Chapter 40 Leading & Managing

Chapter 40  Leading & Managing

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. Physical therapy and nursing at a local rehabilitation hospital are in conflict over which department is responsible for transporting patients to and from therapy appointments. The members of the therapy department state they do not have sufficient time to come to the nursing unit to pick up the patients, who often are not ready to be transported. Nursing staff members state that they do not have the time to transport the patients from the unit and this leaves a shortage of nursing personnel on the floor. Managers from both departments have attempted to resolve the conflict with input from the staff members. All attempts at conflict resolution have failed. What is the next step the managers should take?
a)
Inform the nurses that they must take the patients to and from therapy.
b)
Inform the therapists that they must take the patients to and from therapy.
c)
Ask the hospital administrator to make an unbiased decision.
d)
Begin informal negotiation between the two departments.

ANS: D
One of a manager’s responsibilities is to function as an informal negotiator when a resolution to conflict cannot be reached.

Difficulty: Moderate
Client Need: Safe and Effective Care
Cognitive Level: Application

PTS: 1

2. The manager is conducting an informal negotiation between two staff members who have had ongoing difficulty working together peacefully. Most recently, there was an argument about who would be scheduled first for lunch each day. At this stage of the informal negotiation, the manager is focusing on managing the emotions and setting the ground rules. Which stage does this demonstrate?
a)
Setting the stage
b)
Conducting the negotiation
c)
Making offers and counteroffers
d)
Agreeing on resolution of the conflict

ANS: B
The manager has begun conducting informal negotiation. This includes managing the emotions, setting ground rules, and clarifying the problem. The first step of conflict resolution is introspective and is similar to data gathering. The negotiator thinks, “What am I trying to achieve? What problems am I likely to encounter?” The next step, setting the stage, may involve confronting the two parties with their behavior toward one another and making direct statements designed to open communication and challenge them to seek resolution of the situation. After conducting the negotiation, the parties move to making offers and counteroffers, and then to agreeing on the resolution of the conflict.

Difficulty: Moderate
Client Need: Safe and Effective Care
Cognitive Level: Application

PTS: 1

3. A nurse observes a nursing assistant (NAP) fail to wash her hands before and after placing a patient on a bedpan. When giving negative feedback to the NAP, the nurse should:
a)
Be certain to offer constructive criticism about the task and do so in private
b)
Ask the unit manager to be present to document responses of both parties
c)
Call a meeting of all NAPs and stress handwashing to the entire group
d)
Keep a record of the NAP’s actions and save them for her annual formal review

ANS: A
It is important to provide negative feedback in private. It is not necessary for the nurse manager to be present because staff nurses are responsible for delegating to and supervising NAPs. The nurse should not call a meeting. It would be a waste of time for those who are already washing their hands properly, and it dilutes the effect of the feedback to the NAP who is not washing her hands. She might think, “Oh, everybody does it; no big deal.” It is important to allow some time every day for timely feedback. This allows the worker to know what she is doing right and wrong, and allows her to make corrective actions. The nurse should not allow this NAP to continue with her handwashing errors until her annual formal review, because this can pose a threat to patient safety and increase the risk of transmitting infectious microbes.

Difficulty: Moderate
Client Need: Safe and Effective Care
Cognitive Level: Application

PTS: 1

4. A nurse manager who is self-confident, committed, and ambitious is implementing which leadership theory as a guide to her own personal governance style?
a)
Behavioral theory
b)
Contingency theory
c)
The task versus relationship theory
d)
Trait theory

ANS: D
It is often believed that “Leaders are born, not made.” Some of us are considered natural leaders; others are not. Early research on leadership attempted to identify traits that distinguish a leader from a nonleader. Traits most often identified are intelligence and initiative. Other traits identified were excellent interpersonal skills, high self-esteem, creativity, willingness to take risks, and ability to tolerate the consequences of risks. Leadership comes more easily to some individuals.

Difficulty: Difficult
Client Need: Safe and Effective Care
Cognitive Level: Application

PTS: 1

5. Which of the following types of followers may best enhance a leader’s performance?
a)
Followers demonstrating high critical thinking and who passively contribute
b)
Followers who are dependent and passive when they disagree
c)
Followers who are active contributors but who may not contribute to idea development
d)
Followers who are active contributors and who participate in developing and analyzing ideas

ANS: D
Followers are defined as individuals who take on another as a role model and who act in accordance with, imitate, support, and advocate the ideas and opinions of another. Followership is also the willingness to work with others toward accomplishing the group mission. This term refers to those that have a high degree of teamwork and build cohesion among the group.

Difficulty: Moderate
Client Need: Safe and Effective Care
Cognitive Level: Application

PTS: 1