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business
leadership and management

Questions and Answers of Leadership And Management

Respond to feedback in a constructive manner.AppendixLO1
Provide positive and negative feedback in a constructive manner.AppendixLO1
Discuss strategies for communication with colleagues and patients in health-care settings.AppendixLO1
Identify barriers to effective communication.AppendixLO1
Describe the basic listening sequence and principles for effective communication.AppendixLO1
Changea. Is always associated with chaos.b. Can be controlled using project management software.c. Is an inevitable life process.d. Is best managed by an individual with expertise in change theory.
Innovation and change:a. Are similar but distinct concepts.b. Are the same concepts.c. Are based on the same assumptions.d. Are avoided by healthcare workers.
Innovation and performance improvement:a. Are two different change methodologies.b. Exist as a continuum, each informing the other.c. Are in direct opposition to one another.d. Are both required in
Resistance to change and innovation:a. Increases the chances for creativity.b. Is not uncommon and needs to be mediated.c. Provides a stopgap measure that halts inappropriate changes.d. Is limited to
There are certain times when change is not appropriate and should not occur.Change should be avoided when:a. The funding to support the change is not available.b. The anticipated value is positive.c.
Project management templates and processes:a. Are ideally suited for complex change and innovation.b. Can remove obstacles to creativity.c. Consider deviations from the plan to be negative.d.
Change competencies include:a. Common understanding of definitions and descriptions of change.b. Expertise in completing checklists.c. Knowledge of team members’ ability to create a business
Which innovation leadership behaviors support building networks of people?a. Boundary spanningb. Leveraging opportunityc. Risk-takingd. Visioning
Measurement of change:a. Is best done with financial metrics.b. Is best done with a single quantitative or qualitative metric.c. Should be distinct from measurement of innovation.d. Requires
Negative fantasies about change:a. Are important considerations in reality checking.b. Encourage creativity and innovation.c. Can be serious obstacles to embracing change and innovation.d. Are more
An innovation process should start by:a. Brainstorming solutions.b. Implementing ideas.c. Asking colleagues about possible solutions.d. Understanding the evidence and literature of the problem.
A leader’s role in change and innovation is to:a. Take credit for others1 ideas.b. Facilitate the conditions for change and innovation to occur.c. Provide permission to staff to solve problems.d.
Taking risks to advance change and innovation:a. Catalyzes change efforts.b. Disrupts change efforts.c. Is not recommended for nurses.d. Helps maintain the status quo.
Performance improvement and innovation cannot occur in the same organization. True or false?
Innovation differs from performance improvement because innovation:a. Uses a process to achieve an outcome.b. Is founded on evidence.c. Creates something new to the population experiencing it.d.
Nursing is a fully mature and adult profession now reflecting all of the particular characteristics of professional delineation. True or false?
Professionals act predominantly on principle, not simply based on their knowledge, reflecting a belief that principle drives knowledge. True or false?
Evidence-based practice is grounded in good policy and reflects inconsistent standardization and procedures. True or false?
The Code of Ethics for Nurses serves as a foundation for the exercise of nursing practice. True or false?
Shared governance is a voluntary process that invites staff to participate in decisions that affect patient care. True or false?
Very few professional decisions are made at the point of service or in the patient environment. Most decisions influencing nursing practice in shared governance should be made away from the patient
All staff must participate in shared governance activities. True or false?
For a professional, the identification of the profession becomes a part of personal identity such that it is impossible to separate the person from the profession.True or false?
Language is not nearly as important as action is. The way in which a nurse acts is the most important indicator of who the nurse is. True or false?
One of the primary roles of the nurse is to coordinate, facilitate, and integrate interdisciplinary interaction around elements of professional practice and patient care to ensure synthesis and
It is better to adhere to generally accepted leadership principles than to develop an individual personal leadership plan. True or false?
Leadership means providing specific and clear direction to others so that they understand your intention and have a clear idea of your individual leadership vision. True or false?
Leadership courage indicates a specific level of self-understanding and personal knowledge about individual motivation, principles, and ethics. True or false?
In working with teams, it is important for the leader to let the team know about the decisions they need to make and to provide the team with the appropriate direction necessary to get to the right
One of the differences between the management function and the leadership function is that managers are more accountable for staffing whereas leaders are more accountable for engaging. True or false?
The leader works hard to create trust and does everything to make sure that his or her personal principles of trust are apparent to colleagues so they can work in a trusting environment. True or
Leaders are always interested in finding answers to problems and directing colleagues to seek the most correct answers or solutions. True or false?
A contemporary differentiation between management and leadership is that management focuses on analysis, whereas leadership focuses on synthesis. True or false?
Friendship is not a critical element to leadership. Therefore, the wise leader is reserved about transparency and realizes that self-disclosure can create problems between the leader and those whom
The leader must set aside time for formal leadership reflection about personal skills and development needs and should develop a strong relationship with the leadership mentor. True or false?
Discuss the essential skills to manage conflict in relation to your own personal characteristics. Which would you like to grow?
Discuss the best time to engage with conflict and the rationale for this timing.
Emotions must be controlled and separated from the conflict so that the real issues can be addressed more directly. True or false?
Describe the role of the conflict mediator in an interest-based conflict.
The conflict mediator manages all elements of the conflict and assists parties to the conflict in their personal expression and in determining who needs to get what from the experience. True or false?
All conflict is normative in group or team dynamics. What is the role of the leader in conflict?
Discuss the five personal barriers to conflict resolution and problem solving.Consider a conflict you have been involved in. Which personal factors were at play?
It is not the mediator’s obligation to focus on the core issues of conflict; rather, it is the obligation of the parties to know their core issues and to be willing to negotiate them. True or false?
Identity issues are the easiest to resolve because they deal only with values and personal belief, which can be quickly identified. When they are clear, they can help move the parties to early and
All conflict is resolvable if there is a good match between commitment and effort of the parties, use of best methodology, and the clarity and effectiveness of the solutions obtained. True or false?
Staffing adequacya. Is determined by multiple factors, including nurse competence and patient care needs.b. Does not vary by shift.c. Can be assured with good planning of nurses’ work schedules.d.
Equitable nurse patient assignmentsa. Require experienced nurses to create nurse assignments.b. Are positively related to nurse satisfaction.c. Are nearly impossible in complex patient care
Core schedulesa. Are based on budgeted hours.b. Should be adjusted at least quarterly.c. Are based on trended patient care needs over time.d. Are inconsistent with ratio staffing models.
Ratio staffinga. Is strongly correlated with positive patient outcomes.b. Is strongly correlated with nursing satisfaction.c. Requires specific state legislation to implement.d. Does not consider the
Non-value-added worka. Will continue due to patient expectations.b. Should be identified and eliminated whenever possible.c. Can be identified easily during unit focus groups.d. Is not an area of
Measuring staffing adequacya. Requires knowledge of recent research evidence.b. Is essential for Medicare certification.c. Is a quarterly evaluation of evidence for nurse staffing, physician
Evidence for staffing specific to nurse fatiguea. Is unique for each team of nurses on a particular unit.b. Is inconclusive for healthcare workers.c. Identifies work practices that can be performed
Reliability of patient classification systemsa. Requires the use of a standardized nursing language.b. Is high when the ratings by system users are identical.c. Requires use of the system for at
Validity of patient classification systemsa. Is about the accuracy of the system to measure the work of patient care.b. Requires a minimum amount of clinical intervention categories.c. Does not
Patient care delivery modelsa. Are most commonly based on the team model.b. Are best used in academic medical centers.c. Are required for Medicare reimbursement.d. Form the foundation for workforce
An ethical dilemma arises froma. Conscious bias.b. Differing values.c. Differing gender, generational, and educational competencies.d. Unsuccessful or negligent patient care.
Trusting relationships are essential in managing ethical dilemmas. Trust is characterized asa. Complete support of a colleague.b. An ugly duckling.c. A relationship in which one individual is
Ethical erosion isa. Subtle, even unnoticed slippage of ethical standards.b. A common organizational phenomenon.c. An increase in sensitivity to diverse values.d. The result of poor patient care.
Ethical principles are helpful ina. Determining the specific cause or explanation of an ethical dilemma.b. Assigning blame to the individual violating the principle.c. Forming guidelines for
Promise-keeping or fidelity isa. An agreement in nurse–nurse relationships.b. The same as nonmaleficence.c. A foundational ethical principle for resolution of ethical dilemmas.d. A difficult
Often nurses rationalize a situation becausea. It is necessary to fully understand a situation.b. The right thing is not easy to do.c. Other, more appropriate actions might become available.d. The
Boundaries from an ethical perspectivea. Include activities specific to nurse–patient assignments.b. Emphasize boundary violations as inappropriate behaviors.c. Require interpretations from a moral
Impaired nursing practice isa. About substance use disorders impacting safe nursing practice.b. Not common in the nursing profession.c. Readily reported by colleagues who become aware of the impaired
Practice breakdown strategies represent ethical issuesa. In identifying the cause of errors.b. Specific to fair and just treatment of nurses.c. Requiring more stringent discipline of those making
Conflict in ethical situations arises froma. Morality.b. Nonmaleficence.c. Value diversity.d. Financial resources.
Understand the elements and processes associated with interdisciplinary team leadership and the particular role of the team leader.
Define the role of the professional nurse as team leader and identify the unique skills necessary to make team leadership a basic expectation of the professional role.
Enumerate the stages of the team process and describe the leadership skill capacity necessary to facilitate, coordinate, and integrate team action.
Outline the characteristics of team dynamics related specifically to team roles, interaction, terms of engagement, and stages of team action.
List at least 10 team fables that often impede understanding the team process and obtaining effective team outcomes.
State normative challenges that teams confront in undertaking their work and identify mechanisms for managing those challenges.
Identify specific characteristics and skills of the team leader in relation to collaboration, team dynamics, team decision making, managing conflict, and achieving team outcomes.
Understand the six basic categories of resources associated with the provision of healthcare services.
Describe the interactions among the economic concepts of demand, supply, and price from a healthcare perspective.
Compare and contrast the purposes, utility, and importance of value and volume measurements in health care.
Understand basic data measurement concepts, analysis, and interrelationships in determining healthcare value.
Explain the importance of variance management and the role of the clinical nurse leader in responding to variances in financial, productivity, and performance data.
Teams are the central component of the delivery of healthcare services. True or false?
Healthcare reform and transformation have made teams less important by advancing the value of individual clinical functions over team activities. True or false?
The professional nurse is a critical and key leader of clinical and health delivery teams. True or false?
Purpose, goals, roles, and relationships are the four central elements upon which team effectiveness depends. True or false?
It is the obligation of the team leader to establish the goals for team members and make clear to them their obligation to meet these goals. True or false?
Conflict is always a barrier to team effectiveness and success, so it is the role of the team leader to eliminate conflict between team members so the team can proceed to successfully complete its
Team members need a clear understanding of their individual roles so they know what they are committing to and what is expected for their participation in team activities. True or false?
Measures of team success are identified only after the team has made progress with its goals, thereby establishing a foundation for measuring the team’s degree of success. True or false?
The team leader must reaffirm the team’s purpose and check its progress frequently to help its members understand where they are in the team process, the progress they have made toward their goals,
All team leaders should have external mentoring, guidance, or advisement to help advance personal insights and skills for team leadership. True or false?
Understand the fundamental networks and organizations that support professional practice.
Define ways that structure, profession, practice, and the individual relate and reflect contemporary and emerging structures for health care.
Enumerate the elements of complex adaptive systems and the frames they create for professional practice.
Outline the characteristics driving a stronger fit between the demands of the external environment and the internal organization facilitating health transformation.
List at least five major elements of shared governance that advance professional practice.
Identify problematic issues related to structures that support professional practice and the interface among those structures, individual behavior of the professional, and the requirements of the
The interactions among price, supply, and demand in health care area. Usually linear and driven by prices.b. Highly interactive and unpredictable.c. Currently driven by the demand for technology.d.
Healthcare economics providesa. Guidance for healthcare reformb. Information about the current status of national spending.c. An overview of the study of supply, price, and demand interactions.d.

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