Nancy is a staff nurse who works on a rehabilitation unit. Nancy tells you that the assistants are experiencing difficulty with the new lift and wonders what your thoughts are on organizing an in-service training.
Nancy is exhibiting which trait of a follower?
a. Provides a vision for safety that is communicated
b. Thrives on taking risks in identifying the problem with safety
c. Coordinates the development of knowledge and skills necessary to use the lift
d. Assumes responsibility for identifying a safety concern and concedes authority for solution to you
Question 2As a nurse manager, you identify that a shift in nursing care models might increase patient and staff satisfaction and avoid downsizing. Administration is reluctant to adopt this approach because downsizing is seen as critical to reduction of costs.
To leverage your ideas, you:
a. Ask staff to send e-mails to administration encouraging consideration of your option.
b. Invite a senior member of administration to your staff meeting, so you can tell him what you are planning.
c. Write a letter of complaint to a member of the institutional board about the lack of openness of the administration.
d. Identify influential members of your nurse manager group with similar ideas and request an opportunity to meet with administration to discuss options.
Question 3As a nurse manager on a urology unit, you note that there has been a marked increase in medication errors on the unit. Which of the following actions would be consistent with the National Database of Nursing Quality Indicators (NDNQI) measures?
a. Staff are consulted regarding improvements in interprofessional approaches to patient care.
b. Nursing staff are asked for input regarding the purchase of new medication carts.
c. A recognition program is developed to acknowledge nurses who have provided safe and exemplary care utilizing skills in the staffing mix to optimize the delivery of patient care.
d. Recent changes in staffing mixes are examined to determine if the timing of changes coincides with the increase in errors.
Question 4A nurse manager in a hospital is deeply concerned that senior administration makes decisions about budgetary directions that affect staffing and other resources without sharing the rationale for changes
or demonstrating concern as to how these changes may affect patients or staff. She says she does not feel respected and is emotionally tired as a result. This situation represents:
a. Bureaucratic organization.
b. Realities of current health care.
c. Negative organizational culture.
d. Quantum leadership.
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