Chapter 15 Nursing Leadership and Management

Chapter 15  Nursing Leadership and Management

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. In an attempt to persuade employees to bargain for another type of health insurance, a handout is circulated that describes the present employees’ health care insurance as being insensitive, limiting choices of care providers, and providing inferior care. This reflects which aspect of planned change?
A.
Unfreeze
B.
Move
C.
Refreeze
D.
Acceptance

ANS: A
In alignment with Lewin’s stages of change (unfreezing, moving, and refreezing), education and involvement are keys to successful change. (A) is correct because the change agent promotes problem identification and encourages awareness of the need for change. People must believe that improvement is possible before they will be willing to consider change. (B) is incorrect because at this stage, the change agent clarifies the need to change, explores alternatives, defines goals and objectives, plans the change, and implements the change plan. (C) is incorrect because at this stage, the change is being integrated into the organization so that it becomes recognized as the status quo. The change agent must facilitate change by monitoring adherence to the new requirements. (D) is incorrect because acceptance and integration represent the final aspect of any change.

DIF: Application REF: Pages 352-354

2. In differentiating between a leader and a manager, it can be seen that
A.
a leader has legitimate authority.
B.
a manager motivates and inspires others.
C.
a manager focuses on coordinating resources.
D.
a leader focuses on accomplishing goals of the organization.

ANS: C
The terms leadership and management are used interchangeably, and it is difficult to discuss one without discussing the other. However, these roles have specific traits unique to themselves. (C) is correct because the manager is the coordinator of resources (time, people, and supplies) needed to achieve outcomes. (A) is incorrect because authority is the legitimate right to direct others that is given to a person by the organization through assignment to an authorized position such as a nurse manager. (B) is incorrect because it is the nurse leader who has the ability to guide or influence, as well as to motivate and inspire, others on the team. (D) is incorrect because managers are assigned responsibility for accomplishing the goals of an organization.

DIF: Comprehension REF: Page 331

3. The first step in the nursing process and in the problem-solving process is to
A.
identify the problem.
B.
gather information.
C.
consider the consequences.
D.
implement interventions.

ANS: B
The nursing process, which is familiar to nurses who address patient care needs, can be applied to all management activities that require decision making and problem solving. (B) is the correct answer because as in the nursing process and the problem-solving process, one must first gather information about the problem or situation. (A), (C), and (D) are the steps that follow in the nursing and problem-solving processes.

DIF: Comprehension REF: Page 350, Table-15-1 page 351

4. An explosion just occurred at the local factory, and hundreds of employees have sustained varying degrees of injury. Which type of nursing leadership is most effective in this situation?
A.
Autocratic
B.
Democratic
C.
Laissez-faire
D.
Situational

ANS: D
(D) is correct because of the dynamics of the situation that the leader has to work within. Interaction between the leader, the worker, and the elements of the leadership situation involves several variables: organizational culture, values of the leader and values of the followers, influence of the leader/manager, complexities of the situation, work to be accomplished, and the environment. (A), (B), and (C) are incorrect because these are general leadership styles that are not related to specific situations.

DIF: Application REF: Page 333