Leading and Managing in Nursing Questions And Answers.
A nurse manager is experiencing poor staff morale on her unit. While participating in a
baccalaureate course, the nurse manager had learned that one of the reasons nurses
lack power today is probably because of the past. In the early decades of the
profession, nurses lacked power because:
a. Nurses freely chose to defer to physicians and administrators with more education.
b. Women lacked legal, social, and political power because of legal and cultural
barriers.
c. The first nursing licensure laws prohibited nurses from making most decisions.
d. Nurses astutely recognized the risks of grabbing too much power too soon. -:B
Nurses who engage in in-fighting, seek physician support against nursing colleagues,
and avoid membership in nursing organizations:
a. Refuse to believe that they are acting like members of groups that suffer
socioeconomic oppression.
b. Do not understand how their failure to exercise power can limit the power of the
whole profession.
c. Purposefully choose to exercise their power in the workplace through indirect means.
d. Suffer from learned helplessness as a result of abuse by powerful nurse executives. -
:B
A nurse belongs to several professional organizations, serving on a state-level
committee of one group and on two task forces at work. The nurse is committed to a
range of health issues. This nurse exemplifies which level of political activism in
nursing?
a. Gladiator
b. Buy-in
c. Self-interest
d. Political sophistication -:D
A manager relies on his director (immediate supervisor) for advice about enrolling in
graduate school to prepare for a career as a nurse executive. The director may exercise
what kinds of power in the relationship with the manager in this advisory situation?
a. Expert, coercive, and referent
b. Reward, connection, and information
c. Referent, expert, and information
d. Reward, referent, and information -:C
A nurse manager must implement a 2% budget cut on the nursing unit. Which approach
should the manager use to most effectively empower the staff of the unit?
, Leading and Managing in Nursing Questions And Answers.
a. Discuss the guidelines for the budget cuts with the staff, making the decisions with
those who participate.
b. Inform the staff of the budget cuts in a series of small group meetings, and accept
their ideas in writing only.
c. Provide the staff with handouts about the budget cuts, and let them make
recommendations in writing.
d. Hold a series of mandatory meetings on the budget cuts, asking staff for ideas on the
cuts. -:A
During orientation of new nurse managers, the chief nursing officer stresses strategies
that help nurse managers to achieve a powerful image. Which groups of behaviors best
contribute to a powerful image for the nurse manager?
a. Greeting patients, families, and colleagues with a handshake and a smile; listening
carefully when problems arise
b. For men, no facial hair, always wearing a suit and tie; for women, always wearing a
suit and high-heeled shoes
c. Maintaining a soft voice during times of conflict; making unbroken eye contact during
interactions
d. Smiling all the time; always wearing a suit and carrying a briefcase; women should
wear no jewelry -:A
Two nurses approach their manager about a conflict regarding the next month's
schedule. The nurses are talking loudly and at the same time. The manager most
effectively uses communication skills to resolve the conflict by:
a. Taking both nurses aside, separately and then together, and charging them with
resolving the problem without her direct intervention.
b. Listening to each nurse speak to the other without interruption and asking clarifying
questions to help them resolve the issue themselves.
c. Separating the nurses, instructing each to decide how the problem can be resolved,
and meeting with them the next day.
d. Calling an emergency scheduling committee meeting and asking volunteers to
resolve the conflict between the two nurses. -:B
A nurse manager recognizes the need to expand her professional network as she
begins a job search for a middle-management position. Which of the following actions is
least likely to expand her job-searching network?
a. Reviewing her address book or card file for names and phone numbers of former
colleagues who are now in middle-management positions
, Leading and Managing in Nursing Questions And Answers.
b. Making an appointment to meet with a former instructor from her graduate program in
nursing administration
c. Making a long overdue return call to a former colleague who is now a chief nurse
executive
d. Attending a state-level conference for nurse managers and executives and attending
informal luncheons and receptions -:C
A staff nurse asks the nurse manager for a few days off for personal reasons. The nurse
manager turns in the request to the human resources office with a note indicating that
the staff nurse has demonstrated excellent working skills and is a valued employee. The
nurse manager has used the influence of her position to help this staff member.
Influence is the process of:
a. Using power.
b. Empowering others.
c. Understanding power.
d. Moving past apathy. -:A
A nurse is participating in a baccalaureate course. For the class, she has to attend the
legislative session regarding the new role of medication assistants. Nurses should be
involved in shaping public policy primarily because:
a. Involvement will enable nurses to take over the healthcare system at some point in
the future.
b. Other healthcare professions are less concerned about the essential needs of clients.
c. Such activities are important career builders for nurses who seek top-level executive
positions.
d. They are closest to the front line of health care and see how it affects clients and
families. -:D
Which of the following accurately represents the concept of political activism?
a. Meghan, an ER supervisor, encourages staff to write letters to the local health board,
protesting closure of the ER and loss of 30 full-time jobs.
b. Sarah refuses involvement in her professional organization but is heavily involved in
the Little League organization to which her son belongs.
c. Because of her influential contributions to position papers on health care, Roberta is
asked to let her name stand for election as chair of the local organization of gerontology
nurse practitioners, who are lobbying for increased certification standards.
d. Sondra volunteers to run for office in her state nursing organization because of her
concern about the underrepresentation of expertise from her area of nursing practice. -
:D
, Leading and Managing in Nursing Questions And Answers.
Literature on oppression in nursing has:
a. Verified the presence of behaviors associated with oppression within nursing.
b. Suggested that nurses are oppressed because of the actions of other groups.
c. Failed to establish that oppression is present in nursing groups.
d. Indicated that nurses use oppression negatively. -:A
Politics is usually:
a. Confined to legislatures.
b. Seen in dysfunctional workplaces.
c. Found in all social organizations.
d. A representation of self-interest. -:C
Your colleague, Mary, a recent graduate announces one day that she intends to leave
nursing in 3 to 4 months to pursue a position in marketing. While at your agency, she
plans to give patients excellent care and to learn as much as she can, because "Who
knows? Nursing is a great job with a great pay and I may return someday." Mary's
statements most accurately exemplify which orientation to the concept of nursing?
Nursing as a(n):
a. Profession.
b. Occupation.
c. Flexible discipline.
d. Career with off and on ramps. -:B
Lucy, head nurse on the surgical unit, works with her staff to find ways in which they can
work together with other disciplines to provide more effective care for patients on the
unit. Lucy likely knows her power is:
a. Limited, thereby necessitating involvement of others in implementing ideas.
b. Restricted, which necessitates finding alternative means to achieve strong patient
outcomes.
c. Directly primarily toward those who are subordinate to her.
d. Of unlimited capacity when shared with others. -:D
One day, at coffee, your co-worker suggests that you and she sit with unit members of
the hospital research committee. She suggests that this would be an excellent way to
get to know people who share her interest in research. Her actions are an example of:
a. Mentorship.
b. Politics.
c. Networking.
A nurse manager is experiencing poor staff morale on her unit. While participating in a
baccalaureate course, the nurse manager had learned that one of the reasons nurses
lack power today is probably because of the past. In the early decades of the
profession, nurses lacked power because:
a. Nurses freely chose to defer to physicians and administrators with more education.
b. Women lacked legal, social, and political power because of legal and cultural
barriers.
c. The first nursing licensure laws prohibited nurses from making most decisions.
d. Nurses astutely recognized the risks of grabbing too much power too soon. -:B
Nurses who engage in in-fighting, seek physician support against nursing colleagues,
and avoid membership in nursing organizations:
a. Refuse to believe that they are acting like members of groups that suffer
socioeconomic oppression.
b. Do not understand how their failure to exercise power can limit the power of the
whole profession.
c. Purposefully choose to exercise their power in the workplace through indirect means.
d. Suffer from learned helplessness as a result of abuse by powerful nurse executives. -
:B
A nurse belongs to several professional organizations, serving on a state-level
committee of one group and on two task forces at work. The nurse is committed to a
range of health issues. This nurse exemplifies which level of political activism in
nursing?
a. Gladiator
b. Buy-in
c. Self-interest
d. Political sophistication -:D
A manager relies on his director (immediate supervisor) for advice about enrolling in
graduate school to prepare for a career as a nurse executive. The director may exercise
what kinds of power in the relationship with the manager in this advisory situation?
a. Expert, coercive, and referent
b. Reward, connection, and information
c. Referent, expert, and information
d. Reward, referent, and information -:C
A nurse manager must implement a 2% budget cut on the nursing unit. Which approach
should the manager use to most effectively empower the staff of the unit?
, Leading and Managing in Nursing Questions And Answers.
a. Discuss the guidelines for the budget cuts with the staff, making the decisions with
those who participate.
b. Inform the staff of the budget cuts in a series of small group meetings, and accept
their ideas in writing only.
c. Provide the staff with handouts about the budget cuts, and let them make
recommendations in writing.
d. Hold a series of mandatory meetings on the budget cuts, asking staff for ideas on the
cuts. -:A
During orientation of new nurse managers, the chief nursing officer stresses strategies
that help nurse managers to achieve a powerful image. Which groups of behaviors best
contribute to a powerful image for the nurse manager?
a. Greeting patients, families, and colleagues with a handshake and a smile; listening
carefully when problems arise
b. For men, no facial hair, always wearing a suit and tie; for women, always wearing a
suit and high-heeled shoes
c. Maintaining a soft voice during times of conflict; making unbroken eye contact during
interactions
d. Smiling all the time; always wearing a suit and carrying a briefcase; women should
wear no jewelry -:A
Two nurses approach their manager about a conflict regarding the next month's
schedule. The nurses are talking loudly and at the same time. The manager most
effectively uses communication skills to resolve the conflict by:
a. Taking both nurses aside, separately and then together, and charging them with
resolving the problem without her direct intervention.
b. Listening to each nurse speak to the other without interruption and asking clarifying
questions to help them resolve the issue themselves.
c. Separating the nurses, instructing each to decide how the problem can be resolved,
and meeting with them the next day.
d. Calling an emergency scheduling committee meeting and asking volunteers to
resolve the conflict between the two nurses. -:B
A nurse manager recognizes the need to expand her professional network as she
begins a job search for a middle-management position. Which of the following actions is
least likely to expand her job-searching network?
a. Reviewing her address book or card file for names and phone numbers of former
colleagues who are now in middle-management positions
, Leading and Managing in Nursing Questions And Answers.
b. Making an appointment to meet with a former instructor from her graduate program in
nursing administration
c. Making a long overdue return call to a former colleague who is now a chief nurse
executive
d. Attending a state-level conference for nurse managers and executives and attending
informal luncheons and receptions -:C
A staff nurse asks the nurse manager for a few days off for personal reasons. The nurse
manager turns in the request to the human resources office with a note indicating that
the staff nurse has demonstrated excellent working skills and is a valued employee. The
nurse manager has used the influence of her position to help this staff member.
Influence is the process of:
a. Using power.
b. Empowering others.
c. Understanding power.
d. Moving past apathy. -:A
A nurse is participating in a baccalaureate course. For the class, she has to attend the
legislative session regarding the new role of medication assistants. Nurses should be
involved in shaping public policy primarily because:
a. Involvement will enable nurses to take over the healthcare system at some point in
the future.
b. Other healthcare professions are less concerned about the essential needs of clients.
c. Such activities are important career builders for nurses who seek top-level executive
positions.
d. They are closest to the front line of health care and see how it affects clients and
families. -:D
Which of the following accurately represents the concept of political activism?
a. Meghan, an ER supervisor, encourages staff to write letters to the local health board,
protesting closure of the ER and loss of 30 full-time jobs.
b. Sarah refuses involvement in her professional organization but is heavily involved in
the Little League organization to which her son belongs.
c. Because of her influential contributions to position papers on health care, Roberta is
asked to let her name stand for election as chair of the local organization of gerontology
nurse practitioners, who are lobbying for increased certification standards.
d. Sondra volunteers to run for office in her state nursing organization because of her
concern about the underrepresentation of expertise from her area of nursing practice. -
:D
, Leading and Managing in Nursing Questions And Answers.
Literature on oppression in nursing has:
a. Verified the presence of behaviors associated with oppression within nursing.
b. Suggested that nurses are oppressed because of the actions of other groups.
c. Failed to establish that oppression is present in nursing groups.
d. Indicated that nurses use oppression negatively. -:A
Politics is usually:
a. Confined to legislatures.
b. Seen in dysfunctional workplaces.
c. Found in all social organizations.
d. A representation of self-interest. -:C
Your colleague, Mary, a recent graduate announces one day that she intends to leave
nursing in 3 to 4 months to pursue a position in marketing. While at your agency, she
plans to give patients excellent care and to learn as much as she can, because "Who
knows? Nursing is a great job with a great pay and I may return someday." Mary's
statements most accurately exemplify which orientation to the concept of nursing?
Nursing as a(n):
a. Profession.
b. Occupation.
c. Flexible discipline.
d. Career with off and on ramps. -:B
Lucy, head nurse on the surgical unit, works with her staff to find ways in which they can
work together with other disciplines to provide more effective care for patients on the
unit. Lucy likely knows her power is:
a. Limited, thereby necessitating involvement of others in implementing ideas.
b. Restricted, which necessitates finding alternative means to achieve strong patient
outcomes.
c. Directly primarily toward those who are subordinate to her.
d. Of unlimited capacity when shared with others. -:D
One day, at coffee, your co-worker suggests that you and she sit with unit members of
the hospital research committee. She suggests that this would be an excellent way to
get to know people who share her interest in research. Her actions are an example of:
a. Mentorship.
b. Politics.
c. Networking.
