N454 Leadership Midterm
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,Peter Drucker's view of management stimulated the Correct Answer: 4
shift toward the realization of the importance of Rationale 1: In participatory organizations, the control of the organization is
participatory organizations. Which option provides a decentralized and many decisions are made by those "on the front lines" of the
scenario that is an example of a participatory organization.
organization? Rationale 2: The theory is that the staff should be nurtured to promote greater
1. The control of the organization is centralized, and leadership competency.
decisions are made by upper-level management. Rationale 3: According to Drucker, when staff participate in the core functions
2. Staff nurses are expected to provide support and of management, the organization is more effective.
nurturing for management's decisions. Rationale 4: According to Drucker, when staff participate in the core functions
3. The organization's approach to leadership is of management such as planning and changes for their own units, the
autocratic and bureaucratic. organization is more effective.
4. Staff nurses provide input into planning and changes
for their own unit.
The nurse executive of a health care organization Correct Answer: 2
wishes to prepare and develop nurse managers for Rationale 1: This is an illustration of the "Peter Principle," which is promoting
several new units that the organization will open next people to management positions just because they are doing a good job in
year. What should be the primary goal for this work? their current position. Management level employees should be selected based
1. Focus on rewarding current staff for doing a good job upon the potential ability to manage and their desire to do so.
with their assigned tasks by selecting them for Rationale 2: Nurse managers are directly responsible for maintaining standards
promotion. of care, and managing fiscal resources and development of staff.
2. Prepare these managers so that they will focus on Rationale 3: This is not the responsibility of most nurse managers. In this
maintaining standards of care. question it is clear that managers of nursing units are being prepared and
3. Prepare these managers to oversee the entire health developed.
care organization. Rationale 4: Interacting with hospital administration is a rare requirement for a
4. Prepare these managers to interact with hospital unit nurse manager and, if it is required, it is not as important as maintaining
administration. standards of care.
Describe the primary focus of a manager in a Correct Answer: 1
knowledge work environment. Rationale 1: The most important focus of this manager is on developing and
1. Developing the most effective teams. supporting effective teams, utilizing the knowledge of many.
2. Taking risks. Rationale 2: Risk taking is a part of knowledge work, but is not the most
3. Routine work. important of this manager's tasks.
4. Understanding the history of the organization Rationale 3: Knowledge work is a combination of routine and non-routine work,
so the manager will have focus on the routine. This is not the manager's most
important focus.
Rationale 4: Understanding the history of the organization is important as it will
help the manager work within the organization, but it is not the most important
focus.
, The nursing staff communicates that the new manager Correct Answer: 4
has a focus on the "bottom line," and little concern for Rationale 1: This action would enable the manager to make a decision and not
the quality of care. What is likely true of this nurse just evaluate the financial status of the environment.
manager? Rationale 2: If the manager is indeed focusing only on the "bottom line" the
1. The manager is looking at the total care picture. manager is not promoting a caring environment on the unit.
2. The manager is communicating the importance of a Rationale 3: The organization may set great value on the "bottom line" but also
caring environment. must be concerned about quality of care. Problems with quality of care can
3. The manager understands the organization's values impact the "bottom line." If the manager believes the financial status of the
and how they mesh with the manager's values. organization is the only organization value, a misunderstanding has probably
4. The manager is unwilling to listen to staff concerns occurred.
unless they have an impact on costs. Rationale 4: This manager has primary focus on the financial issues associated
with provision of care. This will make the manager ineffective in the role.
The nurse has just been promoted to unit manager. Correct Answer: 1
Which advice, offered by a senior unit manager, will Rationale 1: Managers need to be honest and forthcoming with staff, which
help this nurse become inspirational and motivational in includes taking responsibility for one's own actions and errors. This also
this new role? provides a positive role model for the staff.
1. "If you make a mistake with your staff, admit it, Rationale 2: When errors occur, the manager should use the opportunity for
apologize, and correct the error if possible." improvement, not punishment.
2. "Don't be too soft on the staff. If they make a mistake, Rationale 3: When staff feel some staff are given extra credit, staff will feel
be certain to reprimand them immediately." uncomfortable with the manager and resentment will build.
3. "Give your best nurses extra attention and rewards Rationale 4: Staff need to feel that they can share their feedback, positive or
for their help." negative, and not feel threatened when they disagree with the manager.
4. "Never get into a disagreement with a staff member."
A key skill in today's health care environment is the Correct Answer: 1,2,5
ability to collaborate with others. A nurse identifies Rationale 1: In order to collaborate effectively, the nurse must be flexible, must
need to improve in this area. Which skills or traits would be willing to listen to others and include them in his or her work, and work
be essential for an effective nurse manager to develop together toward the best solution to any problems that might arise.
to improve collaboration with others? Rationale 2: In order to collaborate effectively, the nurse must be flexible, must
Select all that apply. be willing to listen to others and include them in his or her work, and must work
1. Flexibility. together toward the best solution to any problems that might arise.
2. The ability to share information and ideas. Rationale 3: While a service orientation is common among nurses, it is not an
3. A service orientation. essential trait for collaboration.
4. A desire to work hard. Rationale 4: This is not an essential skill for ability to collaborate.
5. The ability to listen to others. Rationale 5: In order to collaborate effectively, the nurse must be flexible, must
be willing to listen to others and include them in his or her work, and must work
together toward the best solution to any problems that might arise.
The nurse executive wishes to be a transformational Correct Answer: 1,5
leader. What should this nurse focus on to become Rationale 1: Transformational leadership requires interpersonal skills and having
effective in this role? a vision for the future.
Select all that apply. Rationale 2: While formal education might increase the nurse's knowledge base
1. Improving interpersonal skills. for decision making, it is not a requirement for transformational leadership.
2. Advancing personal formal education. Rationale 3: Having a mentor is not a requirement of transformational
3. Identifying mentors. leadership.
4. Becoming an expert clinician. Rationale 4: This does not guarantee that the nurse will be a transformational
5. Creating a vision for the future of nursing in the leader
facility.
| Study Guide, Practice
Questions & Exam
Review
|Guaranteed success|
,Peter Drucker's view of management stimulated the Correct Answer: 4
shift toward the realization of the importance of Rationale 1: In participatory organizations, the control of the organization is
participatory organizations. Which option provides a decentralized and many decisions are made by those "on the front lines" of the
scenario that is an example of a participatory organization.
organization? Rationale 2: The theory is that the staff should be nurtured to promote greater
1. The control of the organization is centralized, and leadership competency.
decisions are made by upper-level management. Rationale 3: According to Drucker, when staff participate in the core functions
2. Staff nurses are expected to provide support and of management, the organization is more effective.
nurturing for management's decisions. Rationale 4: According to Drucker, when staff participate in the core functions
3. The organization's approach to leadership is of management such as planning and changes for their own units, the
autocratic and bureaucratic. organization is more effective.
4. Staff nurses provide input into planning and changes
for their own unit.
The nurse executive of a health care organization Correct Answer: 2
wishes to prepare and develop nurse managers for Rationale 1: This is an illustration of the "Peter Principle," which is promoting
several new units that the organization will open next people to management positions just because they are doing a good job in
year. What should be the primary goal for this work? their current position. Management level employees should be selected based
1. Focus on rewarding current staff for doing a good job upon the potential ability to manage and their desire to do so.
with their assigned tasks by selecting them for Rationale 2: Nurse managers are directly responsible for maintaining standards
promotion. of care, and managing fiscal resources and development of staff.
2. Prepare these managers so that they will focus on Rationale 3: This is not the responsibility of most nurse managers. In this
maintaining standards of care. question it is clear that managers of nursing units are being prepared and
3. Prepare these managers to oversee the entire health developed.
care organization. Rationale 4: Interacting with hospital administration is a rare requirement for a
4. Prepare these managers to interact with hospital unit nurse manager and, if it is required, it is not as important as maintaining
administration. standards of care.
Describe the primary focus of a manager in a Correct Answer: 1
knowledge work environment. Rationale 1: The most important focus of this manager is on developing and
1. Developing the most effective teams. supporting effective teams, utilizing the knowledge of many.
2. Taking risks. Rationale 2: Risk taking is a part of knowledge work, but is not the most
3. Routine work. important of this manager's tasks.
4. Understanding the history of the organization Rationale 3: Knowledge work is a combination of routine and non-routine work,
so the manager will have focus on the routine. This is not the manager's most
important focus.
Rationale 4: Understanding the history of the organization is important as it will
help the manager work within the organization, but it is not the most important
focus.
, The nursing staff communicates that the new manager Correct Answer: 4
has a focus on the "bottom line," and little concern for Rationale 1: This action would enable the manager to make a decision and not
the quality of care. What is likely true of this nurse just evaluate the financial status of the environment.
manager? Rationale 2: If the manager is indeed focusing only on the "bottom line" the
1. The manager is looking at the total care picture. manager is not promoting a caring environment on the unit.
2. The manager is communicating the importance of a Rationale 3: The organization may set great value on the "bottom line" but also
caring environment. must be concerned about quality of care. Problems with quality of care can
3. The manager understands the organization's values impact the "bottom line." If the manager believes the financial status of the
and how they mesh with the manager's values. organization is the only organization value, a misunderstanding has probably
4. The manager is unwilling to listen to staff concerns occurred.
unless they have an impact on costs. Rationale 4: This manager has primary focus on the financial issues associated
with provision of care. This will make the manager ineffective in the role.
The nurse has just been promoted to unit manager. Correct Answer: 1
Which advice, offered by a senior unit manager, will Rationale 1: Managers need to be honest and forthcoming with staff, which
help this nurse become inspirational and motivational in includes taking responsibility for one's own actions and errors. This also
this new role? provides a positive role model for the staff.
1. "If you make a mistake with your staff, admit it, Rationale 2: When errors occur, the manager should use the opportunity for
apologize, and correct the error if possible." improvement, not punishment.
2. "Don't be too soft on the staff. If they make a mistake, Rationale 3: When staff feel some staff are given extra credit, staff will feel
be certain to reprimand them immediately." uncomfortable with the manager and resentment will build.
3. "Give your best nurses extra attention and rewards Rationale 4: Staff need to feel that they can share their feedback, positive or
for their help." negative, and not feel threatened when they disagree with the manager.
4. "Never get into a disagreement with a staff member."
A key skill in today's health care environment is the Correct Answer: 1,2,5
ability to collaborate with others. A nurse identifies Rationale 1: In order to collaborate effectively, the nurse must be flexible, must
need to improve in this area. Which skills or traits would be willing to listen to others and include them in his or her work, and work
be essential for an effective nurse manager to develop together toward the best solution to any problems that might arise.
to improve collaboration with others? Rationale 2: In order to collaborate effectively, the nurse must be flexible, must
Select all that apply. be willing to listen to others and include them in his or her work, and must work
1. Flexibility. together toward the best solution to any problems that might arise.
2. The ability to share information and ideas. Rationale 3: While a service orientation is common among nurses, it is not an
3. A service orientation. essential trait for collaboration.
4. A desire to work hard. Rationale 4: This is not an essential skill for ability to collaborate.
5. The ability to listen to others. Rationale 5: In order to collaborate effectively, the nurse must be flexible, must
be willing to listen to others and include them in his or her work, and must work
together toward the best solution to any problems that might arise.
The nurse executive wishes to be a transformational Correct Answer: 1,5
leader. What should this nurse focus on to become Rationale 1: Transformational leadership requires interpersonal skills and having
effective in this role? a vision for the future.
Select all that apply. Rationale 2: While formal education might increase the nurse's knowledge base
1. Improving interpersonal skills. for decision making, it is not a requirement for transformational leadership.
2. Advancing personal formal education. Rationale 3: Having a mentor is not a requirement of transformational
3. Identifying mentors. leadership.
4. Becoming an expert clinician. Rationale 4: This does not guarantee that the nurse will be a transformational
5. Creating a vision for the future of nursing in the leader
facility.
