Chapter 14 Leadership And Management Nurses Core Competencies 3rd Edition By Finkelman

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Chapter 14

Question 1

Type: MCSA

The nurse team leader asks the nursing assistant to ambulate a patient after morning care. This is an example of which type of communication?

1. Upward communication
2. Lateral communication
3. Diagonal communication
4. Downward communication

Correct Answer: 4

Rationale 1: Upward communication occurs when the receiver is at a higher position in the organization’s hierarchy than is the sender.

Rationale 2: Lateral communication occurs between two persons at the same level of hierarchy in the organization.

Rationale 3: Diagonal communication occurs when persons at two different levels in the organization’s hierarchy are working together on a project in which position in the hierarchy is not considered.

Rationale 4: Downward communication occurs when the sender is at a higher position in the organization’s hierarchy than is the receiver.

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;

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

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome:  LO 01. Distinguish between the critical elements of communication: lines of communication, communication process, and verbal and nonverbal communication.

Page:  pp. 338-341

 

Question 2

Type: MCSA

A physician is giving orders to a nurse regarding a newly admitted patient. The physician is gesturing, maintaining eye contact, and using a loud tone of voice. These factors illustrate primarily which type of communication?

1. Cultural
2. Nonverbal
3. Verbal
4. Metacommunication.

Correct Answer: 2

Rationale 1: There is no evidence that these factors are cultural in this situation.

Rationale 2: Nonverbal communication includes facial expressions, body movements and gestures, tone and volume of voice, eye movements, and posture.

Rationale 3: Verbal communication includes written communication, oral communication, tone, language, volume, rate, and accent.

Rationale 4: Metacommunication includes all the factors used to influence how a message is perceived.

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;

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

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: Distinguish between the critical elements of communication: lines of communication, communication process, and verbal and nonverbal communication.

Page: p. 342

 

Question 3

Type: MCMA

Which statements illustrate the benefits of productive communication?

Standard Text: Select all that apply.

1. Quick resolution of misunderstandings
2. A more motivational climate
3. Less staff turnover
4. Less need for staff to express different points of views
5. A productive rumor mill

Correct Answer: 1,2,3

Rationale 1: If there are misunderstandings, productive communication is likely to lead to a quick resolution. Less “failure to communicate” excuses are given.

Rationale 2: If communication is productive, the climate is more comfortable. A comfortable climate is motivational.

Rationale 3: There is less conflict and less staff turnover.

Rationale 4: Productive communication allows free expression of differing points of view.

Rationale 5: Productive communication leads to a decreased need for a rumor mill.

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;

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

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO 02. Assess a team’s communication.

Page: p. 343