Chapter 01 Leadership And Management Nurses Core Competencies 3rd Edition By Finkelman

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Chapter 1

Question #1

Type: MCSA

The nurse manager has asked that all staff nurses develop effective leadership competencies. How should the staff nurses interpret this request?

1. This is an unrealistic expectation, because only managers are leaders.
2. This is possible if the nurses learn about and use relevant leadership and management theories and styles.
3. In order to become leaders, the staff nurses will have to emphasize control, competition, and getting the job done.
4. Unless the staff nurses possess the traits of a natural born leader, this is an unrealistic expectation.

Correct Answer: 2

Rationale 1: A nurse does not need to have a formal management position with a management title to be a leader; if nurses demonstrate leadership competencies, they are considered nurse leaders.

Rationale 2: In today’s healthcare environment, nurses must have knowledge of relevant leadership and management theories and styles. This knowledge helps nurses emerge as leaders. Nurses are also leaders of their own nursing practices.

Rationale 3: Control, competition, and getting the job done are past theories and styles that are not as useful in today’s environment.

Rationale 4: Leadership is a skill that can be learned.

Global Rationale: NA

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub:

QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety

AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety; VI. Interprofessional communication and collaboration for improving patient health outcomes; V. Healthcare policy, finance, and regulatory environments

NLN Competencies: Personal and professional development; relationship centered care; teamwork

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO 8 Analyze the need for more nursing leaders.

Page Number: p. 7

 

 

Question #2

Type: MCSA

Peter Drucker’s view of management stimulated the shift toward the realization of the importance of participatory organizations. Which option provides a scenario that is an example of a participatory organization?

1. The control of the organization is centralized, and decisions are made by upper-level management.
2. Staff nurses are expected to provide support and nurturing for management’s decisions.
3. The organization’s approach to leadership is autocratic and bureaucratic.
4. Staff nurses provide input into planning and changes for their own unit.

Correct Answer: 4

Rationale 1: In participatory organizations, the control of the organization is decentralized and many decisions are made by those “on the front lines” of the organization.

Rationale 2: The theory is that the staff should be nurtured to promote greater leadership competency.

Rationale 3: According to Drucker, when staff participate in the core functions of management, the organization is more effective.

Rationale 4: According to Drucker, when staff participate in the core functions of management such as planning and changes for their own units, the organization is more effective.

Global Rationale: NA

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub:

QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety

AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety; VI. Interprofessional communication and collaboration for improving patient health outcomes; V. Healthcare policy, finance, and regulatory environments

NLN Competencies: Personal and professional development; relationship centered care; teamwork

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: LO 03. Analyze the key modern leadership theories compared to older theories and implications for nursing leadership and management.

Page Number: pp. 7-8

 

 

Question #3

Type: MCSA

Which behavior demonstrates the nurse’s competency as an emotionally intelligent leader?

1. The nurse is proficient in technical skills.
2. The nurse relies on policies, not options.
3. The nurse supports team members.
4. Productivity is not a major concern.

Correct Answer: 3

Rationale 1: While technical skill is important for all nurses, it is not a hallmark of a competent leader.

Rationale 2: Chaos theory states that solutions are not always clear and policies might not always be applied easily; other options might need to be considered.

Rationale 3: In Emotional Intelligent theory, team members support each other and feel supported by the team leader.

Rationale 4: This statement reflects the country club leadership style.

Global Rationale: NA

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub:

QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety

AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety; VI. Interprofessional communication and collaboration for improving patient health outcomes; V. Healthcare policy, finance, and regulatory environments

NLN Competencies: Personal and professional development; relationship centered care; teamwork

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 03. Analyze the key modern leadership theories compared to older theories and implications for nursing leadership and management.

Page Number: p. 11

 

 

Question #4

Type: MCSA

The nurse executive of a healthcare organization wishes to prepare and develop nurse managers for several new units that the organization will open next year. What should be the primary goal for this work?

1. Focus on rewarding current staff for doing a good job with their assigned tasks by selecting them for promotion.
2. Prepare these managers so that they will focus on maintaining standards of care.
3. Prepare these managers to oversee the entire healthcare organization.
4. Prepare these managers to interact with hospital administration.

Correct Answer: 2

Rationale 1: This is an illustration of the “Peter Principle,” which is promoting people to management positions just because they are doing a good job in their current position. Management level employees should be selected based upon the potential ability to manage and their desire to do so.

Rationale 2: Nurse managers are directly responsible for maintaining standards of care, and managing fiscal resources and development of staff.

Rationale 3: This is not the responsibility of most nurse managers. In this question, it is clear that managers of nursing units are being prepared and developed.

Rationale 4: Interacting with hospital administration is a rare requirement for a unit nurse manager and, if it is required, it is not as important as maintaining standards of care.

Global Rationale: NA

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub:

QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety

AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety; VI. Interprofessional communication and collaboration for improving patient health outcomes; V. Healthcare policy, finance, and regulatory environments

NLN Competencies: Personal and professional development; relationship centered care; teamwork

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: LO 05. Compare and contrast characteristics, roles, and responsibilities of leaders and managers.

Page Number: p. 18

 

 

Question #5

Type: MCSA

Describe the primary focus of a manager in a knowledge work environment.

1. Developing the most effective teams.
2. Taking risks.
3. Routine work.
4. Understanding the history of the organization.

Correct Answer: 1

Rationale 1: The most important focus of this manager is on developing and supporting effective teams, utilizing the knowledge of many.

Rationale 2: Risk taking is a part of knowledge work, but is not the most important of this manager’s tasks.

Rationale 3: Knowledge work is a combination of routine and non-routine work, so the manager will have focus on the routine. This is not the manager’s most important focus.

Rationale 4: Understanding the history of the organization is important as it will help the manager work within the organization, but it is not the most important focus.

Global Rationale: NA

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub:

QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety

AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety; VI. Interprofessional communication and collaboration for improving patient health outcomes; V. Healthcare policy, finance, and regulatory environments

NLN Competencies: Personal and professional development; relationship centered care; teamwork

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 05. Compare and contrast characteristics, roles, and responsibilities of leaders and managers.

Page Number: pp. 11-12