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1 Leadership Exam 3 1. The nursing leadership team within a medical center plans to initiate a change in their approach to improving patient satisfaction. Nurse Leaders recognize that communication about the new change will have a higher likelihood of being accurately interpreted if they use which one of the following strategies: - Use a variety of communication methods to convey a consistent message about the change. - Send a carefully worded letter to all nursing staff explaining the change. - Schedule staff meetings to announce the change. - Share the message with their nursing supervisors first and then ask each of them to discuss the change during their shifts with staff. 2. The RN team leader, near the end of her shift, notices that a newly hired UAP has not calculated the intake and output for several clients. Which of the following actions should the RN take first? - Notify the nurse manager. - Complete an incident report. - Delegate this task to the LVN on the team. - Ask the UAP if assistance is needed to complete the intake and output records . 3. A nurse manager calls dietary services to request a late tray for a patient and speaks with a dietary technician. This is an example of what kind of communication? - Vertical - Diagonal - Downward - Lateral 4. Two RNs on the unit are complaining that their patient assignment is too heavy. Each feels the other RN has a lighter workload. Each complains to the RN Charge nurse. The charge nurse asks them to please calm down and focus on their current patients' needs right now so that everyone can get through the difficult shift. Which of the following conflict resolution strategies is the charge nurse demonstrating? - Negotiating - Cooperating - Smoothing - Avoiding 5. Progressive discipline is a strategy used by mangers to deal with problem employees. Which of the following is the usual order of steps in a progressive discipline process? - Suspension, Verbal Warning, Written Warning, Dismissal - Verbal Warning, Suspension, Written Warning, Dismissal - Written Warning, Verbal Warning, Suspension, Dismissal - Verbal Warning, Written Warning, Suspension, Dismissal
2 6. In the Emergency Department (ED), staff share a staff break room area. One of the male emergency technicians posts a calendar with suggestive female pictures on it. A female RN is offended by the pictures on the calendar. What is the best course of action for the offended RN to take first: - Take down the calendar - Report the emergency technician to Human Resources for sexual harassment. - Tell the manager about the situation - Tell the emergency technician that she finds the pictures offensive and ask him to remove it. 7. An unlicensed assistive personnel (UAP) "suffers in silence" instead of speaking up about an unfair assignment to the charge RN. This is an example of which of the following communication styles?

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