Essentials of Nursing Leadership and
Management 8, 9, 10, & 11
1. In dealing with conflict, it is important to approach it in a(n):
A. Competitive manner.
B. Destructive manner.
C. Cooperative manner.
D. Ambivalent manner. - correct answer-C. Cooperative manner 8
10. The stages of change described by Lewin include:
A. Change, change, and more change.
B. Change and refreezing.
C. Comfort, discomfort, and recomforting.
D. Unfreezing, change, and refreezing. - correct answer-D. Unfreezing, change and
refreezing 9
11. Individual staff members are likely to respond to change:
A. In ways that can be predicted consistently.
B. Consistently negatively.
C. In ways affected by personality and life experience.
D. Consistently positively. - correct answer-C. In ways affected by personality and life
experiences 9
12. Providing psychological safety is accomplished by:
A. Designing the change to be high quality.
B. Allowing time for learning a new procedure.
C. Delaying change implementation as long as possible.
D. Putting the changes into effect as fast as possible. - correct answer-B. Allowing time for
learning a new procedure 9
12. The most common source of incivility to new graduates are:
A. Co-workers.
B. Supervisors.
C. Physicians.
D. CNAs. - correct answer-A. Co-workers 8
13. Bullying of a new graduate is best described as:
A. Harmless hazing of the newcomer.
B. A group vs. group conflict.
C. Potentially devastating.
D. Usually well deserved. - correct answer-C. Potentially devastating 8
13. Personal change is best described as:
A. Part of one's development as a leader.
B. An entirely different phenomenon from technical change.
, C. Much more difficult to put into practice.
D. Something that happens within a person's comfort zone. - correct answer-A. Part as ones
development as a leader 9
14. Moral distress is best described as:
A. A rare phenomenon in health care.
B. A violation of professional ethics.
C. A common occurrence during collective bargaining negatives.
D. A union generated management-labor conflict. - correct answer-B. A violation of
professional ethics 8
14. The nurse manager of a busy pediatric unit noticed that a new infusion system seemed
to be difficult to use. What should the manager do first?
A. Call the manufacturer to complain
B. Bring in the nurse educator for more training sessions
C. Ask the staff if they are having problems with the system
D. Resend the instructions for using the system to all nursing staff - correct answer-C. Ask
the staff if they are having problems with the system 9
15. Why do some nurses consider it unprofessional to become a member of union?
A. Membership is too expensive
B. Unions are anti-professional
C. Strikes may affect ability to provide high quality care
D. All of the above - correct answer-C. Strikes may affect ability to provide quality care 8
16. Which of the following is likely to be necessary when introducing a new piece of complex
equipment?
A. Opportunity to practice using it
B. A brainstorming session on the purpose of the equipment
C. Opportunity for staff to express their feelings about receiving new equipment
D. A strict timeline for implementation - correct answer-A. Opportunity to practice using it 9
17. If change is a natural phenomenon, why does it often provoke resistance?
A. People resist doing more work.
B. It moves people out of their comfort zone.
C. Every change provokes passive resistance.
D. Change is never welcome. - correct answer-B. It moves people out of there comfort zone
9
18. According to research done by Kalisch, which group is most likely to embrace change?
A. Staff nurses
B. Nurse managers
C. Nursing assistants
D. All of the above - correct answer-B. Nurse managers 9
1The three major sources of resistance to change are:
A. Technical concerns, psychosocial needs, and threats to a person's position.
B. Staffing concerns, physical needs, and threats to hierarchy needs.
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