4. The manger is inquiring about other leadership styles the nurse has encountered.
Correct Answer: 1
Rationale 1: This nurse manager is in a stressful situation. Assessing whether his or her management or
leadership style is helpful or appropriate allows the manager to enhance his or her performance. It is likely that
this nurse is questioning his or her effectiveness in the role and is asking for the opinion of an experienced nursing
colleague.
Rationale 2: The evaluation process may require this input, but the rest of this scenario points to another answer.
Rationale 3: The manager is not likely to be just trying to show concern.
Rationale 4: The manager has asked the nurse to critique the manager’s style, not about other styles.
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: 25-5: Discuss how managers can help themselves and staff manage stress.
Question 24
Type: MCMA
A nurse supervisor is aware that nurses in the facility have been under a great deal of stress while working through
a major change in the ownership of the hospital. Which nurses would the supervisor be most concerned might
develop compassion fatigue?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Emergency department nurses
2. Outpatient diagnostic procedure nurses
3. Nurses working in the trauma surgery unit
4. Nurses working in geriatrics
5. Nurses working in obstetrics
Rationale 1: Compassion fatigue is more likely to occur when the nurse is providing care to people who are
traumatized. Emergency department nurses fall in this category.
Rationale 2: Outpatient nurses may be somewhat sheltered from caring for trauma patients, which is a major
cause of compassion fatigue.
Rationale 3: Compassion fatigue is more likely to occur when the nurse is providing care to people who are
traumatized. Trauma surgery nurses fall into this category.
Rationale 4: Nurses working in geriatrics are not at as great a risk for compassion fatigue as other nurses.
Rationale 5: Generally, the risk for compassion fatigue is not as high in nurses working in obstetrics.
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: 25-3: Explain the consequences that result from stress, including burnout and compassion
fatigue.
Question 25
Type: MCSA
During an annual performance review, the staff nurse admits to being very stressed by the demands of the job,
marriage, and four teenage children. Which comment by the nurse manager is indicated?
1. “We need to figure out what you can give up in your personal life to help decrease your stress.”
2. “You need to be more flexible with the hours you work.”
3. “You should not let your personal problems affect your work.”
4. “Let’s talk about how we can help you develop some resiliency.”
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: 25-4: Discuss how individuals can manage stress.
Question 26
Type: MCMA
The supervisor of critical care services tells the unit manager, “We must cut costs, so I am asking you to arrange
your day so that you provide care to two or three clients and cover for lunch and rest breaks. Also don’t forget that
your budget estimates are due next week, as are your preliminary schedules for the winter holidays.” Two days
later, the nurse manager is stressed and exhausted. What should the manager do?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Think through the roles being required.
2. Confront the supervisor and ask for clarification of status.
3. Try to improve work organization.
4. Tell the supervisor, “I can’t work this hard, Get someone else to be manager.”
5. Call in sick for a day to rest.
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 25-4: Discuss how individuals can manage stress.
Question 27
Type: MCSA
A nurse manager notes that staff is struggling with caring for an increased client load while a new management
system is being implemented. What managerial action would help reduce this stress?
1. Asking a nursing faculty friend to use the unit for a student clinical
2. Hiring two newly licensed nurses for each shift
3. Asking for nurse input into decisions that directly affect care
4. Instituting a method of shift rotation that increases staff on each shift
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 25-6: Explain how organizations can help reduce stress in the workplace.
Question 28
Type: MCSA
A nurse manager is considering referring a nurse who is very stressed to the employee assistance program (EAP)
offered by the institution. What does this consideration indicate?
1. The manager believes this service would promote the nurse’s health and well-being.
2. The manager thinks the nurse is abusing alcohol to cope with the stress.
Sullivan, Effective Leadership and Management, 8/e Test Bank
3. The manager thinks that this referral will help the nurse avoid sanction by the state board of nursing.
4. The manager believes the nurse is abusing controlled medications to cope with stress.
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: 25-6: Explain how organizations can help reduce stress in the workplace.
Question 30
Type: MCSA
An experienced nurse manager is serving as mentor to a newly appointed manager. The experienced manager
says, “Always try to keep your staff as well informed as possible about what is going on at the administrative
level.” What rationale should the manager offer for this advice?
1. Nursing involvement at the administrative level is required by accrediting agencies.
2. Involvement of all departments in the agency supports the organizations’ management style.
3. Staff members who are kept informed are less likely to be suspicious and spread rumors.
4. Sharing both the positive and negative information from administration helps to reduce the manager’s stress.
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 25-5: Discuss how managers can help themselves and their staff manage stress.
Sullivan, Effective Leadership and Management, 8/e Test Bank
Copyright 2013 by Pearson Education, Inc.