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Cherry & Jacob 7e_ Chapter 17 Questions and answer

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Cherry & Jacob 7e_ Chapter 17 Questions and answer

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Cherry & Jacob 7e: Chapter 17
Questions and answer
Chapter 17: Nursing Leader-ship and Management
Cherry & Jacob: Contemporary Nursing: Issues, Trends, and Management, 7th Edition

MULTIPLE CHOICE - correct answer-

1. In an attempt to persuade employees to bargain for anoth-er type of health insurance, a
handout is circulated that describes the present employees' health care insurance as being
insensitive, limiting choices of care providers, and providing inferior care. This reflects which
aspect of Lewin's planned change?
a. Unfreeze
b. Move
c. Refreeze
d. Acceptance - correct answer-ANS: A
Unfreeze is correct because the change agent promotes problem identification and
encourages awareness of the need for change. In alignment with Lewin's stages of change
(un-freezing, moving, and refreez-ing), education and involvement are keys to successful
change. People must believe that im-provement is possible before they will be willing to
consider change.

DIF: Comprehension REF: p. 311

2. One difference between a leader and a manager is that a:
a. leader has le-gitimate au-thority.
b. manager mo-tivates and inspires oth-ers.
c. manager fo-cuses on co-ordinating resources.
d. leader focuses on accom-plishing goals of the organ-ization. - correct answer-ANS: C
The terms leadership and man-agement are often used inter-changeably, and it is difficult to
discuss one without discussing the other. However, these roles have specific traits unique to
themselves. The manager is the coordinator of resources (time, people, and supplies)
needed to achieve outcomes.

DIF: Comprehension REF: p. 296

3. The first step in the nursing process and in the prob-lem-solving process is to:
a. identify the problem.
b. gather infor-mation.
c. consider the consequenc-es.
d. implement interventions. - correct answer-ANS: B
The nursing process, which is familiar to nurses who address patient care needs, can be
ap-plied to all management activi-ties that require decision making and problem-solving. As
in the nursing process and the prob-lem-solving process, one must first gather information
about the problem or situation.

, DIF: Comprehension REF: pp. 309-310

4. An explosion just occurred at the local factory, and hun-dreds of employees have
sus-tained varying degrees of injury. Which type of nursing leader-ship is most effective in
this situation?
a. Autocratic
b. Democratic
c. Laissez-faire
d. Referent - correct answer-ANS: A
The dynamics of the situation demand that the leader take control and direct employees to
specific actions in response to the emergency.

DIF: Comprehension REF: p. 300, Box 17-3

5. An RN with excellent as-sessment and psychomotor skills would derive power on the
basis of which source?
a. Rewards
b. Coercion
c. Expert
d. Legitimate - correct answer-ANS: C
Seven primary sources of power are known. Expert power is based on knowledge, skills,
and information.

DIF: Comprehension REF: p. 297

6. Managers who exhibit an authoritative behavioral style are most likely to use which source
of power?
a. Informal
b. Expert
c. Coercive
d. Reward - correct answer-ANS: C
Seven primary sources of power are known. Coercive power is based on fear of punishment
or failure to comply. Coercive power fits well into the authori-tative behavioral style because
authoritative managers dictate the work with much control, usually ignore the ideas or
sug-gestions of subordinates, and provide little feedback or recog-nition for work
accomplished.

DIF: Application REF: p. 300, Box 17-3

7. Florence Nightingale is at-tributed with being intelligent (she developed statistical
meth-ods to evaluate health care), de-pendable (she often worked long hours to care for the
in-jured), and ambitious (she fought against society's percep-tion of nursing). Those who
de-pict her as a leader on the basis of these qualities are practicing which leadership theory?
a. Trait
b. Chaos
c. Bureaucracy
d. Organization-al - correct answer-ANS: A

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