Test Bank
LEADERSHIP Roles
and MANAGEMENT
Functions in
Nursing
Theory and Application
10th Edition
Bessie L. Marquis, Carol J. Huston
, Leadership Roles and Management Functions in Nursing: Theory and Application 10th Edition Test Bank
Table of Contents
Chapter 1 Decision Making, Problem Solving, Critical Thinking, and Clinical Reasoning: Requisites
for successful leadership and management
Chapter 2 Classical Views of Leadership and Management
Chapter 3 Twenty-First-Century Thinking About Leadership and Management
Chapter 4 Ethical Issues
Chapter 5 Legal and Legislative Issues
Chapter 6 Patient, Subordinate, Workplace, and Professional Advocacy
Chapter 7 Organizational Planning
Chapter 8 Planned Change
Chapter 9 Time Management
Chapter 10 Fiscal Planning and Health-Care Reimbursement
Chapter 11 Career Planning and Development in Nursing
Chapter 12 Organizational Structure
Chapter 13 Organizational, Political, and Personal Power
Chapter 14 Organizing Patient Care
Chapter 15 Employee Recruitment, Selection, Placement, and Indoctrination
Chapter 16 Educating and Socializing Staff in a Learning Organization
Chapter 17 Staffing Needs and Scheduling Policies
Chapter 18 Creating a Motivating Climate
Chapter 19 Organizational, Interpersonal, and Group Communication in Team Building
Chapter 20 Delegation
Chapter 21 Conflict, Workplace Violence, and Negotiation
Chapter 22 Collective Bargaining, Unionization, and Employment Laws
Chapter 23 Quality Control in Creating a Culture of Patient Safety
Chapter 24 Performance Appraisal
Chapter 25 Problem Employees: Rule Breakers, Marginal Employees, and the Chemically or
Psychologically Impaired
,Leadership Roles and Management Functions in Nursing: Theory and Application 10th Edition Test Bank
Chapter 01: Decision Making, Problem Solving, Critical Thinking, and Clinical
Reasoning: Requisites for Successful Leadership and Management
1. The nurse is applying a decision-making process to a clinical challenge. When applying this
process, the nurse must:
a. analyze the root causes of a situation.
b. begin by solving the underlying problem.
c. choose between different courses of action.
d. prioritize the maximum good for the maximum number of people.
ANS: C
Feedback: Decision making is a complex, cognitive process often defined as choosing a
particular course of action. Problem solving is part of decision making and is a systematic
process that focuses on analyzing a difficult situation. It is not always realistic for the nurse
to solve each of the problems contributing to a larger challenge, especially at the beginning
of the decision-making process. The nurse often lacks the time, information, or resources to
analyze the root causes of a situation. Many times, the nurse makes a decision that benefits
the largest number of people, but this is not always feasible or desirable.
PTS: 1 DIF: Moderate REF: Page: 3 OBJ: 1
NAT: Client Needs: Safe and Effective Care Environment: Management of Care
TOP: Chapter Number: 01: Title: Decision Making, Problem Solving, Critical Thinking,
and Clinical Reasoning KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Apply NOT: Multiple Choice
2. The nurse is applying the traditional problem-solving model when mediating in a conflict
between two colleagues. When applying this model, the nurse should prioritize what task?
a. Identifying the root cause of the conflict
b. Implementing a solution as quickly as possible
c. Eliciting input from other nurses
d. Encouraging each nurse to reflect on his or her actions
ANS: A
Feedback: The traditional problem-solving model attempts to identify the root problem in
situations, a task that can require much time and energy. Efficiency is desirable, but trying
to implement a solution as quickly as possible can result in a hasty and incorrect solution.
Reflective thinking is always beneficial, but this is not a specific component of the
traditional problem-solving model. Outside input may or may not be necessary; this varies
with each individual problem.
PTS: 1 DIF: Moderate REF: Page: 7 OBJ: 1
NAT: Client Needs: Safe and Effective Care Environment: Management of Care
TOP: Chapter Number: 01: Title: Traditional Problem-Solving Process
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Analyze NOT: Multiple Choice
3. Which statement is true regarding decision making?
a. Scientific methods provide identical decisions by different individuals for the same
problems.
, Leadership Roles and Management Functions in Nursing: Theory and Application 10th Edition Test Bank
b. Decisions are greatly influenced by each person’s value system.
c. Personal beliefs can be adjusted for when the scientific approach to problem
solving is used.
d. Past experience has little to do with the quality of the decision.
ANS: B
Feedback: Values, life experience, individual preference, and individual ways of thinking
will influence a person’s decision making. No matter how objective the criteria will be,
value judgments will always play a part in a person’s decision making, either consciously or
subconsciously. It is not possible for a nurse to fully “set aside” personal beliefs when
making a decision, even if the nurse applies the principles of self-reflection.
PTS: 1 DIF: Moderate REF: Page: 17 OBJ: 3
NAT: Client Needs: Safe and Effective Care Environment: Management of Care
TOP: Chapter Number: 01: Title: Values KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Understand NOT: Multiple Choice
4. The nurse-manager of a short-staffed unit needs to make a decision about a nurse’s request
for an unpaid leave of absence. In order to increase the chance of making a good decision,
the manager should:
a. involve as many people in the decision-making process as possible.
b. begin the decision-making process by presuming the status quo to be the best
option.
c. generate as many different alternatives as possible.
d. prioritize the option that is most innovative.
ANS: C
Feedback: The greater the number of alternatives that can be generated by the decision
maker, the better the final decision will be. Generating multiple alternatives may require
involving more people in the decision-making process, but the process can easily become
unwieldy if too many people are involved. The manager should always consider the status
quo as a possible option, but this is not always considered to be the default option.
Innovation is often a desirable characteristic, but it would be inappropriate to choose an
option solely because it is innovative; many other values must be considered.
PTS: 1 DIF: Moderate REF: Page: 15 OBJ: 4
NAT: Client Needs: Safe and Effective Care Environment: Management of Care
TOP: Chapter Number: 01: Title: Generate Numerous Alternatives
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Apply NOT: Multiple Choice
5. An experienced nurse-manager has been described as being a “right-brain thinker.” This
manager’s decision-making process likely prioritizes what characteristic?
a. Linear analysis
b. Intuition
c. Transparency
d. Efficiency
ANS: B