Management and Leadership HESI Practice Questions

Management and Leadership HESI Practice Questions The student nurse is shadowing on a medical/surgical unit and observes the duties of the charge nurse. Which of the following would the student identify as a quality attributed to a nurse in a leadership role? A. Delays admission from emergency department until staff has appropriately educated a newly diagnosed diabetic patient on insulin administration. B. Spends time with a newly diagnosed lung cancer patient to allow him to communicate his future health concerns. C. Reevaluates staffing needs after one RN "calls in sick." D. Counsels a UAP (unlicensed assistive personnel) after arriving late for work the third time that week. Ans- B. Spends time with a newly diagnosed lung cancer patient to allow him to communicate his future health concerns. Rationale: Leaders do the right thing. Therefore focus on effectiveness whereas a manager focuses on efficiencies. Which of the following is NOT a task or responsibility of the first-level manager? Staff assignments for patient care during shifts Conducting staff meetings Making daily patient rounds Initiate changes to unit policies based on current evidence Ans- Initiate changes to unit policies based on current evidence Rationale: Initiating change to the unit policies based on current evidence is done by the middle-level manage. The other options describe tasks of the first-level manager. A new nurse is interviewed at a facility where various models of patient care delivery are used. The nurse is interested in developing clinical decision-making skills. After the interview, the nurse determines the best position for enhancing those skills is the unit that uses which of the following models? Primary nursing Team nursing Functional nursing Case management Ans- Primary Nursing In primary nursing, clinical decision making is focused at the bedside by the nurse administering the care. The other options are a patient care delivery model whose focus is not bedside decision making. Which of the following is NOT an example of the behavioral theory of leadership? Democratic leader Republican leader Laissez faire leader Bureaucratic leader Ans- Republican Leader Republican is a political party not a behavioral characteristic. The others are behavioral characteristics. An agency nurse is assigned to work on a unit that uses the team nursing model of health care delivery. The nurse understands that the advantage to patient care delivery in this model is that the nurse must make all patient care decisions. can delegate patient care to other team members. begins working on discharge plans at the time of admission. administers all medications to the team patients. Ans- Can delegate patient care The advantage to the team nursing patient care delivery model is that UAPs are used to assist the RN and tasks can be delegated to them. The other options are examples of the primary nursing delivery model. In a primary care delivery model, which of the following would be an expected assignment for a staff member for the day? Two UAPs taking vital signs and blood sugars on all patients Two LPNs administering medications to all patients RN verifies new order for patient started on Lopressor (metoprolol) with a history of asthma. RN holds morning dose of Lopressor (metoprolol) on a patient scheduled for an exercise stress test today. Ans- Hold lopressor In a primary care delivery model, the nurse acts autonomously. Options A and B indicate functional nursing. Option C should be seen in any delivery system. Key tasks that the care manager may perform including all of the following EXCEPT deal with personal issues arising during a shift. use resources efficiently. observe whether unit policies and objectives are meeting the needs of the patients and staff. perform staff evaluations. Ans- objectives are meeting the needs of the patients and staff. Option C is a task for the middle-level manager. The other options are tasks of the care manager. The management process consists of all of the following five phases EXCEPT budgeting. identification of needs. planning organization and direction. identification of resources. Ans- budgeting. Budgeting is not part of the five phases of the management process. A patient tells the day shift nurse that the night shift did not answer her call light for over an hour. Which statement by the nurse is most appropriate when practicing in a primary nurse delivery model? "The night shift staff must care for more patients than does the day shift." "I will notify my charge nurse." "I will answer your call light promptly today."