NURS 3325 Leading and Managing in
Nursing Answers A+ Graded
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. .-
.CORRECT .ANSWER .-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. .- .CORRECT .ANSWER .-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 .- .CORRECT .ANSWER .-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 .- .CORRECT .ANSWER .-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?
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. .- .CORRECT .ANSWER .-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 .- .CORRECT .ANSWER .-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. .- .CORRECT .ANSWER .-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
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 .- .CORRECT .ANSWER .-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. .- .CORRECT .ANSWER .-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. .- .CORRECT .ANSWER .-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. .- .CORRECT .ANSWER .-D
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. .- .CORRECT .ANSWER .-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. .- .CORRECT .ANSWER .-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. .- .CORRECT .ANSWER .-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. .- .CORRECT .ANSWER .-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.
d. .Empowerment. .- .CORRECT .ANSWER .-C
The .workgroup .on .NU .23 .is .marked .by .apathy .to .the .ward's .patients, .high
.absenteeism, .open .conflict .among .team .members, .and .high .turnover .of
.personnel, .including .managers. .The .underlying .behavior .in .this .situation .may
.be .characterized .as:
a. .Powerlessness.
b. .Anger.
c. .Apathy.
d. .Oppression. .- .CORRECT .ANSWER .-A
During .a .unit .meeting, .you .notice .that .Vivian .listens .attentively .when .Mary .is
.speaking .and .offers .support .and .advice .when .Mary .presents .ideas .to .the
.group. .You .are .surprised .because .Vivian .has .often .confided .that .she .does .not
.like .Mary. .Vivian's .behavior .is .best .described .as:
a. .Insincere.
b. .Networking.
c. .Politically .sophisticated.
d. .Collegial. .- .CORRECT .ANSWER .-D
Nursing Answers A+ Graded
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. .-
.CORRECT .ANSWER .-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. .- .CORRECT .ANSWER .-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 .- .CORRECT .ANSWER .-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 .- .CORRECT .ANSWER .-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?
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. .- .CORRECT .ANSWER .-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 .- .CORRECT .ANSWER .-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. .- .CORRECT .ANSWER .-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
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 .- .CORRECT .ANSWER .-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. .- .CORRECT .ANSWER .-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. .- .CORRECT .ANSWER .-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. .- .CORRECT .ANSWER .-D
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. .- .CORRECT .ANSWER .-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. .- .CORRECT .ANSWER .-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. .- .CORRECT .ANSWER .-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. .- .CORRECT .ANSWER .-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.
d. .Empowerment. .- .CORRECT .ANSWER .-C
The .workgroup .on .NU .23 .is .marked .by .apathy .to .the .ward's .patients, .high
.absenteeism, .open .conflict .among .team .members, .and .high .turnover .of
.personnel, .including .managers. .The .underlying .behavior .in .this .situation .may
.be .characterized .as:
a. .Powerlessness.
b. .Anger.
c. .Apathy.
d. .Oppression. .- .CORRECT .ANSWER .-A
During .a .unit .meeting, .you .notice .that .Vivian .listens .attentively .when .Mary .is
.speaking .and .offers .support .and .advice .when .Mary .presents .ideas .to .the
.group. .You .are .surprised .because .Vivian .has .often .confided .that .she .does .not
.like .Mary. .Vivian's .behavior .is .best .described .as:
a. .Insincere.
b. .Networking.
c. .Politically .sophisticated.
d. .Collegial. .- .CORRECT .ANSWER .-D
