Clinical Leadership in Nursing
Chapter Exam Questions
Course Introduction
Clinical Leadership in Nursing explores the essential concepts, strategies, and skills required for effective leadership within clinical nursing environments. The course examines leadership theories, decision-making processes, and communication methods, emphasizing how nurses can influence patient outcomes, foster teamwork, and drive change in healthcare settings. Topics include ethical and legal responsibilities, conflict resolution, quality improvement, and interprofessional collaboration. Through case studies and practical assessments, students develop critical thinking and leadership abilities necessary for leading teams, advocating for patients, and contributing to the advancement of nursing practice.
Recommended Textbook
The New leadership Challenge Creating the Future of Nursing 4th Edition by Sheila C. Grossman
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Page 2
Chapter 1: The Nature of Leadership: Distinguishing
Leadership From Management
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Sample Questions
Q1) Robert Frost,the great American poet,said,"Some men see things as they are and say why? I dream of things that never were and say why not?" This statement best reflects which of the following types of leadership?
A)Stewardship
B)Change
C)Vision
D)Power
Answer: C
Q2) Many researchers who have studied leadership identify which of the following characteristics of an effective leader and role model?
A)Influencing others to do what you want
B)Authorizing permission for other's actions
C)Using one's power to direct others
D)Recruiting followers and new leaders
Answer: D
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Page 3
Chapter 2: The New World and New Leadership: Changing Our Thinking About Leaders
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Sample Questions
Q1) Which of the following best describes quantum theory with regard to leadership?
A)A rationale for the movement of molecules in a vertical and horizontal way
B)An explanation of gravity
C)Interfacing among all group members
D)A scientific way of thinking
Answer: C
Q2) Organizations practicing the New Science of Leadership differ from those using Scientific or Newtonian principles.The Old Newtonian principles fostered which of the following?
A)Risk or financial management
B)Quality and prioritization
C)Use of integrated documentation
D)Short- and long-term planning with centralized decision making
Answer: D
Q3) The New Science of Leadership focuses most specifically on:
A)Relationships
B)Strategic planning
C)Hierarchical organizational structure
D)Task accomplishment
Answer: A
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Chapter 3: Followership and Empowerment
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Q1) Kellerman commented on the overabundance of leadership development conferences but the lack of any workshops,presentations,or many publications on which of the following?
A)Delegation
B)Outcome evaluation
C)Vision identification
D)Followership
Answer: D
Q2) Using frameworks described by Kelley,Pittman,Rosenbach,and Potter,which terms are most alike in their characteristics?
A)Yes people and contributors
B)Effective followers and politicians
C)Sheep and subordinates
D)Alienated followers and partners
Answer: C
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Chapter 4: Leadership As an Integral Component of a Professional Role
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Q1) To inspire nurses to "be all they can be," leaders must provide a revitalized care environment with which of the following elements?
A)Competitiveness and chaos
B)Collaboration and competitiveness
C)Chaos and constantly changing
D)Engaging and inspiring
Q2) An empowered environment that is conducive for nurses to practice transformational leadership would include which of the following philosophies?
A)Nurses feel they make a difference.
B)Nurses believe in the handmaiden relationship with physicians.
C)Nurses are competitive with each other and are constantly competing for attention.
D)Nurses respect multiple "sacred cows" and feel they should not "rock the boat."
Q3) Emotional intelligence is best described as:
A)Similar to intelligence quotient
B)Ability to sympathize with patients and families
C)Ability to respond to others and manage your own feelings
D)Similar to empathy
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Page 6
Chapter 5: Vision and Creativity
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Q1) The Leadership Diamond Model developed by Koestenbaum revolves around which of the following concepts that can assist in developing an environment conducive for people to gain leadership skills?
A)Salesmanship,collaboration,and empathy for all
B)Motivation,passion,determination,and sacrifice
C)Teamwork,hope,faith,and empowerment
D)Time,democracy,motivation,and teamwork
Q2) As each of us grows,we leave behind the routine,step-by-step type of life we used to enjoy and move toward the new and challenging type of existence.Even though our world is changing in every possible way,we will tend to maintain which of the following?
A)Core values
B)Sad and happy memories of childhood
C)Political beliefs
D)Folklore of our culture
Q3) Keeping passion alive in an organization is imperative to:
A)Manage workers' stress levels
B)Create a competitive atmosphere in which to work
C)Maintain spirit in the workplace
D)Keep the bottom-line focus
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Page 7
Chapter 6: Gender Perspectives in Leadership
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Q1) Connective leadership demonstrated by many women leaders is a style that fits with today's organizations because it encompasses:
A)Networking,empowerment of all,and relationship building
B)Primary focus for cost savings,team work,and leader reputation
C)Competitive milieu,independent work,and patient safety
D)Holistic care,use of complementary alternative therapy,and communication
Q2) Current research by Keohane indicates that "it is not our ___ that influence how [women] act as leaders."
A)sexuality
B)genes
C)hormones
D)situation
Q3) Women and men both need to hold onto the strength of their uniqueness,but at the same time,incorporate talents typically exhibited by the other.A movement toward more androgynous leadership would:
A)Combine the positive elements of hierarchies and webs
B)Prevent male and female nurses from competing with each other
C)Align same gender members of the health-care team to work together
D)Promote more harmony with staff nurses working with opposite gender patients
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Page 8
Chapter 7: Chaos and Disequilibrium: Invigorating, Challenging,
and Growth-Producing
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Q1) Change often is described as all of the following EXCEPT:
A)New
B)Unexpected
C)Negative
D)Stable
Q2) For the nursing profession to grow and become an even stronger force in health care,chaos theory advocates that nurse leaders:
A)Rethink the past and model themselves after previous nurse leaders.
B)Develop specific short- and long-term plans with evaluation outcomes.
C)Use their intuition,take risks,and be comfortable with uncertainty.
D)Work side by side with physician mentors.
Q3) Which of the following can increase a nurse manager's power most dramatically?
A)Preserving the status quo
B)Maintaining sacred cows
C)Empowering staff members to make change
D)Unionizing with other administrators
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9
Chapter 8: Shaping a Preferred Future for Nursing
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Q1) To increase compliance of nurses maintaining clinical competency,the nursing profession could enforce all of the following EXCEPT:
A)Mandatory yearly continuing education for RN relicensure
B)Ongoing certification in one's area of practice
C)Institutional licensure
D)Standardized entry into practice
Q2) A significant focus for today and the future health-care systems is:
A)Fee-for-service payments
B)Primary care to emphasize the importance of prevention of disease
C)Inpatient care for each acute and chronic episode of disease
D)Individualized plan of care that promotes intensive care unit (ICU)care for each patient
Q3) Nurses who wish to be a part of creating the future will:
A)Use written documentation instead of electronic
B)Be informed about issues and how they evolve
C)Use prediction formulas
D)Begin to stockpile resources to be used only if absolutely necessary
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Chapter 9: Developing As a Leader Throughout Ones
Career
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Q1) The concept of networking is based most prominently on which of the following assumptions?
A)Sharing of information and experiences is most effective when done informally.
B)Whom one knows is important and can be helpful.
C)People enjoy being called on to help others.
D)The more people one claims to know ensures one of career success.
Q2) Creators of a virtual world hierarchy of leadership model (Guthrie,Phelps,and Downey)identified six different levels of leadership skill sets.Which of the following represent three of these levels?
A)Technology,organizational skills,and delegation skills
B)Facilitation skills,communication,and delegation skills
C)Problem solving,organizational skills,and facilitation skills
D)Communication,mentoring,and problem solving
Q3) Loue identified stages that the mentor and mentee experienced in their mentoring relationship.She suggests that all mentoring relationships ultimately experience a stage when:
A)The mentee feels he or she is giving more than the mentor.
B)The mentor feels he or she is giving more than the mentee.
C)The mentor and mentee separate or,in some instances,terminate.
D)The mentor is exploiting the mentee.
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Chapter 10: Conclusions
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Q1) It has been said that excellence can be attained if you:
A)Hold back when speaking up because it could get you in trouble.
B)Criticize more than others want to hear.
C)Expect more than others think is possible.
D)Wait to take action until all possible questions are answered.
Q2) Which of the following characteristics is NOT a component of excellence according to Diers and Evans?
A)Acknowledging what we have done well or poorly and blaming no one
B)Striving to fulfill a goal or to realize a vision
C)Keeping minds open to new ideas and perspectives
D)Allowing several demands to go unmet so that another demand can be met successfully
Q3) According to Diers and Evans,"excellent nurses are inflamed by nursing." By "inflamed," these authors meant that excellent nurses are:
A)Outspoken and aggressive
B)Politically active
C)Passionate about their work
D)Skilled clinicians
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