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Nursing Leadership Practice Questions Questions
Question 1 of 9
A nurse manager believes that a nurse is taking breaks that are too frequent and lengthy. Which assertive statement should the charge nurse use to initiate a discussion of the issue?
Correct Answer: A
Rationale: Assertive communication uses I' statements to express observations and feelings constructively, inviting dialogue. I understand you are allowed to take scheduled breaks during each shift, but you are taking more than the number allocated. Let's set a time when we can discuss this behavior' acknowledges policy, states the issue objectively, and proposes a discussion, fostering collaboration without blame. Stop taking so many breaks' is directive and confrontational, risking defensiveness. Comparing to others shames rather than solves, and I'm tired of covering' vents frustration, not addressing the root issue. The assertive approach opens a two-way conversation, respects the nurse's perspective, and aims for a solution, aligning with leadership skills to manage behavior effectively and maintain team morale.
Question 2 of 9
A nurse is providing discharge teaching about home safety to an older adult client and his family. Which of the following statements should the nurse include in the teaching?
Correct Answer: A
Rationale: Older adults face heightened fall risks due to mobility or vision decline, making home safety teaching critical. You should install a handrail on at least one side of the stairs' provides a practical, evidence-based tip handrails reduce falls by offering support, per safety guidelines, addressing a leading injury cause. Dim lighting increases trip hazards, removing all rugs is excessive (non-slip rugs can stay), and a space heater near the bed risks fire or burns, all unsafe. The handrail instruction targets stair safety, a common trouble spot, enhancing independence and preventing fractures, aligning with discharge goals to ensure a secure home environment.
Question 3 of 9
The nurse is preparing to administer a dose of warfarin to a client with atrial fibrillation. Which assessment finding requires holding the dose and notifying the physician?
Correct Answer: A
Rationale: Before warfarin in AF, an INR of 3.8 requires holding and notifying, not stable BP, normal HR, or bruising. Above 3 risks bleeding others are expected or unrelated. Leadership checks this imagine oozing; it prevents hemorrhage, aligning with anticoagulation care effectively. This reflects nursing's vigilance in therapy safety.
Question 4 of 9
The nurse manager was upset with the staff nurse and said, 'You did not understand what I said.' Which element in the communication process was she referring to?
Correct Answer: D
Rationale: The manager's frustration You did not understand' points to barriers in communication, like distractions or differing perceptions, that distorted her message to the staff nurse. These obstacles, common in tense settings, block effective transmission or decoding. Feedback might clarify, the channel (e.g., verbal) was used, and decoding by the receiver happened but misfired. Barriers best explain the misunderstanding, as they encompass factors emotions, knowledge gaps disrupting the process, fitting the conflict context here.
Question 5 of 9
Joey is a newly-appointed nurse manager of The Holy Spirit Medical Center, a tertiary hospital located within the heart of the metropolis. He thinks of scheduling planning workshop with his staff in order to ensure effective and efficient management of the department. Should he decide to conduct a strategic planning workshop, which of the following is NOT a characteristic of this activity?
Correct Answer: C
Rationale: Strategic planning, Joey learns, sets long-term goals (3-5 years) and direction, not routine tasks, which operational planning covers. For his hospital, this means envisioning better care delivery, not daily schedules. Focusing on routines like shift assignments misses the broader scope of aligning resources and staff toward excellence. Joey's leadership hinges on this distinction, ensuring his workshop drives visionary change, like patient-centered innovations, to elevate his unit's impact over time in a bustling tertiary setting.
Question 6 of 9
Henry is a Unit Manager I the Medical Unit. He is not satisfied with the way things are going in his unit. Patient satisfaction rate is 60% for two consecutive months and staff morale is at its lowest. He decides to plan and initiate changes that will push for a turnaround in the condition of the unit. Which of the following actions is a priority for Henry?
Correct Answer: A
Rationale: Henry's priority calling a staff meeting engages nurses in solving low satisfaction and morale, fostering ownership of solutions. Seeking higher help delays action, strategizing alone misses input, and ignoring issues worsens them. In a medical unit, discussing patient feedback collaboratively might spark ideas like better communication, directly addressing care gaps. This participative step aligns with nursing leadership principles, empowering Henry to lead change effectively, leveraging team insights to boost both staff spirit and patient outcomes.
Question 7 of 9
A transactional leader is one who
Correct Answer: B
Rationale: Transactional leaders deal for results not inspire, idealize, or aim long-term. Nurse managers like shift trades use this, contrasting with visionaries. In healthcare, it ensures tasks, aligning leadership with exchange.
Question 8 of 9
Ms. Caputo is newly-promoted to a patient care manager position. She updates her knowledge on the theories in management and leadership in order to become effective in her new role. She learns that some managers have low concern for services and high concern for staff. Which style of management refers to this?
Correct Answer: C
Rationale: Country Club Management prioritizes staff happiness over service delivery, assuming content employees will work harder naturally. Ms. Caputo, transitioning to management, learns this style contrasts with others: Organization Management fosters loyalty but balances tasks, Impoverished Management neglects both staff and production, and Team Management integrates high concern for both. In a hospital, a Country Club manager might focus on nurse morale ensuring breaks or praise while patient care timelines slip, potentially lowering satisfaction scores. This style's emphasis on staff can build rapport but risks neglecting critical outcomes, a lesson for Ms. Caputo in balancing leadership priorities effectively in her new role.
Question 9 of 9
As a new nursing professional development practitioner, the mastery of which skill is most important?
Correct Answer: A
Rationale: Communication is most critical, unlike coordination, resources, or facilitation. Nurse managers convey like clear goals contrasting with logistics. It's foundational in healthcare for alignment, aligning leadership with influence.