Chapter 11 My Nursing Test Banks

Sullivan, Effective Leadership and Management, 8/e
Chapter 11

Question 1

Type: MCSA

A newly hired nurse is asked to join a group working on unit protocols. This nurse is verbal and dominates the conversation of the group. The group leader identifies the disruption this nurse causes as being from which phenomenon?

1. Status incongruence

2. Group isolates

3. Emergence

4. Deviation

Correct Answer: 1

Rationale 1: Status incongruence means that the status of the newly hired nurse is not congruent with being a dominant player in the group. Status in the group is determined by conforming to group norms that often include higher status for those who have worked in the group for a longer time.

Rationale 2: Isolates are generally those who have a higher external status than others in the group and who do not fit the group profile.

Rationale 3: Emergence is not a word used to describe these group dynamics.

Rationale 4: Deviation is not a word used to describe these group dynamics.

Global Rationale: 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 11-1: Describe how groups and teams function.

Question 2

Type: MCSA

The nurse manager asks staff members to work as a group in planning the activities for Nurses Week. The nurse manager should report to the supervisor that which type of group has been formed?

1. Command group

2. Task group

3. Competing group

4. Informal group

Correct Answer: 2

Rationale 1: A command group accomplishes routine tasks in an organization and is designed to meet a specific mission of the organization. This group is a legitimate organizational entity.

Rationale 2: The purpose of a task group is to deal with specific issues involving a specific need within a given time limit. Because this group is working on Nurses Week, the project is time limited.

Rationale 3: A competing groups members compete with each other for resources to perform their tasks or compete for recognition.

Rationale 4: An informal group evolves naturally from social interactions and is not defined by an organizational structure.

Global Rationale: 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 11-1: Describe how groups and teams function.

Question 3

Type: MCSA

While providing continuing education about group dynamics and team building, the nurse manager attempts to explain the difference between a group and a team. Which statement by the manager is most effective?

1. A team is bigger than a group.

2. Teams have authority; groups may be informal.

3. A group has similar goals, whereas a teams goals are dissimilar.

4. Groups are formally designated by the organization, while teams are generally informally organized.

Correct Answer: 2

Rationale 1: Size is not the deciding factor between a group and a team.

Rationale 2: Teams have a designated task and line authority. Groups may be either formal or informal.

Rationale 3: Teams have similar goals. Groups may have similar goals or may consist of individuals who perform tasks independently of each other.

Rationale 4: Teams are created by the organization. Groups may be formally created by the organization or may be informal and not recognized by the organization.

Global Rationale: 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 11-1: Describe how groups and teams function.

Question 4

Type: MCSA

The chairperson of the nursing faculty leads the monthly meetings of the curriculum committee. This permanent group, which is designed to meet organizational goals, is which type of group?

1. Competing group

2. Command group

3. Task force

4. Informal group

Correct Answer: 2

Rationale 1: In a competing group, members compete with each other for resources to perform their tasks or compete for recognition.

Rationale 2: The purpose of a command group is to accomplish tasks in an organization, and these groups are recognized as legitimate organizational entities.

Rationale 3: A task force has a focus with a specific time-limited assignment.

Rationale 4: An informal group evolves from social interactions that have no organizational structure.

Global Rationale: 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 11-1: Describe how groups and teams function.

Question 5

Type: MCSA

During the first meeting of a newly created task force, the nurse manager notices that individuals tend to cluster with members of their specific nursing units. The nurse manager begins the meeting with an explanation of the focus of this group. These behaviors are characteristic of which stage of Homanss group process?

1. Norming

2. Storming

3. Performing

4. Forming

Correct Answer: 4

Rationale 1: Norming occurs in the third stage of Homanss group process and is characterized by the definition of the goals and rules of behavior.

Rationale 2: Storming occurs when the group members wrestle with roles and relationships and conflict arises.

Rationale 3: Performing occurs in the fourth stage of Homanss group process; the group members communicate and cooperate.

Rationale 4: Forming occurs in the initial stage of the group process; the members are cautious in approaching each other as they come together as a group.

Global Rationale: 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 11-1: Describe how groups and teams function.

Question 6

Type: MCSA

The leader of the task force group announces that tentative plans for Nurses Week activities have been approved by the hospital administration. The task force has also been given a new task of developing criteria for the nursing awards. What must the group accomplish now?

1. Forming

2. Adjourning

3. Rebuilding

4. Re-forming

Correct Answer: 4

Rationale 1: Forming occurs in the initial stage of group development when members are meeting for the first time.

Rationale 2: Adjourning occurs when the group dissolves its membership after achieving its objectives.

Rationale 3: In the rebuilding stage, the group membership remains unchanged although new goals have been established.

Rationale 4: In the re-forming stage, the group must refocus its activities and recycle through the four stages. The leader explains the new direction and provides guidance in the process.

Global Rationale: 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 11-1: Describe how groups and teams function.

Question 7

Type: MCSA

In a group meeting, one of the members always arrives early and places the chairs in a circle so all members can interact. This person is responsible for confirming that the room is available for the monthly meetings. Which person does this describe?

1. Gatekeeper

2. Procedural technician

3. Coordinator

4. Initiator-contributor

Correct Answer: 2

Rationale 1: The role of the gatekeeper is to encourage all group members to communicate and participate.

Rationale 2: The role of the procedural technician is to support group activities by arranging the environment and providing necessary tools.

Rationale 3: The role of the coordinator is to link ideas or suggestions offered by others.

Rationale 4: The initiator-contributors role is to redefine problems, offer solutions, clarify objectives, suggest agenda items, and maintain time limits.

Global Rationale: 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 11-1: Describe how groups and teams function.

Question 8

Type: MCMA

The nurse manager is leading the monthly staff meeting for the professional nursing staff. Which statements by this leader reflect effective leadership?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

1. I will assume responsibility for developing the mission and goals of the group.

2. I have created an agenda that identifies the amount of time allotted for each step of the problem-solving process.

3. I realize there will be dissension; however, I prefer that we not take time from our agenda to address it.

4. The meeting will be called to order at noon and be adjourned in 1 hour.

5. It is important that each of you is fully engaged in the decision-making process.

Correct Answer: 2,4,5

Rationale 1: Since this is a command group, the mission and goals are set by the organization.

Rationale 2: The effective leader begins and ends a meeting on time and promotes adherence to the proposed time allocation.

Rationale 3: An effective leader elicits the expression of dissenting opinions.

Rationale 4: The effective leader begins and ends a meeting on time and promotes adherence to the proposed time allocation.

Rationale 5: Group cooperation and engagement should be promoted.

Global Rationale: 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 11-6: Discuss how to lead groups, task forces, and patient care conferences.

Question 9

Type: MCMA

A nurse manager is focused on team building activities with a group chosen to write new unit policies. As a beginning step in this process, the manager should ask which questions to assess the groups context?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

1. How well has this group been able to relate to similar groups across the organization?

2. What are the groups current goals?

3. How have the members organized the group?

4. What is the general culture of the group?

5. How complex is the job the group has been assigned?

Correct Answer: 2,3,4

Rationale 1: Knowing how well members relate to other groups is important but is not a part of the group context.

Rationale 2: Goals are a part of the group context.

Rationale 3: Organizational structure is part of the groups context.

Rationale 4: It is important to assess the culture of the group, which is part of its context.

Rationale 5: Job complexity is important but is not part of the group context.

Global Rationale: 

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 11-2: Differentiate between team building and managing teams.

Question 10

Type: MCSA

Which statement may reveal that the team member making the comment has a hidden agenda?

1. I dont understand the second of the goals we are discussing.

2. Are we voting on this outcome or has it already been decided?

3. I have to remember to add membership on the team to my resume.

4. Are there other teams working on similar projects on other units in the hospital?

Correct Answer: 3

Rationale 1: Clarification of information not understood is not evidence of a hidden agenda.

Rationale 2: Clarification of the processes of the team is not evidence of a hidden agenda.

Rationale 3: Concern over adding items to ones resume could indicate that the team member is more interested in personal achievement than in the goals of the team.

Rationale 4: Understanding the relationship between the team and other units in the organization is not a sign of a hidden agenda.

Global Rationale: 

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 11-2: Differentiate between team building and managing teams.

Question 11

Type: MCSA

A nurse manager has just posted the membership list for a newly formed quality management task force. Which statement, overheard by the manager, indicates the most potential for problems on the team?

1. Im glad I didnt get chosen for this task force. Im so busy with my kids right now.

2. I was on one of these teams at my last hospital.

3. This is certainly an interesting choice of people to put together.

4. She is such a good nurse; I hope she doesnt work herself too hard.

Correct Answer: 3

Rationale 1: It would have been more detrimental to the group to have a member assigned who does not have adequate time to participate.

Rationale 2: While it might be good to have an experienced person on the team, this statement does not indicate a potential problem.

Rationale 3: This statement may reveal that members assigned to the team have problems working together. The manager should be watchful for any personality issues that might arise.

Rationale 4: Everyone who is assigned to a team is at risk of overworking. This is not the most concerning of the statements.

Global Rationale: 

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 11-2: Differentiate between team building and managing teams.

Question 12

Type: MCSA

A task force leader says, At the beginning of our next meeting we are going to do some team-building exercises. Which comment by a group member indicates a need for further education about team building?

1. I dont see anything wrong with the way our team works. Why do we have to go through team building?

2. That should help us meet the goals we have written.

3. I did some team-building work a long time ago. I probably need a refresher.

4. I hope the men on our task force will cooperate.

Correct Answer: 1

Rationale 1: Team-building exercises were originally used to improve interpersonal workplace relationships and this group member may still think of them in that vein.

Rationale 2: Team building is a method to improve a groups chances of meeting its goals.

Rationale 3: Team-building skills can be learned, but must be reinforced on the job.

Rationale 4: Research indicates that female students in medicine and nursing are more open-minded about cooperating with other health professionals than are their male counterparts.

Global Rationale: 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 11-3: Describe various methods of team building.

Question 13

Type: MCSA

Hospital administration has elected to use TeamSTEPPS as a method of team building. What should the nurse manager tell staff about this training?

1. This program was developed by a nurse to use specifically in small hospitals.

2. Teams of nurses will be sent to national training seminars.

3. You can expect additional efforts to help us keep on track.

4. This is a simulation-based training similar to the old disaster drills we used to do.

Correct Answer: 3

Rationale 1: This program was developed by the Department of Defense and the Agency for Healthcare Research and Quality.

Rationale 2: Training in TeamSTEPPS is done onsite.

Rationale 3: Sustainability is a part of this framework.

Rationale 4: TeamSTEPPS is not like the old disaster drills of the past.

Global Rationale: 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 11-3: Describe various methods of team building.

Question 14

Type: MCSA

The nurse manager has been asked to assemble several groups to work on tasks to improve the units performance and client satisfaction scores. This manager would put the fewest people in a group working on which type of task?

1. Additive

2. Disjunctive

3. Divisible

4. Conjunctive

Correct Answer: 4

Rationale 1: In an additive task, the group performance depends on the sum of individual performances, so the more members, the better.

Rationale 2: In a disjunctive task, the group succeeds if one member succeeds, so more members give a better chance for one person to succeed.

Rationale 3: A divisible task is one that can be broken down into subtasks with division of labor, so more people provide a greater opportunity for specialization and interdependence in performing the task.

Rationale 4: In a conjunctive task, the group succeeds only if all of the members succeed, so it makes more sense to have fewer members on the team. However, the members should be highly qualified for the work.

Global Rationale: 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 11-4: Discuss factors that influence team management.

Question 15

Type: MCMA

A nurse manager has just completed a difficult assignment managing a group that was not cohesive. Which group should the nurse identify as likely having good cohesiveness?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

1. Nurse who each have 7 to 8 years of experience

2. Nurses who work on different units throughout the hospital

3. Staff nurses who are interested in learning about the task of the group

4. Staff nurses who work with one another on a daily basis

5. Staff nurses who are all between 35 and 40 years of age

Correct Answer: 1,3,4,5

Rationale 1: This group has similar backgrounds, which will likely mean they have shared values regarding nursing.

Rationale 2: Working in proximity with the others increases cohesiveness.

Rationale 3: People who have specific needs that can be satisfied by involvement with the group are more cohesive.

Rationale 4: Those who must interact to achieve their goals and tasks are likely to be cohesive when working in a group.

Rationale 5: Similarity in age increases cohesiveness.

Global Rationale: 

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 11-4: Discuss factors that influence team management.

Question 16

Type: MCSA

Which situation best exemplifies the nurse manager as a team leader?

1. The nurse manager posts the units positive accomplishments from the past month in the break room.

2. The nurse manager controls the staff meetings so the staff can get back to work quickly.

3. Every year the nurse manager does staff member evaluations to determine pay raises.

4. The nurse manager encourages conjunctive task performance on the unit.

Correct Answer: 1

Rationale 1: Building the team up by praising team accomplishments best exemplifies the nurse manager as team leader.

Rationale 2: Controlling staff meetings in the interest of time does not exemplify team leadership.

Rationale 3: The nurse manager routinely does individual performance evaluations. As team leader, the nurse manager would evaluate the performance of the team.

Rationale 4: Encouraging conjunctive task performance (all or none have success) does not exemplify team leadership but rather tends to foster individualization.

Global Rationale: 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 11-5: Explain why the nurse managers leadership skills are essential to team performance.

Question 17

Type: MCMA

Which activities are expected from the nurse manager as team leader?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

1. Offering constructive criticism

2. Settling all employee conflicts

3. Encouraging group discussions

4. Facilitate group processes

5. Foster team dependence

Correct Answer: 1,3,4

Rationale 1: The nurse manager is expected to evaluate the outcomes of the team and to offer constructive criticism about needed improvement.

Rationale 2: The nurse manager as team leader would not settle all conflicts, but should be aware of most and get involved when necessary.

Rationale 3: The nurse manager encourages group discussion.

Rationale 4: The leaders influence on group processes may be the determining factor in whether or not the group is effective.

Rationale 5: Fostering interdependence is more appropriate for the team leader as it creates cohesiveness among members.

Global Rationale: 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 11-5: Explain why the nurse managers leadership skills are essential to team performance.

Question 18

Type: MCSA

The nurse is acting as team leader for a client care conference. Which opening statement is best for this meeting?

1. We are all here to discuss the issues with this clients discharge. What issues are we facing?

2. The issue with this client is the time limit for Medicare to pay has almost expired, and we arent ready for discharge.

3. I dont really have time for this meeting today; is there anything I can do to expedite this meeting?

4. I will let you all decide what might be best, as I am not really as familiar with this client as I should be.

Correct Answer: 2

Rationale 1: The team leader should arrive at the meeting prepared to discuss the issues, not to find out what issues exist.

Rationale 2: The team leader is the meeting facilitator, teacher, and client advocate for the patient care conference. The team leader should know the issues with the client and be able to facilitate the meeting by listing those issues.

Rationale 3: The leader should be willing to give sufficient time to the team to achieve the stated goals.

Rationale 4: The team leader should be familiar with the client and the issues.

Global Rationale: 

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 11-6: Discuss how to lead groups, task forces, and patient care conferences.

Question 19

Type: MCSA

This is the first meeting of a task force. What should be the leaders primary objective of this meeting?

1. Determining when the task force has to complete the assignment

2. Identifying the expected outcomes in terms of measurable objectives

3. Asking members if they have time to serve on the task force

4. Establishing a standard of total participation

Correct Answer: 4

Rationale 1: The leader should also already have an idea of when the task must be completed.

Rationale 2: The leader must clarify the objectives in specific measurable outcomes prior to the first meeting.

Rationale 3: Task force members should be selected on the basis of their knowledge, skills, personal concern for the task, time availability, and organizational credibility. These attributes should have been considered prior to the first meeting.

Rationale 4: During the first meeting a standard of total participation should be established.

Global Rationale: 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 11-6: Discuss how to lead groups, task forces, and patient care conferences.

Question 20

Type: MCMA

Which ground rule statements by the leader will help the group meeting stay on task and on time?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

1. We will wait until everyone who is going to attend is here before we call the meeting to order.

2. We will always meet on the second Wednesday of the month at 1:00 p.m. as this is the time all members have indicated is most convenient.

3. If you have information to distribute for discussion, please bring a copy for every member.

4. We will limit verbal participation to designated key members each week.

5. You can expect to receive an agenda for the meeting at least 1 week in advance of the meeting.

Correct Answer: 2,5

Rationale 1: The meeting should start promptly when scheduled, even if some members have not arrived. It should start and end on time.

Rationale 2: The team leader should arrange to meet in a convenient but quiet place to minimize interruptions and distractions.

Rationale 3: Meeting time should not be used for reading information that could have been distributed earlier. This material should be distributed at least a week to 10 days before the meeting.

Rationale 4: Everyone, not just key players, should be encouraged to discuss issues during the meeting.

Rationale 5: The meeting agenda should be distributed at least 1 week in advance.

Global Rationale: 

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 11-6: Discuss how to lead groups, task forces, and patient care conferences.

Question 21

Type: MCMA

A staff nurse is the manager of a command group consisting of other staff nurses, a nurse manager, a physician, and physical therapist. What line authority does the group manager hold?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

1. The group manager has line authority in relation to the group members individually.

2. The group manager has line authority in relation to the other nurses in the group, but not in relation to the other disciplines in the group.

3. The group manager has no line authority in this group.

4. The group manager has line authority in relation to all members of the group except the physician.

5. The group manager has line authority in relation to all member of the group collectively.

Correct Answer: 1,5

Rationale 1: The manager of a group has line authority within that group. The authority extends to individual members and to the members collectively.

Rationale 2: The group manager has line authority in relation to all members of the group.

Rationale 3: The group manager has line authority in relation to all members of the group.

Rationale 4: The group manager has line authority in relation to all members of the group.

Rationale 5: The group manager has line authority in relation to the group members as a group.

Global Rationale: 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 11-4: Discuss factors that influence team management.

Question 22

Type: MCSA

The staff nurse has been appointed to a task force. What can the nurse expect regarding this group?

1. There will be no official leader for the group.

2. The nurse will be working with people from several different departments within the hospital.

3. The assignment will be time limited.

4. The group members will compete for resources for their own units.

Correct Answer: 3

Rationale 1: Task forces may or may not have a leader.

Rationale 2: Task groups are generally limited to a specific service area.

Rationale 3: A task group is charged with accomplishing a specific time-limited assignment.

Rationale 4: Task groups are not competing groups.

Global Rationale: 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 11-1: Describe how groups and teams function.

Question 23

Type: MCMA

A nurse manager is using Homanss framework to evaluate the need for team building in a group appointed to work on accreditation issues. Which strategies should the manager use as part of this evaluation?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

1. Observe group member behaviors during a meeting.

2. Listen to how group members interact with one another.

3. Compare the group to a similar group from the last accreditation cycle.

4. Review the groups final report.

5. Ask a team member how the work of the group is proceeding.

Correct Answer: 1,2,5

Rationale 1: Activities are an essential component of a group system that should be evaluated.

Rationale 2: Interaction is an essential component of a group system that should be evaluated.

Rationale 3: The essential elements of Homanss framework are activities, interaction, and attitudes. Comparing to a previous group would give little information on any of these aspects of group dyanmics.

Rationale 4: If the group has completed its work, team building is no longer a consideration.

Rationale 5: Team member attitudes are one of the three elements of Homanss framework.

Global Rationale: 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 11-3: Describe various methods of team building.

Question 24

Type: MCMA

A group member has failed to complete assigned tasks for three of the last four meetings, despite reminders that incomplete work slows down the entire team. At each meeting the noncompliant member promises to complete tasks for the next meeting. What group actions are likely to occur?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

1. The remaining group members may begin to use manipulation to get the tasks done.

2. The other group members may attack the noncompliant member.

3. Other group members will quietly complete the noncompliant members work.

4. The remainder of the group will ignore the noncompliant member.

5. The group members will extend patience and understanding to the noncompliant member.

Correct Answer: 1,2,4

Rationale 1: If rational argument does not work, group members may resort to manipulation of the deviant member.

Rationale 2: When lack of compliance increases or slows the remainder of the group, attacks are likely to occur.

Rationale 3: Group members are not likely to do the work assigned to another member.

Rationale 4: This ignoring behavior is a final step of frustration with the noncompliant member.

Rationale 5: Patience and understanding will be extended only for a little while before the other group members result to strategies that are neither patient nor understanding.

Global Rationale: 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 11-1: Describe how groups and teams function.

Question 25

Type: MCSA

The nurse manager has completed a series of team-building exercises with a command group. Which statement by a group member indicates that cohesiveness is occurring?

1. I think I understand the work of the group now.

2. I have gotten to know my group members better during these exercises.

3. We have so much work to do in this group.

4. I like the members of the group.

Correct Answer: 3

Rationale 1: Understanding the work is not an indicator of cohesiveness.

Rationale 2: Just getting to know the group members is not the same as feeling cohesive with them.

Rationale 3: A we statement indicates that the group member feels like a part of a cohesive group.

Rationale 4: Liking the members of the group does not necessarily indicate cohesiveness.

Global Rationale: 

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 11-2: Differentiate between team building and managing teams.

Question 26

Type: MCSA

A nursing group cannot complete a task assignment because information from another group has not been provided. Because the nursing group cannot complete its task, a group from physical therapy will not be able to complete its task. This is an example of breakdown in which task format?

1. Pooled interdependence

2. Sequential interdependence

3. Reciprocal interdependence

4. Reverse interdependence

Correct Answer: 2

Rationale 1: In polled interdependence, each individual (or individual group) contributes, but no one contribution is dependent on any other.

Rationale 2: In sequential interdependence, activities must be coordinated with others in a designated order.

Rationale 3: In reciprocal interdependence, members must coordinate their activities with every other individual in the group.

Rationale 4: Reverse interdependence is not a type of group interdependence.

Global Rationale: 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 11-1: Describe how groups and teams function.

Question 27

Type: MCSA

In which situation would a meeting before the meeting be advisable?

1. The nurse is managing a standing committee on the unit.

2. The nurse is meeting with a social group to establish a plan for weight loss by walking.

3. The nurse has written information to distribute to members before the meeting.

4. The nurse expects the disagreement that started in the last meeting to carry over into this meeting.

Correct Answer: 4

Rationale 1: There is no apparent reason to have a meeting before this meeting.

Rationale 2: There is no apparent reason to have a meeting before this meeting.

Rationale 3: This information could be distributed in a number of ways other than by having a meeting before the meeting.

Rationale 4: If there was dissention in the last meeting that may affect this meeting, a meeting before the meeting may be necessary.

Global Rationale: 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 11-5: Explain why the nurse managers leadership skills are essential to team performance.

Question 28

Type: MCSA

The group leader often arrives several minutes late to meetings with excuses about workload, telephone calls, or traffic. Todays meeting was scheduled to begin 5 minutes ago and the leader has not arrived. What should the group members do?

1. Call the leaders cell phone to see when arrival is expected.

2. Wait until the leader is 10 minutes late and then cancel the meeting.

3. One of the members should start the meeting.

4. Wait for the leader to arrive.

Correct Answer: 3

Rationale 1: Calling the leaders cell phone reinforces the lateness behavior.

Rationale 2: Canceling the meeting because the leader is late is a passiveaggressive action.

Rationale 3: The work of the committee should not be delayed because the leader is late. One of the members should begin the meeting.

Rationale 4: The work of the committee should not be delayed because the leader is late.

Global Rationale: 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 11-6: Discuss how to lead groups, task forces, and patient care conferences.

Question 29

Type: MCMA

The work of a task force is completed and the leader has compiled a written report of findings and recommendations. What actions are necessary by this leader?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

1. Plan on the leader presenting the report to administrators.

2. Share the report with the full task force prior to presenting it to administrators.

3. Send the report to administrators by e-mail.

4. Brief key administrators regarding the report prior to the administrative presentation.

5. Print and bind the presentation in a professional manner prior to presenting it to the full task force.

Correct Answer: 2,4

Rationale 1: It is often desirable for a few task force members with differing expertise to participate in this presentation.

Rationale 2: The full task force should have opportunity to review and comment on the report draft before it goes to the administration.

Rationale 3: The report should be presented to administrators in person.

Rationale 4: The leader should meet with key administrators to bring particularly important findings or recommendations to light prior to presenting the report to the full administrative panel.

Rationale 5: The document presented to the full task force should be legible, but should be a draft. Professional printing and binding should occur after the draft is finalized.

Global Rationale: 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 11-6: Discuss how to lead groups, task forces, and patient care conferences.

Question 30

Type: MCSA

A nurse manager has been appointed leader of a large task force charged with a complex assignment. What strategies should the manager use?

1. Limit full task force meetings to an initial meeting, a middle meeting, and a final meeting.

2. Lead one of the subgroups established at the first full task force meeting.

3. Develop a work plan with interim deadlines.

4. Set deadlines that are at least 1 week earlier than necessary to give subgroups time to be late.

Correct Answer: 3

Rationale 1: Since this is a complex assignment, full task force meetings should be held more often to assure the work is progressing.

Rationale 2: The leader should avoid becoming too closely aligned with one subgroup.

Rationale 3: This work plan will be necessary to keep all subgroups on task.

Rationale 4: Time lines should be realistic and firm.

Global Rationale: 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 11-6: Discuss how to lead groups, task forces, and patient care conferences.

Sullivan, Effective Leadership and Management, 8/e Test Bank

Copyright 2013 by Pearson Education, Inc.

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