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Leadership Final Nclex Exam Questions And
Accurate Answers
A nurse manager approaches a nursing staff member and gives her a book to read about bedside nursing. What kind of leadership is the manager using? A) Transactional B) Transformational C) Vertical and Collaborative D) None of the above - answer B) Transformational A nurse wants to develop better leadership. She asks her manager what she can do to improve her ability to lead. Which of the following did the manager tell her to do? (select all that apply) A) Lead by example B) Accept responsibility C) Have a clear vision D) Read leadership books - answer A) Lead by example B) Accept responsibility C) Have a clear vision A student nurse has her clinical o a medical-surgical unit. She has been encouraged to be a leader, but does not know how to be a leader as a student. Which is a way she can apply her leadership abilities? (select all that apply) A) Learn to deal with conflict B) Be on time for clinical C) Evaluate her nursing interventions and their outcomes
D) Work as hard as she can by herself. - answer A) Learn to deal with conflict C) Evaluate her nursing interventions and their outcomes A nurse manager frequently stays in the office, rarely checking in on the staff or making rounds in patient rooms. This manager recently made a decision to improve quality care. A new nurse asks the manager how to carry out this new decision, but the manager replies, "Ask another nurse. Just figure it out. I don't have time to explain." Which standards for a healthy work environment is the manager lacking in this situation? (Select all that apply) A) Collaboration B) Communication C) Decision making D) Accountability E) Self-actualization - answer A) Collaboration B) Communication D) Accountability A nurse manager on a telemetry unit recently made a decision without considering the effects it might have in the workplace and the overall missions and goals. This manager is not giving thought to which of the following roles of the manager? A) Consuming Research B) Mentoring C) Case Management D) Quality Indicators E) Organizational Culture - answer E) Organizational Culture Nurse managers are often leaders of change. In order to do this effectively, the nurse manager should have several practices to enforce this change and achieve patient safety. Which of the following is NOT an example of enforcing change in the work environment? A) Encouraging and participating in the change movement
on this unit. C. Share with their team members what they know about the aims of providing health care. D. Share with the physician the recommendations from various IOM reports. - answer C. Share with their team members what they know about the aims of providing health care. Mr. Dennis was admitted to a rehabilitation center after discharge from a hospital. He has not walked in 5 days while he was hospitalized and is provided a wheelchair. Dining with other residents is expected, and staffing is limited on a holiday weekend. What is the best strategy to be sure Mr. Dennis has sufficient nutrition and exercise? A. Request help from another unit before dinner and indicate the nature of help needed. B. Tell Mr. Dennis to stay in bed and someone will bring a tray to his room because the staff can't get him to the dining room in time for dinner. C. Order a lift device to transfer Mr. Dennis from his bed to the wheelchair. D. Assist Mr. Dennis into his wheelchair and remind him that in 2 hours he must be in the dining room if he wished to eat. - answer A. Request help from another unit before dinner and indicate the nature of help needed. What is the ideal response to change? a. An innovator b. A late majority person c. A laggard
d. None of the above. - answer d. None of the above. Select all that apply: What disciplines are included in the five organization disciplines to support change and evolution? a. Shared vision b. Mental models c. Create urgency d. Team learning - answer a. Shared vision b. Mental models d. Team learning Throughout the change process, what is the most important factor? a. the leader's personal opinions b. patient-centered care c. rapport building and team unity d. motivating change agents - answer b. patient-centered care An orienting nurse on a neurological surgical floor asks her nurse manager why she has to know and understand legal principles, such as the nurse practice acts, negligence and malpractice, confidentiality, privacy, etc. What responses by the nurse manager are correct? Select all that apply A) "If you know and understand legal principles, it will minimize your own and my liability." B) "You don't have to know them, that is my job only."
D) If pt. is confused about what the HCP explained and asks the nurse about it, the nurse is required to inform the HCP "if the pt. asks questions that alert the nurse to the inadequacy of true comprehension on the pt.'s part or express uncertainty about signing the document, the nurs - answer A) Nurses must assess the patient's health literacy before having them sign informed consent the validity of informed consent is being called into question more and more d/t issues r/t health literacy C) Informed consent is based on legal capacity, voluntary action, and comprehension three requirements for informed consent to be considered legal document D) If pt. is confused about what the HCP explained and asks the nurse about it, the nurse is required to inform the HCP "if the pt. asks questions that alert the nurse to the inadequacy of true comprehension on the pt.'s part or express uncertainty about signing the document, the nurse has an obligation to inform the primary HCP" What are the benefits of the meaningful use of EHRs? (SATA) A. Patient confidentiality B. Complete and accurate information C. Better access to information D. Patient empowerment - answer B. Complete and accurate information C. Better access to information D. patient empowerment You are a nurse manager working in the ED. A patient has just arrived and a full trauma has been activated. The patient requires immediate attention and you give directions to your staff using this decision making style.
a. Shared b. Informative c. Optimizing d. Autocratic e. Decisive - answer d. Autocratic You have called a staff meeting to discuss caseload complaints as an entire group. You facilitate them in a conversation and come up with a mutually agreed upon solution. As a result from this group decision your staff: SELECT ALL THAT APPLY a. Feels valued and respected b. Knows they have a voice in all future caseload decisions c. Has a higher morale toward the decision d. Will have higher participation in the solutions implementation e. Will leave with every member completely satisfied - answer a. Feels valued and respected c. Has a higher morale toward the decision d. Will have higher participation in the solutions implementation You, a nurse leader, realize you have several nurses failing to document patient assessments. To solve this problem your first step is: a. Address the issue with the nurses b. Identify why the nurses are failing to chart patient
C. Have coffee with someone from another department D. Select people who possess skills you lack E. Web based social networking sites such as LinkedIn Nurses who teach patients use what kinds of power? (Select all that apply) A. Expert Power B. Personal Power C. Information Power D. Position Power - answer A. Expert Power C. Information Power D. Position Power A CT scan machine unexpectedly broke on floor 6 East of Utopia Hospital. Then nurse manager needs to properly use her budgeted money to pay for a replacement. What type of budget will the nurse manager need to pull from to allocate the money to replace the CT scan machine? A. Operating budget B. Personnel budget C. Supply/Non-supply budget D. Capital budget - answer D. Capital budget How is healthcare financed? Select all that apply.
A.Out-of-pocket B.Stock market sales C.Private health insurance D.Government - answer A.Out-of-pocket C.Private health insurance D.Government How does a Not-for-profit hospital operate? Select all that apply. A. Paying taxes B. Reinvesting all profits back into the organization to better serve the public C. Profits redistributed to investors and managers D. Not paying taxes - answer B. Reinvesting all profits back into the organization to better serve the public D. Not paying taxes Sarah, a nurse manager on the medical surgical unit wants her team to collectively participate during meetings and big training events. What reasons should the staff participate? (Select all that apply) a.) Promote professional nursing practice b.) Ensure standards of care are good enough
hired - answer b.) Authority is based on participation and experience A Physician confronted a nurse asking why the blood pressure medications of a certain patient was being held over the past few days and he was not notified. The nurse replies, "I'm not sure. I was not aware that happened. I have only had this patient for two hours. Let me look into it for you." The Physician rudely begins raising his voice, "there's no need to look into it, I've looked at his medications for the past twenty minutes, and it makes no sense! Who is at fault for this?" Using this scenario, which type of conflict is present? A. Organizational Conflict B. Interpersonal Conflict C. Intrapersonal Conflict D. Staffing Conflict - answer B. Interpersonal Conflict Two nurses are having a disagreement about an ethical dilemma that occurred on their unit. The nurse manager tries to understand the conflict, but the nurse manager must realize that: (Select all the Apply) A. It is best to stay out of conflicts that are ethical dilemmas B. Conflicts occur when there is a difference in priority C. People see scenarios differently based on their background or opinion D. Interpersonal conflicts may be a catalyst for change - answer B. Conflicts occur when there is a difference in priority C. People see scenarios differently based on their
background or opinion D. Interpersonal conflicts may be a catalyst for change Sally RN is working on 4W a Medical Surgical Unit. Today she is caring for 5 patients; two of the patients are post op day two, one of the patients is being treated for diabetic ketoacidosis, and two new patients fresh out of surgery. Barb RN asks Sally if she can give a Tylenol to her patient in 401 (Barb's only patient on the floor). Barb explains to Sally she would like to eat lunch before her two patients get back on the floor. Sally looks at Barb and states, "Actually I do mind, I have five patients and you only have one on the floor. Go give the Tylenol yourself." Which Stage of Conflict is Sally identifying with: A. Conceptualization B. Outcomes C. Frustration D. Action - answer C. Frustration Susan is educating her staff regarding recent issues with conflict resolution at a unit meeting. Susan explains the importance of conflict resolution and how it is important in the work environment. She informs the staff that there are five modes of conflict resolution, which modes would she tell the staff about? (Select all that apply) A. Avoiding B. Collaboration C. Productivity D. Competing E. Accommodating - answer A. Avoiding
A 22 year old female was admitted onto your unit and you are assigned to be her nurse. She is a practicing Muslim and requests to be in a room with a window facing Mecca so that she can practice Salah (prayer times). As a faithful Christian you do not agree with her beliefs. Your nurse manager says you must assess your personal beliefs, prejudices, and bias's before taking care of the patient. What cultural competence model is the nurse manager using? A) Giger and Davidhizar B) Campinha-Bacote C) Florence Nightingale D) Neuman Systems Model E) Sunrise Model - answer B) Campinha-Bacote A nurse manager is preparing for a unit meeting. There have been disagreements among nurses regarding different lifestyle and cultural factors. The nurse manager wants her staff to realize that there are ways of handling different lifestyle beliefs. What key principles will she use and explain in the upcoming unit meeting? (select all that apply) A) Cross-culturalism B) Cultural Marginality C) Multiculturalism D) Trans-culturalism E) Ethnicity - answer A) Cross-culturalism C) Multiculturalism D) Trans-culturalism What are some ways that a nurse manager/leader help promote cultural diversity among
their staff members? (select all that apply) A) Sharing stories among co-workers B) Defining a clear mission, goals, and rewards system C) Keeping everyone separated to ponder their own beliefs D) Manage cultural issues like ethnicity, gender, and religion E) Use the concept of avoidance - answer A) Sharing stories among co-workers B) Defining a clear mission, goals, and rewards system D) Manage cultural issues like ethnicity, gender, and religion Some of the board members of a hospital have analyzed data and noticed there have been some gaps in the care pt's are receiving. They are in phase 2 (review of mission statement, philosophy, goals, and objectives) of the planning process and they want to use the S.M.A.R.T. objectives to create a plan for continuing education courses. Which of the following is an example of using the S.M.A.R.T. objectives? A. Each staff nurse should attend a continuing education class. B. There will be 2 continuing education classes held during the months of March and April C. There will be 2 continuing education courses about
A. Brochures B. Act unapproachable C. Newspaper D. Media release E. Word-of-mouth - answer A. Brochures C. Newspaper D. Media release E. Word-of-mouth Which of the following fall under the category of federal level service recipients? (SELECT ALL THAT APPLY) A) Inmates of correctional facilities B) Native Americans C) Chronic Care Facilities D) Military E) Veterans - answer A) Inmates of correctional facilities B) Native Americans D) Military E) Veterans Which of the following is NOT one of the 5 quality measures of Accountable Care Organizations?
A) Length of stay B) Frail elderly health C) Care coordination D) Preventative health E) Patient safety - answer A) Length of stay How many levels are consolidated systems organized into? A) 4 B) 5 C) 6 D) 7 - answer B) 5 What characteristics are organizational structures classified by? Select all that apply A: Complexity B: Formalization C: Geographic dispersion D: Centralization - answer A: Complexity B: Formalization D: Centralization Which of the following statements refer to the mission statement for a neurosurgical unit?
