Test Bank for Leadership and Management for Nurses 3rd Edition by Finkelman

Chapter 1 Conceptual Base for Leadership and Management 1) The nurse manager has asked that all staff nurses develop effective leadership competencies. How should the staff nurses interpret this request? This is an unrealistic expectation, because only managers are leaders. This is possible if the nurses learn about and use relevant leadership and management theories and styles. In order to become leaders, the staff nurses will have to emphasize control, competition, and getting the job done. Unless the staff nurses possess the traits of a natural born leader, this is an unrealistic expectation. Answer: 2 Explanation: 1. A nurse does not need to have a formal management position with a management title to be a leader; if nurses demonstrate leadership competencies, they are considered nurse leaders. In today’s healthcare environment, nurses must have knowledge of relevant leadership and management theories and styles. This knowledge helps nurses emerge as leaders. Nurses are also leaders of their own nursing practices. Control, competition, and getting the job done are past theories and styles that are not as useful in today’s environment. Leadership is a skill that can be learned. Page Ref: 7 Cognitive Level: Analyzing Client Need/Sub: Safe and Effective Care Environment Standards: QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety | AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety; VI. Interprofessional communication and collaboration for improving patient health outcomes; V. Healthcare policy, finance, and regulatory environments | NLN Competencies: Personal and professional development; relationship centered care; teamwork | Nursing/Integrated Concepts: Nursing Process: Assessment Learning Outcome: LO 08. Analyze the need for more nursing leaders. 2) Peter Drucker’s view of management stimulated the shift toward the realization of the importance of participatory organizations. Which option provides a scenario that is an example of a participatory organization? The control of the organization is centralized, and decisions are made by upper-level management. Staff nurses are expected to provide support and nurturing for management’s decisions. The organization’s approach to leadership is autocratic and bureaucratic. Staff nurses provide input into planning and changes for their own unit. Answer: 4 Explanation: 1. In participatory organizations, the control of the organization is decentralized and many decisions are made by those “on the front lines” of the organization. The theory is that the staff should be nurtured to promote greater leadership competency. According to Drucker, when staff participate in the core functions of management, the organization is more effective. According to Drucker, when staff participates in the core functions of management such as planning and changes for their own units, the organization is more effective. Page Ref: 7-8 Cognitive Level: Applying Client Need/Sub: Safe and Effective Care Environment Standards: QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety | AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety; VI. Interprofessional communication and collaboration for improving patient health outcomes; V. Healthcare policy, finance, and regulatory environments | NLN Competencies: Personal and professional development; relationship centered care; teamwork | Nursing/Integrated Concepts: Nursing Process: Planning Learning Outcome: LO 03. Analyze the key modern leadership theories compared to older theories and implications for nursing leadership and management. 3) Which behavior demonstrates the nurse’s competency as an emotionally intelligent leader? The nurse is proficient in technical skills. The nurse relies on policies, not options. The nurse supports team members. Productivity is not a major concern. Answer: 3 Explanation: 1. While technical skill is important for all nurses, it is not a hallmark of a competent leader. Chaos theory states that solutions are not always clear and policies might not always be applied easily; other options might need to be considered. In Emotional Intelligent theory, team members support each other and feel supported by the team leader. This statement reflects the country club leadership style. Page Ref: 11 Cognitive Level: Applying Client Need/Sub: Safe and Effective Care Environment Standards: QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety | AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety; VI. Interprofessional communication and collaboration for improving patient health outcomes; V. Healthcare policy, finance, and regulatory environments | NLN Competencies: Personal and professional development; relationship-centered care; teamwork | Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: LO 03. Analyze the key modern leadership theories compared to older theories and implications for nursing leadership and management.