Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank, Exams of Nursing

Download Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank and more Exams Nursing in PDF only on Docsity! Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Chapter 1 Making, Problem Solving, Critical Thinking, and Clinical Reasoning: Requisites for successful leadership and management 1. What statement is true regarding decision making? A) It is an analysis of a situation B) It is closely related to evaluation C) It involves choosing between courses of action D) It is dependent upon finding the cause of a problem Ans: C Feedback: Decision making is a complex cognitive process often defined as choosing a particular course of action. Problem solving is part of decision making and is a systematic process that focuses on analyzing a difficult situation. Critical thinking, sometimes referred to as reflective thinking, is related to evaluation and has a broader scope than decision making and problem solving. 2. What 1. A) Its need for implementation time 2. B) Its lack of a step requiring evaluation of results 3. C) Its failure to gather sufficient data 4. D) Its failure to evaluate alternatives Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Ans: A Feedback: The traditional problem-solving model is less effective when time constraints are a consideration. Decision making can occur without the full analysis required in problem solving. Because problem solving attempts to identify the root problem in situations, much time and energy are spent on identifying the real problem. 4. What influences the quality of a decision most often? A) The decision makers immediate superior B) The type of decision that needs to be made C) Questions asked and alternatives generated D) The time of day the decision is made Ans: C Feedback: The greater the number of alternatives that can be generated by the decision maker, the better the final decision will be. The alternatives generated and the final choices are limited by each persons value system. 5. What 1. A) Good decision makers are usually right-brain, intuitive thinkers 2. B) Effective decision makers are sensitive to the situation and to others 3. C) Good decisions are usually made by left-brain, logical thinkers 4. D) Good decision making requires analytical rather than creative processes Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank 9. Which statement is true concerning critical thinking? 1. A) It is a simple approach to decision making 2. B) It is narrower in scope than decision making 3. C) It requires reasoning and creative analysis 4. D) It is a synonym for the problem-solving process Ans: C Feedback: Critical thinking has a broader scope than decision making and problem solving. It is sometimes referred to as reflective thinking. Critical thinking also involves reflecting upon the meaning of statements, examining the offered evidence and reasoning, and forming judgments about facts. Page 3 3. Which of the following statements is true regarding decision making? 1. A) Scientific methods provide identical decisions by different individuals for the same problems 2. B) Decisions are greatly influenced by each persons value system 3. C) Personal beliefs can be adjusted for when the scientific approach to problem solving is used 4. D) Past experience has little to do with the quality of the decision Ans: B Feedback: Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Values, life experience, individual preference, and individual ways of thinking will influence a persons decision making. No matter how objective the criteria will be, value judgments will always play a part in a persons decision making, either consciously or subconsciously. is a weakness of the traditional problem-solving model? Page 1 10. How do administrative man managers make the majority of their decisions? 1. A) After gathering all the facts 2. B) In a manner good enough to solve the problem 3. C) In a rational, logical manner 4. D) After generating all the alternatives possible Ans: B Feedback: Many managers make decisions that are just igood enoughi because of lack of time, energy, or creativity to generate a number of alternatives. This is also called isatisficing.i Most people make decisions too quickly and fail to systematically examine a problem or its alternatives for solution. 11. What 1. A) Is evaluation necessary when using a good decision-making model? Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank 2. B) Can evaluation be eliminated if the problem is resolved? 3. C) Will the effectiveness of the decision maker be supported? 4. D) Will the evaluation be helpful in increasing ones decision-making skills? Ans: D Feedback: The evaluation phase is necessary to find out more about ones ability as a decision maker and to find out where the decision making was faulty. 12. Which statement concerning the role of the powerful in organizational decision making is true? 1. A) They exert little influence on decisions that are made Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank 4. D) Having private beliefs that are separate from corporate ones Ans: D Feedback: The ability of the powerful to influence individual decision making in an organization often requires adopting a private personality and an organizational personality. Affirming the consequences Arguing from analogy Deductive reasoning Overgeneralizing D 15. What 1. A) Examine alternatives visually and compare each against the same criteria 2. B) Quantify information 3. C) Plot a decision over time 4. D) Predict when events must take place to complete a project on time Ans: A Feedback: A decision grid allows one to visually examine the alternatives and compare each against the same criteria. Although any criteria may be selected, the same criteria are used to analyze each alternative. does a decision grid allow the decision maker to do? Page 5 Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank 16. What statement regarding management decision-making aides is true? A) They are subject to human error B) They ensure good decision making C) They eliminate uncertainty and risk D) They tend to save management time Ans: A Feedback: Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Management decision-making aides are subject to human error. Some of these aides encourage analytical thinking, others are designed to increase intuitive reasoning, and a few encourage the use of both hemispheres of the brain. Despite the helpfulness of these tools, there is a strong tendency for managers to favor first impressions when making a decision, and a second tendency, called confirmation biases, often follows. 17. What 1. A) Discrete, unconscious process to allow individuals to solve problems quickly 2. B) Set of rules to encourage learners to discover solutions for themselves 3. C) Formal process and structure in the decision-making process 4. D) Trial-and-error method or rules-of-thumb approach Ans: A Feedback: Most individuals rely on discrete, often unconscious processes known as heuristics, which allows them to solve problems more quickly and to build upon experiences they have gained in their lives. Thus, heuristics use trial-and-error methods or a rules-of- thumb approach, rather than set rules, and in doing so, encourages learners to discover solutions for themselves. 18. Which statement is true regarding an economic man style manager? 1. A) Lacks complete knowledge and generates few alternatives 2. B) Makes decisions that may not be ideal but result in solutions that have an adequate Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank futuristic in their thinking. Individuals with lower-right-brain dominance experience facts and problem solve in a more emotional way than the other three types. 21. Which problem-solving learning strategy provides the learner with the most realistic, risk-free learning environment? 1. A) Case studies 2. B) Simulation Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank 3. C) Problem-based learning (PBL) 4. D) Grand rounds Ans: B Feedback: Simulation provides learners opportunities for problem solving that have little or no risk to patients or to organizational performance while providing models, either mechanical or live, to provide experiences for the learner. While the other options provide learning opportunities that include problem solving, simulation is the most realistic while also being low risk. Page 7 22. Which statement demonstrates a characteristic of a critical thinker? Select all that apply. 1. A) iSince that didnt work effectively, lets try something different.i 2. B) iThe solution has to be something the patient is willing to do.i 3. C) iIll talk to the patients primary care giver about the problem.i 4. D) iMaybe there is no new solution to this particular problem.i Ans: A, B, C Feedback: A critical thinker displays persistence, empathy, and assertiveness. The remaining options reflect limited thinking and an inability to think outside the box. Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank 23. What is the value of using a structured approach to problem solving for the novice nurse? 1. A) Facilitates effective time management 2. B) Supports the acquisition of clinical reasoning 3. C) Supplements the orientation process 4. D) Encourages professional autonomy Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank difficult to construct that is not its strength since it is dependent on the inclusion of accurate data and effective evaluation of that data. Chapter 2 Classical Views of Leadership and Management 1. Which represents the management functions that are incorporated into the management process? 1. A) Planning, directing, organizing, staffing, and evaluating 2. B) Planning, organizing, staffing, directing, and controlling 3. C) Organizing, planning, staffing, directing, and evaluating 4. D) Organizing, staffing, planning, implementing, and controlling Ans: B Feedback: Management functions include planning, organizing, staffing, directing, and controlling. These are incorporated into what is known as the management process. 2. What 1. A) Meeting worker satisfaction 2. B) Delineating barriers to productivity 3. C) Using a laissez-faire approach Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank does traditional management science focuses upon? Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank 4. D) Encouraging employee participation Ans: B Feedback: Classical, or traditional, management science focuses on production in the workplace and on delineating organizational barriers to productivity. Little attention was given to worker job satisfaction, and workers were assumed to be motivated solely by economic rewards. does traditional management science focuses upon? Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank 3. What 1. A) Workers will naturally put forth effort 2. B) Workers need threats to be motivated 3. C) Workers are diligent and responsible 4. D) Workers are in tune with organizational needs Ans: B Feedback: Theory X managers believe that their employees are basically lazy, need constant supervision and direction, and are indifferent to organizational needs. assumption about workers does Theory X hold? Page 1 4. What does the Hawthorne effect implied about people? A) Human beings under investigation will respond to the fact that they are being studied B) Production will increase or decrease as light in a factory is increased or decreased C) Membership in small groups forms social control D) People are inherently good and will seek out work Ans: A Feedback: Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank assumption about workers does Theory X hold? Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank scale organizations to determine what made some more efficient than others. What was his conclusion? 1. A) Workers had to have a say in management to work most effectively 2. B) Consistent rules and regulations for workers increased efficiency 3. C) Employees should feel appreciated and valued 4. D) Workers need frequent rest periods to increase overall production Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Ans: B Feedback: Weber saw the need for legalized, formal authority and consistent rules and regulations for personnel in different positions. He thus proposed bureaucracy as an organizational design. None of the other options reflect his conclusions. 8. Which leadership style maintains strong control over the work group and uses coercion to motivate others? 1. A) Authoritarian 2. B) Democratic 3. C) Laissez-faire 4. D) A contingency approach Ans: A Feedback: Lewin identified three common leadership styles: authoritarian, democratic, and laissez- faire. Authoritarian leadership results in well-defined group actions that are usually predictable, reducing frustration in the work group and giving members a feeling of security. Productivity is usually high, but creativity, self- motivation, and autonomy are reduced. Authoritarian leadership is frequently found in very large bureaucracies such as the armed forces. Coercion to motivate is not associated with the other options. 9. Which statement about situational or contingency leadership theory is correct? Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank 1. A) High relationship behavior is much more essential to a good manager than high task behavior 2. B) This leadership model is effective in bureaucratic organizations because it is task focused 3. C) Management should be consistent in different situations so workers understand what is expected of them 4. D) The leadership style chosen by a manager should reflect the task/relationship behavior of those being managed Ans: D Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Traditional managers influence those in their own groups while integrated leaders influence others beyond their own group. The remaining options represent traits that may be shared by both types. 12. What 1. A) Leadership is a process of influencing others within an organizational culture 2. B) The interactive relationship between the leader and the follower is significant 3. C) Some are born to lead, whereas others are born to be led 4. D) Vision and empowerment are two of the most critical leadership skills Ans: C Feedback: Early leadership theorists focused on broad conceptualizations of leadership that assumed that people have certain characteristics or personality traits that make them better leaders than others. The remaining options do not describe a concept suggested by early leadership- theory development. concept does early leadership-theory development suggest? Page 4 13. Which is a characteristic of Theory Z? 1. A) Non-consensus decision making 2. B) Fitting employees to their jobs Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank concept does early leadership-theory development suggest? Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank 3. C) Rapid career promotions 4. D) Authoritative problem solving Ans: B Feedback: Characteristics of Theory Z include fitting employees to their jobs, consensus decision making, job security, slower promotions, examining the long-term consequences of management decision making, quality circles, guarantee of lifetime employment, establishment of strong bonds of responsibility between superiors and subordinates, and a holistic concern for the workers. Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank 14. What type of leader is the person who is committed, has a vision, and is able to empower others with this vision? 1. A) Transactional 2. B) Transformational 3. C) Interactional 4. D) Bureaucratic Ans: B Feedback: Transformational leadership positively impacts the leader and the follower, who have a collective purpose. The traditional manager, concerned with the day-to- day operations, was termed a transactional leader. The remaining options are not associated with these characteristics. 15. How many primary leadership styles have been identified? 1. A) One 2. B) Two 3. C) Three 4. D) Four Ans: C Feedback: Three primary leadership styles have been identified: authoritarian, democratic, Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank 18. What A) Leadership behavior is generally determined by the relationship between the is the basic premise of the interactional theory? leaders personality and the specific situation 2. B) Manager behaviors are generally determined by the relationship between the managers personality and the specific situation. Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank 3. C) Both managers and followers have the ability to raise each other to higher levels of motivation and morality. 4. D) Both leaders and followers have the ability to raise each other to higher levels of motivation and morality. Ans: A Feedback: The basic premise of interactional theory is that leadership behavior is generally determined by the relationship between the leaders personality and the specific situation. Transformational leadership is where both leaders and followers have the ability to raise each other to higher levels of motivation and morality. Page 6 19. It is the idea that context is an important mediator of transformational leadership, that led to the creation of full range leadership theory early in the 21st century. This theory originally developed by Antonakis, Avolio, and Sivasubramaniam suggests how many transformational factors impacting leadership style and its impact on followers? 1. A) One 2. B) Three 3. C) Five 4. D) Nine Ans: C Feedback: Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank There are nine factors impacting leadership style and its impact on followers; five are transformational, three are transactional, and one is a nonleadership or laissez-faire leadership factor. 20. What 1. A) Transactional 2. B) Transformational 3. C) Interactional Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Ans: A, B, C, D Feedback: Leadership roles include mentoring, decision making, advocating, andenergizing. Risk taking is also considered a leadership role. 23. The failure to engage in which activity is considered a fatal flaw of leadership? Select all that apply. A) B) C) D) Ans: Feedback: Leadership is flawed and likely ineffective when the leader does not collaborate and communicate effectively with others in the organization. The improvement and development of both others and oneself is vital to the effectiveness of a leader. Clear forward thinking is associated with good leadership. 24. Which statement by a subordinate demonstrates the greatest problem for the leader? 1. A) iYour plans for the changes will be difficult to implement.i Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank 2. B) iI dont think you heard what the rest of us had to say.i 3. C) iDo you have an idea what direction we need to go?i 4. D) iCan you tell me why my suggestion will not work?i Ans: A Feedback: The statement is a clear indication that the subordinate feels the leader is not listening and collaborating; this is a fatal flaw. The other statements are more open to explanation by and with the subordinate and leader. Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Collaboration Communication Self-improvement Staff development A, B, C, D Page 8 25. Which function of the management process involves the performance evaluation of staff? 1. A) Planning 2. B) Organizing 3. C) Staffing 4. D) Controlling Ans: D Feedback: Controlling is the function that includes performance appraisals, fiscal accountability, quality control, legal and ethical control, and professional and collegial control. Chapter 3 Twenty-First-Century Thinking About Leadership and Management 1. What concept is servant leadership based upon? A) Trusting and valuing employees B) Genuinely liking your colleagues C) A laissez-faire style of leadership D) A dynamic leadership Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank 4. Which statement regarding the characteristics of a good leader is true? 1. A) They are totally trustworthy 2. B) They may have character flaws 3. C) They are by nature good intentioned 4. D) Charisma is their strongest attribute Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Ans: B Feedback: Leaders may be deceitful and trustworthy, greedy and generous, and cowardly and brave. To assume that all good leaders are good people is foolhardy and makes us blind to the human condition. It is only when we recognize and manage our failings that leaders achieve greatness. 5. To decrease overtime, the manager of a surgical unit offers nurses who get their work finished on time for an entire 2-month period an extra day off with pay at regular time. What is this an example of? 1. A) Bribing nurses 2. B) Quantum leadership 3. C) Principal agent theory 4. D) Servant leadership Ans: C Feedback: Principal agent theory suggests that followers may have an informational (expertise or knowledge) advantage over the leader as well as their own preferences, which may deviate from that of the principal. This may lead to a misalignment of goals. To influence the agent, the principal offers an incentive that corrects excessive overtime. The remaining options do not represent the example offered. 6. Which statement concerning nursing leadership functioning at its potential is true? Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank 1. A) The leadership role is most important in nursing today 2. B) Leadership is most important in managing health-care costs 3. C) The most important nursing leadership role is being charismatic 4. D) There is a need to integrate nursing management and nursing leadership Ans: D Feedback: Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank 1. A) Using emotional intelligence 2. B) Transformational leadership 3. C) Building human capital 4. D) Using quantum leadership Ans: C Feedback: By providing classes in leadership, the manager is investing in the potential of the head nurse staff to become better leaders and managers. Human capital refers to the attributes of a person that are productive in some economic context, although it is normally measured and conceived of as a private return to the individual as well as a social return. None of the remaining options relate to the example provided. is an example of a positive outcome of a leaders emotional intelligence? Page 3 10. An organization has hired six RNs who have recently immigrated to the United States. The manager has noticed they interact very little with other staff, often speaking in their own language during their breaks, although they speak English while on duty. Which intervention would be the most helpful action for the manager to help these new RNs better assimilate? 1. A) Explain to the new nurses the problem that their isolating is causing. 2. B) Arrange to send them to an English language course at the local adult school. 3. C) Ask the established RNs to make an effort to include the new nurses in after-work activities. Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank 4. D) Begin a short sharing session before client report, so all RNs can share information about their cultures and differences in client care. Ans: D Feedback: Providing an opportunity for both groups of nurses to share their cultural heritage and differences in nursing care is an opportunity to promote acceptance among all members of the staff. It has been established that speaking the language is not a problem since they do so while on duty. Including them in after-work activities may demonstrate willingness on the staffs part but will not address work-related isolation. Merely presenting the problem to the new nurses does not show managing initiative. 11. What Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank 1. A) Challenging the status quo 2. B) Learning new technology 3. C) Keeping up with current nursing knowledge 4. D) Being a transformational leader Ans: A Feedback: Thought leadership applies to a person who is recognized among his or her peers for innovative ideas and who demonstrates the confidence to promote those ideas. Thus, thought leadership refers to any situation in which one individual convinces another to consider a new idea, product, or way of looking at things. None of the other options is a focus of thought leadership. is a focus of thought leadership? Page 4 12. What statement describes the concept of quantum leadership? A) Ability to use emotions effectively that is required by leader-managers in order to enhance their success B) In order to lead, leaders must be true to themselves and their values and act accordingly C) One individual convinces another to consider a new idea, product, or way of looking at things Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank 3. C) Shortage of qualified first-level nursing managers 4. D) High turnover rates by staff nurses Ans: D Feedback: At the organizational and unit levels, nurse-leaders are being directed to address high turnover rates by staff, an emerging shortage of qualified top-level nursing administrators, growing trends toward unionization, and intensified efforts to legislate minimum staffing Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank ratios and eliminate mandatory overtime, while maintaining cohesive and productive work environments. At the national level, nurse-leaders and nurse- managers are actively involved in greatly needed health-care reform and in addressing a persistent, and likely growing, international nursing shortage. The other options, while describing noteworthy issues, do not include the issue that affects needed skills. 15. How many characteristics such as servant leadership does Tabaka suggest is required of an agile organization today? A) B) C) D) Ans: C Feedback: Tabaka suggests that servant leadership is one of the top 10 characteristics of an agile organization today. 1 5 10 15 Page 6 16. Goleman in his best seller Emotional Intelligence identifies self- awareness as one of the five components of emotional intelligence. What is self-awareness? Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank 1. A) The ability to recognize and understand ones moods, emotions, and drives as well as their effects on others 2. B) The ability to control or redirect disruptive impulses or moods as well as the propensity to suspend judgment 3. C) A passion to work for reasons that go beyond money or status; a propensity to pursue goals with energy and commitment 4. D) The ability to understand and accept the emotional makeup of other people Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank 4. D) Relationships Ans: B Feedback: Values: Authentic leaders link between purpose and passion by having congruence in beliefs and actions. Purpose: Authentic leaders understand their own purposes and passions as a result of ongoing self-reflection and self- awareness. Heart: Authentic leaders care for themselves and the people they lead, and their compassion is genuine. Relationships: Authentic leaders value building relationships and establishing connections with others, not to receive rewards but rather to strengthen the human connection. 19. Avolio states that there are four factors that cover the components of authentic leadership. What is occurring when analyzing data rationally before making decisions? 1. A) Balanced processing 2. B) Internalized moral perspective 3. C) Relational transparency 4. D) Self-awareness Ans: A Feedback: Balanced processing refers to analyzing data rationally before making decisions. Internalized moral perspective suggests that the authentic leader is guided by internal moral standards, which then guide his/her behavior. Relational transparency refers to openly sharing feelings and information appropriate to a situation, and self-awareness alludes to a knowing of self so as to make sense of the world. Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Page 8 20. Avolio states that there are four factors that cover the components of authentic leadership. What is occurring when one openly shares feelings and information appropriate to a situation? 1. A) Balanced processing 2. B) Internalized moral perspective 3. C) Relational transparency Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank 4. D) Self-awareness Ans: C Feedback: Relational transparency refers to openly sharing feelings and information appropriate to a situation. Balanced processing refers to analyzing data rationally before making decisions. Internalized moral perspective suggests that the authentic leader is guided by internal moral standards, which then guide his/her behavior, and self-awareness alludes to a knowing of self so as to make sense of the world. 21. Which action is associated with relationship age leadership? Select all that apply. 1. A) Communicates regularly with subordinates 2. B) Encourages teamwork to achieve problem solving 3. C) Includes committee representatives from all areas that will be affected by the change 4. D) Recognizes staff members who have contributed plausible problem-solving solutions Ans: A, B, C, D Feedback: People skills, cooperation, and valuing staff knowledge are all characteristics of the relationship age leader. Focus on fact gathering rather than finding the meaning of the data is characteristic of an industrial age leader. Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank 1. A) Possesses useful knowledge 2. B) Builds effective interdisciplinary teams 3. C) Galvanizes members to achieve goals 4. D) Demonstrates effective organization skills Ans: A, D Feedback: Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Level 1: Highly capable individual makes high quality contributions with their work; possesses useful levels of knowledge; and has the talent and skills needed to do a good job. Team building is a Level 2 characteristic. Organizational skills are associated with Level 3 while galvanizing members to achieve goals is demonstrated by Level 4 leaders. 25. Which response is characteristic of a servant leader? 1. A) iI dont think you have the skills necessary to be effective.i 2. B) iLet me think about that request for 24 hours.i 3. C) iDo whatever it takes to get it done fast.i 4. D) iIll personal handle this situation.i Ans: B Feedback: A servant leader always thinks before reacting. This leader also chooses words carefully so as to not damage those being led, provides directions toward goal achievement, and finds asking for input more important than personally providing solutions. Chapter 4 Ethical Issues 1. Which statement best describes ethics? 1. A) How our lives and relationships are led in our reality 2. B) How people make decisions they see as legally and morally appropriate Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank 3. C) The conflict, power, and interdependency associated with the way we live 4. D) What our conduct and actions should be regarding what is right and good Ans: D Feedback: Ethics is the systematic study of what a persons conduct and actions should be with regard to self, other human beings, and the environment; it is the justification of what is right or good and the study of what a persons life and relationships should be, not necessarily what they are. Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank 4. The only treatment alternative left for a patient diagnosed with advanced cancer is a rare, highly experimental bone marrow transfusion with a 10% success rate. The insurance company refuses to authorize payment for the $200,000 procedure, arguing that the money could be better spent providing well-baby screening for 2,000 residents in the service area. What does this decision by the insurance company reflect? 1. A) Unethical conduct 2. B) Maleficence 3. C) Paternalism 4. D) Utility Ans: D Feedback: The principle of utility states that what is best for the common good outweighs what is best for the individual. There is no indication of unethical or maleficence behavior on the part of the insurance company. Paternalism would be characterized by the insurance company making treatment decision without the patient having input. 5. Which statement regarding the MORAL decision-making model is true? 1. A) It is a problem-solving model 2. B) It does not include an evaluation step 3. C) The identification and analysis of multiple alternatives for action is required 4. D) The decision is arrived upon with only the involvement of the decision maker Ans: C Feedback: Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank MORAL is a decision-making model that is useful in clarifying ethical problems, and it requires the identification and analysis of multiple alternatives for action. The other options are not true statements regarding this decision-making model. 6. Which ethical framework would most likely be used to arrive at the nurses decision to work overtime in spite of previous social plans? 1. A) Utilitarianism Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank 2. B) Duty based 3. C) Rights based 4. D) Intuitionism Ans: B Feedback: The duty framework says that some things should be done just because there is a duty to do them or refrain from doing them. Utilitarianism states that the good of the many outweighs the wants or needs of the individual. The remaining options are not relevant to the situation. Page 2 7. What is the role of the American Nurses Association Code of Ethics and Interpretive Statements? 1. A) Outlines minimum levels of ethical behavior that nurses must maintain 2. B) Functions as a guide to the highest standards of ethical practice for nurses 3. C) Is a legally binding document that directs a nurses ethical and moral behavior 4. D) Mandates the ethical behavior prerequisite for maintaining a nursing licensure Ans: B Feedback: The ANA Code of Ethics outlines the important general values, duties, and responsibilities that flow from the specific role of being a nurse in order to achieve and maintain the highest standards. The document is not legally binding nor is it a mandate of behavior. Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Autonomy, or self-determination, is also referred to as freedom of choice and accepting the responsibility for ones choice. None of the other options addresses this concept. 11. Protecting patient confidentiality respects the clients right to 1. A) self-esteem 2. B) self-defense 3. C) self-determination 4. D) self-incrimination Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Ans: C Feedback: Confidentiality is a foundation of both medical and nursing ethics, and it respects the clients right to self- determination. While the other options are worthy of respect, they are not associated with confidentiality. 12. Much of the difficulty people have in making ethical decisions results from a lack of formal education about problem solving. Research at the University of Pennsylvania found what percentage of the nurses and social workers reported having no ethics training? 1. A) 15 2. B) 20 3. C) 25 4. D) 30 Ans: C Feedback: Research done at the University of Pennsylvania found that nearly 25% of the nurses and social workers reported having received no ethics training. Page 4 13. Which factor should be considered when assessing the quality of ethical problem solving? Select all that apply. Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank 1. A) Outcomes 2. B) Decision-making process 3. C) Multiple alternatives 4. D) Data gathering Ans: A, B Feedback: Outcomes should never be used as the sole criterion for assessing the quality of ethical problem solving, because many variables affect outcomes that have no reflection on whether the problem solving was appropriate. Quality, instead, should be evaluated both by the outcome and the process used to make Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank 16. Which member of the health-care team is often placed in situations where they are expected to be agents for patients, physicians, and the organization simultaneously, all of which may have conflicting wants and goals? 1. A) Physicians 2. B) Nurses 3. C) Nurse practitioners 4. D) Social workers Ans: B Feedback: Nurses are often placed in situations where they are expected to be agents for patients, physicians, and the organization simultaneously, all of which may have conflicting needs, wants, and goals. The nature of the patient contact of a nurse is more direct and involves more time than the other members of the health- care team. 17. To make appropriate ethical decisions the nurse-manager must have knowledge of what items to assist in making decisions? Select all that apply: 1, 2, 3, 4. 1. A) Organizational processes 1, 2 2. B) Proven decision-making models 1, 2, and 3 3. C) Professional approach that eliminates trial and error 4. D) Ethical principles and frameworks Ans: A, B, C, D Feedback: Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank To make appropriate ethical decisions then, the manager must have knowledge of ethical principles and frameworks, use a professional approach that eliminates trial and error and focuses on proven decision- making models, and use available organizational processes to assist in making such decisions. Knowledge of the involved parties wishes is not a focus of the decision-making process. Page 6 18. Using both a systematic approach and proven ethical tools and technology allows managers to make better decisions and increases the probability that they will feel confident about the decisions Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank they have made. Leadership roles and management functions are involved in management ethics. What is an example of a leadership role? 1. A) Uses a systematic approach to problem solving and decision making when facedwith management problems with ethical ramifications 2. B) Identifies outcomes in ethical decision making that should always be sought oravoided 3. C) Uses established ethical frameworks to clarify values and beliefs 4. D) Role models ethical decision making, which is congruent with the AmericanNurses Association Code of Ethics and Interpretive Statements and Professional standard Ans: D Feedback: A leadership role is role models ethical decision making, which is congruent with the American Nurses Association Code of Ethics and Interpretive Statements and Professional standard. Uses a systematic approach to problem solving and decision making when faced with management problems with ethical ramification, identifies outcomes in ethical decision making that should always be sought or avoided, and uses established ethical frameworks to clarify values and beliefs are examples of management functions. 19. Using both a systematic approach and proven ethical tools and technology allows managers to make better decisions and increases the probability that they will feel confident about the decisions they have made. Leadership roles and management functions are involved in management ethics. What is an example of a management function? Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank but feels powerless to stop it. Ethical dilemma is being forced to choose between two or more undesirable alternatives. 21. Which characteristic of an organization has influence on the ethical decisions its managers make? Select all that apply. 1. A) Purpose 2. B) Societal role 3. C) Societal constraints 4. D) Values Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Ans: A, B, C Feedback: The managers ethical obligation is tied to the organizations purpose, and the purpose of the organization is linked to the function that it fills in society and the constraints society places on it. So, the responsibilities of the nurse-manager emerge from a complex set of interactions. Society helps to define the purposes of various institutions, and the purposes, in turn, help to ensure that the institution fulfills specific functions. However, the specific values and norms in any particular institution determine the focus of its resources and shape its organizational life. The values of people within institutions influence actual management practice. The organizations societal status should not be considered when making ethical decisions. Page 8 22. Which ethical principle associated with an adult child is legally given the right to make medical decisions for a cognitively impaired parent? 1. A) Justice 2. B) Fidelity 3. C) Paternalism 4. D) Beneficence Ans: C Feedback: Paternalism is when one individual assumes the right to make decisions for another. Justice requires that a person seek fairness, treat iequalsi equally, and treat iunequalsi according to their differences. Fidelity involves the need to keep Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank promises. Beneficence involves actions that are taken in an effort to promote good. 23. Which term is used to identify a persons feelings of powerlessness to stop unethical behavior in another person or institution? 1. A) Moral conflict 2. B) Moral outrage Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank 25. Which activity best demonstrates a nursing unit managers attention to the ethics standards of practice required of that position? 1. A) Membership on the institutions ethic board 2. B) Terminates a staff member for absenteeism 3. C) Assures staff and patients that unit decisions are ethically sound 4. D) Holds membership in the local and state American Nurses Association (ANA) Ans: A Feedback: ANA standards for ethics related to nurse administrators identifies participants on multidisciplinary and interdisciplinary teams that address ethical risks, benefits, and outcomes as a criteria measurement. The remaining options while addressing ethical behaviors on the administrators part are not as directly identified by the ANA. Chapter 5 Legal and Legislative Issues 1. What defines the legal boundaries of nursing at the state level? A) The states Attorney General B) The Nurse Practice Act C) The ANA standards of practice D) The ANA Code for Nurses Ans: B Feedback: Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank The 51 Nurse Practice Acts representing the 50 states and the District of Columbia are examples of statutes. These Nurse Practice Acts define and limit the practice of nursing, stating what constitutes authorized practice as well as what exceeds the scope of authority. Although Nurse Practice Acts may vary among states, all must be consistent with provisions or statutes established at the federal level. The other options lack the comprehensiveness and focus of a states Nurse Practice Act. Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank 2. How is the question of whether a nurse acted with reasonable care generally proven? 1. A) The expert testimony of nursing witnesses 2. B) The defendants explanation of what the nurse did 3. C) The trial judge, after checking the outcome of prior similar court cases 4. D) The testimony of expert medical witnesses Ans: A Feedback: The testimony of other nurses in the same specialty as the defendant may be used to prove breach of duty. The other options are not considered qualified to testify to this matter. 3. A doctor orders a medical procedure that the staff nurse has reason to believe will harm the patient. Which statement accurately states the legal consequences of carrying out, or refusing to carry out, the procedure? 1. A) The staff nurse cannot be held legally liable for any harm to the patient if the procedure is carried out with due care 2. B) The nurse may lose his or her license by refusing to carry out the procedure 3. C) The nurse can be held legally liable for any harm if the procedure is carried out without question 4. D) The nurse can be held accountable for practicing medicine without a license Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank made on the previous shift? 1. A) Share that information with the charge nurse on the previous shift 2. B) Document the incident as per hospital policy 3. C) Write a memo to the nurse who made the error requesting incident report be written 4. D) Write a note in the clients chart that an incident report will be completed Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Ans: B Feedback: It is the responsibility as manager to immediately document the error according to hospital policy. Since policies concerning such situations vary, it is vital to know and follow established policies. It is not generally appropriate to make such a note on the clients chart. is the responsibility of a charge nurse who discovers that a medication error was Page 2 7. What is the best reason that nurse-managers have an ongoing responsibility to be aware of legislation affecting nursing practice? 1. A) This will prevent them from getting sued 2. B) Laws are fluid and subject to change 3. C) It will protect the agency from a lawsuit 4. D) It will ensure that correct procedure is carried out Ans: B Feedback: When using doctrines as a guide for nursing practice, the nurse must remember that all laws are fluid and subject to change. Laws are not static. It is the responsibility of each manager to keep abreast of legislation and laws affecting both nursing practice and management practice. While the other options are correct, they do not describe the most encompassing reason that nurse- managers need to keep aware of current legislature affecting nursing practice. 8. Which characteristics are required of a reasonable and prudent nurse? Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank 1. A) Years of clinically focused nursing experience 2. B) Specialized nursing skills 3. C) Average nursing judgment and skills 4. D) Earned advanced nursing degree Ans: C Feedback: Leadership Roles and Management Functions in Nursing 10th Edition Marquis Huston Test Bank