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Leadership Roles and Management Functions in Nursing

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Leadership Roles and Management Functions in Nursing

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TEST BANK - Huston, Leadership Roles and Management
Functions in Nursing, 11th Edition Verified Chapters 1 - 25,
Complete Newest Version
Ms. Caputo is newly promoted to a patient care manager position. She updates her
knowledge on the theories in management and leadership in order to become
effective in her new role. She learns that some managers have low concern for
services and high concern for staff. Which style of management refers to this?

A. Organization Management
B. Impoverished Management
C. Country Club Management
D. Team Management - ANSWER: C

Country club management style puts concern for the staff as the number one priority
at the expense of the delivery of services. He/she runs the department just like a
country club where everyone is happy including the manager. This leadership style
assumes that if people are happy in their job, they will naturally work harder.

Her former manager demonstrated passion for serving her staff rather than being
served. She takes time to listen, prefers to be a teacher first before being a leader,
which is characteristic of:

A. Transformational leader
B. Transactional leader
C. Servant leader
D. Charismatic leader - ANSWER: C

Servant leaders are open-minded, listen deeply, try to fully understand others, and
not being judgmental. Servant leadership is a leadership philosophy in which the
goal of the leader is to serve. A servant leader shares power puts the needs of the
employees first and helps people develop and perform as highly as possible. Servant
leadership inverts the norm, which puts the customer service associates as the main
priority.

On the other hand, Ms. Caputo notices that the Chief Nurse Executive has a
charismatic leadership style. Which of the following behaviors best describes this
style?

A. Possesses inspirational quality that makes followers get attracted to him and
regard him with reverence.
B. Acts as he does because he expects that his behavior will yield positive results.
C. Uses visioning as the core of his leadership.
D. Matches his leadership style to the situation at hand. - ANSWER: A

,Charismatic leaders make the followers feel at ease in their presence. They feel that
they are in good hands whenever the leader is around. The charismatic leadership
style relies on the charm and persuasiveness of the leader. Charismatic leaders are
driven by their convictions and commitment to their cause.

Which of the following conclusions of Ms. Caputo about leadership characteristics is
true?

A. There is a high correlation between the communication skills of a leader and the
ability to get the job done.
B. A manager is effective when he has the ability to plan well.
C. Assessment of personality traits is a reliable tool for predicting a manager's
potential.
D. There is good evidence that certain personal qualities favor success in a
managerial role. - ANSWER: C

It is not conclusive that certain qualities of a person would make him become a good
manager. It can only predict a manager's potential of becoming a good one.
Successful leaders tend to have certain traits. Two keys areas of personal growth and
development are fundamental to leadership success: self-confidence and a positive
attitude.

She reads about Path-Goal theory. Which of the following behaviors is manifested by
the leader who uses this theory?

A. Recognizes staff for going beyond expectations by giving them citations.
B. Challenges the staff to take individual accountability for their own practice.
C. Admonishes staff for being laggards.
D. Reminds staff about the sanctions for non-performance - ANSWER: A

The path-Goal theory according to House and associates rewards good performance
so that others would do the same. The path-goal theory states that a leader's
behavior is contingent on the satisfaction, motivation, and performance of their
employees. The manager's job is viewed as guiding workers to choose the best paths
to reach both their goals as well as the corporation's goals.

One leadership theory states that "leaders are born and not made," which refers to
which of the following theories?

A. Trait
B. Charismatic
C. Great Man
D. Situational - ANSWER: C

Leaders become leaders because of their birthright. This is also called Genetic theory
or the Aristotelian theory. This quote sums up the basic tenet of the Great Man
theory of leadership, which suggests that the capacity for leadership is innate.

,According to this theory, you're either a natural-born leader or you're not. The term
"Great Man" was used because, at the time, leadership was thought of primarily as a
male quality, especially in terms of military leadership.

She came across a theory which states that the leadership style is effective
depending on the situation. Which of the following styles best fits a situation when
the followers are self-directed, experts, and are matured

A. Democratic
B. Authoritarian
C. Laissez-faire
D. Bureaucratic - ANSWER: C

Laissez-faire leadership is preferred when the followers know what to do and are
experts in the field. This leadership style is relationship-oriented rather than task-
centered. This kind of leadership is very hands-off—managers trust their employees
and are confident in their abilities. They give guidance and take responsibility where
needed, but this leadership style means that subordinates and team members have
the real lead.

She surfs the internet for more information about leadership styles. She reads about
shared leadership as a practice in some magnet hospitals. Which of the following
describes this style of leadership?

A. Leadership behavior is generally determined by the relationship between the
leader's personality and the specific situation.
B. Leaders believe that people are basically good and need not be closely controlled.
C. Leaders rely heavily on visioning and inspire members to achieve results.
D. Leadership is shared at the point of care - ANSWER: D

Shared governance allows the staff nurses to have the authority, responsibility, and
accountability for their own practice. Shared leadership is the practice of governing a
school by expanding the number of people involved in making important decisions
related to the school's organization, operation, and academics. In practice, shared
leadership may be defined differently from school to school, and it may take a wide
variety of forms.

Ms. Caputo learns that some leaders are transactional leaders. Which of the
following does not characterize a transactional leader?

A. Focuses on management tasks.
B. Is a caretaker.
C. Uses trade-offs to meet goals.
D. Inspires others with vision - ANSWER: D

Inspires others with a vision is characteristic of a transformational leader. He is
focused more on the day-to-day operations of the department/unit. Transactional

, leadership depends on self-motivated people who work well in a structured, directed
environment. By contrast, transformational leadership seeks to motivate and inspire
workers, choosing to influence rather than direct others.

She finds out that some managers have a benevolent-authoritative style of
management. Which of the following behaviors will she exhibit most likely?

A. Have condescending trust and confidence in their subordinates.
B. Gives economic or ego awards.
C. Communicates downward to the staff.
D. Allows decision-making among subordinates. - ANSWER: A

Benevolent-authoritative managers pretentiously show their trust and confidence to
their followers. In Benevolent-Autocratic Leadership Style, the manager has
condescending confidence and trust in subordinates, motivates with rewards and
some punishments, permits some upward communication, solicits some ideas and
opinions from subordinates, and allows some delegation of decision making but with
close policy control.

Henry is a Unit Manager in the Medical Unit. He is not satisfied with the way things
are going in his unit. The patient satisfaction rate is 60% for two consecutive months
and staff morale is at its lowest. He decides to plan and initiate changes that will
push for a turnaround in the condition of the unit. Which of the following actions is a
priority for Henry?

A. Call for a staff meeting and take this up in the agenda.
B. Seek help from her manager.
C. Develop a strategic action on how to deal with these concerns.
D. Ignore the issues since these will be resolved naturally. - ANSWER: A

This will allow for the participation of every staff in the unit. If they contribute to the
solutions of the problem, they will own the solutions; hence the chance for
compliance would be greater. It's one thing to articulate the change required and
entirely another to conduct a critical review against organizational objectives and
performance goals to ensure the change will carry the unit in the right direction
strategically, financially, and ethically.

He knows that there are external forces that influence changes in his unit. Which of
the following is not an external force?

A. Memo from the CEO to cut down on electrical consumption.
B. Demands of the labor sector to increase wages.
C. Low morale of staff in his unit.
D. Exacting regulatory and accreditation standards. - ANSWER: C

Low morale of staff is an internal factor that affects only the unit. External forces are
those changes that are part of an organization's general and business environment.

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