Chapter 04: Developing the Role of Manager

Chapter 04: Developing the Role of Manager

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. Role theory has its underpinnings in management theory. Management theories influence managers’ leadership styles. Which of the following theories would a nurse manager be most likely to follow when redesigning the staffing schedule?

a.	Humanistic
b.	Productivity
c.	Psychological
d.	Quantum

 

ANS:   D

Quantum theory is one way a manager can serve as an agent of change when patient care work/workflow must be redesigned. Quantum theory recognizes the knowledge that nurses bring when they enter the workforce and the need to encourage shared decision making.

 

REF:    Page 57

TOP:    AONE competency: Knowledge of the Healthcare Environment

 

2. A nurse manager has worked rapidly to bring the staff to accept changes in the unit’s mission, so that downsizing can be avoided. This nurse manager is using quantum leadership by:

a.	Focusing on past concerns related to the mission.
b.	Teaching staff members how to self-manage themselves.
c.	Determining accurately the direction of change in the institution.
d.	Requiring all staff members to review and reinforce their technological skills.

 

ANS:   C

Quantum leadership assumes that change will occur, and managers assume an influential, facilitative role that encourages forward movement and closing doors on past practices.

 

REF:    Page 57           TOP:    AONE competency: Leadership

 

3. The nurse manager, as the leader of the unit’s “customer (client) first” initiative, has asked the staff nurses to develop and administer a survey to every client before discharge. In asking the staff nurses to accomplish this task, the nurse manager is demonstrating:

a.	Accountability.
b.	Shared leadership.
c.	A common purpose.
d.	Independence in the nursing manager’s role.

 

ANS:   B

Engaging staff and others in decision making and in gaining access to information is one characteristic of shared decision making.

 

REF:    Page 57

TOP:    AONE competency: Communication and Relationship-Building

 

4. A nurse manager is experiencing considerable conflict among staff members because of weekend staffing coverage. During a called staff meeting, the nurse manager asks the disgruntled staff to meet as a group and determine the best staffing practices. In doing this, the nurse manager is using the concept of collaboration to:

a.	Demonstrate interdependence.
b.	Depict flexibility and broadmindedness.
c.	Focus all energies of staff members on a win-win strategy.
d.	Defuse the possibility that staff members will escalate their discontent when staffing the unit on weekends.

 

ANS:   C

When collaboration is used to solve a conflict, all energies are focused on solving the problem, rather than on defeating others with opposing views.

 

REF:    Pages 60, 61

TOP:    AONE competency: Communication and Relationship-Building

 

5. A nurse manager’s responsibility for financial management involves making budgetary decisions. Budgets that allow the nurse manager to allocate resources at the unit level allow:

a.	Minimal nurse manager input.
b.	Limited rationale for budgetary requests.
c.	Budgetary allocations at the executive nurse level.
d.	Budgetary decision making at the point of service (POS).

 

ANS:   D

In organizational structures where decision making occurs at the POS, nurse managers are given responsibility for preparing and implementing a budget that meets the long- and short-term needs of their unit without requiring hierarchical approval.

 

REF:    Page 63           TOP:    AONE competency: Business Skills