306 chapter review questions
A nurse manager is experiencing conflicts between herself and staff members. She
had tried to develop a team by using a shared leadership model to empower the
staff. Staff members are actually functioning
a) as a team
b) independently
c)interdependently
d) as a group - CORRECT ANSWER-d) as a group
The nurse manager used a mediator to help resolve conflicts on the unit. During the
mediation process, the nurse manager saw signs of potential team building. One key
concept of an effective team is
a) conflict
b) task clarity
c) commitment
d) a designated leader - CORRECT ANSWER-c) commitment
A mediator suggested that the nurse manager and staff members decide on a
method to resolve conflicts. Why is it important to have agreements about how team
members will work together?
a) if there are no agreements , each member will make up his or her own procedures
without consensus
b) people are naturally difficult and will not work together without such agreements
c) people will naturally ask for agreements about how to be together
d) a way to eliminate nonproductive team members must be available - CORRECT
ANSWER-A) if there are no agreements, each member will make up his or her own
procedures without consensus
By following a shared leadership model, the nurse manager believes that staff
members will learn to function synergistically. Some teams function synergistically
because members
a) do not volunteer unwanted information.
b) actively listen to each other
c) listen to the person who believes they are an expert
d) do not speak unless they are absolutely sure they are correct in their views -
CORRECT ANSWER-b) actively listen to each other
The chief nursing officer decided that the nurse managers need a series of staff
development programs on team building through communication and partnerships.
She understood that the nurse managers needed to build confidence in ways of
handling various situations. The greatest deterrent to building confidence is
a) lack of clarity in the mission
b)lack of control of the environment
,c) fear that one cannot handle the consequences
d) fear that the boss will not like ones work - CORRECT ANSWER-c) fear of not
being able to handle the consequences
The mediator noticed that tension was still evident between the nurse manager and
staff members. He informed the chief nursing officer that to begin team building, it
would be important that everyone
a) work together in a respectful, civil manner
b) uses avoidance techniques when confronted with conflict
c) develop personal friendship with each other
d) socialize frequently outside of work - CORRECT ANSWER-a) work together in a
respectful civil manner
The state of being emotionally impelled, demonstrated by a sense of passion and
dedication to a project or event, describes
a) commitment
b) control
c) willingness to cooperate
d) communication - CORRECT ANSWER-a) commitment
The mediator suggested to the unit staff that a group agreement needed to be made
so that meetings could become productive. For example, the group agreement "We
will speak supportively" prevents
a) a side conversation during meeting
b) gossiping and backbitting
c) feedback when one member of the group disagrees with the discussion
d) voting negatively on motion - CORRECT ANSWER-b) gossiping and backbiting
The mediator asked each staff member to reflect on his or her communication style.
Which of the following best describes communication?
a. It is a reflection of self-analysis.
b. It is a result of thoughtful consideration.
c. It consists of thoughts, ideas, opinions, emotions, and feelings.
d. It focuses on the sender of the message. - CORRECT ANSWER-c) consists of
thoughts, ideas, opinions emotions and feelings
The staff development educator developed strategies to help nurse managers
actively listen. Guidelines for active listening include which of the following?
a. Speed up your internal processes so that you can process more data.
b. Realize that the first words of the sender are the most important.
c. Be prepared to make an effective judgement of the communication sender.
d. Cultivate a desire to learn about the other person. - CORRECT ANSWER-d)
cultivate a desire to learn about the other person
,The nurse manager was upset with the staff nurse and said, "You did not understand
what I said." Which element in the communication process was she referring to?
a. Feedback between receiver and sender
b. A message channel
c. A receiver who decodes the message
d. A set of barriers that may occur between sender and receiver - CORRECT
ANSWER-d) a set of barriers that may occur between sender and receiver
the nurse educator was giving a workshop on team building. She noted that effective
communication is essential for team building. One of the key questions in the
workshop was "What is the best way to check to see whether what you have
communicated to a team member is understood the way you meant it to be
understood?" The correct response is which of the following options?
a. Active listening and feedback
b. Cues from nonverbal communications
c. Content and context clues
d. Reliance on paralanguage - CORRECT ANSWER-active listening and feedback
Kelis and Melissa, both RNs, have shared an ongoing conflict since the first day that
Melissa worked on the unit. Kelis has confided to another colleague that she did not
even know why the conflict started or what it was about. This is an example of
a. how expectations and objectives need to be made clear in team situations.
b. the need to encourage open discussion of disagreements in opinions.
c. the importance of involving all staff in discussions in group settings.
d. the enduring nature of first impressions. - CORRECT ANSWER-d) the enduring
nature of first impressions
After staff meetings lately, Sharon, the head nurse, observes her staff in small
groups, having animated discussions that end abruptly when she approaches.
Sharon reflects on this observation and realizes that
a. two very outspoken members tend to dominate discussions in meetings.
b. this behaviour is indicative of a high level of communication among her staff.
c. staff members are uncomfortable openly discussing their feelings in front of the
head nurse.
d. ongoing discussion outside of meetings is conducive to creativity - CORRECT
ANSWER-c) staff members are uncomfortable openly discussing their feelings in
front of the head nurse
You are charged with developing a new nursing curriculum and are committed to
developing a curriculum that reflects the needs of the profession and of the
workplace. To address deficits that may already be present in nursing curricula
related to the workplace, you include more content and skills development related to
a. therapeutic communication with patients.
b. effective communication in the workplace.
, c. increased emphasis on sender-receiver dyads.
d. generational differences in communication. - CORRECT ANSWER-b) effective
communication in the work place
The Situation-Background-Assessment-Recommendation (SBAR) system of
communications is one of the most widely used communication systems in health
care because
a. it deals with all aspects of communications in patient care except communication
with the physician.
b. the nurse is on the same communication level as administration.
c. it focuses on how information is provided and gleaned in an honourable way.
d. it honours an unstructured transfer of information. - CORRECT ANSWER-c)
focuses on how information is provided and gleaned in an honourable way
Marcy, a new staff nurse, is very concerned about "fitting in" on the rehabilitation unit.
She addresses her concerns and speaks with the head nurse. The head nurse
speaks with the rest of the staff and reminds them how important it is for a staff
member to feel that he or she is part of the group. Which of the following statements
would she not include in her talk?
a. "Staff members who feel included are more cooperative."
b. "Staff members who feel included are harder workers."
c. "Staff members who feel included are part of the 50% who feel their strengths are
used."
d. "Staff members who feel included bring enthusiasm and commitment to the
group." - CORRECT ANSWER-c) staff members who feel included are part of the
50% who feel their strengths are used
From the information presented in this chapter, which of the following statements
best defines an accomplished team?
a. They can create a form of synergism in which the outcome is greater than the sum
of the individual performances.
b. They do not necessarily need goals, objectives, vision, and a clearly stated
purpose.
c. They do not always have effective communication patterns.
d. They may or may not have a clear plan that is followed and revisited and has an
ongoing evaluation scheme. - CORRECT ANSWER-a) can create a form of
synergism in which the outcome is greater than the sum of the individual
performances
I really wish that my supervisor would realize and acknowledge all the things I do
well...." In nursing, this has been identified as a problem. Which statement is part of
the solution?
a. Focus on new staff.
b. Focus on unfamiliar care assignments.
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