Nursing Now, Today’s Issues, Tomorrows Trends 7th Edition by Joseph T. Catalano -Test Bank

Chapter 11: Leadership, Followership, and Management

MULTIPLE CHOICE

1. The hospital administration has just notified all the unit managers that the care delivery model is to be changed from team nursing to modular nursing because of budget restraints. Identify the action by the unit managers that is essential to the successful implementation of the modular nursing care model.
A) Hire nurses who are self-directed and concerned with consistency of care.
B) Obtain the cooperation and input from the respiratory therapy, radiology, dietary, and laboratory departments and other support services.
C) Develop total quality management studies to determine risk areas.
D) Initiate a training program for ancillary health workers, such as nurse aides and orderlies.

ANS: B PTS: 1 DIF: Hard TOP: Leadership and Followership
KEY: Cognitive Domain: Synthesis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment

2. After her first week working on a busy medical-surgical unit, a new charge nurse notes that the individual nurses are highly competent but seem to be unable to function productively as a team. Select the action by the charge nurse that would best facilitate team building among the staff.
A) Provide an opportunity for the nurses to express their feelings and emotions.
B) Hire more staff members to reduce stress and fatigue from understaffing.
C) Allow the staff more input into important policy decision-making.
D) Give the staff members more time to adjust to the change in charge nurses.

ANS: A PTS: 1 DIF: Hard TOP: Leadership and Followership
KEY: Cognitive Domain: Synthesis | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment

3. The nurses on the 7 a.m. to 3 p.m. shift have been complaining to the head nurse that the nurses on the 11 p.m. to 7 a.m. shift have not been doing the ordered client daily weights, and the physicians are very upset when they make their early morning rounds. Identify the initial action the head nurse should take to resolve this conflict.
A) Post a stern memo that reminds the night shift nurses to do the daily weights.
B) Review the daily weight flow sheet.
C) Change the time for daily weights to the late morning.
D) Hold a meeting with the physicians to discuss their attitudes.

ANS: B PTS: 1 DIF: Medium TOP: Leadership and Followership
KEY: Cognitive Domain: Analysis | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment

4. Select the statement by a unit manager to the vice president of nursing during a budget meeting that would be most effective in decreasing the staffing ratio on her unit from one nurse for every nine clients to one nurse for every seven clients. “This proposed change will:
A) have a positive effect on the usage of institutional resources.”
B) better meet current national standards of practice.”
C) help with the recruitment of new nurses to the facility.”
D) improve the quality of care for the clients on the unit.”

ANS: D PTS: 1 DIF: Medium TOP: Leadership and Followership
KEY: Cognitive Domain: Analysis | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment

5. The oxygen saturation for a client with acute infective bronchitis drops to 84 percent, and the client develops severe dyspnea. There is a standing order for a handheld nebulizer (HHN) treatment prn (as needed) for shortness of breath. The respiratory therapy department is designated to give all respiratory treatments in the facility. When the nurse calls the respiratory therapist, he states that he has several more treatments to give but he should be there in 10 or 15 minutes. Select the action by the nurse that would be most appropriate at this time.
A) Increase the flow rate of the client’s oxygen until the respiratory therapist can arrive.
B) Call the respiratory therapist back and insist that he come immediately.
C) Give the HHN treatment himself or herself.
D) Give the client a prescribed prn sedative to reduce anxiety.

ANS: C PTS: 1 DIF: Hard TOP: Leadership and Followership
KEY: Cognitive Domain: Evaluation | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment

6. What is the primary drawback to using the trait theory of management in developing management skills?
A) It does not take into account how the person responds in specific situations.
B) A person has to have all of the traits to be an effective manager.
C) Only persons with many years of experience can master the required traits.
D) It is not reflective of the traits that are required for management.

ANS: A PTS: 1 DIF: Medium TOP: Leadership and Followership
KEY: Cognitive Domain: Application | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment

7. Identify a typical response for a manager who uses the laissez-faire approach to leadership when faced with a difficult decision.
A) Consult with the coworkers on the best way to resolve the problem.
B) Make the tough decision by himself or herself and accept the responsibility.
C) Appeal to a higher authority to make the decision.
D) Postpone making the decision in the hopes that it will resolve itself.

ANS: D PTS: 1 DIF: Medium TOP: Leadership and Followership
KEY: Cognitive Domain: Synthesis | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment

8. Select an important principle that guides managers who use the democratic leadership style of management.
A) The leader performs the same tasks as the rest of the members of the group.
B) Each member of the group respects all of the other members as unique and valuable.
C) The members of the group must carry out decisions made by the leader without question.
D) The leader must be methodical and able to sift through complicated information.

ANS: B PTS: 1 DIF: Easy TOP: Leadership and Followership
KEY: Cognitive Domain: Comprehension | Integrated Process: Planning | Client Need: Safe and Effective Care Environment

9. A leader who is paternalistic and attempts to include the group’s feelings and concerns in making a final decision about how to accomplish a task is best identified as using which approach?
A) Benevolent authoritarian
B) Democratic
C) Laissez-faire
D) Dictatorial authoritarian

ANS: A PTS: 1 DIF: Medium TOP: Leadership and Followership
KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment

10. A leader with a low relationship/low task orientation presents a leadership style that is most similar to which leadership approach?
A) Democratic
B) Laissez-faire
C) Authoritarian
D) Benevolent

ANS: B PTS: 1 DIF: Hard TOP: Leadership and Followership
KEY: Cognitive Domain: Synthesis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment