ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 6 : Leadership Roles and Management Functions Questions
Question 1 of 5
Which statement best demonstrates a combination of leadership and management skills when teaching a client with uncontrolled diabetes?
Correct Answer: A
Rationale: It is important for the nurse to acknowledge that the client has learned to check their blood sugar but also to stress the importance of recognizing the blood sugar level's overall effect on the client's health. Teaching the client how to obtain a glucose level and providing feedback uses management but not leadership. Providing teaching about simple sugars, notifying the client's health care provider, and requesting a referral for a dietitian are all examples of managing the client's care but do not address seeing the big picture, which is characteristic of leadership.
Question 2 of 5
The nurse is caring for pediatric clients on an oncology unit. The unit is experiencing a renovation, and the nurse manager is requesting suggestions for placement of the nurse's station with the goal of close pediatric client access. Which type of leadership style is the nurse manager employing?
Correct Answer: B
Rationale: When a manager uses the democratic leadership style, the manager welcomes participation in decision making with a goal of consensus and teamwork. Political leadership is not a nursing leadership style. Laissez-faire leadership is a leadership style that involves little structure and guidance. Authoritarian leadership is a leadership style in which the manager has strong control over the work group.
Question 3 of 5
During which client-nurse interaction would the nurse most appropriately use the authoritarian leadership style?
Correct Answer: A
Rationale: During an emergency, such as when a wound dehiscence occurs, an authoritarian leadership style with one person in tight control of the situation is best. At this time, the focus is on accomplishing the tasks of client safety, wound care, and physician notification. All of the other interactions would best be managed with a therapeutic nurse client interaction.
Question 4 of 5
A parent of a 10-year-old client, newly diagnosed with diabetes, expresses concern that the child will not follow through with the diabetic regimen. The nurse suggests developing a calendar of daily requirements with a weekly prize for completion. Which type of power is the nurse suggesting the parent use?
Correct Answer: D
Rationale: Reward power is using rewards and favors to obtain a particular action. In this case, the parent rewards the child when the child completes the prescribed diabetic regimen. Coercive power is when a threat or punishment is used to meet expectations. Expert power results from the respected knowledge in a particular situation. It could be said that parents exert legitimate power through their position as caregivers; however, in this case, the parent is providing a reward for the child completing the daily tasks.
Question 5 of 5
The manager of the surgical unit is presenting the benefits of a new computer documentation system on reducing the nurse's time documenting, thus increasing the time to care for clients at the bedside. Increasing nurse excitement in the changes within the system is a form of which type of power?
Correct Answer: B
Rationale: Motivational power refers to the ability to create enthusiasm for a collaborative project or achievement of a common goal. Referent power relates to being in or associating with someone who is in the position of power. Legitimate power is afforded to the management position but is not the best answer for this scenario. Authoritarian power relates to leadership styles.