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Chapter 1: Nursing Leadership and Management MULTIPLE CHOICE
1. According to Henri Fayol, the functions of planning, organizing, coordinating, and controlling
are considered which aspect of management?
a. Roles
b. Process c.Functions
d. Taxonomy
ANS: B, The management process includes planning, organizing, coordinating, and controlling.
Management roles include information processing, interpersonal relationships, and decision making.
Management functions include planning, organizing, staffing, directing, coordinating, reporting, and
budgeting. A taxonomy is a system that orders principles into a grouping or classification.
2. Which of the following is considered a decisional managerial role?
a. Disseminator
b. Figurehead c.Leader
d. Entrepreneur
ANS: D, The decisional managerial roles include entrepreneur, disturbance handler, allocator of
resources, and negotiator. The information processing managerial roles include monitor,
disseminator, and spokesperson. The interpersonal managerial roles include figurehead, leader, and
liaison.
3. A nurse manager meets regularly with other nurse managers, participates on the
organizations committees, and attends meetings sponsored by professional organizations in order to
manage relationships. These activities are considered which function of a manager?
a. Informing
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b. Problem solving c.Monitoring
d. Networking
ANS: D, The role functions to manage relationships are networking, supporting, developing and
mentoring, managing conflict and team building, motivating and inspiring, recognizing, and rewarding.
The role functions to manage the work are planning and organizing, problem solving, clarifying roles
and objectives, informing, monitoring, consulting, and delegating.
4. A nurse was recently promoted to a middle-level manager position. The nurses title would
most likely be which of the following?
a. First-line manager
b. Director
c. Vice president of patient care services
d. Chief nurse executive
ANS: B, A middle-level manager is called a director. A low managerial- level job is called the first-line
manager. A nurse in an executive level role is called a chief nurse executive or vice president of
patient care services.
5. A nurse manager who uses Frederick Taylors scientific management approach, would most
likely focus on which of the following?
a.General principles
b. Positional authority c.Labor productivity
d. Impersonal relations
ANS: C, The area of focus for scientific management is labor productivity. In bureaucratic theory,
efficiency is achieved through impersonal relations within a formal structure and is based on
positional authority. Administrative principle theory consists of principles of management that are
relevant to any organization.
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6. According to Vrooms Theory of Motivation, force:
a. is the perceived possibility that the goal will be achieved.
b. describes the amount of effort one will exert to reach ones goal.
c. describes people who have free will but choose to comply with orders they are given.
d. is a naturally forming social group that can become a contributor to an organization.
ANS: B, According to Vrooms Theory of Motivation, Force describes the amount of effort one will
exert to reach ones goal. Valence speaks to the level of attractiveness or unattractiveness of the goal.
Expectancy is the perceived possibility that the goal will be achieved. Vrooms Theory of Motivation
can be demonstrated in the form of an equation: Force = Valence Expectancy (Vroom, 1964). The
theory proposes that this equation can help to predict the motivation, or force, of an individual as
described by Vroom.
7. According to R. N. Lussier, motivation:
a. is unconsciously demonstrated by people.
b. occurs externally to influence behavior.
c. is determined by others choices.
d. occurs internally to influence behavior.
ANS: D, Motivation is a process that occurs internally to influence and direct our behavior in order to
satisfy needs. Motivation is not explicitly demonstrated by people, but rather it is interpreted from
their behavior. Motivation is whatever influences our choices and creates direction, intensity, and
persistence in our behavior.
8. According to R. N. Lussier, there are content motivation theories and process motivation
theories. Which of the following is considered a process motivation theory?
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a.Equity theory
b. Hierarchy of needs theory c.Existence-relatedness-growth theory
d. Hygiene maintenance and motivation factors
ANS: A, The process motivation theories are equity theory and expectancy theory. The content
motivation theories include Maslows hierarchy of needs theory, Aldefers existence- relatedness-
growth (ERG) theory, and Herzbergs hygiene maintenance factors and motivation factors.
9. The theory that includes maintenance and motivation factors is:
a.Maslows hierarchy of needs.
b. Herzbergs two-factor theory. c.McGregors theory X and theory Y.
d. Ouchis theory Z.
ANS: B, The two-factor theory of motivation includes motivation and maintenance factors. Maslows
hierarchy of needs includes the following needs: physiological, safety, security, belonging, and self-
actualization. In theory X, employees prefer security, direction, and minimal responsibility. In theory
Y, employees enjoy their work, show self-control and discipline, are able to contribute creatively, and
are motivated by ties to the group, organization, and the work itself. The focus of theory Z is collective
decision making and long-term employment that involves slower promotions and less direct
supervision.
10. A nurse is appointed to a leadership position in the local hospital. The nurses position would
be
considered which of the following?