C HAPTER 25: T HRIVING FOR THE F UTURE
Yoder-Wise: Leading and Managing in Nursing, 8th Edition
MULTIPLE CHOICE
1. Which of the following strategies is most important in developing a strong
vision?
a. Seeking out evidence to sup port trends and out -of-the-box thinking
b. Spending time with others with whom we discuss ideas
c. Setting up focus groups to provide information on current realities
d. Being honest and open about what we think for the future
ANS: D
Regardless of how we go about d eveloping our vision (gathering
evidence, testing ideas with others), honest y and openness are
foundational to a strong vision.
TOP: AONE competency: Leadership
2. To move beyond stereot ypical thinking and toward thinking about the
future, which of the foll owing would be most consistent with thinking
wildl y in the Wise Forecast Model©?
a. Listing everything that we know about our current situation
b. Defining which practices will remain unchanged and which will
change
, c. Asking someone with a great deal of experie nce to share ideas about
best practice
d. Challenging current and future practices with questions of ―what
if?‖
ANS: D
Thinking wildl y includes creating wild questions. Sometimes they are
what lead to a wild idea.
TOP: AONE competency: Leadership
3. Which aspect of our tradition and history in nursing may impede our
movement toward future-oriented thinking?
a. Lack of confidence
b. Focus on the discipline of nursing
c. Focus on details in the everyday practice
d. Mistrust of trends and new evidence
ANS: C
Because of our history of attention to details, we may need to
challenge ourselves in developing our abilit y for leadership. Moving
from micromanaging to focusing on setting expectations for those for
whom we are accountable may feel uncomfortable. However, that
movement reinforces our abilit y to deal with longer term issues.
TOP: AONE competency: Knowledge of the Health Care
Environment
, 4. A stroke unit experiences numerous changes related to implementation of
new technology, a changed nursing care delivery model, and st aff turnover
within a period of 6 months. Staff members begin to show signs of
reluctance to implement any more changes. This exemplifies:
a. a poor relationship between leaders and staff.
b. lack of knowledge regarding the importance of changes.
c. striving to achieve stabilit y during great disequilibrium.
d. the importance of chaos in promoting adherence with established
practices.
ANS: C
Stabilit y and chaos are at opposite ends of a continuum. When chaos is
present, change occurs but life may seem uncontrollable. Re sisting
further change is a move toward establishment of equilibrium.
TOP: AONE competency: Leadership
5. A stroke unit experiences numerous changes related to implementation of
new technology, a changed nursing care delivery model, and staff turnover
within a period of 6 months. Staff members begin to show signs of
reluctance to implement any more changes. The phenomenon experienced
by the staff is termed:
a. eustress.
b. care process.
c. stereot ypical thinking.
d. complexit y compression.
ANS: D
Yoder-Wise: Leading and Managing in Nursing, 8th Edition
MULTIPLE CHOICE
1. Which of the following strategies is most important in developing a strong
vision?
a. Seeking out evidence to sup port trends and out -of-the-box thinking
b. Spending time with others with whom we discuss ideas
c. Setting up focus groups to provide information on current realities
d. Being honest and open about what we think for the future
ANS: D
Regardless of how we go about d eveloping our vision (gathering
evidence, testing ideas with others), honest y and openness are
foundational to a strong vision.
TOP: AONE competency: Leadership
2. To move beyond stereot ypical thinking and toward thinking about the
future, which of the foll owing would be most consistent with thinking
wildl y in the Wise Forecast Model©?
a. Listing everything that we know about our current situation
b. Defining which practices will remain unchanged and which will
change
, c. Asking someone with a great deal of experie nce to share ideas about
best practice
d. Challenging current and future practices with questions of ―what
if?‖
ANS: D
Thinking wildl y includes creating wild questions. Sometimes they are
what lead to a wild idea.
TOP: AONE competency: Leadership
3. Which aspect of our tradition and history in nursing may impede our
movement toward future-oriented thinking?
a. Lack of confidence
b. Focus on the discipline of nursing
c. Focus on details in the everyday practice
d. Mistrust of trends and new evidence
ANS: C
Because of our history of attention to details, we may need to
challenge ourselves in developing our abilit y for leadership. Moving
from micromanaging to focusing on setting expectations for those for
whom we are accountable may feel uncomfortable. However, that
movement reinforces our abilit y to deal with longer term issues.
TOP: AONE competency: Knowledge of the Health Care
Environment
, 4. A stroke unit experiences numerous changes related to implementation of
new technology, a changed nursing care delivery model, and st aff turnover
within a period of 6 months. Staff members begin to show signs of
reluctance to implement any more changes. This exemplifies:
a. a poor relationship between leaders and staff.
b. lack of knowledge regarding the importance of changes.
c. striving to achieve stabilit y during great disequilibrium.
d. the importance of chaos in promoting adherence with established
practices.
ANS: C
Stabilit y and chaos are at opposite ends of a continuum. When chaos is
present, change occurs but life may seem uncontrollable. Re sisting
further change is a move toward establishment of equilibrium.
TOP: AONE competency: Leadership
5. A stroke unit experiences numerous changes related to implementation of
new technology, a changed nursing care delivery model, and staff turnover
within a period of 6 months. Staff members begin to show signs of
reluctance to implement any more changes. The phenomenon experienced
by the staff is termed:
a. eustress.
b. care process.
c. stereot ypical thinking.
d. complexit y compression.
ANS: D
