Chapter 25 Effective Leadership and Management in Nursing 8th Edition

Chapter 25  Effective Leadership and Management in Nursing 8th Edition

Complete Chapter Questions And Answers
 

Sample Questions

Question 1
Type: MCSA
An ICU nurse manager noticed a competent nurse has become forgetful and has made medication errors in the past few months. This type of behavior is unusual for this nurse. What action should the manager take?
1. Issue a written warning to the nurse.
2. Meet individually with the nurse to discuss the behavior.
3. Ask other staff members if they have noticed the behavior.
4. Report the nurse to the human resources department.
Correct Answer: 2
Rationale 1: It is premature to issue a written warning.
Rationale 2: Meeting with the nurse will provide information. The nurse may be experiencing unusual stress at home, may be unaware of his or her behavior, or may have a medical condition. The first step should be to address and assess the situation.
Rationale 3: It is not appropriate for the manager to involve other staff members.
Rationale 4: It is premature to report the nurse to the human resources department.
Global Rationale:

Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 25-5: Discuss how managers can help themselves and their staff manage stress.

Question 2
Type: MCSA
A rural hospital has been at capacity for the past 3 months. The chief nursing officer (CNO) has heard numerous complaints from the nursing staff. Most of the complaints are issues related to other nursing departments and are minor. How should the CNO interpret these complaints?
1. The nursing staff members are inefficient in managing the client load.
2. This is a typical reaction among nursing departments.
3. The nursing staff is stressed due to a sustained increased workload.
4. The nurses are ready to unionize.
Correct Answer: 3
Rationale 1: The nursing staff’s efficiency is not in question.
Rationale 2: It is not appropriate to dismiss these issues as “typical” among nursing departments.
Rationale 3: Stress can result from job-related factors, such as task overload, conflicting tasks, inability to do the tasks assigned because of a lack of preparation/experience and insufficient information regarding the assignment.
Rationale 4: There is no evidence that this is the case, but improving workplace conditions is a primary reason that nurses seek collective bargaining.
Global Rationale:

Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 25-2: Describe the organizational, interpersonal, and individual factors that cause stress.

Question 3
Type: MCSA
A busy ICU unit has a high noise level. This frustrates the charge nurse in part because it is difficult to focus when entering physician’s orders into the electronic medical record. Which would be the most appropriate action by the ICU nurse manager?
1. Decrease the noise level on the unit.
2. Tell the staff members that they need to be quiet when sitting at the nurse’s station.
3. Close the doors to the client’s rooms.
4. Rearrange the space so that an area that is quieter is available for order entry.
Correct Answer: 4
Rationale 1: The long-term plan would be to work on lowering the noise level on the unit, but busy ICU units tend to be noisy.
Rationale 2: Telling the staff to be quiet may create the additional stress of a disgruntled staff.
Rationale 3: Closing the doors to client rooms is not always possible and those rooms are generally not the areas where the excessive noise is produced.
Rationale 4: The most logical of these options is to rearrange the area so that order entry can be done in a quieter environment.
Global Rationale:

Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 25-5: Discuss how managers can help themselves and their staff manage stress.

Question 4
Type: MCSA
A medical-surgical nurse manager has received a complaint by a client regarding the noise level on the unit. The manager reviews the schedule and harshly reprimands the nursing staff who cared for the client. What is the evaluation of this manager’s action?
1. It is appropriate and timely.
2. The action is inappropriate and increases the nursing staff’s level of stress.
3. The action is inappropriate and should be reported.
4. It is appropriate and should be a model for future disciplinary actions.
Correct Answer: 2
Rationale 1: A harsh reprimand is seldom a professional approach to discipline.
Rationale 2: Authoritative or punitive supervisory behavior is closely related to stress levels.
Rationale 3: More information is required to decide whether the manager should be reported.
Rationale 4: This action should not serve as a model.
Global Rationale:

Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 25-2: Describe the organizational, interpersonal, and individual factors that cause stress.