the change during their shifts with staff.
2. The RN team leader, near the end of her shift, notices that a newly hired UAP has not
calculated the intake and output for several clients. Which of the following actions should
the RN take first?
- Notify the nurse manager.
- Complete an incident report.
- Delegate this task to the LVN on the team.
- Ask the UAP if assistance is needed to complete the intake and output records.
3. A nurse manager calls dietary services to request a late tray for a patient and speaks with
a dietary technician. This is an example of what kind of communication?
- Vertical
- Diagonal
- Downward
- Lateral
4. Two RNs on the unit are complaining that their patient assignment is too heavy. Each feels
the other RN has a lighter workload. Each complains to the RN Charge nurse. The charge nurse
asks them to please calm down and focus on their current patients' needs right now so that
everyone can get through the difficult shift. Which of the following conflict resolution strategies
is the charge nurse demonstrating?
- Negotiating
- Cooperating
- Smoothing
- Avoiding
5. Progressive discipline is a strategy used by mangers to deal with problem employees.
Which of the following is the usual order of steps in a progressive discipline process?
- Suspension, Verbal Warning, Written Warning, Dismissal
- Verbal Warning, Suspension, Written Warning, Dismissal
- Written Warning, Verbal Warning, Suspension, Dismissal
- Verbal Warning, Written Warning, Suspension, Dismissal
, NURSING 101Leadership Exam 3 2
6. In the Emergency Department (ED), staff share a staff break room area. One of the male
emergency technicians posts a calendar with suggestive female pictures on it. A female RN is
offended by the pictures on the calendar. What is the best course of action for the offended RN
to take first:
- Take down the calendar
- Report the emergency technician to Human Resources for sexual harassment.
- Tell the manager about the situation
- Tell the emergency technician that she finds the pictures offensive and ask him to
remove it.
7. An unlicensed assistive personnel (UAP) "suffers in silence" instead of speaking up about
an unfair assignment to the charge RN. This is an example of which of the following
communication styles?
- Aggressive
- Indirectly aggressive
- Passive
- Assertive
8. A UAP and a Unit Secretary have helped the nurse manager plan the holiday party for the
past two years. They learn that other staff members are not happy with the party themes,
locations and activities they planned for the last two holiday parties. As it is not that important
for them to do, the two decide to let other interested staff members take over doing the holiday
party planning this year. This UAP and the Unit Secretary are using which of the following
conflict resolution strategies?
- Accommodating
- Competing
- Smoothing
- Collaborating
9. A quiet, passive nurse who hates conflict is not likely to use which one of the following
conflict resolution strategies:
- Avoiding
- Compromising
- Competing
- Smoothing
10. A RN is caring for a 17 year-old client who is experiencing a relapse of leukemia and is very
vocal in refusing treatment. The client's mother insists that her daughter receive continued IV
chemotherapy as ordered. Which nursing action is most appropriate at this time?
- Tell the daughter that she is sorry, but her mother has the legal right to give consent
for her treatment.
- Give the IV Chemotherapy to the daughter as ordered by the physician.
- Administer a sedative first to calm the daughter; then start the chemotherapy.
- Notify the charge nurse of the situation to get Bioethics Committee help in
exploring options
