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Exam (elaborations)

Nursing Leadership and Management Chapter #17 Exam Questions and Answers

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  • NURSING LEADERSHIP & MANAGEMENT
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  • NURSING LEADERSHIP & MANAGEMENT

Nursing Leadership and Management Chapter #17 Exam Questions and Answers 14. A director of nursing (DON) asks the staff to list how their nursing unit can help the organization meet its goal to "provide quality patient care with attention to compassion and excellence." An ad hoc committee is f...

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  • April 19, 2024
  • 8
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers
  • trait
  • NURSING LEADERSHIP & MANAGEMENT
  • NURSING LEADERSHIP & MANAGEMENT
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Nursing Leadership and Management
Chapter #17 Exam Questions and
Answers
1 . In an attempt to persuade employees to bargain for another type of health insurance,
a handout is circulated that describes the present employees' health care insurance as
being insensitive, limiting choices of care providers, and providing inferior care. This
reflects which aspect of Lewin's planned change?

a. Unfreeze
b. Move
c. Refreeze
d. Acceptance - Answer-A
Unfreeze is correct because the change agent promotes problem identification and
encourages awareness of the need for change. In alignment with Lewin's stages of
change (unfreezing, moving, and refreezing), education and involvement are keys to
successful change. People must believe that improvement is possible before they will
be willing to consider change.

DIF: Comprehension REF: p. 311

2. One difference between a leader and a manager is that a:

a. leader has legitimate authority.
b. manager motivates and inspires others.
c. manager focuses on coordinating resources.
d. leader focuses on accomplishing goals of the organization. - Answer-C
The terms leadership and management are often used interchangeably, and it is difficult
to discuss one without discussing the other. However, these roles have specific traits
unique to themselves. The manager is the coordinator of resources (time, people, and
supplies) needed to achieve outcomes.

DIF: Comprehension REF: p. 296

3. The first step in the nursing process and in the problem-solving process is to:

a. identify the problem.
b. gather information.
c. consider the consequences.
d. implement interventions. - Answer-B
The nursing process, which is familiar to nurses who address patient care needs, can
be applied to all management activities that require decision making and problem-

, solving. As in the nursing process and the problem-solving process, one must first
gather information about the problem or situation.

DIF: Comprehension REF: pp. 309-310

4. An explosion just occurred at the local factory, and hundreds of employees have
sustained varying degrees of injury. Which type of nursing leadership is most effective
in this situation?

a. Autocratic
b. Democratic
c. Laissez-faire
d. Referent - Answer-A
The dynamics of the situation demand that the leader take control and direct employees
to specific actions in response to the emergency.

DIF: Comprehension REF: p. 300, Box 17-3

5. An RN with excellent assessment and psychomotor skills would derive power on the
basis of which source?

a. Rewards
b. Coercion
c. Expert
d. Legitimate - Answer-C
Seven primary sources of power are known. Expert power is based on knowledge,
skills, and information.

DIF: Comprehension REF: p. 297

6. Managers who exhibit an authoritative behavioral style are most likely to use which
source of power?

a. Informal
b. Expert
c. Coercive
d. Reward - Answer-C
Seven primary sources of power are known. Coercive power is based on fear of
punishment or failure to comply. Coercive power fits well into the authoritative
behavioral style because authoritative managers dictate the work with much control,
usually ignore the ideas or suggestions of subordinates, and provide little feedback or
recognition for work accomplished.

DIF: Application REF: p. 300, Box 17-3

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