KEY: Client Need: Safe and Effective Care Environment | Cognitive Level: Application | Content Area: Management of Care, Supervision | Integrated Process: Nursing Process: Implementation
Trang 1Test Bank for The New leadership Challenge Creating the Future of Nursing 4th Edition by Grossman
Chapter 1: The Nature of Leadership: Distinguishing Leadership From Management
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1 Health care in the United States faces multiple challenges during these uncertain and chaotic
economic times Each nurse has the most opportunity to affect the health-care delivery system by demonstrating: A Enthusiasm
B Leadership
C Motivation
D Maturity
2 Which of the following leadership theories stresses the significance of the environment or
circumstance, notes that the leader emerges but is not necessarily chosen, and gives little recognition
to followers?
A Great Man Theory
B Trait Theory
C Situational Theory
D Modern Theory
3 Which of the following statements describes management more so than it describes leadership?
A It is “tidy,” with steps clearly outlined.
B It is more of an art than a science.
C It focuses on renewal of individuals and the group.
D It seems to generate relative disorder.
4 Robert Frost, the great American poet, said, “Some men see things as they are and say why? I dream
of things that never were and say why not?” This statement best reflects which of the following types of leadership?
A Stewardship
B Change
C Vision
D Power
Trang 25 Of the following leaders, the one that best represents a leader with a vision of enhancing each
individual’s ability to communicate globally while at the same time providing almost universal access to all is:
A Lois Evans providing a restraint-free environment for the elderly B
Henry Ford inventing affordable cars
C William Gates developing personal computers
D Sister Teresa volunteering in India
6 Professional nurses can develop communication skills to help them be effective leaders in many
ways Which of the following actions would be most important to improve communication skills?
A Reading professional journals regularly
B Achieving national certification in one’s specialty area
C Attending a professional conference or lecture on the impact of managed care D Serving on a Patient Care or Nursing Initiative Committee
7 Which of the following elements of leadership is characterized by feeling responsible for the “larger
picture,” overseeing the implementation of change, and giving one’s self-interests a “back seat” to the interests of the group?
A Stewardship
B Vision
C Creativity
D Assertiveness
8 Professional nurses are in an excellent position to provide leadership regarding health-care issues
because of their:
A Skills of communication
B Ability to work collaboratively with others
C Credibility with the public
D All of the above
Trang 39 “Leaders” are often the individuals who take risks, think creatively, and implement different
strategies to solve problems These “leaders” who lead but who are not in a position of authority would include: A Nurse managers
B Staff nurses
C Nurse supervisors
D Nurse administrators
10 Many researchers who have studied leadership identify which of the following characteristics of an
effective leader and role model?
A Influencing others to do what you want
B Authorizing permission for other’s actions
C Using one’s power to direct others
D Recruiting followers and new leaders
11 When comparing leaders to managers, it is often said that “rocking the boat” as little as possible to
accomplish a goal is a characteristic of a:
A Leader
B Leader and manager
C Manager
D Mentor
12 Zaleznik speaks about “once born” and “twice born” individuals when he describes leaders and
managers He says the leaders are “twice born” because:
A Their lives are harmonious and very much influenced by others’ opinions.
B They are a part of the organizational environment and need to represent the
organization’s viewpoint.
C Their lives tend to be full of exciting experiences and their leadership emerges from
the consequences of these experiences, which have affected their learning.
D Their thoughts and viewpoints reflect the status quo and generally do not effect
change.
13 Being able to create one’s vision and execute it requires effective leadership skills along with a great
amount of:
A Authority and power
B Determination and passion
C Political savvy and power
D Knowledge and authority
14 Susan, a recently appointed nurse manager, decided each of the staff nurses should be involved in an
evidence-based research project Being a visionary leader, she presented this plan at a staff meeting using which of the following frameworks?
Trang 4A Each nurse could choose his or her own project and would be given 2 hours per
week paid time to work on the project.
B Mandate that each nurse must sign up for one of four projects, and reimbursement
for 1 hour per month of time would be early dismissal on days when staffing was good.
C Each nurse would be assigned to a project, and there would be no reimbursement
for time.
D Only nurses with 5 years of experience could participate in the two projects, and
participation was considered a privilege without pay.
15 To make our dreams come true in either our professional or personal lives, it is necessary for us to: A
Devote 80% of our time to making it happen.
B Collaborate with others and make people accountable for making it happen.
C Assign portions of the work necessary to accomplish our dream to each person.
D Mandate others to do what we want them to do to make it happen.
16 Nurses who are leaders and want to change practice of care delivery must be willing to:
A Develop an assignment system that allows for new ways of practice.
B Identify the reason something needs to be changed by complaining about the
implications of the current practice.
C Study new ways of practice based on research and trial them in a controlled
environment.
D Create change frequently by instituting new practices to prevent the status quo.
17 Precepting differs from the role of a mentor because preceptors are:
A Assigned to a new nurse orienting to a position
B Identified as accountable for the new orientee’s actions
C Only with the new staff member at the patient’s bedside
D Paired to a new staff member for staffing purposes only
18 An important quality of a leader that is not often identified includes being:
A Cautious
B Careful not to “upset anyone in authority”
C A risk taker
D Cost effective
19 Which of the following factors make it very difficult to be an effective leader in health care?
A Technology, hospital mergers and acquisitions, and high acuity of patients
B Health-care reform, politics, surplus resources, and high acuity of patients
C Chaos, uncertainty, unpredictability, and constant change
D Too many workers, not enough work, unprepared employees, and technology
Trang 520 In today’s world, some researchers have concluded it is best to focus on complex behavioral decision
making and group performance that results from it than:
A An individual leader’s behavioral traits
B An individual’s personality
C How a person manages conflict
D An individual’s ability to manage change
21 A new theory of leadership proposed by Heifetz (2009) focuses on:
A The leader’s traits and personality
B How well the leaders can recruit followers to embrace their vision
C How well the leader makes relationships with the followers
D The leader disturbing the equilibrium and engaging followers in solving an
organization’s problems
22 The Humanbecoming Leading-Following Model proposed by Parse (2009) describes three major
components:
A Need for goals, followers, and resources to accomplish goals
B Strategy, overall goals, and outcome evaluation
C Vision, willingness to risk, and reverence for others
D Ability to lead, plan, and evaluate outcomes
23 Broome feels there is a need for new visions of leadership and how they should be developed One of
her biggest points was that successful leaders for the future need to:
A Develop strong business plans that keep the “bottom line” down.
B Know when to lead and when to follow.
C Be aware of followers’ need to have a rest or vacation every 2 to 3 months.
D Push the organization’s mission and goals no matter what the group’s vision is.
24 All nurses need to think about themselves as leaders, and staff nurses can integrate more leading into
their notes by:
A Consistently volunteering to work overtime to demonstrate positive role modeling
to peers
B Mentoring new staff to the unit’s skill competency and organizational culture
C Focusing on leading nursing teams and avoiding multidisciplinary team meetings
D Resisting changes suggested by new unit staff
25 Which two of the following leadership theories stress the significance of the environment or
circumstance, note that the leader emerges but is not necessarily chosen, and give little recognition
to followers?
A Great Man Theory and Situation Theory
B Modern Theory and Trait Theory
Trang 6C Situational Theory and Modern Theory
D Modern Theory and Great Man Theory
Trang 7Chapter 1: The Nature of Leadership: Distinguishing Leadership From Management Answer Section
MULTIPLE CHOICE
1 ANS: B
Feedback
A Incorrect because being enthusiastic does not ensure accomplishment of goals
B Correct because using effective leadership will allow the maximum effect by
nurses to influence health care
C Incorrect because it is not going to accomplish patient outcomes to be
motivating, and many feel one can only really motivate oneself
D Incorrect because it is does not affect health care for nurses to be mature
KEY: Client Need: Safe and Effective Care Environment | Cognitive Level: Application | Content Area: Management of Care, Supervision | Integrated Process: Nursing Process: Implementation
2 ANS: C
Feedback
A Incorrect because Great Man Theory stresses only the leader
B Incorrect because Trait Theory is focused only on the characteristics of the
leader
C Correct because Situational Theory includes the environment and emphasizes
that the leader is not necessarily chosen but evolves
D Incorrect because Modern Theories of leadership focus on followers, situation,
and leader
KEY: Client Need: Safe and Effective Care Environment | Cognitive Level: Application | Content Area: Management of Care, Collaboration With Interdisciplinary Team | Integrated Process: Communication and Documentation
3 ANS: A
Feedback
Trang 8A Correct because management is tidy.
B Incorrect because management is a science
C Incorrect because leadership reflects renewal of individuals and the group
D Incorrect because chaos is more a result of leadership than management
KEY: Client Need: Safe and Effective Care Management | Cognitive Level: Application | Content Area: Management of Care, Concepts of Management and Leadership | Integrated Process: Communication and Documentation
4 ANS: C
Feedback
A Incorrect because stewardship is not a dream or vision
B Incorrect because change does not reflect dreaming about one’s goals
C Correct because vision is exactly what Robert Frost was talking about regarding
his dream
D Incorrect because power does not reflect one’s dreams
KEY: Client Need: Safe and Effective Care Environment | Cognitive Level: Analysis | Content Area: Management of Care Advocacy | Integrated Process: Communication and Documentation
5 ANS: C
Feedback
A Incorrect because being restraint free does not allow for global communication
B Incorrect because a car does not allow one to communicate globally
C Correct because Mr Gates invented the computer that allows for global
networking
D Incorrect because having Sister Teresa volunteer in India does not affect
someone else’s leadership
KEY: Client Need: Safe and Effective Care Environment | Cognitive Level: Application | Content Area: Management of Care, Information Technology | Integrated Process: Communication and Documentation
Trang 96 ANS: D
Feedback
A Incorrect because reading journals will not necessarily increase one’s
communication skills
B Incorrect because being certified does not correlate with improved
communication skills
C Incorrect because going to conferences and classes does not necessarily improve
one’s communication skills
D Correct because serving on a taskforce or committree will increase one’s ability
to communicate
KEY: Client Need: Safe and Effective Care Environment | Cognitive Level: Application | Content Area: Management of Care, Concepts of Management and Leadership | Integrated Process: Communication and Documentation
7 ANS: A
Feedback
A Correct because stewardship is this aspect of leadership
B Incorrect because having a vision indicates a goal for the group
C Incorrect because creativity is not the element described
D Incorrect because assertiveness is not described
KEY: Client Need: Safe and Effective Care Environment | Cognitive Level: Analysis | Content Area: Management of Care, Concepts of Management and Leadership | Integrated Process: Communication and Documentation
8 ANS: D
Feedback
A Correct because all of these answers are correct
B Correct because all of these answers are correct
C Correct because all of these answers are correct
D Correct because all of these answers are correct
Trang 10
KEY: Client Need: Safe and Effective Care Environment | Cognitive Level: Application | Content Area: Management of Care, Concepts of Management and Leadership | Integrated Process: Communication and Documentation
9 ANS: B
Feedback
A Incorrect because nurse managers are in a position of authority
B correct because staff nurses are leaders but are not in a position of authority
C Incorrect because nurse supervisors are in a position of authority
D Incorrect because nurse administrators are in a position of authority
KEY: Client Need: Safe and Effective Care Environment | Cognitive Level: Analysis | Content Area: Management of Care, Delegation | Integrated Process: Communication and Documentation
10 ANS: D
Feedback
A Incorrect because leaders should not influence others to do what they want
B Incorrect because leaders do not authorize permission for other’s actions
C Incorrect because leaders do not use one’s power to direct others
D Correct because effective leaders must recruit followers and new leaders
KEY: Client Need: Safe and Effective Care Environment | Cognitive Level: Analysis | Content Area: Management of Care, Staff Education | Integrated Process: Communication and Documentation
11 ANS: C
Feedback
A Incorrect because leaders should “rock the boat” to accomplish a goal
B Incorrect because leaders do tend to “rock the boat.”
C Correct because managers do not generally “rock the boat” very much because
they prefer to maintain the status quo