CHAPTER 1-31 WITH SORTED ANSWERS RANKED A+
A nurse manager of a 20-bed medical unit finds that 80% of the patients are older
adults. She is asked to assess and adapt the unit to better meet the unique needs of
the older adult patient. Using complexity principles, what would be the best approach
to take in making this change?
a. Leverage the hierarchical management position to get unit staff involved in
assessment and planning.
b. Engage involved staff at all levels in the decision-making process.
c. Focus the assessment on the unit, and omit the hospital and community
environment.
d. Hire a geriatric specialist to oversee and control the project. - -answer-B
As the nurse manager who wants to increase motivation by providing motivating
factors, which action would you select?
a. Collaborate with the human resource/personnel department to develop on-site
daycare services.
b. Provide a hierarchical organizational structure.
c. Implement a model of shared governance.
d. Promote the development of a flexible benefits package. - -answer-C
A charge nurse on a busy 40-bed medical/surgical unit is approached by a family
member who begins to complain loudly about the quality of care his mother is
receiving. His behavior is so disruptive that it is overheard by staff, physicians, and
other visitors. The family member rejects any attempt to intervene therapeutically to
resolve the issue. He leaves the unit abruptly, and the nurse is left feeling frustrated.
Which behavior by the charge nurse best illustrates refined leadership skills in an
emotionally intelligent practitioner?
a. Reflect to gain insight into how the situation could be handled differently in the
future.
b. Try to catch up with the angry family member to resolve the concern.
c. Discuss the concern with the patient after the family member has left.
d. Notify nursing administration of the situation. - -answer-A
Joan, the nursing unit manager, finds it difficult to work with Thomas, a new
graduate. Thomas has many ideas, and his manner of presenting them irks Joan.
, After reflection and discussion with others, Joan recognizes that she also feels
threatened by his behavior. She comes to understand that Thomas is trying to
establish his own role on the unit, is not trying to challenge her, and needs guidance,
coaching, and affirmation. Joan is demonstrating:
a. A positive self-concept.
b. Deepening self-awareness.
c. Leadership.
d. Acquiescence. - -answer-B
As the head of a nursing program, you consistently invite the ideas of your team
about innovations in teaching, community partnerships, and curriculum design and
invite participation in decisions. Many of these ideas have been implemented
successfully, and your staff members are keen to try on other ideas. You are
employing _____ leadership.
a. Situational
b. Trait-based
c. Contingency-based
d. Transformational - -answer-D
As a leader on a rehab unit, you encourage all staff members to see themselves as
having a role in decision making and quality care. You see your role as involving
particular responsibilities in decision making but not as a hierarchal role. This view
of decision making and leadership is consistent with:
a. Trait theories.
b. Complexity theory.
c. Situated theory.
d. Emotional intelligence. - -answer-B
You recently acquired a position as a unit manager. During your time on the unit, you
have formed a strong social network among your staff, have promoted the
development of relationships between your staff and workers in other areas of the
organization, and have formed relationships that generate ideas from patient
organizations and the local nursing education program. According to complexity
theory, you are engaging which principle?
a. Empowerment
b. Systematic thinking
c. Development of networks
d. Bottom-up interactions - -answer-C