Chapter 21 Effective Leadership and Management in Nursing 8th Edition By Sullivan

Chapter 21 Effective Leadership and Management in Nursing 8th Edition By Sullivan

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Question 1

Type: MCSA

A hospital administrator is investigating why the turnover rate is so high and why it is difficult to attract new nursing employees. Which situation is most likely to have resulted in this problem?

1. The hospital is in a poorer part of town and offers a great deal of charity care.
2. The hospital pays about $.25 per hour less than other hospitals as a starting wage for nurses.
3. The hospital has a reputation for allowing bullying behavior to occur.
4. The other hospital in town has a more modern building and campus.

Correct Answer: 3

Rationale 1: While some staff may be put-off by the area of town and the fact that charity care is provided, this is not the most probably reason for the situation.

Rationale 2: Twenty-five cents is not enough of a difference in wages to explain this situation.

Rationale 3: People do not like to be bullied. If the hospital has this reputation it is unlikely to attract new employees and older employees are likely to leave.

Rationale 4: Physical facilities are important, but are not likely important enough to be the most probable cause of this situation.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 21-1: Identify harassing behaviors, including bullying, incivility, and lateral violence.

Question 2

Type: MCSA

The nurse executive works hard to create a civil workplace that does not tolerate harassing behaviors. How would this nurse best explain the reason for this emphasis on civility?

1. “Bullying behaviors make nurses uncomfortable.”
2. “Physicians do not want to admit clients to hospitals with an uncivil atmosphere.”
3. “Bullying and incivility are just not proper work practices.”
4. “Bullying and incivility are dangerous to client care.”

Correct Answer: 4

Rationale 1: This is a reason for not tolerating harassing behaviors, but is not the most important reason.

Rationale 2: It is true that incivility may decrease the number of clients admitted to a hospital, but this is not the primary reason for this work.

Rationale 3: Bullying and incivility are not proper work practices, but this is not the primary reason for excluding them from the workplace.

Rationale 4: These behaviors can be dangerous to clients.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 21-1: Identify harassing behaviors, including bullying, incivility, and lateral violence.

Question 3

Type: MCMA

A hospital administrator has attended a conference on bullying and wishes to address the most likely bullies in the organization. Whom would the administrator invite to the first meeting about bullying behaviors?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

1. Nursing assistants
2. Physicians
3. Managers
4. Office personnel
5. Senior nurses

Correct Answer: 2,3,5

Rationale 1: Nursing assistants are often bullied, but are not the main bullies.

Rationale 2: Physicians are among those reported as being the worst bullies.

Rationale 3: Managers are among those reported as being the worst bullies.

Rationale 4: Office personnel are not among those listed as being the worst bullies.

Rationale 5: Senior nurses are among those listed as being the worst bullies.

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: 21-1: Identify harassing behaviors, including bullying, incivility, and lateral violence.