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CNML & NE-BC Test Review study guide questions
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CNML & NE-BC Test Review study guide questions
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CNML & NE-BC Test Review study guideWhat is Transformational Leadership? - ANS Transformational leaders focus on change
and practice things like providing employees with a voice in order to participate in the change.
What is a transactional leader? - ANS Transactional leaders focus primarily on tasks like
the budget, staffing, and day-to-day operations.
What are the key factors to employee satisfaction? - ANS * Having friends at work
* Someone care about the employee as a person
* Working for an organization whose values are compatible with yours
* Being given assignments based on your strengths
What is Shared Governance? - ANS a system for providing employees with opportunities
for input through an organized democratic process where each unit is represented
When should an employee be disciplined for lateness? - ANS Following the organizational
policy the employee should be notified of any infraction as soon as possible after the event.
What is the main responsibility of management? - ANS to supervise employees, assure
patient safety, monitor the budget, and ensure that the policies and procedures of the
organization are adhered to.
What should the nurse manager's responsibility be in terms of doing direct care? - ANS The
nurse manager's number one responsibility is to run the unit. In a crisis situation the nurse
manager should help out but it should not become a routine.
What is the best way to implement a policy change such as a dress code. - ANS The best
way to implement any policy change is to have the users involved in the decision to some
extent. Involving known complainers in the design process is a good way to identify the potential
opposition to a new policy
What are 5 Ways people react to change in Rogers Stages of Innovation Model? - ANS *
Innovators (2.5%) - Risk takers who are not afraid to fail & are implementers of the change
* Early Adopters (13.5%) - Less cautious about change and adopt early. They are often highly
opinionated and can influence others to change
* Early Majority (34%) - Adopt to change after they have some time to see the early adopters
success
* Late Majority (34%) - Skeptics, they need to see a lot of evidence before adopting the change
* Laggards (16%) - Stick to tried and true methods. They may never accept the change.
,What is Positive Deviance Approach to Change? - ANS Involves leadership looking for
change from the group, rather than leading the group. Real change begins from the inside.
What are the stages of Rogers Diffusion of Innovation Theory? - ANS 1. Agenda-Setting a
perceived need for innovation
2. Matching-fitting a problem with the innovation
3. Redefining/Restructuring - innovation is modified to fit the organizations needs
4. Clarifying - the relationship between the organization and the innovation is better defined
5. Routinizing - innovation becomes part of the organization's activities and no longer labeled as
an innovation
Describe Circle of Influence. - ANS Covey (1990) suggested our lives are covered by two
circles: a larger circle of everything your could possibly be concerned about, and a smaller inner
circle of things you can influence. He suggested that when we focus on things and people we
can influence our circle of influence gets larger. Focusing on your circle of concern can lead to
frustration, as these are things you cannot influence. Focusing on your circle of concern can
also reduce your circle of influence as you are not paying attention to things and people you can
influence.
Should the charge nurse take a regular patient assignment if the unit is short staffed? - ANS
The charge nurse, like the manager is assigned the duty of leading the unit. Since that is the
primary role, all options for staffing should be explored before taking an assignment. If the
charge nurse takes a full patient assignment, it means nobody is leading the unit, which could
be a problem if a crisis occurs, at which point the charge nurse would either be distracted from
the crisis or be distracted from caring for her patient assignment. There are certain cases where
the only solution is for the charge nurse to take an assignment. Ideally it should not be a full
assignment so there is still time to lead the unit.
What is the best way to provide a new charge nurse with experience? - ANS The best way
to provide a new charge nurse with experience is to partner him or her with an experienced
charge nurse and put them in charge. That way the experienced charge nurse can provide them
with direction and coaching in the actual charge nurse role.
Shouldn't the most experienced staff member be the one in charge? - ANS Actually it is the
most effective to make assignments based on employee strength and interest (Rath,2007) You
cultivate leaders by allowing the nurse with the interest in leading to lead.
Define Leadership. - ANS Leadership is the art and science of providing direction,
inspiration, and goals to a team by providing vision, guidance, and holding them accountable for
outcomes
Define Management. - ANS Management and leadership are terms that are often used
interchangeably, however management is differentiated as tending to specific tasks such as the
, budget, staffing, policies, procedures, and supplies. It is often said, you lead people and
manage things. See transactional leadership.
How do you learn to be a leader? - ANS The best way is to work with a mentor to develop a
personal growth plan that uses textbooks, evidence based leadership literature, attend
leadership workshops and apply learning to action learning experiences such as working as a
charge nurse, observing good leaders, and attending graduate school as a leadership major.
What type of leadership is Shared Governance? - ANS Participative Democracy
Define Autocratic Leadership. - ANS Autocratic leadership is one person in charge who
makes all or most of the decisions. It is generally not regarded as an effective approach
because it does not leave the workers feeling like they have a voice in decisions and generally
the leader does not have all the answers. There are situations where autocratic leadership is
effective such as a crisis or emergency, where timely decisions need to be made.
What is Laissez-faire leadership? - ANS a delegate style in which the leader provides little
input and allows the group members to make the decisions. Research has shown this still is
often ineffective because groups need a combination of direction and coaching depending on
their stage of development with particular situation or task. See situational leadership.
What is the Fair Labor Standards Act? - ANS It sets the minimum wage; established rules
for over time pay after non-exempt employees have worked 40 hours; and sets standards for
how old you must be to be able to work.
What are you not allowed to do as a nurse manager if there is union-organizing activity going
on? - ANS According to the National Labor Relations Board regulations, as a manager you
may not:
* Give an unplanned salary increase to your staff while the union organizing activities are taking
place
* Offer additional benefits like improved health insurance coverage, tuition reimbursement, or
opening a day care center to entice employees not to join the union
* Prohibit the union-organizers from collecting union authorization cards
What is the Hill-Burton Act? - ANS it provides federal funding for hospitals to make capital
improvements; prohibits hospitals who take funds from discrimination based on race, creed,
color, or national origin; and requires that organizations who take funds provide a certain volume
of free care to uninsured patients.
What can you do if union activity is going on in your organization? - ANS You are permitted
to provide information for employees about the union's history of dues, strikes, and how they
have preformed in other organizations.
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