which of the following is the major difference between managers and leaders

ATI RN

ATI Leadership

1. What is the major difference between managers and leaders?

A. Leaders usually have legitimate power.
B. Leaders do not necessarily make good managers.
C. Managers are not always leaders.
D. Managers always have legitimate power.

Correct answer: D

Rationale: The major difference between managers and leaders is that managers always have legitimate power. This is because managers derive their authority from their position within an organization, giving them legitimate power over subordinates. On the other hand, leaders do not always have legitimate power; their influence may come from various sources such as expertise, charisma, or the ability to inspire others. Choice A is incorrect because not all leaders necessarily have legitimate power. Choice B is incorrect as it is a generalization that leaders do not make good managers, which is not always the case. Choice C is incorrect as there can be managers who are also effective leaders.

2. Which of the following is an example of a macro-level health policy?

A. Local health ordinances
B. State licensing regulations
C. National healthcare legislation
D. Institutional policies

Correct answer: C

Rationale: The correct answer is national healthcare legislation. This type of policy operates at a broad level, influencing healthcare delivery and financing across an entire nation. It sets overarching frameworks and regulations that impact various aspects of the healthcare system on a large scale, affecting a wide population rather than specific localities or institutions. Choices A, B, and D are not examples of macro-level health policy. Local health ordinances pertain to specific areas or communities, state licensing regulations focus on a state level, and institutional policies are internal regulations of a particular healthcare facility.

3. A client who had a stroke resulting in aphasia and dysphagia needs assistance. Which of the following tasks should the nurse assign to an assistive personnel (AP)?

A. Assist the client with a partial bed bath.
B. Measure the client's BP after the nurse administers an antihypertensive medication.
C. Test the client's swallowing ability by providing thickened liquids.
D. Use a communication board to ask what the client wants for lunch.

Correct answer: A

Rationale: The correct answer is A because assisting the client with a partial bed bath is within the scope of practice for an assistive personnel and does not require specialized medical knowledge. Choice B involves measuring BP, which requires specific training and assessment skills that an assistive personnel may not have. Choice C involves testing swallowing ability, which should be done by a healthcare provider due to the risks involved in dysphagia. Choice D involves communication, which is crucial but should be done by someone with training in managing aphasia to ensure effective communication with the client.

4. What is the primary focus of a performance appraisal for nursing staff?

A. To identify areas for salary increases
B. To evaluate overall job performance
C. To provide feedback on clinical skills
D. To determine eligibility for promotions

Correct answer: C

Rationale: The primary focus of a performance appraisal for nursing staff is to provide feedback on clinical skills, identify areas for improvement, and support professional development. While salary increases, overall job performance evaluation, and promotions may be factors considered during a performance appraisal, the primary goal is to assess and enhance clinical skills to ensure high-quality patient care.