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Leadership exam 1
| Question | Answer |
|---|---|
| How do you best prepare for an interview? | Research the hospital's mission and vision statement |
| A nursing student will be graduating in 2 months and is beginning a job search. Which venues are appropriate for a job search? (Select all that apply) | Health organization online boards; Online search; Peer and professional reviews/recommendations |
| What should an applicant do if they are unsure of the name and title of the person to whom a cover letter should be addressed? | Call the facility and obtain the person's name and title |
| A new nurse decides to use the internet to apply for available positions. How does applying online compare to applying by more traditional method(s)? | The resume and cover letter should be reviewed by someone with excellent skills in grammar because writing lensure accuracy of the document. |
| What should be avoided when writing a cover letter or resume? | Abbreviations |
| What qualities should a new graduate nurse state on a resume? (Select all that apply) | Responsibility; Accountability; Interpersonal skills; Integrity |
| What should an objective statement on a resume align with? | Objective statement aligns w/ you and The position being sought |
| What should be listed on a resume in chronological order? | Education and work experience |
| How should work experience be organized on a resume? | In chronological order |
| How should a current job be described on a resume? | Using present tense |
| How should a past job be described on a resume? | Using past tense |
| When there is a gap in employment history, how should jobs be listed on a resume? | In chronological order |
| Your interview is next week. How should you prepare? | Prepare for situational questions and familiarize yourself with your resume content |
| A recruiter asks, "Will working interfere with your husband's schedule?" What type of interview question is this? | An illegal interview question |
| A new graduate arrives for the first interview feeling prepared and excited about beginning a nursing career but quickly becomes concerned when the recruiter asks which illegal question? | "Because you are applying for a recovery room position, you must be on call. Do you have children you will need to make arrangements for?" |
| What is the appropriate time to arrive for an interview? | Approximately 15 minutes before the interview starts |
| What attire is appropriate for a nursing interview? | A pantsuit, dress suit, or appropriate business attire |
| What clothing should be avoided during an interview? | Blue jeans; Shorts; Clothing that is too short; Clothing that is too tight |
| What are appropriate grooming recommendations for an interview and what to avoid? (Select all that apply) | Conservative makeup; Avoid perfume or cologne; Avoid large bulky jewelry |
| How many copies of your resume should you bring to an interview? | Two copies |
| Why should you bring two copies of your resume to an interview? | One for the interviewer and one for your own reference |
| What should you do until the interviewer invites you to sit down? | Remain standing |
| What behaviors create a positive first impression during an interview? | Smile and make eye contact |
| When should a thank-you note be sent after an interview? | Within 1 to 2 days after the interview |
| What type of thank-you note is recommended after an interview? | A handwritten thank-you note |
| Why should you send a thank-you note after an interview? | To thank the manager and help them remember you |
| What is the purpose of a cover letter? | To sell yourself |
| How long should you wait before following up with a recruiter after an interview? | f you have not heard back, contact the recruiter 1 to 2 weeks after the interview |
| Should you bring an updated resume that differs from the one submitted with your application? | No, bring two copies of the same resume |
| Why should interview attire be practical as well as professional? | You may be walking around the hospital |
| What expertise leadership skill do nurses bring to management roles? | cost effective problem-solving |
| What is a mission statement? | The purpose of an organization and the reason it exists |
| The statement, "We will provide high-quality, cost-effective health services that patients and families recommend, employees are proud of, and the community values," was sent on a hospital's website. Is this a mission, vision, or value statement? | Mission statement |
| What is a vision statement? | The future goals and aims of an organization |
| How does an organization use a vision statement? | To describe how it sees itself in the future |
| The statement, "We strive to be a leader in world health." Is this a mission statement, vision statement, or value? | Vision statement |
| What is a policy? | A broad guide that directs organizational decision making |
| What is the purpose of a policy? | To guide organizational decision making and help coordinate plans |
| Who should organizational policies apply to? | All employees |
| What qualifies as a policy? (Select all that apply) | Patient Bill of Rights; Employment absence; Do Not Resuscitate, |
| What is a procedure? | Specific step-by-step directions used to complete an objective |
| How is a procedure different from a policy? | A procedure outlines the specific steps needed to complete a task and who can perform them. |
| The difference between a policy and a procedure is that procedures do what? | Outline the specific steps needed to complete a task |
| Catheter care, Tracheostomy care, and CVAD care. Are these examples of policies or procedures? | Procedures |
| Handwashing, Do Not Resuscitate (DNR), Patient Bill of Rights, Patient privacy, and informed consent. Are these examples of policies or procedures? | Policies |
| A new nurse wants to understand the chain of command and hierarchy within the organization. What resource should the nurse use? | An organizational chart |
| What is the purpose of an organizational chart? | Visual chart w/ lines of authority + lines of communication |
| What do regulatory agencies do? (Select all that apply) | Set standards for healthcare facilities; Ensure compliance with state and federal regulations; Investigate complaints from consumers, families, and the public |
| Do regulatory organizations create hospital policies? | No, they enforce standards and regulations |
| The healthcare industry is a highly regulated environment. One governmental agency setup the "Conditions of participation" which are rules designed to improve quality and protect the health and safety of the beneficiaries, this agency is: | Center of Medicare and Medicaid Services (CMS) |
| The act of guiding or influencing people to achieve desired outcomes is | leadership |
| What is the relationship between leadership and management? | Not all leaders are managers, and not all managers are leaders |
| Leadership is best defined as what? | Inspiring people to accomplish goals through support and confidence building |
| What is the difference between a leader and a manager? | A leader influences people to accomplish goals |
| What is followership? | An individual who accepts the influence, guidance, and direction of a leader to accomplish group goals. |
| Who determines a leader's degree of power? | Followers. |
| Which group determines a leader's extent of power? | Followers. |
| Which characteristics describe an effective follower? SATA | Skilled self-directed questions leaders' decisions asks for direction if unclear participates in groups. |
| The nurse manager establishes a goal that patient falls will decrease by 20% over the next 6 months. Which management function is being demonstrated? | Planning. |
| The CFO is reviewing the goals of the organization, predicting revenues, & expenses, & looking at services for the coming year. What stage of the process is the CFO completing? | Planning. |
| The manager of the staffing office is discussing the staffing plan with other nurse managers at lunch. Which statement by the staffing manager effects an understanding of the goal or staffing? | I need to staff with the appropriate number and mix of nursing staff. |
| A nurse manager delegates patient rounds with the physician to the charge nurse. Which management function is being practiced? | Directing. |
| What are three activities included in directing? | Delegating, coaching, and motivating. |
| What is benchmarking? | Standard by which things are measured. |
| A hospital compares current outcomes to previous performance data. What is this process called? | Benchmarking. |
| What is the management sequence? | Planning, organizing, staffing, directing, and controlling (POSDC). |
| What does POSDC stand for? | Planning, Organizing, Staffing, Directing, and Controlling. |
| The nurse determines the difference between a leader and a manager is that a? | A manager is responsible for efficiently accomplishing organizational goals. |
| The leadership style in which a manager adapts their style based on the situation and task is called what? | Situational leadership. |
| What does Systems Theory view an organization as? | A set of interrelated parts that work together to make a whole. |
| Systems Theory emphasizes focusing on what? | The whole organization. |
| What is Trait Theory? | The belief that leaders are born with certain leadership characteristics and not made. |
| Trait Theory assumes leaders are born or made? | Born. |
| If a question describes honesty, integrity, and other leadership characteristics, which theory is being referenced? | Trait Theory. |
| A leader who motivates the people following them is demonstrating what type of leadership? | Transformational leadership. |
| A nurse manager produces results of clinical satisfaction and clinical outcomes. She reiterates the same quality when teaching the staff nurse. What type of leadership is this?. What leadership style is this? | Transformational leadership. |
| Which leadership style focuses on inspiring followers to achieve a shared vision? | Transformational leadership. |
| The manager wants the unit to be a place where all nurses want to work & patient Satisfaction is high, & where care Is innovative & interdisciplinary. Staff are encouraged to bring best practices to the unit and improve what type of leadership is this? | Transformational |
| Which leadership style relies on organizational power and authority? | Transactional leadership. |
| A charge nurse is focused on staffing schedules, stocking the crash cart, and ordering supplies. What type of leader is this? | Transactional leader. |
| A manager is comfortable with the status quo and relies on position power. What type of leadership is being demonstrated? | Transactional leadership. |
| What is a characteristic of transactional leadership? | Rewards staff for desired work. |
| What is an outcome of transactional leadership? | Work is supervised and completed according to rules. |
| Which leadership style focuses on maintaining operations and ensuring task completion? | Transactional leadership. |
| What phrase best describes autocratic leadership? | "I'm in charge." |
| Which leadership style involves the leader making all decisions? | Autocratic leadership. |
| In which leadership style is there little or no staff input? | Autocratic leadership. |
| In autocratic leadership, communication primarily flows in what direction? | Downward. |
| Which leadership style tells staff exactly what to do? | Autocratic leadership. |
| What is a disadvantage of autocratic leadership? | Can create hostility and dependence. |
| A fire occurs in a building. Which leadership style is most appropriate? | Autocratic leadership. |
| A nurse on the unit tells the nurse manager that the evening shift has identified a self-schedule. The nurse manager states we will be scheduling criteria something to make the schedule. Which type of leadership style demonstrated by the nurse manager? | Autocratic leadership. |
| What is a key characteristic of laissez-faire leadership? | Provides complete freedom for individual or group decisions. |
| Which leadership style promotes noninterference and allows events to take their own course? | Laissez-faire leadership. |
| What type of leadership works best with professionals who require little guidance? | Laissez-faire leadership. |
| Which leadership style is unwilling or unable to provide guidance? | Laissez-faire leadership. |
| What communication method is commonly used by laissez-faire leaders to avoid conflict? | Emails or memos. |
| What is the emphasis of laissez-faire leadership? | The group. |
| Which leadership style provides little direction and little criticism? | Laissez-faire leadership. |
| What phrase is commonly associated with laissez-faire leadership? | "You're on your own." |
| A graduate nurse asks the charge nurse if the doctor should be called when a patient complains of feeling weak. The charge nurse defers the decision back to the nurse stating, “its ur patient, do what u think is best”. what type of leardership is this? | Laissez-faire leadership. |
| What is a disadvantage of laissez-faire leadership? | Group members may become apathetic or disinterested. |
| Which positions are examples of formal leadership? SATA | Charge nurse, director, nurse manager. |
| A new nurse on the unit has been asked to orient and serve in the role of charge nurse for the evening shift. What type leadership will the nurse demonstrate? | Formal leadership. |
| What is a characteristic of informal leadership- authority or no authority? | No official authority to act. |
| Can informal leaders influence others? | Yes, through persuasion and influence. |
| Can informal leaders influence group attitudes? | Yes, positively or negatively. |
| A nurse with years of experience influences coworkers despite having no management title. What type of leadership is this? | Informal leadership. |
| Can a leader lead without power? | No. |
| A nurse is concerned about 3 of the UAPs who take lunch at the same time each day leaving the unit with little coverage during meals. The nurse told her concerns to the Nurse Manager in a logical, factual manner. What behavior is being used? | Rationality. |
| Presenting information in a logical and factual manner is known as what influence behavior? | Rationality. |
| A staff nurse refused to cover another nurse’s shift. The nurse manager denied the nurse’s request off. What type of power is this? | Coercive power. |
| What type of power involves punishment or the threat of punishment? | Coercive power. |
| A graduate nurse recognized the valuable opportunity to have a preceptor that is highly respected by both themedical and nursing staff. What type of power is this?? | Referent power. |
| The nurse who is proficient and skilled on the unit is used as a preceptor on the unit. This type of power is referred as? | Expert power. |
| What is expert power? | Power gained through knowledge, skills, and expertise. |
| You learn from highly respected medical staff. | Expert power. |
| The Chief Nursing Officer (CNO) has what type of power? | Legitimate power. |
| What is legitimate power? | Power that comes from an official position or title. |
| The nurse has received a performance appraisal from the nurse manager. Which action by the nurse manager requires follow up and intervention? | the nurse manager should only use data that has been formally observed and formally documented data should not just represent isolated incidents. |
| What actions contribute to a successful performance appraisal? SATA | Allowing time to set mutual goals with the employee and providing specific examples of performance behavior. |
| Where should you expect your evaluation result and there should be no what? | Should be in a quiet and controlled area and There should be no surprises |
| Should performance appraisals be based on isolated incidents? | No. |
| During a performance appraisal, what should a manager provide? | Specific examples of performance behavior. |
| Performance appraisals should measure performance against what? | The employee's job description. |
| What are the types of stipulations that come with the disciplinary process? Select all that applies. | b. A lesser infarction, like failing to chart on time, should result in having to complete a progressive performance plan c. The deficiencies need to be written down in paper form and laid out d. Mistreatment of patient leads to dismissal |
| Where should you expect your evaluation result? | Should be in a quiet and controlled area and There should be no surprises |
| What structured language helps contribute to a culture of safety? Select all that applies. | Time-outs read-back and handoff reports. |
| How do the 10 principles of redesign of healthcare is being applied in nursing? SATA | Read-back, label labs at the bedside before leaving, timeout, handoff report, and patient identification. |
| In a culture of safety, safety is important to? | Safety is equally important to every member of the hospital |
| One practical method that an ER nurse can use to incorporate a culture of safety into the daily workflow is to: | Conduct bedside shift reports. |
| As part of new hire orientation, the Patient Safety Officer discussed safety in healthcare and its impact on the organization. The new nurse understands which statements are true about safety in healthcare? SATA | All providers must participate for a safety program to be effective The most effective care is based on research. |
| A nurse looks up literature to learn how to do a skill for a particular patient. What part of the STEEP principle is she using? | Effective. |
| When making the decision to pull a nurse from one unit of the hospital to another unit of the hospital to cover a staffing vacancy, the nurse manager should consider which of the following? (SATA) | Education, knowledge and skills, competency level, and experience. |
| According to the 10 principles of redesign of healthcare, who is the source of control? | The patient. |
| Who defines quality? | The patient. |
| What are some principles of redesign health? Select all that apply. | All providers are responsible for patient safety; decision making is research based. |
| What should a nurse do to mitigate the root causes of error and uphold safety? Select all that apply. | Follow policies and procedures participate in quality audits on the unit read journals about current safety issues. |
| In 2000, the IOM recognized that healthcare was harming patients. In the report, "To Err is Human: Building a Safer Healthcare System," several principles were identified to redesign healthcare. Which statements reflect the recommendations? SATA | 1. The patient's needs are anticipated 2. knowledge is shared freely. |
| I won't get punished; I will improve is an example of what? | Just culture |
| What are some goals of the NPSG? Select all that apply. | 1. Ensure patient safety is prioritized 2. use two patient identifiers 3. report errors 4. identify patients at risk for suicide. |
| The quality manager, who is conducting an orientation class for new hires, discussed mandatory event reporting requirements for the hospital. The events identified that are required to be reported include (SATA) | Abuse and neglect wrong-site surgery patient suicide attempt infant abduction. |
| What is the PDSA cycle? | Plan, Do, Study, Act. |
| In the Plan, Do, Study, Act (PDSA) model of quality, which step reflects the adoption of the change? | Act. |
| A risk manager has convened a multidisciplinary team to participate in a root cause analysis (RCA) to discuss a patient who fell and sustained an injury. The team members understand that the purpose of the RCA is: | To understand the systems and processes in the organization that contributed to the event. |
| The nurse manager is very concerned that the unit HCAHPS scores have decreased. Which activities could the nurse manager implement to improve the unit? (SATA) | 1. Staff introduce themselves during each patient encounter 2. fill out the patient room whiteboard each shift; 3. include patient-specific medication teaching and discharge packets 4. have a secretary greet new patients and walk them to their room. |
| The quality director is working on a presentation for the medical executive committee about the steps used in the quality improvement process. Which of the following statements accurately reflect the process? (SATA) | 1. Put together an interdisciplinary team to review data 2. establish measurable outcomes and quality indicators 3. implement a plan to meet the outcomes. |
| What is a Fishbone Diagram used for? | Cause-and-effect analysis. |
| What is the purpose of a Fishbone Diagram in quality improvement? | To identify cause-and-effect relationships. |
| What is a flowchart used for? | To show what is occurring and causing a problem. |
| How does a flowchart help in quality improvement? | It shows the steps in a process and helps identify where problems occur. |
| A nurse on the unit tells the nurse manager that the evening shift has identified a self-schedule. The nurse manager states we will be scheduling criteria something to make the schedule. Which type of leadership style demonstrated by the nurse manager? | Authoritative |
| Theory can be illustrated with a case situation. | Chaos |
| Type of analysis used in strategic planning. | SWOT |
| Act of influencing people. | Leadership |
| Theory that assumes leaders are born with certain leadership characteristics. | Trait |
| Step-by-step directions that provide guidelines for commonly occurring events. | Procedure |
| Management function that determines the type and number of people needed based on the budget and goals. | Staffing |
| Serves as a guide for organizational decision making. | Policy |
| Describes future goals of the organization; most desired state. | Vision |
| Theory stating anything that affects one part of the organization will affect other parts of the organization. | Systems |
| Type of authority given to determine if organizations meet the conditions of participation. | Deeming |
| Flows from the mission statement; guides all actions of the organization. | Philosophy |
| The management function where coaching occurs. | Directing |
| The management function where results of work are compared with a standard of performance. | Controlling bc its an evaluation |
| Group of population increasing faster than any other group of the population. | Elderly |
| Coordinating the resources of people, time, supplies to achieve a desired outcome. | Management |
| Theory where no one leadership style is ideal for every situation. | Contingency |
| Beliefs that guide the organization's activities. | Values |
| Theory that studies interrelationships of multiple components or parts. | Complexity |
| Assembling the required resources. | Organizing |
| Organizations that ensure compliance with state and federal laws. | Regulatory Organizations |
| Chart that is a visual picture identifying lines of authority in the facility. | Organizational Chart |
| Forecasts the future success of the organization by aligning organization's capabilities with external opportunities. | Strategic Plan |
| Describes the reason the organization exists. | Mission |
| Set of rules established to improve quality and protect beneficiaries. | Conditions of Participation |
| All management functions are based on this. | Planning |
| What is a gap analysis? | A process that compares current performance to desired performance and identifies what needs to change to close the gap. |
| What is the primary responsibility of management? | Maintaining control of day-to-day operations |
| What is planning? | Deciding in advance what will be done, who will do it, and identifying goals and objectives |
| What are technical skills in leadership? | Clinical expertise and nursing knowledge |
| What are human skills in leadership? | The ability and judgment to work with and lead people |
| What are conceptual skills in leadership? | The ability to see the big picture and understand how parts of the organization fit together and affect one another |
| What type of situations are not good for democratic leadership? | Emergencies |
| What is democratic leadership? | A relationship-oriented leadership style that encourages staff participation in decision making |
| What phrase best describes democratic leadership? | "We" not "I" |
| A leadership style in which a nurse is formally appointed and given authority to act by the organization. Is this formal or informal leadership? | Formal Leadership |
| A leadership style that emerges naturally from a group's respect, influence, or expertise rather than an official position. Is this formal or informal leadership? | Informal Leadership |
| The legitimate right to direct others that is granted by an organization based on an individual's position. What is this? | Authority |
| Expressing your opinion without violating the rights of others. What is this? | Assertiveness |
| Trying to make another person feel important through praise or sympathy to advance yourself. What is this? | Ingratiation |
| Using logical arguments, relevant information, and reasons to persuade others. What is this? | Rationality |
| Using threats or consequences to influence someone (e.g., "If you don't do X, Y will happen."). What is this? | Sanctions |
| Persuading someone by offering an something or trade of something in return. What is this? | Exchange |
| Going to a higher authority or above someone's head to gain influence. What is this? | Upward Appeal |
| Deliberately preventing others from getting their way by ignoring, excluding, or not cooperating with them. What is this? | Blocking |
| A group coming together and speaking with one voice to increase influence. What is this? | Coalition |
| Power based on a person's position or title within an organization. What type of power is this? | Legitimate Power |
| The ability to reward others for complying with instructions through money, recognition, or other benefits. What type of power is this? | Reward Power |
| Power based on fear of punishment or negative consequences for failing to comply. What type of power is this? | Coercive Power |
| Measuring an employee's performance against established standards. What is this? | Measurement |
| An evaluation of how well an employee performs job duties based on the job description, often beginning with a probationary evaluation. What is this? | Performance Appraisal |
| Performance that must be directly observed to be evaluated effectively. What is this? | Behavior |
| The ability to perform a task based on clinical skills, knowledge, and experience. What is this? | Competency |
| A performance appraisal in which employees evaluate their own performance. What type of appraisal is this? | Self-Assessment |
| A performance appraisal in which coworkers provide feedback on skills, performance, attitude, and competency. What type of appraisal is this? | Peer Review |
| A performance appraisal that gathers feedback from multiple people in the organization and combines it into one report. What type of appraisal is this? | 360 Degree Feedback |
| A performance appraisal completed by a supervisor using a standardized evaluation tool. What type of appraisal is this? | Written by Manager |
| An employee is rated positively or negatively based on one event or one skill. What type of appraisal bias is this? | Halo Effect |
| The most recent events have the greatest influence on an employee's evaluation. What type of appraisal bias is this? | Recency |
| All employees receive the same rating regardless of their actual performance. What type of appraisal bias is this? | Leniency |
| An evaluator rates employees more favorably because they are similar to them. What type of appraisal bias is this? | Similar-to-Me |
| Employees are evaluated by comparing them to each other rather than using the evaluation criteria. What type of appraisal bias is this? | Contrast |
| An evaluator focuses only on negative experiences and ignores positive performance. What type of appraisal bias is this? | Horns Effect |
| An evaluator avoids giving very high or very low scores, sso everyone gets central/median rating. What type of appraisal bias is this? | Central Tendency |
| Being under the influence of drugs or alcohol while on the job results in termination without going through the disciplinary process. What is this? | Immediate Termination |
| A healthcare culture that focuses on preventing harm and proactively improving patient safety rather than reacting after errors occur. What is this? | Culture of Safety |
| Care that prevents injuries and harm to patients. Which quality aim is this? | Safe Care |
| Care that reduces waits and harmful delays. Which quality aim is this? | Timely Care |
| Care based on scientific knowledge and evidence. Which quality aim is this? | Effective Care |
| Care that reduces waste of resources. Which quality aim is this? | Efficient Care |
| Care that does not vary in quality because of gender, ethnicity, or socioeconomic status. Which quality aim is this? | Equitable Care |
| Care that is respectful of and responsive to patient preferences, needs, and values. Which quality aim is this? | Patient-Centered Care |
| A culture that emphasizes learning and accountability rather than blame and punishment when mistakes occur. What is this? | Just Culture |
| Competent professionals sometimes make mistakes, and the focus should be on learning and accountability rather than blame. What is this? | Just Culture |
| Taking shortcuts because a person believes the risk is justified. What type of behavior is this? | At-Risk Behavior |
| Completely ignoring safety steps. What type of behavior is this? | Reckless Behavior |
| A quality improvement model that involves planning a change, implementing it, evaluating the results, and acting on the findings. What is this? | PDSA Cycle |
| Predetermined principles of excellence that guide professional practice. What are these? | Standards |
| A quality improvement tool that examines the steps in a process. What is this? | Flow Chart |
| A quality improvement tool used to identify cause-and-effect relationships involving people, processes, and the environment. What is this? | Fishbone Diagram |
| A bar graph used to display the frequency of events. What is this? | Pareto Chart |
| A process used to identify system issues and solutions rather than assign blame. What is this? | Root Cause Analysis (RCA) |
| A quality improvement process in which everyone involved contributes input to identify system issues and solutions. What is this? | Root Cause Analysis (RCA) |
Created by:
fsanoe