Vignette | Evidence-Based Effective Nursing Leadership

Please review the required clinical vignette below and answer the quiz questions.
You must answer all questions correctly to proceed. If you answer a question incorrectly, we will provide a clue to the correct answer.

Once you successfully completed the short test associated with the clinical vignette, proceed to the multiple-choice exam.
To earn contact hours, you must achieve a score of 75% on your exam. You may retake the test as many times as necessary to pass the test.

Jackie Stevens is a new nurse manager on a 30-bed orthopedic unit. The unit has been through three managers in the last five years and has been described as having a toxic work environment. Staff turnover is 30% each year. The unit is a revolving door for new graduates. The level of trust among staff on the unit is very low. Jackie has many years of experience as an assistant nurse manager in a similar clinical setting, and she was well liked by staff. This is her first assignment in a nurse manager role. She is excited about the possibilities of improvements that she can make, but she is also anxious about her new responsibilities.

1 ) Jackie aspires to become an authentic leader in this setting. A key initial step should include —

A. Attending a leadership development program.
B. Seeking mentorship from an experienced nurse leader.
C. Identifying her own core values.
D. Conducting a 360 evaluation of her leadership strengths with staff, peers and supervisors.

2 ) Jackie has been asked by her supervisor to help plan her orientation to the nurse manager role. Which of the following is a recommended leadership development tool for self-assessment of her competencies and learning needs?

A. The Thomas-Kilman Conflict Management Tool
B. The IPNG Assessment Tool
C. The Myers-Briggs Test
D. The NMLC Assessment Tool

3 ) Jackie asks staff to help create a healthier work environment. Which of the following suggestions has evidence-based support for the creation of a healthier work environment?

A. Staff self-scheduling
B. Shared governance
C. Free parking
D. Obtaining Magnet designation

4 ) Jackie wants to reduce turnover on her unit by re-engaging her staff. Which of the following actions would be MOST EFFECTIVE?

A. Implement retention bonuses
B. Improve shift differentials
C. Hire new graduates
D. Promote staff education