b
,Chapter01:LeadershipandManagement Principles b
Huber:Leadership&NursingCareManagement,6thEdition
n b
MULTIPLECHOICE
1. Leadershipis bestdefinedas: n
a. aninterpersonalprocessofparticipatingbyencouragingfellowship. n n
b. delegationofauthorityand responsibilityand thecoordination ofactivities.
n n n n
c. inspiringpeopletoaccomplishgoalsthroughsupportandconfidencebuilding. n n n
d. theintegrationofresources through planning,organizing,anddirecting. n b n n
ANS: C
bn
n
Leadership istheprocess ofinfluencing peopleto accomplish goals byinspiringconfidence and b n
supportamongfollowers.
n n n
DIF: CognitiveLevel:Remember(Knowledge) b
TOP: Nursing Process: Assessment
n n n n
MSC: ClientNeeds:Safeand EffectiveCareEnvironment:ManagementofCare
n n n b n
2. Amedical-surgicalunit reports higherratesofpatient satisfaction coupled withhigh ratesofstaff b b n
n satisfaction and productivity. Which ofthefollowingis attributed tothedata findings?
n n n n n n n
a. Effectiveleadership
b. Managementinvolvement
c. Mentoring
d. Rewardsandrecognition
ANS: A
bn
n
Effectiveleadershipisimportantinnursingbecauseoftheimpactonnurses’worklives,itbeinga
n n n n n n n n n n n n n n n
stabilizing influenceduringchange,andfornurses’productivityandqualityofcare.
n b n n n
DIF: CognitiveLevel:Apply(Application) b
TOP: Nursing Process: Assessment
n n n n
MSC: ClientNeeds:Safeand EffectiveCareEnvironment:ManagementofCare
n n n b n n
3. Astaffregistered nurse (RN)is leadingamultidisciplinaryclinical pathwayteaminthe b n
development of careforpatients with total knee replacement. Which of the following
n n n n n n n n n n n
statements exemplifies leadershipbehaviors in aclinical pathway team meeting?
n n n n n n n n n n
a. “Nursing isresponsibleforpaincontrolofthetotal kneereplacementpatient.”
b n n
b. “Ourpharmacist hasprovidedsomeexcellent paincontrolliterature.” n b
c. “Physicaltherapy’s expertise isin rehabilitation,notpaincontrol.” n b n
d. “Totalkneereplacement patients require optimalpain control.” n n b n
ANS: B bn
n
Leadership is the processof influencing people to accomplish goals byinspiring confidence and
n n n n n n n n n n n
supportamongfollowers.Thecorrectanswerissupportiveofateam member’s work and depicts
n n n b n
someskill at interpersonal relationships.
n n n b n
DIF: CognitiveLevel:Apply(Application) b
TOP: Nursing Process: Assessment
n n n n
MSC: ClientNeeds:PhysiologicalIntegrity:PharmacologicalandParenteralTherapies
n
,4. Whichofthefollowingis trueofmanagement activities? n n
a. Inspiringavision is a management function. n b n
b. Managementisfocusedontaskaccomplishment.
c. Managementismorefocusedonhumanrelationships. n n
d. Managementismoreimportant thanleadership. n
ANS: B bn
n
Managementisfocusedontaskaccomplishment.
DIF: CognitiveLevel:Remember(Knowledge) b
TOP: Nursing Process: Assessment
n n n n
MSC: ClientNeeds:Safeand EffectiveCareEnvironment:ManagementofCare
n n b n
5. During astaffmeeting,agroupofRNshascomplainedthat medicationsarenot arrivingtothe unitin
n n n n n n n n n n n n n n n n
atimelymanner.Thenursemanagersuggeststhatthegroupresolvethisissuethroughthe
n n n n n n n n n n n
development andworkofamultidisciplinaryteamled byoneoftheseRNs.This scenario
n n n n n n
demonstrates:
n
a. adaptation.
b. empowerment.
c. flexibility.
d. relationshipmanagement.
ANS: B bn
n
Empowerment is the giving of authority, responsibility, and the freedom to act. In this
n n n n n n n n n n n n n
situation, the manager has given authority, responsibility, and the freedom to act in the
n n n n n n n n n n n n n n
investigationand resolution of this issue.
n n n n n
DIF: CognitiveLevel:ApplyN
(A p R
p licaItio nG)
USNT
n n n n nn n n n
TOP: Nursing Process: Assessment
n n n n
MSC: ClientNeeds:Safeand EffectiveCareEnvironment:ManagementofCare
n n n b n
6. Anurseiscaringforanelderlypatientwhowasadmittedaftersustaininga fallathome. When
n n n n n n n n n n n n n n n n
creatinga careplanforthepatient, she requeststhatthedoctororder ahomehealthvisittoassess for
n n n n n n
nhomesafetyandmedicationcompliance. Inaddition,thenurseisconcernedaboutthenutritionof the
n n n n n n n n n n n n n n n
patientandrequestsadietitianevaluation.Thenurseisdemonstratingwhichofthefollowing
n n n n n n n n n n n n n
leadershipskills?
n n
a. Careprovider
b. Businessprinciples
c. Carecoordination
d. Changemanagement
ANS: C bn
n
Carecoordinationisthedeliveryofnursingservicesthatinvolvestheorganizationand n
ncoordinationofcomplexactivities.Thenurseusesmanagerialandleadershipskillstofacilitate
n n n n n n n n n n
deliveryofquality care.
n n n n
DIF: Cognitive Level: Apply (Application) TOP: NursingProcess:Planning
n n n n
MSC: Client Needs: Physiological Integrity: ReductionofRisk Potential
n n n n n n n n n
7. Interpersonal communication and the ability to apply n n n n n n aretwocriticalskillseverynurse
n needs to enhance professional practice.
n n n n
a. vision
, b. supervision
c. delegation
d. problemsolving n
ANS: D bn
n
Everynurseneedstwocriticalskillstoenhanceprofessionalpractice.Oneisaskillatinterpersonal
n n n n n n n n n n n n n
relationships. Thisisfundamental to leadership and the work of nursing. The secondskillis
n n n n n n n n n n n
applying theproblem-solving process.Thisinvolvescriticalthinking,problem identification, and
n b b n n n n
thedevelopment ofobjectivity.
n n n n
DIF: CognitiveLevel:Remember(Knowledge) b
TOP: Nursing Process: Assessment
n n n n
MSC: ClientNeeds:Safeand EffectiveCareEnvironment:ManagementofCare
n n n b n
8. Goodleadersneedtobeabletodemonstrateanintuitiveskillofempathyandexpressiveness n n
nwhendealing withothersintheworkplace.Thisrequiressensitivityandawarenessofthe
n n n n n n n n n n n n
emotions andmoods ofothers and is known as:
n n n n n n n
a. socialawareness.
b. self-awareness.
c. self-management.
d. relationshipmanagement.
ANS: A bn
n
Socialawarenessisanintuitiveskillofempathyand expressiveness in being sensitiveand awareof
n n b b n
nthe emotionsand moods of others.
n n n n
DIF: CognitiveLevel:Remember(Knowledge) b
TOP: Nursing Process:A s s e s sN
n m eS
U ITG B.C M O
nRtN b n
n n
n n n
MSC: ClientNeeds:Safeand Effective
n CareEnvironment:ManagementofCare
n b
n
b n n
9. Thepersonalleadershipskillfornursesthatconsistsofself-awareness,discipline,motivation, n n n n
n social awareness, and relationship management is known as what?
n n n n n n n n
a. Leadership.
b. Management.
c. Emotionalintelligence
d. Vision
ANS: C bn
n
Among theimportantpersonalleadership skillsfornurses is emotionalintelligence(EI).EItraits
b n
nareemotional factors consisting of five definingattributes: self-awareness,
n n n n n n
self-regulation ordiscipline,motivation,socialawareness, andrelationshipmanagement.
b n n n
DIF: CognitiveLevel:Remember(Knowledge) b
TOP: Nursing Process: Implementation
n n n n
MSC: ClientNeeds:Safeand EffectiveCareEnvironment:ManagementofCare
n n n b n
10. arevitaltogood leadersbecausetheyareabletotakethevisionoftheleaderandn b n
n achievethedetermined goals. n n n
a. Managers
b. Motivators
c. Visionaries
d. Followers