Chapter 27: Role Transition

Leading and Managing in Nursing 5th Edition by Patricia S. Yoder-Wise

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Chapter 27: Role Transition

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. The unit leader on an inpatient psychiatric unit of a large hospital has been in the position for 3 months. The unit leader is frustrated by how little time is available to work with clients and how few changes have been implemented in that time. The phase of role transition being experienced is the role of:
a. Acceptance.
b. Negotiation.
c. Discrepancy.
d. Internalization.

 

ANS:   C

Role discrepancy is an experience that includes a gap between what is expected and what is occurring and can lead to disillusionment, discomfort, and frustration. If the unit manager values the relationship and sees the differences between performance and expectations as correctable, then the manager is likely to stay in the role.

 

REF:    Pages 539, 542, 549                TOP:    AONE competency: Professionalism

 

  1. An interviewee for a nurse manager position asks for a copy of the organizational chart. Organizational charts provide information about the role component of:
a. Expectations.
b. Opportunities.
c. Responsibilities.
d. Lines of communication.

 

ANS:   D

Organizational charts provide information about relationships and lines of communication in the organization.

 

REF:    Pages 439, 540, 541

TOP:    AONE competency: Knowledge of the Healthcare Environment

 

  1. During an employment interview for the manager’s position in a home health agency, the applicant asks questions about the medical director and about retention of staff. The nurse executive assures the applicant that the agency has few personnel problems and receives excellent support from the medical director. The applicant knows that the agency has a 50% turnover rate and has had three medical directors in the past year. The nurse executive is:
a. Unaware of the turnover rate and difficulties with the medical director.
b. Lying about the problems and hoping to resolve them by hiring the applicant.
c. Denying that the agency has a turnover problem with staff or medical directors.
d. Minimizing the challenges of the position to make a positive impression on the applicant.

 

ANS:   D

During the dating phase or preview period in the role transition process, the potential employer attempts to make a favorable impression, which may result in minimizing the challenges of the position.

 

REF:    Page 542         TOP:    AONE competency: Communication and Relationship-Building

 

  1. The head nurse and the administrator of a cardiac telemetry unit disagree on how much time the head nurse should allot to various aspects of the role. Staff members on the unit complain that the head nurse is unavailable for clinical concerns because of being off the unit while attending meetings. To facilitate the process of role transition, the head nurse should:
a. Rely on his or her internal resources.
b. Attend a workshop on how to deal with difficult people.
c. Develop a relationship with a mentor who has overcome similar difficulties.
d. Schedule a series of meetings with staff and the administrator to clarify expectations.

 

ANS:   D

During role transition, it is important to clarify expectations to reduce or ameliorate role ambiguity and role strain.

 

REF:    Pages 541, 542

TOP:    AONE competency: Communication and Relationship-Building

 

  1. A nurse manager in one hospital values a colleague who is a few years older and has more experience in nursing management. The colleague works in another hospital, but they meet for lunch once a month. In these meetings, they share their feelings about nursing management and their lives. The function of a mentor that is missing in the relationship is:
a. Sponsorship.
b. Role modeling.
c. Social interaction.
d. Mutual positive regard.

 

ANS:   A

Sponsorship involves building the competency of the mentee by creating opportunities for achievement to develop a reputation of competence.

 

REF:    Page 546         TOP:    AONE competency: Leadership

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