Clinical Leadership in Nursing
Exam Answer Key
Course Introduction
Clinical Leadership in Nursing explores the essential principles and practices of leadership within the clinical nursing environment, focusing on the development of skills necessary to guide teams, manage change, and improve patient outcomes. The course delves into theories of leadership, ethical and legal considerations, communication strategies, and the cultivation of collaborative interprofessional relationships. Students will examine real-world case studies and practical scenarios to develop decision-making abilities and foster a culture of safety and quality care. Emphasis is placed on self-reflection, emotional intelligence, and strategies for empowering others, enabling nurses to take on leadership roles effectively in dynamic healthcare settings.
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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Chapter 1: Communications
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Sample Questions
Q1) The nurse manager was commenting to her staff about the overtime hours she was putting in because of a shortage of nurses.This is an example of what type of game?
A)Blame others
B)"Poor me"
C)The corner
D)The bear trapper
Answer: B
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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Sample Questions
Q1) A staff nurse was promoted to unit manager.Which technique can the staff nurse use to manage the stress associated with this change?
A)Become more authoritative
B)Request a pay raise
C)Set aside time to observe respected leaders or managers
D)Set aside time to inventory the unit's weaknesses
Answer: C
Q2) A staff nurse felt anger about the poor care an elderly client received at a long-term care facility.The nurse probably used what technique to identify this anger?
A)Time blocking
B)Value clarification
C)Goal setting
D)Feeling pause
Answer: D
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4
Chapter 3: Decision-Making Process and Tools
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Sample Questions
Q1) For nurses to function in a multicultural environment,they must be aware of global ethics.Which of the following is an example of global ethics?
A)An African-American woman wants a midwife to deliver her baby.
B)The nurse treats the clients on the unit impartially.
C)Nurses and clients work interdependently to plan care.
D)Clients depend on the nurses for all of their needs.
Answer: C
Q2) A staff nurse was asked by the nurse manager to be the charge nurse because of the staff nurse's long history of effective decision making.The staff nurse attributed her effective decision making to:
A)Minimal knowledge
B)The nurse manager's modeling of effective decision making
C)Good decision making by the physician
D)Supportive hospital personnel
Answer: B
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5
Chapter 4: Motivation and Morale
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Sample Questions
Q1) The hospital changed its management technique to theory Z.Theory Z differs from other management theories in that theory Z:
A)Focuses on productivity
B)Focuses on institutional system
C)Calls for the formation of quality circles to make decisions
D)Calls for the development of strategic plans
Q2) Nursing administrators were concerned about the cost of replacing staff members.The reason for an increase of cost is:
A)The work itself
B)The expense of the orientation period
C)Limited advancement potential
D)Increased recognition for achievement
Q3) According to Skinner's positive reinforcement theory,a nurse manager needs to evaluate whether the desired results were obtained or not.If the desired results were not obtained,what is the nurse manager's first action?
A)Reassign tasks to different staff members
B)Assess the working environment for interference
C)Request staff to be reassigned to a different unit
D)Reduce the number of hours staff members work
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Page 6
Chapter 5: Power, Politics, and Labor Relations
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Sample Questions
Q1) The nurse manager's vision was to empower the staff.The nurse manager used all of the following techniques to help empower the staff except:
A)Assigning big problems to the staff
B)Sharing task-related information
C)Obtaining material resources so staff members can do their jobs
D)Providing emotional support
Q2) A bill,HR 152,was originated by a group of nurses lobbying Congress for staffing based on nurse-patient ratio.After it was originated,this bill then went to:
A)The president of the American Nurses Association
B)The primary sponsor
C)A committee of the House of Representatives
D)A committee of the Senate
Q3) Before an election is scheduled,the union's responsibility is to:
A)Get at least 10% of the nurses to sign individual authorization cards
B)Maximize the number of bargaining units
C)Schedule a preliminary hearing
D)Present solutions to the hospital management
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Chapter 6: Conflict Management and Negotiation
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Sample Questions
Q1) After working several years in the hospital setting,a master's-prepared nurse was hired at a local university.As a new faculty member,the nurse began to feel overwhelmed with the responsibilities of teaching,professional development,and community service.The nurse was also expected to develop on-line courses using specific software.Which type of conflict did the faculty member experience?
A)Intrasender conflict
B)Intersender conflict
C)Intragroup conflict
D)Role overload
Q2) Because of an increased risk of workplace violence,an urban medical center instituted a workplace violence prevention training program.All of the following are topics that need to be included except:
A)Risk factors that contribute to assault
B)Information on multicultural diversity
C)Approaches to dealing with individuals who have a stressful life
D)Ways of dealing with hostile persons
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Chapter 7: Theories of Leadership and Management Development
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Sample Questions
Q1) The nurse manager demonstrates self-confidence in his ability to lead.He also describes himself as a visionary with empathy.Daniel Goleman identifies this behavior as:
A)A servant leader
B)A benchmark for excellence
C)An emotional intelligence competency
D)Contingent reinforcement leadership
Q2) Which of the following management theorists established a work standard based on the effects of fatigue on work performance?
A)Frederick Taylor
B)Frank Gilbreth
C)Henry Gantt
D)Abraham Maslow
Q3) The staff developer prepared a presentation for the hospital regarding diversity.What is the single most important factor predicting successful implementation of a diversity program?
A)Nurses' support
B)Administrative support
C)Physicians' support
D)Stake holders' support
Page 9
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Chapter 8: Strategic and Operational Planning
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Sample Questions
Q1) The nurse manager participates in organizational planning by:
A)Identifying competing health care agencies
B)Identifying goals and objectives
C)Identifying new physicians
D)Identifying health care vendors
Q2) Nurse managers are more likely to be involved in what type of planning?
A)Long-range planning
B)Strategic planning
C)Operational planning
D)Short-term planning
Q3) At a magnet hospital,the nurses' council committee developed a new policy regarding the implementation of a computerized charting system.This policy can best be described as:
A)Obsolete
B)Originated
C)Appealed
D)Imposed
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Page 10
Chapter 9: Financial Management, Cost Containment, and Marketing
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Sample Questions
Q1) The hospital is promoting a healthy living program for its employees.On what part of cost containment is the hospital focusing?
A)Cost fairs
B)Cost management
C)Cost avoidance
D)Cost reduction
Q2) The hospital has established a wellness center that provides health education programs.To advertise this new service,the hospital conducts what type of marketing?
A)Mass marketing
B)Social marketing
C)Product-variety marketing
D)Exchange marketing
Q3) The nurse manager reviews the unit's budget quarterly.One advantage of such a budget review is that:
A)It is time consuming and expensive
B)Corrective measures can be taken
C)The budget converts organizational performance into monetary values
D)The budget supersedes the agency goals
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Chapter 10: Organizational Concepts and Structure
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Sample Questions
Q1) On the unit,the nurse manager assigned one staff member to pass medications and give treatments.In this case,span of control is defined in terms of:
A)Function
B)Product
C)Service
D)Region
Q2) A hospital decided to restructure the organization by changing from a bureaucratic model to European-style management.The primary difference between these two styles is that European-style management:
A)Has a rigid line of authority
B)Uses a board to make policy decisions
C)Has inflexible boundaries separating jobs and divisions
D)Shifts personnel and disrupts training
Q3) In what is called a "new" organizational structure,versus a traditional structure,what is true of the chain of command?
A)Communication flows from the top down.
B)Authority and responsibility are aligned.
C)Informal communication prevails.
D)Authority and responsibility are delegated to the lowest operational level.
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Page 12
Chapter 11: Organizational Culture, Change, and Innovation
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Sample Questions
Q1) 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
Q2) One way that administration can handle incompetent executives is to:
A)Hire new managers
B)Move them from line to staff authority
C)Terminate their employment
D)Counsel them toward satisfactory performance
Q3) Changes are disturbing to those affected,and resistance often develops.All of the following are causes of resistance to change except:
A)Threatened self-interest
B)Complacency
C)Security
D)Previous long-term system stability
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Chapter 12: Selection and Development of Personnel
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Sample Questions
Q1) The Americans with Disabilities Act of 1990 protects individuals with which of the following disorders?
A)Depression
B)Gender identity disorder
C)Dyslexia
D)Psychoactive substance abuse
Q2) The director of nursing at a nursing home interviewed an applicant for the position of wound care nurse.This position is an example of:
A)Job simplification
B)Job rotation
C)Job enrichment
D)Job evaluation
Q3) Nurse managers are legally liable for the quality of nursing services.They must be able to differentiate between staff development needs and administrative needs.Which of the following is an example of an administrative need?
A)Need for provision of a staff development budget
B)Need for better availability of supplies and equipment on the unit
C)Need for clarification of current organizational goals
D)Need for technical and professional training
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Page 14
Chapter 13: Staffing and Scheduling
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Sample Questions
Q1) With advances in technology,the creation of a computer-based and network-based community infrastructure has become increasingly important.Which classification system was developed for community health nursing?
A)International classification of nursing practice
B)North American Nursing Diagnosis Association system
C)Nursing Interventions Classification
D)Omaha classification system
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) An adequate number of nursing staff has a positive effect on:
A)Acuteness of care
B)Length of patient stay
C)Family safety
D)Number of staffed beds
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Chapter 14: Evaluation and Discipline of Personnel
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Sample Questions
Q1) Managers who are perfectionists may rate personnel lower than they should and may compare how a staff nurse previously performed with how the staff nurse presently performs.This is called:
A)The halo effect
B)The horns effect
C)The contrast effect
D)The proximity effect
Q2) 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
Q3) 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
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Page 16
Chapter 15: Continuous Quality Improvement, Risk Management, and Program Evaluation
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Sample Questions
Q1) The federal government began facilitating competition among health care services when:
A)It mandated a decrease in the number of hospitals
B)It experienced increased costs due to increasing use of technology
C)It permitted health maintenance organizations (HMOs)to offer competitive medical plans
D)It initiated physician review of Medicare patients' charts to control health care utilization and costs
Q2) Which quality management philosopher believed in a system that creates quality by prevention of errors instead of appraisal?
A)Deming
B)Juran
C)Donabedian
D)Crosby
Q3) The health care risk management process includes all of the following except:
A)Risk identification
B)Analysis
C)Evaluation
D)Reduction strategies
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