Chapter 19 Effective Leadership and Management in Nursing 8th Edition

Chapter 19  Effective Leadership and Management in Nursing 8th Edition

Complete Chapter Questions And Answers
 

Sample Questions

Question 1
Type: MCMA
The nurse manager is coaching an employee who has been late for work three mornings this week. What statements and questions should the manager include in this coaching session?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. “What is causing you to be late?”
2. “When you are late it throws the pace of the entire unit off and client care suffers.”
3. “Does it not bother you that your lateness makes everyone else’s job more difficult?”
4. “You have been late three times this week and that is not acceptable.”
5. “What are you going to do to avoid being tardy again?”
Correct Answer: 1,2,4,5
Rationale 1: The manager should investigate why the nurse is being tardy.
Rationale 2: The impact on client care is always the most important aspect of meeting job expectations.
Rationale 3: Accusing the nurse of not caring about others in the workplace is not appropriate at this point.
Rationale 4: The employee must first know that the tardy behavior is unacceptable.
Rationale 5: The manager should develop a plan for behavior change that the nurse can agree to.
Global Rationale:

Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 19-1: Describe how to coach an employee.

Question 2
Type: MCSA
What is the primary reason a nurse manager would confront a nurse who has been reported for violating infection control policy?
1. To punish the guilty
2. To protect the institution from liability
3. To set an example for other employees
4. To encourage the correct behavior
Correct Answer: 4
Rationale 1: The manager does not confront policy violations as a means of punishment.
Rationale 2: The primary reason for confrontation is not as a protection from liability.
Rationale 3: The manager does not confront policy violators to set an example for others.
Rationale 4: The primary reason a manager confronts policy violation or inappropriate behavior is to encourage correct behavior.
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: 19-2: Discuss positive coaching.

Question 3
Type: MCSA
An employee has consistently violated policy and has not responded to coaching. The manager has decided that discipline is required. What should the manager do first?
1. Plan a private meeting for the disciplining.
2. Wait for one more infraction to occur and discipline immediately afterward.
3. Make certain that the information regarding policy violations is correct.
4. Keep the human resources department informed.
Correct Answer: 3
Rationale 1: Planning a private meeting is not the first step in the process.
Rationale 2: The manager has decided discipline is required. There is no need to wait for another infraction to occur.
Rationale 3: The manager must first be certain that the facts about infraction are complete and correct.
Rationale 4: Human Resources should be informed, but this is not the first step.
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: 19-4: Discuss how to discipline an employee.

Question 4
Type: MCSA
Which statement by the nurse manager is the best example of day-to-day coaching?
1. “Can we meet this afternoon for about 30 minutes to discuss your progress?”
2. “I think you need to get different day care that would allow you to be on time.”
3. “Over the past 6 months the narcotics count has been off on several days that you have worked.”
4. “Let me show you a method I have found to be effective in making patient assignments.”
Correct Answer: 4
Rationale 1: This is not a good example of coaching, because 30 minutes is too long for a coaching session.
Rationale 2: Giving advice about day care assumes the manager knows the employee’s problem.
Rationale 3: This statement is accusatory and would not set up a good coaching opportunity.
Rationale 4: Coaching is a mentoring relationship. It is a brief interaction.
Global Rationale:

Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 19-1: Describe how to coach an employee.