Test bank for leadership and nursing care management 5th edition by diane huber download

DIF: Cognitive Level: Understand Comprehension REF: Page 129 TOP: Nursing Process: Assessment MSC: Client Needs: Safe and Effective Care Environment: Management of Care 2.. TOP: Nursing

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Leadership and Nursing Care Management: 5th Edition Test Bank – Huber

Leadership and Nursing Care Management: 5th Edition Test Bank – Huber

Sample

Chapter 08: Team Building and Working with Effective

Groups Test Bank

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DIF: Cognitive Level: Understand (Comprehension) REF: Page 129

TOP: Nursing Process: Assessment

MSC: Client Needs: Safe and Effective Care Environment: Management of Care

2 A type of group that is stable, meets periodically, has an identified purpose, and

is part of the organizational structure is called a:

a policy and procedure committee

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3 Team building is the process of _ a group

Team building is the process of deliberately creating and unifying a group into

a functioning work unit so that specific goals are accomplished

4 A small number of people with complementary skills who are committed to a common purpose, performance goals, and approach for which they hold themselves mutually accountable and whose membership should be consistent

is known as a:

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5 A collection of individuals who are led by a strong, clearly focused leader and who come together to share information and ideas and possibly make decisions is known as a:

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as a work group In a work group, there is little or no collective accountability

6 Individuals join groups because of:

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ANS: D

The reasons individuals join groups vary but may include psychological drives

and primary needs

7 Group problem solving is known to be more effective over individual problem solving because of a larger knowledge and information base, increased

acceptance of solutions, more approaches to a problem, lower economic costs, and the ability for:

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DIF: Cognitive Level: Apply (Application) REF: Page 132

8 Some of the major disadvantages to group decision making are

premature decisions, individual domination, and:

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9 A group of tenured nursing faculty at a major university votes on whether a faculty member should receive tenured status This type of decision making is referred to as:

ANS: D

Joint decision making occurs when the entire group makes the decision by

two-thirds vote, a simple majority, consensus, or some other process In this process, the group members have as much power as the leader

TOP: Nursing Process: Evaluation

10 Group as well as individual accountability exists within a:

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11 The hospital’s regulatory department is experiencing a Joint Commission survey The surveyors want to review hospital policies for infection control before they leave for the evening The regulatory team leader states that she can stay past her regular hours to wait for them and acknowledges that there will be a need for a policy change before the surveyors return the following day All of the

department managers stay to assist the regulatory team leader with the required documentation This is an example of a:

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A true team is a group where there are collective work products There is group as well

as individual accountability If one member is having a problem, it is not only that person’s problem but that of the whole team to resolve

TOP: Nursing Process: Implementation

MSC: Client Needs: Safe and Effective Care Environment: Safety and Infection Control

12 A group of people who believe they are a team but fall short of the definition of

a true team is known as a:

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13 The stage of group development where control issues arise and disputes

or disagreements begin to emerge is the _ stage

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ANS: C

Emergence is the third stage of group development and occurs as control issues arise Disputes, disagreements, confrontations, alliances, and power struggles mark this stage of determining control over the group in order to emerge with a more consolidated identity

14 The nurse manager within a small department has requested that the staff decide department coverage over the holidays The department is not associated with patient care and serves as a supportive role to the organization The staff is to present the manager with the coverage plan during the month of December This

is an example of which type of decision?

ANS: D

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A delegated decision procedure occurs when the leader allows participants to make the final decision An autocratic decision procedure occurs when the leader makes all of the decisions A consultative decision procedure occurs when decisions involve employee participation but the leader still makes the decision Joint decision making occurs when the entire group decides by vote or consensus

TOP: Nursing Process: Planning

15 The critical care unit of a hospital utilizes team huddles at change of shift This is

an opportunity for the clinical supervisors to connect with team members and review the upcoming shift or any quick topics that need to be communicated This is an example of a(n) _ meeting

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DIF: Cognitive Level: Apply (Application) REF: Page 138

16 A multidisciplinary committee meets monthly to discuss medication safety

issues within the acute care areas The quality director consistently arrives late for meetings and spends her time in the meeting answering e-mails on her

iPhone What type of disruptive behavior does this exhibit?

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MULTIPLE RESPONSE

1 Why is teamwork an imperative for leaders (select all that apply)?

demands of patient care

care delivery

senior leadership level

ANS: B, C, E

Teamwork has become the imperative for leaders today because the level of knowledge required to meet the demands of both patients and systems of care requires collective pooling of thinking styles, diversity of professional backgrounds, and the collaboration of many Rapidly changing structures of care delivery and reimbursement protocols,

increasing governmental regulations, increasing complexity, technology advances, rapid information dissemination at the worker level, and the shift to a knowledge worker–based service society are some of the social and economic forces operative in health care

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DIF: Cognitive Level: Apply (Application) REF: Pages 128-129 TOP: Nursing Process: Implementation

2 What are some of the positive aspects of utilizing teams in a professional setting

such as health care (select all that apply)?

management level

ANS: A, D, E

Effective work teams can create a form of synergism in which the outcome is greater than the sum of individual efforts Such synergism confers a competitive edge and boosts productivity under conditions of constrained resources Teams are a way to enlist

employee participation and capitalize on possibilities for improved patient safety,

increased productivity, better decisions, and process innovation Team building is a strategy for designing, implementing, developing, and nurturing work teams in

organizations

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DIF: Cognitive Level: Apply (Application) REF: Pages 128-129 TOP: Nursing Process: Implementation

3 A pseudoteam is a group of people who believe they are already a team but fall short of the definition of a true team What are some characteristics of a

pseuodoteam (select all that apply)?

ANS: A, B, E

Characteristics of a pseudoteam include confusion over their purpose, unhealthy or toxic interpersonal issues and communication patterns, members who put individual needs and ambition above the needs of the team, the presence of hierarchical rituals that preclude full participation of all members, unclear goals, and a lack of evaluation criteria

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4 Group interactions are composed of which of the following elements (select all

that apply)?

together

ANS: A, C, D, E

Group interactions are composed of the unique way the group interrelates and begins

to work together, the standards that regulate the group’s behavior, the process of

problem solving and decision making, the communication patterns that occur among group members, and the roles played by each member

131

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5 A nursing professional practice council is being formulated within an

organization Nurses from the three acute settings will meet monthly to discuss safety, policy, and practice needs within the organization What are some of

the reasons for this group formation (select all that apply)?

work accomplishment

ANS: A, B, E

In nursing, formation of groups occurs primarily to provide a personal or professional socialization and exchange forum, or to provide a mechanism for interdependent work accomplishment Groups are established within organizations to create a sense of status and esteem, they allow an individual to test and establish reality, and they function as a mechanism for getting a job done

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MSC: Client Needs: Safe and Effective Care Environment: Safety and Infection Control

6 Work group disruption has been shown to be linked to negative outcomes

What are some factors that can contribute to work group disruptions (select all

Work groups can be disrupted by factors such as downsizing, reorganization,

absenteeism, and turnover

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7 What are some of the advantages to group work related to problem solving

(select all that apply)?

8 Team dynamics can become dysfunctional over time What are some factors

that can contribute to team dysfunction (select all that apply)?

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Dysfunctional team behaviors can occur related to an absence of trust, fear of conflict, lack

of commitment, avoiding accountability, and inattention to results Articulating and

negotiating expectations for healthy interpersonal behavior benefits team development

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9 Effective groups will have a variety of roles Which of the following are

examples of group-building roles (select all that apply)?

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Nursing Process: Assessment

Client Needs: Safe and Effective Care Environment: Management of Care

10 In planning for an effective committee meeting, what are some of the roles of the

leader (select all that apply)?

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b Inviting more than 20 people to ensure adequate

attendance

objectives

ANS: C, D, E

An effective meeting checklist for leaders includes preparing an agenda and related materials, setting the size at four to seven people, identifying the purpose of the meeting, ensuring that the meeting starts and ends on time, and keeping the meeting directed toward established goals

TOP: Nursing Process: Planning

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