Deck 30: Thriving for the Future

Question 1

The phenomenon experienced by the staff in Question 18 is termed:

A) Eustress.
B) Care process.
C) Stereotypical thinking.
D) Complexity compression.

Answer 1

Complexity compression.

Question 2

The chief nursing officer has been developing her portfolio for years.She has been modeling:

A) Her clinical expertise.
B) Memories of different colleagues.
C) Her ability to be employable.
D) Her busy professional life.

Answer 2

Her ability to be employable.

Question 3

During an interview with a new staff nurse applicant,the nurse manager assesses for leadership strengths.Which of the following is a characteristic of leadership strength?

A) Ability to work in a team
B) Understanding bedside nursing
C) Ability to work independently
D) Ability to pay attention to details

Answer 3

Ability to work in a team

Question 4

The starfish analogy is exemplified in which of the following?

A) A unit manager resigns after continued tension between the administration and her regarding implementation of primary nursing. The primary nursing project dies.
B) Nurses try to establish a clinic that provides ambulatory care to parents and young children in an impoverished neighborhood. Community members advocate for funding from political leaders and insurers.
C) Alana, a new graduate, promotes continence care based on evidence. When she presents her ideas, senior staff refuses to consider it.
D) The head of a community health service moves on to another position. Programs are disbanded.

Question 5

To move beyond stereotypical thinking and toward thinking about the future,which of the following would be most helpful?

A) Listing everything that we know about our current situation
B) Defining which practices will remain unchanged and which will change
C) Asking someone with a great deal of experience to share ideas about best practice
D) Challenging current and future practices with questions of "what if?"

Question 6

A number of changes are introduced to a unit,including changes to familiar clinical procedures and the use of PDAs to enable bedside documentation.You,as unit manager,anticipate which of the following will contribute most to complexity compression?

A) Meaning of the change
B) Introduction of new technology
C) Previous experiences with change
D) Confidence of the leader in the value of the change

Question 7

After working for a nurse manager for the past 8 months,a staff nurse notices that many decisions made by the nurse manager benefit her more than the staff members.Which leadership quality is this nurse manager lacking?

A) Ethical political savvy
B) Authenticity and accountability
C) Leadership through expectation
D) Quest for meaning

Question 8

Which of the following strategies is most important in developing a strong vision?

A) Seeking out evidence to support trends and out of the box thinking
B) Spending time with others with whom we discuss ideas
C) Setting up focus groups to provide information on current realities
D) Being honest and open about what we think for the future

Question 9

A trend that may have an impact on the future availability of the nursing workforce in the face of increasing need for health care is:

A) Increasing numbers of nurses on disability related to the physical demands of nursing.
B) Declining interest in nursing among disenfranchised youth.
C) Interest of Generation Y in travel over money.
D) Premature loss of nurses in the workforce related to poor work conditions.

Question 10

A local nurse is responsible for developing a new service.She spends many hours contacting the presidents of three community groups,and she works with the neighborhood association.The effort reflects which of the leadership strengths proposed by Lipman-Blumen (2000)?

A) Ethical political savvy
B) Authenticity and accountability
C) Politics of commonalities
D) Leadership through expectation

Question 11

A stroke unit experiences numerous changes related to implementation of new technology,a changed nursing care delivery model,and staff turnover within a period of 6 months.Staff members begin to show signs of reluctance to implement any more changes.This exemplifies:

A) A poor relationship between leaders and staff.
B) Lack of knowledge regarding the importance of changes.
C) Striving to achieve stability in the midst of great disequilibrium.
D) The importance of chaos in promoting adherence with established practices.

Question 12

Nursing professionals in the twenty-first century will accomplish most of their work:

A) Through teams of internationally prepared professionals.
B) In teams and through group work.
C) Through long-term, secure jobs.
D) In competitive environments and work groups.

Question 13

As a nurse manager,it is important to become a "future thinker." Which is an example of a "future thinker"?

A) Keeping traditional practices
B) Moving toward evidence-based practices
C) Finding less need for more knowledge
D) Believing that macromarketing will be a necessity

Question 14

A business condition that may assist forecasting but add to the complexity of change is:

A) Consulting with professional groups about change.
B) Researching about trends on futuristic sites.
C) Asking patients to examine options for change.
D) Building profit projects and sustainability into planning.

Question 15

Which of the following behaviors exemplifies the characteristic most desired in the nurse of tomorrow?

A) Coordination and maximization of resources
B) Acquiescence to the leader
C) Attentiveness to detail
D) Development of vision based on current realities, future trends, and evidence

Question 16

Which of the following hampers the ability of nurses to be leaders?

A) Focus on the patient and not on the system
B) Lack of interest in leadership
C) Disillusionment with change
D) Funding disparities

Question 17

Nursing research has indicated that the foundation for becoming a nursing leader is the ability to:

A) Write effectively.
B) Speak two or three languages.
C) Dialogue with others.
D) Think critically.

Question 18

Healthcare demographics,changing funding levels,and alternative approaches to care all interact with and influence one another.Nursing at individual,unit,and systems levels influences health care and society and vice versa.The implication of this is:

A) Funding levels will reduce the number of nursing positions.
B) The ethical influence of nursing on political decisions increases public trust in nursing.
C) Negative publicity by politicians will negatively affect public perceptions of nursing.
D) The public has little impact on the organization of health care.

Question 19

Based on studies of workplace environments for nurses and future projections,the workplace of the future will be:

A) Less intense because of more technology.
B) About the same as it is now.
C) More intense because of more technology.
D) Fluctuating between intense periods and less intense periods.

Question 20

Which of the following actions is most representative of how health care of the future might be delivered? As a nurse leader,you:

A) Refer families who require immediate help to a local food bank. You also work with local agencies and families to establish a mothers' collective in which mothers learn about nutrition and prepare low-cost, nutritious meals that are shared with the mothers in the collective.
B) Work together with a local agency to set up a free clinic in which addicts and the homeless can receive free health care and prescriptions for immediate needs.
C) Ensure that individuals who are admitted to your unit are asked about their smoking history and that preoperative and postoperative planning takes into account how smoking will affect status during and after surgery.
D) Address the health of those who are overweight and obese on your unit by ensuring that hospital meals offer nutritious, healthy food choices that are satisfying.

Question 21

Nathan tells you that he has selected nursing as a career because many jobs are available and he will have job security.Your best response to Nathan is:

A) "With many young people going overseas, many jobs and options will be available. Stable jobs and job security will be part of the nursing employment market."
B) "The job market for nurses will be diminished with funding cuts to hospitals."
C) "The employment prospects for nurses are positive with many options to choose from. Flexibility and adaptability are essential to income security."
D) "It is unlikely that nursing will survive in the long term with funding cuts and a declining population of seniors."

Question 22

In developing curricula that will address needs based on forecasts for the future,nursing educators need to contemplate

A) Population-based strategies to prevent chronic disorders.
B) Leadership skills and knowledge.
C) Competence in use and application of technology.
D) Strategies for job security.

Question 23

A necessary leadership strength for nurses of the future is:

A) The ability to involve stakeholders in common interests to achieve outcomes that meet their needs.
B) Enhanced skills and knowledge in advanced clinical techniques.
C) Understanding of the nuances of fundraising to make up funding shortfalls.
D) The ability to manage a workforce that lacks loyalty to one organization.

Question 24

Janice is a school nurse in a large urban high school.She observes the numbers of students smoking and understands the possibility for increased evidence of acute and chronic disorders related to smoking.After involving teachers,parents,students,and the community,she implements a smoking cessation program.Her program reflects which strength of connected leadership?

A) Quest for meaning
B) Authenticity and accountability
C) Thinking long-term, acting short-term
D) Leadership through expectation

Question 25

Harry works with adolescents in an addictions clinic and has a staff of two RNs.The clinic has been extraordinarily successful because of Harry's ability to inspire staff and to inspire adolescent clients to achieve success.What connected leadership strength is Harry displaying?

A) Authenticity and accountability
B) Quest for meaning
C) Ethical political savvy
D) Leadership through expectation