C HAPTER 18: C REATING A M OTIVATING
C LIMATE
1. A nurse-manager wants to express appreciation to an employee. What
statement is most effective?
a. “You’re doing an excellent job of provided care for you clients.”
b. “I reall y admire everything that you do on the unit.”
c. “You did an exemplary job of handling a very heavy workload this
shift.”
d. “Your performance demonstrates a strong commitment to the
profession.”
ANS: C
Feedback:
Praise that is specific and evidence -based is generall y more effective
than broad, general statements about an employee’s performance.
PTS: 1 DIF: Moderate REF: Page: 478 OBJ: 9
NAT: Client Needs: Safe and Effective Care Environment:
Management of Care TOP: Chapter Number: 18: Title:
Strategies for Creating a Motivating Climate KEY:
Integrated Process: Communication and Documentation
BLM: Cognitive Level: Appl y NOT: Multiple Choice
2. McClelland’s studies state that all people are mot ivated by specific, basic
, needs. What are these needs? Select all that apply.
a. Self-esteem
b. Self-actualization
c. Achievement
d. Power
e. Affiliation
ANS: C, D, E
Feedback:
McClelland’s studies state that all people are motivated by three basic
needs: achievement, affiliation, and power. McClelland does not
include self-esteem and self-actualization as needs associated with
motivation.
PTS: 1 DIF: Moderate REF: Page: 476 OBJ: 4
NAT: Client Needs: Safe and Effective Care Environment:
Management of Care TOP: Chapter Number: 18: Title:
McClelland KEY: Integrated Process: Nursing Process BLM:
Cognitive Level: Understand NOT: Multiple Selection
3. A nurse-manager can best implement Gellerman’s theory of motivation by
performing what action?
a. Distributing praise and r ewards equitabl y to all employees
b. Establishing authentic relationships with employees
c. Being transparent and accountable when administering punishments
d. Empowering employees by giving them authorit y to make decisions
ANS: D
, Feedback:
Gellerman states th at most managers in organizations overmanage,
making the responsibilities too narrow and failing to give employees
any decision-making power or to stretch them often enough. Gellerman
did not emphasize the importance of distributing praise and rewards
equitabl y, being open when punishing employees, and cultivating
relationships with employees.
PTS: 1 DIF: Difficult REF: Page: 477 OBJ: 4
NAT: Client Needs: Safe and Effective Care Environment:
Management of Care TOP: Chapter Number: 18: Title:
Gellerman KEY: Integrated Process: Nursing Process BLM:
Cognitive Level: Appl y NOT: Multiple Choice
4. The nurse-manager recognizes the need to avoid burnout and maintain a
high motivation level. The manager can best achieve this by:
a. working on as large a variet y of p rojects as possible.
b. asking supervisors to keep him or her closel y accountable for work
performance.
c. asking subordinates and superiors to provide positive reinforcement
whenever possible.
d. reflecting on his or her own needs and seeking help when necessary.
ANS: D
Feedback:
C LIMATE
1. A nurse-manager wants to express appreciation to an employee. What
statement is most effective?
a. “You’re doing an excellent job of provided care for you clients.”
b. “I reall y admire everything that you do on the unit.”
c. “You did an exemplary job of handling a very heavy workload this
shift.”
d. “Your performance demonstrates a strong commitment to the
profession.”
ANS: C
Feedback:
Praise that is specific and evidence -based is generall y more effective
than broad, general statements about an employee’s performance.
PTS: 1 DIF: Moderate REF: Page: 478 OBJ: 9
NAT: Client Needs: Safe and Effective Care Environment:
Management of Care TOP: Chapter Number: 18: Title:
Strategies for Creating a Motivating Climate KEY:
Integrated Process: Communication and Documentation
BLM: Cognitive Level: Appl y NOT: Multiple Choice
2. McClelland’s studies state that all people are mot ivated by specific, basic
, needs. What are these needs? Select all that apply.
a. Self-esteem
b. Self-actualization
c. Achievement
d. Power
e. Affiliation
ANS: C, D, E
Feedback:
McClelland’s studies state that all people are motivated by three basic
needs: achievement, affiliation, and power. McClelland does not
include self-esteem and self-actualization as needs associated with
motivation.
PTS: 1 DIF: Moderate REF: Page: 476 OBJ: 4
NAT: Client Needs: Safe and Effective Care Environment:
Management of Care TOP: Chapter Number: 18: Title:
McClelland KEY: Integrated Process: Nursing Process BLM:
Cognitive Level: Understand NOT: Multiple Selection
3. A nurse-manager can best implement Gellerman’s theory of motivation by
performing what action?
a. Distributing praise and r ewards equitabl y to all employees
b. Establishing authentic relationships with employees
c. Being transparent and accountable when administering punishments
d. Empowering employees by giving them authorit y to make decisions
ANS: D
, Feedback:
Gellerman states th at most managers in organizations overmanage,
making the responsibilities too narrow and failing to give employees
any decision-making power or to stretch them often enough. Gellerman
did not emphasize the importance of distributing praise and rewards
equitabl y, being open when punishing employees, and cultivating
relationships with employees.
PTS: 1 DIF: Difficult REF: Page: 477 OBJ: 4
NAT: Client Needs: Safe and Effective Care Environment:
Management of Care TOP: Chapter Number: 18: Title:
Gellerman KEY: Integrated Process: Nursing Process BLM:
Cognitive Level: Appl y NOT: Multiple Choice
4. The nurse-manager recognizes the need to avoid burnout and maintain a
high motivation level. The manager can best achieve this by:
a. working on as large a variet y of p rojects as possible.
b. asking supervisors to keep him or her closel y accountable for work
performance.
c. asking subordinates and superiors to provide positive reinforcement
whenever possible.
d. reflecting on his or her own needs and seeking help when necessary.
ANS: D
Feedback:
