TRENDS, ELEVENTH EDITION Chapter.
10 Challenges of Nursing Management
and Leadership QUESTIONS WITH
VERIFIED CORRECT ANSWERS 2025
UPDATE
Management - Correct AnswerProcess of effectively working with people. Utilizes
varying lvls of management skills, enhanced by interpersonal, followership, leadership
skills to provide pt care
Primary Management Responsibility - Correct AnswerResponsibility of providing direct
pt care to assigned pt. Includes planning coordinating, care with other nursing
personnel, HC staff, the PT, and Family
Leader - Correct AnswerSelects and assumes a role. Effective at influencing others
Manager - Correct AnswerAssigned or appointed to a role. Provides of care, supervise
a team, to achieve desired outcomes, goals, performance
Management - Correct AnswerProblem oriented process with similarities to ADPIE.
needed w/n ever two or more people work together. Manager coordinates the activity to
maintain balance and direction. Manager performs four main functions: planning (what
is to be done), organizing (how it is to be done), directing (when it is to be done),
controlling (when and how it is done) -> All occur simultaneously.
Planning - Correct Answer(What is to be done) is a basic function of management.
Begins w/ development of goals (congruent with vision,/mission of organization),
Determining the requirements to accomplish work to be done, ensure resources needed
are available. Being prepared for unexpected hiccups (key). Staff nurses assess pt and
determine interventions to meet pt goal.
Organizing - Correct Answer(How it is to be done) manager must understand all parts of
the work and clearly understands competencies required and aligns available resources
with work to be done.
Directing - Correct Answer(Who is to do it) manager is accountable for the ensuring the
work is complete in timely competent manner according to standards, policies,
guidelines. If pt care is not to standard first assess pt safety and secondly staff
performance.
, Controlling - Correct Answer(When and how work is done) last aspect of the planning
function of a nurse manager. Manager needs to know regulations and communicate the
essence of these regulations to the staff -> staff needs to understand regulations and
the consequences of no compliance. E.g. the elimination of dangerous abbreviations on
med orders. Also involves data collection to review quality of care and implement
changes.
Traditional Theory AKA Bureaucratic Theory of Management - Correct
AnswerDeveloped in industrial revolution. Organization has a hierarchy W/ Strong lines
of authority and control. Manager follows rules closely and understands division of labor
and chain of command structure. Historically the theory on which nurse manager work
was based.
Behavioral Theory AKA Human-Interaction Theory - Correct AnswerFollowed traditional
theory. Addresses the human part of management. Employees turned to Labor unions
to get help with the difficulty of rules and hierarchy. Employers recognized the
humanistic side as necessary to improve productivity. Considers attitudes & needs of
employees.
Systems Theory - Correct AnswerFollows Behavioral theory. Considers inputs,
transformation of the material, outputs, and feedback. Looks at the effect one manager
has on the other similar to how parts of a system interact to affect the whole. Examines
outcomes for all individuals affected by a decision.
Contingency Theory AKA Motivational Theory - Correct AnswerBlend of the earlier
theories. Manager utilizes elements of earlier theories to determine what motivates
people and dev most effective ways to complete work and increase
productivity/efficiency.
Autocratic manager - Correct Answerauthoritarian approach to direct the activities of
others. Do this, don't ask any questions. Makes most decisions alone. Minimal
recognition of staff contributions. Manager has difficulty motivating staff.
Laissez-Faire manager - Correct AnswerLittle direction or control exerted. hands off
approach, doesn't exert any authority lets staff make and implement decisions
independently. relinquishes most of their responsibility to them.
Democratic manager - Correct AnswerBlend of Autocratic and Laissez faire. Manager is
people oriented and emphasizes effective group functioning. Goals of group identified
and activities are guided and organized by manager. Group participation encouraged
except when manager steps in to accept sole responsibility of decisions.
Committee - Correct Answeran e.g. of democratic manager following behavioral or
contingency theory. This committee has defined authority and responsibility. Staff and
management are interdependent