2024
Which actions of the nurse exhibit transactional leadership? Select all that apply
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.
1 Motivating or inspiring the employees
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2 Meeting the targets within the deadline
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3 Working according to organizational rules
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4 Correcting the errors in a reactive manner
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5 Increasing the employee commitment of an organization - -2, 3, 4
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The characteristics of transactional leadership include valuing the orders and str
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uctures of an organization. The nurse who exhibits transactional leadership will
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meet the targets within the deadline given by the organization. The nurse will als
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o follow the rules of an organization and will correct the errors of an employee in
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a reactive manner.
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Motivating or inspiring the employees and increasing employee commitment ar
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e the characteristics of transformational leadership.
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b...The unit nurse manager comes to work obviously intoxicated. Which action is
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the staff nurse ethically obligated to take?
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1 Call the security guard.
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2 Tell the nurse manager to go home.
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3 Have the supervisor validate the observation.
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4 Offer the nurse manager a large cup of coffee - -
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3 Have the supervisor validate the observation.
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The staff nurse should call the hospital supervisor to confirm and handle the pro
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blem. The security guard has no authority in this situation. Although sending the
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nurse manager home removes the nurse manager from the clinical setting, this
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action misses an opportunity for documenting the situation and the nurse manag
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er is in no condition to drive safely. Drinking coffee does not make a person less i
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ntoxicated.
,...Which aspects are considered when determining the willingness of a nursing
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assistant before delegating a task? Select all that apply.
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1 Ability
b
2 Attitude
b
3 Personality
b
4 Confidence
b
5 Commitment - -2, 4, 5
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An individual's willingness is related to attitude, confidence, and commitment.
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Ability is related to knowledge and skills in a specific situation. Personality chara
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cteristics can influence the effectiveness of the delegator.
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b...Which performance appraisal method is used by nurse managers to measure
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the performance of the nurse both qualitatively and quantitatively?
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1 Narrative method
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2 Critical incidents method
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3 Graphic rating scale form
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4 Behaviorally anchored rating scales - -4
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The behaviorally anchored rating scale is a performance appraisal method that
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provides an overview of nursing standards by determining performance both qu
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alitatively and quantitatively. b b b
The narrative method requires a manager to write a statement about the nurse's
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performance. The critical incidents type is a performance appraisal method in w
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hich a manager keeps a written record of positive and negative performance. Th
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e graphic rating scale form is a performance appraisal checklist on which a man
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ager rates the nurse's performance on a continuum such as excellent, good, ave
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rage, and poor. b b
...The healthcare team is caring for clients in an emergency department. How so
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on should the clients triaged as an emergency severity index-3 (ESI-
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3) be seen by the physician according to the five level triage system?
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1 Immediately
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2 Within 1 hour
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,3 Could be delayed
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4 Within 10 minutes - -2 Within 1 hour
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The clients triaged as an ESI-3 should be seen by the physician within an hour.
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The clients with life-threatening problems are triaged as ESI-
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1, and they should be provided with immediate care. The care of the clients in ES
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I-4 and ESI-b b
5 can be delayed for some time because the condition of the clients in this level i
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s stable. Clients with major injuries are triaged as an ESI-
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2 and require treatment within 10 minutes.
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b...Which question does the registered nurse recognize as related to the right of c
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ircumstance when delegating? b b
1 "Is the delegation appropriate to the situation?"
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2 "Is the task within the delegatee's scope of practice?"
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3 "Is the prospective delegate a willing and able employee?"
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4 "Is the delegator able to monitor and evaluate the client appropriately?" - -
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1 "Is the delegation appropriate to the situation?"
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The question, "Is the delegation appropriate to the situation?" is related to right ci
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rcumstance. b
The question, "Is the task within the delegatee's scope of practice?" is related to
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right task. The question, "Is the prospective delegate a willing and able employe
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e?" is related to right person. The question, "Is the delegator able to monitor and
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evaluate the client appropriately?" is related to right supervision.
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b...Which factors does the registered nurse consider in the decision to delegate p
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rocess? Select all that apply. b b b b
1 Evaluation
b
2 Nursing judgment
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3 Predictability of outcomes
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4 Pervasive functions of assessment
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5 Complexity of the task to be performed - -3, 5
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, Two factors responsible for the decision to delegate process are predictability of
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outcomes and complexity of the task to be performed.
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Evaluation, nursing judgment, and pervasive functions are not factors in the deci
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sion to delegate process.
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...Under a leader, a team of followers has failed to achieve success in conductin
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g research. What does an effective leader do in this situation?
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1 Criticizes the team members for failure
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2 Provides excuses for the negative outcome
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3 Refuses to take the responsibility for failure
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4 Accepts failure and gains experience from it - -
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4 Accepts failure and gains experience from it
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An effective leader should accept the failure and gain experience from it to avoid
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repetition of the same errors. b b b b b
The effective leader should counsel and motivate the team members for future s
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uccess and should not criticize them. Making excuses for the negative outcome i
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s not the correct action of the effective leader. The effective leader should take r
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esponsibility for the failure and the growth he or she will gain from it.
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...The nursing manager wants to implement transformational leadership qualitie
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s. Which actions best describe this style of leadership? Select all that apply.
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1 Providing intellectual stimulation
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2 Intervening only when problems exist
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3 Performing experiments with system redesign
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4 Using motivator factors to inspire work performance
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5 Monitoring performance and taking action to correct - -1, 3, 4
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Transformational leaders provide intellectual stimulation and encourage followe b b b b b b b
r creativity. They experiment with systems redesign, empower staff, create enth
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usiasm for practice, and promote scholarship of practice in client care. They use
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motivator factors liberally to inspire work performance.
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