New leadership challenge creating the future of nursing 5th edition grossman test bank

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Chapter 7: Vision and Creativity Multiple Choice Identify the choice that best completes the statement or answers the question. ____

1. Which one is the most significant contribution a nurse leader can make to a group or organization?

1. Formulating a lockstep long-term plan for the organization 2. Mandating overtime for all registered nurses until goals are met 3. Defining and sharing a vision 4. Hiring only licensed professionals

____

2. Martin Luther King, Jr.’s “I Have a Dream” speech is an excellent example of which concept?

1. A leader energizing people toward action 2. One person revolting against society 3. A leader propelling his own agenda 4. One person’s dream changing health-care policy

____

3. How should a nurse best describe vision?

1. Organization’s short-term objectives 2. Summary of how an organization evolved to its current state 3. Image of where an organization wants to be in the future 4. Plan to reach organizational goals

____

4. What is a successful leader able to do?

1. Accept the status quo if it is working.

2. Make a difference no matter what it takes.

3. Be reactive to change.

4. Focus entirely on work.

____

5. A nurse leader creates many rules and regulations for the unit. What type of climate will this create?

1. One that produces change and growth 2. One that is proactive in making a difference 3. One that fosters the status quo 4. One that stimulates provocative discussions

____

6. Which speech techniques can assist nurses in articulating their vision(s)?

1. Visual aids and background music 2. Role-playing and charades 3. Acting and singing 4. Repetition and rhythm

____

7. What is the most likely outcome when a nurse leader uses creativity?

1. Thinks in a more focused manner 2. Repeats exactly, step-by-step, the plan 3. Uses strategies that have proved effective in the past 4. Reframes how work is perceived

____

8. Which is the most effective method of increasing creativity in nurses?

1.

2.

3.

4. ____

Changing conditions in the work setting Providing stress-reduction exercises to employees Offering financial incentives to employees Scheduling creativity workshops for greater attendance

9. Which describes a nurse who has right-brain thinking?

1. Logical 2. Organized 3. Creative 4. Concrete

____ 10. Which is an important characteristic of a creative nurse?

1. Avoiding competitors 2. Being a risk taker 3. Following a specific plan 4. Being reactive to challenges ____ 11. A nurse develops both a personal vision and a professional vision. What are the primary reasons for

these visions?

1. Have a purpose in life and accomplish work ideas.

2. Accrue wealth for personal gain and success in one’s profession.

3. Be successful at career and meet the organization’s mission.

4. Use one’s family values and education for own goals. ____ 12. Which activity indicates a nurse is using reflective techniques?

1. Thinking about an action in a single way 2. Rushing into a situation 3. Asking a peer for feedback 4. Basing a decision on one piece of data ____ 13. A nurse is using Tanner’s (2006) Clinical Judgment Model to determine the actual vision. Which

stage is the nurse in according to the model?

1. Reflecting 2. Interpreting 3. Noticing 4. Responding ____ 14. A nurse is described as “thinking outside of the box.” Which characteristic does this nurse have?

1. Is a linear thinker 2. Follows directions effectively 3. Thinks there is a single right answer for each problem 4. Has the ability to envision an idea that is new and different ____ 15. How does mindful awareness enhance reflective practice for a nurse?

1. Increased neural circuits 2. Underdeveloped prefrontal cortex 3. Overdeveloped occipital area 4. Decreased neuroplasticity

____ 16. A successful nurse leader must be comfortable with disorder and chaos. How should the nurse

interpret this statement?

1. Life should be predictable and part of a large planned schemata.

2. Change will occur no matter what we do to maintain the existing order.

3. Nurses are able to successfully prevent chaos in their workplaces.

4. People intuitively perform worse if an unexpected situation arises. ____ 17. A nursing unit in the midst of change experiences an unexpected event. How should the nurse leader

interpret this event?

1. It can offer challenges for staff to build their problem-solving skills.

2. It can allow staff practice time with patients to manage their fears.

3. It can cause staff to make physicians fix the problems.

4. It can show staff that the change is a mistake. ____ 18. A nurse is using the Leadership Diamond Model developed by Koestenbaum (2002) to gain

leadership skills. In which areas will the nurse focus?

1. Salesmanship, collaboration, vision, and empathy 2. Creativity, passion, determination, and sacrifice 3. Independence, hope, faith, and empowerment 4. Time, democracy, motivation, and teamwork ____ 19. A nurse leader is using Zaleznik’s (1989) principles to influence other nurses. Which action will the

nurse take?

1. Help the staff realize how the proposed change will advance their interest.

2. Let administration tell staff about the changes.

3. Use a lockstep plan to engage logical thinking nurses to embrace the change.

4. Inspire staff to have passion rather than the nurse leader. ____ 20. Which information from a nurse demonstrates a creative outlook about work?

1. Work is an expression of thoughts.

2. Work comes from the inside out.

3. Work is repetitious.

4. Work is similar to each person. ____ 21. Zaleznik (1989) suggested that effective nurse leaders desiring to influence staff nurses should use

which primary principle?

1. The staff can make a positive change that will improve conditions for a group/organization, not just for themselves.

2. The staff can make a profit that solely benefits the leader.

3. The staff can make a difference in their leadership style and widen the number of people they lead.

4. The staff can gain more notoriety and, possibly, worldly acclaim. ____ 22. A nurse is deliberately creating conflicts to spark new ideas. According to McCall (1989) which

method is the nurse demonstrating?

1. Credibility 2. Crafty 3. Feisty

4. Flexibility ____ 23. Which technique should the nurse use to learn difficult concepts that will develop both the right and

left brain?

1. Using formulas 2. Memorizing facts using flash cards 3. Mindmapping 4. Rewriting the terms involved with the concept repeatedly Multiple Response Identify one or more choices that best complete the statement or answer the question. ____ 24. A nurse is using Cohen’s (2004) 10 essential principles to develop and carry out a vision. Which

principles will the nurse use? Select all that apply.

1. Keep it complex.

2. Take the indirect route.

3. Exploit successes.

4. Commit fully to a goal.

5. Do the unexpected. ____ 25. A nurse is creative. Which characteristics does the nurse demonstrate? Select all that apply.

1. Thinks originally 2. Is closed to new ideas 3. Provides alternatives 4. Is willing to dream 5. Draws on the left brain

Chapter 7: Vision and Creativity Answer Section MULTIPLE CHOICE 1. ANS: 3

Page: 123-124 Objective: 1. Define the concept of vision as it relates to leadership.

Difficulty: Moderate Heading: Introduction Integrated Processes: Communication and Documentation Client Need: Safe and Effective Care Environment: Management of Care Cognitive Level: Analysis [Analyzing] Concept: Management: Nursing: Nursing Roles: Communication: Collaboration 1 2 3 4

Feedback Incorrect because a lockstep plan minimizes creativity and vision.

Incorrect because mandating anything is not a significant contribution.

Correct because sharing a vision is a significant contribution.

Incorrect because hiring only licensed professionals is not a significant contribution.

PTS: 1 2. ANS: 1

CON: Management: Nursing: Nursing Roles: Communication: Collaboration

Page: 129 Objective: 5. Identify characteristics of nursing and non-nursing leaders who are viewed as visionary.

Difficulty: Moderate Heading: Actualizing a Vision Integrated Processes: Communication and Documentation Client Need: Safe and Effective Care Environment: Management of Care Cognitive Level: Analysis [Analyzing] Concept: Management: Communication: Ethics: Diversity Feedback 1 Correct because the “Dream” speech definitely energizes people toward action.

2 Incorrect because the “Dream” speech is not just one person revolting against society.

3 Incorrect because King was not propelling his own agenda but that of the people.

4 Incorrect because the “Dream” speech is not just one person’s dream.

PTS: 1 3. ANS: 3

CON: Management: Communication: Ethics: Diversity

Page: 124 Objective: 2. Describe how a nurse leader, followers, or a group as a whole can identify, articulate, and communicate a vision.

Difficulty: Moderate

Heading: The Concept of Vision Integrated Processes: Communication and Documentation Client Need: Safe and Effective Care Environment: Management of Care Cognitive Level: Application [Applying] Concept: Management: Health-Care System: Nursing: Nursing Roles: Communication Feedback 1 Incorrect because an organization’s short-term goals are not examples of a vision.

2 Incorrect because a vision is not a summary of how an organization evolved; this is the organization’s history.

3 Correct because this is a vision.

4 Incorrect because an organization’s plan does not equal a vision.

PTS: 1 4. ANS: 2

CON: Management: Health-Care System: Nursing: Nursing Roles: Communication

Page: 130 Objective: 2. Describe how a nurse leader, followers, or a group as a whole can identify, articulate, and communicate a vision.

Difficulty: Moderate Heading: Actualizing a Vision Integrated Processes: Communication and Documentation Client Need: Safe and Effective Care Environment: Management of Care Cognitive Level: Application [Applying] Concept: Management: Nursing: Nursing Roles: Communication Feedback 1 Incorrect because leaders do not accept the status quo even if it is working.

2 Correct because leaders make a difference no matter what it takes.

3 Incorrect because leaders are proactive not reactive.

4 Incorrect because successful leaders enjoy a balanced life.

PTS: 1 5. ANS: 3

CON: Management: Nursing: Nursing Roles: Communication

Page: 131-132 Objective: 1. Define the concept of vision as it relates to leadership.

Difficulty: Moderate Heading: What Happens If There Is No Vision Integrated Processes: Communication and Documentation Client Need: Safe and Effective Care Environment: Management of Care Cognitive Level: Analysis [Analyzing] Concept: Management: Nursing: Nursing Roles: Health-Care System 1 2 3 4

Feedback Incorrect because change and growth cannot emerge with this approach.

Incorrect because one cannot be proactive with this type of approach.

Correct because this is exactly the type of thinking that fosters the status quo.

Incorrect because no provocative discussions could take place with this type of

approach.

PTS: 1 6. ANS: 4

CON: Management: Nursing: Nursing Roles: Health-Care System

Page: 135 Objective: 3. Identify strategies that would be effective in making one’s personal vision become a reality.

Difficulty: Moderate Heading: Strategies to Assist People With Vision Development Integrated Processes: Communication and Documentation Client Need: Safe and Effective Care Environment: Management of Care Cognitive Level: Application [Applying] Concept: Management: Nursing: Nursing Roles: Communication Feedback 1 Incorrect because these techniques will not best articulate a vision.

2 Incorrect because charades will not articulate a vision.

3 Incorrect because neither of these skills will help articulate a vision.

4 Correct because repetition and rhythm will help articulate a vision.

PTS: 1 7. ANS: 4

CON: Management: Nursing: Nursing Roles: Communication

Page: 136 Objective: 7. Project potential outcomes of using creativity as a nurse leader or follower.

Difficulty: Moderate Heading: Creativity Integrated Processes: Communication and Documentation Client Need: Safe and Effective Care Environment: Management of Care Cognitive Level: Analysis [Analyzing] Concept: Management: Nursing: Nursing Roles: Communication: Collaboration: Health-Care System Feedback 1 Incorrect because creativity will not increase if one thinks in a more focused manner.

2 Incorrect because a step-by-step process will not increase creativity skills.

3 Incorrect because it will not help to use past strategies to be more creative.

4 Correct because by being creative reframing can occur.

PTS: 1 CON: Management: Nursing: Nursing Roles: Communication: Collaboration: Health-Care System 8. ANS: 1

Page: 136 Objective: 6. Describe characteristics of creative persons, processes, and environments.

Difficulty: Moderate Heading: Using Creativity to Maximize Vision Accomplishment Integrated Processes: Communication and Documentation Client Need: Safe and Effective Care Environment: Management of Care

Cognitive Level: Application [Applying] Concept: Management: Nursing: Nursing Roles: Health-Care System Feedback 1 Correct because changing conditions in the work setting is more effective than influencing people to think in a more creative fashion.

2 Incorrect because providing stress-reduction exercises to employees does not necessarily cause increased creativity.

3 Incorrect because financial incentives do not necessarily cause increased creativity.

4 Incorrect because scheduling creativity workshops does not necessarily cause increased creativity.

PTS: 1 9. ANS: 3

CON: Management: Nursing: Nursing Roles: Health-Care System

Page: 140 and 141 Objective: 6. Describe characteristics of creative persons, processes, and environments.

Difficulty: Easy Heading: Using Creativity to Maximize Vision Accomplishment Integrated Processes: Nursing Process: Evaluation Client Need: Safe and Effective Care Environment: Management of Care Cognitive Level: Application [Applying] Concept: Management: Nursing: Nursing Roles: Cognition: Evidence-Based Practice Feedback 1 Incorrect because left-brain thinking is logical.

2 Incorrect because left-brain thinking is organized.

3 Correct because right-brain thinking is creative.

4 Incorrect because left-brain thinking is concrete.

PTS: 1 10. ANS: 2

CON: Management: Nursing: Nursing Roles: Cognition: Evidence-Based Practice

Page: 140 Objective: 6. Describe characteristics of creative persons, processes, and environments.

Difficulty: Moderate Heading: Using Creativity to Maximize Vision Accomplishment Integrated Processes: Caring Client Need: Safe and Effective Care Environment: Management of Care Cognitive Level: Application [Applying] Concept: Management: Nursing: Nursing Roles Feedback 1 Incorrect because creative nurses are always networking, even with competitors.

2 Correct because being a risk taker is a characteristic of a creative nurse.

3 Incorrect because following a specific plan is not creative.

4 Incorrect because creative nurses are not reactive to challenges.

PTS: 1 11. ANS: 1

CON: Management: Nursing: Nursing Roles

Page: 125 Objective: 4. Formulate a personal vision for the profession or one’s particular area of practice.

Difficulty: Moderate Heading: Developing Professional and Personal Visions Integrated Processes: Communication and Documentation Client Need: Safe and Effective Care Environment: Management of Care Cognitive Level: Application [Applying] Concept: Management: Health-Care System: Nursing: Nursing Roles Feedback 1 Correct because a personal vision gives one a purpose in life, and a professional vision helps one accomplish work ideas and the mission of an organization, group, or profession.

2 Incorrect because having visions does not necessarily generate wealth.

3 Incorrect because this only refers to a professional vision.

4 Incorrect because this only refers to a personal vision.

PTS: 1 12. ANS: 3

CON: Management: Health-Care System: Nursing: Nursing Roles

Page: 125-126 Objective: 5. Identify characteristics of nursing and non-nursing leaders who are viewed as visionary.

Difficulty: Moderate Heading: Developing a Vision Integrated Processes: Communication and Documentation Client Need: Safe and Effective Care Environment: Management of Care Cognitive Level: Application [Applying] Concept: Management: Cognition: Nursing: Nursing Roles: Communication: Collaboration Feedback 1 Incorrect because asking a peer for feedback indicates reflective technique.

2 Incorrect because asking a peer for feedback indicates reflective technique.

3 Correct because asking a peer for feedback indicates reflective technique.

4 Incorrect because asking a peer for feedback indicates reflective technique.

PTS: 1 CON: Management: Cognition: Nursing: Nursing Roles: Communication: Collaboration 13. ANS: 2

Page: 125-126 Objective: 2. Describe how a nurse leader, followers, or a group as a whole can identify, articulate, and communicate a vision.

Difficulty: Difficult Heading: Developing a Vision Integrated Processes: Communication and Documentation Client Need: Safe and Effective Care Environment: Management of Care Cognitive Level: Analysis [Analyzing] Concept: Management: Nursing: Nursing Roles Feedback

1 2 3 4

Incorrect because reflecting is associated with thinking about what went right and what went wrong with plans for improvement.

Correct because interpreting is associated with determining the actual vision.

Incorrect because noticing is associated with the nurse assessing the situation, gathering data, and identifying patterns.

Incorrect because responding is associated with implementing the vision.

PTS: 1 14. ANS: 4

CON: Management: Nursing: Nursing Roles

Page: 136 Objective: 6. Describe characteristics of creative persons, processes, and environments.

Difficulty: Moderate Heading: Creativity Integrated Processes: Communication and Documentation Client Need: Safe and Effective Care Environment: Management of Care Cognitive Level: Analysis [Analyzing] Concept: Management: Communication: Cognition: Nursing: Nursing Roles Feedback 1 Incorrect because thinking outside of the box means one is not a linear thinker.

2 Incorrect because thinking outside of the box means being creative and finding a solution to a problem.

3 Incorrect because thinking outside the box means there is more than one right answer.

4 Correct because this is successful thinking out of the box.

PTS: 1 15. ANS: 1

CON: Management: Communication: Cognition: Nursing: Nursing Roles

Page: 139 Objective: 8. Identify how the new science of leadership fosters creativity in order to improve leadership and followership.

Difficulty: Moderate Heading: Using Creativity to Maximize Vision Accomplishment Integrated Processes: Communication and Documentation Client Need: Safe and Effective Care Environment: Management of Care Cognitive Level: Application [Applying] Concept: Management: Nursing: Nursing Roles: Cognition Feedback 1 Correct because increased neural circuits are a result of reflective thinking and mindful awareness.

2 Incorrect because the prefrontal cortex is developed.

3 Incorrect because the prefrontal cortex is affected, not the occipital area.

4 Incorrect because neuroplasticity will increase.

PTS: 1 16. ANS: 2

Page: 144

CON: Management: Nursing: Nursing Roles: Cognition

Objective: 8. Identify how the new science of leadership fosters creativity in order to improve leadership and followership.

Difficulty: Moderate Heading: Conclusion Integrated Processes: Teaching and Learning Client Need: Safe and Effective Care Environment: Management of Care Cognitive Level: Analysis [Analyzing] Concept: Management: Health-Care System: Nursing: Nursing Roles Feedback 1 Incorrect because life is not predictable.

2 Correct because change will occur no matter what we do.

3 Incorrect because it is impossible to prevent chaos to some degree.

4 Incorrect because people perform better with unexpected crises.

PTS: 1 17. ANS: 1

CON: Management: Health-Care System: Nursing: Nursing Roles

Page: 136 Objective: 8. Identify how the new science of leadership fosters creativity in order to improve leadership and followership.

Difficulty: Moderate Heading: Creativity Integrated Processes: Communication and Documentation Client Need: Safe and Effective Care Environment: Management of Care Cognitive Level: Analysis [Analyzing] Concept: Management: Nursing: Nursing Roles: Collaboration: Communication Feedback 1 Correct because these unexpected happenings serve to improve staff skills in problem-solving.

2 Incorrect because staff do not need “practice” time to help their patients but rather more experience to increase their skills with communication.

3 Incorrect because nurses should work on their problems, not pass them on to physicians to correct.

4 Incorrect because “surprises” should not be viewed as negative happenings.

PTS: 1 18. ANS: 4

CON: Management: Nursing: Nursing Roles: Collaboration: Communication

Page: 133 Objective: 3. Identify strategies that would be effective in making one’s personal vision become a reality.

Difficulty: Moderate Heading: Strategies to Assist People With Vision Development Integrated Processes: Communication and Documentation Client Need: Safe and Effective Care Environment: Management of Care Cognitive Level: Application [Applying] Concept: Management: Nursing: Nursing Roles Feedback

1 2 3 4

Incorrect because empathy and collaboration are not components of the Leadership Diamond Model.

Incorrect because none of these are components of the Leadership Diamond Model.

Incorrect because none of these are components of the Leadership Diamond Model.

Correct because these are the elements of this model and they all strongly relate to a positive leadership environment.

PTS: 1 19. ANS: 1

CON: Management: Nursing: Nursing Roles

Page: 132 Objective: 2. Describe how a nurse leader, followers, or a group as a whole can identify, articulate, and communicate a vision.

Difficulty: Moderate Heading: Who Should Participate in Vision Development?

Integrated Processes: Communication and Documentation Client Need: Safe and Effective Care Environment: Management of Care Cognitive Level: Application [Applying] Concept: Management: Nursing: Nursing Roles: Collaboration: Communication Feedback 1 Correct because Zaleznik (1989) says one of the ways to influence others is to help them realize that the proposed change will advance their interests.

2 Incorrect because the nurse leader should engage everyone in making that vision a reality rather than waiting for administration to solve the problem.

3 Incorrect because a lockstep plan dampens creativity.

4 Incorrect because both staff and leader must have passion.

PTS: 1 20. ANS: 2

CON: Management: Nursing: Nursing Roles: Collaboration: Communication

Page: 143 Objective: 9. Examine how the incorporation of vision and creativity into one’s professional role can help vitalize and energize a nurse.

Difficulty: Moderate Heading: The Significance of Creativity Integrated Processes: Nursing Process: Evaluation Client Need: Safe and Effective Care Environment: Management of Care Cognitive Level: Analysis [Analyzing] Concept: Management: Nursing: Nursing Roles: Collaboration: Health-Care System Feedback 1 Incorrect because work is an expression of the soul, inner being.

2 Correct because work comes from the inside out.

3 Incorrect because work is energizing, challenging, rewarding, and growth producing.

4 Incorrect because work is unique to the individual.

PTS: 1 21. ANS: 1

CON: Management: Nursing: Nursing Roles: Collaboration: Health-Care System

Page: 132 Objective: 2. Describe how a nurse leader, followers, or a group as a whole can identify, articulate, and communicate a vision.

Difficulty: Difficult Heading: Who Should Participate in Vision Development?

Integrated Processes: Communication and Documentation Client Need: Safe and Effective Care Environment: Management of Care Cognitive Level: Application [Applying] Concept: Management: Nursing: Nursing Roles: Communication: Collaboration Feedback 1 Correct because leaders need to influence the staff to want to succeed for the group/organization, not just for self-recognition and promotion.

2 Incorrect because leaders need to influence the staff to want to succeed for the group/organization, not just for self-recognition and promotion.

3 Incorrect because leaders need to influence the staff to want to succeed for the group/organization, not just for self-recognition and promotion.

4 Incorrect because leaders need to influence the staff to want to succeed for the group/organization, not just for self-recognition and promotion.

PTS: 1 22. ANS: 3

CON: Management: Nursing: Nursing Roles: Communication: Collaboration

Page: 144 Objective: 3. Identify strategies that would be effective in making one’s personal vision become a reality.

Difficulty: Moderate Heading: The Significance of Creativity Integrated Processes: Communication and Documentation Client Need: Safe and Effective Care Environment: Management of Care Cognitive Level: Application [Applying] Concept: Management: Nursing: Nursing Roles: Communication: Collaboration Feedback 1 Incorrect because credibility is not a component.

2 Incorrect because crafty uses political astuteness and know-how to increase a power base.

3 Correct because feisty leaders can deliberately create conflicts to spark new ideas.

4 Incorrect because flexibility is not a component.

PTS: 1 23. ANS: 3

CON: Management: Nursing: Nursing Roles: Communication: Collaboration

Page: 140 Objective: 6. Describe characteristics of creative persons, processes, and environments.

Difficulty: Moderate Heading: Using Creativity to Maximize Vision Accomplishment

Integrated Processes: Teaching and Learning Client Need: Safe and Effective Care Environment: Management of Care Cognitive Level: Application [Applying] Concept: Management: Nursing: Nursing Roles: Cognition Feedback 1 Incorrect because using formulas does not involve both sides of the brain.

2 Incorrect because memorizing facts is correlated with using one’s left brain.

3 Correct because both sides of the brain are used with mindmapping.

4 Incorrect because the left brain is predominantly used when repeatedly rewriting terms in the process of learning.

PTS: 1

CON: Management: Nursing: Nursing Roles: Cognition

MULTIPLE RESPONSE 24. ANS: 2, 3, 4, 5

Page: 133-134 Objective: 3. Identify strategies that would be effective in making one’s personal vision become a reality.

Difficulty: Difficult Heading: Strategies to Assist People With Vision Development Integrated Processes: Communication and Documentation Client Need: Safe and Effective Care Environment: Management of Care Cognitive Level: Application [Applying] Concept: Management: Communication: Collaboration: Nursing: Nursing Roles Feedback 1. Incorrect because the principle is keep it simple.

2. Correct because the principle is take the indirect route.

3. Correct because the principle is to exploit successes.

4. Correct because the principle is to commit fully to a goal.

5. Correct because the principle is to do the unexpected.

PTS: 1 25. ANS: 1, 3, 4

CON: Management: Communication: Collaboration: Nursing: Nursing Roles

Page: 140 Objective: 6. Describe characteristics of creative persons, processes, and environments. Difficulty: Moderate Heading: Using Creativity to Maximize Vision Accomplishment Integrated Processes: Communication and Documentation Client Need: Safe and Effective Care Environment: Management of Care Cognitive Level: Application [Applying] Concept: Management: Communication: Collaboration: Nursing: Nursing Roles Feedback 1. Correct because thinking originally is creative.

2. Incorrect because being open to new ideas is creative.

3.

4.

5.

Correct because providing alternatives is creative.

Correct because being willing to dream is creative.

Incorrect because creativity draws on the right brain.

PTS: 1

CON: Management: Communication: Collaboration: Nursing: Nursing Roles