Chapter 21 Effective Leadership and Management in Nursing 8th Edition

Chapter 21  Effective Leadership and Management in Nursing 8th Edition

Complete Chapter Questions And Answers
 

Sample Questions

Question 1
Type: MCSA
A hospital administrator is investigating why the turnover rate is so high and why it is difficult to attract new nursing employees. Which situation is most likely to have resulted in this problem?
1. The hospital is in a poorer part of town and offers a great deal of charity care.
2. The hospital pays about $.25 per hour less than other hospitals as a starting wage for nurses.
3. The hospital has a reputation for allowing bullying behavior to occur.
4. The other hospital in town has a more modern building and campus.
Correct Answer: 3
Rationale 1: While some staff may be put-off by the area of town and the fact that charity care is provided, this is not the most probably reason for the situation.
Rationale 2: Twenty-five cents is not enough of a difference in wages to explain this situation.
Rationale 3: People do not like to be bullied. If the hospital has this reputation it is unlikely to attract new employees and older employees are likely to leave.
Rationale 4: Physical facilities are important, but are not likely important enough to be the most probable cause of this situation.
Global Rationale:

Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 21-1: Identify harassing behaviors, including bullying, incivility, and lateral violence.

Question 2
Type: MCSA
The nurse executive works hard to create a civil workplace that does not tolerate harassing behaviors. How would this nurse best explain the reason for this emphasis on civility?
1. “Bullying behaviors make nurses uncomfortable.”
2. “Physicians do not want to admit clients to hospitals with an uncivil atmosphere.”
3. “Bullying and incivility are just not proper work practices.”
4. “Bullying and incivility are dangerous to client care.”
Correct Answer: 4
Rationale 1: This is a reason for not tolerating harassing behaviors, but is not the most important reason.
Rationale 2: It is true that incivility may decrease the number of clients admitted to a hospital, but this is not the primary reason for this work.
Rationale 3: Bullying and incivility are not proper work practices, but this is not the primary reason for excluding them from the workplace.
Rationale 4: These behaviors can be dangerous to clients.
Global Rationale:

Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 21-1: Identify harassing behaviors, including bullying, incivility, and lateral violence.

Question 3
Type: MCMA
A hospital administrator has attended a conference on bullying and wishes to address the most likely bullies in the organization. Whom would the administrator invite to the first meeting about bullying behaviors?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Nursing assistants
2. Physicians
3. Managers
4. Office personnel
5. Senior nurses
Correct Answer: 2,3,5
Rationale 1: Nursing assistants are often bullied, but are not the main bullies.
Rationale 2: Physicians are among those reported as being the worst bullies.
Rationale 3: Managers are among those reported as being the worst bullies.
Rationale 4: Office personnel are not among those listed as being the worst bullies.
Rationale 5: Senior nurses are among those listed as being the worst bullies.
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: 21-1: Identify harassing behaviors, including bullying, incivility, and lateral violence.

Question 4
Type: MCSA
A nurse writes some scathing remarks about another nurse’s professionalism on a social media site. A complaint of bullying is lodged with the nurse manager. Which statement by the manager is appropriate?
1. “I have no control over what the nurses do on their time away from work.”
2. “This does not meet the standards for bullying because it was not a face-to-face encounter.”
3. “You two are acting like a couple of high school kids.”
4. “I will follow up on this complaint and take action as needed.”
Correct Answer: 4
Rationale 1: The remarks were about the nurse’s professionalism, which is a part of the nurse’s work. The manager does have input into this situation.
Rationale 2: Bullying can occur on the Internet, by text message, or face-to-face.
Rationale 3: This is not an appropriate or helpful remark for the manager to make in this situation.
Rationale 4: The manager must do an assessment of the complaint before acting.
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: 21-1: Identify harassing behaviors, including bullying, incivility, and lateral violence.