Podcast
Questions and Answers
What is the most consistent concern of the nurse as manager?
What is the most consistent concern of the nurse as manager?
- To coordinate patient care while meeting the agency goals (correct)
- To maintain harmony within the agency
- To organize the subordinates to meet agency goals
- To develop long-range career goals
What action would be an appropriate first step for the nurse to take toward becoming an effective manager?
What action would be an appropriate first step for the nurse to take toward becoming an effective manager?
- Develop communication and interpersonal skills. (correct)
- Assess individuals' sources of power.
- Implement effective nursing care plans.
- Learn how to effect and direct the change process.
What do the responsibilities of the nurse manager include?
What do the responsibilities of the nurse manager include?
- Establishing the nursing care standards to be implemented on the unit
- Developing educational programs to assist staff to meet licensure requirements
- Assisting staff to adhere to organizational policies and procedures
- Planning and organizing how nursing care can most effectively be delivered on the nursing unit (correct)
The nursing staff on a busy unit enjoys autonomy and needs minimal direction for patient care. Which leadership style would be most effective on this unit?
The nursing staff on a busy unit enjoys autonomy and needs minimal direction for patient care. Which leadership style would be most effective on this unit?
Which statement best describes effective leadership by the nurse manager?
Which statement best describes effective leadership by the nurse manager?
The nurse manager is beginning the process of problem solving. Which action should be taken first?
The nurse manager is beginning the process of problem solving. Which action should be taken first?
A nurse is using the decision-making process. Which action should be taken first?
A nurse is using the decision-making process. Which action should be taken first?
Which statement by the nurse shows understanding of the primary advantage in using the group process in decision making? The process
Which statement by the nurse shows understanding of the primary advantage in using the group process in decision making? The process
A nurse is interested in moving into a management position. Which action would assist with accomplishing this?
A nurse is interested in moving into a management position. Which action would assist with accomplishing this?
A nurse is respected by peers for clinical skills and effective interpersonal relationships. The nurse has studied diabetic patient educational needs and consults with several units. What type of power does this nurse possess?
A nurse is respected by peers for clinical skills and effective interpersonal relationships. The nurse has studied diabetic patient educational needs and consults with several units. What type of power does this nurse possess?
The nurse manager on a surgical unit receives notification that multiple victims of a plane crash will arrive at the hospital momentarily. What is the most appropriate leadership style to adopt in this situation?
The nurse manager on a surgical unit receives notification that multiple victims of a plane crash will arrive at the hospital momentarily. What is the most appropriate leadership style to adopt in this situation?
The nurse manager tells the patient that he must eat his breakfast before getting out of bed. What type of power is the nurse manager using?
The nurse manager tells the patient that he must eat his breakfast before getting out of bed. What type of power is the nurse manager using?
Which statement by the staff nurse shows adequate understanding of the nurse manager role? The nurse manager:
Which statement by the staff nurse shows adequate understanding of the nurse manager role? The nurse manager:
The nurse manager is giving a presentation on the disadvantages of democratic leadership in group functioning. Which statement shows an understanding of this type of leadership?
The nurse manager is giving a presentation on the disadvantages of democratic leadership in group functioning. Which statement shows an understanding of this type of leadership?
A nurse is unhappy about the way medications are being administered on the unit. What does the nurse need to do first to facilitate a change in the process?
A nurse is unhappy about the way medications are being administered on the unit. What does the nurse need to do first to facilitate a change in the process?
A nurse wants to implement a change in the work environment. Which of the following actions would be the most important thing to do?
A nurse wants to implement a change in the work environment. Which of the following actions would be the most important thing to do?
If many complaints arise about a newly developed procedure, what is the best way to handle them?
If many complaints arise about a newly developed procedure, what is the best way to handle them?
What types of changes in management can be anticipated with the introduction of generations X and Y to the nursing work force?
What types of changes in management can be anticipated with the introduction of generations X and Y to the nursing work force?
The nurse understands that having a stand-up meeting versus the traditional (sitting at a conference table) meeting takes less time to come to a decision based on which of the following ideas?
The nurse understands that having a stand-up meeting versus the traditional (sitting at a conference table) meeting takes less time to come to a decision based on which of the following ideas?
A nurse manager has an adequate understanding of the nursing role when making which of the following statements?
A nurse manager has an adequate understanding of the nursing role when making which of the following statements?
Which of the following actions is consistent with a nurse leader?
Which of the following actions is consistent with a nurse leader?
A nurse manager has received a report that indicates the infection rate on the unit has gone up by 25% in the past month. The control phase of management requires that the nurse manager take action. What should the nurse manager do?
A nurse manager has received a report that indicates the infection rate on the unit has gone up by 25% in the past month. The control phase of management requires that the nurse manager take action. What should the nurse manager do?
Which of the following actions by the nurse manager would indicate an autocratic management style?
Which of the following actions by the nurse manager would indicate an autocratic management style?
The nurse manager identifies which of the following as the most critical step in problem solving?
The nurse manager identifies which of the following as the most critical step in problem solving?
Which action by the nurse indicates placement in the unfreezing phase of Lewin's Change Theory?
Which action by the nurse indicates placement in the unfreezing phase of Lewin's Change Theory?
Which of the following actions is consistent with a manager? (Select all that apply.)
Which of the following actions is consistent with a manager? (Select all that apply.)
A nurse manager is in the planning phase in a new job. Which action shows this? (Select all that apply.)
A nurse manager is in the planning phase in a new job. Which action shows this? (Select all that apply.)
Which of the following statement by the nurse reflect transformational leaders? (Select all that apply.)
Which of the following statement by the nurse reflect transformational leaders? (Select all that apply.)
Which of the following describes reward power used by the nurse manager? (Select all that apply.)
Which of the following describes reward power used by the nurse manager? (Select all that apply.)
Match the leadership theory with the appropriate description.
Match the leadership theory with the appropriate description.
Flashcards
Nurse Manager's Consistent Concern?
Nurse Manager's Consistent Concern?
Coordinating patient care while meeting agency goals.
First Step to Effective Management?
First Step to Effective Management?
Develop communication and interpersonal skills.
Responsibilities of Nurse Manager?
Responsibilities of Nurse Manager?
Planning and organizing how nursing care can most effectively be delivered on the nursing unit.
Democratic Manager
Democratic Manager
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Effective Leadership
Effective Leadership
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First Action in Problem Solving?
First Action in Problem Solving?
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First Action in Decision-Making?
First Action in Decision-Making?
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Advantage of Group Decision Making
Advantage of Group Decision Making
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Expert power
Expert power
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Evidence-Based Management
Evidence-Based Management
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Understanding the Nurse Manager Role
Understanding the Nurse Manager Role
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Disadvantages of Democratic Leadership
Disadvantages of Democratic Leadership
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First Step to Facilitate Change
First Step to Facilitate Change
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Unfreezing Phase of Lewin's Theory
Unfreezing Phase of Lewin's Theory
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Autocratic Management Style?
Autocratic Management Style?
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Critical Step in Problem Solving?
Critical Step in Problem Solving?
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Managers
Managers
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Nurse Leader Action
Nurse Leader Action
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Study Notes
Nurse Manager Concerns and Responsibilities
- A nurse manager's role includes organizing patient care, directing personnel to achieve agency goals, and allocating resources
- Coordinating patient care while meeting agency goals is the most consistent concern for nurse managers
- Nurse manager responsibilities include planning and organizing how nursing care can be most effectively delivered on the nursing unit
- Attentiveness to the mission and goals of the organization and planning with staff to meet the nursing care goals of the unit within the overall goals of the institution are vital to the nurse manager's role
Becoming an Effective Manager
- To become effective, nurse first develop communication and interpersonal skills
- Effective managers require a balance of management skills and leadership qualities
- A manager performs planning, organizing, directing, and controlling functions
- Nurses should obtain expert power to advance to higher positions
- Expert power is gained via knowledge, experience, and respect in the nursing area
Leadership Styles
- A democratic manager is people-oriented and emphasizes effective group functioning
- A democratic environment has open communication; staff members are encouraged to participate in decision-making
- A democratic manager is willing to make decisions when staff participation is unnecessary
- In a busy unit where staff enjoys autonomy for patient care, a democratic leadership style is most effective
- Authoritarian style emphasizes tasks; using authoritarian style is effective during emergencies or disasters
- A laissez-faire manager maintains a permissive climate with little direction or control
- Effective leadership revolves around focusing a group's efforts on identifying and carrying out activities to reach goals
- The group process in decision-making promotes acceptance of the decision by the group
Power Types
- Expert power is based on specialized knowledge, skills, or abilities and is recognized and respected
- Having information others need to perform their duties indicates informational power
- Legitimate power is based on the person's position within an organization
- Reward power occurs when an individual gives or withholds rewards
- Coercive power comes from fear of the consequences
- Giving an order to a patient is coercive power
Problem Solving and Decision Making
- Always define or identify the problem by asking the what, when, and where of the problem first
- Differentiate facts from opinions and break down information to its simplest terms
- To use the decision-making process, set a clear objective to guide the process
- A good leader works toward developing goals and has a sense of purpose and direction
Change Management
- When unhappy with medication administration on the unit, develop a better method to administer the medications
- To implement workplace change, seek input from coworkers from the beginning
- When complaints arise about a new procedure, analyze the complaints and alter the plan as needed
- A nurse reconsiders what has caused themself to be resistant to change during the unfreezing phase of Lewin's Change Theory
Generational Differences
- Generations X and Y members are typically more independent and like flexible work
- People of those generations value personal time and are responsible for their work outcomes
Evidence-Based Practice
- Using evidence-based protocols and interventions is expected in clinical decision-making for nurses
- Managers use evidence-based management practices based on demonstrated outcomes
- Stand-up meetings take 34% less time to make decisions
The Nurse Leader & Manager
- A manager is assigned or appointed to a role
- The nurse leader encourages staff to give excellent patient care
- If the unit's infection rate has gone up by 25% in the last month, provide a mandatory handwashing in-service to all staff
Autocratic Management Style
- An autocratic manager uses an authoritarian approach to direct the activities of others
- This manager makes decisions without input from staff
Multiple Responses
- Consistent Actions with being a manager: planning staff meeting agenda, directing assistants on how to divide up patient care, organizing nurses to present, assuming control of hourly rounding
- When in the planning phase, develop goals, define strategies, arrange contingencies
- Transformational leaders: lifelong learners, courageous change agents, and value-driven visionaries
- A nurse manager uses salary increases to motivate staff
Matching Leadership Theories
- Interactional leadership develops trust in relationships, uses democratic concepts of management, and views tasks from a team member standpoint
- Transactional leadership holds power and control by providing incentives when followers respond positively to the leader's vision
- Situational leadership involves analyzing a situation and selecting a leadership style that will best address issues
- Transformational leadership is a process in which leaders and followers work together to change or transform the organization
- Contingency leadership is when leadership is flexible enough to address varying situations
- Complexity theory needs to look at systems, such as those in healthcare organizations, as patterns of relationships and interactions that occur
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