Chapter 26: Role Transition
Yoder-Wise: Leading and Managing in Nursing, 7th Edition
MULTIPLE CHOICE
1. The unit leader on an inpatient psychiatric unit of a large hospital has been in the position for
3 months. The unit leader is frustrated by how little time is available to work with clients and
how few changes have been implemented in that time. The phase of role transition being
experienced is the role of:
a. acceptance.
b. negotiation.
c. discrepancy.
d. internalization.
ANS: C
Role discrepancy is an experience that includes a gap between what is expected and what is
occurring and can lead to disillusionment, discomfort, and frustration. If the unit manager
values the relationship and sees the differences between performance and expectations as
correctable, then the manager is likely to stay in the role.
TOP: AONE competency: Leadership
2. An interviewee for a nurse manager position asks for a copy of the organizational chart.
Organizational charts provide information about the role component of:
a. expectations.
b. opportunities.
c. responsibilities.
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d. lines of communication.
ANS: D
No matter what role an individual is in, multiple relationships exist with individuals including
supervisors and peers. Roles incorporate patterns of structured interactions between the
manager and people in these groups. Organizational charts provide information about
relationships and lines of communication in the organization.
TOP: AONE competency: Knowledge of the Health Care Environment
3. During an employment interview for the manager’s position in a home health agency, the
applicant asks questions about the medical director and about retention of staff. The nurse
executive assures the applicant that the agency has few personnel problems and receives
excellent support from the medical director. The applicant knows that the agency has a 50%
turnover rate and has had three medical directors in the past year. The nurse executive is:
a. unaware of the turnover rate and difficulties with the medical director.
b. lying about the problems and hoping to resolve them by hiring the applicant.
c. denying that the agency has a turnover problem with staff or medical directors.
d. minimizing the challenges of the position to make a positive impression on the
applicant.
ANS: D
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, Leading and Managing in Nursing 7th Edition Yoder-Wise Test Bank
During the dating phase or preview period in the role transition process, the potential
employer attempts to make a favorable impression, which may result in minimizing the
challenges of the position.
TOP: AONE competency: Business Skills
4. The new head nurse on telemetry has been in the position for 3 months. The head nurse and
the administrator disagree on how much time the head nurse should allot to various aspects of
the role. Staff members on the unit complain that the head nurse is unavailable for clinical
concerns because of being off the unit while attending meetings. To facilitate the process of
role transition, the head nurse should:
a. develop policies consistent with the head nurse’s prior workplace.
b. attend a workshop on how to deal with difficult people.
c. decide to give the position 3 more months and then leave if things do not improve.
d. schedule a series of meetings with staff and the administrator to clarify
expectations.
ANS: D
During role transition, it is important for the manager to negotiate the role by writing down
the manager’s expectations of the role and determining the expectations of others (staff,
supervisors) in order to clarify expectations and reduce or ameliorate role ambiguity and role
strain. It can take up to a year to understand the role, system, and boundaries in a new
job-role-position.
TOP: AONE competency: Communication and Relationship-Building
5. A nurse manager in one hospital values a colleague who is a few years older and has more
NURSI
experience in nursing management. NGcolleague
The TB.COworksM in another hospital, but they meet for
lunch once a month. In these meetings, they share their feelings about nursing management
and their lives. The function of a mentor that is missing in the relationship is:
a. sponsorship.
b. role modeling.
c. social interaction.
d. mutual positive regard.
ANS: A
Sponsorship involves building the competency of the mentee through exposure or by creating
opportunities for achievement in order for the mentee to develop a reputation of competence.
TOP: AONE competency: Leadership
6. The new nurse manager feels pulled between the expectations of staff, the demands of
hospital administrators, and family obligations. According to the theory by Hardy (1978),
unrelieved role stress and strain will lead to:
a. frustration and anger.
b. alienation of family and friends.
c. low productivity and performance.
d. physical symptoms and acute illness.
ANS: C
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