Ethics and Leadership in Nursing Exam Questions
Course Introduction
This course explores the fundamental principles of ethics and leadership as they apply specifically to nursing practice. Students will examine ethical theories, professional codes of conduct, and decision-making frameworks that inform responsible and compassionate care. Through analysis of real-world case studies, learners will develop skills to navigate complex moral dilemmas, advocate for patients rights, and balance personal and professional values. The course also emphasizes leadership styles and strategies relevant to nursing environments, empowering students to inspire teams, effect positive change, and uphold the highest standards of integrity in diverse 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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25 Flashcards
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Sample Questions
Q1) 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
Q2) In a unit meeting,a staff nurse exhibits what is commonly known as an adult tantrum.The nurse manager's best response is to:
A)Call the staff nurse by name
B)Discourage the staff nurse from talking
C)Allow the staff nurse to finish the outburst
D)Ask the staff nurse open-ended questions
Answer: C
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Chapter 2: Stress Management
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Sample Questions
Q1) 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
Q2) An alcoholic client is being discharged.To help enhance the client's self-esteem,it would be most appropriate for the staff nurse to provide information about:
A)Taking a vacation alone
B)Self-help support groups
C)Referral sources
D)Nutritional support
Answer: B
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Chapter 3: Decision-Making Process and Tools
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Sample Questions
Q1) The nursing home staff members were brainstorming about ways to keep one of the residents from walking into other residents' rooms uninvited.After they failed to agree on a solution,the nurse manager instructed the staff members to take a break for lunch.The nursing manager was practicing what phase of creative decision making?
A)Preparation
B)Incubation
C)Illumination
D)Verification
Answer: B
Q2) A nurse manager asks the staff members,"What causes low morale?" This is an example of which of the following?
A)Meditation
B)Keeping an ideas diary
C)Reverse brainstorming
D)Brainstorming
Answer: C
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Chapter 4: Motivation and Morale
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Sample Questions
Q1) Which of the following is an example of a hygiene factor in Herzberg's two-factor theory?
A)Staff members' concern that the hospital will lay off workers
B)Hospital's sponsoring of an awards banquet for all personnel
C)Performance evaluations that provide positive feedback
D)Staff nurses' attendance at workshops to increase knowledge
Q2) A staff nurse delegated to a nursing assistant the task of stocking the linen cart for the next shift.At the end of the shift,the staff nurse discovered that the linen cart was not stocked.According to Vroom's expectancy theory,the nursing assistant was operating from:
A)Negative valence and expectancy value of 1
B)Positive valence and expectancy value of 0
C)Positive valence and expectancy value of 1
D)Negative valence and expectancy value of 0
Q3) 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
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Chapter 5: Power, Politics, and Labor Relations
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Sample Questions
Q1) A nurse manager was hired after the hospital employees unionized.After a few days on the job,an employee on the unit became angry at the staffing schedule the nurse manager had posted.The employee filed what type of grievance?
A)Harassment grievance
B)Political grievance
C)Imagined grievance
D)Informal grievance
Q2) The licensed staff members who belong to the union filed a grievance against the hospital related to the conditions of employment.According to the National Labor Relations Board,in this situation collective bargaining is:
A)Petitionary
B)Illegal
C)Voluntary
D)Mandatory
Q3) 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
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Page 7
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) A newly hired staff nurse observed the nurse manager's leadership style.The nurse manager used rules and policies to guide the staff and expected compliance.The nurse manager's leadership style was:
A)Shared governance
B)Democratic
C)Laissez-faire
D)Bureaucratic
Q3) Which of the following management theorists favored a division of work through specialization?
A)Elton Mayo
B)Kurt Lewin
C)Jacob Moreno
D)Henri Fayol
Page 9
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Chapter 8: Strategic and Operational Planning
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Sample Questions
Q1) In a hospital setting,the lower-level managers carry out operational planning of daily,weekly,and monthly activities.An example of a lower-level manager is:
A)The chief nursing officer
B)A unit supervisor
C)A clinical nurse specialist
D)A case manager
Q2) Procedure manuals provide:
A)An abbreviated course of action
B)A basis for orientation and staff development
C)A resource only for nurse managers
D)A low degree of regularity
Q3) Which of the following contributed to increased health care spending?
A)Aging of the population
B)Increased numbers of people with private insurance
C)Decreased incidence of violence
D)Decreased use of technology
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Chapter 9: Financial Management, Cost Containment, and Marketing
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Sample Questions
Q1) The nurse manager assessed the need for a new flotation bed for patients with severe decubitus ulcers on the unit.The nurse manager reported this information to the chief nursing officer,who reviewed which budget to plan for replenishment of this equipment on the unit?
A)Operating budget
B)Capital expenditure budget
C)Cash budget
D)Flexible budget
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) A nurse manager uses what technique to help control costs?
A)Delegating appropriate tasks to unlicensed personnel
B)Comparing costs with those of other departments
C)Calculating the break-even points on an item
D)Conducting comparisons in monetary units
Page 11
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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) 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.
Q3) The nurse manager of the unit is responsible for:
A)Encouraging downward communication
B)Establishing a chain of command
C)Facilitating the formal group
D)Modeling the use of centralized power
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Chapter 11: Organizational Culture, Change, and Innovation
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Sample Questions
Q1) The nurse managers met with the chief nursing officer before the organization began downsizing.Some of the senior nurse managers complained about the downsizing after the meeting.In terms of their level of commitment to the change,these senior nurse managers could be categorized as:
A)Champions
B)Overt resisters
C)Covert resisters
D)Skeptics
Q2) The nurse manager assessed the culture of the unit before instituting policy changes.The nurse manager found that the environmental culture fostered teamwork and consensus building.This best describes what type of culture?
A)Individualistic culture
B)Collective culture
C)Expert culture
D)Transculturalism
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Chapter 12: Selection and Development of Personnel
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Sample Questions
Q1) When hiring a Filipino nurse,a nurse manager needs to guide the nurse's performance by:
A)Assigning the Filipino nurse to care for five or six patients
B)Delegating to the Filipino nurse the task of starting all intravenous lines on the unit
C)Encouraging the Filipino nurse to participate in decision making
D)Assigning the Filipino nurse to perform basic personal care
Q2) To promote nurses who are successful leaders within the organization,a hospital may institute what type of planning?
A)Career planning
B)Clinical ladder planning
C)Succession planning
D)Developmental planning
Q3) The nurse manager will use which of the following groups as a major source for selection of personnel?
A)Dissatisfied employed individuals
B)Satisfied employed individuals
C)Persons who have had many jobs
D)Employees terminated due to absenteeism
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Chapter 13: Staffing and Scheduling
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Sample Questions
Q1) Because of a called-in absence,a nurse manager has to find a replacement for the uncovered position on the shift.Which of the following is an option?
A)Substituting a person of one classification for another,such as a licensed practical nurse (LPN)for a registered nurse (RN)
B)Implementing variable staffing
C)Instituting 12-hour shifts for all staff
D)Drawing from the retirement pool for the replacement
Q2) Functions to support quality patient care should be considered by both the organization and the nurse manager of the unit when staffing levels are determined.Which of the following is a staffing principle that relates to nurses rather than to the organization?
A)Organizational policy should reflect the valuing of employees.
B)Patient needs should determine the required clinical competencies.
C)Documented competencies for staff should be maintained.
D)Policies should recognize the needs of both patients and staff.
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Chapter 14: Evaluation and Discipline of Personnel
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Sample Questions
Q1) All of the following are purposes of the performance appraisal except:
A)Determining job competence
B)Improving communication between managers and physicians
C)Identifying unsatisfactory employees
D)Inventorying talent within the organization
Q2) Because of the nursing shortage,not many registered nurses are fired;however,there are some reasons for which nurses are terminated immediately,such as:
A)Tardiness
B)Personnel reduction
C)Falsification of records
D)Withdrawn behavior
Q3) If the nurse manager rates the staff from the best performer to the weakest performer,the manager is using what method of performance management?
A)Anecdotal notes
B)Rating scales
C)Ranking
D)Forced distribution scale
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Chapter 15: Continuous Quality Improvement, Risk Management,
and
Program Evaluation
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Sample Questions
Q1) As health care expanded,the federal government became involved.The federal government realized it could not meet the costs of unlimited health care coverage,so which of the following was initiated?
A)The Hill-Burton Act
B)The Medicare and Medicaid programs
C)The Professional Standards Review Organization (PSRO)
D)Health maintenance organizations
Q2) The Clinton administration instructed the President's Advisory Commission on Consumer Protection and Quality in the Health Care Industry to work with the Institute of Medicine Reports to develop the core competencies for health care professionals.What publication reported the core competencies for health care professionals?
A)To Err Is Human
B)Envisioning the National Health Care Quality Report
C)Crossing the Quality Chasm
D)Health Professions Education
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