Chapter 01: Leading, Managing, and Following |Yoder-Wise: Leading and Managing in Nursing, 6th Edition

Chapter 01: Leading, Managing, and
Following
Yoder-Wise: Leading and Managing in Nursing, 6th Edition

MULTIPLE CHOICE
1. Joan, the nursing unit manager, finds it difficult to work with Thomas, a new graduate.
Thomas has many ideas, and his manner of presenting them irks Joan. After reflection
and discussion with others, Joan recognizes that she also feels threatened by his
behavior. She comes to understand that Thomas is trying to establish his own role on
the unit, is not trying to challenge her, and needs guidance, coaching, and affirmation.
Joan is demonstrating:
a. A positive self-concept.
b. Deepening self-awareness.
c. Leadership.
d. Acquiescence.

ANS: B
According to Goleman (1995), stepping outside oneself to envision the situation while
assuming ownership is a component of emotional intelligence.

REF: Page 7 | Page 8
TOP: AONE competency: Professionalism

2. As the head of a nursing program, you consistently invite the ideas of your team about
innovations in teaching, community partnerships, and curriculum design and invite
participation in decisions. Many of these ideas have been implemented successfully,
and your staff members are keen to try on other ideas. You are employing _____
leadership.
a. Situational
b. Trait-based
c. Contingency-based
d. Transformational

ANS: D
Transformational leadership involves attending to the needs and motives of followers,
which results in creativity, improvement, and employee development.

REF: Page 10 | Page 11
TOP: AONE competency: Professionalism

3. As a leader on a rehab unit, you encourage all staff members to see themselves as
having a role in decision making and quality care. You see your role as involving
particular responsibilities in decision making but not as a hierarchal role. This view of
decision making and leadership is consistent with:
a. Trait theories.
b. Complexity theory.

, c. Situated theory.
d. Emotional intelligence.

ANS: B
Complexity theory involves envisioning each member of the team involved in
decision making, management, and leadership, with the leader not seen in a hierarchal
relationship to other team members.

REF: Pages 8-11
TOP: AONE competency: Leadership

4. You recently acquired a position as a unit manager. During your time on the unit, you
have formed a strong social network among your staff, have promoted the development
of relationships between your staff and workers in other areas of the organization, and
have formed relationships that generate ideas from patient organizations and the local
nursing education program. According to complexity theory, you are engaging which
principle?
a. Empowerment
b. Systematic thinking
c. Development of networks
d. Bottom-up interactions

ANS: C
According to complexity theory, social networks evolve around areas of common
interest and are able to respond to problems in creative and novel ways.

REF: Page 12
TOP: AONE competency: Knowledge of the Health Care Environment

5. According to the complexity theory, which of the following should be the focus of
measurement?
a. Cost per hospital day
b. Bed utilization
c. Infection rates
d. Staff morale and budgets

ANS: D
According to complexity theory and the principle “Think systematically,” you cannot
ignore objective data or nonmeasurable data, as both inform decisions.

REF: Page 13
TOP: AONE competency: Business Skills

6. During a staff meeting held to discuss developing a mission statement for the unit, the
idea of placing patient needs first is:
a. Empowering.
b. A leadership tag.
c. A symbol.
d. A management task.