Zerwekh: Nursing Today, 6 th Edition
Test Bank
Chapter 10: Challenges of Nursing Management
MULTIPLE CHOICE
1. What is the most consistent concern of the nurse as manager?
a. To develop long-range career goals
b. To coordinate client care while meeting the agency goals
c. To maintain harmony within the agency
d. To organize the subordinates to meet agency goals
ANS: B
The role of the nurse as manager has evolved into a complex one that includes organizing
client care, directing personnel to achieve agency goals, and allocating resources.
DIF: Cognitive Level: Application OBJ: Describe what nurses do
TOP: Nursing definition
MSC: NCLEX: Safe, effective care environment—management of care
2. What is the first step for a nurse toward becoming an effective manager?
a. Learn how to effect and direct the change process.
b. Assess individuals’ sources of power.
c. Develop communication and interpersonal skills.
d. Implement effective nursing care plans.
ANS: C
Effective managers are a balanced mix of management skills and leadership qualities.
DIF: Cognitive Level: Knowledge OBJ: List characteristics of a good leader
TOP: Nursing management
MSC: NCLEX: Safe, effective care environment—management of care
3. What do the responsibilities of the nurse manager include?
a. Planning and organizing how nursing care can most effectively be delivered on the
nursing unit
b. Establishing the nursing care standards to be implemented on the unit
c. Developing educational programs to assist staff to meet licensure requirements
d. Assisting staff to adhere to organizational policies and procedures
ANS: A
Managers must be attentive to both dimensions of their job: the mission and goals of the
organization and planning with the staff to meet the nursing care of the unit within the
overall goals of the institution. Both levels must be addressed—the organization as well
as the needs of the individuals. Other options are not as comprehensive and could be
included within the first option.
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, Test Bank 10-2
DIF: Cognitive Level: Application OBJ: Describe various types of management
TOP: Nursing management
MSC: NCLEX: Safe, effective care environment—management of care
4. The nursing staff on a busy unit enjoys autonomy and needs minimal direction for client
care. Which leadership style would be most effective on this unit?
a. Democratic
b. Authoritarian
c. Laissez-faire
d. Bureaucratic
ANS: A
The democratic manager is people-oriented and emphasizes effective group functioning.
The environment is open, communication is both ways, and staff members are
encouraged to participate in decision making. The manager is also willing to take
responsibility to make decisions when staff participation is not necessary.
DIF: Cognitive Level: Comprehension OBJ: Describe various types of management
TOP: Nursing management
MSC: NCLEX: Safe, effective care environment—management of care
5. Which statement best describes effective leadership by the nurse manager?
a. Directs a staff nurse to modify his or her communication skills
b. Fosters behavior changes in one staff member that have positive effects on the
nurse manager and his or her peers
c. Encourages behavior changes through the annual evaluation process
d. Uses the group process to determine what behavior is distressing to staff
ANS: B
Leadership in groups is democratic; the members feel positive about their participation
and the outcomes of the group process.
DIF: Cognitive Level: Comprehension
OBJ: Define the task and maintenance roles that group members assume to ensure effective
group functioning TOP: Nursing management MSC: NCLEX: Not
applicable
6. The nurse identifies which step as the most important part of problem solving?
a. Define the problem.
b. Gather information.
c. Analyze the information.
d. Consider the alternatives.
ANS: A
The good manager will guide the process of identifying the problem by asking the what,
when, and where of the problem. Importance is placed on management’s ability to
differentiate between facts and opinions and to attempt to break down the information to
its simplest terms.
This study source was downloaded by 100000825543056 from CourseHero.com on 06-14-2022 23:58:10 GMT -05:00
https://www.coursehero.com/file/93370365/Chapter-010pdf/
Test Bank
Chapter 10: Challenges of Nursing Management
MULTIPLE CHOICE
1. What is the most consistent concern of the nurse as manager?
a. To develop long-range career goals
b. To coordinate client care while meeting the agency goals
c. To maintain harmony within the agency
d. To organize the subordinates to meet agency goals
ANS: B
The role of the nurse as manager has evolved into a complex one that includes organizing
client care, directing personnel to achieve agency goals, and allocating resources.
DIF: Cognitive Level: Application OBJ: Describe what nurses do
TOP: Nursing definition
MSC: NCLEX: Safe, effective care environment—management of care
2. What is the first step for a nurse toward becoming an effective manager?
a. Learn how to effect and direct the change process.
b. Assess individuals’ sources of power.
c. Develop communication and interpersonal skills.
d. Implement effective nursing care plans.
ANS: C
Effective managers are a balanced mix of management skills and leadership qualities.
DIF: Cognitive Level: Knowledge OBJ: List characteristics of a good leader
TOP: Nursing management
MSC: NCLEX: Safe, effective care environment—management of care
3. What do the responsibilities of the nurse manager include?
a. Planning and organizing how nursing care can most effectively be delivered on the
nursing unit
b. Establishing the nursing care standards to be implemented on the unit
c. Developing educational programs to assist staff to meet licensure requirements
d. Assisting staff to adhere to organizational policies and procedures
ANS: A
Managers must be attentive to both dimensions of their job: the mission and goals of the
organization and planning with the staff to meet the nursing care of the unit within the
overall goals of the institution. Both levels must be addressed—the organization as well
as the needs of the individuals. Other options are not as comprehensive and could be
included within the first option.
This study source was downloaded by 100000825543056 from CourseHero.com on 06-14-2022 23:58:10 GMT -05:00
https://www.coursehero.com/file/93370365/Chapter-010pdf/
, Test Bank 10-2
DIF: Cognitive Level: Application OBJ: Describe various types of management
TOP: Nursing management
MSC: NCLEX: Safe, effective care environment—management of care
4. The nursing staff on a busy unit enjoys autonomy and needs minimal direction for client
care. Which leadership style would be most effective on this unit?
a. Democratic
b. Authoritarian
c. Laissez-faire
d. Bureaucratic
ANS: A
The democratic manager is people-oriented and emphasizes effective group functioning.
The environment is open, communication is both ways, and staff members are
encouraged to participate in decision making. The manager is also willing to take
responsibility to make decisions when staff participation is not necessary.
DIF: Cognitive Level: Comprehension OBJ: Describe various types of management
TOP: Nursing management
MSC: NCLEX: Safe, effective care environment—management of care
5. Which statement best describes effective leadership by the nurse manager?
a. Directs a staff nurse to modify his or her communication skills
b. Fosters behavior changes in one staff member that have positive effects on the
nurse manager and his or her peers
c. Encourages behavior changes through the annual evaluation process
d. Uses the group process to determine what behavior is distressing to staff
ANS: B
Leadership in groups is democratic; the members feel positive about their participation
and the outcomes of the group process.
DIF: Cognitive Level: Comprehension
OBJ: Define the task and maintenance roles that group members assume to ensure effective
group functioning TOP: Nursing management MSC: NCLEX: Not
applicable
6. The nurse identifies which step as the most important part of problem solving?
a. Define the problem.
b. Gather information.
c. Analyze the information.
d. Consider the alternatives.
ANS: A
The good manager will guide the process of identifying the problem by asking the what,
when, and where of the problem. Importance is placed on management’s ability to
differentiate between facts and opinions and to attempt to break down the information to
its simplest terms.
This study source was downloaded by 100000825543056 from CourseHero.com on 06-14-2022 23:58:10 GMT -05:00
https://www.coursehero.com/file/93370365/Chapter-010pdf/
