LEADERSHIP & MANAGEMENT MY NURSING
TEST BANKS QUESTIONS & ANSWERS
VTheories 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.
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.
At a recent nurse staff meeting, the chief nursing officer (CNO) announced that all nursing staff would
work 12-hour shifts on a daynight 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) Authoritarian
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.
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) Preceptor
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.
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) Unfreezing
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.
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 nurses actions illustrate?
1) Unfreezing
2) Active resistance
3) Passive resistance
4) Comfort zone - ANS-3) Passive resistance
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.
The surgical unit is experiencing difficulty recruiting new RNs, although the hospital has an excellent
reputation in the community and has no difficulty recruiting nurses for other units. A task force has been
formed, consisting of one nurse from each shift on the unit, the unit manager, and the hospital nurse
recruiter. The group has gathered data and identified the problem. What is the next step in this process?
1) Generate possible solutions.
2) Evaluate whether the problem has been resolved.
3) Implement the solution changes.
4) Evaluate suggested solutions. - ANS-1) Generate possible solutions.
TEST BANKS QUESTIONS & ANSWERS
VTheories 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.
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.
At a recent nurse staff meeting, the chief nursing officer (CNO) announced that all nursing staff would
work 12-hour shifts on a daynight 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) Authoritarian
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.
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) Preceptor
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.
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) Unfreezing
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.
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 nurses actions illustrate?
1) Unfreezing
2) Active resistance
3) Passive resistance
4) Comfort zone - ANS-3) Passive resistance
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.
The surgical unit is experiencing difficulty recruiting new RNs, although the hospital has an excellent
reputation in the community and has no difficulty recruiting nurses for other units. A task force has been
formed, consisting of one nurse from each shift on the unit, the unit manager, and the hospital nurse
recruiter. The group has gathered data and identified the problem. What is the next step in this process?
1) Generate possible solutions.
2) Evaluate whether the problem has been resolved.
3) Implement the solution changes.
4) Evaluate suggested solutions. - ANS-1) Generate possible solutions.
