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Chapter 02: Developing the Role of Leader
Waddell/Walton: Yoder-Wise’s Leading and Managing in Canadian Nursing, Second
Edition
MULTIPLE CHOICE
1. Change in health care must occur at the micro, meso, and macro policy levels. Which of the
following addresses the meso level of change?
a. Emergency room
b. Clinic
c. Ministry of Health
d. College of Nurses
ANS: D
Emergency room and Clinic is at the micro level. Ministry of health is at the macro level and
College of Nurses is at the meso level as a professional organization.
DIF: Cognitive Level: Understand REF: Page 27
TOP: Nursing Process: Assessment
2. Nursing leaders require several competencies for successful leadership. Which of the
following descriptions encompass the best candidate for Director of Nursing in a large urban
hospital?
a. Graduate degree in Nursing, social skills, communication skills
b. Legal knowledge, philanthropy knowledge, undergraduate degree in nursing
c. Finance knowledge, graduate degree in nursing, excellent communication skills
d. Undergraduate degree in nursing, communication skills, social skills
ANS: C
All are required to be in a leadership position. For a director of nursing a graduate degree in
nursing, finance knowledge, and excellent communication skills are the minimum needed. In
addition legal and philanthropic experience would enhance the leader chosen.
DIF: Cognitive Level: Apply REF: Page 28
TOP: Nursing Process: Implementation
3. Self-doubt in novice nurses is a common issue and is known as which of the following?
a. Insecurity
b. Imposter syndrome
c. Lack of confidence
d. Lack of knowledge
ANS: B
Imposter syndrome is self-doubt is one’s ability to function adequately in one’s role and may
prevent nurses from taking leadership roles.
DIF: Cognitive Level: Understand REF: Page 28
TOP: Nursing Process: Assessment
4. Two areas nurses must take leadership in developing knowledge and skills in consideration
for the future is?