Chapter 12 Effective Leadership and Management in Nursing 8th Edition

Chapter 12  Effective Leadership and Management in Nursing 8th Edition

Complete Chapter Questions And Answers
 

Sample Questions

Question 1
Type: MCMA
The nurse manager is facilitating the work of a collaborative team whose mission is to negotiate employment contracts with physicians. The nurse manager does not want to compromise the nurses’ concerns in favor of the doctors’ concerns. Which strategies would facilitate this outcome?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Accommodating
2. Compromising
3. Smoothing
4. Collaborating
5. Competing
Correct Answer: 4,5
Rationale 1: Accommodating is an unassertive tactic used when individuals neglect their own concerns in favor of others’ concerns.
Rationale 2: In a compromise, neither party gets what they want.
Rationale 3: Smoothing is usually only effective for small problems and does not protect the interests of one party against the other.
Rationale 4: Collaborating focuses on solving the problem and satisfying both parties’ concerns.
Rationale 5: Competing is a victory for one side and a loss for the other.
Global Rationale:

Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 12-5: Explain how to manage conflict.

Question 2
Type: MCSA
The nurse manager asks the staff nurse to work a double shift because the census is high. Although the nurse realizes the staffing for the night shift is low, the nurse has already made a family commitment for the same night. This is an example of which concept?
1. Intrapersonal conflict
2. Interpersonal conflict
3. Intragroup conflict
4. Intergroup conflict
Correct Answer: 1
Rationale 1: Intrapersonal conflict occurs when the consequence of real or perceived differences in mutually exclusive goals, values, attitudes, beliefs, feelings, or actions occurs within one individual. In this case, the nurse’s conflict is between personal plans and the need to help alleviate the low staffing issue.
Rationale 2: Interpersonal conflict occurs when the consequence of real or perceived differences in mutually exclusive goals, values, attitudes, beliefs, feelings, or actions occurs between two or more individuals.
Rationale 3: Intragroup conflict occurs when the consequence of real or perceived differences in mutually exclusive goals, values, attitudes, beliefs, feelings, or actions occurs within one group.
Rationale 4: Intergroup conflict occurs when the consequence of real or perceived differences in mutually exclusive goals, values, attitudes, beliefs, feelings, or actions occurs between two or more groups.
Global Rationale:

Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 12-1: Describe why conflict can be positive or negative.

Question 3
Type: MCSA
The nurse manager presents an issue to the nursing staff for a decision. The group assesses the problem, and a decision is made meeting the needs of both the nurse manager and the nursing staff. This is an example of which conflict management strategy?
1. Integrative decision making
2. Win-lose strategy
3. Accommodation
4. Consensus
Correct Answer: 4
Rationale 1: Integrative decision making is a strategy that focuses on the process of decision making, not the outcome.
Rationale 2: Win-lose strategies allow one party to win and the other to lose.
Rationale 3: Accommodation is an unassertive strategy used when individuals neglect their own concerns in favor of the other party’s concerns.
Rationale 4: Consensus occurs when the problem is fully explored, the needs and goals of both parties are addressed, and a mutual decision is made.
Global Rationale:

Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 12-4: Identify different approaches that can be used to manage conflict.

Question 4
Type: MCSA
The nurse manager meets with the staff nurses to discuss ways to improve communication among the shifts. Which statement by the nurse manager best exemplifies the final stage of conflict management?
1. “We need to clearly define the nature of the conflict.”
2. “I will evaluate the outcomes of our strategies on a monthly basis.”
3. “Let’s create a time line for the implementation of our strategies.”
4. “Hopefully, each group can understand each other’s perceptions of the issue.”
Correct Answer: 2
Rationale 1: Defining the nature of the conflict is a part of assessment. Assessment is the first step of conflict management.
Rationale 2: In any situation, the nurse manager should use the nursing process to intervene. The final step of the nursing process is evaluation, which is reflected in the statement, “I will evaluate the outcomes….”
Rationale 3: Creating a time line for the implementation of strategies is an intervention, which is one of the middle steps of conflict management.
Rationale 4: Understanding each other’s perceptions is part of assessment, which is the first step of conflict management.
Global Rationale:

Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 12-4: Identify different approaches that can be used to manage conflict.