Chapter 16 Nursing Leadership and Management

Chapter 16  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 Lewin’s planned change?
a.
Unfreeze
b.
Move
c.
Refreeze
d.
Acceptance

ANS: A
Correct: Unfreeze is correct because the change agent promotes problem identification and encourages awareness of the need for change. In alignment with Lewin’s stages of change (unfreezing, moving, and refreezing), education and involvement are keys to successful change. People must believe that improvement is possible before they will be willing to consider change.
Incorrect:
b. Move 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. Refreeze 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. Acceptance is incorrect because acceptance and integration represent the final aspect of any change.

DIF: Application REF: p. 303

2. One difference between a leader and a manager is that a:
a.
leader has legitimate authority.
b.
manager motivates and inspires others.
c.
manager focuses on coordinating resources.
d.
leader focuses on accomplishing goals of the organization.

ANS: C
Correct: The terms leadership and management are often used interchangeably, and it is difficult to discuss one without discussing the other. However, these roles have specific traits unique to themselves. The manager is the coordinator of resources (time, people, and supplies) needed to achieve outcomes.
Incorrect:
a. 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. 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. Managers are assigned responsibility for accomplishing the goals of an organization.

DIF: Comprehension REF: pp. 287-288

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
Correct: 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. As in the nursing process and the problem-solving process, one must first gather information about the problem or situation.
Incorrect:
a. Identifying the problem is a later step in the nursing and problem-solving processes.
c. Considering the consequences is a later step in the nursing and problem-solving processes.
d. Implementing interventions is a later step in the nursing and problem-solving processes.

DIF: Comprehension REF: p. 302

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.
Referent

ANS: A
Correct: The dynamics of the situation demand that the leader take control and direct employees to specific actions in response to the emergency.
Incorrect:
b. A democratic leadership style would not be effective in an emergency situation.
c. A laissez-faire leadership style that not be effective in an emergency situation.
d. Referent refers to a type of power that comes from followers’ identification with the leader and is not a leadership style.

DIF: Application REF: p. 291