TEST BANK FOR Leadership and Management for Nurses Core Competencies for Quality Care, 5th Edition by Anita Finkelman Chapter 1-20

TEST BANK FOR
Leadership and Management for Nurses Core Competencies for Quality Care, 5th
Edition by Anita Finkelman Chapter 1-20



Chapter 1 Conceptual Base for Leadership and Management
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1) The nurse manager asked all staff nurses to develop effective leadership
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competencies. How should the staff nurses interpret this request?
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1. This is an unrealistic expectation, because only managers are leaders.
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2. This is possible if the nurses learn about and use relevant leadership and
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management theories and styles.
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3. In order to become leaders, the staff nurses will have to emphasize control,
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competition, and getting the job done.
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4. Unless the staff nurses possess the traits of a natural born leader, this is an
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unrealistic expectation.
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Answer: 2 M



Explanation:
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1. A nurse does not need to have a formal management position with a management
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title to be a leader; if nurses demonstrate leadership competencies, they are
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considered nurse leaders.
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2. In today's healthcare environment, nurses must have knowledge of relevant
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leadership and management theories and styles. This knowledge helps nurses emerge
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as leaders. Nurses are also leaders of their own nursing practices.
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3. Control, competition, and getting the job done are past theories and styles that are
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not as useful in today's environment.
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4. Leadership is a skill that can be M M M M M M



learned. Cognitive Level: Analyzing
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Client Need/Sub:M M M Safe and Effective Care Environment
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Standards: QSEN Competencies: Patient-centered care; Teamwork and collaboration;
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, Mquality improvement, safety | AACN Essential Competencies: II. Basic organizational
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Mand systems leadership for quality care and patient safety; VI. Interprofessional
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Mcommunication and collaboration for improving patient health outcomes; V. Healthcare
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Mpolicy, finance, and regulatory environments | NLN Competencies: Personal and
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Mprofessional development; relationship centered care; teamwork | Nursing/Integrated
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MConcepts: Nursing Process: Assessment
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Learning Outcome: LO 03. Analyze the key modern leadership theories compared to
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older theories, and understand their implications for nursing leadership, management,
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and transformational leadership.
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2) Peter Drucker's view of management stimulated the shift toward the realization of
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the importance of participatory organizations. Which option provides a scenario that is
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an example of a participatory organization?
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1. The control of the organization is centralized, and decisions are made by
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upper-level management.
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2. Staff nurses are expected to provide support and nurturing for management's decisions.
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3. The organization's approach to leadership is autocratic and bureaucratic.
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4. Staff nurses provide input into planning and changes for their
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own unit. Answer: 4
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, Explanation:

1. In participatory organizations, the control of the organization is decentralized
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and many decisions are made by those "on the front lines" of the organization.
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2. The theory is that the staff should be nurtured to promote greater leadership
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competency.
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3. According to Drucker, when staff participate in the core functions of
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management, the organization is more effective.
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4. According to Drucker, when staff participate in the core functions of
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management such as planning and changes for their own units, the organization
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is more effective.
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Cognitive Level: M M M Applying

Client Need/Sub:M M M Safe and Effective Care Environment
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Standards: QSEN Competencies: Patient-centered care; Teamwork and collaboration;
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quality improvement, safety | AACN Essential Competencies: II. Basic organizational
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and systems leadership for quality care and patient safety; VI. Interprofessional
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communication and collaboration for improving patient health outcomes; V. Healthcare
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policy, finance, and regulatory environments | NLN Competencies: Personal and
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professional development; relationship centered care; teamwork | Nursing/Integrated
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Concepts: Nursing Process: Planning
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Learning Outcome: LO 03. Analyze the key modern leadership theories compared to
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older theories, and understand their implications for nursing leadership, management,
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and transformational leadership.
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3) Which behavior demonstrates the nurse's competency as an emotionally intelligent
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leader?
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1. The nurse is proficient in technical skills.
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2. The nurse relies on policies, not options.
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3. The nurse supports team members.
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4. Productivity is not a major M M M M



concern. Answer: 3
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Explanation:

1. While technical skill is important for all nurses, it is not a hallmark of a competent
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leader.
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2. Chaos theory states that solutions are not always clear and policies might not always
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be applied easily; other options might need to be considered.
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https://www.stuvia.com/user/LUCIDWISE

, 3. In Emotional Intelligence theory, team members support each other and feel
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supported by the team leader.
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4. This statement reflects the country club leadership
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style. Cognitive Level: Applying
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Client Need/Sub:
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Standards: QSEN Competencies: Patient-centered care; Teamwork and collaboration;
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quality improvement, safety | AACN Essential Competencies: II. Basic organizational
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and systems leadership for quality care and patient safety; VI. Interprofessional
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communication and collaboration for improving patient health outcomes; V. Healthcare
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policy, finance, and regulatory environments | NLN Competencies: Personal and
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professional development; relationship centered care; teamwork | Nursing/Integrated
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Concepts: Nursing Process: Implementation
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Learning Outcome: LO 03. Analyze the key modern leadership theories compared to
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older theories, and understand their implications for nursing leadership, management,
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and transformational leadership.
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https://www.stuvia.com/user/LUCIDWISE