Chapter 20 Effective Leadership and Management in Nursing 8th Edition

Chapter 20  Effective Leadership and Management in Nursing 8th Edition

Complete Chapter Questions And Answers
 

Sample Questions

Question 1
Type: MCSA
The nurse executive and the human resources manager of a hospital meet to discuss the recent increase in nursing turnover. Which statement reflects the best source of information about this increase?
1. “What have the exit interviews shown as reasons for the resignations?”
2. “Were the reports from nurse managers on resignations completed accurately?”
3. “What are the reasons given in the survey mailed out 6 weeks after resignation?”
4. “Has the human resources staff been making telephone calls to employees when they turn in their resignation?”
Correct Answer: 3
Rationale 1: Although an exit interview is usually done, it may not be the most effective method of evaluating the employee’s satisfaction. An employee may not be fully truthful if he or she intends to use the previous employer as a reference for a future job.
Rationale 2: The nurse manager may or may not be aware of the reasons for nurses leaving their positions and may have a bias toward an unhappy employee.
Rationale 3: A survey mailed weeks after the employee resignation may be the most effective method to measure nursing turnover. Several weeks later an employee may be in a new job, which could allow for a more honest reflection on reasons for leaving the previous position.
Rationale 4: A telephone call from someone in human resources has the same limitations as the person-to-person exit interview.
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: 20-5: Discuss what organizations can do to improve retention of nurses.

Question 2
Type: MCSA
When the unit manager is on vacation, the charge nurse fills in the leadership role. While in this role the charge nurse senses a change in the nursing staff’s morale. The staff appears happier, more energetic, and productive. The charge nurse believes this change is a direct effect of which variable?
1. The staff’s relationship with the nurse manager
2. The environment of the organization
3. Level of compensation
4. The shifts they are working
Correct Answer: 1
Rationale 1: Job satisfaction is affected by various facets, one of them being the relationship with the nurse manager.
Rationale 2: The overall environment has not changed.
Rationale 3: The level of compensation has not changed.
Rationale 4: It is unlikely that the substitute manager has changed the shifts nurses are working.
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: 20-6: Discuss what managers can do to help retain nurses.

Question 3
Type: MCSA
A nurse is frequently absent on Fridays. The nurse phones and reports as sick, but the manager discovers that the absences are due to child care issues. How should the manager document this on the critical incident form?
1. Voluntary absence on multiple Fridays due to child care issues
2. Absence frequency on Fridays
3. Total time lost includes Fridays
4. Involuntarily absent due to family circumstances
Correct Answer: 1
Rationale 1: Voluntary absenteeism is not coming to work due to a problem that is under the employee’s control. Child care problems are under the employee’s control.
Rationale 2: Absence frequency is the total number of distinct absence periods that an employee has been absence and is not tied to a specific day.
Rationale 3: The fact that Friday is included in the total time lost is not significant.
Rationale 4: Involuntary absence is due to something outside the employee’s control such as illness.
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: 20-1: Explain absenteeism.

Question 4
Type: MCMA
The night nurse on the pediatric unit has resigned. The night staff is pleased, because this nurse constantly complained about workload and alienated most staff members. What consequences may result from the loss of this nurse?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Use of agency nurses.
2. Opportunity for overtime.
3. Increase in enthusiasm.
4. A resignation spiral in which more nurses resign
5. Unit performance improves.
Correct Answer: 1,2,3,5
Rationale 1: Unfortunately, agency nurses may need to be used if the position goes unfilled. This is a costly problem.
Rationale 2: There may be an opportunity for overtime work for those who desire it.
Rationale 3: Without the constant distraction of a complaining nurse the enthusiasm for the job may increase.
Rationale 4: Since the nurse who resigned was not liked and was classified as a “complainer” it is unlikely that this resignation will trigger a resignation spiral.
Rationale 5: When a nurse who alienates coworkers and complains frequently leaves, the performance of the unit may improve.
Global Rationale:

Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 20-3: Describe how nursing turnover affects the organization.