Chapter 13 Effective Leadership and Management in Nursing 8th Edition

Chapter 13  Effective Leadership and Management in Nursing 8th Edition

Complete Chapter Questions And Answers
 

Sample Questions

Question 1
Type: MCMA
Which strategies would decrease the amount of time the nurse manager spends with “drop-in” visitors to the manager’s office?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Set office hours to eliminate those visits.
2. Keep the office door closed.
3. Arrange furniture so the desk faces the door.
4. Stand up to greet the visitor and remain standing.
5. Encourage appointments for routine matters.
Correct Answer: 4,5
Rationale 1: Office hours should be established to decrease drop-in visits, but the intent is not to totally eliminate them
Rationale 2: Keeping the door closed is incorrect because a block of time when the door is open for accessibility and availability is needed.
Rationale 3: If the desk faces the door, eye contact is made with passersby and anyone who is standing in the doorway, which invites interruption.
Rationale 4: In order to redirect the drop-in visit, the nurse manager should stand up and remain standing throughout the encounter. This gesture is gracious yet obvious enough to encourage a short visit.
Rationale 5: Encouraging appointments for routine matters is an effective solution. The manager should indicate that in order to have sufficient time to address the question, a block of time will be needed.
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: 13-6: Minimize time wasters.

Question 2
Type: MCSA
The nurse manager routinely experiences stress related to deadlines for projects. What should be the nurse’s first action to control this stress?
1. Identify the actual stressor and the precipitating factors.
2. Plan activities to minimize time constraints to reduce stress.
3. Set aside a block of time each day for stress reduction.
4. Engage in distraction activities to minimize the stress.
Correct Answer: 1
Rationale 1: The first step of the nursing process is to assess the situation.
Rationale 2: Before a plan can be made, the stressor must be assessed.
Rationale 3: Implementation occurs after the stressor has been assessed and a plan developed.
Rationale 4: Implementation occurs after the stressor has been assessed and a plan developed.
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: 13-3: Set priorities.

Question 3
Type: MCSA
The nurse manager has decided to work on personal time-management skills. What should this manager do first?
1. Review patterns of time use.
2. Purchase a new notebook system for time management.
3. Identify essential job activities.
4. Set a goal of prioritizing tasks every morning.
Correct Answer: 1
Rationale 1: The first step is always to assess, so reviewing patterns of time use is correct.
Rationale 2: Deciding to purchase a new notebook system for time management is implementing a strategy and is not the first step of the process.
Rationale 3: Identifying essential job activities would come second as a result of reviewing patterns of time use.
Rationale 4: Setting a goal of prioritizing tasks every morning is a part of planning and is not the first step of the process.
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: 13-5: Manage personal organization and self discipline.

Question 4
Type: MCSA
A nurse manager has identified that a major time waster is the amount of time spent on the telephone each day. Which strategy would help reduce this time?
1. Answer the phone, “Hello, how are you?”
2. Send all calls to voice mail.
3. Use e-mail for potentially troublesome issues.
4. Set a specific block of time to return calls.
Correct Answer: 4
Rationale 1: Answering the phone this way encourages socializing and small talk.
Rationale 2: There are situations in which issues must be dealt with immediately and face-to-face.
Rationale 3: Troublesome issues should be addressed face-to-face.
Rationale 4: The nurse manager should set time aside to handle routine phone calls and to return calls.
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: 13-6: Minimize time wasters.