Exam 1 Leadership and Management RNSG |\ |\ |\ |\ |\ |\
2221 Chapt 1,2,3,5,6,7,8,14,22 – QUESTIONS
|\ |\ |\ |\ |\
WITH ANSWERS |\
As the RN charge nurse on the night shift in a small long-term
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
care facility, you've found that
|\ |\ |\ |\
there is little turnover among your LPN and nursing assistant
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
(NA) staff members, but they
|\ |\ |\ |\
are not very motivated to go beyond their job descriptions in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
their work. Which of the
|\ |\ |\ |\
following strategies might motivate the staff and lead to greater
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
job satisfaction?
|\
a. Ask the director of nursing to offer higher wages and bonuses
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
for extra work for
|\ |\ |\
the night LPNs and NAs.
|\ |\ |\ |\
b. Allow the LPNs and NAs greater decision-making power within
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the scope of their
|\ |\ |\
positions in the institution. |\ |\ |\
c. Hire additional staff so that there are more staff available for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
enhanced care, and |\ |\
individual workloads are lessened. |\ |\ |\
d. Ask the director of nursing to increase job security for night
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
staff by having them
|\ |\ |\
sign contracts that guarantee work. - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\
✔✔ANS: B |\
,Hygiene factors such as salary, working conditions, and security
|\ |\ |\ |\ |\ |\ |\ |\ |\
are consistent with
|\ |\
Herzberg's two-factor theory of motivation; meeting these needs
|\ |\ |\ |\ |\ |\ |\ |\
avoids job dissatisfaction. |\ |\
Motivator factors such as recognition and satisfaction with work
|\ |\ |\ |\ |\ |\ |\ |\ |\
promote a satisfying and |\ |\ |\
enriched work environment. Transformational leaders use
|\ |\ |\ |\ |\ |\
motivator factors liberally to inspire |\ |\ |\ |\
work performance and increase job satisfaction.
|\ |\ |\ |\ |\
1. A nurse manager of a 20-bed medical unit finds that 80% of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the patients are older adults. She
|\ |\ |\ |\ |\
is asked to assess and adapt the unit to better meet the unique
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
needs of the older adult patient.
|\ |\ |\ |\ |\
Using complexity principles, what would be the best approach to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
take for implementation of
|\ |\ |\
this change?
|\
a. Leverage the hierarchical management position to get unit
|\ |\ |\ |\ |\ |\ |\ |\ |\
staff involved in
|\ |\
assessment and planning. |\ |\
b. Engage involved staff at all levels in the decision-making
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
process.
c. Focus the assessment on the unit and omit the hospital and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
community
environment.
d. Hire a geriatric specialist to oversee and control the project. -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔ANS: B |\ |\ |\
,Complexity theory suggests that systems interact and adapt and
|\ |\ |\ |\ |\ |\ |\ |\ |\
that decision making occurs
|\ |\ |\
throughout the systems, as opposed to being held in a hierarchy.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
In complexity theory, every
|\ |\ |\
voice counts, and therefore, all levels of staff would be involved
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
in decision making.
|\ |\
The nurse manager wants to increase motivation by providing
|\ |\ |\ |\ |\ |\ |\ |\ |\
motivating factors for the nurse |\ |\ |\ |\
on the unit. What action would be appropriate to motivate the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
staff?
a. Collaborate with the human resource/personnel department to
|\ |\ |\ |\ |\ |\ |\ |\
develop on-site |\
daycare services. |\
b. Provide a hierarchical organizational structure.
|\ |\ |\ |\ |\
c. Implement a model of shared governance.
|\ |\ |\ |\ |\ |\
d. Promote the development of a flexible benefits package. -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔ANS: C |\ |\ |\
Complexity theory suggests that systems interact and adapt and
|\ |\ |\ |\ |\ |\ |\ |\ |\
that decision making occurs
|\ |\ |\
throughout systems, as opposed to being held in a hierarchy. In
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
complexity theory, every |\ |\
voice counts, and therefore all levels of staff would be involved in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
decision making. This
|\ |\ |\
principle is the foundation of shared governance.
|\ |\ |\ |\ |\ |\
, As a leader on a rehab unit, the manager encourages all staff
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
members to see themselves as |\ |\ |\ |\
having a role in decision making and quality care. The manager
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
sees their role as involving
|\ |\ |\ |\
particular responsibilities in decision making but not as a
|\ |\ |\ |\ |\ |\ |\ |\ |\
hierarchal role. What is this view of |\ |\ |\ |\ |\ |\
the role consistent with in this situation?
|\ |\ |\ |\ |\ |\
a. Trait theories
|\ |\
b. Complexity theory
|\ |\
c. Situated theory
|\ |\
d. Emotional intelligence - CORRECT ANSWERS ✔✔ANS: B
|\ |\ |\ |\ |\ |\ |\
Complexity theory involves envisioning each member of the team |\ |\ |\ |\ |\ |\ |\ |\
involved in decision
|\ |\ |\
making, management, and leadership, with the leader not seen
|\ |\ |\ |\ |\ |\ |\ |\ |\
in a hierarchal relationship to
|\ |\ |\ |\
other team members. |\ |\
A staff nurse has been recently promoted to unit manager.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
During the time on the unit, the |\ |\ |\ |\ |\ |\
nurse formed a strong social network among staff, has promoted
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the development of |\ |\
relationships between staff and workers in other areas of the |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
organization, and has formed |\ |\ |\
relationships that generate ideas from patient organizations and |\ |\ |\ |\ |\ |\ |\ |\
the local nursing education
|\ |\ |\
program. According to complexity theory, what principle is being
|\ |\ |\ |\ |\ |\ |\ |\ |\
engaged?
2221 Chapt 1,2,3,5,6,7,8,14,22 – QUESTIONS
|\ |\ |\ |\ |\
WITH ANSWERS |\
As the RN charge nurse on the night shift in a small long-term
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
care facility, you've found that
|\ |\ |\ |\
there is little turnover among your LPN and nursing assistant
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
(NA) staff members, but they
|\ |\ |\ |\
are not very motivated to go beyond their job descriptions in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
their work. Which of the
|\ |\ |\ |\
following strategies might motivate the staff and lead to greater
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
job satisfaction?
|\
a. Ask the director of nursing to offer higher wages and bonuses
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
for extra work for
|\ |\ |\
the night LPNs and NAs.
|\ |\ |\ |\
b. Allow the LPNs and NAs greater decision-making power within
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the scope of their
|\ |\ |\
positions in the institution. |\ |\ |\
c. Hire additional staff so that there are more staff available for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
enhanced care, and |\ |\
individual workloads are lessened. |\ |\ |\
d. Ask the director of nursing to increase job security for night
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
staff by having them
|\ |\ |\
sign contracts that guarantee work. - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\
✔✔ANS: B |\
,Hygiene factors such as salary, working conditions, and security
|\ |\ |\ |\ |\ |\ |\ |\ |\
are consistent with
|\ |\
Herzberg's two-factor theory of motivation; meeting these needs
|\ |\ |\ |\ |\ |\ |\ |\
avoids job dissatisfaction. |\ |\
Motivator factors such as recognition and satisfaction with work
|\ |\ |\ |\ |\ |\ |\ |\ |\
promote a satisfying and |\ |\ |\
enriched work environment. Transformational leaders use
|\ |\ |\ |\ |\ |\
motivator factors liberally to inspire |\ |\ |\ |\
work performance and increase job satisfaction.
|\ |\ |\ |\ |\
1. A nurse manager of a 20-bed medical unit finds that 80% of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the patients are older adults. She
|\ |\ |\ |\ |\
is asked to assess and adapt the unit to better meet the unique
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
needs of the older adult patient.
|\ |\ |\ |\ |\
Using complexity principles, what would be the best approach to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
take for implementation of
|\ |\ |\
this change?
|\
a. Leverage the hierarchical management position to get unit
|\ |\ |\ |\ |\ |\ |\ |\ |\
staff involved in
|\ |\
assessment and planning. |\ |\
b. Engage involved staff at all levels in the decision-making
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
process.
c. Focus the assessment on the unit and omit the hospital and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
community
environment.
d. Hire a geriatric specialist to oversee and control the project. -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔ANS: B |\ |\ |\
,Complexity theory suggests that systems interact and adapt and
|\ |\ |\ |\ |\ |\ |\ |\ |\
that decision making occurs
|\ |\ |\
throughout the systems, as opposed to being held in a hierarchy.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
In complexity theory, every
|\ |\ |\
voice counts, and therefore, all levels of staff would be involved
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
in decision making.
|\ |\
The nurse manager wants to increase motivation by providing
|\ |\ |\ |\ |\ |\ |\ |\ |\
motivating factors for the nurse |\ |\ |\ |\
on the unit. What action would be appropriate to motivate the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
staff?
a. Collaborate with the human resource/personnel department to
|\ |\ |\ |\ |\ |\ |\ |\
develop on-site |\
daycare services. |\
b. Provide a hierarchical organizational structure.
|\ |\ |\ |\ |\
c. Implement a model of shared governance.
|\ |\ |\ |\ |\ |\
d. Promote the development of a flexible benefits package. -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔ANS: C |\ |\ |\
Complexity theory suggests that systems interact and adapt and
|\ |\ |\ |\ |\ |\ |\ |\ |\
that decision making occurs
|\ |\ |\
throughout systems, as opposed to being held in a hierarchy. In
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
complexity theory, every |\ |\
voice counts, and therefore all levels of staff would be involved in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
decision making. This
|\ |\ |\
principle is the foundation of shared governance.
|\ |\ |\ |\ |\ |\
, As a leader on a rehab unit, the manager encourages all staff
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
members to see themselves as |\ |\ |\ |\
having a role in decision making and quality care. The manager
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
sees their role as involving
|\ |\ |\ |\
particular responsibilities in decision making but not as a
|\ |\ |\ |\ |\ |\ |\ |\ |\
hierarchal role. What is this view of |\ |\ |\ |\ |\ |\
the role consistent with in this situation?
|\ |\ |\ |\ |\ |\
a. Trait theories
|\ |\
b. Complexity theory
|\ |\
c. Situated theory
|\ |\
d. Emotional intelligence - CORRECT ANSWERS ✔✔ANS: B
|\ |\ |\ |\ |\ |\ |\
Complexity theory involves envisioning each member of the team |\ |\ |\ |\ |\ |\ |\ |\
involved in decision
|\ |\ |\
making, management, and leadership, with the leader not seen
|\ |\ |\ |\ |\ |\ |\ |\ |\
in a hierarchal relationship to
|\ |\ |\ |\
other team members. |\ |\
A staff nurse has been recently promoted to unit manager.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
During the time on the unit, the |\ |\ |\ |\ |\ |\
nurse formed a strong social network among staff, has promoted
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the development of |\ |\
relationships between staff and workers in other areas of the |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
organization, and has formed |\ |\ |\
relationships that generate ideas from patient organizations and |\ |\ |\ |\ |\ |\ |\ |\
the local nursing education
|\ |\ |\
program. According to complexity theory, what principle is being
|\ |\ |\ |\ |\ |\ |\ |\ |\
engaged?
