A unit manager on a busy multi-service medical nursing unit ...

[sjones]

A unit manager on a busy multi-service medical nursing unit decides to take responsibility for the direct client care of one of the many new admissions. Later the manager decides she is too busy to give adequate client care.
 
  Which of the following situational leadership styles does the nurse manager need to apply?
  1. Coaching
  2. Supporting
  3. Delegating
  4. Directing

Question 2

Which of the following is a recognized focus area for quality improvement (performance im-provement) evaluations? (Select all that apply.)
 
  1. Effective care
  2. Delivery of care
  3. Client satisfaction
  4. Exceeding the standard of care
  5. Identification of missed' client needs
  6. Multidisciplinary approach to client care

[qytan]

Answer to Question 1

ANS: 3
Delegation is transferring responsibility for the performance of an activity or task while retaining accountability for the outcome. To be more efficient in providing adequate client care, the man-ager needs to use delegation. Coaching would not be the situational leadership style to apply. The manager does not have time to explain decisions and provide the opportunity for clarification. Supporting would not be the situational leadership style of choice. The manager does not need to share ideas and facilitate decision making of other employees at this time. Directing is a highly directive style of leadership. The manager needs to delegate, not provide specific instructions and close supervision.

Answer to Question 2

ANS: 1, 2, 3, 4
Quality improvement is concerned with exceeding the standard of care, examining ways to be more efficient, improving client satisfaction, and focusing on service. Although the remaining options are pertinent, they are not major considerations of QI evaluation.

[sjones]

Excellent

[mjenn52]

TYSM