Leadership in Nursing Final Exam Questions
Course Introduction
Leadership in Nursing explores the principles, theories, and practices of effective leadership within the nursing profession. The course emphasizes the development of leadership skills essential for promoting high-quality patient care, fostering teamwork, and navigating complex healthcare environments. Students will examine leadership styles, ethical decision-making, communication strategies, and conflict resolution, with a focus on evidence-based approaches to managing change and driving improvement in health care settings. Through case studies, group discussions, and practical exercises, learners will develop the confidence and competence necessary to lead and inspire others in a variety of nursing roles.
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 client complains to the nurse about the noise at the nurse's station at night.The nurse's best response is:
A)"I appreciate your reporting this to me."
B)"Thank you for contributing this information."
C)"What do you want me to do about this?"
D)"Are you saying that you are unable to rest at night because of the noise?"
Answer: D
Q2) A rural health nurse is evaluating the use of a telehealth system for the rural health clinic.Using this type of information technology can violate a client's rights when personnel:
A)Disseminate client information to a local physician
B)Disseminate client information to nearby hospitals
C)Disseminate the client's password for easier access
D)Disseminate client information to third-party reimbursers
Answer: C
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3
Chapter 2: Stress Management
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Sample Questions
Q1) A confused,agitated client was placed in the seclusion room on the psychiatric unit.The client requested to see a doctor.Which of the following actions taken by the nurse manager would be most likely to prevent possible workplace violence?
A)Having a nursing assistant stay with client in the seclusion room
B)Placing the client in a semiprivate room
C)Trying to orient the client to time and place
D)Prohibiting employees from entering the seclusion room alone
Answer: D
Q2) Which of the following is one reason a staff nurse might not accept a delegated task?
A)Lack of guidelines to complete the task
B)Lack of confidence in the nurse manager.
C)Lack of understanding of organizational objectives
D)Lack of cooperation of other staff nurses
Answer: A
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Chapter 3: Decision-Making Process and Tools
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Sample Questions
Q1) The staff nurse is assessing the need for further teaching for a preoperative surgical client.Based on the steps of critical thinking,what is the nurse's first priority?
A)Identifying the problem
B)Developing a frame of reference
C)Identifying implications and consequences
D)Implementing inferences and conclusions
Answer: A
Q2) The hospital holds weekly meetings of a nurse manager council that discuss identified problem areas and makes recommendations to a central council or administration.This is a form of:
A)Ad hoc committee
B)Informal committee
C)Shared governance council
D)Task force
Answer: C
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Chapter 4: Motivation and Morale
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Sample Questions
Q1) The nurse manager compared the male and female registered nurses (RNs)on the unit.The nurse manager found that which of the following had the greatest influence on job satisfaction for male RNs?
A)Social aspects of the job
B)Interpersonal relationships
C)Company management and policies
D)Working conditions
Q2) A nurse manager was having difficulty with the staff.Morale was low because of petty gossiping among the staff and intolerance of each other's behaviors.The nurse manager decided that the best way to handle this situation was to develop self-competence by:
A)Attending a conflict management course
B)Being politically aware
C)Being conscientious
D)Attending a service orientation program
Q3) Which of the following is an example of high organizational morale?
A)A staff nurse enjoys the quality of her work.
B)A staff nurse shows decreased quality of work.
C)A staff nurse is loyal to the profession.
D)A staff nurse has a high rate of absenteeism.
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Chapter 5: Power, Politics, and Labor Relations
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Sample Questions
Q1) A new staff member decided he wanted to work in an institution where he could have a voice in policy formation.What type of institution would be the best fit for the staff nurse?
A)Home health agency
B)Magnet institution
C)Elementary school
D)Community-based clinic
Q2) 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
Q3) The hospital employees are proposing to form a union.Which of the following persons do not have the right to vote on union issues?
A)Nurse managers
B)Housekeeping personnel
C)Nursing assistants
D)Licensed personnel
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Page 7
Chapter 6: Conflict Management and Negotiation
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Sample Questions
Q1) 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
Q2) The nurse manager of a long-term care facility was mediating an interpersonal conflict between a staff nurse and a nurse's aide who worked together on the night shift.One strategy that the nurse manager used was to:
A)Allow each staff member to blame the other
B)Encourage the staff nurse to tell her side of the story
C)Allow the nurse's aide to tell the staff nurse which of her personality traits bothered him
D)Encourage each staff member to listen to the other's point of view
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8
Chapter 7: Theories of Leadership and Management Development
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Sample Questions
Q1) Hersey and Blanchard's situational leadership theory predicts the most appropriate leadership style based on which of the following variables?
A)Readiness of followers
B)Readiness of physicians
C)Readiness of nurses
D)Readiness of the organization
Q2) A staff nurse did not agree with the nurse manager about the new staffing policy.What is the best way for the staff nurse to handle the situation effectively?
A)Discuss the disagreement in a public forum
B)Try to develop solutions to the problem
C)Bring up the problem during a Joint Commission survey
D)Tell the nurse manager that the manager's decision was unprofessional
Q3) Unit personnel have a great deal of respect for the nurse manager.Based on Fred Fielder's contingency model of leadership,what situation helps the nurse manager to be effective?
A)Unit environment
B)Staff-to-staff relations
C)Positional power
D)Staff empowerment
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Chapter 8: Strategic and Operational Planning
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Sample Questions
Q1) A hospital was conducting an external assessment to ascertain whether it could set up a satellite clinic within a 75-mile radius of the larger hospital.An example of a threat to the hospital's proposal is:
A)New programs
B)Diversification
C)Decrease in the number of insured patients
D)Population growth
Q2) 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
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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Page 10
Chapter 9: Financial Management, Cost Containment, and Marketing
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Sample Questions
Q1) With very few Food and Drug Administration-approved nonprescription weight loss drugs on the market,the pharmaceutical companies that produce these over-the-counter medications can establish what kind of pricing goal?
A)Cost-plus pricing
B)Profit-maximizing pricing
C)Sliding payment scale
D)Price-discrimination pricing
Q2) The hospital implemented several cost-cutting strategies to keep from closing.One strategy was the support of early retirement.What kind of strategy can the nurse manager use to keep up the morale of the unit?
A)Initiate an across-the-board pay cut to be fair to everyone
B)Acknowledge the staff's good work
C)Encourage staff members to seek other positions for job security
D)Give a pay raise to the remaining employees
Q3) How should nurse managers face the challenge of globalization?
A)Participate in the World Health Organization to help prevent a pandemic
B)Assure that adequate disease testing equipment is in place
C)Conduct research to develop new diagnostic tests
D)Screen all patients to prevent an epidemic
Page 11
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Chapter 10: Organizational Concepts and Structure
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Sample Questions
Q1) A hospital established a professional partnership with a local nursing program.A joint practice agreement was signed between the two agencies.This is an example of what type of multiorganizational arrangement?
A)Informal affiliations
B)Formal affiliations
C)Shared or cooperative services
D)Consortia
Q2) An urban hospital decided to sponsor a school-based clinic in a nearby ghetto area as part of the services of the hospital.The service is viewed as:
A)Departmentalization by specialty
B)Departmentalization by function
C)Departmentalization by territories
D)Departmentalization by client
Q3) As a leader in the organization,the chief nursing officer should:
A)Model the use of decentralized power
B)Model the use of centralized power
C)Follow the chain of command
D)Create a bureaucratic environment
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12
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 attempted to help staff members adjust to the new organizational merger by explaining the need for changes and modeling tolerance of these changes.The nurse manager demonstrated what type of tolerance?
A)Cognitive dissonance
B)Tolerance of others
C)Tolerance of ambiguity
D)Tolerance of insolubility
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13
Chapter 12: Selection and Development of Personnel
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Sample Questions
Q1) A nurse born in 1952 is more likely to value:
A)Duty before pleasure
B)Health and wellness
C)Family and leisure priorities over work
D)Sociability
Q2) The leader's responsibility with regard to recruitment and retention of personnel is to:
A)Help establish criteria for selection of personnel
B)Assess the learning deficits of staff
C)Help structure interviews
D)Monitor orientation
Q3) Which generation would benefit from a mentoring program in the workplace?
A)The silent generation
B)The baby boomer generation
C)Generation X
D)The Internet generation
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14
Chapter 13: Staffing and Scheduling
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Sample Questions
Q1) The nurse manager used variable staffing for a 25-bed postoperative unit at full capacity.On the unit,there were four patients who had undergone total knee replacement and four who had undergone total hip replacement who required blood transfusions.What kind of variable staffing mix would the nurse manager most likely use?
A)All-registered nurse (RN)staffing
B)One RN,two licensed practical nurses (LPNs),and four unlicensed personnel
C)One RN,one LPN,and five unlicensed personnel
D)One RN,four LPNs,and two unlicensed personnel
Q2) When nurse managers are given authority and assume responsibility,they can staff their own units through decentralized scheduling.What is one effect of decentralized scheduling?
A)There is no individualized treatment.
B)Cost containment is facilitated.
C)Cost containment is more difficult.
D)Staffing is easier.
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Chapter 14: Evaluation and Discipline of Personnel
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Sample Questions
Q1) Management by objectives (MBO)or management by outcomes is a managerial method that focuses attention on:
A)Organizational goals
B)Unit goals
C)Individual achievement
D)Teamwork
Q2) 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
Q3) The nurse manager referred a discharged staff member to counseling.Counseling helps to improve an employee's mental health and thus:
A)Enables the employee to relive the experience
B)Increases emotional tension
C)Promotes appropriate behavior
D)Enhances dependence on the counselor
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16
Chapter 15: Continuous Quality Improvement, Risk Management, and Program Evaluation
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Sample Questions
Q1) Which event during the 1940s helped the United States realize the need for a prepaid payment system that would relieve the burden on the sick person and ensure that the hospital and hospital expenses were paid?
A)Development of durable medical suppliers
B)Creation of disability insurance
C)Development of antibiotics
D)Formation of the American Medical Association
Q2) The health care risk management process includes all of the following except:
A)Risk identification
B)Analysis
C)Evaluation
D)Reduction strategies
Q3) Several tools are available to analyze information once it is collected.Which tool is used to identify the root causes of a problem or outcome?
A)Bar graph
B)Fishbone diagram
C)Benchmarking
D)Check sheet
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