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TOP RANK REVIEW ACADEMY, INC. Page 1 | 5 COMPREHENSIVE PHASE WORKBOOK PROFESSIONAL ADJUSTMENT, LEADERSHIP AND MANAGEMENT, AND RESEARCH MAY 2024 Philippine Nurse Licensure Examination Review 1. The nurse manager will implement a new way of scheduling staff vacations. Senior staff members are against the change while newer staff members are more accepting. What strategy is effective to solve their differences? a. Explain that the change will occur as designed, regardless of the staff’s preference. b. Provide extensive and detailed rationale for the proposed change, then implement. c. Withdraw the proposal to prevent a decrease in staff morale. d. Encourage interaction between the opposing sides to attempt resolution. 2. A nurse-manager of a 40-bed surgical unit arrives at work during a strong typhoon. Surprised, she finds out only a licensed practical nurse (LPN) and two nursing assistants (NA) have been able to make the journey to work. Each reporting staff member has skills that can be used to provide care for the clients on the unit. Which nursing care delivery system would be most effective in an event like this? a. Functional nursing b. Case management c. Primary nursing d. Team nursing 3. The nurse leader informs the staff of an emergency and instructs them to stay at the hospital to prepare for major casualties. The staff displays high levels of anxiety and disorganization. Which is the most appropriate leadership style at this time? a. Democratic b. Laissez-faire c. Bureaucratic d. Authoritarian 4. An unlicensed assistant (UAP) has previously performed client transfers safely (bed to chair) on many occasions. In which condition would it be inappropriate to delegate this unsupervised task to the UAP? a. The UAP has just returned from an extended leave of absence. b. The unit had a new wheelchair. c. This was an elderly client. d. It was the client’s first time out of bed after surgery. 5. A leader is most likely to be effective when acting which way? Select all that apply. a. Modifies his or her own behaviors based on the needs of individual members of the group. b. Adopts the leadership style of the leader who had the position before him or her. c. Gives equal consideration to group members who are in favor of and opposed to a desired change. d. Plans and organizes group activities. e. Asks members for opinion of the leader’s effectiveness. a. c,d,e b. e,a,b c. c,b,e d. all of the above 6. Which is more commonly a characteristic of a manager rather than a leader? a. Visionary b. Primary effectiveness is through influencing others. c. Often takes risks and explores new solutions to problems. d. Has been given legitimate power by the organization. 7. During the rounds, one patient tells the nurse manager that he has not had his medications all shift. Being a nurse manager, what will be his first action? a. Enhance employee performance: Provide the client’s nurse with a mentor to review proper medication procedures. b. Manage resources: Assign another nurse to administer the client’s medications. c. Communicate: Discuss the client’s statement with the assigned nurse. d. Manage conflict: Call the nurse into the client’s room and mediate a discussion between them. 8. Which example reflects a nurse manager with accountability but not authority? a. The manager is to recommend a new staffing procedure to the institution’s nurse manager group. b. To reduce costs, administrators instruct the manager to inform the staff to reduce overtime. c. The manager evaluates the unit staff but cannot promote or terminate staff. * NLE * NCLEX * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY * MED TECH

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