Leadership and Management in Nursing
Mock Exam
Course Introduction
This course explores the fundamental principles and practices of leadership and management within the nursing profession. Students will examine various leadership theories, styles, and approaches, while learning to apply critical management strategies in healthcare settings. Emphasis is placed on effective communication, team building, delegation, conflict resolution, ethical decision-making, and change management. By analyzing real-world case studies and participating in practical exercises, students develop the skills necessary to lead nursing teams, coordinate patient care, and contribute to quality improvement in dynamic healthcare environments.
Recommended Textbook
Professional Nursing Practice Concepts and Perspectives 7th Edition by Blais
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25 Chapters
637 Verified Questions
637 Flashcards
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Page 2
Chapter 1: Beginning the Journey
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26 Verified Questions
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Sample Questions
Q1) The nursing student identifies a personal tendency toward procrastination.Which approach would be beneficial to this student?
A)Plan the majority of study in the two days prior to scheduled exams.
B)Plan recreational activities each week.
C)Limit reading to essential content.
D)Try to complete assigned papers in one setting.
Answer: B
Q2) Which individual would most likely be the best choice as a mentor to an associate degree nurse who has enrolled in a baccalaureate nursing completion program?
A)A colleague at work who holds an associate degree.
B)A nurse who completed an ADN to RN program five years ago.
C)The minister of the nurse's church.
D)The physician chief of staff at the hospital where the nurse works.
Answer: B
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Chapter 2: Socialization to Professional Nursing Roles
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Sample Questions
Q1) A newly licensed nurse was previously employed as a unit secretary on the same unit where he now works as a staff nurse.This role transition is causing the nurse to experience stress.What information about role stress and transition would be most helpful for this nurse to consider?
A)Role stress is limited to newly licensed nurses and won't continue after the first year of employment.
B)Taking on multiple roles on the unit will be helpful,as it will broaden the nurse's understanding of other people's jobs.
C)Nursing standards of care are different in the "real world" situation than they are in a theoretical situation explained in nursing school.
D)Role stress can be decreased by receiving clear and consistent information about expectations of the new role.
Answer: D
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Chapter 3: Historical Foundations of Professional Nursing
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27 Verified Questions
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Sample Questions
Q1) The nurse is preparing a presentation on notable nursing figures.In which order,chronologically,should the nurse present this information?
A)Loretta Ford
B)Mary Seacole
C)Lucy Osborne
D)Faye G.Abdellah
E)Cecilia Makiwane
Answer: B,C,E,A,D
Q2) A group of nursing students are creating a poster presentation on the history of mandatory licensure laws for nurses.Which state should these students have at the earliest end of their licensure timeline?
A)New Jersey
B)New York
C)California
D)Rhode Island
Answer: B
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Page 5
Chapter 4: Ethical Foundations of Professional Nursing
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Sample Questions
Q1) The nurse educator asks the nursing student about the difference in standards between codes of ethics and legal standards.Which response by the student indicates the greatest level of understanding?
A)"Standards in codes of ethics and legal standards are generally the same."
B)"Codes of ethics are much higher standards than legal standards."
C)"Legal standards are much higher than codes of ethics standards."
D)"Codes of ethics are usually higher,and can be no lower,than legal standards."
Q2) Which scenario represents a nurse working at Kohlberg's preconventional stage of moral development?
A)The nurse agrees to work overtime today if he or she can have a weekend shift off.
B)The nurse agrees to work overtime today to gain the approval of the new nursing supervisor.
C)The nurse agrees to work overtime today because the hospital administration has released a rule stating that each nurse must work one overtime shift per month.
D)The nurse agrees to work overtime today because the other nurse who was asked to work the overtime shift needs to attend his or her child's school play.
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Chapter 5: Legal Foundations of Professional Nursing
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Sample Questions
Q1) A nurse who has been taking antihistamines for a head cold says these medications always make her "sleepy." Is this nurse impaired?
A)No;impairment means under the influence of alcohol.
B)Yes;any situation that clouds the nurse's professional vigilance can be thought of as impairment.
C)No;impairment from drug ingestion occurs only if the drugs are illegal.
D)The nurse is impaired only if he or she has taken more medication than is recommended by the medication literature.
Q2) Are nurses who work as team leaders,overseeing the nursing care provided by other nurses,considered supervisors by the National Labor Relations Act?
A)Yes;these nurses are supervising others.
B)They are considered supervisors only if they supervise more than three other nurses.
C)There is still debate over this issue.
D)No;there is too much variation in a team leader's day-to-day responsibilities.
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Chapter 6: Remembering Development in Nursing
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Sample Questions
Q1) The nurse's practice is based upon the theory of Jean Watson.What is the primary theme of this theory?
A)Caring
B)Cultural care
C)Goal attainment
D)Environment
Q2) How is nursing research related to nursing conceptual models?
A)There is little relationship;researchers choose subjects based on need or interest.
B)These models drive nursing research and provide a way to organize findings.
C)Nursing research has proved that most conceptual models are false.
D)Nursing research can be undertaken only if it is tied to a conceptual model.
Q3) What are the four concepts that have historically been identified as the focus of nursing theory?
A)Assessment,goals,interventions,and evaluation.
B)Pain,anxiety,stress,and fatigue.
C)Disease,death,care,and cure.
D)Person,environment,health,and nursing.
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Chapter 7: The Nurse As Health Promoter and Care Provider
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Sample Questions
Q1) After being provided with smoking cessation information the client responds,"I'm not interested.I enjoy smoking and don't want to quit." According to Prochaska and DiClemente,in which stage of change is this client?
A)Preparation
B)Precontemplation
C)Action
D)Contemplation
Q2) A small school district cannot afford to employ registered nurses at each of its individual school campuses.Can this school offer health-promotion activities?
A)No;there must be a healthcare professional present for these activities.
B)It can only do so if the district employs a nurse consultant to plan the curriculum.
C)It can only do so if the district has access to preprinted curriculum approved by the state.
D)Yes;many professionals such as teachers can teach health-related topics.
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Chapter 8: The Nurse As Learner and Teacher
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Sample Questions
Q1) What is the American Nurses Association Standard of Professional Performance as it applies to contribution to the professional development of peers?
A)Only nurses who want to contribute to peer professional development should do so.
B)All nurses have a responsibility for contributing to the professional development of peers.
C)Only nurses with master's degrees have the responsibility for contributing to the professional development of peers.
D)Only nurses with baccalaureate degrees have the responsibility for contributing to the professional development of peers.
Q2) A high school class is still mourning the death of a popular classmate who was killed in an automobile accident.The opportunity to conduct a class on safe driving would be based upon which facilitator of learning?
A)Repetition
B)Motivation
C)Simple to complex
D)Physical readiness
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Chapter 9: The Nurse As Leader and Manager
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Sample Questions
Q1) The nurse serving as a mentor documents the following information in a mentoring log:
Mentee: Sandra Martin,RN: During last shift Sandra questioned her ability to meet goals negotiated several weeks ago.Discussed clarifying the goals strategies to achieve them.Shared personal experiences with achieving goals and efforts taken to be successful.
In which mentoring phase is the nurse when mentoring this new employee?
A)Preceptor phase
B)Invitational phase
C)Questioning phase
D)Transitional phase
Q2) What must the nurse consider when delegating responsibility to another? (Select all that apply. )
A)The client's needs
B)The skill level of the worker
C)The client's goals
D)The worker's gender
E)How long the worker has been at the facility
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11
Chapter 10: The Nurses Role in Evidence-Based Health Care
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Sample Questions
Q1) The physician leading a research study asks a client to participate and infers that unless the client agrees the physician will no longer provide medical care for the client.What client right is violated in this situation?
A)Right of self-determination
B)Right to full disclosure
C)Right not to be harmed
D)Right of privacy and confidentiality
Q2) What are the purposes of scientific research? (Select all that apply. )
A)Description
B)Review
C)Exploration
D)Explanation
E)Prediction
Q3) The nurse wants to develop an evidence-based practice.What must this nurse do first?
A)Get permission from his or her employer.
B)Learn to critically appraise research reports.
C)Contact a consultant to help him or her learn about EBP.
D)Methodically categorize research findings in the nurse's specialty area.
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Page 12
Chapter 11: The Nurses Role in Quality and Safety
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) The nurse manager is counseling a staff nurse who demonstrated reckless behavior.What should the manager say when meeting with this nurse?
A)"I have a handout that can help you."
B)"I realize that the design of the patient rooms contributed to the error."
C)"What outcomes do you think can occur if this happens again in the future?"
D)"This is the second time this has occurred and I think a few days off might be needed."
Q2) A staff nurse accidentally provided a client with an incorrect stock medication,however did not report the occurrence to anyone.What behavior is this staff nurse demonstrating?
A)At-risk
B)Human error
C)Recklessness
D)Fear of punishment
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13
Chapter 12: The Nurses Role As Political Advocate
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24 Verified Questions
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Sample Questions
Q1) How can power be defined?
A)Position within an organization
B)Control over events
C)Authority to act
D)Potential to influence events
Q2) Which is true of nursing and politics?
A)Nurses have little political influence.
B)Nurses have been involved in politics for years.
C)Politics in a new arena for nursing.
D)There is no reason for nurses to be involved in politics.
Q3) Which source of power is associated with talents and skills?
A)Expert
B)Coercive
C)Legitimate
D)Reward
Q4) What is the meaning of the word politics?
A)Campaigning for legislative candidates
B)Joining a political action committee
C)Having expert power
D)Influencing the allocation of scarce resources
Page 14
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Chapter 13: The Nurse As Colleague and Collaborator
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29 Verified Questions
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Sample Questions
Q1) The physician and nurse have asked the client to make a difficult decision regarding treatment options.The client says,"I don't really know what to do.Do whatever you think is best." According to characteristics of collaborative care,what is true of this situation?
A)The client must make the treatment decisions.
B)The client retains the right not to participate in this decision.
C)The healthcare professionals are responsible for the client's health.
D)The client is asking the healthcare professionals to define what health means to the client.
Q2) The nurse would like to start a self-help group for persons who would like to lose weight.Which organization would it be helpful for this nurse to contact?
A)American Nurses Association
B)National League for Nursing
C)National Mental Health Consumers' Self-Help Clearinghouse
D)National Coalition of Self-Help
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15
Chapter 14: Communicating Effectively
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Sample Questions
Q1) What is true about composing an e-mail communication?
A)It is not necessary to use capitalization.
B)One can use the passive voice.
C)Punctuation rules are relaxed.
D)E-mail is not private.
Q2) What is true of computer documentation systems?
A)Computer documentation takes more time than traditional charting.
B)Accuracy of computer charting is less than that of traditional narrative charting.
C)It is difficult to incorporate data into the client's record in a timely manner.
D)Client information can be transferred rapidly from one healthcare setting to another.
Q3) The nurse documents that the client's communication is congruent.What does this indicate?
A)The client's communication is therapeutic.
B)The client's nonverbal behaviors match the verbal message.
C)Nonverbal behaviors are expressed more strongly than the verbal message.
D)The verbal message is more important than the nonverbal message.
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Chapter 15: Managing Change
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21 Verified Questions
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Sample Questions
Q1) Which is a key characteristic of a change agent?
A)Formal power
B)Coercive power
C)Trust
D)Charisma
Q2) During a large merger of two community hospitals,the nurse-manager was challenged with merging the two very different medical-surgical units into one unit.During the process,meetings were held assuring the nurses that staffing would be a top priority,that education about all changes would occur,and that the manager had faith in the nurses' abilities to implement the change.This nurse-manager was utilizing what tactic to "unfreeze" the system?
A)Producing discomfort
B)Providing psychological safety
C)Critical thinking
D)Inducing guilt and anxiety
Q3) In Lewin's Force Field Analysis Model,which two forces affect change?
A)Power and coercion
B)Driving forces and restraining forces
C)Reward and punishment
D)Discontentment and challenge
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Chapter 16: Technology and Informatics
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Sample Questions
Q1) Which is an ethical concern of nursing informatics?
A)Maintaining confidentiality and privacy
B)Values clarification exercises
C)Providing end-of-life care
D)Cost accountability
Q2) To what does the term data integrity refer?
A)Use of current technology
B)Communication of data
C)Accurate and complete data
D)Privacy of client information
Q3) What do requirements for certification as an informatics nurse include?
A)A minimum of a baccalaureate degree in nursing or relevant field
B)An advanced practice license
C)A minimum of an associate degree in nursing
D)A master's degree in nursing
Q4) What is nursing informatics?
A)The combination of computer and information science with nursing science
B)All computer technology
C)The medical record
D)Internet and World Wide Web sources of healthcare information
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Chapter 17: Nursing in an Evolving Health Care Delivery System
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Sample Questions
Q1) What can an imbalance in health care supply and demand cause?
A)National health insurance
B)Lower insurance rates
C)Rationing of health care
D)Customer satisfaction
Q2) When accepting a position in a Swedish hospital,a nurse would need to understand that physicians work under contracts dictated by standards of which system?
A)Socialized medicine
B)Capitalism
C)Communism
D)Free enterprise
Q3) Which document called for a restructured healthcare system ensuring universal access to a standard package of essential healthcare services for all U.S.citizens and residents? It also specified that this access should be affordable,available,and acceptable.
A)AMA's Happy and Healthy People
B)ANA's Health System Reform Agenda
C)WHO's Future of Health Care
D)ANA's Have a Good Day Policy
Page 19
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Chapter 18: Providing Care in Home and Community
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Sample Questions
Q1) What would be included in the assessment of the health and social services subsystem of a community? (Select all that apply. )
A)Availability of emergency centers
B)The size of the community
C)Evidence of traditional healers
D)Presence of mental health facilities
E)Where families and children play
Q2) A community health nurse collected data for several months on the birth weights of newborns of mothers who drank alcohol during their pregnancy.Which role did this nurse perform?
A)Teacher
B)Care provider
C)Collaborator
D)Researcher
Q3) The community health nurse usually works in which area?
A)Providing care to a client who is recovering from an illness
B)Providing care for individuals in their homes
C)Health promotion and illness prevention
D)Planning care related to Medicare reimbursement
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Page 20
Chapter 19: Global Health
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Sample Questions
Q1) A middle-aged homeless male experiencing severe abdominal pain comes into the emergency department of the community hospital.What should the nurse do for this individual?
A)Provide care
B)Ask for proof of health insurance
C)Ask for the name of last employer
D)Send to the nearest Medicaid office
Q2) A local high school is planning a fundraising event to help with global health issues and asks the nurse for the names of organizations in which the funds can be sent.Which organizations should the nurse recommend? (Select all that apply. )
A)DAV
B)CARE
C)OxFam
D)Project Hope
E)Save the Children
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Chapter 20: Dimensions of Holistic Health Care
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Sample Questions
Q1) The nurse is performing blood pressure screenings at a health fair which is designed to provide information for senior citizens in the community.Which level of health prevention is the nurse providing?
A)Primary
B)Secondary
C)Tertiary
D)Holistic care
Q2) By volunteering at the local health fair and handing out Women's Heart Disease pamphlets,the nurse is practicing which type of health promotion?
A)Primary prevention
B)Secondary prevention
C)Tertiary prevention
D)Preventative care
Q3) School nurses often teach about sun protection and give instruction on healthy eating.What do these actions exemplify?
A)Primary prevention
B)Secondary prevention
C)Tertiary prevention
D)Preventive care
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Page 22
Chapter 21: Nursing in a Culturally Diverse World
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Sample Questions
Q1) A client of Hispanic descent has just delivered her fourth child,and avoids cold beverages and foods because she believes she must eat hot or warm foods and beverages and not allow herself to chill.Which health belief view is this client demonstrating?
A)Biomedical
B)Holistic
C)Magico-religious
D)Folk medicine
Q2) What can be stated regarding diversity in the United States?
A)Diversity is decreasing in the United States.
B)Diversity is increasing in the United States.
C)Diversity is relatively stable in the United States.
D)There has been no change in diversity within the last 40 years.
Q3) Which are types of discrimination? (Select all that apply. )
A)Cultural assimilation
B)Ageism
C)Homophobia
D)Racism
E)Cultural shock
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Page 23
Chapter 22: Nursing in a Spiritually Diverse World
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Sample Questions
Q1) In Westerhoff's stage of affiliative faith,what does an individual do?
A)Participates in activities that characterize a particular faith tradition
B)Puts faith into personal and social action
C)Acquires a cognitive as well as an affective faith
D)Experiences faith through interaction with others who are living a particular faith tradition
Q2) A patient who is Orthodox Jewish is terminally ill.The family and rabbi spend a great deal of time at the patient's bedside.At the time of death,what should the nurse expect to occur?
A)The family will approve organ donation.
B)The rabbi will say Shiva.
C)The family will approve an autopsy.
D)The patient may want to say the Shema or have it said for him.
Q3) The nurse using Westerhoff's stages of faith should place a 13-year-old patient in which stage?
A)Experienced faith
B)New faith
C)Owned faith
D)Affiliative faith
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Page 24
Chapter 23: Nursing in a Culture of Violence
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Sample Questions
Q1) As a nurse assessing abused children,the abused child may display which behavioral characteristics? (Select all that apply. )
A)High need for adult contact
B)Attempt suicide or abuse alcohol or drugs
C)Consistently be measured in the 95<sup>th</sup> percentile on growth charts
D)Verbalize fault for injuries: "I deserved it"
E)Express violence toward pets
Q2) A person comes into the emergency department with injuries consistent with abuse.In which order should the nurse complete the assessment of this person's injuries?
A)Paresthesia
B)Facial bruising
C)Limited joint mobility
D)Abdominal tenderness
E)Skin tenderness and scars
Q3) What assessment finding indicates that a child is a victim of sexual abuse?
A)Repeated ear infections
B)Hives
C)Genital and/or anal irritation or trauma
D)Early appearance of secondary sex characteristics
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Chapter 24: Advanced Nursing Education and Practice
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Sample Questions
Q1) What is a voluntary process by which an agency or an association grants recognition to a person for meeting specified qualifications?
A)Licensure
B)Entitlement
C)Certification
D)Promotion
Q2) What should a graduate admissions counselor advise nursing students to take into consideration?
A)Whether a medical school is located near the nursing college
B)The enrollment statistics and funding
C)The accreditation status and admission requirements
D)The number of hospitals in the area
Q3) What do Ph.D.programs in nursing emphasize?
A)Case management
B)Biomedical science
C)Research and building nursing science
D)Bedside nursing skills
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Chapter 25: The Future of Nursing
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Q1) Nurses may use telehealth to deliver healthcare information.What does this type of nursing care delivery demonstrate?
A)Regulation by the World Health Organization
B)A production of the World Wide Web
C)Use of a health activity that involves distance
D)Promoting the public image of nursing
Q2) What has caused nurses' responsibilities in the hospital to broaden over the years?
A)Higher graduation rates from colleges of nursing
B)NCLEX standards
C)An edict from the National Council of State Boards of Nursing
D)Technological advances
Q3) In an attempt to contain the staffing budget the nurse manager may introduce:
A)Advanced practice nurses
B)Cross training of nursing staff
C)Longer work days
D)Nurses with bachelor degrees
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