Sullivan, Effective Leadership and Management, 8/e
Chapter 17
Question 1
Type: MCSA
The nurse manager is concerned about the apparent lack of staff motivation to improve client care on a unit. How
should this manager use motivational theories to help improve this situation?
1. Choose one theory that the manager thinks best suits the situation.
2. Review several theories but use no more than two.
3. Combine theories to develop a plan for this specific unit.
4. Review the motivational theories, but don’t depend on any of them to work in “the real world.”
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 17-1: Describe how motivation and ability affect job performance.
Question 2
Type: MCSA
There is substantial unrest among the staff of an intensive care unit that has resulted in negative client outcomes.
Which employee factors should the manager assess first?
1. Motivation and ability to be effective in the job
Sullivan, Effective Leadership and Management, 8/e Test Bank
2. The age of employees and their social background
3. Gender and educational preparation of staff
4. Experience base of employees and their attitude toward the job
Rationale 2: Process theories emphasize how the motivation process works to direct an individual’s effort into
performance.
Rationale 3: Content theories explain why a person behaves in a particular manner, emphasizing the individual’s
needs or the rewards that satisfy those needs—in this case, wages and health benefits.
Rationale 4: Equity theory suggests that effort and job satisfaction depend on the degree of equity, or perceived
fairness, in the work situation.
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: 17-2: Discuss how different theories explain motivation.
Question 4
Type: MCSA
In an attempt to decrease tardiness, a hospital gives employees an extra hour’s pay for each wage period that the
employee has not been late for work. This incentive program is an example of which theory?
1. Expectancy
2. Shaping
3. Equity
4. Goal-setting
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 17-2: Discuss how different theories explain motivation.
Question 5
Type: MCSA
The hospital has initiated a new fall risk assessment tool. The nurse manager would like to reward those staff
members who use the tool regularly. Which method of reinforcement would be most successful in getting long-
term compliance?
1. A coupon for free lunch for staff members each time they use the tool
2. A counseling session with the nurse manager when the assessment tool has not been used
3. A coupon for a free lunch for staff members who, according to a medical record review of nursing
documentation, consistently use the tool correctly
4. A pizza party for the staff when there is 100 percent compliance
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 17-1: Describe how motivation and ability affect job performance.
Question 6
Type: MCSA
Sullivan, Effective Leadership and Management, 8/e Test Bank
The nursing administration has instituted a “horizontal promotion” system within the nursing department. What
benefit is this program to the staff nurse?
1. The most competent nurses will rise to managerial positions.
2. It rewards the nurse’s clinical excellence.
3. Over time the nurse will move steadily upward through the levels.
4. The process is practice based rather than research based.
3. Pay
4. Ability
5. Effort
Rationale 3: Reading and practicing skills is a good plan, but there is no component of review by the manager to
motivate the nurse.
Rationale 4: A measurable, realistic, and obtainable goal with a component of follow-up will be more motivating
to the nurse.
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: 17-2: Discuss how different theories explain motivation.
Question 9
Type: MCSA
An experienced nurse often answers less experienced nurses’ questions about client care and teaches
hemodynamics during orientation to the unit. The nurse has also participated in research into hemodynamic
monitoring of ICU clients. Which clinical ladder designation does this nurse best exemplify?
1. Clinical colleague
2. Clinical mentor
3. Clinical leader
4. Clinical expert
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 17-4: Describe the benefits of nurse residency programs, career advancement strategies, and
leadership on motivation.
Sullivan, Effective Leadership and Management, 8/e Test Bank
Copyright 2013 by Pearson Education, Inc.
Question 10
Type: MCSA
A nurse manager has planned orientation activities for a new registered nurse. The new nurse is required to
observe shift report and UAP delegation for a week. Then the new nurse is required to take shift report and
delegate UAP assignments for a week. What is the rationale for making this orientation assignment?
1. Delegation is not taught at all nursing schools.
2. Shift report differs in all hospitals.
3. Shift report and UAP delegation are minimal tasks and good for novice nurses.
4. The manager should focus on those skills specific to the new nurse’s role.
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 17-3: Explain how orientation, preceptors, and on-the-job instruction can help motivate
staff.
Question 11
Type: MCSA
The newly licensed nurse is delighted to have been hired at a Magnet hospital and says, “They even assigned me a
mentor.” What is erroneous about this statement?
1. Magnet hospitals do not hire new graduates.
2. Magnet hospitals do not use mentor programs.
Sullivan, Effective Leadership and Management, 8/e Test Bank
3. Mentors are only assigned to experienced nurses.
4. Preceptors are assigned; mentors choose protégés.
Rationale 4: There may be nothing wrong with bedside skills. Even if that is the case, this is not the most
important aspect.
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: 17-3: Explain how orientation, preceptors, and on-the-job instruction can help motivate
staff.
Question 13
Type: MCSA
The staff development nurse has elected to use coaching as a staff development technique. Which situation is an
example of this technique?
1. Pairing a newly licensed nurse with a nurse who has worked on the unit for 5 years
2. Matching a newly hired male nurse with a newly hired female nurse
3. Pairing a nurse with conflict management experience with an employee who has expressed dissatisfaction with
the job
4. Matching nurses who have similar educational and cultural backgrounds when selecting participants for an
educational offering
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Evaluation
Sullivan, Effective Leadership and Management, 8/e Test Bank
Copyright 2013 by Pearson Education, Inc.