NCM 107A - Midterm Examination

Situation: Stephanie is a new Staff Educator of a private tertiary hospital. She conducts orientation among new staff nurses in her department. Joseph, one of the new staff nurses, wants to understand the channel of communication, span of control and lines of communication.

Stephanie delegates effectively if she has authority to act, Authority is BEST defined as:

• having responsibility to direct others

• having legitimate right to act

• being accountable to the organization

• telling others what to do

Situation: Stephanie is a new Staff Educator of a private tertiary hospital. She conducts orientation among new staff nurses in her department. Joseph, one of the new staff nurses, wants to understand the channel of communication, span of control and lines of communication.

Stephanie considers shifting to transformational leadership. Which of the following statements BEST describes this type of leadership?

• Uses visioning as the essence of leadership.

• Serves the followers rather than being served.

• Maintains full trust and confidence in the subordinates

• Possesses innate charisma that makes others feel good in his presence.

Situation: Stephanie is a new Staff Educator of a private tertiary hospital. She conducts orientation among new staff nurses in her department. Joseph, one of the new staff nurses, wants to understand the channel of communication, span of control and lines of communication.

As a manager, she focuses her energy on both the quality of services rendered to the patients as well as the welfare of the staff of her unit. Which of the following management styles does she adopt?

• Country club management

• Team management

• Organization man management

• Authority-obedience management

Situation: Alexandra is tasked to organize the new wing of the hospital. She was given the authority to do as she deems fit. She is aware that the director of nursing has substantial trust and confidence in her capabilities, communicates through downward and upward channels and usually uses the ideas and opinions of her staff.

Which of the following is her style of management?

• Benevolent –authoritative

• Exploitative - authoritative

• Consultative

• Participative

The chain of command is the formal line of authority and communication. On the PM shift, 6 patients are being discharged. The nurse noticed that the orderly is looking through the belongings of one of the patients. What should the nurse do?

• call the orderly’s attention in private

• report this behavior to the charge nurse

• ignore the situation because the orderly is just preparing the client’s belongings

• monitor the situation and assess if any other items are reported to be missing

Authority is the official power to act. It is the power to direct the work of others. A nursing attendant speaks rudely and harshly to an elderly patient. Hearing this, the nurse’s appropriate action is:

• assign the attendant to another patient

• attempt to explore the situation with the nursing attendant concerned

• start a group discussion with other nursing attendant

• talk with the patient’s family about the matter

Prior to promotion of Nurse Peachy Ann as a middle manager in the organization she was assigned as the head nurse at the medical ward of Gensan city Hospital. As a head nurse, she used to design the majority of the plans of her unit and make all the decisions. The style of leadership that Nurse peachy Ann used was:

• Referent Power

• Autocratic leadership

• Transformational leadership

• Democratic leadership

Which of the following is the nurse manager’s most important communication skill?

• assertiveness

• affirmation

• listening

• questioning

Situation; Benny is a newly appointed chair of St. Thomas Medical Center. She is still learning to feel her way through the organization. She decides to hone her management skills by studying the different concepts on nursing leadership.

As a leader she is aware that she should possess the following traits EXCEPT:

• assertive

• enthusiastic

• sarcastic

• efficient

Situation; Benny is a newly appointed chair of St. Thomas Medical Center. She is still learning to feel her way through the organization. She decides to hone her management skills by studying the different concepts on nursing leadership.

She has the ability to retain and motivate her staff to function effectively. What is this?

• power

• influence

• value

• responsibility