Chapter 11: Leadership, Excellence, and Creating the Future of Nursing
Answer Section
MULTIPLE CHOICE
1. ANS: 1
Page: 229
Objective: 1. Analyze the concept of excellence.
Difficulty: Moderate
Heading: The Concept of Excellence
Integrated Processes: Nursing Process: Evaluation
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Analysis [Analyzing]
Concept: Management: Nursing: Nursing Roles
Feedback
1 Correct because excellence is setting and achieving high standards.
2 Incorrect because excellence is never mediocre.
3 Incorrect because excellence is not just what is essential.
4 Incorrect because excellence does not come from being pushed by an authority figure.
PTS: 1 CON: Management: Nursing: Nursing Roles
2. ANS: 2
Page: 229
Objective: 1. Analyze the concept of excellence.
Difficulty: Moderate
Heading: The Concept of Excellence
Integrated Processes: Communication and Documentation
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Analysis [Analyzing]
Concept: Management: Nursing: Nursing Roles: Quality Improvement
Feedback
1 Incorrect because complaining and reporting to the authority figure will not generate excellence.
2 Correct because it is best to try to change the status quo by offering new solutions for problems.
3 Incorrect because being critical and not offering any solutions is not the excellence way to make a change.
4 Incorrect because demanding a change is not following the essence of excellence.
PTS: 1 CON: Management: Nursing: Nursing Roles: Quality Improvement
3. ANS: 3
Page: 229
Objective: 1. Analyze the concept of excellence.
Difficulty: Moderate
Heading: The Concept of Excellence
Integrated Processes: Caring
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Analysis [Analyzing]
Concept: Management: Nursing: Nursing Roles: Evidence-Based Practice
Feedback
1 Incorrect because being outspoken and aggressive is not being inflamed.
2 Incorrect because being angry but active is not being inflamed.
3 Correct because inflamed means being passionate about one’s work.
4 Incorrect because being a skilled clinician is not being inflamed.
PTS: 1 CON: Management: Nursing: Nursing Roles: Evidence-Based Practice
4. ANS: 2
Page: 235
Objective: 3. Examine the interrelationship among leadership, excellence, and professional involvement.
Difficulty: Moderate
Heading: Leadership and Excellence
Integrated Processes: Communication and Documentation
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Analysis [Analyzing]
Concept: Management: Nursing: Nursing Roles: Critical Thinking
Feedback
1 Incorrect because if one does not take risks one will never achieve all that he or she can.
2 Correct because excellence is a self-portrait of someone who has been self-disciplined to fulfill society’s highest expectation of excellence.
3 Incorrect because although it is true that nothing endures but change, it does not correlate to attaining excellence.
4 Incorrect because this relates to empathy, not excellence and investment.
PTS: 1 CON: Management: Nursing: Nursing Roles: Critical Thinking
5. ANS: 4
Page: 229
Objective: 2. Discuss the responsibility for promoting excellence that rests with leaders who will create nursing’s preferred future.
Difficulty: Moderate
Heading: The Concept of Excellence
Integrated Processes: Nursing Process: Implementation
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Management: Nursing: Nursing Roles
Feedback
1 Incorrect because there is no challenge in doing something in which one is already competent.
2 Incorrect because this activity is routine work.
3 Incorrect because this is routine for alumni to complete.
4 Correct because this is out of the ordinary and would indicate that the nurse is willing to take on a new challenge and grow.
PTS: 1 CON: Management: Nursing: Nursing Roles
6. ANS: 2
Page: 236
Objective: 3. Examine the interrelationship among leadership, excellence, and professional involvement.
Difficulty: Moderate
Heading: Leadership and Excellence
Integrated Processes: Communication and Documentation
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Management: Nursing: Nursing Roles
Feedback
1 Incorrect because one can be excellent and/or a leader and not be in a position of authority.
2 Correct because both require the ability to manage change.
3 Incorrect because both require a look to the future and proactive actions.
4 Incorrect because new ideas and change are required by both to achieve excellence and practice effective leadership.
PTS: 1 CON: Management: Nursing: Nursing Roles
7. ANS: 1
Page: 229
Objective: 4. Propose strategies for exercising leadership, promoting excellence, and being professionally involved to create nursing’s preferred future.
Difficulty: Moderate
Heading: The Concept of Excellence
Integrated Processes: Communication and Documentation
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Analysis [Analyzing]
Concept: Management: Nursing: Nursing Roles: Health-Care System: Collaboration
Feedback
1 Correct because whenever there is a problem the most effective way to problem-solve is to share possible solutions.
2 Incorrect because one would never talk poorly about one’s employing agency because it decreases the consumer’s confidence in the agency.
3 Incorrect because demanding something will not usually get anything.
4 Incorrect because quitting is not the first or best approach.
PTS: 1 CON: Management: Nursing: Nursing Roles: Health-Care System: Collaboration
8. ANS: 3
Page: 239
Objective: 4. Propose strategies for exercising leadership, promoting excellence, and being professionally involved to create nursing’s preferred future.
Difficulty: Moderate
Heading: Conclusion
Integrated Processes: Communication and Documentation
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Management: Nursing: Nursing Roles
Feedback
1 Incorrect because one should never hold back if striving for excellence.
2 Incorrect because excellence means taking more risks than others think is safe.
3 Correct because excellence is always expecting more than others think is possible.
4 Incorrect because excellence means to dream more than others think is practical.
PTS: 1 CON: Management: Nursing: Nursing Roles
9. ANS: 1
Page: 234
Objective: 2. Discuss the responsibility for promoting excellence that rests with leaders who will create nursing’s preferred future.
Difficulty: Easy
Heading: The Concept of Excellence
Integrated Processes: Caring
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Management: Nursing: Nursing Roles: Quality Improvement
Feedback
1 Correct because excellence generates excellence in many situations.
2 Incorrect because excellence promotes a broad focus.
3 Incorrect because excellence can promote ambiguity.
4 Incorrect because excellence is not passive.
PTS: 1 CON: Management: Nursing: Nursing Roles: Quality Improvement
10. ANS: 2
Page: 229
Objective: 2. Discuss the responsibility for promoting excellence that rests with leaders who will create nursing’s preferred future.
Difficulty: Moderate
Heading: The Concept of Excellence
Integrated Processes: Communication and Documentation
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Management: Nursing: Nursing Roles: Collaboration: Critical Thinking
Feedback
1 Incorrect because disciplining staff will not generate good rapport or morale for improvement.
2 Correct because creating an atmosphere of critical reflection will assist the individual and group to constantly grow and improve.
3 Incorrect because improvement should be continuous.
4 Incorrect because no one can say stabilization for 1 year will create excellence.
PTS: 1 CON: Management: Nursing: Nursing Roles: Collaboration: Critical Thinking
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