CH 17: NURSING LEADERSHIP AND
WELL DETAILED
1 . In an attempt to persuade employees to bargain for another type of health insurance, a
handout is circulated that describes the present employees' health care insurance as being
insensitive, limiting choices of care providers, and providing inferior care. This reflects which
aspect of Lewin's planned change?
a. Unfreeze
b. Move
c. Refreeze
d. Acceptance - ANSWER A
Unfreeze is correct because the change agent promotes problem identification and encourages
awareness of the need for change. In alignment with Lewin's stages of change (unfreezing,
moving, and refreezing), education and involvement are keys to successful change. People
must believe that improvement is possible before they will be willing to consider change.
DIF: Comprehension REF: p. 311
2. One difference between a leader and a manager is that a:
a. leader has legitimate authority.
b. manager motivates and inspires others.
c. manager focuses on coordinating resources.
d. leader focuses on accomplishing goals of the organization. - ANSWER C
The terms leadership and management are often used interchangeably, and it is difficult to
discuss one without discussing the other. However, these roles have specific traits unique to
themselves. The manager is the coordinator of resources (time, people, and supplies) needed
to achieve outcomes.
1
, DIF: Comprehension REF: p. 296
3. The first step in the nursing process and in the problem-solving process is to:
a. identify the problem.
b. gather information.
c. consider the consequences.
d. implement interventions. - ANSWER B
The nursing process, which is familiar to nurses who address patient care needs, can be applied
to all management activities that require decision making and problem-solving. As in the
nursing process and the problem-solving process, one must first gather information about the
problem or situation.
DIF: Comprehension REF: pp. 309-310
4. An explosion just occurred at the local factory, and hundreds of employees have sustained
varying degrees of injury. Which type of nursing leadership is most effective in this situation?
a. Autocratic
b. Democratic
c. Laissez-faire
d. Referent - ANSWER A
The dynamics of the situation demand that the leader take control and direct employees to
specific actions in response to the emergency.
DIF: Comprehension REF: p. 300, Box 17-3
2
WELL DETAILED
1 . In an attempt to persuade employees to bargain for another type of health insurance, a
handout is circulated that describes the present employees' health care insurance as being
insensitive, limiting choices of care providers, and providing inferior care. This reflects which
aspect of Lewin's planned change?
a. Unfreeze
b. Move
c. Refreeze
d. Acceptance - ANSWER A
Unfreeze is correct because the change agent promotes problem identification and encourages
awareness of the need for change. In alignment with Lewin's stages of change (unfreezing,
moving, and refreezing), education and involvement are keys to successful change. People
must believe that improvement is possible before they will be willing to consider change.
DIF: Comprehension REF: p. 311
2. One difference between a leader and a manager is that a:
a. leader has legitimate authority.
b. manager motivates and inspires others.
c. manager focuses on coordinating resources.
d. leader focuses on accomplishing goals of the organization. - ANSWER C
The terms leadership and management are often used interchangeably, and it is difficult to
discuss one without discussing the other. However, these roles have specific traits unique to
themselves. The manager is the coordinator of resources (time, people, and supplies) needed
to achieve outcomes.
1
, DIF: Comprehension REF: p. 296
3. The first step in the nursing process and in the problem-solving process is to:
a. identify the problem.
b. gather information.
c. consider the consequences.
d. implement interventions. - ANSWER B
The nursing process, which is familiar to nurses who address patient care needs, can be applied
to all management activities that require decision making and problem-solving. As in the
nursing process and the problem-solving process, one must first gather information about the
problem or situation.
DIF: Comprehension REF: pp. 309-310
4. An explosion just occurred at the local factory, and hundreds of employees have sustained
varying degrees of injury. Which type of nursing leadership is most effective in this situation?
a. Autocratic
b. Democratic
c. Laissez-faire
d. Referent - ANSWER A
The dynamics of the situation demand that the leader take control and direct employees to
specific actions in response to the emergency.
DIF: Comprehension REF: p. 300, Box 17-3
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