Leadership E1

A manager demonstrates one of the four principles of scientific management when he or she:

Select one:

a. allows employees to do their jobs independently, with minimal oversight.

b. shows an interest in employees' personal lives and emotional health.

c. engages in lifelong learning and expects employees to do the same.

d. hires and promotes employees on the basis of their competence and skills.

The correct answer is: hires and promotes employees on the basis of their competence and skills.

A nurse-manager has recently been accused of assigning work unequally. The manager has recognized the need to revise the process for assigning work to nurses. How can the manager best apply the principles of Theory Z?

Select one:

Making a decision independently and imposing it on the nurses

Identifying as many different alternatives as possible

Making a decision based on the pros and cons of each option

Gathering input from employees in order to reach a consensus

The correct answer is: Gathering input from employees in order to reach a consensus

Accreditors are scheduled to visit a hospital site, and staff members have been made aware of what they will be assessing. What staff behavior would most clearly suggest the presence of the Hawthorne effect?

Select one:

The manager blames individual nurses for deficits identified in the accreditation report.

The nurses avoid contact with the accreditors because they fear criticism.

The nurses consciously improve their performance because they know it is being scrutinized.

The manager temporarily adopts a leadership role.

The correct answer is: The nurses consciously improve their performance because they know it is being scrutinized.

Caregivers at a public health center believe that their manager adheres to Theory X. What action by the manager best confirms this suspicion?

Select one:

The manager allocates rewards based on the outcomes of nurses' work.

The manager collaborates with senior staff to set quarterly goals for the center.

The manager is difficult to access when there is a problem or crisis in the center.

The manager insists on accompanying nurses to community events and observes them closely.

The correct answer is: The manager insists on accompanying nurses to community events and observes them closely.

The failure to engage in which activities are considered a fatal flaw of leadership? Select all that apply.

Select one or more:

Communication with employees

Collaboration with colleagues

Self-improvement

Staff development

Determining salary scales for employees

The correct answers are: Collaboration with colleagues, Communication with employees, Self-improvement, Staff development

The nurse-manager is addressing a nurse's suspected breach of client confidentiality in a social media posting. What function of the management process is this nurse-manager demonstrating?

Select one:

Directing

Organizing

Controlling

Staffing

The correct answer is: Controlling

What action by the nurse-manager in a health organization best demonstrates transformational leadership?

Select one:

a. The manager's employees are reminded that they must submit evidence of renewing their license.

b. The manager informs each employee about the new criteria that will be the basis of the performance reviews.

c. The manager holds a workshop to outline a new vision for patient-centered care.

d. The manager readily takes responsibility after making a scheduling error.

The correct answer is: The manager holds a workshop to outline a new vision for patient-centered care.

What aspect of the way that work is organized on a nursing unit best reflects the management theories of Max Weber?

Select one:

The hierarchy of authority and the policies and procedures on the unit are clearly posted.

A committee that includes employees and managers has been established to plan the work on the unit.

Employees are allowed to self-schedule their vacation time and must work out any conflicts on their own.

Quarterly awards are granted to employees who have demonstrated exceptional service.

The correct answer is: The hierarchy of authority and the policies and procedures on the unit are clearly posted.

What characteristic of a nurse-manager suggests that he or she is acting in the role of a traditional manager rather than an integrated leader-manager?

Select one:

a. The manager is conscious of the important role of politics and is politically astute.

b. The manager's influence is limited to his or her group.

c. The manager has an outward view, extending to the larger organization.

d. The manager emphasizes the importance of vision and values.

The correct answer is: The manager's influence is limited to his or her group.

Which statement best depicts leadership?

Select one:

A leadership position has a narrower scope than a management position.

Leadership requires meeting organizational goals.

Strong leaders can coerce people into following them.

People will follow a person in a leadership position only by choice.

The correct answer is: People will follow a person in a leadership position only by choice.

A leader is applying the principles of emotional intelligence? What outcome indicates successful application of these principles?

Select one:

Emotions are held in check.

Expression of emotion indicates success.

Emotions dominate decision making.

Emotions are used effectively.

The correct answer is: Emotions are used effectively.

A nurse-manager has proposed a change in the skills mix on a hospital unit, with fewer registered nurses and more nursing assistants. What outcome best demonstrates that the nurse is applying the principles of thought leadership?

Select one:

Skeptics of the plan have begun to see it as innovative and beneficial.

Individuals who oppose the plan have become isolated by their peers.

Nurses and nursing assistants will both participate in the operations planning.

The ultimate decision on the matter will be based on rational ideas rather than emotions.

The correct answer is: Skeptics of the plan have begun to see it as innovative and beneficial.

A nurse-manager will soon be introducing a significant change in the way that overtime shifts are allocated on a hospital floor. What action by the manager will best demonstrate the principles of thought leadership?

Select one:

Relating the change to the fact that the floor has been required to cut costs

Convincing employees that the change will be beneficial and innovative

Delegating the implementation of the change to the nurses themselves

Describing clear expectations for nurses' adherence to the new policy

The correct answer is: Convincing employees that the change will be beneficial and innovative

The leader-manager provides oversight on a busy medical-surgical unit. There has recently been an incident where two nurses were not honest about neglecting a controversial new protocol and misled the leader. How can the leader-manager best prevent similar episodes?

Select one:

Support employees' right to disagree with proposed changes.

Avoid making decisions that displease large numbers of employees.

Identify allies who can be trusted to report employees who may mislead the manager.

Ensure that employees know the consequences of misleading the manager.

The correct answer is: Support employees' right to disagree with proposed changes.

The nurse-manager who seeks to exemplify emotional intelligence should:

Select one:

a. regulate his or her own emotions and those of others.

b. effectively manipulate the emotions of others to achieve goals.

c. prioritize emotion over reason when making decisions.

d. attempt to remove emotion from decision making.

The correct answer is: regulate his or her own emotions and those of others.

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. The nurse is enacting what model of leadership?

Select one:

Favoritism

Servant leadership

Quantum leadership

Principal agent theory

The correct answer is: Principal agent theory

Two nurses have approached the manager and have asked the manager to speak to a nurse on the unit who has a reputation for being difficult to get along with. How can the manager best implement authentic leadership?

Select one:

Analyze the facts of the situation before making a decision.

Meet with the "difficult" nurse to assess emotions.

Encourage all three nurse to meet without the manager present.

Encourage all three nurses to disregard their emotions.

The correct answer is: Analyze the facts of the situation before making a decision.

What actions by the nurse-manager are consistent with relationship age leadership? Select all that apply.

Select one or more:

Recognizing staff members who have contributed to the organization's goals

Communicating regularly and openly with employees

Including committee representatives from all areas that will be affected by a change

Encouraging teamwork to solve problems and address issues

Encouraging competition between staff members to increase overall efficiency

The correct answers are: Communicating regularly and openly with employees, Encouraging teamwork to solve problems and address issues, Including committee representatives from all areas that will be affected by a change, Recognizing staff members who have contributed to the organization's goals

Which statement regarding the characteristics of a good leader is true?

Select one:

They are by nature good-intentioned.

Charisma is their strongest attribute.

They are brave in all situations.

They may have character flaws.

The correct answer is: They may have character flaws.

A subordinate has accused a manager of favoritism after the manager created the work assignment for the day. How should the manager best apply the principles of emotional intelligence?

Select one:

Involve a colleague in the situation who has no emotional investment in the situation.

Choose a response that will diffuse the subordinate's emotions.

Recognize that the subordinate's statement was likely based on emotion rather than evidence.

Identify and reflect on the feelings that she experiences after being accused.

The correct answer is: Identify and reflect on the feelings that she experiences after being accused.