Question 1

Which statement by the nurse shows understanding of the primary advantage in using the group process in decision making? The process&#10;A) &#34;increases the time spent discussing alternatives.&#34;&#10;B) &#34;eliminates opposition to decisions by administrators.&#34;&#10;C) &#34;allows additional time for the planning process.&#34;&#10;D) &#34;promotes acceptance of the decision by the group.&#34;

Accepted Answer

When the group has input in the decision-making process,there is more acceptance of the group's decision.Groups can be beneficial to the decision-making process.Groups generally offer the benefits of a broader knowledge base for defining objectives and more creativity in identifying alternatives.The effectiveness of the group decision-making process is dependent on the dynamics of the group.When a group is involved in the decision-making process,there may be additional time spent discussing alternatives,and more time may be allowed for planning; however,this is not a specific advantage.It may not necessarily eliminate opposition to the decision by administration,but when the group makes a decision,it may be easier to deal with administrative opposition.

Question 2

A nurse manager has an adequate understanding of their nursing role when making which of the following statements?&#10;A) &#34;A manager selects or assumes a role.&#34;&#10;B) &#34;I have the same function as a floor nurse.&#34;&#10;C) &#34;I have the same authority as the director of the hospital.&#34;&#10;D) &#34;I was appointed to my role.&#34;

Accepted Answer

Whereas a manager is assigned or appointed to a role,a leader selects or assume a role.The nurse manager functions differently than a floor nurses,and although the nurse manager has some authority,it is less than the director of the hospital.

Question 3

What is the most consistent concern of the nurse as manager?&#10;A) To develop long-range career goals&#10;B) To coordinate patient care while meeting the agency goals&#10;C) To maintain harmony within the agency&#10;D) To organize the subordinates to meet agency goals

Accepted Answer

The role of the nurse as manager has evolved into a complex one that includes organizing patient care,directing personnel to achieve agency goals,and allocating resources.The most consistent concern of the nurse as manager is not to develop long-range career goals,maintain harmony within the agency,or organize subordinates to meet agency goals.Although having long-range career goals is a good idea for the nurse manager,it is not a day-to-day concern.Organizing subordinates in not a role of the nurse manager,but instead it is directing or supervising them to achieve patient care needs.

Question 4

A nurse wants to implement a change in the work environment.Which of the following actions would be the most important thing to do?&#10;A) Ask for suggestions from peers working in other institutions.&#10;B) Explain to coworkers how a different plan would work better.&#10;C) Seek input from coworkers from the beginning.&#10;D) Incorporate all suggestions into the plan before implementing.

Accepted Answer

Seeing the input from coworkers from the beginning is an important component of initiating change in the work environment.In the unfreezing phase,all of the factors that may cause resistance to change are considered.Others who may be affected by the change are sought out to determine whether they recognize that a change is needed and to determine their interest in participating in the process.It will be important to determine whether the environment of the institution is receptive to change and then convince others to work with the group initiating the change.

Question 5

What types of changes in management can be anticipated with the introduction of generations X and Y to the nursing work force?&#10;A) More flexible work time and increased personal responsibility for work outcomes&#10;B) Increased loyalty to the institution and the need for a well-defined work environment&#10;C) Increased interest in the goals and needs of the institution&#10;D) Increased structure within the nursing environment to more effectively predict outcomes

Accepted Answer

Members of generations X and Y are more independent and place higher value on personal time.They are not characteristically team players,but they are very creative and want to be responsible for their work outcomes.Baby Boomers are focused on building careers and are invested in organizational loyalty.The silent or veteran generation places high value on loyalty,discipline,teamwork,and respect for authority.

Question 6

A nurse is respected by peers for clinical skills and effective interpersonal relationships.The nurse has studied diabetic patient educational needs and consults with several units.What type of power does this nurse possess?

A) Informational
B) Legitimate
C) Reward
D) Expert

Accepted Answer

Expert power is based on specialized knowledge,skills,or abilities that are recognized and respected by others.Those who have information that others need to perform their duties have informational power.Legitimate power is based on the person's position within an organization.Reward power occurs when an individual has the power to give or withhold rewards.

Question 7

Which statement by the staff nurse shows adequate understanding of the nurse manager role? The nurse manager:&#10;A) &#34;is given information and power through an official position.&#34;&#10;B) &#34;coordinates group activities toward a common goal.&#34;&#10;C) &#34;is responsible for developing goals to be accomplished.&#34;&#10;D) &#34;selects and assumes a role among a group of peers.&#34;

Accepted Answer

The manager coordinates the activities of the group to maintain balance and direction.There are generally four functions the manager performs: planning (what is to be done),organizing (how it is to be done),directing (who is to do it),and controlling (when and how it is done).Good leaders carefully balance job-centered and employee-centered behaviors to meet both staff and patient needs effectively and often have information and power through an official position.A good leader works toward developing goals and has a sense of purpose and direction.A good leader must also be aware of how her or his behavior impacts the workplace.Emotions,moods,and patterns of behavior displayed by the leader will create a lasting impression on the behavior of the team involved.A team member is a person who assumes a role among a group of peers.

Question 8

Which statement best describes effective leadership by the nurse manager?&#10;A) Directs a staff nurse to modify his or her communication skills&#10;B) Fosters behavior changes in one staff member that have positive effects on the nurse manager and his or her peers&#10;C) Encourages behavior changes through the annual evaluation process&#10;D) Uses the group process to determine what behavior is distressing to staff

Accepted Answer

Leadership in groups is democratic; the members feel positive about their participation and the outcomes of the group process.The other options are not examples of effective leadership.This person should be flexible enough to adapt to the changing roles of nursing staff.The nurse manager/leader should be willing and able to share power with the same people that he or she will supervise.It is important to understand that the most effective leadership style for one situation is not necessarily the most effective for another.Research indicates that the effectiveness of the leader is influenced by the situation itself.As leadership theories continue to develop,emphasis is more on what the leader does rather than on the traits the leader possesses.Effective leadership revolves around the leader focusing a group's efforts on identifying goals and carrying out the activities needed to reach those goals,not necessarily on individual issues,such as an annual evaluation processes or working with a staff to change communication skills.

Question 9

The nurse understands that having a stand-up meeting versus the traditional (sitting at a conference table)meeting takes less time to come to a decision based on which of the following ideas?&#10;A) Contingency-style leadership&#10;B) Evidence-based management protocols and interventions&#10;C) Autocratic management style&#10;D) Presence of a clinical nurse leader (CNL)

Accepted Answer

Nurses are expected to practice using evidence-based protocols and interventions for clinical decision making,and managers are expected to use those management practices that are not simply based on conventional wisdom but on demonstrated outcomes.Evidence indicates that stand-up meetings took 34% less time to make decisions (Pfeffer & Sutton,2006).Using this model could save an organization many hours a year that can be put to another productive use or could be eliminated from the payroll.However,very few organizations use this model for meetings even in the face of the clear evidence of the impact it would have on the organization.The CNL is a highly prepared individual in the clinical setting whose role is to positively impact patient safety issues by identifying and managing risk while meeting standards of quality clinical care.Autocratic management style is authoritative.Contingency leadership style is a style of leading that is flexible to adapt to the situation.

Question 10

The nurse manager is beginning the process of problem solving.Which action should be taken first?&#10;A) Define the problem.&#10;B) Gather information.&#10;C) Analyze the information.&#10;D) Consider the alternatives.

Accepted Answer

The good manager will guide the process of defining or identifying the problem by asking the what,when,and where of the problem.Before the manager can perform any of the other steps of problem solving,the problem must be identified.Importance is placed on management's ability to differentiate between facts and opinions and to attempt to break down the information to its simplest terms.

Question 11

The nursing staff on a busy unit enjoys autonomy and needs minimal direction for patient care.Which leadership style would be most effective on this unit?&#10;A) Democratic&#10;B) Authoritarian&#10;C) Laissez-faire&#10;D) Bureaucratic

Accepted Answer

The answer of The nursing staff on a busy unit...

Question 12

The nurse manager on a surgical unit receives notification that multiple victims of a plane crash will arrive at the hospital momentarily.What is the most appropriate leadership style to adopt in this situation?

A) Authoritarian
B) Democratic
C) Laissez-faire
D) Eclectic

Accepted Answer

The answer of The nurse manager on a surgical unit...

Question 13

What action would be an appropriate first step for the nurse to take toward becoming an effective manager?&#10;A) Learn how to effect and direct the change process.&#10;B) Assess individuals' sources of power.&#10;C) Develop communication and interpersonal skills.&#10;D) Implement effective nursing care plans.

Accepted Answer

The answer of What action would be an appropriate first...

Question 14

A nurse is unhappy about the way medications are being administered on the unit.What does the nurse need to do first to facilitate a change in the process?&#10;A) Initiate a new method starting with assigned patients.&#10;B) Discuss concerns with fellow nurses.&#10;C) Develop a better method to administer the medications.&#10;D) Inform the charge nurse of how it can be done better.

Accepted Answer

The answer of A nurse is unhappy about the way...

Question 15

A nurse is interested in moving into a management position.Which action would assist with accomplishing this?&#10;A) Use of reward power&#10;B) Use of coercive power&#10;C) Use of expert power&#10;D) Use of legitimate power

Accepted Answer

The answer of A nurse is interested in moving into...

Question 16

The nurse manager is giving a presentation on the disadvantages of democratic leadership in group functioning.Which statement shows an understanding of this type of leadership?&#10;A) &#34;Requires more time and effort to make decisions and accomplish goals&#34;&#10;B) &#34;Discourages participation from quieter members of the group&#34;&#10;C) &#34;Increases the possibility of &#34;scapegoating&#34; or argumentative behavior&#34;&#10;D) &#34;Is difficult to control the outcomes and decisions of the group&#34;

Accepted Answer

The answer of The nurse manager is giving a presentation...

Question 17

If many complaints arise about a newly developed procedure,what is the best way to handle them?&#10;A) Discontinue the change because it is not working.&#10;B) Persuade a few friends to talk positively about it.&#10;C) Consider the complaints as indications that change is being resisted.&#10;D) Analyze the complaints and alter the plan as needed.

Accepted Answer

The answer of If many complaints arise about a newly...

Question 18

A nurse is using the decision-making process.Which action should be taken first?&#10;A) Evaluate the outcome.&#10;B) Identify and evaluate options.&#10;C) Set the objective.&#10;D) Implement the options.

Accepted Answer

The answer of A nurse is using the decision-making process.Which...

Question 19

The nurse manager tells the patient that he must eat his breakfast before getting out of bed.What type of power is the nurse manager using?&#10;A) Legitimate power&#10;B) Expert power&#10;C) Coercive power&#10;D) Referent power

Accepted Answer

The answer of The nurse manager tells the patient that...

Question 20

What do the responsibilities of the nurse manager include?&#10;A) Planning and organizing how nursing care can most effectively be delivered on the nursing unit&#10;B) Establishing the nursing care standards to be implemented on the unit&#10;C) Developing educational programs to assist staff to meet licensure requirements&#10;D) Assisting staff to adhere to organizational policies and procedures

Accepted Answer

The answer of What do the responsibilities of the nurse...

Question 21

Which of the following actions is consistent with a manager? (Select all that apply.)&#10;A) Planning the agenda for a staff meeting&#10;B) Directing nurse assistants in how to divide up patient care assignments&#10;C) Organizing a group of nurses to present a topic at a staff meeting&#10;D) Giving blood at the local hospital blood drive&#10;E) Assume control of the guidelines for how hourly rounding will work on the unit

Accepted Answer

The answer of Which of the following actions is consistent...

Question 22

Which of the following actions is consistent with a nurse leader?&#10;A) A nurse who encourages staff to give excellent patient care&#10;B) A nurse who performs chart audits on her staff&#10;C) A nurse who writes yearly staff evaluations&#10;D) A nurse who gives pain medication to an assigned patient

Accepted Answer

The answer of Which of the following actions is consistent...

Question 23

Which of the following statement by the nurse reflect transformational leaders? (Select all that apply.)&#10;A) Lifelong learners&#10;B) Courageous change agents&#10;C) Slow to change&#10;D) Value-driven visionaries&#10;E) Hesitant to follow

Accepted Answer

The answer of Which of the following statement by the...

Question 24

MATCHING&#10;Match the leadership theory with the appropriate description.&#10;&#10;Situational leadership&#10;A)Development of trust in relationship; uses democratic concepts of management and views the tasks to be accomplished from the standpoint of a team member&#10;B)Holds power and control over followers by providing incentives when the followers respond in a positive way to the leader's vision and the actions needed to reach that vision&#10;C)Situation is analyzed and leadership style is selected that will best address issues&#10;D)Process in which leader and followers work together in a way that changes or transforms the organization,the employees or followers,and the leader&#10;E)Leadership is flexible enough to address varying situations&#10;F)Needs to look at systems,such as those in health care organizations,as patterns of relationships and the interactions that occur among those in the system&#10;

Accepted Answer

The answer of MATCHING&#10;Match the leadership theory with the appropriate...

Question 25

MATCHING&#10;Match the leadership theory with the appropriate description.&#10;&#10;Transformational leadership&#10;A)Development of trust in relationship; uses democratic concepts of management and views the tasks to be accomplished from the standpoint of a team member&#10;B)Holds power and control over followers by providing incentives when the followers respond in a positive way to the leader's vision and the actions needed to reach that vision&#10;C)Situation is analyzed and leadership style is selected that will best address issues&#10;D)Process in which leader and followers work together in a way that changes or transforms the organization,the employees or followers,and the leader&#10;E)Leadership is flexible enough to address varying situations&#10;F)Needs to look at systems,such as those in health care organizations,as patterns of relationships and the interactions that occur among those in the system&#10;

Accepted Answer

The answer of MATCHING&#10;Match the leadership theory with the appropriate...

Question 26

MATCHING&#10;Match the leadership theory with the appropriate description.&#10;&#10;Contingency leadership&#10;A)Development of trust in relationship; uses democratic concepts of management and views the tasks to be accomplished from the standpoint of a team member&#10;B)Holds power and control over followers by providing incentives when the followers respond in a positive way to the leader's vision and the actions needed to reach that vision&#10;C)Situation is analyzed and leadership style is selected that will best address issues&#10;D)Process in which leader and followers work together in a way that changes or transforms the organization,the employees or followers,and the leader&#10;E)Leadership is flexible enough to address varying situations&#10;F)Needs to look at systems,such as those in health care organizations,as patterns of relationships and the interactions that occur among those in the system&#10;

Accepted Answer

The answer of MATCHING&#10;Match the leadership theory with the appropriate...

Question 27

Which of the following describes reward power used by the nurse manager? (Select all that apply.)&#10;A) A nurse manager who uses fear of consequences to motivate staff&#10;B) A nurse manager who uses salary increases to motivate staff&#10;C) A nurse manager who is perceived as an expert due to specialized knowledge&#10;D) A nurse manager who is well liked by the majority of staff&#10;E) A nurse manager who has information that others need to perform their jobs

Accepted Answer

The answer of Which of the following describes reward power...

Question 28

A nurse manager is in the planning phase in a new job.Which action shows this? (Select all that apply.)&#10;A) Developing goals that reflect the mission and vision of the organization&#10;B) Defining strategies to meet the mission and vision of the organization&#10;C) Providing direction for staff to perform the work of the organization&#10;D) Retaining accountability for all work completed by the staff&#10;E) Planning for contingencies which may interfere with the work of the organization

Accepted Answer

The answer of A nurse manager is in the planning...

Question 29

MATCHING&#10;Match the leadership theory with the appropriate description.&#10;&#10;Transactional leadership&#10;A)Development of trust in relationship; uses democratic concepts of management and views the tasks to be accomplished from the standpoint of a team member&#10;B)Holds power and control over followers by providing incentives when the followers respond in a positive way to the leader's vision and the actions needed to reach that vision&#10;C)Situation is analyzed and leadership style is selected that will best address issues&#10;D)Process in which leader and followers work together in a way that changes or transforms the organization,the employees or followers,and the leader&#10;E)Leadership is flexible enough to address varying situations&#10;F)Needs to look at systems,such as those in health care organizations,as patterns of relationships and the interactions that occur among those in the system&#10;

Accepted Answer

The answer of MATCHING&#10;Match the leadership theory with the appropriate...

Question 30

The nurse manager identifies which of the following as the most critical step in problem solving?&#10;A) Brainstorm all possible solutions.&#10;B) Identify the problem.&#10;C) Evaluate possible solutions.&#10;D) Choose a solution.

Accepted Answer

The answer of The nurse manager identifies which of the...

Question 31

A nurse manager has received a report that indicates the infection rate on the unit has gone up by 25% in the past month.The control phase of management requires that the nurse manager take action.What should the nurse manager do?

A) Post the report for staff to read.
B) Pull a couple of the nurses aside and discuss the issue with them.
C) Send an email out to the staff with information regarding upcoming infection prevention conference.
D) Provide a mandatory handwashing in-service to all staff.

Accepted Answer

The answer of A nurse manager has received a report...

Question 32

MATCHING&#10;Match the leadership theory with the appropriate description.&#10;&#10;Complexity theory&#10;A)Development of trust in relationship; uses democratic concepts of management and views the tasks to be accomplished from the standpoint of a team member&#10;B)Holds power and control over followers by providing incentives when the followers respond in a positive way to the leader's vision and the actions needed to reach that vision&#10;C)Situation is analyzed and leadership style is selected that will best address issues&#10;D)Process in which leader and followers work together in a way that changes or transforms the organization,the employees or followers,and the leader&#10;E)Leadership is flexible enough to address varying situations&#10;F)Needs to look at systems,such as those in health care organizations,as patterns of relationships and the interactions that occur among those in the system&#10;

Accepted Answer

The answer of MATCHING&#10;Match the leadership theory with the appropriate...

Question 33

Which action by the nurse indicates placement in the unfreezing phase of Lewin's Change Theory?&#10;A) The nurse reconsiders what has caused themself to be resistant to change.&#10;B) The nurse begins the process of implementing change.&#10;C) The change has become routine.&#10;D) The change is permanent.

Accepted Answer

The answer of Which action by the nurse indicates placement...

Question 34

Which of the following actions by the nurse manager would indicate an autocratic management style?&#10;A) Allows staff members to make most of the decisions&#10;B) Makes most of the decisions without input from the staff members&#10;C) Exerts little control over staff&#10;D) Emphasizes effective group functioning

Accepted Answer

The answer of Which of the following actions by the...

Question 35

MATCHING&#10;Match the leadership theory with the appropriate description.&#10;&#10;Interactional leadership&#10;A)Development of trust in relationship; uses democratic concepts of management and views the tasks to be accomplished from the standpoint of a team member&#10;B)Holds power and control over followers by providing incentives when the followers respond in a positive way to the leader's vision and the actions needed to reach that vision&#10;C)Situation is analyzed and leadership style is selected that will best address issues&#10;D)Process in which leader and followers work together in a way that changes or transforms the organization,the employees or followers,and the leader&#10;E)Leadership is flexible enough to address varying situations&#10;F)Needs to look at systems,such as those in health care organizations,as patterns of relationships and the interactions that occur among those in the system&#10;

Accepted Answer

The answer of MATCHING&#10;Match the leadership theory with the appropriate...

Deck 10: Challenges of Nursing Management and Leadership