Chapter 5 Effective Leadership and Management in Nursing 8th Edition

Chapter 5  Effective Leadership and Management in Nursing 8th Edition

Complete Chapter Questions And Answers
 

Sample Questions

Question 1
Type: MCSA
The new chairperson of the nursing department has determined that the faculty’s teaching is stagnant and outmoded. The chairperson would like to encourage the faculty to adopt more innovative teaching strategies. According to Lewin, what is the first step in initiating this plan?
1. Bring an expert on innovative teaching strategies to campus for a meeting with faculty.
2. Include the staff in identifying problems related to teaching strategies.
3. Ask staff to assist in the development of a plan for implementing new teaching strategies.
4. Implement interventions to improve the teaching strategies currently used.
Correct Answer: 2
Rationale 1: Bringing in an expert to talk to the faculty would be ineffective until the faculty is beginning to “unfreeze” their current beliefs about teaching. Introducing an expert at this time might do more harm than good.
Rationale 2: The first step is to unfreeze the existing equilibrium by asking staff to become part of the process of change, particularly in the first phase.
Rationale 3: Asking the staff to assist in developing a plan is incorrect because the planning part of the process occurs after the problem areas have been identified.
Rationale 4: The faculty will likely not be receptive to new strategies until they have identified a need to change.
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: 5-2: Describe how different theorists explain change.

Question 2
Type: MCSA
The nursing supervisor identifies ineffective communication as a problem among the managers. According to Lippitt’s phases of change, which action by the supervisor reflects the final stage of improving this issue?
1. The supervisor uses outcome data to evaluate the amount of change that has occurred.
2. The supervisor has gradually withdrawn from the role of change agent.
3. The supervisor has developed strategies to maintain the change.
4. The supervisor has determined if anyone in the group is sabotaging change efforts.
Correct Answer: 2
Rationale 1: Evaluating the amount of change would occur before the final stage.
Rationale 2: According to Lippitt’s phases of change, the final stage is terminating the helping relationship.
Rationale 3: Maintaining the change is the next to last of Lippitt’s stages.
Rationale 4: Looking for persons who may be sabotaging change efforts is not the last of Lippitt’s stages.
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: 5-2: Describe how different theorists explain change.

Question 3
Type: MCSA
The nurse manager is planning to initiate new policies in the department and is reviewing several change theories. Which step of Havelock’s model will the nurse find most closely resembles Lewin’s moving stage?
1. Self-renewal occurs among all participants.
2. Solutions are identified to create change.
3. Resources are acquired to facilitate change.
4. Relationships are formed among all participants.
Correct Answer: 2
Rationale 1: Self-renewal and stabilization occur during the final stage and are most like Lewin’s refreezing stage of change.
Rationale 2: Choosing a solution and gaining acceptance are most like Lewin’s moving stage. Previous to this stage in both models, the work is to convince participants that change is necessary and to secure resources for the change. After solutions are identified and implemented, the final stage begins.
Rationale 3: The first three steps of Havelock’s theory are building a relationship, diagnosing the problem, and acquiring resources. These three steps are most like Lewin’s unfreezing stage.
Rationale 4: The first step of Havelock’s model is building relationships among participants. This is one of the steps that are equivalent to Lewin’s unfreezing stage.
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: 5-2: Describe how different theorists explain change.

Question 4
Type: MCSA
A new IV pump has just been purchased by the facility. Which statement by the nurse manager reflects Rogers’ first step in making the change to this new equipment?
1. “The nursing staff will have the final decision on whether to change to this IV pump.”
2. “Before we make the final decision, we will do a 3-month ‘test run’ of the equipment to make sure we like it.”
3. “I have looked at the pump and I like it.”
4. “I have information to share with you about the new IV pump we are considering for the unit.”
Correct Answer: 4
Rationale 1: Telling the staff that they have the final decision is a way of persuading.
Rationale 2: The decision to adopt or reject a change occurs after the knowledge and persuasion steps.
Rationale 3: Giving a personal endorsement of the change would be persuasion.
Rationale 4: The first step of the diffusion of innovation occurs when the decision-making unit is introduced to the innovation and knowledge is gained.
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: 5-2: Describe how different theorists explain change.