Chapter 9 Effective Leadership and Management in Nursing 8th Edition

Chapter 9  Effective Leadership and Management in Nursing 8th Edition

Complete Chapter Questions And Answers
 

Sample Questions

Question 1
Type: MCSA
The nurse manager is concerned about a family member’s complaint regarding the professional behavior of a nurse on the unit. Which is the most effective method to address this issue?
1. Post a memo to the nursing staff about expected professional behavior.
2. Send an e-mail to the nursing staff about expected professional behavior.
3. Address the complaint with the individual nurse in a telephone conversation.
4. Discuss the complaint with the individual nurse face-to-face.
Correct Answer: 4
Rationale 1: The purpose of a memo is to convey general information to a group; it has a low level of personal intimacy.
Rationale 2: The purpose of e-mail is to broadcast information to large groups; it has a low level of personal intimacy.
Rationale 3: A telephone conversation is less intimate than face-to-face communication, and the individual’s response cannot be seen.
Rationale 4: More important or difficult issues should be communicated face-to-face to the nurse involved so that the individual’s response can be seen and questions can be answered appropriately.
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: 9-3: Choose which communication mode to use depending on the message and the relationship.

Question 2
Type: MCSA
The nurse plans to seek employment in an acute-care setting after graduation. Which form of communication would be most effective in applying for a position?
1. Send an e-mail to the nurse manager, requesting a job interview.
2. Send a written letter and résumé in the mail.
3. Call the nurse manager to ask if any jobs are open.
4. Drop into the nurse manager’s office to discuss employment options.
Correct Answer: 2
Rationale 1: This approach is too informal.
Rationale 2: Applying for a job requires a high level of formality. A written cover letter and résumé are expected by most organizations offering employment opportunities. This submission would be done by e-mail only if that is the organization’s specific request.
Rationale 3: This approach is too informal.
Rationale 4: “Dropping in” to the manager’s office is not professional. Any meetings generally occur at the request of the potential employer and would occur after the résumé and cover letter are sent.
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: 9-3: Choose which communication mode to use depending on the message and the relationship.

Question 3
Type: MCSA
The hospital chief operating officer holds monthly focus groups with the purpose of gaining ideas and insights from nursing administration and staff nurses. Which type of communication does this indicate?
1. Lateral communication
2. Downward communication
3. Diagonal communication
4. Grapevine communication
Correct Answer: 3
Rationale 1: Lateral communication involves discussion among individuals at the same hierarchical level (e.g., all nurse supervisors).
Rationale 2: Downward communication involves direction given by management to the staff.
Rationale 3: Diagonal communication involves dialogue among individuals at different hierarchical levels (e.g., staff nurses to chief executive officer of nursing).
Rationale 4: Grapevine communication is an informal channel among individuals at all hierarchical levels and has the potential to generate misinformation.
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: 9-4: Explain how communication strategies vary according to the situation and those involved.

Question 4
Type: MCSA
The person who has just been promoted to nurse manager is male. If this nurse communicates in a way that is considered typical for men, what can the staff expect?
1. He will focus more on the issue than on personal experience.
2. He will strive to reach consensus within the group.
3. He will strive to avoid conflict within the group.
4. He will prefer to ask questions rather than make statements.
Correct Answer: 1
Rationale 1: Men have been socialized to remain focused on the issue and avoid self-disclosure about personal experiences.
Rationale 2: Men can tolerate disagreement within the group.
Rationale 3: Men may be more apt to tolerate conflict than women.
Rationale 4: Women are more apt to ask questions to seek input.
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: 9-1: Identify the factors that influence communication.