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DEVELOPING THE ROLE OF LEADER YODER-WISE: LEADING AND MANAGING IN NURSING, 7TH EDITION CHAPTER 28: EXAM QUESTIONS WITH CORRECT ANSWERS$13.49
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DEVELOPING THE ROLE OF LEADER
YODER-WISE: LEADING AND
MANAGING IN NURSING, 7TH EDITION
CHAPTER 28: EXAM QUESTIONS WITH
CORRECT ANSWERS
1. As the clinical director of 24 employees, you have been asked to explain to staff
members why they are not getting a raise this year, even though they have been
working short-handed for many months and patient satisfaction scores have never been
higher. Because you believe yourself to be a transformational leader, you will approach
this problem by:
a. telling the assistant clinical director and asking her to share the bad news with the
other staff members.
b. posting a note on the bulletin board that includes the phone number of the chief
nursing officer, so anyone who has complaints may express them.
c. showing staff members the budget and asking for input about how to cut costs so that
raises will be possible in the future.
d. meeting with a small group of seasoned staff members and asking them how to
break the news. - Answer-ANS: C
Transformational leadership involves engaging those being led and inspiring shared
vision in moving toward a goal that all will accept as desirable. This involves enabling
and empowering others to believe that their input and effort will make a difference in
solving problems.
2. After a newly hired director of nursing has reviewed the hospital's strategic plans, she
develops a time line for achieving those plans. The new leader is:
a. not expecting that novice leaders will have a vision.
b. demonstrating mistrust of the abilities of her staff to implement the plans.
c. instituting deadlines against which the performance of staff will be evaluated.
d. translating a global document into realistic plans for nursing. - Answer-ANS: D
Followers need three things from leaders: direction, trust, and hope. Developing time
lines for the strategic plan involves translating a vision into reality and being able to
communicate a vision meaningfully, which is an example of a leader's influencing
behavior.
3. A nurse executive is hired to restore a unit's productivity, which has decreased as the
result of low staff morale. The nurse executive utilizes which of the following leadership
principles?
a. The leader declares the intent and goals to enhance productivity and assumes that
the unit also wishes to increase productivity, which allows nurses to feel in control of the
environment.
, b. If staff members increase productivity, then they are given opportunity to engage in
learning events such as workshops and conferences. If the staff members are not
satisfied, they will insist on a different leader, who will get them what they want.
c. Leaders at the national level who are seeking relief for nurses in the workplace are
seen as the solution to the nursing shortage.
d. Workplace satisfaction depends on staffing ratios, adequate pay, and tuition
reimbursement, and these are things the leader can control. - Answer-ANS: A
Stephen M.R. Covey suggests that Smart Trust is a method for restoring trust in
organizations. Smart Trust Actions include declaration of the leader's intent and
assumption by the leader that others also have positive intentions. Building trust
involves signaling goals and intended actions in advance. Actions such as promising
external rewards such as additional learning opportunities, workload relief, and
compensation are consistent with transactional leadership, which leads to low to stable
commitment and limited satisfaction.
4. The director of nursing has been observing staff interactions in a 20-bed coronary
care unit. Based on her observations, which of the following staff members is an
obvious leader?
a. The unit secretary who knows everyone's business
b. The chief nursing officer who is in charge and is responsible for nursing services
c. The chief cardiologist who admits the largest number of patients and brings in
more revenue than any other physician
d. The staff nurse who persuades other staff members to practice by making
evidence-based decisions - Answer-ANS: D
Leaders are those who do the best job of sharing their vision of where the followers
want to be and how to get there. It is the ability to inspire others to bring a vision (such
as evidence-based decision making) to reality and is not necessarily tied to status or
information flow.
5. After being interviewed for the unit manager position, the staff nurse reflects on the
interview process. The staff nurse is aware that leadership begins:
a. within.
b. through a relationship with a mentor.
c. with the job description.
d. with the chief nursing officer of the organization. - Answer-ANS: A
People notice differences in workplaces and tend to choose those that evidence a high
degree of trust between leaders and followers. Stephen M.R. Covey suggests that trust
begins with self and that leaders must focus first on developing character and
confidence, which is their credibility. Credibility enables leaders to trust themselves and
gives others someone or something that they can trust.
6. The nurse manager in the Emergency Department needs to implement new staffing
patterns. As a transformational leader, the nurse manager would:
a. explain in detail how well the new idea will work.
b. reinforce how this change will respond to the ideas and solutions generated by staff
members.
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