Leadership Nursing Quiz 1

What is the difference between Leadership and Management?

Leadership: Process of influencing people to accomplish goals. Focuses on people and human relationships.
Management: Coordination & integration of resources through planning, organizing, directing, & controlling. Focuses on systems and structures.
Explanation: Leadership inspires and guides people; management organizes tasks and systems.
Example: A nurse leader motivates staff in a crisis; a nurse manager creates the shift schedule.

What are the Types of Leadership Styles? In what situations would you use them?

Authoritarian: Directive, gives orders; useful in emergencies.

Democratic: Group decisions, shared responsibilities.

Laissez-faire: Minimal direction or participation.
Explanation: Leadership style depends on the situation.
Example: Use authoritarian during a code, democratic in team meetings.

What are Mission, Vision, and Philosophy?

Mission: Overall purpose (e.g., provide care to a region).

Vision: Future aspirations (e.g., be a leader in cardiac care).

Philosophy: Reflects values, mission, vision.
Explanation: These guide the organization’s goals and actions.
Example: A hospital’s philosophy may emphasize dignity and respect.

What is Shared Governance?

Nurses collaborate with leadership to make decisions and improve care.
Explanation: Empowers nurses and improves outcomes.
Example: A unit council develops a better handoff process.

What is Benchmarking?

Comparing an organization’s performance to best practices.
Explanation: Helps identify areas for quality improvement.
Example: Comparing infection rates to national benchmarks.

What is a Change Agent and how is Change Initiated?

Change Agent: Person leading positive change with skills like communication and flexibility.
Initiating Change: Steps include identifying a problem, planning, getting support, intervening, and evaluating.
Example: A nurse improves discharge teaching by gathering data and implementing changes.

What is Risk Management and what are Reportable Incidents?

Risk Management: Prevent and plan for safety issues using incident reports and root cause analysis.
Reportable Incident: Any unexpected event that may harm; must be documented.
Example: A patient fall leads to a report and analysis to prevent future incidents.

What is Evidence-Based Practice (EBP)?

Use of research, clinical experience, and patient preferences to guide care.
Explanation: Supports safe, high-quality nursing decisions.
Example: Implementing bedside rounding to prevent falls.

What are Six Sigma and Lean Six Sigma?

Six Sigma: Reduces variation using data; help standardize and reduce errors.

Lean Six Sigma: Improves flow, eliminates waste.
Explanation: Tools to improve healthcare processes.
Example: Removing redundant admission paperwork.

Six Sigma focuses on precision and reducing defects, while Lean Six Sigma also targets speed and efficiency by eliminating unnecessary steps

What is Continuous and Total Quality Management?

Continuous Quality Management: Ongoing process focused on improvement.

Total Quality Management: Organization-wide approach using data.
Example: Reducing medication errors through team meetings.

What are Organizational Theories?

Adaptive Theories: Adapt to change and talent.

Reductive Theories: Define roles, structure, and chain of command.
Example: Adaptive theory allows flexible roles during crises.

What are Span of Control and Chain of Command?

Span of Control: Number of employees supervised.

Chain of Command: Succession of leadership.
Example: In an emergency, notify charge nurse, then unit manager.

What are Models of Nursing Care?

Traditional: Total care, functional, team, primary; each nurse has a specific task that focuses on the patient physically

Integrated: Practice partnerships, case management; working with an interdisciplinary team such as physicians and case managers that focus on emotional needs as well as physical needs

Evolving: Patient-centered care, synergy model.
Example: Patient-centered care involves collaboration with the whole team; Forward-thinking, with a focus on research, evidence-based practice, and the use of technology. Nurses are leaders in the healthcare system, shaping policy and providing holistic, patient-centered care.

Explanation: Different care models reflect how responsibilities are assigned to nursing staff and how care is delivered.

Example: In patient-centered care, a nurse collaborates with multiple team members (e.g., techs, therapists) to address the whole person, not just the illness.

What is Case Management?

Coordinating services for high-risk or high-cost patients.
Explanation: Ensures timely, efficient care planning.
Example: Managing stroke patient’s transition to rehab.

What is Root Cause Analysis and Peer Review?

Root Cause Analysis: Investigates all contributing factors to an event.

Peer Review: Involves colleagues during root cause analysis.
Example: Analyzing a medication error to prevent recurrence.

What is QSEN (Quality and Safety Education for Nurses)?

Includes: Knowledge, Skills, Attitudes in patient-centered care, teamwork, EBP, quality, safety, and informatics.
Example: Training on teamwork and evidence-based protocols.

What are Accountable Care Organizations (ACOs)?

Groups of providers coordinating care under the Affordable Care Act.
Explanation: Aims to improve outcomes and reduce costs.
Example: Hospitals and clinics collaborate to manage chronic condition