Deck 4: The New World and New Leadership: Changing Our Thinking About Leaders

Question 1

Who is the largest group of professional health-care workers that could lead innovative change?
1)Physicians
2)Nurses
3)Physical therapists
4)Chief executive officers

Answer 1

2

Question 2

Which characteristics best reflect Covey's (2004) definition of leadership?
1)Imagination, credibility, and critical thinking ability
2)Creativity, reliability, and integrity
3)Vision, courage, and humility
4)Outcomes-focused nature, assertiveness, and flexibility

Answer 2

3

Question 3

A nurse staff member is "co-missioning." Which action is the nurse taking?
1)Freeing up nurses from the bedside
2)Allowing nurses to join a union
3)Developing vision outcome measurements
4)Establishing policy and procedures for a new change

Answer 3

3

Question 4

The new science age stresses that nurse leaders should acquire which skills to be successful?
1)Planning, developing budgets, and scheduling staff
2)Collaborating, evaluating current practice, and creating new practice methods
3)Evaluating personnel, motivating others, and requiring overtime
4)Focusing on cost-cutting practice, managing resources, and cross-training

Question 5

Which theory describes the way life is ordered and emphasizes that life is based on the principles of emergence more so than any other variables?
1)Complexity theory
2)Cognitive theory
3)Developmental theory
4)Transformation theory

Question 6

Nurses need to assess and monitor their patients' abilities and needs frequently. As nurses plan and intervene for their patients, they need to evaluate the achievement of goals. Which of the following best reflects this concept?
1)Data collection
2)Standard regulations
3)Outcome management
4)Quality improvement

Question 7

A nurse leader is using the new science age philosophy. Which activity will this nurse leader recommend?
1)Become more task oriented to increase efficiency.
2)Use more prediction formulas to plan staffing.
3)Facilitate more processes to obtain desired goals.
4)Focus on developing policies.

Question 8

Which information best describes quantum theory in regard to nursing leadership?
1)A mixture of maturation and learning
2)Linear movement with controlled chaos
3)Interfacing among all group members
4)A scientific way of thinking

Question 9

A nurse is teaching about perspective transformation. In which order will the nurse list the first four stages?
1)Stability, dissonance, confusion, and dealing with uncertainty
2)Dissonance, confusion, dealing with uncertainty, and stability
3)Confusion, stability, dealing with uncertainty, and dissonance
4)Dealing with uncertainty, stability, dissonance, and confusion

Question 10

Quantum theory, developmental theory, and complexity theory support which view of leadership?
1)Holistic
2)Bureaucratic
3)Industrial
4)Newtonian

Question 11

A nurse leader who initiated a new change in practice is "working out the kinks." Using perspective transformation theory, what is this process called?
1)Resolution
2)Return to stability
3)Dissonance
4)Reconceptualization

Question 12

Which primary aspect will the nurse leader focus on when using the new science age for leadership?
1)Relationships
2)Strategic planning
3)Hierarchical organizational structure
4)Task accomplishment

Question 13

Which information from the nurse most closely describes chaos theory?
1)Confusion yields negative outcomes.
2)Growth is generated from disequilibrium.
3)Being in total control yields maximum growth.
4)Feeling overwhelmed always brings negative outcomes.

Question 14

A nurse feels confident that he has collected the right information and has had a meeting with the unit manager to start a new checklist for rounding information on the floor. Which perspective transformation stage is the nurse exhibiting?
1)Saturation
2)Stability
3)Dissonance
4)Reconceptualization

Question 15

The Institute of Medicine (IOM) Report (2010) included which recommendations for the nursing profession?
1)Increase collaboration of nurses with the health-care team and increase baccalaureate and doctorally prepared nurses.
2)Reimburse registered nurses (RNs) who acquire certification in their specialty area and increase staff nurse-to-patient ratio in acute care institutions.
3)Identify more cross-training units for more efficient use of RNs in each institution and apply for magnet status to increase consumer interest in agency.
4)Require all acute care institutions to provide tuition reimbursement for associate degree nurses to obtain a bachelor of science in nursing and perform patient satisfaction surveys monthly.

Question 16

A nurse leader is using scientific age principles. Which action will the nurse take?
1)Create while doing.
2)Empower all.
3)Use integrated documentation.
4)Develop short- and long-term planning.

Question 17

Which concept best reflects the perspective of the new science age for leadership?
1)Goal-oriented
2)Dynamic
3)Orderly
4)Cost-effective

Question 18

Which strategy using new science age principles will a nurse manager implement to schedule staff on a high acuity medical unit?
1)Computerized formula that projects the needed staff mix according to patient medical diagnoses
2)Nurse-generated staffing ratio using current patient acuity status
3)Nurse supervisor input identified from data over the last 24 hours
4)Computerized formula predicting staff needs according to unit full-time equivalent allotment

Question 19

Which activity is currently one of the most challenging opportunities for nurses in acute care institutions to become involved with to produce change?
1)Participating in patient management just prior to discharge
2)Developing creative staffing mixes to provide optimum care
3)Using standardized critical paths without any individual variation
4)Training of unlicensed assistive personnel to do patient assessment

Question 20

According to developmental theory, to be a successful leader in which stage must the nurse successfully accomplish tasks?
1)Older adult
2)Adolescent
3)Middle-age
4)Young adulthood

Question 21

When a severely injured trauma victim enters the emergency department, the physicians and nursing staff generally tend to come together for the "common good." This describes which communication strategies?
1)Less enthusiasm and frantic, quick statements of doom
2)Somber tone with short, monosyllabic words
3)Use of professional wording and less familiarity with team members
4)More personal and group approach

Question 22

Which focus will allow nursing leaders to move individuals and organizations forward in this chaotic health-care environment?
1)Task-focused
2)Process-focused
3)Narrow, specific-focused
4)System separating-focused

Question 23

Which issues are included in the IOM's Crossing the Quality Chasm-A New Health System for the 21st Century (2001)? Select all that apply.
1)Patient safety
2)Nurse-centeredness
3)Efficiency
4)Timeliness
5)Equity

Question 24

Which board would a new graduate nurse, who has worked for 1 year on a neuromedicine unit, be best able to participate in to build leadership skills?
1)Budget and Salary Board of the Hospital
2)The regional Multiple Sclerosis (MS) Research Protocol Board
3)Quality Improvement for Physical Resources Board
4)The National Institute of Cancer Board

Question 25

Experience assists the nurse to evolve from merely reacting to a crisis, such as the nurse had learned to do in school, to actually critically analyzing the situation and creating a solution. What is this type of growth called?
1)Cognitive
2)Developmental
3)Maturational
4)Perspective transformation