Esmeralda Espitia
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Leadership test 1 (Leadership test 1) Quiz on Chapter 9, created by Esmeralda Espitia on 08/02/2020.

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Esmeralda Espitia
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Chapter 9

Chapter 9

Question 1 of 26

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1. A nurse manager is experiencing poor staff morale on her unit. While participating in a baccalaureate course, the nurse manager had learned that one of the reasons nurses lack power today is probably because of the past. In the early decades of the profession, nurses lacked power because:

Select one of the following:

  • a. Nurses freely chose to defer to physicians and administrators with more education.

  • b. Women lacked legal, social, and political power because of legal and cultural barriers.

  • c. The first nursing licensure laws prohibited nurses from making most decisions.

  • d. Nurses astutely recognized the risks of grabbing too much power too soon.

Explanation

Question 2 of 26

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2. Nurses who engage in in-fighting, seek physician support against nursing colleagues, and avoid political advocacy through membership in nursing organizations:

Select one of the following:

  • a. Refuse to believe that they are acting like members of groups that suffer socioeconomic oppression.

  • b. Do not understand how their failure to exercise power can limit the power of the whole profession.

  • c. Purposefully choose to exercise their power in the workplace through indirect means.

  • d. Suffer from learned helplessness as a result of abuse by powerful nurse executives.

Explanation

Question 3 of 26

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3. A nurse belongs to several professional organizations, serving on a state-level committee of one group and on two task forces at work. The nurse is committed to a range of health issues and knows the state senator from the nurses district, as well as the name of the representative in Washington, DC. This nurse exemplifies which level of political activism in nursing?

Select one of the following:

  • a. Gladiator

  • b. Buy-in

  • c. Self-interest

  • d. Political astuteness

Explanation

Question 4 of 26

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4. A manager relies on his director (immediate supervisor) for advice about enrolling in graduate school to prepare for a career as a nurse executive. The director may exercise what kinds of power in the relationship with the manager in this advisory situation?

Select one of the following:

  • a. Expert, coercive, and referent

  • b. Reward, connection, and information

  • c. Referent, expert, and information

  • d. Reward, referent, and information

Explanation

Question 5 of 26

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5. A nurse manager must implement a 2% budget cut on the nursing unit. Which approach should the manager use to most effectively empower the staff of the unit?

Select one of the following:

  • a. Discuss the guidelines for the budget cuts with the staff, making the decisions with those who participate.

  • b. Inform the staff of the budget cuts in a series of small group meetings and accept their ideas in writing only.

  • c. Provide the staff with handouts about the budget cuts and let them make recommendations in writing.

  • d. Hold a series of mandatory meetings on the budget cuts, asking staff for ideas on the cuts.

Explanation

Question 6 of 26

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6. During orientation of new nurse managers, the chief nursing officer stresses strategies that help nurse managers to achieve a powerful image. Which groups of behaviors best contribute to a powerful image for the nurse manager?

Select one of the following:

  • a. Greeting patients, families, and colleagues with a handshake and a smile; listening carefully when problems arise

  • b. For men, no facial hair, always wearing a suit and tie; for women, always wearing a suit and high-heeled shoes

  • c. Maintaining a soft voice during times of conflict; making unbroken eye contact during interactions

  • d. Smiling all the time; always wearing a suit, carrying a briefcase, and, if a woman, wearing no jewelry

Explanation

Question 7 of 26

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7. Two nurses approach their manager about a conflict regarding the next months schedule. The nurses are talking loudly and at the same time. The manager most effectively uses communication skills to resolve the conflict by:

Select one of the following:

  • a. Taking both nurses aside, separately and then together, and charging them with resolving the problem without her direct intervention.

  • b. Listening to each nurse speak to the other without interruption and asking clarifying questions to help them resolve the issue themselves.

  • c. Separating the nurses, instructing each to decide how the problem can be resolved, and meeting with them the next day.

  • d. Calling an emergency scheduling committee meeting and asking volunteers to resolve the conflict between the two nurses.

Explanation

Question 8 of 26

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8. A nurse manager recognizes the need to expand her professional network as she begins a job search for a middle-management position. Which of the following actions is least likely to expand her job-searching network?

Select one of the following:

  • a. Reviewing her address book or card file for names and phone numbers of former colleagues who are now in middle-management positions

  • b. Making an appointment to meet with a former instructor from her graduate program in nursing administration

  • c. Making a long overdue return call to a former colleague who is now a chief nurse executive

  • d. Attending a state-level conferences for nurse managers and executives and volunteering to help with professional organizations informal luncheons and receptions

Explanation

Question 9 of 26

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9. A staff nurse asks the nurse manager for a few days off for personal reasons. The nurse manager turns in the request to the human resources office with a note indicating that the staff nurse has demonstrated excellent working skills and is a valued employee. The nurse manager has used the influence of her position to help this staff member. Influence is the process of:

Select one of the following:

  • a. Using power.

  • b. Empowering others.

  • c. Understanding power.

  • d. Moving past apathy.

Explanation

Question 10 of 26

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10. A nurse is participating in a baccalaureate course. For the class, she has to attend the legislative session regarding the new role of medication assistants. Nurses should be involved in shaping public policy primarily because:

Select one of the following:

  • a. Involvement will enable nurses to take over the healthcare system at some point in the future.

  • b. Other healthcare professions are less concerned about the essential needs of clients.

  • c. Such activities are important career builders for nurses who seek top-level executive positions.

  • d. They are closest to the front line of health care and see how it affects clients and families.

Explanation

Question 11 of 26

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11. Sondra, a new graduate, recently began a position as a registered nurse in a rural hospital, where she is the youngest and newest staff member. Although she has limited experience, she has a strong knowledge base, is confident, and was considered to have strong entry-level skills on graduation. Sondra meets with her former instructor and confides that she is very frustrated that others do not seem to accept her leadership. What might you suggest that would help Sondra to understand what is happening in terms of power and influence?

Select one of the following:

  • a. As a new graduate, it is unlikely that she has acquired the experience and knowledge of other staff, including aides and practical nurses.

  • b. Rural settings tend to be closed systems and therefore are, not welcoming of those who are not from their community.

  • c. Morale on her unit can be improved by engaging in shared decision making.

  • d. Identify the informal leaders on her unit and how they affect care decisions.

Explanation

Question 12 of 26

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12. Literature on oppression in nursing has:

Select one of the following:

  • a. Verified the presence of behaviors associated with oppression within nursing.

  • b. Suggested that oppression leads to bullying but has little or no effect on patient outcomes.

  • c. Failed to establish that oppression is present in nursing groups.

  • d. Indicated that nurses use oppression negatively.

Explanation

Question 13 of 26

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13. Politics is usually:

Select one of the following:

  • a. Confined to legislatures.

  • b. Seen in dysfunctional workplaces.

  • c. Found in all social organizations.

  • d. A representation of self-interest.

Explanation

Question 14 of 26

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14. Your colleague Mary, a recent graduate, announces one day that she intends to leave nursing in 3 to 4 months to pursue a position in marketing. While at your agency, she plans to give patients excellent care and to learn as much as she can, because Who knows? Nursing is a great job with a great pay and I may return someday. Marys statements most accurately exemplify which orientation to the concept of nursing? Nursing as a(n):

Select one of the following:

  • a. Profession.

  • b. Occupation.

  • c. Flexible discipline.

  • d. Career with off and on ramps.

Explanation

Question 15 of 26

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15. Lucy, head nurse on the surgical unit, works with her staff to find ways in which they can work together with other disciplines to provide more effective care for patients on the unit. Lucy likely knows her power is:

Select one of the following:

  • a. Limited, thereby necessitating involvement of others in implementing ideas.

  • b. Restricted, which necessitates finding alternative means to achieve strong patient outcomes.

  • c. Directed primarily toward those who are subordinate to her.

  • d. Of unlimited capacity when shared with others.

Explanation

Question 16 of 26

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16. One day, at coffee, your co-worker suggests that you and she sit with unit members of the hospital research committee. She suggests that this would be an excellent way to get to know people who share her interest in research. Her actions are an example of:

Select one of the following:

  • a. Mentorship.

  • b. Politics.

  • c. Networking.

  • d. Empowerment.

Explanation

Question 17 of 26

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17. The workgroup on NU 23 is marked by apathy toward the wards patients, high absenteeism, open conflict among team members, and high turnover of personnel, including managers. The underlying behavior in this situation may be characterized as:

Select one of the following:

  • a. Powerlessness.

  • b. Anger.

  • c. Apathy.

  • d. Oppression.

Explanation

Question 18 of 26

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18. During a unit meeting, you notice that Vivian listens attentively when Mary is speaking and offers support and advice when Mary presents ideas to the group. You are surprised because Vivian has often confided that she does not like Mary. Vivians behavior is best described as:

Select one of the following:

  • a. Insincere.

  • b. Networking.

  • c. Politically sophisticated.

  • d. Collegial.

Explanation

Question 19 of 26

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19. Which of the following interactions is MOST consistent with the idea of networking?

Select one of the following:

  • a. Meet with the same colleagues daily to have coffee and share concerns about the workplace and stories about colleagues.

  • b. Join an online workplace forum to gain ideas about how to handle workplace conflict.

  • c. Suggest that you and a new team member meet after work for coffee to review unit guidelines.

  • d. Join a nurse executive interest group to meet other executives for support and for sharing ideas of expertise.

Explanation

Question 20 of 26

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20. The institution where you are a nurse manager has resisted the adoption of a new document management software, citing cost as a concern. You meet with other nurse managers who are in favor of the software and prepare a proposal to take to the senior executive with the goal of persuading the executive to adopt the software. This is an example of:

Select one of the following:

  • a. Collaboration.

  • b. A coalition.

  • c. Networking.

  • d. Policy building.

Explanation

Question 21 of 26

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21. Which of the following is the best example of skilled negotiation?

Select one of the following:

  • a. Linda, the manager on pediatrics, takes a proposal to her supervisor, outlining the benefits of a walk-in preoperative area for children.

  • b. Kim, RN, asks for leave to pursue a semester of full-time study in her graduate program. She proposes to accept less popular rotations during peak vacation time, in return.

  • c. George, the head nurse in ER, asks for additional staff for his department and points out the benefits of being able to keep patients for longer periods.

  • d. Jerry speaks with his supervisor about his supervisors concerns related to bedside reporting before presenting a proposal to change this process.

Explanation

Question 22 of 26

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22. Amy has worked in the dialysis unit on staff for about 12 years. She is frequently consulted by other nursing staff regarding protocols and policies on the unit. What type of power is Amy using?

Select one of the following:

  • a. Position power

  • b. Expert power

  • c. Personal power

  • d. Competency power

Explanation

Question 23 of 26

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23. Despite repeated invitations by his colleagues to become involved in regional and state nursing practice committees, Tom refuses. His reason is that nursing committees rarely get anything worthwhile done because of politics and conflicts. According to the text, Toms view of involvement:

Select one of the following:

  • a. Is rare in nursing today.

  • b. Reflects a fear of power.

  • c. Reflects the essential process of power.

  • d. Reflects empowerment and capacity to make his own decisions.

Explanation

Question 24 of 26

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24. A unit manager watches a new RN graduate interacting with a patient. When the RN comes out of the room, the unit manager says, I dont know what they taught you in your nursing program, but if I see you do that again, I will write you up. This example demonstrates:

Select one of the following:

  • a. Coercive use of power.

  • b. Appropriate application of control.

  • c. Use of informatory power.

  • d. Use of power to provide coaching.

Explanation

Question 25 of 26

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25. Susan, an RN in the ED, would like to pursue leadership roles in her career. She is frustrated that others in her working environment seem to pay little attention to her creative ideas or place her in informal leadership positions. As her colleague, you want to provide her with helpful feedback. Which of the following statements will provide feedback as to how she might communicate power and demonstrate that she is capable of handling other leadership responsibilities?

Select one of the following:

  • a. I find your soft voice and manners very reassuring and calming to patients.

  • b. Try using a wider vocabulary and big words so that people will think that you are knowledgeable.

  • c. At times, you tend to slump and avoid eye contact when you are talking with colleagues and families.

  • d. Dont worry about what others think of you. If you feel like saying something, say it, even if it hurts other peoples feelings.

Explanation

Question 26 of 26

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1. As a new manager in the ED, you meet with each of the staff to ask about their priorities and what they think is going well in the department or what is of concern to them. Almost all of the staff express frustration and distress at being treated rudely or disrespectfully by patients, staff from other departments, and physicians and complain that they feel that nurses in the ED are not valued. With the staff, you brainstorm to raise the profile of nurses. Which of the following strategies would be most effective? (Select all that apply.)

Select one or more of the following:

  • a. Requesting increased compensation

  • b. Speaking positively about ones work

  • c. Dressing and grooming in a clean and neat manner

  • d. Using titles (e.g., Mr., Mrs., Ms.) and last names

  • e. Submitting a written complaint to senior administration regarding rude behaviors

  • f. Developing a code of conduct for the ED staff.

Explanation

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