CNML & NE-BC questions with complete solutions
What is Transformational Leadership? - ANSWER Transformational leaders focus
on change and practice things like providing employees with a voice in order to
participate in the change.
What is a transactional leader? - ANSWER Transactional leaders focus primarily on
tasks like the budget, staffing, and day-to-day operations.
What are the key factors to employee satisfaction? - ANSWER * Having friends at
work
* Someone care about the employee as a person
* Working for an organization whose values are compatible with yours
* Being given assignments based on your strengths
What is Shared Governance? - ANSWER a system for providing employees with
opportunities for input through an organized democratic process where each unit is
represented
When should an employee be disciplined for lateness? - ANSWER Following the
organizational policy the employee should be notified of any infraction as soon as
possible after the event.
What is the main responsibility of management? - ANSWER to supervise
employees, assure patient safety, monitor the budget, and ensure that the policies
and procedures of the organization are adhered to.
What should the nurse manager's responsibility be in terms of doing direct care? -
ANSWER The nurse manager's number one responsibility is to run the unit. In a
crisis situation the nurse manager should help out but it should not become a
routine.
What is the best way to implement a policy change such as a dress code. -
ANSWER The best way to implement any policy change is to have the users
involved in the decision to some extent. Involving known complainers in the design
process is a good way to identify the potential opposition to a new policy
What are 5 Ways people react to change in Rogers Stages of Innovation Model? -
ANSWER * Innovators (2.5%) - Risk takers who are not afraid to fail & are
implementers of the change
* Early Adopters (13.5%) - Less cautious about change and adopt early. They are
often highly opinionated and can influence others to change
* Early Majority (34%) - Adopt to change after they have some time to see the early
adopters success
* Late Majority (34%) - Skeptics, they need to see a lot of evidence before adopting
the change
* Laggards (16%) - Stick to tried and true methods. They may never accept the
change.
,What is Positive Deviance Approach to Change? - ANSWER Involves leadership
looking for change from the group, rather than leading the group. Real change
begins from the inside.
What are the stages of Rogers Diffusion of Innovation Theory? - ANSWER 1.
Agenda-Setting a perceived need for innovation
2. Matching-fitting a problem with the innovation
3. Redefining/Restructuring - innovation is modified to fit the organizations needs
4. Clarifying - the relationship between the organization and the innovation is better
defined
5. Routinizing - innovation becomes part of the organization's activities and no longer
labeled as an innovation
Describe Circle of Influence. - ANSWER Covey (1990) suggested our lives are
covered by two circles: a larger circle of everything your could possibly be concerned
about, and a smaller inner circle of things you can influence. He suggested that
when we focus on things and people we can influence our circle of influence gets
larger. Focusing on your circle of concern can lead to frustration, as these are things
you cannot influence. Focusing on your circle of concern can also reduce your circle
of influence as you are not paying attention to things and people you can influence.
Should the charge nurse take a regular patient assignment if the unit is short
staffed? - ANSWER The charge nurse, like the manager is assigned the duty of
leading the unit. Since that is the primary role, all options for staffing should be
explored before taking an assignment. If the charge nurse takes a full patient
assignment, it means nobody is leading the unit, which could be a problem if a crisis
occurs, at which point the charge nurse would either be distracted from the crisis or
be distracted from caring for her patient assignment. There are certain cases where
the only solution is for the charge nurse to take an assignment. Ideally it should not
be a full assignment so there is still time to lead the unit.
What is the best way to provide a new charge nurse with experience? - ANSWER
The best way to provide a new charge nurse with experience is to partner him or her
with an experienced charge nurse and put them in charge. That way the experienced
charge nurse can provide them with direction and coaching in the actual charge
nurse role.
Shouldn't the most experienced staff member be the one in charge? - ANSWER
Actually it is the most effective to make assignments based on employee strength
and interest (Rath,2007) You cultivate leaders by allowing the nurse with the interest
in leading to lead.
Define Leadership. - ANSWER Leadership is the art and science of providing
direction, inspiration, and goals to a team by providing vision, guidance, and holding
them accountable for outcomes
Define Management. - ANSWER Management and leadership are terms that are
often used interchangeably, however management is differentiated as tending to
, specific tasks such as the budget, staffing, policies, procedures, and supplies. It is
often said, you lead people and manage things. See transactional leadership.
How do you learn to be a leader? - ANSWER The best way is to work with a mentor
to develop a personal growth plan that uses textbooks, evidence based leadership
literature, attend leadership workshops and apply learning to action learning
experiences such as working as a charge nurse, observing good leaders, and
attending graduate school as a leadership major.
What type of leadership is Shared Governance? - ANSWER Participative
Democracy
Define Autocratic Leadership. - ANSWER Autocratic leadership is one person in
charge who makes all or most of the decisions. It is generally not regarded as an
effective approach because it does not leave the workers feeling like they have a
voice in decisions and generally the leader does not have all the answers. There are
situations where autocratic leadership is effective such as a crisis or emergency,
where timely decisions need to be made.
What is Laissez-faire leadership? - ANSWER a delegate style in which the leader
provides little input and allows the group members to make the decisions. Research
has shown this still is often ineffective because groups need a combination of
direction and coaching depending on their stage of development with particular
situation or task. See situational leadership.
What is the Fair Labor Standards Act? - ANSWER It sets the minimum wage;
established rules for over time pay after non-exempt employees have worked 40
hours; and sets standards for how old you must be to be able to work.
What are you not allowed to do as a nurse manager if there is union-organizing
activity going on? - ANSWER According to the National Labor Relations Board
regulations, as a manager you may not:
* Give an unplanned salary increase to your staff while the union organizing activities
are taking place
* Offer additional benefits like improved health insurance coverage, tuition
reimbursement, or opening a day care center to entice employees not to join the
union
* Prohibit the union-organizers from collecting union authorization cards
What is the Hill-Burton Act? - ANSWER it provides federal funding for hospitals to
make capital improvements; prohibits hospitals who take funds from discrimination
based on race, creed, color, or national origin; and requires that organizations who
take funds provide a certain volume of free care to uninsured patients.
What can you do if union activity is going on in your organization? - ANSWER You
are permitted to provide information for employees about the union's history of dues,
strikes, and how they have preformed in other organizations.
What is the best leadership style for a nurse manager? - ANSWER combination of
transactional and transformational depending on the circumstance.
What is Transformational Leadership? - ANSWER Transformational leaders focus
on change and practice things like providing employees with a voice in order to
participate in the change.
What is a transactional leader? - ANSWER Transactional leaders focus primarily on
tasks like the budget, staffing, and day-to-day operations.
What are the key factors to employee satisfaction? - ANSWER * Having friends at
work
* Someone care about the employee as a person
* Working for an organization whose values are compatible with yours
* Being given assignments based on your strengths
What is Shared Governance? - ANSWER a system for providing employees with
opportunities for input through an organized democratic process where each unit is
represented
When should an employee be disciplined for lateness? - ANSWER Following the
organizational policy the employee should be notified of any infraction as soon as
possible after the event.
What is the main responsibility of management? - ANSWER to supervise
employees, assure patient safety, monitor the budget, and ensure that the policies
and procedures of the organization are adhered to.
What should the nurse manager's responsibility be in terms of doing direct care? -
ANSWER The nurse manager's number one responsibility is to run the unit. In a
crisis situation the nurse manager should help out but it should not become a
routine.
What is the best way to implement a policy change such as a dress code. -
ANSWER The best way to implement any policy change is to have the users
involved in the decision to some extent. Involving known complainers in the design
process is a good way to identify the potential opposition to a new policy
What are 5 Ways people react to change in Rogers Stages of Innovation Model? -
ANSWER * Innovators (2.5%) - Risk takers who are not afraid to fail & are
implementers of the change
* Early Adopters (13.5%) - Less cautious about change and adopt early. They are
often highly opinionated and can influence others to change
* Early Majority (34%) - Adopt to change after they have some time to see the early
adopters success
* Late Majority (34%) - Skeptics, they need to see a lot of evidence before adopting
the change
* Laggards (16%) - Stick to tried and true methods. They may never accept the
change.
,What is Positive Deviance Approach to Change? - ANSWER Involves leadership
looking for change from the group, rather than leading the group. Real change
begins from the inside.
What are the stages of Rogers Diffusion of Innovation Theory? - ANSWER 1.
Agenda-Setting a perceived need for innovation
2. Matching-fitting a problem with the innovation
3. Redefining/Restructuring - innovation is modified to fit the organizations needs
4. Clarifying - the relationship between the organization and the innovation is better
defined
5. Routinizing - innovation becomes part of the organization's activities and no longer
labeled as an innovation
Describe Circle of Influence. - ANSWER Covey (1990) suggested our lives are
covered by two circles: a larger circle of everything your could possibly be concerned
about, and a smaller inner circle of things you can influence. He suggested that
when we focus on things and people we can influence our circle of influence gets
larger. Focusing on your circle of concern can lead to frustration, as these are things
you cannot influence. Focusing on your circle of concern can also reduce your circle
of influence as you are not paying attention to things and people you can influence.
Should the charge nurse take a regular patient assignment if the unit is short
staffed? - ANSWER The charge nurse, like the manager is assigned the duty of
leading the unit. Since that is the primary role, all options for staffing should be
explored before taking an assignment. If the charge nurse takes a full patient
assignment, it means nobody is leading the unit, which could be a problem if a crisis
occurs, at which point the charge nurse would either be distracted from the crisis or
be distracted from caring for her patient assignment. There are certain cases where
the only solution is for the charge nurse to take an assignment. Ideally it should not
be a full assignment so there is still time to lead the unit.
What is the best way to provide a new charge nurse with experience? - ANSWER
The best way to provide a new charge nurse with experience is to partner him or her
with an experienced charge nurse and put them in charge. That way the experienced
charge nurse can provide them with direction and coaching in the actual charge
nurse role.
Shouldn't the most experienced staff member be the one in charge? - ANSWER
Actually it is the most effective to make assignments based on employee strength
and interest (Rath,2007) You cultivate leaders by allowing the nurse with the interest
in leading to lead.
Define Leadership. - ANSWER Leadership is the art and science of providing
direction, inspiration, and goals to a team by providing vision, guidance, and holding
them accountable for outcomes
Define Management. - ANSWER Management and leadership are terms that are
often used interchangeably, however management is differentiated as tending to
, specific tasks such as the budget, staffing, policies, procedures, and supplies. It is
often said, you lead people and manage things. See transactional leadership.
How do you learn to be a leader? - ANSWER The best way is to work with a mentor
to develop a personal growth plan that uses textbooks, evidence based leadership
literature, attend leadership workshops and apply learning to action learning
experiences such as working as a charge nurse, observing good leaders, and
attending graduate school as a leadership major.
What type of leadership is Shared Governance? - ANSWER Participative
Democracy
Define Autocratic Leadership. - ANSWER Autocratic leadership is one person in
charge who makes all or most of the decisions. It is generally not regarded as an
effective approach because it does not leave the workers feeling like they have a
voice in decisions and generally the leader does not have all the answers. There are
situations where autocratic leadership is effective such as a crisis or emergency,
where timely decisions need to be made.
What is Laissez-faire leadership? - ANSWER a delegate style in which the leader
provides little input and allows the group members to make the decisions. Research
has shown this still is often ineffective because groups need a combination of
direction and coaching depending on their stage of development with particular
situation or task. See situational leadership.
What is the Fair Labor Standards Act? - ANSWER It sets the minimum wage;
established rules for over time pay after non-exempt employees have worked 40
hours; and sets standards for how old you must be to be able to work.
What are you not allowed to do as a nurse manager if there is union-organizing
activity going on? - ANSWER According to the National Labor Relations Board
regulations, as a manager you may not:
* Give an unplanned salary increase to your staff while the union organizing activities
are taking place
* Offer additional benefits like improved health insurance coverage, tuition
reimbursement, or opening a day care center to entice employees not to join the
union
* Prohibit the union-organizers from collecting union authorization cards
What is the Hill-Burton Act? - ANSWER it provides federal funding for hospitals to
make capital improvements; prohibits hospitals who take funds from discrimination
based on race, creed, color, or national origin; and requires that organizations who
take funds provide a certain volume of free care to uninsured patients.
What can you do if union activity is going on in your organization? - ANSWER You
are permitted to provide information for employees about the union's history of dues,
strikes, and how they have preformed in other organizations.
What is the best leadership style for a nurse manager? - ANSWER combination of
transactional and transformational depending on the circumstance.
