Chapter 20 Flashcards

1
Q

The nurse educator was giving a workshop on team building. She noted that effective communication is essential for team building. One of the key questions in the workshop was, “What is the best way to check to see whether what you have communicated to a team member is understood the way you meant it to be understood?” The correct response is which of the following options?
Content and context clues.
Reliance on paralanguage.
Active listening and feedback.
Cues from nonverbal communications.

A

Active listening and feedback.

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2
Q

The nurse manager used a mediator to help resolve conflicts on the unit. During the mediation process, the nurse manager saw signs of potential team building. One key concept of an effective team is:
Commitment.
Task clarity.
A designated leader.
Conflict.

A

Commitment.

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3
Q

A mediator suggested that the nurse manager and staff members decide on a method to resolve conflicts. Why is it important to have agreements about how team members will work together?
If there are no agreements, each member will make up his or her own procedures without consensus.
People are naturally difficult and will not work well together without such agreements.
People will naturally ask for agreements about how to be together.
A way to eliminate nonproductive team members must be available.

A

If there are no agreements, each member will make up his or her own procedures without consensus.

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4
Q

When the manager identifies the outcome, and team members determine the direction, strategies, methods, and focus to achieve the outcome the team description is one of:
Self-directed team.
Manager-led team.
Self-governing team.
Self-managing team.

A

Self-directed team.

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5
Q

Kelis and Melissa, both RNs, have shared an ongoing conflict since the first day that Melissa worked on the unit. Kelis has confided to another colleague that she did not even know why the conflict started or what it was about. This is an example of:
The importance of involving all staff in discussions in group settings.
The need to encourage open discussion of disagreements in opinions.
How expectations and objectives need to be made clear in team situations.
The enduring nature of first impressions.

A

The enduring nature of first impressions.

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6
Q

Patricia has recently been assigned to schedule sessions on dealing with conflict in the workplace. As an experienced nurse she has witnessed several incidences of conflict between nurse colleagues. Considering Kouzes and Posner’s (2017) 5 key behaviours for leadership practice what would the first step be in designing workshops?
Encouraging the heart.
Challenging the process.
Modelling the way.
Inspiring a shared vision.
Enabling others to act.

A

Modelling the way.

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7
Q

Which of the following would not be a characteristic of an effective nursing team leader?
Excellent communication skills.
A genuine interest in team members.
An autocratic perspective.
Awareness of everyone’s abilities.

A

An autocratic perspective.

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8
Q

Which of the following is an example of an ineffective team member?
Being relaxed.
Indifference.
Being focused.
Being comfortable with disagreement

A

Indifference.

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9
Q

From the information presented in this chapter, which of the following statements best defines an accomplished team?
They do not always have effective communication patterns.
They may or may not have a clear plan that is followed and revisited and has an ongoing evaluation scheme.
They do not necessarily need goals, objectives, vision, and a clearly stated purpose.
They can create a form of synergism in which the outcome is greater than the sum of the individual performances

A

They can create a form of synergism in which the outcome is greater than the sum of the individual performances

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10
Q

In addressing nursing students in the lounge area, the unit manager was discussing team leadership and team effectiveness. She stated, “One can agree to disagree with another team member’s perspective even when one doesn’t necessarily see that perspective as being the correct one.” In being creative, which of the following basic rules was she talking about?
Listening actively.
Being compassionate.
Committing to resolution.
Being flexible.

A

Committing to resolution.

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11
Q

Which of the following is a characteristic of a good team member?
Inflexibility.
Cooperation.
Enlarging.
Playing politics.

A

Enlarging.

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12
Q

The Situation-Background-Assessment-Recommendation (SBAR) system of communications is one of the most widely used communication systems in health care because:
It focuses on how information is provided and gleaned in an honourable way.
It deals with all aspects of communications in patient care except communication with the physician.
The nurse is on the same communication level as administration.
It honours an unstructured transfer of information.

A

It focuses on how information is provided and gleaned in an honourable way.

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13
Q

The nurse manager was upset with the staff nurse and said, “You did not understand what I said.” Which element in the communication process was she referring to?
A receiver who decodes the message.
Feedback between receiver and sender.
A message channel.
A set of barriers that may occur between sender and receiver.

A

A set of barriers that may occur between sender and receiver.

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14
Q

The state of being emotionally impelled, demonstrated by a sense of passion and dedication to a project or event, describes:
Control.
Commitment.
Communication.
Willingness to cooperate.

A

Commitment.

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15
Q

The chief nursing officer decided that the nurse managers need a series of staff development programs on team building through communication and partnerships. She understood that the nurse managers needed to build confidence in ways of handling various situations. The greatest deterrent to building confidence is:
Fear that the boss will not like one’s work.
Lack of control of the environment.
Fear that one cannot handle the consequences.
Lack of clarity in the mission.

A

Fear that one cannot handle the consequences.

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16
Q

“I really wish that my supervisor would realize and acknowledge all the things I do well….” In nursing, this has been identified as a problem. Which statement is part of the solution?
Focus on unfamiliar care assignments.
Focus on the strengths of the individual.
Focus on new staff.
Focus on making corrections.

A

Focus on the strengths of the individual.

17
Q

The staff development educator developed strategies to help nurse managers actively listen. Guidelines for active listening include which of the following?
Realize that the first words of the sender are the most important.
Cultivate a desire to learn about the other person.
Speed up your internal processes so that you can process more data.
Be prepared to make an effective judgement of the communication sender.

A

Cultivate a desire to learn about the other person.

18
Q

What is not a key concept in a well-functioning team?

Special work that is understood and supported by all.
Dedication to a mission.
Absence of disagreement or conflict.
Willingness to work together respectfully.

A

Absence of disagreement or conflict.

19
Q

Trust is an important aspect of helping relationships, therapeutic communications, and the positive communications model. Which statement does not involve or operationally define trust?
Trust is critical in teams and interdisciplinary teams.
Trust is the basis by which leaders facilitate the activities and progress of a team.
Trust can be described as a belief that although the nurse is capable of helping in times of distress, the nurse is unlikely do so.
Trust is an important aspect of interpersonal relationships.

A

Trust can be described as a belief that although the nurse is capable of helping in times of distress, the nurse is unlikely do so.

20
Q

You are charged with developing a new nursing curriculum and are committed to developing a curriculum that reflects the needs of the profession and of the workplace. To address deficits that may already be present in nursing curricula related to the workplace, you include more content and skills development related to:
Generational differences in communication.
Increased emphasis on sender-receiver dyads.
Effective communication in the workplace.
Therapeutic communication with patients.

A

Effective communication in the workplace.

21
Q

The mediator asked each staff member to reflect on his or her communication style. Which of the following best describes communication?
It focuses on the sender of the message.
It is a reflection of self-analysis.
It is a result of thoughtful consideration.
It consists of thoughts, ideas, opinions, emotions, and feelings.

A

It consists of thoughts, ideas, opinions, emotions, and feelings.

22
Q

Emotional intelligence is an important aspect of being a team member and emotions are important components of organizational life. The impact of emotions should be a high priority when examining the functioning of the team. Patricia is aware of the importance of emotions on team cohesiveness. One of her early sessions will be focused on emotional intelligence. The first step in determining the level of emotional intelligence is recognizing:
Self-awareness.
Self-regulation.
Empathy.
Motivation.

A

Self-awareness.

23
Q

The mediator suggested to the unit staff that a group agreement needed to be made so that meetings could become productive. For example, the group agreement “We will speak supportively” prevents:
Voting negatively on motions.
Feedback when one member of the group disagrees with the discussion.
Side conversations during meetings.
Gossiping and backbiting

A

Gossiping and backbiting

24
Q

After staff meetings lately, Sharon, the head nurse, observes her staff in small groups, having animated discussions that end abruptly when she approaches. Sharon reflects on this observation and realizes that:
Ongoing discussion outside of meetings is conducive to creativity.
This behaviour is indicative of a high level of communication among her staff.
Two very outspoken members tend to dominate discussions in meetings.
Staff members are uncomfortable openly discussing their feelings in front of the head nurse

A

Staff members are uncomfortable openly discussing their feelings in front of the head nurse

25
Q

A nurse manager is experiencing conflicts between herself and staff members. She had tried to develop a team by using a shared leadership model to empower the staff. Staff members are actually functioning:
Interdependently.
Independently.
As a team.
As a group.

A

As a group.

26
Q

Bennis (2009), a researcher and writer, posited that effective leaders simply care about people. Which of the following is a characteristic of a good leader?
Ability to admit to being wrong.
Not being judged by others.
Motivation.
Not amenable to being vulnerable.

A

Ability to admit to being wrong.

27
Q

By following a shared leadership model, the nurse manager believes that staff members will learn to function synergistically. Some teams function synergistically because members:
Listen to the person who believes he or she is an expert.
Actively listen to each other.
Do not speak unless they are absolutely sure they are correct in their views.
Do not volunteer unwanted information.

A

Actively listen to each other.