West Coast University, Los Angeles - NURSE 420 Exam 1 leader/ 100% Correct.

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Exam 1 Leadership. 1. When your nurse leader maintains strong control over the nursing staff and makes most of the decisions about how the unit will function, your leader is demonstrating what style... of leadership? a. Laissez-faire b. Authoritarian c. Democratic d. transactional 2. Which of the following is an example of laissez-faire style of leadership? a. A nurse manager allows staff to participate in a trial use of new IV pumps and contribute input when choosing a new product. b. A nurse manager instructs two staff nurses to work out a problem themselves when a conflict arises between them. c. A nurse manager allows the staff to select one of six colors of scrubs for the unit nursing staff to wear. d. A nurse manager allows the nursing staff to choose which holiday they would prefer to take off before completing the work schedule. 3. The home health RN is planning for the day’s visits. Which client should be seen first? a. The five-month-old discharged one week ago with pneumonia who is being treated with amoxicillin liquid suspension. b. The 50-year-old with multiple stage 3 & 4 pressure ulcers requiring dressing changes. c. The 30-year-old with an exacerbation of multiple sclerosis being treated with cortisone via a centrally placed venous catheter. d. The 78-year-old who had a gastrectomy three weeks ago with a PEG tube. 4. Which statement accurately reflects leadership? a. The position of a leader is always assigned. b. Members of a group will follow a person in a leadership position only by choice. c. A leader carries a legitimate source of power. d. Being leader required meeting organizational goals. 5. A manager who use a rational-empirical change strategy understands which one of the following to be relevant: a. Peer pressure influences change b. Reward-based incentives influence change c. Information supports change d. Punishment supports the acceptance of change. 6. You are the supervisor of a new RN graduate on your unit. What would be the most helpful action for you to take to help the new RN adjust to the new role? a. Tell the new RN to avoid confrontations with doctors whenever possible. b. Advise the new RN that this is the real world, like it or not c. Be alert to signs and symptoms of the shock phase of role transition. d. Tell the new RN to let go of unrealistic nursing school values. 7. Which one of the following principles of effective time management is most important for a charge nurse to remember about the use of a daily “to do” list? a. It is a planning tool, and thus must have flexibility in its implementation b. It should remain unchanged once initial planning is completed. c. It should address short-term, intermediate, and long-term goals for the week. This study source was downloaded by 100000831988016 from CourseHero.com on 04-17-2022 00:29:39 GMT -05:00 https://www.coursehero.com/file/30980910/Exam-1-leaderdocx/ d. It should be highly structured, thus decreasing the possibility of procrastination. 8. What is the first step to developing an educational program for nursing staff? a. Surveying the staff on what educational program they would like b. Identifying the resources available to meet their needs. c. Identifying the desired skills or knowledge the staff should have. d. Assessing the staff’s willingness to learn new skills. 9. In relation to Kurt Lewin’s Change Theory, which statement is NOT true? a. During unfreezing, the goal of a change agent is to make staff aware of a situation needing change. b. Refreezing often requires a change agent to stay involved over time to help stabilize and support the change at the new level. c. During the movement phase, it is important to keep the driving and restraining forces equal to each other. d. Changes should only be implemented for good reasons and include persons affected by the change in the planning. 10. Which term best describes the stress a new graduate RN experiences during the socialization process when transitioning from the student nurse role to the professional RN role? a. Student burnout b. Reality shock c. Role redefinition d. Role confusion 11. Good management in staffing nursing units in larger healthcare facilities usually includes all but which one of the following practices: a. Using a decentralized approach to ensure there is adequate staffing throughout the medical center. b. Ensuring that fair and uniform staffing and scheduling policies are in place. c. Using an in-house registry/float pool to assist in covering sick calls, weekend shifts and holidays. d. Using traveling nurses wisely to fill longer term staff vacancies or leaves of absences. 12. According to the Stages of Change Model, which one of the following is NOT accurately described? a. Pre-contemplative: A patient asks his friends about local fitness centers. b. Contemplative: A patient recognizes he needs more exercise. c. Preparation: A patient researches and buys new exercise equipment d. Action: A patient starts exercising 3 times/week with friends. e. Maintenance: A patient gets up and goes to the gym, even though his friend cannot go with him today. 13. After receiving a report from the night-shift RN, which of the following should the oncoming dayshift RN assess first? a. A 65-year-old man with a draining nasogastric tube who had a bowel resection the previous day b. A 55-year-old man with left-sided weakness who is asking for assistance to use a urinal. c. A 48-year-old woman scheduled for a mastectomy who is complaining of chills. d. A 32-year-old woman who is refusing magnesium hydroxide (Milk of Magnesia) prior to breakfast. 14. A nurse educator is responsible for teaching staff members about the prevention of central line associated bloodstream infection. To prevent infection, a central line dressing change procedure This study source was downloaded by 100000831988016 from CourseHero.com on 04-17-2022 00:29:39 GMT -05:00 https://www.coursehero.com/file/30980910/Exam-1-leaderdocx/ has been updated. The staff needs to be informed of the change in hospital procedure. Which method of education would best enhance the staff’s retention of this information? a. Vendor in-service program on new type of central line dressings available b. In-service education training program on the new procedure c. Brief educational “huddles” for staff conducted by each charge nurse at the change of shift. d. An IV therapy refresher course for all staff RNs. 15. A RN working the evening shift has just finished receiving a report on the following clients. Which client should the RN see first? a. A 46-year-old male postoperative day 2 for an open cholecystectomy b. A 52-year-old female who had a thyroidectomy and arrived on the unit 1 hour ago. c. A 25-year-old female admitted 4 hours ago for nausea, vomiting, and nonspecific abdominal pain. d. A 60-year-old male with diagnosis of bleeding peptic ulcer disease (PUD) who completed a blood transfusion 2 hours ago. 16. Which best describes mentorship? a. The focus, intensity and duration of relationships are similar in mentorship and preceptorship. b. Staff are not usually assigned to be mentors. It is a role voluntarily chosen by the mentor. c. Person being mentored must be willing to put aside their personal goals and beliefs in an effort to identify more closely with their mentor. d. Most nurses will have the opportunity for many mentor relationships during their careers. 17. The Hawthorne effect implies that: a. People are inherently good and will seek out work. b. Staff productivity will increase or decrease as the lighting in the work area is increased or decreased. c. Membership in small work groups becomes a form of social control. d. Humans respond to the fact that they are being observed. 18. A nurse manager of a behavioral health unit is known for being very organized and focused when managing unit tasks and daily patient care operations. He is comfortable in maintaining order, adheres to the budget and maintains the status quo on the unit. By these behaviors, this leader is demonstrating which one of the following leadership styles? a. Interactional b. Transformational c. Transactional d. authoritarian 19. What is critical thinking? a. It requires reasoning and creative analysis b. It is a simple approach to decision making c. It is narrower in scope than decision making d. It is synonym for the problem-solving process. 20. A RN preceptor is observing a newly hired registered nurse on the unit who is preparing to administer a blood transfusion. Which of the following actions by the newly hired registered nurse requires intervention by the RN preceptor? a. Inserts a large-bore IV catheter into the client forearm. b. Administer 0.9% sodium chloride IV. c. Verifies blood compatibility and expiration date of the blood with an unlicensed assistive personnel (UAP) This study source was downloaded by 100000831988016 from CourseHero.com on 04-17-2022 00:29:39 GMT -05:00 https://www.coursehero.com/file/30980910/Exam-1-leaderdocx/ d. Assesses for a history of blood transfusion reactions. 21. Which client should the RN team leader assess first after morning report? a. A client with diabetes whose capillary blood glucose was 150 mg/dL before breakfast. b. A client who has a heart rate of 110 beats per minute after an albuterol respiratory treatment c. A client with chronic kidney disease who has a creatinine level of 23 d. A client 2 days postoperative colon resection with an oral temperature of 103.6 degrees Farenheit. 22. The most common mistake nurses make in regard to time management is: a. Prioritizing poorly b. Not using the nursing process c. Failing to delegate d. Not taking the time to plan 23. A RN working in the psychiatric unit receives a report on the following four clients. Which client should the RN assess first? a. A client who has paranoid schizophrenia and is pacing the halls b. A client with severe agoraphobia who refuses to leave her room c. A client who is socially withdrawn and refuses to eat d. A client with stage 3 (severe) anxiety who is disoriented. 24. New IV pumps are being delivered to a medical-surgical floor. Which of the following training options should the charge nurse use [Show More]

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