Leading and Managing in Canadian Nursing 1st Canadian Edition – Test Bank

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Leading and Managing in Canadian Nursing 1st Canadian Edition By Yoder-Wise – Test Bank

MULTIPLE CHOICE

1. Role theory has its underpinnings in management theory. Management theories influence managers’ leadership styles. Which would a nurse manager be most likely to follow when redesigning the staffing schedule?

a.

Theory X

b.

Productivity theory

c.

Psychological theory

d.

Theory Y

ANS: D

Theory Y is effective in health care and helps reinforce the concept of team. Because the manager needs to redesign staffing schedules, it would be important to use this participatory approach, inasmuch as the change involves a group.

DIF: Cognitive Level: Apply REF: Page 65 (Theory Box)

TOP: Nursing Process: Planning

2. A nurse manager has worked rapidly to persuade the staff to accept changes in the unit’s mission, so that downsizing can be avoided, through innovative use of technology. This nurse manager is displaying

a.

a focus on past concerns related to the mission.

b.

how to teach staff members about self-management.

c.

facilitation of goal accomplishment.

d.

a requirement that all staff members need to review and reinforce their technologic skills.

ANS: C

Nurse managers who are successful in motivating staff provide a work environment that facilitates goal accomplishment and personal satisfaction. In this situation, the nurse manager worked quickly to avoid downsizing, thus facilitating the goal of avoiding staff layoffs.

DIF:Cognitive Level: AnalyzeREF:Page 57 | Page 65

TOP: Nursing Process: Implementation

3. The nurse manager, as the leader of the unit’s “customer (patient) first” initiative, has asked the staff nurses to develop and administer a survey to every patient before discharge. In asking the staff nurses to accomplish this task, the nurse manager is demonstrating

a.

accountability.

b.

shared governance.

c.

a common purpose.

d.

independence in the nursing manager’s role.

ANS: B

Engaging staff and others in decision-making and in obtaining information is one characteristic of creating a shared governance structure in which nurses are encouraged to make decisions.

DIF:Cognitive Level: ApplyREF:Page 57

TOP: Nursing Process: Implementation

4. A nurse manager is encountering considerable conflict among staff members because of weekend staffing coverage. During a called staff meeting, the nurse manager asks the disgruntled staff to meet as a group and determine the best staffing practices. In doing this, the nurse manager is using the concept of collaboration to

a.

demonstrate interdependence.

b.

depict flexibility and broadmindedness.

c.

focus all energies of staff members on a win-win strategy.

d.

defuse the possibility that staff members’ discontent will escalate when staffing the unit on weekends.

ANS: C

Conflict resolution skills are important for nursing managers. When collaboration is used to solve a conflict, all energies are focused on solving the problem, rather than on defeating other people with opposing views.

DIF:Cognitive Level: AnalyzeREF:Page 58 | Page 61

TOP: Nursing Process: Implementation

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