Nursing Elites

1. If a task is delegated to someone, they need to be granted the ___________ to complete the task.

• A. Authority
• B. Planning
• C. Organizing
• D. Controlling

Correct answer: A

Rationale: Correct Answer: Authority When a task is delegated, it is essential to grant the individual the authority to complete it. Authority refers to the power or right to give commands, make decisions, and enforce obedience. Planning (choice B), organizing (choice C), and controlling (choice D) are important aspects of management but do not directly address the need for authorization to carry out a delegated task.

2. Which of the following leaders would be considered a transformational leader?

• A. The supervisor of a unit who requests staff to work overtime.
• B. The unit secretary who encourages staff to use the proper forms.
• C. A unit manager who reminds a CNA (Certified Nursing Assistant) to work on time management skills.
• D. The Advanced Practice Nurse who encourages a staff nurse to pursue additional education for career advancement.

Correct answer: D

Rationale: The correct answer is D because transformational leaders are known for inspiring and motivating their followers to reach their full potential. They focus on fostering a positive work environment, encouraging growth, and supporting career development. In this scenario, the Advanced Practice Nurse is displaying characteristics of a transformational leader by encouraging a staff nurse to pursue additional education for career advancement. Choices A, B, and C do not align with the traits of a transformational leader as they involve more routine tasks or directives without the inspirational and visionary approach typical of transformational leadership.

3. The ANA is a registered labor organization, but it does not engage in direct __________.

• A. Empower union affiliation
• B. Reward union affiliation
• C. Encourage union affiliation
• D. Collective bargaining

Correct answer: D

Rationale: The correct answer is D, 'Collective bargaining.' The American Nurses Association is a registered labor organization, but it does not engage in direct collective bargaining. The actual certification of units, negotiation of contracts, and administration of contracts is conducted by the state nurses associations (SNAs). Choices A, B, and C are incorrect as the ANA's role does not involve empowering, rewarding, or encouraging union affiliation directly.

4. In the grievance process, a nurse disagrees with statements made by a physician about performance and talks to the nurse manager. Which step in the process is this?

• A. First
• B. Second
• C. Third
• D. Fourth

Correct answer: A

Rationale: The correct answer is A: First. In the grievance process, the initial step involves the nurse talking to the nurse manager to address the issue informally. Subsequently, step two entails filing a written appeal to the director of nursing or designee. Step three involves a formal meeting with the employee, agent, grievance chairperson, nursing administrator, and director of human resources. The final step, step four, is arbitration, which is initiated when no mutually acceptable solutions can be reached by the involved parties. Therefore, the nurse talking to the nurse manager about the disagreement is the first step in the grievance process.

5. Which of the following best describes the role of a nurse case manager?

• A. To provide direct patient care
• B. To manage healthcare facilities
• C. To advocate for patient rights
• D. To coordinate long-term care services

Correct answer: D

Rationale: The correct answer is D: 'To coordinate long-term care services.' A nurse case manager's primary role is to coordinate and manage long-term care services for patients, ensuring continuity and quality of care. Choice A is incorrect because providing direct patient care is typically the responsibility of nurses, not nurse case managers. Choice B is incorrect as managing healthcare facilities is a role usually fulfilled by healthcare administrators. Choice C is incorrect as advocating for patient rights is important but not the primary role of a nurse case manager.

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