Leadership Roles and Management
Functions in Nursing Questions and Answers
A+ Guaranteed
1. Characteristics of Effective Health-Care Delivery Systems - ANSWER -
Facilitate meeting the goals of the organization
-Cost-effective
-Satisfy the patient
-Provide role satisfaction to nurses
-Allow implementation of the nursing process
-Provide for adequate communication among health-care providers
2. Selecting the Optimum Mode of Organizing Patient Care - ANSWER -The
mode should be based on patient acuity and not economics alone.
-The knowledge and skill required for particular activities with specific
populations should always be the true driver in determining appropriate care
delivery models.
-Not every nurse desires a challenging job with the autonomy of personal decision
making.
3. Traditional Models of Patient Care Organization - ANSWER 1.Total patient
care
2.Functional nursing
3.Team and modular nursing
4.Primary nursing
5.Case management
4. Questions the Change Agent Must Ask - ANSWER 1.How will the
reorganization alter autonomy and individual and group decision making?
2.How will social interactions and interpersonal relationships change?
3.Will employees view their unit of work differently?
4.Will the change require a wider or more restricted range of skills and
abilities on the part of the caregiver?
5.Will the redesign change how employees receive feedback on their
performance, either for self-evaluation or by others?
, 6.Will communication patterns change?
5. Total Patient Care or Case Method Nursing - ANSWER -The oldest mode of
organizing patient care
-Nurses assume total responsibility for meeting the needs of all assigned
patients during their time on duty.
-It is sometimes referred to as the case method of assignment because
patients may be assigned as cases.
-It is still widely used in hospitals and home health agencies.
6. Total Patient Care Model - ANSWER Model of care in which one nurse
provides total care to assigned patients.
7. Disadvantage of Total Patient Care - ANSWER the nurse is inadequately
prepared to provide total care to the patient.
8. What action by a nurse-manager best demonstrates servant leadership?
A. Cultivating a personal relationship with each subordinate
B. Prioritizing the interests of others over the manager's own interests
C. Communicating a clear vision for the future and asking subordinates
to share it
D. Making decisions on the basis of customer service - ANSWER B.
Prioritizing the interests of others over the manager's own interests
Feedback: Managers who are servant leaders put serving others, including
employees, customers, and the community, as the number one priority. This
attitude is not dependent, however, on having a personal relationship with
every subordinate. Customer service is valued, but the servant leader also
emphasizes the needs of employees and the community. Servant leadership
has a place for vision, but this is not a specific characteristic of this type
of leadership.
9. The nurse manager who seeks to exemplify emotional intelligence should:
A. Effectively manipulate the emotions of others to achieve goals.
B. Prioritize emotion over reason when making decisions
C. Prioritize emotion over reason when making decisions
D. Regulate his or her own emotions and those of others - ANSWER D.
Regulate his or her own emotions and those of others
, Feedback: Theorists studying emotional intelligence posit that the ability to
regulate the emotions of self and others is key to effective leadership.
Emotional intelligence does not involve removing emotion from decision
making; conversely, it does not claim that emotion should trump reason.
Management of emotions is not the same as manipulating the emotions of
others, which is unethical
10.The leader-manager provides oversight on a busy medical-surgical unit.
There has recently been an incident where two nurses were not honest about
neglecting a controversial new protocol and mislead the leader. How can the
leader-manager best prevent similar episodes?
A. Support employees' right to disagree with proposed changes
B. Ensure that employees know the consequences of misleading the
manager
C. Avoid making decisions that displease large numbers of employees
D. Identify allies who can be trusted to report employees who may
mislead the manager - ANSWER A. Support employees' right to
disagree with proposed changes
Feedback: There is no guarantee that followers will not mislead leaders, but
adhering to certain principles, such as making sure that followers are
allowed to disagree, will guard against this happening. The manager can
often not avoid making unpopular decisions.
Enacting punitive measures (consequences) has not been shown to
encourage honesty. The use of "informants" is likely to cultivate mistrust
and is likely to increase dishonesty
11.Which statement regarding the characteristics of a good leader is true?
A. Charisma is their strongest attribute
B. They are brave in all situations
C. They may have character flaws
D. They are by nature good-intentioned - ANSWER C. They may have
character flaws
Feedback: Leaders may be deceitful and trustworthy, greedy and generous,
and cowardly and brave. To assume that all good leaders are good people is
foolhardy and makes us blind to the human condition. It is only when we
recognize and manage our failings that leaders achieve greatness. No one
can be brave in each and every situation. Many good leaders have strong
charisma, but this is not always the case.
, 12.To decrease overtime, the manager of a surgical unit offers nurses who get
their work finished on time for an entire 2-month period an extra day off
with pay at regular time. The nurse is enacting what model of leadership?
A. Quantum leadership
B. Favoritism
C. Servant leadership
D. Principal agent theory - ANSWER D. Principal agent theory
Feedback: Principal agent theory suggests that followers may have an
informational (expertise or knowledge) advantage over the leader as well as
their own preferences, which may deviate from that of the principal. This
may lead to a misalignment of goals. To influence the agent, the principal
offers an incentive that corrects excessive overtime. This action is
performance-based, so it would be difficult to characterize it as favoritism.
Servant leadership prioritizes the interests of others; creating incentives to
address the misalignment of goals is not central to servant leadership.
Quantum leadership is a holistic theory of leadership that does not mainly
focus on the alignment of disparate goals.
13.A nurse has been hired to oversee a day surgery clinic. What action will best
ensure good outcomes for this nurse, the clients, and the employees of the
clinic?
A. Integrate nursing management and nursing leadership roles and
practices
B. Consciously develop the ability to be charismatic
C. Teach all employees about the financial considerations at the clinic
D. Implement the principles of authoritative leadership - ANSWER A.
Integrate nursing management and nursing leadership roles and
practices
Feedback: For managers and leaders to function at their greatest potential,
the two roles must be integrated. This helps ensure positive outcomes for all.
Authoritative leadership is generally not preferred in the 21st century
because it has poorer results than more contemporary models. Charisma can
be beneficial in a leadership position, but it is not among the major traits of
successful leadership and management. A focus on finances with all
employees is not normally necessary and is not linked to high-level
outcomes
14.A new leader-manager is planning to implement the principles of strengths-
based leadership after being hired for a new position. What action will best
facilitate this plan?
Functions in Nursing Questions and Answers
A+ Guaranteed
1. Characteristics of Effective Health-Care Delivery Systems - ANSWER -
Facilitate meeting the goals of the organization
-Cost-effective
-Satisfy the patient
-Provide role satisfaction to nurses
-Allow implementation of the nursing process
-Provide for adequate communication among health-care providers
2. Selecting the Optimum Mode of Organizing Patient Care - ANSWER -The
mode should be based on patient acuity and not economics alone.
-The knowledge and skill required for particular activities with specific
populations should always be the true driver in determining appropriate care
delivery models.
-Not every nurse desires a challenging job with the autonomy of personal decision
making.
3. Traditional Models of Patient Care Organization - ANSWER 1.Total patient
care
2.Functional nursing
3.Team and modular nursing
4.Primary nursing
5.Case management
4. Questions the Change Agent Must Ask - ANSWER 1.How will the
reorganization alter autonomy and individual and group decision making?
2.How will social interactions and interpersonal relationships change?
3.Will employees view their unit of work differently?
4.Will the change require a wider or more restricted range of skills and
abilities on the part of the caregiver?
5.Will the redesign change how employees receive feedback on their
performance, either for self-evaluation or by others?
, 6.Will communication patterns change?
5. Total Patient Care or Case Method Nursing - ANSWER -The oldest mode of
organizing patient care
-Nurses assume total responsibility for meeting the needs of all assigned
patients during their time on duty.
-It is sometimes referred to as the case method of assignment because
patients may be assigned as cases.
-It is still widely used in hospitals and home health agencies.
6. Total Patient Care Model - ANSWER Model of care in which one nurse
provides total care to assigned patients.
7. Disadvantage of Total Patient Care - ANSWER the nurse is inadequately
prepared to provide total care to the patient.
8. What action by a nurse-manager best demonstrates servant leadership?
A. Cultivating a personal relationship with each subordinate
B. Prioritizing the interests of others over the manager's own interests
C. Communicating a clear vision for the future and asking subordinates
to share it
D. Making decisions on the basis of customer service - ANSWER B.
Prioritizing the interests of others over the manager's own interests
Feedback: Managers who are servant leaders put serving others, including
employees, customers, and the community, as the number one priority. This
attitude is not dependent, however, on having a personal relationship with
every subordinate. Customer service is valued, but the servant leader also
emphasizes the needs of employees and the community. Servant leadership
has a place for vision, but this is not a specific characteristic of this type
of leadership.
9. The nurse manager who seeks to exemplify emotional intelligence should:
A. Effectively manipulate the emotions of others to achieve goals.
B. Prioritize emotion over reason when making decisions
C. Prioritize emotion over reason when making decisions
D. Regulate his or her own emotions and those of others - ANSWER D.
Regulate his or her own emotions and those of others
, Feedback: Theorists studying emotional intelligence posit that the ability to
regulate the emotions of self and others is key to effective leadership.
Emotional intelligence does not involve removing emotion from decision
making; conversely, it does not claim that emotion should trump reason.
Management of emotions is not the same as manipulating the emotions of
others, which is unethical
10.The leader-manager provides oversight on a busy medical-surgical unit.
There has recently been an incident where two nurses were not honest about
neglecting a controversial new protocol and mislead the leader. How can the
leader-manager best prevent similar episodes?
A. Support employees' right to disagree with proposed changes
B. Ensure that employees know the consequences of misleading the
manager
C. Avoid making decisions that displease large numbers of employees
D. Identify allies who can be trusted to report employees who may
mislead the manager - ANSWER A. Support employees' right to
disagree with proposed changes
Feedback: There is no guarantee that followers will not mislead leaders, but
adhering to certain principles, such as making sure that followers are
allowed to disagree, will guard against this happening. The manager can
often not avoid making unpopular decisions.
Enacting punitive measures (consequences) has not been shown to
encourage honesty. The use of "informants" is likely to cultivate mistrust
and is likely to increase dishonesty
11.Which statement regarding the characteristics of a good leader is true?
A. Charisma is their strongest attribute
B. They are brave in all situations
C. They may have character flaws
D. They are by nature good-intentioned - ANSWER C. They may have
character flaws
Feedback: Leaders may be deceitful and trustworthy, greedy and generous,
and cowardly and brave. To assume that all good leaders are good people is
foolhardy and makes us blind to the human condition. It is only when we
recognize and manage our failings that leaders achieve greatness. No one
can be brave in each and every situation. Many good leaders have strong
charisma, but this is not always the case.
, 12.To decrease overtime, the manager of a surgical unit offers nurses who get
their work finished on time for an entire 2-month period an extra day off
with pay at regular time. The nurse is enacting what model of leadership?
A. Quantum leadership
B. Favoritism
C. Servant leadership
D. Principal agent theory - ANSWER D. Principal agent theory
Feedback: Principal agent theory suggests that followers may have an
informational (expertise or knowledge) advantage over the leader as well as
their own preferences, which may deviate from that of the principal. This
may lead to a misalignment of goals. To influence the agent, the principal
offers an incentive that corrects excessive overtime. This action is
performance-based, so it would be difficult to characterize it as favoritism.
Servant leadership prioritizes the interests of others; creating incentives to
address the misalignment of goals is not central to servant leadership.
Quantum leadership is a holistic theory of leadership that does not mainly
focus on the alignment of disparate goals.
13.A nurse has been hired to oversee a day surgery clinic. What action will best
ensure good outcomes for this nurse, the clients, and the employees of the
clinic?
A. Integrate nursing management and nursing leadership roles and
practices
B. Consciously develop the ability to be charismatic
C. Teach all employees about the financial considerations at the clinic
D. Implement the principles of authoritative leadership - ANSWER A.
Integrate nursing management and nursing leadership roles and
practices
Feedback: For managers and leaders to function at their greatest potential,
the two roles must be integrated. This helps ensure positive outcomes for all.
Authoritative leadership is generally not preferred in the 21st century
because it has poorer results than more contemporary models. Charisma can
be beneficial in a leadership position, but it is not among the major traits of
successful leadership and management. A focus on finances with all
employees is not normally necessary and is not linked to high-level
outcomes
14.A new leader-manager is planning to implement the principles of strengths-
based leadership after being hired for a new position. What action will best
facilitate this plan?
