Chapter 5: The nurse as Manager of Care

When should a new graduate consider taking on a management responsibility? 1. As soon as they are offered 2. After developing clinical expertise 3. After 15 years on the job 4. Before developing leadership expertise.

Ans: 2 development of clinical expertise is an essential part of preparing to be a nurse manager. Is it the amount of preparation and experience gained, not the number of years to make the decision. Managers need to have leadership expertise.

What is the difference between management and leadership? 1. Management focuses on budget 2. Management is an assigned position 3. Leadership is not concerned with getting work done 4. Leadership is more focused on people

Ans: 2 everyone can exert leadership at various times, but manager is a designated position, assigned by upper level administration. Budgets are a concern but not the main one. Both management and leadership focus on people.

Someone has just become a nurse manager in a long term care facility. He knows he has a lot to learn. What should he tell his staff? 1. Nothing, he should pretend he has experience 2. That he is still learning, too, and values their input. 3. That the staff needs to manage themselves. 4. How little he knows about management

Ans: 2 this is an accurate description of his situation and is likely to engage staff in supporting his growth and development as a nurse manager. Lying will lose trust. Staff is not expected to manage themselves.

Theory Y emphasizes: 1. Guidance, development and reward 2. Leadership, not management 3. Supervision, monitoring, and reprimands 4. Evaluation, budgeting and time studies.

Ans: 1 a theory Y manager employs staff guidance, staff development, and reward as opposed to theory X emphasis on control, close monitoring, and punishment, if needed.

Someone wants to become a nurse manager. She has been offered to take a nursing management course. Which topic is the most important to her to learn? 1. Managing people 2. Managing the units budget 3. Planning for the future 4. Redesigning the units workflow.

Ans: 1 managing people is the most important challenging task for a nurse manager. It is fundamental to good management.

Effective nurse managers have: SATA 1. Leadership capabilities 2. Clinical expertise 3. Business sense 4. Budgeting savvy

Ans: 1,2,3,4 to be maximally effective, nurse managers need all these skills. People skills, expertise, and financial skills.

Which of the following is a major reason why newly licensed nurses resign? 1. Poor pay scales 2. Needle stick injuries 3. Unsupportive management 4. Lack of advancement opportunities..

Ans: 3 newly licensed nurses need supportive management and may resign if it is not present. Poor pay is usually not a reason. A lack of advancement opportunities becomes more important after the initial adjustment to a new role.

Servant leadership focuses on: 1. Helping pts care for themselves 2. Removing incompetent managers 3. Creating a supportive work environment 4. Resolving conflicts quickly.

Ans: 3 servant leadership employs a "people first" approach to improving how employees are treated. Try to come to a resolution that is best for all, even if it takes some time.

Informational aspects of a nurse managers job includes: 1. Evaluation 2. Resource allocation 3. Being a coach 4. Being a spokesperson

Ans: 4 being a spokesperson for staff, pts, and administration is an informational activity. Evaluation and resource allocation are decisional activities, being a coach is an interpersonal activity.

Scientific management focuses on: 1. Interpersonal relations 2. Servant leadership 3. Staff development 4. Efficiency

Ans: 4 the focus on increasing efficiency is the hallmark of scientific management.