Leadership and Nursing Care Management 6th Edition by Diane Huber – Nursing Leadership & Management Textbook

TESTBANK
b

,Chapter 01: Leadership and Management Principles
b b b b b




Huber:Leadership & Nursing CareManagement, 6thEdition
b b b b b b b




MULTIPLE CHOICE b




1. Leadership is best defined as: b b b b




a. an interpersonal process of participating by encouraging fellowship.
b b b b b b b




b. delegation of authority and responsibility and the coordination of activities. b b b b b b b b b




c. inspiring people to accomplish goals through support and confidence building.
b b b b b b b b b




d. the integration of resources through planning, organizing, and directing.
b b b b b b b b




ANS: C b




Leadership is the process of influencing people to accomplish goals by inspiring confidence and
b b b b b b b b b b b b b




support among followers.
b b b




DIF: CognitiveLevel:Remember(Knowledge) b b b




TOP: Nursing Process: Assessment
b b b b




MSC: Client Needs: Safe and Effective Care Environment: Management of Care
b b b b b b b b b b




2. A medical-surgical unit reports higher rates of patient satisfaction coupled with high rates of staff
b b b b b b b b b b b b b b




satisfaction and productivity. Which of the following is attributed to the data findings?
b b b b b b b b b b b b b




a. Effective leadership b




b. Management involvement b




c. Mentoring
d. Rewards and recognition b b




ANS: A b




Effective leadership is important in nursing because of the impact on nurses’ work lives, it being a
b b b b b b b b b b b b b b b b




stabilizing influence during change, and for nurses’ productivity and qualityof care.
b b b b b b b b b b b b




DIF: CognitiveLevel:Apply(Application) b b b




TOP: Nursing Process: Assessment
b b b b




MSC: Client Needs: Safe and Effective Care Environment: Management of Care
b b b b b b b b b b




3. A staff registered nurse (RN) is leading a multidisciplinary clinical pathway team in the
b b b b b b b b b b b b b




development of care for patients with total knee replacement. Which of the following
b b b b b b b b b b b b b




statements exemplifies leadership behaviors in a clinical pathway team meeting?
b b b b b b b b b b




a. “Nursing is responsible for pain control of the total knee replacement patient.”
b b b b b b b b b b b




b. “Our pharmacist has provided some excellent pain control literature.”
b b b b b b b b




c. “Physical therapy’s expertise is in rehabilitation, not pain control.” b b b b b b b b




d. “Total knee replacement patients require optimal pain control.”
b b b b b b b




ANS: B b




Leadership is the process of influencing people to accomplish goals by inspiring confidence and
b b b b b b b b b b b b b




support among followers. The correct answer is supportive of a team member’s work and depicts
b b b b b b b b b b b b b b b




some skill at interpersonal relationships.
b b b b b




DIF: CognitiveLevel:Apply(Application) b b b




TOP: Nursing Process: Assessment
b b b b




MSC: Client Needs: Physiological Integrity: Pharmacological and Parenteral Therapies
b b b b b b b b

,4. Which of the following is true of management activities?
b b b b b b b b




a. Inspiring a vision is a management function. b b b b b b




b. Management is focused on task accomplishment. b b b b b




c. Management is more focused on human relationships. b b b b b b




d. Management is more important than leadership. b b b b b




ANS: B b




Management is focused on task accomplishment. b b b b b




DIF: CognitiveLevel:Remember(Knowledge) b b b




TOP: Nursing Process: Assessment
b b b b




MSC: Client Needs: Safe and Effective Care Environment: Management of Care
b b b b b b b b b b




5. During a staff meeting, a group of RNs has complained that medications are not arriving to the
b b b b b b b b b b b b b b b b




unit in a timely manner. The nurse manager suggests that the group resolve this issue through the
b b b b b b b b b b b b b b b b b




development and work of a multidisciplinary team led by one of these RNs. This scenario
b b b b b b b b b b b b b b b




demonstrates:
b




a. adaptation.
b. empowerment.
c. flexibility.
d. relationship management. b




ANS: B b




Empowerment is the giving of authority, responsibility, and the freedom to act. In this b b b b b b b b b b b b b




situation, the manager has given authority, responsibility, and the freedom to act in the
b b b b b b b b b b b b b b




investigation and resolution of this issue.
b b b b b b




DIF: Cognitive Level: ApplyN
( Ap R
p l i caIti onG)
TOP: Nursing Process: Assessment
b b
USNT b




b
b




b
b


b b b




MSC: Client Needs: Safe and Effective Care Environment: Management of Care
b b b b b b b b b b




6. A nurse is caring for an elderly patient who was admitted after sustaining a fall at home. When
b b b b b b b b b b b b b b b b b




creating a care plan for the patient, she requests that the doctor order a home health visit to assess for
b b b b b b b b b b b b b b b b b b b b




home safety and medication compliance. In addition, the nurse is concerned about the nutrition of
b b b b b b b b b b b b b b b




the patient and requests a dietitian evaluation. The nurse is demonstrating which of the following
b b b b b b b b b b b b b b b




leadership skills?
b b




a. Care provider b




b. Business principles b




c. Care coordination b




d. Change management b




ANS: C b




Care coordination is the deliveryof nursing services that involves the organization and
b b b b b b b b b b b b




coordination of complex activities. The nurse uses managerial and leadership skills to facilitate
b b b b b b b b b b b b b




delivery of quality care.
b b b b




DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Planning b b b b b b




MSC: Client Needs: Physiological Integrity: Reduction of Risk Potential
b b b b b b b b b




7. Interpersonal communication and the ability to apply b b b b b b are two critical skills every nurse
b b b b b




b needs to enhance professional practice.
b b b b




a. vision

, b. supervision
c. delegation
d. problem solving b




ANS: D b




Every nurse needs two critical skills to enhance professional practice. One is a skill at interpersonal
b b b b b b b b b b b b b b b




relationships. This is fundamental to leadership and the work of nursing. The second skill is
b b b b b b b b b b b b b b b




applying the problem-solving process. This involves critical thinking, problem identification, and
b b b b b b b b b b b




the development of objectivity.
b b b b




DIF: CognitiveLevel:Remember(Knowledge) b b b




TOP: Nursing Process: Assessment
b b b b




MSC: Client Needs: Safe and Effective Care Environment: Management of Care
b b b b b b b b b b




8. Good leaders need to be able to demonstrate an intuitive skill of empathy and expressiveness
b b b b b b b b b b b b b b




when dealing with others in the workplace. This requires sensitivity and awareness of the
b b b b b b b b b b b b b b




emotions and moods of others and is known as:
b b b b b b b b b




a. social awareness. b




b. self-awareness.
c. self-management.
d. relationship management. b




ANS: A b




Social awareness is an intuitive skill of empathyand expressiveness in being sensitive and aware of
b b b b b b b b b b b b b b b




the emotions and moods of others.
b b b b b b




DIF: Cognitive Level: Remember (Knowledge) b b b




TOP: Nursing Process: AssessNmenR I GTB.COM
U SCareNEnvironment:
b t b b




MSC: Client Needs: Safe and Effective
b Management of Care
b b b b b b b b b




9. The personal leadership skill for nurses that consists of self-awareness, discipline, motivation,
b b b b b b b b b b b




b social awareness, and relationship management is known as what?
b b b b b b b b




a. Leadership.
b. Management.
c. Emotional intelligence b




d. Vision
ANS: C b




Among the important personal leadership skills for nurses is emotional intelligence (EI). EI traits
b b b b b b b b b b b b b




are emotional factors consisting of five defining attributes: self-awareness,
b b b b b b b b b




self-regulation or discipline, motivation, social awareness, and relationship management. b b b b b b b b




DIF: CognitiveLevel:Remember(Knowledge) b b b




TOP: Nursing Process: Implementation
b b b b




MSC: Client Needs: Safe and Effective Care Environment: Management of Care
b b b b b b b b b b




10. are vital to good leaders because they are able to take the vision of the leader and
b b b b b b b b b b b b b b b b




achieve the determined goals.
b b b b




a. Managers
b. Motivators
c. Visionaries
d. Followers