g g g g g g gg
es Core Competencies for Quality Care, 5th Edition by An
g g g g g g g gg g
ita Finkelman
g
Chapterg1 ConceptualgBasegforgLeadershipgandgManagement
1) Thegnursegmanagergaskedgallgstaffgnursesgtogdevelopgeffectivegleadershipgcompetencies.gHo
wgshouldgthegstaffgnursesginterpretgthisgrequest?
1. Thisgisgangunrealisticgexpectation,gbecausegonlygmanagersgaregleaders.
2. Thisgisgpossiblegifgthegnursesglearngaboutgandgusegrelevantgleadershipgandgmanagementgtheori
esgandgstyles.
3. Ingordergtogbecomegleaders,gthegstaffgnursesgwillghavegtogemphasizegcontrol,gcompetition,gan
dggettinggthegjobgdone.
4. Unlessgthegstaffgnursesgpossessgthegtraitsgofgagnaturalgborngleader,gthisgisgangunrealisti
cgexpectation.
Answer:g 2gExplanatio
n:
1. Agnursegdoesgnotgneedgtoghavegagformalgmanagementgpositiongwithgagmanagementgtitlegtogbe
gagleader;gifgnursesgdemonstrategleadershipgcompetencies,gtheygaregconsideredgnursegleaders.
2. Ingtoday'sghealthcaregenvironment,gnursesgmustghavegknowledgegofgrelevantgleadershipgandg
managementgtheoriesgandgstyles.gThisgknowledgeghelpsgnursesgemergegasgleaders.gNursesgaregals
ogleadersgofgtheirgowngnursinggpractices.
3. Control,gcompetition,gandggettinggthegjobgdonegaregpastgtheoriesgandgstylesgthatgaregnotgasgusef
ulgingtoday'sgenvironment.
4. Leadershipgisgagskillgthatgcangbeglearned
.gCognitivegLevel:g Analyzing
ClientgNeed/Sub:g g SafegandgEffectivegCaregEnvironment
Standards:g QSENgCompetencies:gPatient-
centeredgcare;gTeamworkgandgcollaboration;gqualitygimprovement,gsafetyg|gAACNgEssentialgCo
mpetencies:gII.gBasicgorganizationalgandgsystemsgleadershipgforgqualitygcaregandgpatientgsafety;g
VI.gInterprofessionalgcommunicationgandgcollaborationgforgimprovinggpatientghealthgoutcomes;gV
.gHealthcaregpolicy,gfinance,gandgregulatorygenvironmentsg|gNLNgCompetencies:gPersonalgandgpro
fessionalgdevelopment;grelationshipgcenteredgcare;gteamworkg|gNursing/IntegratedgConcepts:gNur
singgProcess:gAssessment
LearninggOutcome:g LOg03.gAnalyzegthegkeygmoderngleadershipgtheoriesgcomparedgtogoldergtheo
ries,gandgunderstandgtheirgimplicationsgforgnursinggleadership,gmanagement,gandgtransformationa
lgleadership.
2) PetergDrucker'sgviewgofgmanagementgstimulatedgthegshiftgtowardgthegrealizationgofgthegimport
ancegofgparticipatorygorganizations.gWhichgoptiongprovidesgagscenariogthatgisgangexamplegofgagpar
ticipatorygorganization?
1. Thegcontrolgofgthegorganizationgisgcentralized,gandgdecisionsgaregmadegbygupper-
levelgmanagement.
2. Staffgnursesgaregexpectedgtogprovidegsupportgandgnurturinggforgmanagement'sgdecisions.
3. Thegorganization'sgapproachgtogleadershipgisgautocraticgandgbureaucratic.
4. Staffgnursesgprovideginputgintogplanninggandgchangesgforgtheirgownguni
t.gAnswer:g 4
,Explanation:
1. Ingparticipatorygorganizations,gthegcontrolgofgthegorganizationgisgdecentralizedgandgman
ygdecisionsgaregmadegbygthoseg"ongthegfrontglines"gofgthegorganization.
2. Thegtheorygisgthatgthegstaffgshouldgbegnurturedgtogpromoteggreatergleadershipgcompetency.
3. AccordinggtogDrucker,gwhengstaffgparticipategingthegcoregfunctionsgofgmanagement,gth
egorganizationgisgmoregeffective.
4. AccordinggtogDrucker,gwhengstaffgparticipategingthegcoregfunctionsgofgmanagementgsuchga
sgplanninggandgchangesgforgtheirgowngunits,gthegorganizationgisgmoregeffective.
CognitivegLevel:g g Applying
ClientgNeed/Sub:g g SafegandgEffectivegCaregEnvironment
Standards:g QSENgCompetencies:gPatient-
centeredgcare;gTeamworkgandgcollaboration;gqualitygimprovement,gsafetyg|gAACNgEssentialgCo
mpetencies:gII.gBasicgorganizationalgandgsystemsgleadershipgforgqualitygcaregandgpatientgsafety;g
VI.gInterprofessionalgcommunicationgandgcollaborationgforgimprovinggpatientghealthgoutcomes;gV
.gHealthcaregpolicy,gfinance,gandgregulatorygenvironmentsg|gNLNgCompetencies:gPersonalgandgpro
fessionalgdevelopment;grelationshipgcenteredgcare;gteamworkg|gNursing/IntegratedgConcepts:gNur
singgProcess:gPlanning
LearninggOutcome:g LOg03.gAnalyzegthegkeygmoderngleadershipgtheoriesgcomparedgtogoldergtheo
ries,gandgunderstandgtheirgimplicationsgforgnursinggleadership,gmanagement,gandgtransformationa
lgleadership.
3) Whichgbehaviorgdemonstratesgthegnurse'sgcompetencygasgangemotionallygintelligentgleader?
1. Thegnursegisgproficientgingtechnicalgskills.
2. Thegnursegreliesgongpolicies,gnotgoptions.
3. Thegnursegsupportsgteamg members.
4. Productivitygisgnotgagmajorgconcern
.gAnswer:g 3
Explanation:
1. Whilegtechnicalgskillgisgimportantgforgallgnurses,gitgisgnotgaghallmarkgofgagcompetentgleader.
2. Chaosgtheorygstatesgthatgsolutionsgaregnotgalwaysgcleargandgpoliciesgmightgnotgalwaysgbegapplie
dgeasily;gothergoptionsgmightgneedgtogbegconsidered.
3. IngEmotionalgIntelligencegtheory,gteamgmembersgsupportgeachgothergandgfeelgsupportedgbygth
egteamgleader.
4. Thisgstatementgreflectsgthegcountrygclubgleadershipgstyle
.gCognitivegLevel:g Applying
ClientgNeed/Sub:g g SafegandgEffectivegCaregEnvironment
Standards:g QSENgCompetencies:gPatient-
centeredgcare;gTeamworkgandgcollaboration;gqualitygimprovement,gsafetyg|gAACNgEssentialgCo
mpetencies:gII.gBasicgorganizationalgandgsystemsgleadershipgforgqualitygcaregandgpatientgsafety;g
VI.gInterprofessionalgcommunicationgandgcollaborationgforgimprovinggpatientghealthgoutcomes;gV
.gHealthcaregpolicy,gfinance,gandgregulatorygenvironmentsg|gNLNgCompetencies:gPersonalgandgpro
fessionalgdevelopment;grelationshipgcenteredgcare;gteamworkg|gNursing/IntegratedgConcepts:gNur
singgProcess:gImplementation
LearninggOutcome:g LOg03.gAnalyzegthegkeygmoderngleadershipgtheoriesgcomparedgtogoldergtheo
ries,gandgunderstandgtheirgimplicationsgforgnursinggleadership,gmanagement,gandgtransformationa
lgleadership.
,4) Thegnursegexecutivegofgaghealthcaregorganizationgwishesgtogpreparegandgdevelopgnursegmanager
sgforgseveralgnewgunitsgthatgthegorganizationgwillgopengnextgyear.gWhatgshouldgbegthegprimaryggoal
gforgthisgwork?
1. Focusgongrewardinggcurrentgstaffgforgdoinggaggoodgjobgwithgtheirgassignedgtasksgbygselectinggthe
mgforgpromotion.
2. Preparegthesegmanagersgsogthatgtheygwillgfocusgongmaintaininggstandardsgofgcare.
3. Preparegthesegmanagersgtogoverseegthegentireghealthcaregorganization.
4. Preparegthesegmanagersgtoginteractgwithghospitalgadministration
.gAnswer:g 2
Explanation:
1. Thisgisgangillustrationgofgtheg"PetergPrinciple,"gwhichgisgpromotinggpeoplegtogmanagementgpo
sitionsgjustgbecausegtheygaregdoinggaggoodgjobgingtheirgcurrentgposition.gManagementglevelgempl
oyeesgshouldgbegselectedgbasedgupongthegpotentialgabilitygtogmanagegandgtheirgdesiregtogdogso.
2. Nursegmanagersgaregdirectlygresponsiblegforgmaintaininggstandardsgofgcare,gandgmanaginggfisc
algresourcesgandgdevelopmentgofgstaff.
3. Thisgisgnotgthegresponsibilitygofgmostgnursegmanagers.gIngthisgquestion,gitgisgcleargthatgmanage
rsgofgnursinggunitsgaregbeinggpreparedgandgdeveloped.
4. Interactinggwithghospitalgadministrationgisgagraregrequirementgforgagunitgnursegmanagergand,gifg
itgisgrequired,gitgisgnotgasgimportantgasgmaintaininggstandardsgofgcare.
CognitivegLevel:g g Analyzing
ClientgNeed/Sub:g g SafegandgEffectivegCaregEnvironment
Standards:g QSENgCompetencies:gPatient-
centeredgcare;gTeamworkgandgcollaboration;gqualitygimprovement,gsafetyg|gAACNgEssentialgCo
mpetencies:gII.gBasicgorganizationalgandgsystemsgleadershipgforgqualitygcaregandgpatientgsafety;g
VI.gInterprofessionalgcommunicationgandgcollaborationgforgimprovinggpatientghealthgoutcomes;gV
.gHealthcaregpolicy,gfinance,gandgregulatorygenvironmentsg|gNLNgCompetencies:gPersonalgandgpro
fessionalgdevelopment;grelationshipgcenteredgcare;gteamworkg|gNursing/IntegratedgConcepts:gNur
singgProcess:gPlanning
LearninggOutcome:g LOg04.gComparegandgcontrastgcharacteristics,groles,gandgresponsibilitiesgofglead
ersgandgmanagers.
5) Describegthegprimarygfocusgofgagmanagergingagknowledge-workgenvironment.
1. Developinggthegmostgeffectivegteams
2. Takinggrisks
3. Routinegwork
4. Understandinggtheghistorygofgthegorganizatio
ngAnswer:g 1
Explanation:
1. Thegmostgimportantgfocusgofgthisgmanagergisgongdevelopinggandgsupportinggeffectivegteam
s,gutilizinggthegknowledgegofgmany.
2. Riskgtakinggisgagpartgofgknowledgegwork,gbutgisgnotgthegmostgimportantgofgthisgmanager'sgtasks.
3. Knowledgegworkgisgagcombinationgofgroutinegandgnonroutinegwork,gsogthegmanagergwillghav
egfocusgongthegroutine.gThisgisgnotgthegmanager'sgmostgimportantgfocus.
4. Understandinggtheghistorygofgthegorganizationgisgimportantgasgitgwillghelpgthegmanagergwor
kgwithingthegorganization,gbutgitgisgnotgthegmostgimportantgfocus.
CognitivegLevel:g g Analyzing
ClientgNeed/Sub:g g SafegandgEffectivegCaregEnvironment
Standards:g QSENgCompetencies:gPatient-
centeredgcare;gTeamworkgandgcollaboration;gqualitygimprovement,gsafetyg|gAACNgEssentialgCo
mpetencies:gII.gBasicgorganizationalgandgsystems
, leadershipgforgqualitygcaregandgpatientgsafety;gVI.gInterprofessionalgcommunicationgandgcollabor
ationgforgimprovinggpatientghealthgoutcomes;gV.gHealthcaregpolicy,gfinance,gandgregulatorygenviro
nmentsg|gNLNgCompetencies:gPersonalgandgprofessionalgdevelopment;grelationshipgcenteredgcare;
gteamworkg|gNursing/IntegratedgConcepts:gNursinggProcess: gImplementation
LearninggOutcome:g LOg03.gAnalyzegthegkeygmoderngleadershipgtheoriesgcomparedgtogoldergtheo
ries,gandgunderstandgtheirgimplicationsgforgnursinggleadership,gmanagement,gandgtransformationa
lgleadership.;gLOg04.gComparegandgcontrastgcharacteristics,groles,gandgresponsibilitiesgofgleadersg
andgmanagers.
6) Thegnursinggstaffgcommunicatesgthatgthegnewgmanagerghasgagfocusgongtheg"bottomgline,"gan
dglittlegconcerngforgthegqualitygofgcare.gWhatgisglikelygtruegofgthisgnursegmanager?
1. Thegmanagergisglookinggatgthegtotalgcaregpicture.
2. Thegmanagergisgcommunicatinggthegimportancegofgagcaringgenvironment.
3. Thegmanagergunderstandsgthegorganization'sgvaluesgandghowgtheygmeshgwithgthegmanager'
sgvalues.
4. Thegmanagergisgunwillinggtoglistengtogstaffgconcernsgunlessgtheyghavegangimpactgongcost
s.gAnswer:g 4
Explanation:
1. Thisgactiongwouldgenablegthegmanagergtogmakegagdecisiongandgnotgjustgevaluategthegfinanci
algstatusgofgthegenvironment.
2. Ifgthegmanagergisgindeedgfocusinggonlygongtheg"bottomgline,"gthegmanagergisgnotgpromoting
gagcaringgenvironmentgongthegunit.
3. Thegorganizationgmaygsetggreatgvaluegongtheg"bottomgline,"gbutgalsogmustgbegconcernedgabout
gqualitygofgcare.gProblemsgwithgqualitygofgcaregcangimpactgtheg"bottomgline."gIfgthegmanagergbeliev
esgthegfinancialgstatusgofgthegorganizationgisgthegonlygorganizationgvalue,gagmisunderstandinggha
sgprobablygoccurred.
4. Thisgmanagerghasgprimarygfocusgongthegfinancialgissuesgassociatedgwithgprovisiongofgcare.gTh
isgwillgmakegthegmanagergineffectivegingthegrole.
CognitivegLevel:g g Applying
ClientgNeed/Sub:g g SafegandgEffectivegCaregEnvironment
Standards:g QSENgCompetencies:gPatient-
centeredgcare;gTeamworkgandgcollaboration;gqualitygimprovement,gsafetyg|gAACNgEssentialgCo
mpetencies:gII.gBasicgorganizationalgandgsystemsgleadershipgforgqualitygcaregandgpatientgsafety;g
VI.gInterprofessionalgcommunicationgandgcollaborationgforgimprovinggpatientghealthgoutcomes;gV
.gHealthcaregpolicy,gfinance,gandgregulatorygenvironmentsg|gNLNgCompetencies:gPersonalgandgpro
fessionalgdevelopment;grelationshipgcenteredgcare;gteamworkg|gNursing/IntegratedgConcepts:gNur
singgProcess:gEvaluation
LearninggOutcome:g LOg04.gComparegandgcontrastgcharacteristics,groles,gandgresponsibilitiesgofglead
ersgandgmanagers.