Chapter 17 Effective Leadership and Management in Nursing 8th Edition

Chapter 17  Effective Leadership and Management in Nursing 8th Edition

Complete Chapter Questions And Answers
 

Sample Questions

Question 1
Type: MCSA
The nurse manager is concerned about the apparent lack of staff motivation to improve client care on a unit. How should this manager use motivational theories to help improve this situation?
1. Choose one theory that the manager thinks best suits the situation.
2. Review several theories but use no more than two.
3. Combine theories to develop a plan for this specific unit.
4. Review the motivational theories, but don’t depend on any of them to work in “the real world.”
Correct Answer: 3
Rationale 1: Limiting motivation to one theory will narrow the manager’s influence. Different workers are motivated in different ways.
Rationale 2: It is important for the manager to be aware of many theories. Using only two theories narrows the manager’s ability to be influential.
Rationale 3: The manager will encounter workers who are motivated in a variety of ways. The manager should learn about as many theories as possible and combine them to suit the specific population of the unit.
Rationale 4: There is a significant amount of research that supports the use of these theories in “the real world.”
Global Rationale:

Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 17-1: Describe how motivation and ability affect job performance.

Question 2
Type: MCSA
There is substantial unrest among the staff of an intensive care unit that has resulted in negative client outcomes. Which employee factors should the manager assess first?
1. Motivation and ability to be effective in the job
2. The age of employees and their social background
3. Gender and educational preparation of staff
4. Experience base of employees and their attitude toward the job
Correct Answer: 1
Rationale 1: Research has found an employee’s ability and motivation to be the two major dimensions that most affect the employee’s effectiveness.
Rationale 2: The age of employees and their social background may influence job performance but are not as significant as other factors.
Rationale 3: Educational preparation and gender may influence job performance but are not as significant as other factors.
Rationale 4: The experience base of employees and their attitude toward the job may influence job performance but are not as significant as other factors.
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: 17-1: Describe how motivation and ability affect job performance.

Question 3
Type: MCSA
A registered nurse is dissatisfied with the wages and health benefits available in his current position and decides to seek other employment. This employee’s frustration is most linked to which motivational theory?
1. Reinforcement theory
2. Process theory
3. Content theory
4. Equity theory
Correct Answer: 3
Rationale 1: Reinforcement theory deals with behavioral modification and the person’s response to positive or negative reinforcement.
Rationale 2: Process theories emphasize how the motivation process works to direct an individual’s effort into performance.
Rationale 3: Content theories explain why a person behaves in a particular manner, emphasizing the individual’s needs or the rewards that satisfy those needs—in this case, wages and health benefits.
Rationale 4: Equity theory suggests that effort and job satisfaction depend on the degree of equity, or perceived fairness, in the work situation.
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: 17-2: Discuss how different theories explain motivation.

Question 4
Type: MCSA
In an attempt to decrease tardiness, a hospital gives employees an extra hour’s pay for each wage period that the employee has not been late for work. This incentive program is an example of which theory?
1. Expectancy
2. Shaping
3. Equity
4. Goal-setting
Correct Answer: 1
Rationale 1: Expectancy theory emphasizes the role of rewards to the employee in order to increase a desired behavior.
Rationale 2: Shaping is a procedure that involves selectively reinforcing behaviors that are successively closer approximations to the desired behavior.
Rationale 3: Equity theory is concerned with the conditions under which employees perceive their contribution to the job and the rewards obtained as fair and equitable.
Rationale 4: Goal-setting theory suggests that it is not the reward or outcomes of task performance per se that causes a person to expend effort, but rather the goal itself.
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: 17-2: Discuss how different theories explain motivation.