Chapter 19:leadership and management
A hospital is downsizing, but the RNs have been assured that everyone on the unit will keep
their jobs and that downsizing will occur through normal attrition. Today, the evening
charge nurse reported to the manager that the staff was discussing rumors about mass
layoffs. What is the best approach to take?
a. Tell an informal leader the truth and let the leader spread the news informally.
b. Hold a meeting for all staff members and tell them that the rumor is not true.
c. Ignore the rumor because it will soon pass.
d. Find out who started the rumor and correct the information. - correct answerb. Hold a meeting for all
staff members and tell them that the rumor is not true.
A large health-care organization has struggled to meet mandated electronic health record
(EHR) standards. What actions address the likely challenge that this organization is facing?
Select all that apply.
a. Improving communication between managers at the organization's various sites
b. Increasing the organization's budget for technology
c. Investing more in employee training
d. Engaging clients and families with the process
e. Increasing the use of evidence-based practice - correct answerb. Increasing the organization's budget
for technology
c. Investing more in employee training
A manager is careful to address nonverbal aspects of communication when communicating
with employees. What practices should the manager adopt? Select all that apply.
a. Have communications in public places as much as possible to reduce intimidation.
b. Stand between 12 and 18 inches from an employee when having an important
conversation.
c. Be thoughtful about aspects of appearance that can be controlled by the manager.
, d. Avoid crossing arms across the chest.
e. Limit eye contact with employees to avoid being perceived as aggressive. - correct answerc. Be
thoughtful about aspects of appearance that can be controlled by the manager.
d. Avoid crossing arms across the chest.
A member of a work group that the nurse-manager leads is aloof and dismissive of the
group's role. The member has occasionally made jokes during serious discussions and
seems skeptical that the group will meet its goals. What role is this member playing?
a. Blocker
b. Playboy
c. Dominator
d. Recognition seeker - correct answerb. Playboy
A new nurse-manager has been warned by colleagues about the prevalence of "the
grapevine in the organization's communication." What is the manager's best initial response
to this phenomenon?
a. Seek to understand the patterns and contributors of this pattern of communication.
b. Inform subordinates about the harmful effects of grapevine communication and
that it will not be tolerated.
c. Instruct subordinates to use formal patterns of communication rather than informal
patterns.
d. Use grapevine communication to disseminate messages that are accurate and
respectful. - correct answera. Seek to understand the patterns and contributors of this pattern of
communication.
A nurse sits at the foot of a patient's bed during an admission interview. This positioning
supports the proxemics concept of which psychological comfort zone?
a. Intimate relationships
b. Personal interactions
A hospital is downsizing, but the RNs have been assured that everyone on the unit will keep
their jobs and that downsizing will occur through normal attrition. Today, the evening
charge nurse reported to the manager that the staff was discussing rumors about mass
layoffs. What is the best approach to take?
a. Tell an informal leader the truth and let the leader spread the news informally.
b. Hold a meeting for all staff members and tell them that the rumor is not true.
c. Ignore the rumor because it will soon pass.
d. Find out who started the rumor and correct the information. - correct answerb. Hold a meeting for all
staff members and tell them that the rumor is not true.
A large health-care organization has struggled to meet mandated electronic health record
(EHR) standards. What actions address the likely challenge that this organization is facing?
Select all that apply.
a. Improving communication between managers at the organization's various sites
b. Increasing the organization's budget for technology
c. Investing more in employee training
d. Engaging clients and families with the process
e. Increasing the use of evidence-based practice - correct answerb. Increasing the organization's budget
for technology
c. Investing more in employee training
A manager is careful to address nonverbal aspects of communication when communicating
with employees. What practices should the manager adopt? Select all that apply.
a. Have communications in public places as much as possible to reduce intimidation.
b. Stand between 12 and 18 inches from an employee when having an important
conversation.
c. Be thoughtful about aspects of appearance that can be controlled by the manager.
, d. Avoid crossing arms across the chest.
e. Limit eye contact with employees to avoid being perceived as aggressive. - correct answerc. Be
thoughtful about aspects of appearance that can be controlled by the manager.
d. Avoid crossing arms across the chest.
A member of a work group that the nurse-manager leads is aloof and dismissive of the
group's role. The member has occasionally made jokes during serious discussions and
seems skeptical that the group will meet its goals. What role is this member playing?
a. Blocker
b. Playboy
c. Dominator
d. Recognition seeker - correct answerb. Playboy
A new nurse-manager has been warned by colleagues about the prevalence of "the
grapevine in the organization's communication." What is the manager's best initial response
to this phenomenon?
a. Seek to understand the patterns and contributors of this pattern of communication.
b. Inform subordinates about the harmful effects of grapevine communication and
that it will not be tolerated.
c. Instruct subordinates to use formal patterns of communication rather than informal
patterns.
d. Use grapevine communication to disseminate messages that are accurate and
respectful. - correct answera. Seek to understand the patterns and contributors of this pattern of
communication.
A nurse sits at the foot of a patient's bed during an admission interview. This positioning
supports the proxemics concept of which psychological comfort zone?
a. Intimate relationships
b. Personal interactions
