Advanced Nursing Leadership Exam Bank
Course Introduction
Advanced Nursing Leadership explores the essential principles and practices of leadership within the nursing profession, emphasizing the development of critical thinking, strategic decision-making, and effective communication skills. The course examines contemporary leadership theories, change management, ethical considerations, and the role of nursing leaders in shaping healthcare policy and fostering a positive organizational culture. Students will analyze case studies, engage in collaborative projects, and apply evidence-based approaches to lead teams, manage complex healthcare environments, and advocate for quality patient care.
Recommended Textbook Guide to Nursing Management and Leadership 8th Edition by Ann Marriner Tomey
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15 Chapters
375 Verified Questions
375 Flashcards
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Page 2
Chapter 1: Communications
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) During a performance evaluation,the staff nurse tells the nurse manager,"I'm not the only one who takes a long lunch break,so I shouldn't be penalized for doing that." The nurse manager understands that the staff nurse's behavior is that of:
A)An exploder
B)A sniper
C)An unresponsive person
D)A complainer
Answer: D
Q2) The nurse manager instructed the nursing assistant to "rinse her hands after touching the patient." The nurse manager meant for the nursing assistant to use universal precautions.Which part of the communication process was compromised?
A)Ideation
B)Encoding
C)Transmission
D)Receiving
Answer: C
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Chapter 2: Stress Management
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) Organizational charts help clarify who is responsible to whom and for what.Which of the following is an example of the use of an organizational chart?
A)Nurse's aide giving a report to the physician
B)Nurse's aide giving a report to the team leader
C)LPN/VN giving a report to the pharmacist
D)LPN/VN giving a report to the house supervisor
Answer: B
Q2) The nurse manager stayed 2 hours late each night for a week developing new policies and procedures for the unit.This is an example of:
A)Shared governance
B)Underdelegating
C)Overdelegating
D)Procrastination
Answer: B
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Chapter 3: Decision-Making Process and Tools
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25 Flashcards
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Sample Questions
Q1) The nurse manager wants to ensure that consensus has been reached at the monthly staff meeting.Consensus occurs when the committee members agree that they can live with the decision even if it is not the decision they would prefer.One way for the nurse manager to help build consensus among the committee members is to:
A)Help them understand their responsibilities
B)Evaluate their work
C)Implement their decisions
D)Involve them in critical and creative thinking
Answer: D
Q2) In the decision-making process,the nurse identifies a problem by:
A)Referring to the standards of practice
B)Using the nurse's own experience
C)Drawing on his or her education
D)Analyzing available information
Answer: D
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5
Chapter 4: Motivation and Morale
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Sample Questions
Q1) At the nurse managers' council meeting,staff tardiness was discussed.After returning to the unit,the nurse manager developed a log to track how often tardiness occurred and who was coming into work late.The nurse manager was demonstrating:
A)Accurate self-awareness
B)Service orientation
C)Leveraging diversity
D)Motivation
Q2) One of the staff nurses was attending graduate school to learn more about critical care.The nurse manager asked the staff nurse to develop policies and procedures for the new cardiac rehabilitation program that was to be opened the next year.According to Argyris's psychological energy theory,the nurse manager was:
A)Decreasing the staff nurse's productivity
B)Increasing the staff nurse's morale
C)Matching the staff nurse's talents with the job
D)Increasing the staff nurse's motivation
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Chapter 5: Power, Politics, and Labor Relations
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Sample Questions
Q1) A staff member has the authority to:
A)Delegate to administrative staff
B)Implement ideas without approval from administration
C)Assist managers in the performance of their duties
D)Enjoy command privileges
Q2) Certification of the employees' bargaining unit was denied because of insufficient votes.The labor organization's next step is to:
A)Begin the decertification process
B)Seek certification among the same employees
C)Allow a 12-month moratorium and then seek certification again
D)Begin negotiations with the hospital's management
Q3) After becoming unionized,hospital employees become satisfied with the hospital's acceptance of their demands regarding staff-patient ratios.The employees then decide that they no longer want to be represented by the labor organization.The employees' next step is to:
A)Initiate a decertification election with a 10% show of interest
B)Call a strike action toward the hospital
C)Initiate a decertification election with a 30% show of interest
D)Initiate a certification election with a 30% show of interest
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Page 7
Chapter 6: Conflict Management and Negotiation
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Sample Questions
Q1) Two staff members were experiencing an interpersonal conflict.They agreed to have the nurse manager present while discussing the problem.The nurse manager's role would be that of:
A)Compromiser
B)Collaborator
C)Mediator
D)Complainer
Q2) After a physician reprimanded a staff nurse for not reporting the patient's vital signs,the staff nurse began experiencing a severe migraine headache.The staff nurse then asked the nurse manager if he could take a sick day and leave the unit.The staff nurse was coping with the physician's reprimand by:
A)Displacement
B)Denial
C)Somatization
D)Regression
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Chapter 7: Theories of Leadership and Management Development
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Sample Questions
Q1) A school nurse planned a health promotion program on character development for a group of seventh-graders.Which behavior most likely prompted the school nurse to develop the program?
A)Increased teacher involvement
B)Manifestations of students' trust of each other
C)Students' increasing use of sexual language while walking down the halls
D)Decrease in sexual activity among teens
Q2) A staff nurse began a graduate program focusing on health systems management.To be prepared as an effective leader in a health care agency,the staff nurse would probably benefit the most from instruction in which area?
A)Information systems
B)Computerized charting
C)Computerized medical records
D)Self-regulation of nursing practice
Q3) Which kind of followers believe they must please the boss?
A)Effective followers
B)Conformist followers
C)Alienated followers
D)Ineffective followers
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Chapter 8: Strategic and Operational Planning
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Sample Questions
Q1) Which of the following individuals or groups influence how institutional goals are determined by the organization?
A)Staff nurses
B)Patient care coordinators
C)Vice president for nursing
D)Board of directors
Q2) Strategic planning became prevalent in the health care industry as a result of:
A)Shifting of payments to the federal government
B)Reimbursement changes,which decreased competition
C)Increase in the use of high-cost technology
D)Construction of more hospitals
Q3) In a hospital,which of the following influences the philosophy,goals,and objectives of the organization?
A)Mission statement
B)Marketing analysis
C)Vision
D)Values
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10
Chapter 9: Financial Management, Cost Containment, and Marketing
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Sample Questions
Q1) Which of the following reimburses according to the cost of treatment of specific diagnosis-related groups (DRGs)?
A)Health promotion programs
B)Managed care systems
C)Prospective reimbursement system
D)Health maintenance organizations
Q2) The nurse manager wanted to implement a new indirect cost savings strategy on the unit.An example of an indirect cost savings strategy is:
A)Instituting a new 15-minute break policy
B)Holding staff meetings on company time
C)Charging for the coffee served to employees
D)Eliminating the nurses' lounge area
Q3) How should nurse managers face the challenge of globalization?
A)Participate in the World Health Organization to help prevent a pandemic
B)Assure that adequate disease testing equipment is in place
C)Conduct research to develop new diagnostic tests
D)Screen all patients to prevent an epidemic
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Page 11
Chapter 10: Organizational Concepts and Structure
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Sample Questions
Q1) A hospital recently hired a quality improvement director whose position can be viewed on the organizational chart.The function of this position in the chain of command is to:
A)Offer counsel on managerial problems
B)Restrain line authority
C)Perform the routine work
D)Serve in an advisory capacity
Q2) The nurse manager develops an organizational chart that includes all of the following except:
A)Formal organizational relationships
B)Informal organizational relationships
C)Areas of responsibility
D)Channels of communication
Q3) A nurse manager has begun working in an organization with decentralized decision making.Decentralized decision making allows the nurse manager to:
A)Make decisions effectively
B)Make long-range plans
C)Develop organizational goals
D)Initiate policy development
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Page 12
Chapter 11: Organizational Culture, Change, and Innovation
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Sample Questions
Q1) The hospital has approved the nurse manager's suggestion to have more social activities for employees.The hospital will now implement the next track of Kilmann's process for organizational planned change,which is:
A)Management skills
B)Scheduling of the tracks
C)Strategy structure
D)Reward system
Q2) A nurse manager was asked to select nurses for a new geriatric unit and interviewed several nurses for the job of patient care coordinator.The nurse who was selected has a master's degree in adult health with a focus on gerontologic nursing.This nurse manager used which kind of change strategy?
A)Empirical-rational strategy
B)Normative-reeducative strategy
C)Power-coercive strategy
D)Interactional change strategy
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Chapter 12: Selection and Development of Personnel
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Sample Questions
Q1) The nurse manager introduced the new secretary for the unit.The unit secretary,who originally came from Cuba,had lived in "Little Cuba" on the outskirts of Miami.The secretary's primary language was Spanish,and English was the secretary's second language.One staff member openly voiced a mistrust of Spanish-speaking people,regardless of the country from which they came.This staff nurse was demonstrating:
A)Ethnocentrism
B)Stereotyping
C)Discrimination
D)Intolerance
Q2) When interviewing an applicant,the nurse manager understands that an appropriate question is:
A)"What is your age?"
B)"What is your marital status?"
C)"What is your religious preference?"
D)"What is your educational background?"
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14
Chapter 13: Staffing and Scheduling
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Sample Questions
Q1) Between 2010 and 2020,over 40% of the registered nurse workforce will be over 50 years of age and is expected to retire or withdraw from the workforce.The Institute of Medicine has recommended that organizations retain these nurses by:
A)Implementing 12-hour shifts
B)Assigning older nurses to critical care settings
C)Implementing ergonomic principles in the design of the unit
D)Increasing patient-nurse ratio
Q2) The magnet program grew out of several research studies that identified 14 characteristics of magnetism.These features became the conceptual framework for the magnet program.Which of the following is a characteristic of a magnet institution?
A)A flat,decentralized organizational structure
B)A bureaucratic,hierarchical organizational structure
C)Partnerships with schools of nursing
D)Rigid staffing schedules
Q3) Centralized scheduling has many advantages,including which of the following?
A)Managers have authority.
B)Some managerial time is freed up for other activities.
C)Staffing is less complicated.
D)Employees can receive individualized treatment.
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Page 15
Chapter 14: Evaluation and Discipline of Personnel
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Sample Questions
Q1) There are steps that nurse managers can take when dealing with problem employees.One of these steps is to:
A)Provide on-the-job training
B)Identify symptoms of the problem
C)Send the employee to the human resources department
D)Request a drug screen
Q2) Progressive discipline starts with a verbal reprimand,followed by a written reprimand,and then:
A)Termination
B)Suspension with pay
C)Suspension without pay
D)Discipline with punishment
Q3) The counselor starts by listening to the employee,then discusses the employee's problem from the organization's point of view.This is what kind of counseling?
A)Catharsis
B)Cooperative counseling
C)Directive counseling
D)Advice giving
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Chapter 15: Continuous Quality Improvement, Risk Management,
and Program
Evaluation
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Sample Questions
Q1) Which organization attempts to develop and implement a case mix classification system that can provide a basis for Medicare and Medicaid payments as well as serve as a quality monitoring system?
A)The Joint Commission
B)The Institute of Medicine
C)The Multistate Nursing Home Case Mix and Quality Demonstration
D)The National Committee for Quality Assurance
Q2) Which organization required audits of care,which later became part of a quality assurance program?
A)The Joint Commission on Accreditation of Hospitals (JCAH)
B)The American Nurses Association (ANA)
C)The National League for Nursing
D)The American Hospital Association
Q3) Several tools are used to collect data to facilitate continuous quality improvement.What kind of audits review critical pathways and standardized clinical guidelines?
A)Nursing audits
B)Structure audits
C)Process audits
D)Outcome audits
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