CHAPTER 45. Leadership & Management

CHAPTER 45. Leadership & Management

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____    1.         Theories that focus on what the leader does are called:

1)

Trait theories.

2)

Behavioral theories.

3)

Situational theories.

4)

Transformational theories.

 

ANS:   2

Behavioral theories are concerned with what a leader does, whereas trait theories are concerned with what a leader is. Situational theories recognize that each situation is different and that leaders must consider a number of factors when deciding how to take action. Transformational theories focus on the ability of the leader to communicate her vision in such a way that it inspires commitment among workers.

 

PTS:    1          DIF:    Moderate         REF:    p. 3

KEY:   Nursing process: N/A | Client need: SECE | Cognitive level: Recall

 

 

 

____    2.         At a recent nurse staff meeting, the chief nursing officer (CNO) announced that all nursing staff would work 12-hour shifts on a day–night rotation schedule that would alternate every 6 weeks. The CNO announced that she made this decision as a means to solve discord between the day- and night-shift nurses. She explained that this plan will allow the staff to experience the work on each shift and to appreciate the various job responsibilities on each shift. What type of leadership is the CNO displaying?

1)

Management

2)

Laissez-faire

3)

Democratic

4)

Authoritarian

 

ANS:   4

The authoritarian leader makes decisions for the group as a whole, gives orders, and bears most of the responsibility for the outcomes. A laissez-faire leader postpones making decisions or may never make a decision at all. Thus, laissez-faire leadership is really a lack of leadership. A democratic leader shares the planning, decision making, and responsibility for outcomes with other members of the group. This type of leader tends to provide guidance rather than control. There is no leadership style called “management.”

 

PTS:    1          DIF:    Moderate         REF:    p. 3

KEY:   Nursing process: Implementation | Client need: SECE | Cognitive level: Application

 

 

 

____    3.         A graduate nurse completed her nursing education 3 weeks ago and has just begun work at the local hospital. She is orienting to her new position with an experienced nurse, one who has been an RN for 15 years and an employee at the hospital for 7 years. She will provide guidance and practical teaching to the new graduate as she assumes a new position in the nursing unit. What role is the experienced RN assuming?

1)

Mentor

2)

Manager

3)

Preceptor

4)

Leader

 

ANS:   3

A preceptor is someone with more experience who provides practical teaching and guidance for a student or new employee. In contrast, a mentor is someone more experienced who provides career development information and serves as a role model. A manager is an employee of an organization who has the power, authority, and responsibility for planning, organizing, coordinating, and directing the work of others. A leader is someone who has the ability to influence others and commit them to action.

 

PTS:    1          DIF:    Moderate         REF:    p. 7

KEY:   Nursing process: Implementation | Client need: SECE | Cognitive level: Application

 

 

 

____    4.         What is the first stage of the complex process of change?

1)

Recognizing resistance

2)

Unfreezing

3)

Forming a comfort zone

4)

Actively resisting

 

ANS:   2

The first stage in the change process is unfreezing. In this stage, the person leaves the stable comfort zone that has existed and begins to make changes. Recognizing resistance and actively resisting are activities associated with change, but they are not the first stage of the process.

 

PTS:    1          DIF:    Moderate         REF:    p. 13

KEY:   Nursing process: N/A | Client need: SECE | Cognitive level: Comprehension

 

 

 

____    5.         Within the past month, there has been a change in the nursing documentation requirements at the hospital. The nurses have been trained in the new requirements and are documenting as requested, with the exception of one nurse. This nurse has been unable to attend any of the documentation in-service meetings and has been too busy to attend a private training session with the nurse manager. Meanwhile, she continues to use the old documentation process. What do the nurse’s actions illustrate?

1)

Unfreezing

2)

Active resistance

3)

Passive resistance

4)

Comfort zone

 

ANS:   3

Passive resistance behaviors include avoidance; canceling appointments to discuss implementing change; being “too busy” to make the change; agreeing to the change but doing nothing to change; and simply ignoring the entire process as much as possible. In the above situation, the nurse is not actively refusing to comply with the new documentation requirements; however, her actions are a passive approach to resisting change. When a person knows what to expect and how to deal with whatever problems arise in the course of a day, that person is operating within her “comfort zone.” The first stage in the change process is when the person begins moving out of the comfort zone, unfreezing. This nurse is resisting, not unfreezing.

 

PTS:    1          DIF:    Moderate         REF:    p. 13

KEY:   Nursing process: N/A | Client need: SECE | Cognitive level: Application