Professional Leadership and Communication in Healthcare (NLC1 C489)
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Free Professional Leadership and Communication in Healthcare (NLC1 C489) Questions
Which point should the nurse exclude when developing strategies to project a powerful image
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Using authoritative language
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Maintaining good body posture
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Making good eye contact with clients
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Ensuring that clothing and hair are appropriate to the situation
Explanation
Answer:
A. Using authoritative language
Explanation:
While confidence is important in communication, using overly authoritative language can come across as domineering or dismissive. A powerful image is projected through respectful communication, good posture, eye contact, and appropriate attire, rather than by asserting authority through language.
Why the other options are incorrect:
B. Maintaining good body posture - Proper posture conveys confidence and professionalism, which contributes to a powerful image.
C. Making good eye contact with clients - Eye contact is a sign of attentiveness and respect, and it helps establish trust, which is key to projecting a powerful image.
D. Ensuring that clothing and hair are appropriate to the situation - Appearance matters in creating a professional image, and appropriate clothing and grooming are essential in projecting a strong, professional presence.
Which initiatives for leaders and managers are set forth in the Institute of Medicine's core relevance report "The Future of Nursing"
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Created state coalitions focused on nursing
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Reinforced the disparities that occur within healthcare
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Supported the concept of shared governance in nursing
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Focused on outcomes, accreditation processes, and nurse's roles
- Provided a framework for considering how nurses could determine staffing requirements
Explanation
Answer:
A. Created state coalitions focused on nursing
C. Supported the concept of shared governance in nursing
E. Provided a framework for considering how nurses could determine staffing requirements
Explanation:
The Institute of Medicine's report emphasizes key initiatives for transforming nursing, including creating state-level coalitions to promote nursing, supporting shared governance as a way to empower nurses in decision-making, and providing a framework for determining staffing needs to ensure optimal patient care.
Why the other options are incorrect:
B. Reinforced the disparities that occur within healthcare - The report aims to address and reduce disparities, not reinforce them.
D. Focused on outcomes, accreditation processes, and nurse's roles - While the report touches on nurse roles, it does not primarily focus on outcomes and accreditation processes.
A nurse manager promotes a staff nurse to assistant manager of the medical unit as the staff nurse had expressed interest in taking on more responsibilities. Which type of ethical principle is exhibited by the nurse manager by this activity
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Fidelity
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Autonomy
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Paternalism
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Beneficence
Explanation
Correct answer:
B. Autonomy
Explanation:
Autonomy refers to respecting an individual's right to make their own decisions and choices. In this case, the nurse manager supports the staff nurse's expressed interest in taking on more responsibilities by promoting them, thus respecting the nurse's autonomy in choosing their career path and goals.
Why the other options are incorrect:
A. Fidelity involves being loyal, trustworthy, and keeping promises. While the manager may be showing trust, the promotion based on the nurse's interest primarily reflects autonomy.
C. Paternalism involves making decisions for others, often based on what the decision-maker believes is best for them, which is not the case here. The nurse manager is supporting the staff nurse's choice, not making the decision for them.
D. Beneficence refers to doing good or acting in the best interest of others, but in this case, the action is more about respecting the nurse's wishes rather than providing direct benefits.
A researcher is a covered entity under their organization. Which example indicates how the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule affects their research
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The data set can include direct patient identifiers as long as there is a signed HIPAA Data Use Agreement (DUA).
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The researcher must remove patient identifiers before the use and disclosure of the research findings.
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The patients involved in the study must provide verbal authorization for the use of their protected health information (PHI).
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No prior patient authorization is needed for research that contains elements of the HIPAA Privacy Rule.
Explanation
Correct Answer:
b) The researcher must remove patient identifiers before the use and disclosure of the research findings.
Explanation:
Under the HIPAA Privacy Rule, researchers must ensure the privacy of protected health information (PHI). If they intend to use or disclose PHI in a research context, patient identifiers must be removed unless specific consent is obtained. This ensures that patient confidentiality is maintained in accordance with HIPAA standards.
Why other options are incorrect:
a) The data set can include direct patient identifiers as long as there is a signed HIPAA Data Use Agreement (DUA): This is not correct for HIPAA research privacy regulations. A signed DUA may allow certain data access, but the use of direct patient identifiers generally requires prior patient consent or an Institutional Review Board (IRB) waiver.
c) The patients involved in the study must provide verbal authorization for the use of their protected health information (PHI): HIPAA generally requires written authorization for the use of PHI in research, not verbal consent.
d) No prior patient authorization is needed for research that contains elements of the HIPAA Privacy Rule: This is incorrect. Research involving PHI requires proper patient authorization or an IRB-approved waiver to use PHI in compliance with HIPAA.
Which theory of nursing leadership involves the traditional organizational hierarchy playing a less significant role as the "keeper of high-level knowledge?"
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Style theory
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Thinking theory
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Motivation theory
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Complexity theory
Explanation
Answer:
D. Complexity theory
Explanation:
Complexity theory in nursing leadership emphasizes interconnectedness, adaptability, and decentralized decision-making. It focuses on how organizations evolve and adapt over time, with less emphasis on traditional hierarchies. In this approach, the "keeper of high-level knowledge" is not restricted to those at the top of the hierarchy but is distributed throughout the organization. The theory values collaboration and recognizes that knowledge can come from various sources, promoting flexibility and adaptability.
Why the other options are incorrect:
A. Style theory – Focuses on different leadership styles (e.g., autocratic, democratic, laissez-faire), rather than challenging the role of hierarchy in knowledge management.
B. Thinking theory – Is not a widely recognized theory in nursing leadership.
C. Motivation theory – Concerned with understanding what drives individuals' behavior, rather than how knowledge is distributed across an organization.
Which qualities of a nurse leader can move the organization in a forward direction to continue delivering the best possible care
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Supporting the followers effectively
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Implementing the care plan of the client effectively
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Gaining knowledge on new technologies in the practice
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Nurturing the followers with the right knowledge and direction
- Pursuing higher educational degrees in professional courses
Explanation
Answer:
A. Supporting the followers effectively
C. Gaining knowledge on new technologies in the practice
D. Nurturing the followers with the right knowledge and direction
Explanation:
A strong nurse leader supports their team, stays updated with advancements in healthcare technology, and provides guidance to ensure high-quality care. Supporting followers helps build a cohesive, motivated team. Knowledge of new technologies ensures that the organization remains competitive and provides the best patient care. Nurturing staff by offering knowledge and direction ensures professional growth and improved care delivery.
Why the other options are incorrect:
B. Implementing the care plan of the client effectively – While important, this is more of a clinical nursing responsibility than a leadership quality. Leadership involves guiding and influencing others rather than directly implementing care plans.
E. Pursuing higher educational degrees in professional courses – Higher education is beneficial, but leadership is more about applying knowledge effectively and guiding others rather than just acquiring additional degrees.
While providing feedback to nurse practitioners, the registered nurse uses the extinction approach to handle negative behaviors. Which theory of leadership is the registered nurse applying in this scenario
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Hierarchy of needs
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Transactional theories
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Transformational theories
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Organizational behavior modification (OB Mod) theory
Explanation
Answer:
D. Organizational behavior modification (OB Mod) theory
Explanation:
The extinction approach involves ignoring or withholding reinforcement for negative behaviors to reduce their occurrence over time. This approach is a key component of the Organizational Behavior Modification (OB Mod) theory, which is based on operant conditioning principles. OB Mod theory focuses on using positive and negative reinforcement, punishment, and extinction to shape workplace behaviors.
Why the other options are incorrect:
A. Hierarchy of needs – Maslow's Hierarchy of Needs theory focuses on fulfilling human needs (physiological, safety, belonging, esteem, and self-actualization) rather than behavior modification.
B. Transactional theories – Transactional leadership relies on rewards and punishments to influence performance, but it does not specifically use extinction as a strategy.
C. Transformational theories – Transformational leadership focuses on inspiring and motivating employees to achieve long-term goals and personal growth, rather than using behavioral modification techniques like extinction.
The nurse manager shares experiences faced during the journey to leadership with other staff members. Which statement made by the nurse appropriately describes the barriers faced during the leadership journey
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"It requires time commitment."
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"The title doesn't guarantee good leadership."
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"It requires a mentor who offers advice and criticism."
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"It requires sharing rewards with the other team members."
- "It requires the leaders to take responsibility for an activity with a low outcome achievement."
Explanation
Answer:
A. "It requires time commitment."
B. "The title doesn't guarantee good leadership."
C. "It requires a mentor who offers advice and criticism."
Explanation:
The journey to leadership often involves challenges such as time commitment, realizing that the title doesn't automatically make someone a good leader, and the need for a mentor who can offer guidance and constructive feedback.
Why the other options are incorrect:
D. "It requires sharing rewards with the other team members." - While sharing rewards may be beneficial for team morale, it is not necessarily a common barrier in leadership.
E. "It requires the leaders to take responsibility for an activity with a low outcome achievement." - Leaders may face challenges, but it is not typical for leaders to take responsibility for low outcomes unless it is a learning experience.
The mental health nurse is facilitating a therapy group. How can the nurse further develop trust among the members of the group
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By discussing the importance of their trusting one another
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By revealing some personal data as an example of trusting behavior
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By having group members reveal some personal information about themselves
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By reminding group members about the need for confidentiality within the group
Explanation
Answer:
B. By revealing some personal data as an example of trusting behavior
Explanation:
A key way for the nurse to build trust in a therapy group is to model trusting behavior. By sharing some personal data, the nurse sets an example, showing vulnerability and encouraging the group to do the same, which can help foster a sense of trust among members.
Why the other options are incorrect:
A. By discussing the importance of their trusting one another - While discussing trust is important, action speaks louder. Simply talking about trust does not directly build it.
C. By having group members reveal some personal information about themselves - Asking members to reveal personal information too early may create discomfort and can undermine trust, as it may feel forced or premature.
D. By reminding group members about the need for confidentiality within the group - While confidentiality is crucial, trust is better built through direct actions and modeling, not just reminders.
A nurse leader is given an additional duty of nurse navigator. Which extra responsibilities does the nurse leader need to provide as a nurse navigator
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Plan care for clients
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Address barriers to care
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Provide psychosocial support
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Communicate effectively to facilitate care
- Provide health education about the disease
Explanation
Correct answers:
B. Address barriers to care
C. Provide psychosocial support
D. Communicate effectively to facilitate care
E. Provide health education about the disease
Explanation:
As a nurse navigator, the nurse leader's role expands to helping patients navigate complex healthcare systems and ensuring they have access to necessary care. The responsibilities include:
Addressing barriers to care: Identifying and helping to remove obstacles that could prevent the patient from receiving timely and appropriate treatment.
Providing psychosocial support: Offering emotional and psychological support to patients and families as they manage their healthcare journey.
Communicating effectively to facilitate care: Acting as a liaison between the patient, family, and healthcare team to ensure coordinated care and efficient decision-making.
Providing health education about the disease: Educating patients on their diagnosis, treatment options, and self-care strategies to improve outcomes.
Why the other option is incorrect:
A. Plan care for clients: While planning care is part of many nursing roles, as a nurse navigator, the focus is more on guiding patients through their treatment and healthcare processes rather than directly planning clinical care.
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