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Chapter 1: Nursing Leadership and Management
MULTIPLE CHOICE
1. According to Henri Fayol, the functions of planning, organizing, coordinating, and
controlling are considered which aspect of management?
a. Roles
b. Proces
s c.Functions
d. Taxonomy
ANS: B, The management process includes planning, organizing, coordinating, and
controlling. Management roles include information processing, interpersonal relationships, and
decision making. Management functions include planning, organizing, staffing, directing,
coordinating, reporting, and budgeting. A taxonomy is a system that orders principles into a
grouping or classification.
2. Which of the following is considered a decisional managerial role?
a. Disseminator
b. Figurehea
dc.Leader
d. Entrepreneur
ANS: D, The decisional managerial roles include entrepreneur, disturbance handler, allocator
of resources, and negotiator. The information processing managerial roles include monitor,
disseminator, and spokesperson. The interpersonal managerial roles include figurehead, leader,
and liaison.
3. A nurse manager meets regularly with other nurse managers, participates on the
organizations committees, and attends meetings sponsored by professional
organizations in order to manage relationships. These activities are considered which
function of a manager?
a. Informing
b. Problem
solvingc.Monitoring
d. Networking
ANS: D, The role functions to manage relationships are networking, supporting, developing
and mentoring, managing conflict and team building, motivating and inspiring, recognizing,
and rewarding. The role functions to manage the work are planning and organizing, problem
solving, clarifying roles and objectives, informing, monitoring, consulting, and delegating.
,4. A nurse was recently promoted to a middle-level manager position. The nurses title
would most likely be which of the following?
a. First-line manager
b. Director
c. Vice president of patient care services
d. Chief nurse executive
ANS: B, A middle-level manager is called a director. A low managerial- level job is called the
first-line manager. A nurse in an executive level role is called a chief nurse executive or vice
president of patient care services.
5. A nurse manager who uses Frederick Taylors scientific management approach,
would mostlikely focus on which of the following?
a.General principles
b. Positional
authorityc.Labor
productivity
d. Impersonal relations
ANS: C, The area of focus for scientific management is labor productivity. In bureaucratic
theory, efficiency is achieved through impersonal relations within a formal structure and is
based on positional authority. Administrative principle theory consists of principles of
management that are relevant to any organization.
6. According to Vrooms Theory of Motivation, force:
a. is the perceived possibility that the goal will be achieved.
b. describes the amount of effort one will exert to reach ones goal.
c. describes people who have free will but choose to comply with orders they are given.
d. is a naturally forming social group that can become a contributor to an organization.
ANS: B, According to Vrooms Theory of Motivation, Force describes the amount of effort one
will exert to reach ones goal. Valence speaks to the level of attractiveness or unattractiveness of
the goal. Expectancy is the perceived possibility that the goal will be achieved. Vrooms Theory
of Motivation can be demonstrated in the form of an equation: Force = Valence Expectancy
(Vroom, 1964). The theory proposes that this equation can help to predict the motivation, or
force, of an individual as described by Vroom.
7. According to R. N. Lussier, motivation:
a. is unconsciously demonstrated by people.
b. occurs externally to influence behavior.
c. is determined by others choices.
d. occurs internally to influence behavior.
ANS: D, Motivation is a process that occurs internally to influence and direct our behavior in
order to satisfy needs. Motivation is not explicitly demonstrated by people, but rather it is
interpreted from their behavior. Motivation is whatever influences our choices and creates
direction, intensity, and persistence in our behavior.
8. According to R. N. Lussier, there are content motivation theories and process
, motivation theories. Which of the following is considered a process motivation
theory?
a.Equity theory
b. Hierarchy of needs theory
c.Existence-relatedness-growth
theory
d. Hygiene maintenance and motivation factors
ANS: A, The process motivation theories are equity theory and expectancy theory. The content
motivation theories include Maslows hierarchy of needs theory, Aldefers existence-
relatedness-growth (ERG) theory, and Herzbergs hygiene maintenance factors and motivation
factors.
9. The theory that includes maintenance and motivation factors is:
a.Maslows hierarchy of needs.
b. Herzbergs two-factor
theory. c.McGregors theory X and
theory Y.
d. Ouchis theory Z.
ANS: B, The two-factor theory of motivation includes motivation and maintenance factors.
Maslows hierarchy of needs includes the following needs: physiological, safety, security,
belonging, and self-actualization. In theory X, employees prefer security, direction, and minimal
responsibility. In theory Y, employees enjoy their work, show self-control and discipline, are
able to contribute creatively, and are motivated by ties to the group, organization, and the work
itself. The focus of theory Z is collective decision making and long-term employment that
involves slower promotions and less direct supervision.
10. A nurse is appointed to a leadership position in the local hospital. The nurses position
would be
considered which of the following?
a. Informal leadership
b. Formal
leadershipc.Leadership
d. Management
ANS: dB, dFormal dleadership dis dbased don doccupying da dposition din dan dorganization.
dInformal dleadership dis dshown dby dan dindividual dwho ddemonstrates dleadership doutside dthe
dscope dof da dformal dleadership drole dor das da dmember dof da dgroup. dLeadership dis da dprocess
dof dinfluence dwhereby dthe dleader dinfluences dothers dtoward dgoal dachievement.
dManagement dis da dprocess dto dachieve dorganizational dgoals.
11. A dnursing dinstructor dis devaluating dwhether dthe dnursing dstudents dunderstand
dthe dthree dfundamental dqualities dthat dleaders dshare. dAccording dto dBennis dand
dNanus, dthe dfundamentaldqualities dof deffective dleaders dare:
a.guided dvision, dpassion, dand dintegrity.
b. knowledge dof dself, dhonesty, dand
dmaturity.dc.intelligence, dself-confidence, dand
ddetermination.
, d. honesty, dself-awareness, dand dsociability.
ANS: dABennis dand dNanus dlist dguided dvision, dpassion, dand dintegrity das dfundamental
dqualities dof deffective dleaders. dKnowledge dof dself, dhonesty dand dmaturity; dintelligence,
dself-confidence dand ddetermination; dself-awareness dand dsociability dare dall ddesirable dtraits
din dleaders das dwell das din dothers.
12. The dsix dtraits didentified dby dKirkpatrick dand dLocke dthat dseparate dleaders dfrom
dnon-leaders dwere:
a.respectability, dtrustworthiness, dflexibility, dself-confidence, dintelligence, dsociability.
b. self-confidence, dprogression dof dexperiences, dinfluence dof dothers, dpersonal
dlife dfactors,dhonesty, ddrive.
c. intelligence, dself-confidence, ddetermination, dintegrity, dsociability, dhonesty.
d. drive, ddesire dto dlead, dhonesty, dself-confidence, dcognitive dability, dknowledge dof
dbusiness.
ANS: dD, dResearch dby dKirkpatrick dand dLocke dconcluded dthat dleaders dpossess dsix dtraits:
ddrive, ddesire dto dlead, dhonesty, dself- dconfidence, dcognitive dability, dand dknowledge dof dthe
dbusiness. dWoods didentified dfive ddominant dfactors dthat dinfluenced dleadership ddevelopment:
dself-confidence, dinnate dqualities, dprogression dof dexperience, dinfluence dof dsignificant
dothers, dand dpersonal dlife dfactors. dStogdill didentified dthe dfollowing dtraits dof da dleader:
dintelligence, dself- dconfidence, ddetermination, dintegrity, dand dsociability. dMurphy dand
dDeBack didentified dthe dfollowing dleader dcharacteristics: dcaring, drespectability,
dtrustworthiness, dand dflexibility.
13. A dnurse dmanager dwho duses da dleadership dstyle dthat dis dparticipatory dand
dwhere dauthority disddelegated dto dothers dis dmost dlikely dusing dwhich dof dthe
dfollowing dleadership dstyles?
a.Autocratic
b.
Democrati
cdc.Laissez-faire
d. Employee-centered
ANS: dB, dDemocratic dleadership dis dparticipatory, dand dauthority dis ddelegated dto dothers.
dAutocratic dleadership dinvolves dcentralized ddecision dmaking, dwith dthe dleader dmaking
ddecisions dand dusing dpower dto dcommand dand dcontrol dothers. dLaissez-faire dleadership dis
dpassive dand dpermissive, dand dthe dleader ddefers ddecision dmaking. dEmployee-centered
dleadership dfocuses don dthe dhuman dneeds dof dsubordinates.
14. A dcharacteristic dof dthe dconsideration ddimension dof dleadership dbehavior dis:
a.focus don dthe dwork dto dbe ddone
b. focus don dthe
dtask.dc.focus don
dproduction.
d. focus don dthe demployee.
ANS: dD, dThe dleadership ddimension dof dconsideration dinvolves dactivities dthat dfocus don dthe
demployee. dInitiating dstructures dof dleadership dinvolves dan demphasis don dthe dwork dto dbe