Review Leadership Exam Mary Mount University

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Leadership Exam Mary Mount University

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Total Questions : 58

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Question 1:

Which patients would be considered 'at risk' non-active healthcare consumers during a healthcare visit? (Select all that apply)

A. Clyde requires an anticoagulant. He tells the nurse about his medications. He neglects to mention he's taking an herbal supplement. B. Claude is booked for bowel surgery. His doctor explains about the colostomy. Later, Claude tells his wife that he really doesn't know what the doctor meant by colostomy. C. Sarah is a new parent who finds that nurses on the children's unit are very helpful. She is eager to accept all suggestions, including those that she does not understand. D. George keeps a list of all medications, including OTC and natural remedies. Before every appointment, he makes a list of questions to bring and asks for clarification when he has conflicting information.

Answer and Explanation

Choice A:

Clyde is at risk because he fails to disclose the use of an herbal supplement, which could interact with his prescribed anticoagulant medication. It's important for healthcare providers to have a complete understanding of all substances a patient is taking to avoid adverse drug interactions.

Choice B:

Claude is at risk because he does not understand the medical procedure he is about to undergo. Informed consent is a critical component of healthcare, and misunderstanding the nature of a procedure can lead to unexpected outcomes and dissatisfaction with care.

Choice C:

Sarah is at risk because she accepts medical advice without understanding it. This can lead to misuse of medications or failure to follow treatment plans, which can compromise the effectiveness of care and potentially lead to harm.

Choice D:

George is not considered at risk because he is proactive about his healthcare. He keeps detailed records and actively seeks to understand his treatment, which is indicative of an active healthcare consumer.

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Question 2:

To reduce the incidence of falls in a skilled nursing unit, the nurse manager contacts the risk manager. Risk management is a process that attempts to identify potential hazards and:

A. Supersede the need for staff members to file incident reports. B. Discipline staff members who have been involved in previous incident reports. C. Compensate for previous injuries. D. Eliminate these risks before anyone is harmed.

Answer and Explanation

Choice A:

Superseding the need for staff members to file incident reports would not address the underlying issue of fall prevention and could lead to underreporting of incidents.

Choice B:

Disciplining staff members for previous incidents does not contribute to a proactive approach to fall prevention and may create a punitive environment that discourages reporting.

Choice C:

While compensating for previous injuries may be necessary, it does not prevent future falls or address the root cause of the problem.

Choice D:

Eliminating risks before anyone is harmed is the most proactive and effective approach to fall prevention, aligning with the principles of risk management to anticipate and mitigate potential hazards.

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Question 3:

The risk manager informs the nurse manager of an orthopedic unit that her unit has had an increase in incident reports related to patients falling during the 11-7 shift. The nurse manager knows that the first step in Quality Management is to:

A. Analyze the cause of the problem. B. Define the problem. C. Measure the problem. D. Solve the root cause.

Answer and Explanation

Choice A:

While analyzing the cause is an important part of the process, it cannot be effectively done without first having a clear definition of what the problem is.

Choice B:

Defining the problem is crucial as it sets the stage for all subsequent steps in the Quality Management process. It ensures that everyone understands what the issue is and agrees on its importance.

Choice C:

Measuring the problem is necessary to understand its extent and impact, but it comes after the problem has been defined and before solutions are considered.

Choice D:

Solving the root cause is the ultimate goal, but it is a later step that follows defining, analyzing, and measuring the problem.

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Question 4:

A nurse manager is aware that which of the following is an internal factor that impacts staffing?

A. Accreditation standards B. State regulations C. Availability of agency staff D. Patient acuity

Answer and Explanation

Choice A:

Accreditation standards are typically external factors set by accrediting bodies that healthcare organizations must meet to ensure quality and safety. These standards influence staffing indirectly by setting the benchmarks for care that staff must achieve, but they are not considered internal factors.

Choice B:

State regulations are external factors imposed by government bodies. They can dictate staffing ratios, qualifications, and other requirements that healthcare organizations must follow. Like accreditation standards, they influence staffing but are not internal to the organization.

Choice C:

The availability of agency staff is an external resource that healthcare organizations can utilize to fill staffing gaps. While their use affects the internal staffing levels, the pool of agency staff and the decision to use them are external to the organization's internal workforce management.

Choice D:

Patient acuity refers to the level of care and attention required by patients based on the severity of their conditions. It is an internal factor because it directly impacts the number and type of staff needed on a given day or shift within the healthcare organization. Higher acuity patients will require more intensive care and more specialized staff, thus impacting staffing decisions and allocations internally.

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Question 5:

A staff nurse has the goal of becoming a manager and is studying the leader-follower relationship.
What has the nurse discovered as an accurate part of the leader-follower relationship?

A. Followers do not question senior leaders. B. Leaders are also followers. C. Followers need linear structures. D. Leaders should provide detailed directions to the new staff.

Answer and Explanation

Choice A:

This choice is incorrect because effective followership involves questioning and providing feedback to leaders, which can lead to improved decision-making and innovation.

Choice B:

This is the correct choice. In the context of nursing, leaders often take on the role of followers as well. They collaborate with other leaders and sometimes follow directives from higher management or adhere to policies, showing that leadership is not a one-way process but a dynamic interchange.

Choice C:

This choice is incorrect. While followers do need structure, it does not necessarily have to be linear. Effective followership encourages independent critical thinking and active engagement, which can lead to job satisfaction and better patient outcomes.

Choice D:

This choice is partially correct. While leaders should provide guidance to new staff, it is also important for leaders to encourage autonomy and critical thinking, allowing new staff to develop their skills and confidence.

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Question 6:

When preparing staffing schedules, a nurse manager needs to calculate paid nonproductive time. Which of the following should the nurse manager consider?

A. Vacation time, holiday time, and sick time B. Paid hours minus meeting time C. Work time, educational time, and holiday time D. Paid hours minus worked hours

Answer and Explanation

Choice A:

Paid nonproductive time typically includes periods when staff members are compensated but are not directly engaged in productive work, such as providing patient care. This includes vacation time, holiday time, and sick time. These are standard components of nonproductive time that must be accounted for in staffing schedules to ensure adequate coverage and maintain operational efficiency.

Choice B:

Paid hours minus meeting time does not accurately represent nonproductive time. While meeting time may not be directly related to patient care, it is generally considered productive work time as it contributes to staff development and operational planning.

Choice C:

Work time and educational time are considered productive time because they contribute to patient care and staff development, respectively. Holiday time can be considered nonproductive, but when combined with work and educational time, it does not accurately reflect nonproductive time alone.

Choice D:

Paid hours minus worked hours could theoretically represent nonproductive time; however, this is an overly simplistic view. Nonproductive time should account for specific types of leave that are planned and predictable, such as vacation and sick leave, rather than just the difference between paid and worked hours.

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Question 7:

Which of the following options best describes a Nursing outcome statement?

A. Measurable and physician-sensitive B. Patient care-centered and non-measurable C. Measurable and nursing-sensitive D. non-measurable and nonphysician-sensitive

Answer and Explanation

Choice A:

The outcome statement specifies a measurable reduction, making it suitable for tracking progress. Additionally, physicians are directly involved in the implementation and monitoring of staff training related to catheterization.

Choice B:

: The outcome statement includes a specific measure (ten percent reduction), making it measurable.

Choice C:

: The outcome statement emphasizes physician-related interventions (staff training) rather than nursing-specific aspects.

Choice D:

: The outcome statement specifies a measurable reduction and directly involves physicians.

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Question 8:

In delegating to a UAP in a home health setting, which of the following represents the most appropriate delegation communication?

A. "Ms. S needs help to get into and out of her bathtub. Her bath will need to be completed by soon. When you are helping her to dry, please check between her toes and toenails, and phone me by 10:30 if you notice any discoloration or redness." B. "I am not sure that you know how to do this, but I am giving you Ms. S. She is quite obese and needs skin care." C. "You all need to help Mrs. S get into and out of her shoes. Ensure that you check the condition of her feet, and let me know if you have any concerns when you check in." D. "You will be taking care of Ms. S, who needs assistance with her bath."

Answer and Explanation

Choice A:

This option is the most detailed and provides clear instructions for the UAP, including a specific task, a time frame, and what to do if there is an issue. It promotes patient safety and ensures proper communication and follow-up.

Choice B:

This statement is inappropriate as it expresses doubt about the UAP's competence, which can undermine confidence and does not provide clear guidance or expectations.

Choice C:

While this choice includes an action and a follow-up, it lacks specificity about the task and does not mention a time frame for reporting potential issues, which is crucial for patient safety and effective delegation.

Choice D:

This option is too vague and does not provide specific instructions or expectations for the UAP, which could lead to confusion and potential neglect of important care details.

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Question 9:

A leader guides people towards a common goal and, in addition, the leader should:

A. Actively make the decisions during the planning and implementation process. B. Allow control of decision-making to team members to create an active learning environment. C. Set the rules for planning how to reach the goal. D. Maintain close oversight to approve all decisions made by team members.

Answer and Explanation

Choice A:

While a leader may actively make decisions, it is not always beneficial for them to do so during every stage of planning and implementation. This approach can limit the team's engagement and growth opportunities.

Choice B:

This is the correct answer because allowing team members to control decision-making fosters an active learning environment. It encourages autonomy, enhances problem-solving skills, and can lead to more innovative solutions.

Choice C:

Setting rules is a part of leadership, but it is not the sole responsibility. Leaders also need to inspire, motivate, and guide their team towards achieving the common goal.

Choice D:

Maintaining close oversight can be necessary in certain situations, but approving all decisions can create a bottleneck and reduce the team's ability to act swiftly and learn from their experiences.

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Question 10:

A health care organization characterized by clear, precise rules for employees, nursing care delineated by procedures and protocols, and a majority of decisions made by senior administrators is best described as:

A. Functional structure. B. Transformational leadership. C. Matrix service line. D. Bureaucratic.

Answer and Explanation

Choice A:

A functional structure is an organizational design that groups employees by their similar skills and expertise. While it involves clear roles and responsibilities, it does not necessarily imply that the majority of decisions are made by senior administrators.

Choice B:

Transformational leadership is a style of leadership where the leader works with teams to identify needed change, creating a vision to guide the change through inspiration. This does not specifically describe an organization with clear rules and procedures.

Choice C:

A matrix service line is a type of management system that combines a traditional departmental structure with a project-based structure. This choice does not fit the description of an organization primarily governed by strict rules and senior administrator decisions.

Choice D:

This is the correct answer because a bureaucratic organization is characterized by formal procedures and protocols, a clear hierarchy, and decision-making authority typically residing with senior administrators. This structure is designed to ensure efficiency and consistency in operations.

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Total Questions : 58

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Leadership Exam Mary Mount University

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