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NUR312 Leadership and Informatics
The following describes management more so than it describes leadership: It is "tidy," with steps clearly outlined. It is more of an art than a science. It focuses on renewal of individuals and the group. It seems to generate relative disorder. - correct answer It is "tidy," with steps clearly outlined. Healthcare in the United States faces multiple challenges during these uncertain and chaotic economic times. Each nurse has the most opportunity to affect the healthcare delivery system by demonstrating: Enthusiasm Leadership Motivation Maturity - correct answer Leadership Leadership and management have been acknowledged as related but distinct phenomena. The following characteristics are associated with leadership more so than with management: Tied to a position of authority Goals and visions are those espoused by the organization A focus on doing things right Source of one's power base being knowledge, credibility, and the ability to motivate others - correct answer Source of one's power base being knowledge, credibility, and the ability to motivate others Professional nurses are in an excellent position to provide leadership regarding healthcare issues because of their: Skills of communication Ability to work collaboratively with others Credibility with the public All of the above - correct answer All of the above "Leaders" are often the individuals who take risks and think creatively, and implement different strategies to solve problems. These "leaders" who lead but who are not in a position of authority would include: Nurse managers Staff nurses Nurse supervisors Nurse administrators - correct answer Staff nurses Which of the following statements is not accurate regarding leaders and followers? There can be no leaders without followers.
There can be no followers without leaders. Leaders and followers share many common qualities. Followers are at their best when they seek permission from the leader - correct answer Followers are at their best when they seek permission from the leader Followers support leaders by: Asking questions Giving thoughtful feedback Providing encouragement when leaders take risks on behalf of the group All of the above - correct answer All of the above Followers assume an active role when the leader has credibility. According to Kouzes and Posner, leaders have credibility when they are: Competent, aggressive, and in a position of authority Honest, inspiring, and forward-looking Visionary, controlling, and powerful Demanding, focused on maintaining the status quo, and open - correct answer Honest, inspiring, and forward-looking Characteristics that accurately describe effective followers are often similar to what is used to describe effective leaders and include: Visionary, very dedicated to accomplishing the leader's vision, and tentative with decision-making Reflective, spontaneous, and focused on working as autonomously as possible Self-directing, actively participating, and practicing experts Tentative with decision-making, willing to do anything needing doing, and passionate about one's vision - correct answer Self-directing, actively participating, and practicing experts Power is essential for an individual to effectively lead. However, it is significant that power is used: As an influence to direct the group and realize the vision To control the group and fulfill the vision To reward those who follow exactly the wishes of the leader To consistently strengthen the leaders power base - correct answer As an influence to direct the group and realize the vision Most people believe that leaders are not born leaders but rather become leaders. The following would greatly enable one to become a successful leader: Knowing leadership theory Being a "friend" to all followers Being a graduate of an Ivy League university Having many experiences and interactions with a variety of people - correct answer Having many experiences and interactions with a variety of people
All of the above - correct answer Learning confrontation skills and how to manage conflict effectively Connective leadership demonstrated by many women leaders is a style that fits with today's organizations because it encompasses: Correct! Networking, empowerment of all, and relationship building Primary focus for cost savings, team work, and leader reputation Competitive milieu, independent work, and patient safety Holistic care, use of complementary alternative therapy, and communication - correct answer Networking, empowerment of all, and relationship building In order to teach student nurses to lead more androgynously, curriculum should include: Clinical rotations where students practice the role of team leader and charge nurse Both management and leadership theories Role playing of how to manage conflict in clinical situations Correct! Clinical opportunities for students to shadow both male and female nurse leaders - correct answer Clinical opportunities for students to shadow both male and female nurse leaders Nurses need to be confident and competent in order to practice successfully. The Institute of Medicine (IOM) identifies the following area as one of nursing's utmost priority: Providing safe, quality patient care Identifying lowest risk patients to receive the most care Providing best practice first to older adults Alleviating suffering by enforcing DNR status to patients with >3 comorbidities - correct answer Providing safe, quality patient care Nurses need to change practice focus to generating the best patient outcomes rather than being so centered on accomplishing tasks. One way to do this is to: Use the functional method of nursing care delivery Require all nurses be paired with an unlicensed patient assistant Assign each RN a research project due at the end of every month Practice evidence-based nursing care - correct answer Practice evidence-based nursing care Nurses need to develop new ideas and new ways of working with others. One activity that leaders will need to focus on in order to accomplish this is to: Free up nurses from the bedside Allow nurses to join a union Empower nurses to increase their self-concept and confidence Establish a listserv for all staff to discuss work issues while away from the work setting - correct answer Empower nurses to increase their self-concept and confidence
A successful leader is able to: Accept the status quo if it is working Make a difference no matter what it takes Be reactive to change Have a poor or nonexistant personal life - correct answer Make a difference no matter what it takes Keeping passion alive in an organization is imperative in order to: Manage workers' stress levels Create a competitive atmosphere in which to work Maintain spirit in the workplace Keep the bottom-line focus - correct answer Maintain spirit in the workplace Many leaders feel the most important aspect of being a successful leader is: Spending 75% of their day on their job and 25% on their personal life Believing cost is the bottom line for every decision Being able to successfully communicate one's vision Never having to say "I made a mistake" - correct answer Being able to successfully communicate one's vision Individuals who are acknowledged as leaders often: Are nurtured and guided by others Seek opportunities to "test" the leader role Study others who have been leaders All of the above - correct answer All of the above Environments that promote the development and enhancement of leadership: Are trusting, open, and dynamic Maintain the status quo and use previously demonstrated areas of expertise Encourage questioning and expect perfection Are highly competitive and leader-dominated, and limit interaction among members - correct answer Are trusting, open, and dynamic The following is a MYTH about mentors and mentoring: The mentor must be more experienced than the neophyte Mentoring is always beneficial to both parties Either the mentor or the neophyte can initiate the relationship A person may have several mentors throughout his or her career - correct answer The mentor must be more experienced than the neophyte
Anxiety and depression Managed care and end-of-life care - correct answer Uncertainty and unpredictability There are multiple mergers and acquisitions of various healthcare organizations. This ongoing trend has many advantages of which one is: Need for less professional education because employees can learn from each other on-the-job More opportunity to use institutional licensure for UAPs Opportunity to use more UAPs and less professional staff Sharing resources to decrease cost expenditures - correct answer Sharing resources to decrease cost expenditures Individuals who are acknowledged as leaders often: Are nurtured and guided by others Seek opportunities to "test" the leader role Study others who have been leaders All of the above - correct answer All of the above Environments that promote the development and enhancement of leadership: Are trusting, open, and dynamic Maintain the status quo and use previously demonstrated areas of expertise Encourage questioning and expect perfection Are highly competitive and leader-dominated, and limit interaction among members - correct answer Are trusting, open, and dynamic A "relationship" between an experienced individual and a neophyte in the field, which is known only to the neophyte and may last for only a brief time, is referred to as: Guiding Role modeling Supporting Mentoring - correct answer Role modeling The following plans would expect to be most effective in helping a nurse develop as a leader: Seeking a mentor, expanding professional networks, and becoming more involved in professional association(s) Strengthening relationships with current circle of nurse colleagues, attending an in-service program, and observing other nurses interacting with a legislator on TV Writing personal career goals, demonstrating that one can "make it on your own" without help or guidance from others, and beginning a graduate program Developing a highly specialized knowledge base so that others rely on you for information, reading professional journals regularly, and attending functions in one's local community - correct answer Seeking a mentor, expanding professional networks, and becoming more involved in professional association(s)
Sometimes people are promoted to the next level of their job description solely as a result of their seniority and not their competency level. This idea of thinking about leadership would correlate with the idea that: Every experienced nurse can do the same performance as a physician Nurses need to be a follower for the first 10 years of their career before assuming a leader role Every person in a position of authority is a leader Nurses are trained to follow a leader - correct answer Every person in a position of authority is a leader It has been said that leaders are made and not born. This idea supports the fact that each and every nurse has the potential to: Practice in any clinical setting they choose Gain much needed anger management skills Lead and make a difference in their unit/organization Become an effective nurse manager - correct answer Lead and make a difference in their unit/organization Individuals who are already leaders need to maintain their leadership skills. And as circumstances of our lives are constantly altered, our leadership skills also need to be: Reflective of our position in an organization Refined, renewed, and further developed. Correlated with our personal vision Focused on just the nursing profession - correct answer Refined, renewed, and further developed. Conflict also will always exist, particularly as resources become more scarce and new healthcare workers challenge traditional roles. It will become more and more important to have excellent: Conflict management skills Aggressive communication skills Clinical skills Anger management skill - correct answer Conflict management skills Nurses are knowledge workers. Knowledge work is work that entails a significant amount of computer activity work that entails a significant amount of information systems activity work that entails a significant amount of cognitive activity work that entails a significant amount of interdisciplinary activity - correct answer work that entails a significant amount of cognitive activity Nursing informatics is an established and ever-evolving profession that began when computers were introduced into health care.
Gain much needed anger management skills Lead and make a difference in their unit/organization Become an effective nurse manager - correct answer The most significant characteristic that will assist nurses to grow in this chaotic healthcare environment is: Rigidity Efficiency Steadfastness Flexibility - correct answer Nurses who wish to be a part of creating the future will: Use written documentation instead of electronic Be informed about issues and how they evolve Use prediction formulas Begin to stockpile resources to be used only if absolutely necessary - correct answer The following current trends will propel us toward a preferred future EXCEPT: Evidence-based practice Multidisciplinary collaboration Increased focus on psychotherapy interventions for every patient Case management - correct answer It appears that many nurses use avoidance to manage conflict. However, this does not generally resolve the problem because: Avoiding will generate a win-win situation Avoiding a conflict ultimately causes tension among team members and negatively influences the care environment Most staff are not capable of fully avoiding or ignoring a problem and so they begin to compromise with the other group, which yields a win-win situation Most problems that are ignored generally improve with time - correct answer Senge recommends that leaders must act in three roles including designers, teachers, and stewards. The steward role is best described as: Developing the vision to assist followers to remain in the group Making sure each employee gets their paycheck Being responsible for distributing resources Acting as a spokesperson for the group and facilitating its long-term growth - correct answer Standardization of nursing terminology is most critical for: Correct Answer
synthesizing findings from clinical cases and generating new knowledge developing new approaches for patient assessment improving disease diagnosis and treatment developing new medical monitoring devices - correct answer Which of the following are typically found in a Clinical Decision Support (CDS) system? computerized alerts and reminders (e.g., medication due, patient has an allergy, potassium level abnormal); clinical guidelines (e.g., best practice for prevention of skin breakdown); clinical order sets and protocols; Correct Answer All of the above. - correct answer Technology tools that support quality practice in information intensive, complex healthcare environments also promote: Correct Answer knowledge based practice nursing leadership health literacy professional ethics challenges - correct answer Biometrics, voice to text software, and barcode technologies are all examples of CIS outputs. True Correct Answer False - correct answer Ethics is best described as: a revolution in healthcare brought on by technologic change ever changing principles that guide decision making Correct Answer a goal-oriented approach to answering questions that potentially have multiple acceptable answers paradigmatic changes that involve rhythmic processes central to the healthcare system. - correct answer Case based ethical reasoning that considers the facts of a case in a sound, logical and ordered or structured manner is known as: principlism Correct Answer case-based ethics casuistry bioethical decision making - correct answer
Specify how data is actually inputted Indicate who has the authorization to change such data To track how and when data are changed and by whom. Correct Answer All of the above. - correct answer Assigning passwords to employees so that they can access the secure network is known as __________. biometrics Correct Answer authentication integrity fair use - correct answer Optimization is Correct Answer the process of moving conditions past their current state and into more efficient and effective method of performing tasks maintaining the patient's health through the use of new and innovative methods at the point of care a and b all of the above - correct answer Variation occurs when workers perform the same function in different ways initiate flaws in the way a process was originally designed lack knowledge about the process Correct Answer all of the above - correct answer
