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Nursing Leadership and Management Canadian Edition Gaudine Lamb Test Bank

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Nursing Leadership and Management Canadian Edition Gaudine Lamb Test Bank

  • ISBN-10:0132735970
  • ISBN-13:978-0132735971

 

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Nursing Leadership and Management Canadian Edition Gaudine Lamb Test Bank

  • ISBN-10:0132735970
  • ISBN-13:978-0132735971

 

 

 

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Free Nursing Test Questions:

 

Multiple Choice Questions

 

1) Your clinical group has decided to write a letter of appreciation to the nurse manager on the unit where you are currently practising. You would like to mention the characteristics that make the staff on the unit an effective team. What might you include?

  1. reference to the vertical leadership style
  2. reference the fact that there did not appear to be any role bending
  3. reference to the horizontal leadership style
  4. reference the fact that there did not appear to be any role overlap

 

Answer: c

Rationale for correct answer:

  1. Incorrect: Vertical leadership is a leadership style where the leader uses his or her power to direct other team members. Vertical leadership is not one of the characteristics of successful teams.
  2. Incorrect: Role-bending and role overlap are both characteristics of effective teams.
  3. Correct: Horizontal leadership refers to a leadership style in which the leader does not dictate to other team members, but guides team members to discuss their ideas to reach consensus and to attain goals. It has been identified as one of the characteristics of successful teams.
  4. Incorrect: Role-bending and role overlap are both characteristics of effective teams.

Client need per NCLEX: safe and effective care environment, psychological integrity

Integrated Nursing Process: Assessment, Diagnosis, Planning, Implementation, Evaluation

Objective: 1—Discuss how effective and ineffective teams develop

 

2) You have been offered an opportunity for employment in a different area and you’ve decided to leave your current job. You really enjoyed working with your team, but you are also excited about the new opportunity. You wish to include in your letter of resignation some mention of the characteristics and skills the nurse manager has demonstrated that make the team you are leaving very successful. You mention the nurse manager’s __________.

  1. ability to make the decisions regarding unit management without having to bother the staff for their input
  2. not bothering with performance appraisals or unnecessary feedback
  3. ability to motivate employees to engage in continuing education opportunities
  4. allowing staff members to deviate from formal policy and procedures

 

Answer: c

Rationale for correct answer:

  1. Incorrect: Managers of successful teams involve employees in decision making.
  2. Incorrect: Managers of effective teams coach employees, engage in appropriate communication with employees, and facilitate employees’ growth and development.
  3. Correct: Characteristics of successful teams include having managers who are skilled in coaching, motivating, communicating, engaging team members in decision making, and developing team members.
  4. Incorrect: Allowing staff members to deviate from formal policy and procedures has not been identified as a characteristic of managers of successful teams.

Client need per NCLEX: safe and effective care environment, psychological integrity

Integrated Nursing Process: Assessment, Diagnosis, Planning, Implementation, Evaluation

Objective: 1—Discuss how effective and ineffective teams develop

 

3) Which of the following are competencies/skills of team members that lend to successful teams?

  1. conflict resolution, problem solving, goal setting
  2. communication, task completion, problem solving
  3. conflict resolution, task completion, goal setting
  4. problem solving, conflict resolution, task completion

 

Answer: a

Rationale for correct answer:

  1. Correct: Competencies possessed by team members on effective teams include conflict resolution, problems solving, communication, decision-making skills, goal-setting and performance management skills, and planning and task coordination.
  2. Incorrect: While task completion is a desired outcome, it is not one of the competencies required for team members of effective teams.
  3. Incorrect: While task completion is a desired outcome, it is not one of the competencies required for team members of effective teams.
  4. Incorrect: While task completion is a desired outcome, it is not one of the competencies required for team members of effective teams.

Client need per NCLEX: safe and effective care environment

Integrated Nursing Process: Assessment, Diagnosis, Planning, Implementation, Evaluation

Objective: 2—Suggest ways nurses can promote team building in their own work setting

 

4) A member of an effective/successful team does all of the following, except __________.

  1. collaborating and identifying win–win solutions
  2. selecting alternatives to help the team meet its goals
  3. planning and coordinating tasks
  4. taking on the majority of the work to support other team members

 

Answer: d

Rationale for correct answer:

  1. Incorrect: This is an action of an effective team member.
  2. Incorrect: This is an action of an effective team member.
  3. Incorrect: This is an action of an effective team member.
  4. Correct: D Correct: Taking on the majority of the work is not an effective way of working with a team.

Client need per NCLEX: safe and effective care environment

Integrated Nursing Process: Assessment, Diagnosis, Planning, Implementation, Evaluation

Objective: 2—Suggest ways nurses can promote team building in their own work setting

 

5) A(n) __________ is when a disagreement about how to manage a difficult situation in the workplace involves a win–lose solution, a high level of assertiveness, a low level of cooperation, and both individuals focusing on winning.

  1. competition
  2. compromise
  3. avoidance
  4. accommodation

 

Answer: a

Rationale for correct answer:

  1. Correct: One approach to dealing with conflict is competition, which occurs when both individuals focus on winning. Both parties are high in assertiveness and low in cooperation as they both focus on arguing for their desired outcomes.
  2. Incorrect: Compromise results in lose–lose solutions, in which neither party ends up with a solution that he or she would consider ideal. Both parties use medium assertion and medium cooperation.
  3. Incorrect: Avoidance occurs when both individuals decide not to deal with the conflict. Both individuals are low in assertiveness and cooperation, and because the conflict is not dealt with, there is no solution and the result is a lose–lose situation.
  4. Incorrect: With accommodation, one individuals decides to allow the other individual to have what the other person wants. The individuals are low on assertiveness but high in cooperation, resulting in a win–lose solution.

Client need per NCLEX: safe and effective care environment

Integrated Nursing Process: Assessment, Diagnosis, Planning, Implementation, Evaluation

Objective: 3—Discuss strategies for effectively managing conflict in the workplace

 

6) The clinical educator on a unit has attempted to implement a “lunch and learn” in-service for the staff, but employees have been reluctant to participate. Which of the following opening statements demonstrates an assertive approach to communication?

  1. You have to participate in the in-service sessions at least once before you can say that you won’t like them.
  2. You need to participate in these in-services, or you will be seen as uncooperative.
  3. I’d really appreciate your attendance at one in-service, at least so that you can provide feedback about their value.
  4. You have to participate in the in-services because they ultimately help the patients.

 

Answer: c

Rationale for correct answer:

  1. Incorrect: Suggesting that someone MUST do something is seen as being uncooperative
  2. and aggressive, not assertive.
  3. Incorrect: Suggesting that someone MUST do something is seen as being uncooperative and aggressive, not assertive.
  4. Correct: Assertive behaviour is associated with saying no, asking for what you want, expressing negative and positive comments, and initiating, continuing, and ending an interaction. This answer demonstrates assertiveness because the clinical instructor asked for exactly what she wanted.
  5. Incorrect: Suggesting that someone MUST do something is seen as being uncooperative and aggressive, not assertive.

Client need per NCLEX: safe and effective care environment, psychological safety

Integrated Nursing Process: Assessment, Diagnosis, Planning, Implementation, Evaluation

Objective: 3—Discuss strategies for effectively managing conflict in the workplace

 

7) Conflict can be positive because __________.

  1. it can engage people in aggressive discussion
  2. it can lead to innovation and creative decisions
  3. it identifies the stronger members of the team
  4. it fosters competition

 

Answer: b

Rationale for correct answer:

  1. Incorrect: Engaging people in aggressive discussion is a negative, not positive, aspect of conflict.
  2. Correct: Much conflict in the workplace is the result of real individual differences in what different employees believe is the best decision or course of action, how objectives should be met, and so on. In such cases, conflict can be good because it can lead to innovation and creative decisions.
  3. Incorrect: Identifying stronger members of the team is not necessarily a positive aspect of conflict, as it may lead to competition.
  4. Incorrect: Fostering competition is not necessarily a positive aspect of conflict, since this usually results in win–lose solutions to a problem.

Client need per NCLEX: safe and effective care environment, psychological integrity

Integrated Nursing Process: Assessment, Diagnosis, Planning, Implementation, Evaluation

Objective: 4—Debate the pros and cons of conflict in the workplace

 

8) A dangerous outcome of avoiding conflict is __________.

  1. groupthink
  2. group work
  3. team building
  4. sabotage

 

Answer: a

Rationale for correct answer:

  1. Correct: Groupthink results when a group does not bring up and evaluate divergent opinions because they want to remain cohesive. When group members decide they will not bring up their contrary views about a decision, the group proceeds without critically evaluating divergent opinions. The group is harmonious, but their work may be faulty.
  2. Incorrect: Groupthink, not group work, is an outcome of avoiding conflict.
  3. Incorrect: Team building is not a result of avoiding conflict.
  4. Incorrect: Sabotage is not an outcome of avoiding conflict.

Client need per NCLEX: safe and effective care environment, psychological integrity

Integrated Nursing Process: Assessment, Diagnosis, Planning, Implementation, Evaluation

Objective: 4—Debate the pros and cons of conflict in the workplace

 

9) As a nurse working in a unionized environment, the appropriate process for you to follow if you have an issue of concern is to __________.

  1. file a grievance; meet with your manager to discuss; and attend arbitration, if needed
  2. file a grievance; speak with your union representative; and speak with your manager
  3. speak with your manager; speak with administration; and file a grievance
  4. speak with your manager; file a grievance; and attend arbitration, if needed

 

Answer: d

Rationale for correct answer:

  1. Incorrect: This is an incorrect sequence of the procedures required for raising an issue of concern within a unionized environment.
  2. Incorrect: This is an incorrect sequence of the procedures required for raising an issue of concern within a unionized environment.
  3. Incorrect: This is an incorrect sequence of the procedures required for raising an issue of concern within a unionized environment.
  4. Correct: In a unionized environment, the appropriate process for raising an issue of concern is first speaking with your manager, then filing a grievance, and then attending arbitration if it is required.

Client need per NCLEX: safe and effective care environment, psychological integrity

Integrated Nursing Process: Assessment, Diagnosis, Planning, Implementation, Evaluation

Objective: 5—Suggest how health care organizations with and without unions can resolve disputes

 

10) When resolving a dispute in a non-unionized health care environment, a mediator would be involved when __________.

  1. assistance is needed in working toward a resolution between parties
  2. the organization wishes to reprimand the employee
  3. the employee has threatened to report the organization to the labour board
  4. an outside partner has made the final decision on the issue

 

Answer: a

Rationale for correct answer:

  1. Correct: In a non-unionized organization, if the dispute cannot be resolved through early discussions, mediation may be employed. Mediation consists of two disputing parties working to find a solution that they both agree on. They do this in the presence of a mediator who facilitates the process but does not identify the solution.
  2. Incorrect: A mediator facilitates the dispute process; he or she does not reprimand employees.
  3. Incorrect: Mediation is employed when a resolution between two parties can’t be reached, not when an employee threatens to report the organization to a labour board.
  4. Incorrect: Mediation involves a mediator facilitating the dispute process between two people; the mediator does not make a final decision on the issue but helps the two people come to a mutually acceptable decision.

Client need per NCLEX: safe and effective care environment, psychological integrity

Integrated Nursing Process: Assessment, Diagnosis, Planning, Implementation, Evaluation

Objective: 5—Suggest how health care organizations with and without unions can resolve disputes

 

11) When a nurse who is nearing retirement overhears a young nurse say “I’m not going to work until I’m that slow, she can barely move” in reference to her own work, the nurse is a victim of __________.

  1. horizontal violence
  2. vertical violence
  3. grievance
  4. upward violence

 

Answer: a

Rationale for correct answer:

  1. Correct: Horizontal violence is the physical or emotional abuse toward another person in a similar position.
  2. Incorrect: This is horizontal, not vertical violence. Vertical violence is the emotional or physical abuse of a person in a higher position of power or authority towards a person in a lower position.
  3. Incorrect: This is an example of horizontall violence. Grievance is a process for conflict resolution.
  4. Incorrect: This is horizontal violence. Upward violence is the emotional or physical abuse by a person in a lower position of power or authority toward someone in a higher position.

Client need per NCLEX: safe and effective care environment, psychological integrity

Integrated Nursing Process: Assessment, Diagnosis, Planning, Implementation, Evaluation

Objective: 6—Identify how nexters and nurses nearing retirement may be engaged in lateral violence (perhaps unknowingly) with their own and the other age cohorts

 

12) An experienced nurse has moved to a different area of the hospital to work. When she asks questions about how to manage a patient’s care, the clinical educator and charge manager belittle her and ask, “What did you do in that other unit, anyway?” This nurse has been a victim of __________.

  1. horizontal violence
  2. vertical violence
  3. grievance
  4. upward violence

 

Answer: b

Rationale for correct answer:

  1. Incorrect: This is an example of vertical, not horizontal, violence. Horizontal violence is the physical or emotional abuse of someone toward a person in a similar position.
  2. Correct: Vertical violence is the emotional or physical abuse by a person in a higher position of power or authority towards a person in a lower position.
  3. Incorrect: This is an example of vertical violence. Grievance is a process for conflict resolution.
  4. Incorrect: This is an example of vertical violence. Upward violence is the emotional or physical abuse by a person in a lower position of power or authority toward someone in a higher position.

Client need per NCLEX: safe and effective care environment, psychological integrity

Integrated Nursing Process: Assessment, Diagnosis, Planning, Implementation, Evaluation

Objective: 6—Identify how nexters and nurses nearing retirement may be engaged in lateral violence (perhaps unknowingly) with their own and the other age cohorts

 

13) A telemetry unit is in need of a new monitoring system. A working group has been assigned to evaluate monitors that will be trialled on the unit. After narrowing the choices to three, the monitors are each trialled for a one-week period. The nursing staff is asked to vote on which monitor they feel is most appropriate for their unit. The monitor with the greatest number of votes will be the one chosen. This is an example of __________.

  1. transparency
  2. participative democracy
  3. authoritative decision-making
  4. democratic decision-making

 

Answer: b

Rationale for correct answer:

  1. Incorrect: This is an example of participative democracy. Transparency is the expectation of today’s workers to know what decisions are made by managers, as well as how those decisions are made.
  2. Correct: In participative democracy, clinicians participate in decisions made in the workplace.
  3. Incorrect: This is an example of participative democracy, not authoritative decision-making.
  4. Incorrect: This is an example of participative democracy, not democratic decision-making.

Client need per NCLEX: safe and effective care environment, psychological integrity

Integrated Nursing Process: Assessment, Diagnosis, Planning, Implementation, Evaluation

Objective: 7—Discuss how the nurses’ values related to decision making in organizations might lead to nurses’ conflict with hospitals

 

14) One of the major challenges with a shared governance model is _________.

  1. time constraints for decision making
  2. hierarchical models of decision making
  3. government influence in decision making
  4. committees making all the decisions

 

Answer: a

Rationale for correct answer:

  1. Correct: In shared governance, committees that include administrators and direct care nurses focus on decisions related to the standard of nursing practice, and this committee structure operates concurrently with the hierarchical hospital and nursing administration structures. However, the rapid time frame required for many decisions can mean that these decisions are made by administration rather than through committees, because shared governance involves a longer decision-making process.
  2. Incorrect: Shared governance is not a hierarchical model of decision making.
  3. Incorrect: Shared governance does not involve government influence in decision making.
  4. Incorrect: In shared governance, decisions are made by committeesRemember, this is not a major challenge. The challenge is that this type of decision-making process takes time, and may not work well when there are time constraints on decision making.

Client need per NCLEX: safe and effective care environment

Integrated Nursing Process: Assessment, Diagnosis, Planning, Implementation, Evaluation

Objective: 7—Discuss how the nurses’ values related to decision making in organizations might lead to nurses’ conflict with hospitals

 

Short Answer Questions

 

15) Managers of successful teams have been shown to have specific characteristics. Name three of these characteristics.

 

Answer:

Correct answers should include three of the following points.

  • coaching employees (guiding team members in their work; providing skills, knowledge and support to do their work)
  • motivating
  • communicating (conveying enthusiasm about the work and goals of the team; providing feedback about progress to goals)
  • engaging team members in decision making
  • developing team members

Client need per NCLEX: safe and effective care environment

Integrated Nursing Process: Assessment, Diagnosis, Planning, Implementation, Evaluation

Objective: 1—Discuss how effective and ineffective teams develop

 

16) Discuss an example for each of the following skills that members of a successful team will display.

  1. conflict resolution
  2. problem solving
  3. communication
  4. decision-making skills
  5. goal setting and performance management skills
  6. planning and task coordination

Answer: Correct answers may include the following points for each category.

  • conflict resolution
    • recognizing conflict that can lead to new ideas and positive changes
    • distinguishing useful types of conflict from undesirable conflict between members
    • collaborating and identifying win–win solutions
  • problem solving
    • identifyingn and determining methods to attain goals
  • communication
    • among members
    • good presentation and writing skills
    • respectful listening to the ideas of others
  • decision-making skills
    • properly evaluating and considering all alternatives
    • selecting alternatives that help team meet goals
  • goal setting and performance management skills
    • properly evaluating and considering all alternatives
  • planning and task coordination
    • dividing and coordinating work among members
    • balancing workload among members with different work task roles

Client need per NCLEX: safe and effective care environment

Integrated Nursing Process: Assessment, Diagnosis, Planning, Implementation, Evaluation

Objective: 2—Suggest ways nurses can promote team building in their own work setting

 

17)

Using the table provided, indicate whether each of the following methods of conflict resolution results in win–win, lose–lose, or win–lose solutions, and indicate whether assertiveness and cooperation are high or low.

  Solution Assertiveness Cooperation
Competition      
Collaboration      
Compromise      
Avoidance      
Accommodation      

 

Answer:

Points to include for correct answer:

  Solution Assertiveness Cooperation
Competition win–lose high low
Collaboration win–win high high
Compromise lose–lose medium medium
Avoidance lose–lose n/a n/a
Accommodation win–lose low high

 

Client need per NCLEX: safe and effective care environment

Integrated Nursing Process: Assessment, Diagnosis, Planning, Implementation, Evaluation

Objective: 3—Discuss strategies for effectively managing conflict in the workplace

 

18) Provide an example of how a conflict in the workplace will have an effect on the nursing team and patient care. How might this example lead to a positive effect on the nursing team and patient care?

 

Answer: Responses will vary.

Client need per NCLEX: safe and effective care environment, psychological integrity

Integrated Nursing Process: Assessment, Diagnosis, Planning, Implementation, Evaluation

Objective: 4—Debate the pros and cons of conflict in the workplace

 

19) Outline the process for resolving disputes in a non-unionized organization.

 

Answer: Correct answers will include the following points.

  • The organization will have a policy for dispute resolution.
  • The policy may involve discussion at many levels of the organization.
  • Final review/decision will be made by a senior executive or panel of employees from within the organization (could also be an outside partner hired for the meeting).
  • Mediation may be employed—a mediator assists both disputing parties in finding a solution that they can both agree upon. Both parties have to want to resolve the conflict.

 

Client need per NCLEX: safe and effective care environment

Integrated Nursing Process: Assessment, Diagnosis, Planning, Implementation, Evaluation

Objective: 5—Suggest how health care organizations with and without unions can resolve disputes

 

20) Name and provide an example of four different kinds of subtle aggression that may appear with lateral violence.

 

Answer: Correct answers will include four of the following.

  • Types of subtle aggression
    • withholding information
    • gossiping
    • intimidating
    • belittling achievements
    • excessive surveillance
    • exclusion

Examples will vary.

Client need per NCLEX: safe and effective care environment, psychological integrity

Integrated Nursing Process: Assessment, Diagnosis, Planning, Implementation, Evaluation

Objective: 6—Identify how nexters and nurses nearing retirement may be engaged in lateral violence (perhaps unknowingly) with their own and the other age cohorts

 

21) Name and describe the two things health care workers can expect in their workplace with respect to decision making.

 

Answer: Correct answers should include the following points.

  • Transparency—the expectation of today’s workers to know what decisions are made by managers as well as how these decisions are made
  • Participative democracy—clinicians participate in decisions made in the workplace

Client need per NCLEX: safe and effective care environment, psychological integrity

Integrated Nursing Process: Assessment, Diagnosis, Planning, Implementation, Evaluation

Objective: 7—Discuss how the nurses’ values related to decision making in organizations might lead to nurses’ conflict with hospitals

 

 

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