Test Bank For The New Leadership Challenge Creating the Future of Nursing 5th Edition By Sheila Grossman
ISBN-13: 978-0-8036-5766-3
Chapter 3: Disequilibrium and Chaos: Challenging, Invigorating, and Growth Producing
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Which action indicates a nurse leader is following the chaos theory?
| 1. | Rethinks the past and models self after previous nurse leaders |
| 2. | Develops specific short- and long-term plans with evaluation outcomes |
| 3. | Uses intuition and is comfortable with uncertainty |
| 4. | Works side by side with physician mentors |
____ 2. Wheatley and Kellner-Rogers (1996) say that systems maintain themselves only when change is occurring. How should the nurse interpret this statement?
| 1. | Disorder is a means to survival. |
| 2. | It is imperative to keep organizations in status quo. |
| 3. | An idea should have its own place and be labeled. |
| 4. | Change always produces positive growth. |
____ 3. When should nurses start leading?
| 1. | Whenever their preceptor says it is time |
| 2. | After working 3 years |
| 3. | When they are in management positions |
| 4. | As soon as they graduate |
____ 4. The uncertainty of health care flows from the chaotic nature of the world over time. This perspective is most similar to which idea?
| 1. | There are far more questions than there are answers. |
| 2. | Uncertainty breeds discontent. |
| 3. | Nurses should try to plan every step. |
| 4. | Life is an endless, thankless journey. |
____ 5. Which most significant characteristic will assist nurses to grow in this chaotic health-care environment?
| 1. | Rigidity |
| 2. | Efficiency |
| 3. | Steadfastness |
| 4. | Flexibility |
____ 6. A nurse manager has a vision of providing holistic quality care to patients and families. Which action should the nurse manager take to strategically and successfully fulfill this vision?
| 1. | Deemphasize empowerment of staff members. |
| 2. | Use the position’s leverage. |
| 3. | Partner with agencies outside the organization. |
| 4. | Create to-do lists for those involved in the change. |
____ 7. When someone questions a procedure, a commonly heard statement by many nurses is, “We’ve always done it this way.” Which description best illustrates this attitude?
| 1. | Limiting change |
| 2. | Desiring group cohesiveness |
| 3. | Honoring the past |
| 4. | Providing commitment |
____ 8. Which action can increase a nurse manager’s power most dramatically?
| 1. | Preserving the status quo |
| 2. | Maintaining sacred cows |
| 3. | Empowering staff members to make change |
| 4. | Unionizing with other administrators |
____ 9. Unfreezing is a stage of Lewin’s theory of change. Which example in nursing depicts this stage?
| 1. | Using a new acuity system |
| 2. | Having frequent staff meetings to discuss a possible change |
| 3. | Accepting the new documentation method |
| 4. | Evaluating the newly implemented procedure |
____ 10. How can new leaders best participate fully in the decision-making processes of their healthcare organizations to accomplish goals?
| 1. | Collaborate with just other nurses to obtain new perspectives. |
| 2. | Compromise with other health-care workers so that nursing gets its share of resources. |
| 3. | Engage in continuous quality improvement. |
| 4. | Work in a silo by oneself. |
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