Chapter 18 Effective Leadership and Management in Nursing 8th Edition

Chapter 18  Effective Leadership and Management in Nursing 8th Edition

Complete Chapter Questions And Answers
 

Sample Questions

Question 1
Type: MCMA
The nurse manager is completing employee evaluations. Which practices should the manager use when doing these appraisals?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Appraising staff nurses every 18 to 24 months
2. Sharing the appraisal with staff nurses verbally and in writing
3. Requiring the staff nurse to sign the appraisal
4. Allowing the nurse to make written comments on the appraisal
5. Advising the nurse of the right to appeal the appraisal
Correct Answer: 2,3,4,5
Rationale 1: A staff nurse should be appraised at least every 12 months.
Rationale 2: The appraisal should be shared with the staff nurses both in writing and face-to-face discussion.
Rationale 3: The nurse should sign the appraisal to indicate that it has been received.
Rationale 4: The nurse should be allowed to make written comments on the appraisal.
Rationale 5: The nurse does have the right to appeal the findings of the appraisal and should be advised of this right.
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: 18-2: Discuss different methods used to evaluate performance.

Question 2
Type: MCSA
Which statement would be inappropriate for a manager to write on an employee’s performance appraisal?
1. “The nurse’s attitude positively affects coworkers.”
2. “The nurse seeks learning experiences.”
3. “The nurse is frequently tardy.”
4. “The nurse is shy and quiet.”
Correct Answer: 4
Rationale 1: The nurse’s attitude is important because of its effect on coworkers, which the manager can see or measure.
Rationale 2: Seeking learning experiences is something the manager can see or measure.
Rationale 3: Tardiness is something that can be measured.
Rationale 4: A performance appraisal must focus on an individual’s job performance and not personal characteristics. Shy and quiet are personal characteristics. If the nurse has impaired communication skills because of being too shy and quiet, then that is related to job performance.
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: 18-1: Describe criteria that can be used to evaluate staff performance.

Question 3
Type: MCSA
An ICU nurse manager prefers to use a “results-oriented system” when evaluating employees. Why would the manager prefer this system?
1. It allows for comparison between employees.
2. The employee knows in advance what is expected.
3. It is apparent when an employee stands out against peers.
4. It eliminates the category of “excellence” from the system.
Correct Answer: 2
Rationale 1: Comparative judgments measure employees against peers.
Rationale 2: A results-oriented system evaluates the employee based upon outcomes and the employee knows what is expected. This appraisal system is quantifiable, objective, and easily measured.
Rationale 3: Comparative judgments measure employees against peers.
Rationale 4: Systems have different scales, but “excellence” is almost universally included and is not excluded simply because the system is “results oriented.”
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: 18-2: Discuss different methods used to evaluate performance.

Question 4
Type: MCSA
A nurse manager is discussing the hospital’s changes to peer evaluation with nursing staff. Which comment by a staff nurse would the manager interpret as evidence of understanding this process?
1. “Our evaluations will be more objective.”
2. “This must be a less expensive method of evaluation.”
3. “This should be quicker than our existing method.”
4. “This would be a good way to get back at the nurses who don’t work as hard.”
Correct Answer: 1
Rationale 1: A benefit of peer evaluations is that more than one person writes the evaluation. This increases objectivity.
Rationale 2: There is no information to indicate that peer evaluation is more economical.
Rationale 3: Peer evaluation may actually be more time consuming because more people are involved.
Rationale 4: Revenge or getting back at nurses is not the focus of peer evaluation.
Global Rationale:

Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 18-2: Discuss different methods used to evaluate performance.