Chapter 8 Effective Leadership and Management in Nursing 8th Edition

Chapter 8  Effective Leadership and Management in Nursing 8th Edition

Complete Chapter Questions And Answers
 

Sample Questions

Question 1
Type: MCSA
The nurse manager is challenged to find an innovative way to adequately staff the unit and provide quality nursing care. Which ability would be most useful to the nurse in this situation?
1. Creativity
2. Problem solving
3. Brainstorming
4. Decision making
Correct Answer: 1
Rationale 1: Creativity is a part of the critical-thinking process that fosters the development and implementation of new approaches to different situations.
Rationale 2: Problem solving implies there is a problem that needs a solution.
Rationale 3: Brainstorming generates diverse ideas with many superficial solutions.
Rationale 4: Decision making identifies one effective strategy that is not necessarily innovative.
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: 8-2: Describe ways to foster creativity.

Question 2
Type: MCSA
A nursing task force has been created to determine whether a new model of differentiated practice would be more effective than the current model. The task force analyzes data as a basis to examine alternatives. Which activity does this represent?
1. Group problem solving
2. Critical thinking
3. Groupthink
4. Satisficing
Correct Answer: 2
Rationale 1: Group problem solving implies that a problem exists, which is not the case in this situation. The task force is comparing two models of practice, not solving a problem.
Rationale 2: Critical thinking is a higher-level cognitive process that involves the examination of assumptions, interpretation and analysis of arguments, and the development of a conclusion that can be justified.
Rationale 3: Groupthink is a negative phenomenon that occurs in highly cohesive groups that become isolated. There is no evidence that groupthink has occurred in this situation.
Rationale 4: Satisficing is a type of decision-making strategy that identifies a strategy that is minimally acceptable. There is no evidence that satisficing has occurred in this situation.
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: 8-1: Discuss how to use the critical-thinking process.

Question 3
Type: MCSA
The nursing group has been charged with the task of solving a patient care problem on the units. Which step should this group take first in this process?
1. Investigate what has already been tried to solve the issue.
2. Brainstorm about potential solutions.
3. Gather information to define the problem.
4. Categorize information in order of reliability.
Correct Answer: 3
Rationale 1: Once the problem has been identified, the group would then look at solutions that have already been tried.
Rationale 2: Brainstorming is used to develop solutions after information about the problem is analyzed.
Rationale 3: Problem solving begins with collecting the facts, which provides clues to the scope and solution of the problem.
Rationale 4: Information cannot be sorted into an orderly arrangement until it has been collected.
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: 8-3 Develop a plan to improve your decision-making and problem-solving skills.

Question 4
Type: MCMA
Currently clients on a unit are bathed in the morning between 8:00 am and 11:00 am. The nursing staff is contemplating changing that routine to bathing clients in the evening between 7:00 pm and 9:00 pm. Which statement reflects an underlying assumption that might affect the staff’s ability to think critically about this change?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. “The day shift just wants to shift work onto the evening shift.”
2. “Everyone likes to bathe right before bed.”
3. “I read a research article that reported that clients sleep better if they have been bathed right before bedtime.”
4. “The physician staff will be upset if we change our morning routine.”
5. “If we let them change this, they will want to make lots of other changes, too.”
Correct Answer: 1,2,4,5
Rationale 1: This is an underlying assumption about why this change is being considered.
Rationale 2: This speaker assumes that everyone likes to bathe right before bed, not taking into consideration that some like to bathe in the morning.
Rationale 3: A research article report is not an assumption, but is based on evidence.
Rationale 4: This is an assumption that might well be erroneous.
Rationale 5: This is an assumption.
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: 8-1: Discuss how to use the critical-thinking process.