Deck 10: Nursing Management and Leadership

Question 1

Which statement best describes effective leadership by the nurse manager?

A)Directs a staff nurse to modify his/her communication skills
B)Fosters behavior changes in one staff member that have positive effects on the others
C)Encourages behavior changes through the annual evaluation process
D)Uses the group process to determine what behavior is distressing to staff

Answer 1

Fosters behavior changes in one staff member that have positive effects on the others

Question 2

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

Answer 2

Expert

Question 3

If many complaints arise about a newly developed procedure,what is the best way to handle them?

A)Discontinue the change because it is not working.
B)Persuade a few friends to talk positively about it.
C)Consider the complaints as indications that change is being resisted.
D)Analyze the complaints and alter the plan as needed.

Answer 3

Analyze the complaints and alter the plan as needed.

Question 4

Which statement by the nurse shows understanding of the primary advantage in using the group process in decision making? "The process

A)increases the time spent discussing alternatives."
B)eliminates opposition to decisions by administrators."
C)allows additional time for the planning process."
D)promotes acceptance of the decision by the group."

Question 5

A nurse manager has an adequate understanding of this nursing role when making which of the following statements?

A)"A manager selects or assumes a role."
B)"I have the same function as a floor nurse."
C)"I have the same authority as the director of the hospital."
D)"I was appointed to my role."

Question 6

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?

A)Contingency-style leadership
B)Evidence-based management protocols and interventions
C)Autocratic management style
D)Presence of a clinical nurse leader (CNL)

Question 7

A nurse wants to implement a change in the work environment.Which of the following actions would be the most important thing to do?

A)Ask for suggestions from peers working in other institutions.
B)Explain to coworkers how a different plan would work better.
C)Seek input from coworkers from the beginning.
D)Incorporate all suggestions into the plan before implementing.

Question 8

A nurse is using the decision-making process.Which action should be taken first?

A)Evaluate the outcome.
B)Identify and evaluate options.
C)Set the objective.
D)Implement the options.

Question 9

Which statement by the staff nurse shows adequate understanding of the nurse manager role? The nurse manager:

A)"is given information and power through an official position."
B)"coordinates group activities toward a common goal."
C)"is responsible for developing goals to be accomplished."
D)"selects and assumes a role among a group of peers."

Question 10

The nurse manager is beginning the process of problem solving.Which action should be taken first?

A)Define the problem.
B)Gather information.
C)Analyze the information.
D)Consider the alternatives.

Question 11

A nurse is interested in moving into a management position.Which action would assist with accomplishing this?

A)Use of reward power
B)Use of coercive power
C)Use of expert power
D)Use of legitimate power

Question 12

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?

A)"Requires more time and effort to make decisions and accomplish goals"
B)"Discourages participation from quieter members of the group"
C)"Increases the possibility of 'scapegoating' or argumentative behavior"
D)"Is difficult to control the outcomes and decisions of the group"

Question 13

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?

A)Initiate a new method starting with assigned patients.
B)Discuss concerns with fellow nurses to determine interest in changing.
C)Develop a better method to administer the medications.
D)Inform the charge nurse of how it can be done better.

Question 14

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?

A)Legitimate power
B)Expert power
C)Coercive power
D)Referent power

Question 15

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?

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

Question 16

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)Autocratic
B)Democratic
C)Laissez-faire
D)Eclectic

Question 17

What is the most consistent concern of the nurse as manager?

A)To develop long-range career goals
B)To coordinate patient care while meeting the agency goals
C)To maintain harmony within the agency
D)To organize the subordinates to meet agency goals

Question 18

What types of changes in management can be anticipated with the introduction of generations X and Y to the nursing work force?

A)More flexible work time and increased personal responsibility for work outcomes
B)Increased loyalty to the institution and the need for a well-defined work environment
C)Increased interest in the goals and needs of the institution
D)Increased structure within the nursing environment to more effectively predict outcomes

Question 19

What do the responsibilities of the nurse manager include?

A)Planning and organizing how nursing care can most effectively be delivered
B)Establishing the nursing care standards to be implemented on the unit
C)Developing educational programs to assist staff to meet licensure requirements
D)Assisting staff to adhere to organizational policies and procedures

Question 20

What action would be an appropriate first step for the nurse to take toward becoming an effective manager?

A)Learn how to effect and direct the change process.
B)Assess individuals' sources of power.
C)Develop communication and interpersonal skills.
D)Implement effective nursing care plans.

Question 21

A nurse manager is in the planning phase in a new job.Which actions show this? (Select all that apply.)

A)Developing goals that reflect the mission and vision of the organization
B)Defining strategies to meet the mission and vision of the organization
C)Providing direction for staff to perform the work of the organization
D)Retaining accountability for all work completed by the staff
E)Planning for contingencies that may interfere with the work of the organization

Question 22

Which of the following statements by the nurse reflect transformational leaders? (Select all that apply.)

A)Lifelong learners
B)Courageous change agents
C)Slow to change
D)Value-driven visionaries
E)Hesitant to follow

Question 23

Which of the following actions by the nurse manager would indicate an autocratic management style?

A)Allows staff members to make most of the decisions
B)Makes most of the decisions without input from the staff members
C)Exerts little control over staff
D)Emphasizes effective group functioning

Question 24

Which of the following describe reward power used by the nurse manager? (Select all that apply.)

A)A nurse manager who allows employees to initiate schedule changes
B)A nurse manager who uses salary increases to motivate staff
C)A nurse manager who is perceived as an expert due to specialized knowledge
D)A nurse manager who is well liked by the majority of staff
E)A nurse manager who has information that others need to perform their jobs

Question 25

Which of the following actions is consistent with a manager? (Select all that apply.)

A)Planning the agenda for a staff meeting
B)Directing nurse assistants in how to divide up patient-care assignments
C)Organizing a group of nurses to present a topic at a staff meeting
D)Giving blood at the local hospital blood drive
E)Assume control of the guidelines for how hourly rounding will work on the unit

Question 26

Which action by the nurse indicates placement in the unfreezing phase of Lewin's Change Theory?

A)The nurse reconsiders if he or she is resistant to change.
B)The nurse begins the process of implementing change.
C)The change has become routine.
D)The change is permanent.

Question 27

A nurse manager has received a report that indicates the infection rate on the unit has gone up by 25% in the past month.What action by the manager is best?

A)Post the report for staff to read.
B)Pull a couple of the nurses aside,and discuss the issue with them.
C)Require staff to attend an infection prevention conference
D)Provide a mandatory handwashing in-service to all staff.

Question 28

The nurse manager oversees a busy unit that has experienced several major changes recently.The manager notes the staff comply with the changes but seem depressed and lack energy.What action by the manager is best?

A)Remind them that the changes were for the best.
B)Explain why the changes were needed.
C)Allow nurses to move at their own pace.
D)Give weekly pep talks and bring treats.

Question 29

The nurse manager identifies which of the following as the most critical step in problem solving?

A)Brainstorm all possible solutions.
B)Identify the problem.
C)Evaluate possible solutions.
D)Choose a solution.

Question 30

Which of the following actions is consistent with a nurse leader?

A)A nurse who encourages staff to give excellent patient care
B)A nurse who performs chart audits on her staff
C)A nurse who writes yearly staff evaluations
D)A nurse who gives pain medication to an assigned patient