Nursing Leadershipand Management 3rd
Edition, Patricia Kelly
,Chapter1: Nursing LeadershipandManagement
MULTIPLE CHOICE
1. Accordingto Henri Fayol,thefunctionsof planning,organizing,coordinating,andcontrolling are
considered which aspect of management?
a. Roles
b. Process
c. Functions
d. Taxonomy
ANS: B, The management process includes planning, organizing, coordinating, and controlling. Management roles includetion informa
processing,interpersonalrelationships,and decisionmaking.Managementfunctionsincludeplanning,organizing, staffing, directing,
coordinating, reporting, and
budgeting. Ataxonomyis a system that orders principles into
a grouping orclassification.
2. Which of thefollowingis considereda decisionalmanagerialrole?
a. Disseminator
b. Figurehead
c. Leader
d. Entrepreneur
ANS: D, The decisional managerial roles include entrepreneur,disturbancehandler, allocator of resources,and negotiator.The
informationprocessingmanagerialroles include monitor,disseminator,and spokesperson. Theinterpersonalmanagerialroles include
figurehead, leader, and liaison.
3. A nurse manager meets regularly with other nurse managers, participates on the organizations
committees,andattendsmeetingssponsoredby professionalorganizationsin order to manage relationships.
These activities are considered which function
of a manager?
a. Informing
b. Problemsolving
c. Monitoring
d. Networking
ANS: D, The role functionsto managerelationshipsarenetworking,supporting,developingand mentoring,managingconflict and team
building, motivatingand inspiring, recognizing, and rewarding. Therole functionsto manage the work are planning and organizing,
problemsolving, clarifying roles and objectives, informing, monitoring, consulting, and delegating.
4. A nursewasrecentlypromotedto a middle-levelmanagerposition. Thenursestitlewould most likely
be which of the following?
a. First-line manager
b. Director
c. Vice presidentof patientcareservices
d. Chief nurseexecutive
ANS: B, A middle-level manageris calleda director. Alow managerial- level job is calledthe 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 nursemanagerwhousesFrederickTaylors scientificmanagementapproach,wouldmostlikely focus on
which of the following?
, a. Generalprinciples
b. Positionalauthority
c. Labor productivity
d. Impersonalrelations
ANS: C, The areaof focusfor scientificmanagementis laborproductivity.In bureaucratictheory, efficiencyis achievedthrough impersonal
relations withina formal structureand is based onpositional authority.Administrative principle theory
consists of principles of management
that are relevant to any organization.
6. Accordingto VroomsTheoryof Motivation,force:
a. is theperceivedpossibilitythatthegoal will beachieved.
b. describestheamountof effortonewill exertto reachonesgoal.
c. describespeoplewhohavefreewill but chooseto complywith orderstheyaregiven.
d. is a naturallyformingsocialgroupthat canbecomea contributorto an organization.
ANS: B, Accordingto Vrooms Theoryof Motivation,Forcedescribesthe amount ofeffort one will exert to reach ones goal. Valencespeaks
to thelevelof attractiveness or
unattractivenessof thegoal. Expectancyis theperceivedpossibilitythatthegoal will beachieved. Vrooms
Theory of Motivation canbe demonstrated inthe form of anequation:Force= ValenceExpectancy(Vroom, 1964).The theoryproposes
thatthis equationcan helpto predictthemotivation,or force,of an individual as described byVroom.
7. Accordingto R. N. Lussier,motivation:
a. is unconsciouslydemonstratedby people.
b. occursexternallyto influencebehavior.
c. is determinedby otherschoices.
d. occursinternallyto influencebehavior.
ANS: D, Motivationis a processthatoccurs internallyto influenceand directour behavior in orderto satisfyneeds.Motivation is not
explicitlydemonstrated by people, but rather it is interpreted from their behavior. Motivation is whatever
influencesour choices and
creates direction, intensity, and persistence in our behavior.
8. Accordingto R. N. Lussier,therearecontentmotivationtheoriesandprocessmotivation theories.
Which of the following is considered a process motivation theory?
a. Equity theory
b. Hierarchyof needstheory
c. Existence-relatedness
-growth theory
d. Hygienemaintenanceand motivationfactors
ANS: A, The process motivation theories are
equitytheoryand expectancytheory. The content motivation
theories include Maslows
hierarchyof needstheory,Aldefersexistence- relatedness
-growth(ERG) theory,andHerzbergshygienemaintenance factors and motivation
factors.
9. The theorythatincludesmaintenanceandmotivationfactorsis:
a. Maslowshierarchyof needs.
b. Herzbergstwo-factortheory.
c. McGregorstheoryX and theoryY.
d. Ouchis theoryZ.
, ANS: B, The two-factortheoryof motivationincludesmotivationand maintenancefactors.Maslowshierarchyof needsincludes the
following needs: physiological, safety, security, belonging,self-actualization.
and In theory
X, employees prefer security, direction, and
minimal responsibility. In theory
Y, employees enjoy their work, show -control
self and discipline, are able
to contributecreatively, andare
motivatedby tiesto thegroup,organization, andthework itself.The focusof theoryZ is collective decision making and long -term
employment that involves slower promotions and less direct supervision.
10. A nurseis appointedto a leadershippositionin thelocalhospital.The nursespositionwouldbe considered
which of the following?
a. Informalleadership
b. Formal leadership
c. Leadership
d. Management
ANS: B, Formal leadership is based on occupying a position in an organization. Informal leadership is shown
an individual
by who
demonstratesleadership outsidethescope ofa formalleadership role oras a memberof a group.Leadershipis a processof influence
whereby the leader influences others toward goal achievement. Management is a process to achieve organizational
goals.
11. A nursing instructor is evaluating whether the nursing students understand the three
fundamentalqualitiesthatleadersshare.Accordingto BennisandNanus,thefundamental qualities of
effective leaders are:
a. guidedvision, passion,andintegrity.
b. knowledgeof self,honesty,and maturity.
c. intelligence,self-confidence,anddetermination.
d. honesty,self-awareness,andsociability.
ANS: ABennis and Nanus list guided vision, passion, and integrity as fundamental qualities ofeffectiveleaders. Knowledge of self,
honesty and maturity; intelligence, self
-confidence and determination; self
-awareness and sociability are all desirable
traits in leaders as
well as in others.
12. The six traitsidentifiedby Kirkpatrick andLockethatseparateleadersfrom non-leaderswere:
a. respectability,trustworthiness,flexibility,self-confidence,intelligence,sociability.
b. self-confidence,progressionof experiences,influenceof others,personallife factors,honesty,drive.
c. intelligence,self-confidence,determination,integrity,sociability,honesty.
d. drive,desiretolead,honesty,self-confidence,cognitiveability,knowledgeof business.
ANS: D, Research by Kirkpatrick and Locke concluded that leaders possess six traits: drive, desire to lead, honesty,
- confidence,
self
cognitiveability,andknowledgeof thebusiness.Woodsidentifiedfivedominantfactorsthatinfluencedleadership development: self -
confidence, innate qualities, progression of experience, influence of significant others, and personal life factors.
identified
Stogdill the
following traits of a leader: intelligence,-self
confidence, determination, integrity, and sociability. Murphy and DeBack identified the
following leader characteristics: caring, respectability, trustworthiness,
flexibility.
and
13. A nursemanagerwho usesa leadershipstylethatis participatoryandwhereauthority is
delegated to others is most likely using which of the following leadership styles?
a. Autocratic
b. Democratic
c. Laissez-faire