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Which actions of the nurse exhibit transactional leadership? Select
all that apply.
1 Motivating or inspiring the employees
2 Meeting the targets within the deadline
3 Working according to organizational rules
4 Correcting the errors in a reactive manner
5 Increasing the employee commitment of an organization
2, 3, 4
The characteristics of transactional leadership include valuing the
orders and structures of an organization. The nurse who exhibits
transactional leadership will meet the targets within the deadline
given by the organization. The nurse will also follow the rules of an
organization and will correct the errors of an employee in a reactive
manner.
Motivating or inspiring the employees and increasing employee
commitment are the characteristics of transformational leadership.
The unit nurse manager comes to work obviously intoxicated. Which
action is the staff nurse ethically obligated to take?
1 Call the security guard.
2 Tell the nurse manager to go home.
3 Have the supervisor validate the observation.
4 Offer the nurse manager a large cup of coffee
3 Have the supervisor validate the observation.
The staff nurse should call the hospital supervisor to confirm and
handle the problem. The security guard has no authority in this
situation. Although sending the nurse manager home removes the nurse
manager from the clinical setting, this action misses an opportunity
for documenting the situation and the nurse manager is in no
,condition to drive safely. Drinking coffee does not make a person
less intoxicated.
Which aspects are considered when determining the willingness of a
nursing assistant before delegating a task? Select all that apply.
1 Ability
2 Attitude
3 Personality
4 Confidence
5 Commitment
2, 4, 5
An individual's willingness is related to attitude, confidence, and
commitment.
Ability is related to knowledge and skills in a specific situation.
Personality characteristics can influence the effectiveness of the
delegator.
Which performance appraisal method is used by nurse managers to
measure the performance of the nurse both qualitatively and
quantitatively?
1 Narrative method
2 Critical incidents method
3 Graphic rating scale form
4 Behaviorally anchored rating scales
4
The behaviorally anchored rating scale is a performance appraisal
method that provides an overview of nursing standards by determining
performance both qualitatively and quantitatively.
The narrative method requires a manager to write a statement about
the nurse's performance. The critical incidents type is a performance
appraisal method in which a manager keeps a written record of
positive and negative performance. The graphic rating scale form is a
performance appraisal checklist on which a manager rates the nurse's
performance on a continuum such as excellent, good, average, and poor.
The healthcare team is caring for clients in an emergency department.
How soon should the clients triaged as an emergency severity index-3
(ESI-3) be seen by the physician according to the five level triage
system?
1 Immediately
2 Within 1 hour
,3 Could be delayed
4 Within 10 minutes
2 Within 1 hour
The clients triaged as an ESI-3 should be seen by the physician
within an hour.
The clients with life-threatening problems are triaged as ESI-1, and
they should be provided with immediate care. The care of the clients
in ESI-4 and ESI-5 can be delayed for some time because the condition
of the clients in this level is stable. Clients with major injuries
are triaged as an ESI-2 and require treatment within 10 minutes.
Which question does the registered nurse recognize as related to the
right of circumstance when delegating?
1 "Is the delegation appropriate to the situation?"
2 "Is the task within the delegatee's scope of practice?"
3 "Is the prospective delegate a willing and able employee?"
4 "Is the delegator able to monitor and evaluate the client
appropriately?"
1 "Is the delegation appropriate to the situation?"
The question, "Is the delegation appropriate to the situation?" is
related to right circumstance.
The question, "Is the task within the delegatee's scope of practice?"
is related to right task. The question, "Is the prospective delegate
a willing and able employee?" is related to right person. The
question, "Is the delegator able to monitor and evaluate the client
appropriately?" is related to right supervision.
Which factors does the registered nurse consider in the decision to
delegate process? Select all that apply.
1 Evaluation
2 Nursing judgment
3 Predictability of outcomes
4 Pervasive functions of assessment
5 Complexity of the task to be performed
3, 5
Two factors responsible for the decision to delegate process are
predictability of outcomes and complexity of the task to be performed.
Evaluation, nursing judgment, and pervasive functions are not factors
in the decision to delegate process.
, Under a leader, a team of followers has failed to achieve success in
conducting research. What does an effective leader do in this
situation?
1 Criticizes the team members for failure
2 Provides excuses for the negative outcome
3 Refuses to take the responsibility for failure
4 Accepts failure and gains experience from it
4 Accepts failure and gains experience from it
An effective leader should accept the failure and gain experience
from it to avoid repetition of the same errors.
The effective leader should counsel and motivate the team members for
future success and should not criticize them. Making excuses for the
negative outcome is not the correct action of the effective leader.
The effective leader should take responsibility for the failure and
the growth he or she will gain from it.
The nursing manager wants to implement transformational leadership
qualities. Which actions best describe this style of leadership?
Select all that apply.
1 Providing intellectual stimulation
2 Intervening only when problems exist
3 Performing experiments with system redesign
4 Using motivator factors to inspire work performance
5 Monitoring performance and taking action to correct
1, 3, 4
Transformational leaders provide intellectual stimulation and
encourage follower creativity. They experiment with systems redesign,
empower staff, create enthusiasm for practice, and promote
scholarship of practice in client care. They use motivator factors
liberally to inspire work performance.
Intervening only when problems exist is a behavior related to
transactional leadership. Monitoring performance and taking
corrective action is a transactional leadership quality.
Which component of delegation is defined as the ability to perform
duties in a specific role?
1 Authority
2 Supervision
3 Responsibility
4 Accountability