Question 1

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

Accepted Answer

A)  The nurse reconsiders what has caused themself to be resistant to change. 
B)  The nurse begins the process of implementing change. 
C)  The change has become routine. 
D)  The change is permanent. 
A)  The nurse reconsiders what has caused themself to be resistant to change. 
B)  The nurse begins the process of implementing change. 
C)  The change has become routine. 
D)  The change is permanent. A

Question 2

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

Accepted Answer

A)  A nurse manager who uses fear of consequences to motivate staff 
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 
A)  A nurse manager who uses fear of consequences to motivate staff 
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 A,B

Question 3

What do the responsibilities of the nurse manager include?

Accepted Answer

A)  Planning and organizing how nursing care can most effectively be delivered on the nursing unit 
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 
A)  Planning and organizing how nursing care can most effectively be delivered on the nursing unit 
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 A

Question 4

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?

Accepted Answer

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

Question 5

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

Accepted Answer

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

Question 6

MATCHING
Match the leadership theory with the appropriate description.

-Contingency leadership

Accepted Answer

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 
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 
C) Situation is analyzed and leadership style is selected that will best address issues 
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 
E) Leadership is flexible enough to address varying situations
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 
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 
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 
C) Situation is analyzed and leadership style is selected that will best address issues 
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 
E) Leadership is flexible enough to address varying situations
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

Question 7

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

Accepted Answer

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 
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 8

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

Accepted Answer

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

Question 9

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

Accepted Answer

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 
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 10

MATCHING
Match the leadership theory with the appropriate description.

-Interactional leadership

Accepted Answer

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 
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 
C) Situation is analyzed and leadership style is selected that will best address issues 
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 
E) Leadership is flexible enough to address varying situations
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 
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 
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 
C) Situation is analyzed and leadership style is selected that will best address issues 
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 
E) Leadership is flexible enough to address varying situations
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

Question 11

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?

Accepted Answer

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

Question 12

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

Accepted Answer

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

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?

Accepted Answer

A)  Initiate a new method starting with assigned patients. 
B)  Discuss concerns with fellow nurses. 
C)  Develop a better method to administer the medications. 
D)  Inform the charge nurse of how it can be done better. 
A)  Initiate a new method starting with assigned patients. 
B)  Discuss concerns with fellow nurses. 
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 identifies which of the following as the most critical step in problem solving?

Accepted Answer

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

Question 15

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

Accepted Answer

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

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?

Accepted Answer

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

Question 17

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

Accepted Answer

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. 
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 18

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

Accepted Answer

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 
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

Question 19

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

Accepted Answer

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. 
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 20

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

Accepted Answer

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 
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

Exam 10: Challenges of Nursing Management and Leadership

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

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

What do the responsibilities of the nurse manager include?

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?

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

MATCHING Match the leadership theory with the appropriate description. -Contingency leadership

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

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

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

MATCHING Match the leadership theory with the appropriate description. -Interactional leadership

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?

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

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?

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

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

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?

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

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

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

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

Role Transitions

Personal Management: Time and Self-Care Strategies

Mentorship, Preceptorship, and Nurse Residency Programs

Employment Considerations: Opportunities, Resumes, and Interviewing

NCLEX-RN Examination and the New Graduate

Historical Perspectives: Influences on the Present

Nursing Education

Nursing Theory

Image of Nursing: Influences of the Present

Building Nursing Management Skills

Effective Communication and Team Building

Conflict Management

Delegation in the Clinical Setting

The Health Care Organization and Patterns of Nursing Care Delivery

Economics of the Health Care Delivery System

Political Action in Nursing

Collective Bargaining: Traditional (Union)and Nontraditional Approaches

Ethical Issues

Legal Issues

Cultural and Spiritual Awareness

Quality Patient Care

Nursing Informatics

Using Nursing Research in Practice

Workplace Issues

Emergency Preparedness

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