Question 1

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

Accepted Answer

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. B

Question 2

According to studies of workplace environments for nurses and future projections,the workplace of the future will be

Accepted Answer

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. C

Question 3

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

Accepted Answer

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

Question 4

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 neighbourhood association.This effort reflects which of the leadership strengths proposed by Lipman-Blumen (2000)?

Accepted Answer

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

Question 5

Jadzia is a school nurse in a large urban high school.She observes the numbers of students smoking and understands the usefulness of 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?

Accepted Answer

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

Question 6

Health care 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 that

Accepted Answer

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 effect on the organization of health care.

Question 7

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?

Accepted Answer

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

Question 8

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

Accepted Answer

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

Question 9

A necessary leadership strength for nurses of the future is

Accepted Answer

A)   the ability to involve health care teams 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 10

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

Accepted Answer

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 11

The leadership style that promotes and facilitates change that is important for realizing a future vision is

Accepted Answer

A)   autocratic.
B)   relational.
C)   paternalistic.
D)   task oriented.

Question 12

Which of the following behaviours exemplifies the characteristic most desired in the nurse of the future?

Accepted Answer

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

Question 13

It is important for a nurse manager to become a "future thinker." Which is an example of a "future thinker"?

Accepted Answer

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

Question 14

The Canadian Nurses Association`s vision for 2020 includes

Accepted Answer

A)   focusing the delivery system on health care providers.
B)   rapidly accelerating the adoption of promising technologies.
C)   concentrating the delivery of health care on institutions.
D)   integrating medical knowledge related to care of acutely ill patients.

Question 15

Marco 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 Marco is

Accepted Answer

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 older people."

Question 16

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

Accepted Answer

A)   write effectively.
B)   speak two or three languages.
C)   have a dialogue with others.
D)   think critically.

Question 17

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

Accepted Answer

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

Question 18

The starfish analogy is exemplified in which of the following?

Accepted Answer

A)   A unit manager resigns after continued tension between herself and the administration 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 neighbourhood. Community members advocate for funding of the clinic by political leaders and insurers.
C)   Alana, a new graduate, promotes continence care that is informed by 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 in the health service are disbanded.

Question 19

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

Accepted Answer

A)   Listing everything that is known about the 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 20

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

Accepted Answer

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 patients who are overweight and obese on your unit by ensuring that hospital meals offer nutritious, healthy food choices that are satisfying.

Exam 30: Thriving for the Future