HSCI 228

Health care organizations that value relationship building among all stakeholders:

1. Report higher staff retention rates 2. Report positive clinical outcome 3. Are able to integrate myriad systems

As a group, personality and trait theories hypothesize that:

1. Social, political, and individual factors merge to produce a leader. 2. There are a constellation of traits that are indicative of a leadership personality. 3. Leaders are born with characteristics that predisposed them to lead.

Contingency and situational theories postulate that effective leaders use a combination of behaviors or styles that are influenced by:

1. The task involved 2. The personalities involved 3. The situation or context and organizational culture

True or False: intervention in complex systems is most effective when problem solvers focus on the organizational level of system.

False

True or False? According to contingency theory, leader-member relations refers to the way the leader feels about team members.

False

True or False? Teams that are heterogeneous at both the surface and deep levels perform better in the early stages of a team's work life.

False

Information provided by hospital staff, care recipients, suppliers and funding sources is an example of:

Input

Conflict management, mediation, communication and conflict resolution training are all methods to intervene at:

Interpersonal level of the system

Homeostasis is synonymous with:

Optimal systems functioning

Which of the following characteristics would predispose a healthcare professional to be open to new ideas and see things with new eyes?

"Negative capability"

Wheatley proposed a 5 step model that can be used by interprofessional healthcare teams to solve complex problems. Cohesion and reflectivity are required by individual team members during what stage?

Acting

True or False? Hershey and Blanchard's situational leadership theory proposes that newly formed groups do best with a supportive, relationship-oriented leader.

False

Matching; Match leadership style with its purpose:

1. Building long term team and organizational capabilities (Coaching) 2. Bridge building and motivation during stressful times (Affiliative) 3. Decisive action in emergency situation (Directive) 4. Provide redirection for change initiatives (visionary) 5. Developing collective buy-in (Participative) 6. Achieving high quality results with highly competent team (Pacesetting)

According to system theory:

1. An individual member of a team cannot be fully understood in isolation from the team 2. All social systems are integrated wholes 3. A team cannot be understood without the organizational context in which it exists

Research on leadership reports that good leaders:

1. Are able to develop reciprocal relationships and empower others 2. Are able to balance task-related and relationship building behaviors 3. Have high levels of social and emotional intelligence

Power can be identified as personal or socialized power. People with highly socialized power:

1. Direct power to benefit others. 2. Distribute and share power. 3. Seek power to accomplish tasks.

Distinguish a group from a random collection of people the members must:

1. Exert influence among the members 2. Have common interests and goals 3. Have regular patterns of interaction

The goal of group level system intervention is

1. Facilitate behaviors that will foster goal attainment 2. Clarify the nature of individual contributions 3. clarify the group's purpose

Which of the following can be used to improve productivity?

1. Facilitating friendly group employee manager interaction 2. Encouraging participation 3. Giving workers responsibility

Matching Question: Match the Myers-Briggs personality and preferred behavioral styles with the quote that a team member would use to describe himself:

1. I like to improvise(Precieiver) 2. I like structure (Judger) 3. I make decisions based on belief (Feeler) 4. I take information from the here and now (Senser) 5. I integrate information from the past, present and future ( Intuiter) 6. I gain energy from working with others (extrovert) 7. I gain energy from working alone (introvert) 8. I make decisions based on logic (thinker)

Methods to intervene at the organization level of system include:

1. Leveraging culture change 2. Analysis of organizational strengths 3. Analysis of organizational culture

Matching: The kolb Learning Style inventory is a self-report questionnaire that yields insight into how leaders learn best. Match the learning style with it's characteristic:

1. Like to engage in the practical application of theories to solve specific problems. (Assimilator) 2. Excel in developing theoretical concepts. (Convergers) 3. Prefer risk taking and soling problems in a collaborative, tiral and error fashion. (Accommodators) 4. Like to see situations from many perspectives. (Divergers)

Matching: McClelland hypothesized that human behavior is a result of a complex mix of motivations- achievement, affiliation, and power. Match the motivation with the description of the person who exhibits the motivation style:

1. Like to work with others and value harmony and collaboration. (Affiliation motive) 2. Revel in accomplishing something no one has done before. (Achievement motive) 3. Wants their ideas to prevail and are interested in increasing personal status and prestige. (Power motive)

Power can be identified as personal or socialized. People with highly personalized power:

1. May have little inhibition or self-control. 2. Demand loyalty to themselves rather than to the organization. 3. Exercise power impulsively.

High performance microsystems are characterized by:

1. Ongoing staff development 2. Strong organizational support 3. Inclusive leaders

Matching - Research suggests that leaders need to be cognizant of six broad diversity categories. Match the category of diversity with an example:

1.Status-like placement in organizational hierarchy, tenure, social-economic, respect for profession in society. (Organizational and Community) 2.family of origin, generation, personal history of experiences.(Values and beliefs) 3.Friends and work-related network of associates, family members. ( Social Network) 4.Cognitive styles, temperament ( Personality) 5.Gender, ethnicity, religious identity, sexual orientation.(social Identity) 6.Educational background, functional knowledge.(Knowledge and skills)

According to Blake and Mouton's situational leadership theory, which of the following describes the management style of a leader who exhibits a low level of concern for people and a high level of concern for production?

Authority-obedience management

Focus of intervention at the individual level of a system is:

Behaviors, perceptions, emotions

Giving equal attention to each team members contributions:

Broadens the perspective of the team

On a heath care team you identify the member who distributes positive/negative reinforcers as the leader. This is an example of:

Coercive power

Wheatley proposed a 5 step model that can be used by interprofessional healthcare teams to solve complex problems. Patience and curiosity are required by individual team members during what stage?

Cooling/quieting

The Myers-Briggs type indicator (MBTI) is a self-report instrument that :

Correlates with leadership success.

According to Blake and Mount's situational leadership theory, which of the following describes the management style of a leader who exhibits a low level of concern for people and a high level of concern for production

Country club management

A leader can mitigate the effects of status and power differentials on group participation by:

Creating an atmosphere where inclusive participation is the norm.

True or False? In most healthcare organizations leaders and managers are often appointed based on years of experience, thus insuring success at both the team and organizational levels.

False

True or False? In order for a group to initially form and develop, power and authority have to be evenly distributed.

False

You would be representing the individual level of system if you were:

Describing your unique professional contribution to the team

According to contingency theory, which of the following is an example of a structured task?

Disinfecting equipment in the occupational therapy clinic after a treatment session

True or False? In order for a group to mature, power and authority have to be distributed evenly over time.

False

Which of the following is a strategy that an individual can use to enable them to thrive during times of change?

Engaging in self reflection.

Wheatley proposed a 5 step model that can be used by interprofessional healthcare teams to solve complex problems. Respect and clear thinking are required by individual team members during what stage?

Enriching

On a heath care team you identify the member who has specialized knowledge, information, and skills as the leader. This is an example of:

Expert power

True or False? Leaders who are comfortable with "the tension inherent in not knowing" are threatened by different perspectives and are driven to improve knowledge and skills in their chosen profession.

False

True or False: Coaching, training, mentoring and feedback are methods of intervening at the interpersonal level of system.

False

True or False: It is very likely that a healthcare system with hierarchical interactive pattern will be adaptable in the face of change.

False

True or False: The goal of community level of system intervention is finding common ground.

False

Patient/community focus, evidence based practice, process improvement and technology enhanced communication are characteristics of:

High functioning microsystem

A healthcare organization is a complex, adaptive system because

It is non linear, open to environment, self organizing and evolving

In a health care organization, the CEO may be assumed to be the leader based on the fact that a CEO is at the top of the organizational chart. This is an example of:

Legitimate power

The highly specialized training that is the hallmark of traditional health professional education:

Places a premium on understanding the perspectives of multiple disciplines.

As examples of microsystems, a cardiac team and a pediatric team are differentiated from each other by:

Purpose, Patients, Professionals, Processes

On a heath care team, the physician may be assumed to be the leader based on the fact that a doctor is considered a high status position. This is an example of:

Referent power

According to the Big Five Theory of personality, the "ideal leader" is:

Resilient, energetic and outgoing, visionary, competitive and dedicated to a goal

The set of behaviors that form the foundation of emotional intelligence are:

Self-awareness, self-management, social awareness and relationship management

Which of the following are the components of effective learning for leaders?

Self-directed, experiential, and transformational.

According to Blake and Mount's situational leadership theory, which of the following describes the management style of a leader who exhibits a high level of concern for people and a high level of concern for production?

Team Management

Hershey and Blanchard's situational leadership theory proposes that the best leaders are able to shift their focus their over time from task to relationship based on:

The developmental needs of the group

Which of the following would be classified as a team?

The eleven pm to seven am shift in an emergency room

Treatment provided by the rehabilitation team is an example of:

Throughput

True or False: Analysis of the purpose of your team and how that purpose fits within the overall context of the health system and community represents the group, organization and community levels of system.

True

True or False: intervention in complex systems is most effective when problem solvers consider goals in the light of their effect on the whole system.

True

True or False? According to Douglas McGregor, theory X contends that employees are motivated mainly by money and must be controlled, directed, and threatened with punishment in order to work toward the achievement of organizational objectives.

True

True or False? According to Douglas McGregor, theory Y focuses on the creation of an environment that rewards the exercise of initiative, ingenuity, and self-direction and views opportunities for engagement and self-actualization as motivating forces.

True

True or False? According to contingency theory, there are two primary motivations for leaders: relationship building and task completion.

True

True or False? Hershey and Blanchard's situational leadership theory proposes that mature groups do best with a supportive, relationship-oriented leader.

True

True or False? Leaders who exhibit highly personalized power often cause disorder and the breakdown of team morale and direction.

True

True or False? Leadership can be defined as the exercise of power and influence with others.

True

True or False? Leadership is a developmental process that can be viewed as a lifelong journey that incorporates the cognitive (what you learn) and metacognitive (how you learn) aspects of learning.

True

True or False? On many health care teams, power and status differentials are a fact of life and frequently limit the participation of team members who perceive themselves to be of lower status.

True

True or False? Personal and social skills, the bases for emotional intelligence, are essential for effective team leadership.

True

True or False? Positional power is related to the assigned power that a leader has over the group i.e. an attending physician and a group of medical students.

True

True or False? Relational theories conceptualize leadership as a set of learnable attitudes, behaviors and skills geared toward relationship building.

True

True or false: A rehabilitation team is an example of a microsystem within a complex system.

True

True or false: A team is a group of people who must work together to achieve a common agreed upon goal or outcome.

True

A group is defined as

Two or more individuals who are connected by social relationships

VUCA is an acronym that has been applied to the complex world of healthcare. It means:

Volatile, uncertain, complex, ambiguous

Successful change agents

address all levels of the system

Which of the following would be classified as a group?

loyal fans at a college basketball game

Patient satisfaction rates are an example of:

output

Question text (T F) All groups demonstrate consistent patterns of member, leader and group behaviors as they relate to the acquisition of roles, the assumption of and response to authority, norm development and communication patterns.

true