NURS 3325 LEADING AND MANAGING IN

NURS 3325 LEADING AND MANAGING IN

NURSING ACTUAL EXAM LATEST -

WITH QUESTIONS AND WELL VERIFIED

CORRECT ANSWERS [ALREAD Y GRADED A+]

||GUARANTEED PASS ||BRAND NEW EXAM!!

A staff nurse in the area that you manage has excelled in the delivery of client education. You are considering implementing a new job description that would broaden her opportunity to teach client and orient new staff members to the value of client education. The ethical principle that you are most directly reinforcing is:

• Justice.
• Fidelity.
• Paternalism.
• Respect for others. - ANSWER-C

The manager in the coronary care unit believes that the most important ethical considerations in performance evaluations are that they include the employee's good qualities and that they give positive direction for professional growth. This

belief is an example of:

• Justice.
• Fidelity.
• Beneficence.
• Nonmaleficence. - ANSWER-D
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You pull staff together to assess a situation in which the family of a seriously ill patient is anxious and is absorbing a great deal of staff time in consultation, discussion, and questioning of treatment decisions. Staff members are becoming distanced from the family. After inviting the concerns of staff, you explain that the organization values patient-centered care and suggest that evidence supports that acting as an advocate and a listener is helpful to families. You ask the staff for ideas as to strategies that are effectively patient-centered in these situations. In this situation, you are taking on which role?

• Leadership
• Management
• Follower
• Visionary - ANSWER-A

In response to the situation in Question 15, you approach the unit manager to apprise her of your concerns that the family dynamics of the patient involved may lead to staff-family and patient-family conflicts. You suggest that the physician may need to discuss the treatment plan with the family. The unit manager advises that he will arrange this discussion. If, after the meeting with family members, this is identified as a desired approach, you support the manager's decision. Your actions indicate that you are acting in what role?

• Leadership
• Management
• Follower
• Evidence-based - ANSWER-C

Joan, the nursing unit manager, finds it difficult to work with Thomas, a new graduate. Thomas has many ideas, and his manner of presenting them irks Joan.After reflection and discussion with others, Joan recognizes that she also feels threatened by his behavior. She comes to understand that Thomas is trying to establish his own role on the unit, is not trying to challenge her, and needs guidance, coaching, and affirmation. Joan is demonstrating: 2 / 4

• A positive self-concept.
• Deepening self-awareness.
• Leadership.
• Acquiescence. - ANSWER-B

The unit is shifting from primary nursing to a team model in an effort to contain costs. Staff members are angry and ask for a meeting to discuss the change. After hearing their concerns related to reduction in professional autonomy and care

quality, you:

• Acknowledge the loss.
• Explain the reasons for change, emphasizing the need to reduce costs.
• Repeat the information several times, giving detailed budget overviews.
• Adjourn the meeting and provide explanation through e-mail. - ANSWER-A

The nurse manager in the emergency department needs to implement new staffing

patterns. As a transformational leader, the nurse manager should:

• Explain in detail how well the new idea will work.
• Make staff members think the idea was theirs in the first place.
• Reason with staff members that the new idea will save money and allow more

free time.

• Imply that raises will be smaller than anticipated if the new idea is not accepted.

- ANSWER-B

As a senior executive, you are keen to develop your hospital as a learning organization. Part of your purpose in translating this vision into practice is to

(select all that apply):

• Retain funding from third-party payers.
• Develop leaders. 3 / 4

• Maintain and/or improve quality of care.
• Stay abreast of new knowledge and evidence. - ANSWER-B, C, D

The hospital administration is discussing the possibility of closing hospital beds in your unit because of a nursing shortage and the increased amount of overtime required to care for patients. As the leader on the unit, which of the following examples best demonstrates your effective leadership style?

• Your entire staff walks out on strike.
• Your staff sends an ultimatum to the clinic director demanding higher pay.
• A group of your staff members goes to the administration to propose closing of a

different unit.

• A group of your staff members goes to the administration to request that they be

allowed to work the overtime hours. - ANSWER-C

The new head nurse on G Unit has been the subject of a great deal of discussion and complaining during breaks. She is a competent nurse of tremendous integrity with approximately 30 years' experience. Her predominant method of problem solving and communication is through meetings, which can go over the allotted

time. The staff may:

• Be represented by a high number of Baby Boomers.
• presents different generational values and attitudes than the head nurse.
• Be unresponsive to her transactional leadership style.
• Want a leader rather than a manager. - ANSWER-B

After a newly hired director of nursing has reviewed the hospital's strategic plans,

she develops a timeline for achieving those plans. The new leader is:

• Not expecting that novice leaders would have a vision.
• Inviting a seasoned leader to come and share a vision with the group.
• Getting to know staff members, so they can work together for a few months.
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