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2024 LEADERSHIP CHAPTER 11 EXAM
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2024 LEADERSHIP CHAPTER 11 EXAM
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20242024 LEADERSHIP CHAPTER
11 EXAM
The manager of a busy medical-surgical wants to establish a transition-to-
practice program. The manager should cite what benefit of the proposed program to the hospital's
administrators?
a. More experienced nurses will be likely to apply for jobs.
b. Nurses on the unit will be more motivated.
c. Staffing costs will be reduced.
d. Turnover of new staff will likely be reduced. - CORRECT ANSWERS-ANS: D
Feedback: Transition-to-practice programs reduce staff turnover and attrition. Their
existence is less likely to be an issue for more experienced nurses. These programs can be
expensive and may not cause a reduction in overall staffing costs. This program is unlikely
to affect overall motivation on the unit.
A nurse will soon be creating a plan for continuing competence. What activity should the nurse prioritize when making this plan?
a. Reflecting on his or her own practice
b. Eliciting input from trusted nursing colleagues
c. Eliciting input from members of other health disciplines
d. Setting 3-year and 5-year career goals - CORRECT ANSWERS-ANS: A
Feedback: Reflection is a critical step in the development of a continued competence plan,
and it must precede the development of goals. Eliciting input from others can be beneficial,
but it is not a substitute for self-reflection.
A nurse has more than four decades of experience. In order to ensure that
the nurse is not seen as obsolete by peers and colleagues, the nurse should:
a. seek a leadership position.
b. offer to mentor newly graduated nurses.
c. change jobs as frequently as possible.
d. continually seek new knowledge and experience. - CORRECT ANSWERS-
ANS: D
Feedback: Nurses in the later stages of their career must aim to "reinvent"
themselves in
order to avoid being seen as obsolete. This normally entails the acquisition of new
knowledge and experience. Holding a leadership position does not guarantee that the nurse 2024
will acquire new knowledge and skills nor does mentoring a new graduate.
Changing jobs
exposes the nurse to new settings and experiences but does not necessarily cause the nurse
to gain new knowledge and skills.
A nurse is currently in the "promise" phase of career development. What goal should the nurse prioritize during this stage?
a. Acting as a role model to recent graduates
b. Gaining exposure to a variety of experiences
c. Avoiding obsolescence
d. Graduating from nursing school - CORRECT ANSWERS-ANS: B
Feedback: Promise is the earliest of the career phases and typically reflects the first 10 years
of nursing employment. Milestones to be attained include socialization to the nursing role
(becoming an insider); building knowledge, skills, abilities, credentials, and an education
base; and gaining exposure to a variety of experiences. This stage begins after graduation,
not before. Role modeling becomes more of a priority in the subsequent stages of the
nurse's career. Obsolescence (or the perception of it) becomes an increasing concern during
the harvest stage.
An experienced nurse-manager describes a recently hired nurse as "very promising." The manager can best promote this nurse's career development by:
a. asking other nurses to model their behavior on the new nurse's behavior.
b. providing the nurse with increasingly challenging work assignments.
c. removing the nurse from client care responsibilities and assigning management tasks.
d. providing the nurse with positive feedback. - CORRECT ANSWERS-ANS: B
Feedback: Providing challenging assignments is one way that the nurse's skills and
knowledge can be enhanced, benefiting career development. Identifying the recent hire as a
role model may place undue stress on the nurse and may create resentment from other
nurses who have more experience. Giving the nurse positive feedback may validate the
nurse's performance but will not necessarily promote career development.
Removing the
nurse from client care would be premature at this early stage.
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