Leadership and Management for Nurses, 4e (Finkelman)
Chapter 1 Conceptual Base for Leadership and Management
1) The nurse manager asked all staff nurses to develop effective leadership
competencies. How should the staff nurses interpret this request?
1. This is an unrealistic expectation, because only managers are leaders.
2. This is possible if the nurses learn about and use relevant leadership and
management theories and styles.
3. In order to become leaders, the staff nurses will have to emphasize control,
competition, and getting the job done.
4. 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.
2. 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.
3. Control, competition, and getting the job done are past theories and styles that
are not as useful in today's environment.
4. Leadership is a skill that can be learned.
Page Ref: 11-16
Cognitive Level: Analyzing
Client Need/Sub: Safe and Effective Care Environment
Standards: QSEN Competencies: Patient-centered care; Teamwork and collaboration;
quality improvement, safety | A ACN 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 | N LN Competencies: Personal and
professional development; relationship centered care; teamwork | Nursing/Integrated
Concepts: Nursing Process: Assessment
Learning Outcome: LO 03. Analyze the key modern leadership theories compared to
older theories, and understand their implications for nursing leadership, management,
1
Copyright © 2020 Pearson Education, Inc.
,and transformational leadership.
2
Copyright © 2020 Pearson Education, Inc.
,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?
1. The control of the organization is centralized, and decisions are made by upper-
level management.
2. Staff nurses are expected to provide support and nurturing for management's
decisions.
3. The organization's approach to leadership is autocratic and bureaucratic.
4. 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.
2. The theory is that the staff should be nurtured to promote greater leadership
competency.
3. According to Drucker, when staff participate in the core functions of
management, the organization is more effective.
4. According to Drucker, when staff participate in the core functions of management
such as planning and changes for their own units, the organization is more
effective.
Page Ref: 12-13
Cognitive Level: Applying
Client Need/Sub: Safe and Effective Care Environment
Standards: QSEN Competencies: Patient-centered care; Teamwork and collaboration;
quality improvement, safety | A ACN 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 | N LN 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 understand their implications for nursing leadership, management,
and transformational leadership.
3
Copyright © 2020 Pearson Education, Inc.
, 3) Which behavior demonstrates the nurse's competency as an emotionally intelligent
leader?
1. The nurse is proficient in technical skills.
2. The nurse relies on policies, not options.
3. The nurse supports team members.
4. 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.
2. Chaos theory states that solutions are not always clear and policies might not
always be applied easily; other options might need to be considered.
3. In Emotional Intelligence theory, team members support each other and feel
supported by the team leader.
4. This statement reflects the country club leadership style.
Page Ref: 13-14
Cognitive Level: Applying
Client Need/Sub: Safe and Effective Care Environment
Standards: QSEN Competencies: Patient-centered care; Teamwork and collaboration;
quality improvement, safety | A ACN 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 | N LN 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 understand their implications for nursing leadership, management,
and transformational leadership.
4
Copyright © 2020 Pearson Education, Inc.
Chapter 1 Conceptual Base for Leadership and Management
1) The nurse manager asked all staff nurses to develop effective leadership
competencies. How should the staff nurses interpret this request?
1. This is an unrealistic expectation, because only managers are leaders.
2. This is possible if the nurses learn about and use relevant leadership and
management theories and styles.
3. In order to become leaders, the staff nurses will have to emphasize control,
competition, and getting the job done.
4. 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.
2. 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.
3. Control, competition, and getting the job done are past theories and styles that
are not as useful in today's environment.
4. Leadership is a skill that can be learned.
Page Ref: 11-16
Cognitive Level: Analyzing
Client Need/Sub: Safe and Effective Care Environment
Standards: QSEN Competencies: Patient-centered care; Teamwork and collaboration;
quality improvement, safety | A ACN 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 | N LN Competencies: Personal and
professional development; relationship centered care; teamwork | Nursing/Integrated
Concepts: Nursing Process: Assessment
Learning Outcome: LO 03. Analyze the key modern leadership theories compared to
older theories, and understand their implications for nursing leadership, management,
1
Copyright © 2020 Pearson Education, Inc.
,and transformational leadership.
2
Copyright © 2020 Pearson Education, Inc.
,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?
1. The control of the organization is centralized, and decisions are made by upper-
level management.
2. Staff nurses are expected to provide support and nurturing for management's
decisions.
3. The organization's approach to leadership is autocratic and bureaucratic.
4. 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.
2. The theory is that the staff should be nurtured to promote greater leadership
competency.
3. According to Drucker, when staff participate in the core functions of
management, the organization is more effective.
4. According to Drucker, when staff participate in the core functions of management
such as planning and changes for their own units, the organization is more
effective.
Page Ref: 12-13
Cognitive Level: Applying
Client Need/Sub: Safe and Effective Care Environment
Standards: QSEN Competencies: Patient-centered care; Teamwork and collaboration;
quality improvement, safety | A ACN 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 | N LN 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 understand their implications for nursing leadership, management,
and transformational leadership.
3
Copyright © 2020 Pearson Education, Inc.
, 3) Which behavior demonstrates the nurse's competency as an emotionally intelligent
leader?
1. The nurse is proficient in technical skills.
2. The nurse relies on policies, not options.
3. The nurse supports team members.
4. 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.
2. Chaos theory states that solutions are not always clear and policies might not
always be applied easily; other options might need to be considered.
3. In Emotional Intelligence theory, team members support each other and feel
supported by the team leader.
4. This statement reflects the country club leadership style.
Page Ref: 13-14
Cognitive Level: Applying
Client Need/Sub: Safe and Effective Care Environment
Standards: QSEN Competencies: Patient-centered care; Teamwork and collaboration;
quality improvement, safety | A ACN 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 | N LN 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 understand their implications for nursing leadership, management,
and transformational leadership.
4
Copyright © 2020 Pearson Education, Inc.
