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NUR 4590 Exam 1: Professional Identity of the Nurse Leader (Latest ) – Rasmussen.

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NUR 4590 Exam 1: Professional Identity of the Nurse Leader (Latest ) – Rasmussen. Effective leadership is exemplified by values, confidence in employees, and a sense of security in the face of uncertainty. This aspect of leadership is known as: correct answer Selfawareness. The areas where leadership and management overlap are explained by which of the following statements? (SATA) correct answer Bring teams together Direct activities The Institute of Medicine (IOM) identified 5 areas of management practice for leaders to attend to during turbulent times. Which of the following are included in those areas? correct answer Maintaining and sustaining quality and safety in service delivery Balancing reliability and efficiency in service delivery Involving workers to manage and sustain change Hersey and colleagues identified three skills needed for leading or influencing workers. Identify three skills leaders must possess to influence people. correct answer Diagnosing Directing Communicating Great leaders possess four essential skills. Identify two statements that describe those skills. correct answer Great leaders possess popularity to establish followers to engage. Great leaders possess a combination of hardiness and the ability to grasp context, called "adaptive capacity." The research of which team states that the leader needs to be flexible in behavior, able to diagnose the leadership style appropriate to the situation, and able to apply the appropriate style? correct answer hersey and Blanchard's model Managers who proceed with a change can best engage staff and prevent resistance by doing which of the following? correct answer Communicating accurate information to engage staff and overcome misunderstanding regarding the need for change Leaders are change agents and have a role in change that includes which of the following? correct answer Providing reliable information and details to those who are to implement the change and understand their view of expectations and plan adequate, timely education on the changed. Porter-O'Grady and Malloch (2015) emphasized four practices for current workplaces that foster learning organizations. Examples of practices would include: correct answer Electronic health records (EHRs), health information exchange (HIE) networks, and clinical decision support. Trends in 21-century health care in the US are described as revolutionary by Longenecker and Longenecker (2014). Leaders will innovate and change toward preventive and wellness health care services because of which of these trends? correct answer New laws and regulations from the Affordable Care Act (ACA) to cut costs and improve indicators of quality and staffing challenges Change is inevitable in health care, just as it is in life. Which two statements are true about change? correct answer Change is inevitable and is necessary for organizational viability. Individuals become aware of the need for change when needs are unmet. Change behaviors displayed in a variety of ways. Identify the two correct statements correct answer A. Resistance can be useful and should be listened to and analyzed. D. Too much change is disruptive and can result in disorganization. Change behaviors displayed in a variety of ways. Identify the two correct statements on how leaders identify, support, and promote innovators. correct answer D. Seeks out knowledgeable experts E. Comfortable with uncertainty The distinction between change and innovation is best described in which of the following statements? correct answer B. Innovation refers to the process of bringing any new or problem-solving idea into use, whereas change is a process for reducing variation within an existing process with a problem. C. Innovation is often linked with creativity and viewed as the use of a new idea to solve a problem, whereas change means improving incrementally D. Change is a disruption; innovation is systematic, Rogers (2003) described five factors to determine successful planned change: relative advantage, compatibility, complexity, trialability, and observability. The statements below relate to these success factors. Leaders will present information on two of these to explain the necessity for the change and the expectations. Which of the following are those two? correct answer A. The degree to which the change is thought to be better than the status quo B. The degree to which the change is compatible with existing values of the individuals or group Culture is a concept that is best portrayed in nursing with which of the following statements? correct answer Culture is a set of values, beliefs, and assumptions that are shared by members of an organization. Climate is often confused with culture. Which statement best describes aspects of climate? correct answer D. Culture and climate can both be measured. Identify the statements about organizational culture that impact nursing practice. correct answer A. Organizational culture affects the quality of nursing care and patient outcomes. B. Mission statements provide a view of strategic priorities for a nursing organization and work setting. C. Culture is developed over time with the shared values that guide members on how to problem solve and manage relationships. The research leading to the gold standard for nursing excellence has produced which of the following findings? correct answer A. The effects of nursing interventions are facilitated by organizational characteristics at the unit level. Mortality rates in Magnet hospitals had a significantly lower mortality rate for Medicare patients than that control hospitals. The 14 Forces of Magnetism has directed research on Hospital Magnet Standards, which measure certain characteristics. Select the answers that best reflect those measures of Magnet standards correct answer Clinically competent peers, education support, adequate staffing, and nurse manager support Clinical autonomy, control of nursing practice, and collaborative nursephysician relationships The culture of patient care must transition from care that is driven by providers to care that is patient-centered & family-centered in which patient & family norms, values, and preferences are respected. This direction in health care services has been sited within: correct answer A. the Affordable Care Act (2009). B. The Future of Nursing: Leading Change, Advancing Health (2011). C. the Institute of Medicine's Crossing the Quality Chasm (2001). D. National Healthcare Quality Report from the Agency for Healthcare Research and Quality (2002). Quality & Safety Education for Nurses (QSEN) was initiated to accomplish which of the following? correct answer C. Creating nursing curriculum that emphasizes evidence-based practices, quality improvement, safety, and informatics D. Preparing future nurses with the knowledge, skills, and attitudes necessary to continuously improve the quality and safety of the health care system Which of the following statements is true about problem solving correct answer Problem solving is a rational and logical thought process Any decision in a chaotic health care delivery environment may cause an unanticipated future problem. Identify the true statement about decision making. correct answer Decision making is used to solve problems. Select the statement that describes how clinical decision making differs from managerial decision making. correct answer Clinical decision-making focuses on diagnosing client health issues, risks, or problems and planning or coordinating nursing interventions, whereas managerial decision-making focuses on resolution of organizational problems and the plans to achieve organizational goals. Decision-making tools and strategies support the process for decisions. Select the one statement that is true. correct answer Critical pathways are a type of decision tree A transformative leadership style influences the effectiveness of group decision making. The rational group decision-making model is based on which of the following correct answer Economic perspective of decision making and maximum utility.

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