Leadership and Management in Nursing
Midterm Exam
Course Introduction
This course explores fundamental principles and advanced concepts of leadership and management within the nursing profession. It examines the roles and responsibilities of nurse leaders and managers in various healthcare settings, emphasizing decision-making, conflict resolution, communication, team building, and strategic planning. Students will analyze contemporary challenges in healthcare, including change management, ethical issues, and quality improvement. Through theoretical frameworks and practical case studies, the course prepares students to effectively lead teams, manage resources, and foster an environment of collaboration and professional growth in nursing practice.
Recommended Textbook
Professional Nursing Concepts and Challenges 7th Edition by Beth Black RN MSN PhD
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16 Chapters
415 Verified Questions
415 Flashcards
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Page 2
Chapter 1: Nursing Today: A Time of Transformation
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/5063
Sample Questions
Q1) Which of the following is a correct statement about the registered nurse (RN) population?
A) The racial/ethnic composition of RNs closely resembles that of the general population.
B) The number of men entering nursing has decreased steadily over the last decade.
C) The rate of aging of RNs has slowed for the first time in the past 30 years.
D) The majority of employed RNs working full time must work a second position.
Answer: C
Q2) One important advantage of clinical ladder programs for hospital-based RNs is that they
A) allow career advancement for nurses who choose to remain at the bedside.
B) encourage nurses to move into management positions in which they can influence patient care on a broader scale.
C) encourage RNs to become politically active and guide the profession of nursing.
D) provide training to staff nurses so they can move seamlessly across departments.
Answer: A
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Chapter 2: The History and Social Context of Nursing
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) Nursing practices during the Civil War advanced the cause of professional nursing. The move toward formal education and training was supported by (Select all that apply.)
A) endorsement by the Catholic nursing orders (Sisters of Charity, Sisters of Mercy, and Sisters of the Holy Cross).
B) a proposal by Dr. Samuel Gross in 1869 that large hospitals develop training schools for nurses.
C) reports of inadequate conditions in hospitals reported by social reformers after the Civil War.
D) lobbying by the United States Sanitary Commission for the creation of nursing schools.
E) the appointment of Dorothea Dix as Superintendent of Women Nurses of the (Union) Army.
Answer: B, C, D, E
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Chapter 3: Nursing's Pathway to Professionalism
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) A component that separates occupations from professions is commitment. Which of the following is the best way that nurses can show commitment to each other?
A) Reporting substandard practice by unlicensed personnel
B) Reading the professional literature
C) Mentoring nursing students and novice nurses
D) Making a financial donation to a professional organization
Answer: C
Q2) Similarities exist between various ideas about what constitutes a profession. Which of the following is believed to be a characteristic of a profession?
A) Members have autonomy.
B) Members are trained on the job.
C) Members are motivated primarily by financial reward.
D) The group lacks a code of ethics.
Answer: A
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Chapter 4: Legal Aspects of Nursing
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) A child is tested for genetic abnormalities. After the test results are delivered from the laboratory, a representative of the parents' medical insurance company calls the nurse's station and asks for the results of the tests. The nurse's best response to this request is to A) refuse to give the information.
B) tell the representative the status of the tests is unknown.
C) give the results as reported because the insurance company is paying for the tests.
D) tell the representative that the test results will need to be obtained from the physician who ordered them.
Q2) The Patient Self-Determination Act of 1991, as implemented today, is known as providing A) informed consent.
B) advance directives.
C) patient bill of rights.
D) HIPAA protections.
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Chapter 5: Ethics: Basic Concepts for Nursing Practice
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) According to Kohlberg's theory, which of the following is true of moral development?
A) Participating in decision making promotes moral reasoning.
B) Intellectual development has no effect on moral development.
C) Participating in debates on ethical issues decreases moral development.
D) Holding people responsible for their actions does not improve moral development.
Q2) The current emphasis on eliminating racially based health disparities is based on which of the following ethical principles?
A) Double effect
B) Fidelity
C) Justice
D) Veracity
Q3) Respecting the right of a patient with terminal cancer to refuse chemotherapy is based on a belief in the ethical principle of
A) justice.
B) autonomy.
C) nonmaleficence.
D) death with dignity.
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Page 7
Chapter 6: Becoming a Nurse: Defining Nursing and
Socialization into Professional Practice
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A nursing student says, "I can now see how developing care plans helps organize my thoughts and patient care." In which stage of Cohen's model of professional socialization is this student?
A) Stage I: Unilateral dependence
B) Stage II: Negativity/independence
C) Stage III: Dependence/mutuality
D) Stage IV: Interdependence
Q2) Which of the following behaviors of a student indicate that the student has taken responsibility for his or her own professional socialization? (Select all that apply.)
A) Projecting a professional appearance in class
B) Attending class, quietly listening to the lectures
C) Taking responsibility to request alternative dates for examinations in order to work
D) Taking responsibility to learn the expectations of the faculty in each course
E) Accepting constructive criticism without becoming defensive
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Chapter 7: The Education of Nurses: On the Leading Edge of Transformation
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) Which of the following is the primary distinction between licensure and certification?
A) Certification is required to practice nursing.
B) Licensure is granted automatically on completion of an accredited nursing program.
C) Certification validates a high level of proficiency.
D) Licensure is voluntary.
Q2) Which of the following is a part of the history of doctoral education in nursing?
A) The nurse scientist program was discontinued after more universities began offering doctoral programs in nursing.
B) The first doctoral degree (PhD) was offered at the University of Pittsburgh.
C) The number of doctoral programs in nursing has doubled since 1990.
D) The largest numbers of doctoral programs are practice-focused.
Q3) The purpose of mandatory continuing education for license renewal is to
A) ensure that nurses remain up to date in knowledge.
B) ensure that nurses remain competent in psychomotor skills.
C) ensure that nurses attend regular staff development meetings.
D) ensure consistency between states regarding continuing education requirements.
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Chapter 8: Critical Thinking, the Nursing Process, and Clinical Judgment
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) The nurse instructs the patient about incentive spirometry as preoperative teaching. Which phase of the nursing process does this illustrate?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
Q2) Critical thinking in nursing needs to include which of the following important variables?
A) Consideration of ethics and responsible decision making
B) Ability to act quickly, often on impulse
C) Ability to determine the best nursing interventions regardless of patient's values and beliefs
D) Flexible thinking that rarely follows a pattern or considers standards
Q3) Which of the following is considered subjective data in information gathering from the patient?
A) Pulse and blood pressure measurements
B) ECG pattern
C) Diaphoresis
D) Pain
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Chapter 9: Communication and Collaboration in Nursing
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41 Verified Questions
41 Flashcards
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Sample Questions
Q1) Which of the following demonstrates giving information versus opinion?
A) "Mrs. Khan, let's practice together the breathing techniques you learned in Lamaze classes. That will help us to work together more effectively later when your labor is stronger."
B) "You learned breathing techniques in Lamaze classes. I really believe the breathing techniques make labor easier."
C) "Mrs. Khan, have you been practicing the breathing techniques you learned? It is very important to practice if you wish to use them effectively in labor."
D) "Using breathing techniques in labor is really to your benefit because you feel in control."
Q2) Using simple, clear words to explain the details of a colonoscopy procedure shows sensitivity to which successful communication criterion?
A) Appropriateness
B) Efficiency
C) Feedback
D) Flexibility
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Chapter 10: Illness, Culture, and Caring: Impact on Patients,
Families, and Nurses
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) An English-speaking nurse gave a non-English-speaking Asian patient instructions about preparing an abdominal surgical site. The nurse showed the patient how the bottle of povidone-iodine was to be used in cleansing the area. The patient smiled and nodded throughout the instructions. The patient did not respond when asked if he had any questions. When the nurse left the room, the patient promptly drank the bottle of povidone-iodine. Which action would be most effective in preventing this error?
A) Giving the patient written instructions in his language
B) Using a medical interpreter to give the preoperative instructions
C) Having the patient sign a statement that he understood the instructions
D) Using illustrations to show the patient the procedure
Q2) The parents of a 4-year-old diabetic have become increasingly argumentative especially about whether the father helps enough with child care and housekeeping. He works two jobs which leaves little time to help his stay-at-home wife. Which nursing intervention is most appropriate for this family?
A) Referring the parents to a marriage counselor
B) Discussing with the parents the stresses they perceive in the situation
C) Suggesting that the father give up one of his jobs
D) Identifying a way to reallocate the child's diabetes care between the parents
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Chapter 11: The Science of Nursing and Evidence-Based Practice
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) Which of the following must be included in the informed consent in research?
A) Participants relinquish the right to privacy.
B) Once participants agree to participate, they must complete the study.
C) Participants need to know the funding source for the research.
D) Participants must be informed of risks associated with participation.
Q2) Dissemination of findings may involve which of the following activities? (Select all that apply.)
A) Manuscript reviewed by peers
B) Oral presentation of findings at annual conference of the Society of Pediatric Nurses
C) Poster presentation at regional conference of Sigma Theta Tau International
D) Publication of findings in Western Journal of Nursing Research
E) PowerPoint slides developed showing charts and graphs of the statistical results
Q3) Which of the following are the three most common sources of research questions?
A) Study of clinical problems, anecdotal stories, requests by the National Institutes of Health (NIH)
B) Requests by drug companies, doctoral students, review of the literature
C) Clinical problems, replication of prior research, testing nursing theory
D) Review of existing research, NIH grants, request by state board of nursing
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Chapter 12: Conceptual and Philosophical Bases of Nursing
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) Which of the following are considered systems? (Select all that apply.)
A) Automobile engine
B) Person
C) Rock
D) Hospital
E) Family
Q2) A nurse is caring for a new mother from Southeast Asia. The nurse is concerned that except for breastfeeding, the mother allows her mother-in-law to provide all other care for the baby. The plan of care and patient teaching for this mother should include
A) assessing the postpartum practices in her country of origin.
B) assuming that the mother-in-law will care for the baby well since she is experienced. C) completing the teaching outlined for new mothers.
D) asking the mother-in-law not to care for the baby so that the mother learns the care.
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Chapter 13: Nursing Theory: The Basis for Professional Nursing
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) The nurse adjusts the patient's room to allow the patient to see the sunlight out the window and checks the patient's diet tray to ensure a balanced diet. The nurse could be basing care on the philosophy of
A) Henderson.
B) Nightingale.
C) Roy.
D) Watson.
Q2) A specific organizational structure that makes clear connections between concepts is a
A) conceptual model.
B) metaparadigm.
C) philosophy.
D) theory.
Q3) The metaparadigm of nursing consists of which concepts? (Select all that apply.)
A) Environment
B) Health
C) Caring
D) Nursing
E) Person
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Chapter 14: Health Care in the United States
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) A nursing case manager requests a meeting with the nursing staff after discovering variances from critical pathways related to timely discharge of patients having hip replacement. Patients are not being discharged on time because they are refusing their physical therapy as a result of poor pain control. Meeting with the staff to discuss potential improvements in pain management is an example of
A) performance improvement.
B) continuous quality improvement.
C) team building.
D) Joint Commission compliance.
Q2) To whom does the nurse provide information when working in the role of educator? (Select all that apply.)
A) Families about illnesses and treatments
B) Community groups about injury prevention
C) Student nurses about nursing standards and ideals
D) Health care team members about the patient
E) Physician assistants about invasive procedures
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16
Chapter 15: Political Activism in Nursing: Communities, Organizations,
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) Which of the following is an effective method for the practicing nurse to achieve leadership skills?
A) Becoming active in professional organizations
B) Changing jobs frequently to improve skills
C) Learning about collective bargaining
D) Avoiding involvement in politics
Q2) A nurse has held a media event to publicize the need for funding for immunizations and lobbied decision makers by providing pertinent statistical information about the risks and benefits of immunizations. The nurse is known as a
A) nurse citizen.
B) nurse activist.
C) nurse politician.
D) nurse clinician.
Q3) The most critical aspect of nurses becoming personally "political" is
A) financially supporting political action committees (PACs).
B) being informed of social and political issues.
C) communicating with legislators.
D) running for office.
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Chapter 16: Nursing's Challenge: The Call for Transformation
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A nursing manager has noticed increasing incidents of rudeness and lack of cooperation among co-workers. Which action by the manager is best?
A) Holding a staff meeting and reminding the staff of policies regarding behavior
B) Disciplining the "ringleaders" in order to make an example for the other staff
C) Having informal meetings to solicit staff opinions on the workplace
D) Announcing that raises will be withheld from staff members engaging in this behavior
Q2) Which medical conditions can be linked to decreases in environmental quality? (Select all that apply.)
A) Chronic respiratory diseases
B) Allergies
C) Cancers
D) Mental illness
E) Inflammatory bowel disease
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