Leadership NUR 4120 Chapter 3

Leadership NUR 4120 Chapter 3 What action by a nurse-manager best demonstrates servant leadership? a. Prioritizing the interests of others over the manager's own interests b. Cultivating a personal relationship with each subordinate c. Making decisions on the basis of customer service d. Communicating a clear vision for the future and asking subordinates to share it - A The nurse-manager who seeks to exemplify emotional intelligence should: a. attempt to remove emotion from decision making. b. prioritize emotion over reason when making decisions. c. regulate his or her own emotions and those of others. d. effectively manipulate the emotions of others to achieve goals. - C The leader-manager provides oversight on a busy medical-surgical unit. There has recently been an incident where two nurses were not honest about neglecting a controversial new protocol and misled the leader. How can the leader-manager best prevent similar episodes? a. Support employees' right to disagree with proposed changes. b. Ensure that employees know the consequences of misleading the manager. c. Avoid making decisions that displease large numbers of employees. d. Identify allies who can be trusted to report employees who may mislead the Manager - A Which statement regarding the characteristics of a good leader is true? a. They are brave in all situations. b. They may have character flaws. c. They are by nature good-intentioned. d. Charisma is their strongest attribute. - B To decrease overtime, the manager of a surgical unit offers nurses who get their work finished on time for an entire 2-month period an extra day off with pay at regular time. The nurse is enacting what model of leadership? a. Favoritism b. Quantum leadership c. Principal agent theory d. Servant leadership - C A nurse has been hired to oversee a day surgery clinic. What action will best ensure good outcomes for this nurse, the clients, and the employees of the clinic? a. Implement the principles of authoritative leadership. b. Teach all employees about the financial considerations at the clinic. c. Consciously develop the ability to be charismatic. d. Integrate nursing management and nursing leadership roles and practices. - D A new leader-manager is planning to implement the principles of strengths-based leadership after being hired for a new position. What action will best facilitate this plan? a. Creating a team with diverse abilities and talents b. Identifying his or her personal strengths and utilizing them c. Appraising team members on a scale that runs from "weaker" to "stronger" d. Organizing the flow of work to match his or her strengths - A A leader is applying the principles of emotional intelligence? What outcome indicates successful application of these principles? a. Emotions are held in check. b. Emotions are used effectively. c. Emotions dominate decision making. d. Expression of emotion indicates success. - B A manager has proposed to the hospital board that it hire someone to teach management and leadership classes and that head nurses are paid to attend the classes. What is this an example of? a. Using emotional intelligence b. Transformational leadership c. Building human capital d. Using quantum leadership - C An organization has hired six RNs who are recent immigrants. The manager has noticed they interact very little with other staff, often speaking in their own language during their breaks, although they speak English while on duty. Which intervention would be the most helpful action for the manager to help these new RNs better assimilate? a. Explain to the new nurses the problem that their isolating is causing. b. Arrange to send them to an English language course at the local adult school. c. Ask the established RNs to make an effort to include the new nurses in after-work activities. d. Hold a sharing session so all RNs can share information about their cultures and differences in client care. - D A nurse-manager will soon be introducing a significant change in the way that overtime shifts are allocated on a hospital floor. What action by the manager will best demonstrate the principles of thought leadership? a. Convincing employees that the change will be beneficial and innovative b. Relating the change to the fact that the floor has been required to cut costs c. Delegating the implementation of the change to the nurses themselves d. Describing clear expectations for nurses' adherence to the new policy - A When applying the principles of quantum leadership, the nurse-manager should prioritize: a. careful management of emotions. b. his or her own values, beliefs, and moral character. c. the difference between personal goals and organizational goals. d. the fact that workplaces are complex and dynamic. - D Twenty-first-century leadership models generally emphasize the importance of: a. relationships. b. incentives. c. motivation. d. consequences. - A There are current and future paradigm shifts in health care that affect the leadership skills needed by nurses in the 21st century. What issue at the organizational and unit levels are nurse-leaders being directed to address? a. Active involvement in greatly needed health-care reform b. Persistent and growing international nursing shortage c. Increasing disparities between health outcomes for wealthy clients and poorer clients d. High turnover rates by staff nurses - D A nurse-manager demonstrates Level 5 leadership by performing what action? a. Keeping emotions in check b. Accepting nothing less than perfection from subordinates c. Taking responsibility for errors that he or she makes d. Avoiding conflict unless absolutely necessary - C A subordinate has accused a manager of favoritism after the manager created the work assignment for the day. How should the manager best apply the principles of emotional intelligence? a. Identify and reflect on the feelings that she experiences after being accused. b. Recognize that the subordinate's statement was likely based on emotion rather than evidence. c. Involve a colleague in the situation who has no emotional investment in the situation. d. Choose a response that will diffuse the subordinate's emotions. - A A nurse-manager has been attending several conferences and workshops in order to network with colleagues and build relationships with people outside the organization. How should a nurse best interpret this manager's actions? a. The manager is building on his or her strengths. b. The manager's self-regulation is likely to grow because of this activity. c. The manager is demonstrating servant leadership, which will ultimately benefit the whole organization. d. The manager is applying the social skills necessary for emotional intelligence. - D Two nurses have approached the manager and have asked the manager to speak to a nurse on the unit who has a reputation for being difficult to get along with. How can the manager best implement authentic leadership? a. Meet with the "difficult" nurse to assess emotions. b. Analyze the facts of the situation before making a decision. c. Encourage all three nurse to meet without the manager present. d. Encourage all three nurses to disregard their emotions. - B A new nurse-manager has set a goal of implementing authentic leadership. What is the manager's best initial action? a. Identify and reflect on her own principles. b. Examine the source of her power in the organization. c. Differentiate colleagues who are allies from those who are potential threats. d. Delegate management activities so she can focus on leadership. - A An organization is facing budget cuts and the manager has openly shared the details, rationale, and implications of the cuts with staff. The manager has also expressed feelings of disappointment about the cuts. What component of authentic leadership has the manager demonstrated? a. Balanced processing b. Internalized moral perspective c. Relational transparency d. Self-awareness - C What actions by the nurse-manager are consistent with relationship age leadership? Select all that apply. a. Communicating regularly and openly with employees b. Encouraging teamwork to solve problems and address issues c. Including committee representatives from all areas that will be affected by a change d. Recognizing staff members who have contributed to the organization's goals e. Encouraging competition between staff members to increase overall efficiency - A, B, C, D The leadership of a health-care organization has chosen to implement human capital theory. What actions should the organization promote in order to meet this goal? Select all that apply. a. Giving subsidies to nurses who want to advance their education b. Increasing the frequency of performance appraisals for managers c. Providing in-services and workshops for nurses and other care providers d. Increasing opportunities for families to participate in care planning e. Providing salary increases of 2% for all nonmanagement staff - A, C Which activity best supports the principles of strengths-based leadership in a health-care organization? a. Funding for staff to become educated in areas where they are naturally talented b. Providing remedial services to staff who have committed a medication error c. Mental health counseling for staff who have depression or anxiety d. Smoking cessation support classes - A Which characteristics are associated with a Highly Capable Individual in Collin's Level 5 Leadership model? Select all that apply. a. Possesses useful knowledge b. Builds effective interdisciplinary teams c. Galvanizes members to achieve goals d. Has the talent and skills needed to do a good job e. Works effectively to help a team succeed - A, D Which response is most characteristic of a servant leader? a. "I don't think you have the skills necessary to be effective." b. "Let me think about that request for 24 hours and get back to you." c. "Do whatever it takes to get it done fast." d. "I'll personally handle this situation." - B A nurse has recently begun a leadership-management role and is most likely to face challenges in: a. resolving tensions between baccalaureate-educated nurses and nurses without a degree. b. promoting best outcomes for clients while reducing costs. c. educating nurses about their legal scope of practice. d. marketing the organization to members of the community. - B The leaders of a health-care organization ascribe to human capital theory and are planning the budget for the next year. What activity should the team prioritize in the budget to promote the goals of this theory? a. Signing bonuses for nurses who are hired from outside the region b. Incentives for staff members who provide exemplary care and who make no errors c. Community outreach activities that will increase engagement between staff and residents d. Reimbursement of tuition to nurses who are upgrading their education - D The chief nursing officer is assembling a leadership team. The nurse is ensuring that the team is made up of people who have a diverse range of natural talents and skills. This leader is most clearly exemplifying what theory of leadership? a. Level 5 Leadership b. Emotional intelligence c. Strengths-based leadership d. Authentic leadership - C A nurse manager-leader is experiencing many challenges overseeing the care in a health-care organization. What statement most clearly indicates a need to apply quantum leadership principles? a. "There's a lot of conflict, not just between nurses but also between members of other disciplines." b. "Our workplace is in a constant state of change. Each part of our work is unpredictable and always shifting." c. "Historically, many decisions seem to have been made on the basis of emotion, and I'd really like to change that." d. "There's a rift between management and employees and it affects communication." - B A nurse-manager has proposed a change in the skills mix on a hospital unit, with fewer registered nurses and more nursing assistants. What outcome best demonstrates that the nurse is applying the principles of thought leadership? a. Skeptics of the plan have begun to see it as innovative and beneficial. b. Individuals who oppose the plan have become isolated by their peers. c. Nurses and nursing assistants will both participate in the operations planning. d. The ultimate decision on the matter will be based on rational ideas rather than emotions. - A