C HAPTER 24: D EVELOPING L EADERS ,
M ANAGERS , AND F OLLOWERS
Yoder-Wise: Leading and Managing in Nursing, 8th Edition
MULTIPLE CHOICE
1. Which of the following is not important in a pos itive work environment,
as defined by the AONE?
a. Clear, open, trustful communication
b. Accountabilit y and clarit y of roles and responsibilities
c. Participatory decision making
d. Challenge and striving for excellence
ANS: D
Clear and open communication, accountabi lit y and clarit y of roles, and
participatory decision making are considered by the AONE to be
important to a healthy environment. Challenge and excellence are not
specificall y identified by the AONE as important to healthy work
environments.
TOP: AONE competency: Communication and Relationship -
Building
2. As a nurse manager on a urology unit, you note that there has been a
marked increase in medication errors on the unit. Which of the following
, actions would be consistent with the National Database of Nursin g Qualit y
Indicators (NDNQI) measures?
a. Staff are consulted regarding improvements in interprofessional
approaches to patient care.
b. Nursing staff are asked for input regarding the purchase of new
medication carts.
c. A recognition program is developed to ackno wledge nurses who
have provided safe and exemplary care utilizing skills in the
staffing mix to optimize the delivery of patient care.
d. Recent changes in staffing mixes are examined to determine if the
timing of changes coincides with the increase in errors .
ANS: D
The NDNQI measures are specificall y concerned with patient safet y
and aspects of quality of care that may be affected by changes in the
delivery of care or staffing resources. The qualit y indicators address
staff mix and nursing hours for acute -care settings, as well as other
care components. The NDNQI project is designed to assist healthcare
organizations in identifying links between nursing care and patient
outcomes.
TOP: AONE competency: Knowledge of the Health Care
Environment
3. A nurse manager in a hospital is deepl y concerned that senior
administration makes decisions about budgetary directions that affect
staffing and other resources without sharing the rationale for changes or
demonstrating concern as to how these changes may affect patients or
staff. She says she does not feel respected and is emotionall y tired as a
result. This situation represents:
, a. bureaucratic organization.
b. realities of current health care.
c. negative organizational culture.
d. lack of engagement by administration.
ANS: D
Organizational culture refers to the basic assumptions and values of an
organization and whether they contribute to relationships and decision
making that is marked by empowerment, information sharing, and
truthfulness. Positive work cultures contribute to a p erception of being
respected in the work environment. Collaborative organizational
cultures are essential for nurse managers to proactivel y work in today ’s
complex healthcare environment in a manner that engages them in their
work. Interpersonal relationsh ips can be fostered with organizational
designs fostering a culture of collaboration, reward and recognition,
communication, and a mentoring environment. This demonstrates a lack
of engagement by the administration.
TOP: AONE competency: Communication and Relationship -
Building
4. As the clinical director of 24 employees, you have been asked to explain
to staff members why they are not getting a raise this year, even though
they have been working short -handed for many months and patient
satisfaction scores have never been higher. Because you believe yourself
to be a transformational leader, you will approach this problem by:
a. telling the assistant clinical director and asking her to share the bad
news with the other staff members.
M ANAGERS , AND F OLLOWERS
Yoder-Wise: Leading and Managing in Nursing, 8th Edition
MULTIPLE CHOICE
1. Which of the following is not important in a pos itive work environment,
as defined by the AONE?
a. Clear, open, trustful communication
b. Accountabilit y and clarit y of roles and responsibilities
c. Participatory decision making
d. Challenge and striving for excellence
ANS: D
Clear and open communication, accountabi lit y and clarit y of roles, and
participatory decision making are considered by the AONE to be
important to a healthy environment. Challenge and excellence are not
specificall y identified by the AONE as important to healthy work
environments.
TOP: AONE competency: Communication and Relationship -
Building
2. As a nurse manager on a urology unit, you note that there has been a
marked increase in medication errors on the unit. Which of the following
, actions would be consistent with the National Database of Nursin g Qualit y
Indicators (NDNQI) measures?
a. Staff are consulted regarding improvements in interprofessional
approaches to patient care.
b. Nursing staff are asked for input regarding the purchase of new
medication carts.
c. A recognition program is developed to ackno wledge nurses who
have provided safe and exemplary care utilizing skills in the
staffing mix to optimize the delivery of patient care.
d. Recent changes in staffing mixes are examined to determine if the
timing of changes coincides with the increase in errors .
ANS: D
The NDNQI measures are specificall y concerned with patient safet y
and aspects of quality of care that may be affected by changes in the
delivery of care or staffing resources. The qualit y indicators address
staff mix and nursing hours for acute -care settings, as well as other
care components. The NDNQI project is designed to assist healthcare
organizations in identifying links between nursing care and patient
outcomes.
TOP: AONE competency: Knowledge of the Health Care
Environment
3. A nurse manager in a hospital is deepl y concerned that senior
administration makes decisions about budgetary directions that affect
staffing and other resources without sharing the rationale for changes or
demonstrating concern as to how these changes may affect patients or
staff. She says she does not feel respected and is emotionall y tired as a
result. This situation represents:
, a. bureaucratic organization.
b. realities of current health care.
c. negative organizational culture.
d. lack of engagement by administration.
ANS: D
Organizational culture refers to the basic assumptions and values of an
organization and whether they contribute to relationships and decision
making that is marked by empowerment, information sharing, and
truthfulness. Positive work cultures contribute to a p erception of being
respected in the work environment. Collaborative organizational
cultures are essential for nurse managers to proactivel y work in today ’s
complex healthcare environment in a manner that engages them in their
work. Interpersonal relationsh ips can be fostered with organizational
designs fostering a culture of collaboration, reward and recognition,
communication, and a mentoring environment. This demonstrates a lack
of engagement by the administration.
TOP: AONE competency: Communication and Relationship -
Building
4. As the clinical director of 24 employees, you have been asked to explain
to staff members why they are not getting a raise this year, even though
they have been working short -handed for many months and patient
satisfaction scores have never been higher. Because you believe yourself
to be a transformational leader, you will approach this problem by:
a. telling the assistant clinical director and asking her to share the bad
news with the other staff members.
