Test Bank Essentials of Nursing Leadership & Management, 7th Edition Sally A. Weiss Complete All Chapters 2023/2024

Test Bank Essentials of Nursing Leadership & Management, 7th Edition Sally A. Weiss Complete All Chapters 2023/2024. A nurse manager who uses a leadership style that is participatory and where authority is delegated to others is most likely using which of the following leadership styles? a. Autocratic b. Democratic c. Laissez-faire d. Employee-centered ANS: B, Democratic leadership is participatory, and authority is delegated to others. Autocratic leadership involves centralized decision making, with the leader making decisions and using power to command and control others. Laissez-faire leadership is passive and permissive, and the leader defers decision making. Employee-centered leadership focuses on the human needs of subordinates. 14. A characteristic of the consideration dimension of leadership behavior is: a. focus on the work to be done b. focus on the task. c. focus on production. d. focus on the employee. ANS: D, The leadership dimension of consideration involves activities that focus on the employee. Initiating structures of leadership involves an emphasis on the work to be done, and a focus on the task and production. 15. The leadership theory that considers follower readiness as a factor in determining leadership style is: a. contingency. b. path goal. a. situational. c. charismatic. ANS: C, Situational leadership considers the follower readiness as a factor in determining leadership style. Contingency theory views the pattern of leader behavior as dependent on the interaction of the personality of the leader and the needs of the situation. In path goal theory, the leader works to motivate followers and influence goal accomplishment. Charismatic leadership has an inspirational quality that promotes an emotional connection from followers. 16. In contingency theory, the feelings and attitudes of followers regarding acceptance, trust, and credibility of the leader are called: a. task structure. b. position power. c. low task structure. d. leader-member relations. ANS: D, In contingency theory, leader-member relations are the feelings and attitudes of followers regarding acceptance, trust, and credibility of the leader. Task structure of contingency theory means the degree that work is defined, with specific procedures, explicit directions, and goals. Low task structure involves work that is not routine, predictable, or clearly defined. Position power in contingency theory is the degree of formal authority and influence associated with the leader. REF: FIEDLERS CONTINGENCY THEORY 17. In situational theory, a telling leadership style is considered: a. high task, high relationship behavior. b. high task, low relationship behavior. c. low task, high relationship behavior. d. low task, low relationship behavior. ANS: B, A telling leadership style is high task behavior and low relationship behavior. A high task, high relationship style is called a selling leadership style. A low task and high relationship style is called a Test Bank Essentials of Nursing Leadership & Management 7th Edition Sally A. Weiss participating leadership style. A low task and low relationship style is called a delegating leadership style. REF: HERSEY AND BLANCHARDS SITUATIONAL THEORY 18. A nursing group has been very successful in achieving its goals even though the group has lacked leadership. Which of the following factors is probably most responsible for the groups success in goal achievement? a. Life experience b. Extrinsic satisfaction c. Informal organizational structures d. Cohesive groups ANS: D, Substitutes for leadership are variables that eliminate the need for leadership or nullify the effect of the leaders behavior. These include cohesive groups, work experience, intrinsic satisfaction, formal organizational structures, professionalism, indifference to rewards, routine tasks, feedback provided by the task, rigid adherence to rules, role distance, and low position power of the leader. REF: SUBSTITUTES FOR LEADERSHIP 19. The new nurse manager of a medical unit focuses on day-to- day operations and short-term goals, while the nurse manager of the mental health unit is committed to the vision that empowers the staff. The manager of the medical unit would most likely be considered which type of leader? a. Transformational leader b. Charismatic leader c. Transactional leader d. Autocratic leader ANS: C, A transactional leader focuses on operations and short-term goals. A transformational leader inspires and motivates others to excel and participate in a vision that goes beyond self-interests. A charismatic leader displays self-confidence and strength in convictions and communicates high expectations. An autocratic leader makes decisions and uses power to command and control others. REF: TRANSFORMATIONAL LEADERSHIP THEORY 20. The nursing staff perceive the newly hired Chief Nurse Administrator as a leader who is committed to a vision that empowers others. The Chief Nurse Administrator is most likely employing which type of leader? a. Transformational leader b. Charismatic leader c. Transactional leader d. Autocratic leader ANS: A, A transformational leader empowers others. A charismatic leader has an appeal based on personal power. A transactional leader focuses on day-to-day operations. An autocratic leader has central power and does not empower others. REF: TRANSFORMATIONAL LEADERSHIP THEORY 21. The nurse manager on one of the hospital units views the staff as basically lazy and only motivated by threats and coercion. Which theory of motivation would support the managers beliefs? a. Theory W b. Theory X c. Theory Y d. Theory Z Test Bank Essentials of Nursing Leadership & Management 7th Edition Sally A. Weiss ANS: B, The Theory X view is that in bureaucratic organizations, employees prefer security, direction, and minimal responsibility. Coercion, threats, or punishment are necessary because people do not like their work to be done. REF: THEORY X AND THEORY Y 22. A group of new nurse managers is undergoing a series of management training sessions. Which statement by one of the nurse managers would indicate use of McClellands Model of Motivation? McClellands Model focuses on: a. achievement, power, and affiliation. b. growth needs, relatedness needs, and existence needs. c. collective decision making, quality circles, and mentoring. d. self-actualization needs, safety and security needs, and self-esteem needs. ANS: A, McClellands Model of Motivation focuses on achievement, power, and affiliation. Growth needs, relatedness needs, and existence needs are aspects of Adlers model. Collective decision making, quality circles, and mentoring are the focus of Ouchis model. Self-actualization needs, safety and security needs, and self- esteem needs are reflected in Maslows model. REF: TABLE 1-1 NURSING LEADERSHIP CHARACTERISTICS AND ROLE ACTIVITIES 23. A nurse manager finds two employees arguing about the assigned schedule. Which role would be appropriate for the nurse manager to implement at this time? a. Advocate role b. Interpersonal role c. Decision-making role d. Information-processing role ANS: C, The decision-making role of a nurse manager would include being an entrepreneur, handling disturbances, and allocating resources. The information-processing role involves managing the information that the people need. The interpersonal role focuses on functioning as a figurehead, leader, or liaison. In the advocate role, the nurse manager would focus on supporting employee rights. REF: MANAGERIAL ROLES 24. A nurse manager who implements the bureaucratic management style will most likely do which of the following? a. Emphasize efficiency b. Use explicit rules and regulations for governing activities c. View the individual worker as the source of control, motivation, and productivity d. Expect unity of command and direction ANS: B, Bureaucratic management focuses on the use of explicit rules and regulations for governing activities. The human relations approach views the individual worker as the source of control, motivation, and productivity. Administrative principles focus on unity of command and direction. REF: BUREAUCRATIC MANAGEMENT 25. The nursing supervisor has traditionally made rounds at the same time each day. When the supervisor visits each unit, the staff appear to be extremely busy even when the census is very low. Today the supervisor visited a unit two hours early and found several staff members watching television and drinking coffee in the visitors lounge. The supervisor recognizes that the staffs previous behavior have been a result of which of the following? a. Coincidence b. Hawthorn effect c. Diligence of staff Test Bank Essentials of Nursing Leadership & Management 7th Edition Sally A. Weiss d. Time management ANS: B, Because the nursing supervisor traditionally made rounds at the same time each day, the staff members were prepared for the visit. When the supervisor arrived unexpectedly, the staff members were most likely caught off-guard. The Hawthorn effect occurs when recognition that one is being studied or observed results in a change in behavior. Coincidence, diligence of staff, and time management would not account for the dramatic change in behavior. REF: HUMAN RELATIONS MULTIPLE RESPONSE 1. A nurse manager who structures her approach on the McClelland Model of Motivation would most likely focus on which of the following? Select all that apply. a. Power b. Affiliation c. Quality circles d. Achievement e. Mentoring f. Collective decision making ANS: A, B, D, McClellands Model of Motivation focuses on power, achievement, and affiliation. Ouchis model focuses on quality circles, collective decision making, long-term employment, and mentoring. REF: FIGURE 1-1 KEY LEADERSHIP DIMENSIONS 2. A nurse manager who follows Herzbergs Two-Factor Theory would recognize that which of the following are hygiene- maintenance factors? Select all that apply. a. Job security b. Advancement opportunities c. Working conditions d. Relationships with others e. Status f. Achievement ANS: A, C, D, E, Herzbergs hygiene-maintenance factors include status, job security, quality of supervision, safe and tolerable work conditions, and relationships with others. Advancement opportunities, achievement, recognition, the work itself, personal growth, and responsibility are all motivation factors. 3. A nursing instructor determines that the nursing students understand the concept of knowledge worker if the students describe which of the following tasks of the knowledge worker? Select all that apply. a. Provide service b. Represent the organization c. Interact with the customer d. Focus on personal, life-long goals and achievement e. Bring expert knowledge f. Accomplish goals ANS: A, B, C, E, F, According to Peter Drucker, knowledge workers provide service, interact with the customer, represent the organization, and accomplish its goals. These workers bring specialized, expert knowledge to the organization, and they are valued for what they know. The knowledge worker focuses more on organizational goals than personal goals. REF: H1: KNOWLEDGE WORKERS Test Bank Essentials of Nursing Leadership & Management 7th Edition Sally A. Weiss Chapter 2: The Health Care Environment MULTIPLE CHOICE 1. Which of the following individuals observed that noise, food, rest, light, fresh air, and cleanliness were instrumental in health and illness patterns? a. W. Edwards Deming b. Florence Nightingale c. Isabel Hampton Robb d. Dorothea Dix ANS: B, Florence Nightingale was the first to observe that noise, food, rest, light, fresh air, and cleanliness were instrumental in health and illness patterns. W. Edwards Deming is known for his contribution to continuous performance improvement, and Isabel Hampton Robb was the first president of the ANA and a pioneer in nursing education. Dorothea Dix is best known for her patient advocacy, particularly in the areas of improved conditions for jails and mental asylums. REF: HISTORY OF HEALTH CARE 2. A nursing instructor asks a student what discoveries are attributable to Florence Nightingale. The instructor determines that further teaching is needed if the student responds: a. the need to monitor health care practitioners. b. the importance of structuring hospitals around care. c. the importance of collecting and using data for quality assessment. d. the importance of being informed regarding the activities of government policymakers. ANS: B, Nightingale is credited with a variety of discoveries related to health care such as the importance of structuring hospitals around nursing care (not merely care), the need to monitor/be informed regarding health care practitioners and government policymakers, and the importance of collecting and using data for quality assessment. REF: STRUCTURING HOSPITALS AROUND NURSING CARE 3. A new graduate wants to explore the three components of each heath care system before applying for a position. The graduate would plan to explore which of the following? a. Strategy, outcome, and performance b. Process, strategy, and opportunity c. Structure, process, and outcome d. Outcome, procedure, and structure ANS: C, The three simple elements of health care systems are structure (resources or structures required to deliver health care), process (quality activities, procedures, and tasks performed to deliver quality health care), and outcome(the results of good health care delivery). REF: ORGANIZATION OF HEALTH CARE 4. Which of the following organizations has set forth three primary goals for good health care? a. The Institute of Medicine b. The Centers for Disease Control and Prevention c. The Agency for Healthcare Research and Quality d. The World Health Organization ANS: D, The World Health Organization (WHO) has been a leading advocate of quality health care delivery, as evidenced by its Test Bank Essentials of Nursing Leadership & Management 7th Edition Sally A. Weiss three primary goals for what good health care should do. The Institute of Medicine (IOM) is best known for its quality data reports such as To Err Is Human (IOM, 1999), and the Centers for Disease Control and Prevention is a leading infection and disease agency in the United States. The Agency for Healthcare Research and Quality is another quality-based organization and produces reports such as the National Healthcare Disparities Report (NHDR). REF: ORGANIZATION OF HEALTH CARE 5. A nurse working on the unit budget would recognize that the resources needed to deliver quality health care such as nurses, practitioners, medical records, buildings, and pharmaceuticals are considered which aspects of health care? a. Process b. Structure c. Organization d. Practice ANS: B, The health care structure is comprised of the resources or structures needed to produce quality health care. Some of these structures or resources are human (staff and personnel) or physical (buildings or facilities). REF: ORGANIZATION OF HEALTH CARE 6. The human resource manager understands that an example of a quality performance outcome measure involves which of the following?