As a result of retirements, resignations, and reorganization, a nurse became nurse manager of a high-acuity unit 3
months after being licensed. The manager struggles with the responsibilities of the position and is often unable to
make decisions. Which component of the AONE management competencies does this nurse probably lack?
1. Foundational thinking skills
2. Personal and professional accountability
3. Clinical practice knowledge
4. Effective communication skills
Correct Answer: 3
Rationale 1: There is no evidence that this nurse lacks foundational thinking skills.
Rationale 2: There is no evidence that this nurse lacks personal and professional accountability.
Rationale 3: To effectively manage a high-acuity unit, the nurse must have sufficient experience to develop
clinical practice knowledge. Three months is not long enough for that to occur.
Rationale 4: There is no evidence that this nurse does not have effective communication skills.
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: 4-6: Describe what makes a leader successful.
Question 23
Type: MCSA
A newly promoted nurse manager is fearful that previous coworkers will undermine her efforts to succeed in this
new position. The new manager does not share information with these coworkers even though they may need the
information to understand changes that are going to occur in the organization. Which emotional intelligence self-
management competency is this nurse most clearly violating?
1. Adaptability
2. Initiative
3. Transparency
4. Optimism
Sullivan, Effective Leadership and Management, 8/e Test Bank