Nursing Leadership and Management Exam Practice Tests
Course Introduction
Nursing Leadership and Management explores the foundational principles and advanced practices that guide effective leadership and management within healthcare organizations. This course examines the roles and responsibilities of nurse leaders and managers, focusing on topics such as strategic planning, decision-making, conflict resolution, staffing, motivation, and quality improvement. Students will learn how to foster teamwork, advocate for patients and staff, and implement change in diverse clinical settings. Emphasis is also placed on communication skills, ethical considerations, and the impact of healthcare policies, preparing students to lead and manage with professionalism in dynamic environments.
Recommended Textbook
Leading and Managing in Canadian Nursing 1st Canadian Edition by Patricia S. Yoder - Copy
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30 Chapters
745 Verified Questions
745 Flashcards
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Chapter 1: Leading, Managing, and Following
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) Marie-Claire,the nursing unit manager,finds it difficult to work with Thomas,a new graduate.Thomas has many ideas,and his manner of presenting them irks Marie-Claire.After reflection and discussion with others,Marie-Claire recognizes that she also feels threatened by his behaviour.She comes to understand that Thomas is trying to establish his own role on the unit,is not trying to challenge her,and needs guidance,coaching,and affirmation.Marie-Claire is demonstrating A) a positive self-concept.
B) deepening self-awareness.
C) leadership.
D) acquiescence.
Answer: B
Q2) Which category is unique to leadership but is not part of management?
A) Initiating change
B) Personal qualities
C) Developing people
D) Information management
Answer: C
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Chapter 2: Patient Focus
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Sample Questions
Q1) Which attribute is a common feature of a culture of safety?
A) Voluntary reporting of incidents
B) Organization behaviour
C) Individual-focused policies
D) A nonpunitive approach to adverse event reporting and analysis
Answer: D
Q2) Approximately what percentage of Canadian hospital admissions can be expected to include an adverse event?
A) 5
B) 7.5
C) 10
D) 12.5
Answer: B
Q3) Having team "huddles" each day on the nursing unit is a reflection of A) nurses' need to socialize.
B) creating a culture of safety.
C) ensuring distribution of equal workloads.
D) the manager`s need to talk with staff nurses on a daily basis.
Answer: B
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Page 4
Chapter 3: Developing the Role of Leader
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Sample Questions
Q1) Which of the following nurses is most likely to inspire other professionals to do their best?
A) Nayla, RN, is an individual who enjoys details and organization. She regularly leaves notes for the next shift about what has been done incorrectly or omitted.
B) Roger, RN, has been involved in nursing for several years and is well liked by patients and families. He continually searches for new knowledge and skills, and his sense of humour and optimism are infectious.
C) Clara has been the head nurse on Unit 3Y for years. She is quiet but enjoys patients and their families. She has not been to a conference in years because the unit is her entire life.
D) Katrin is a team leader. She is extraordinarily vigilant about ensuring that everyone is treated fairly in assignments. She is also very conscientious about care and regularly checks up on what everyone is doing to ensure that it is done correctly.
Answer: B
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Chapter 4: Developing the Role of Manager
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Sample Questions
Q1) The nurse manager,as the leader of the unit's "customer (patient)first" initiative,has asked the staff nurses to develop and administer a survey to every patient before discharge.In asking the staff nurses to accomplish this task,the nurse manager is demonstrating
A) accountability.
B) shared governance.
C) a common purpose.
D) independence in the nursing manager's role.
Q2) The successful integration of informatics into health care settings is key to A) quality decision-making and processes related to management of resources.
B) accessing current information about business practices.
C) leveraging ideas from other managers.
D) speeding up calculations and decisions in budget development.
Q3) As the manager of a unit with a high percentage of young professionals,you increase job satisfaction among this young staff by
A) providing high levels of job structure and task orientation.
B) developing schedules that are fair and observing contractual obligations.
C) utilizing skills in the staffing mix to optimize the delivery of patient care.
D) establishing opportunities to self-schedule.
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Page 6
Chapter 5: Legal Issues
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Sample Questions
Q1) Which of the following is the least restrictive in governing health care occupations?
A) Association
B) College
C) Registration
D) Certification
Q2) Mr.M.complains to you that one of your staff asked him details about his sexual relationships and financial affairs.He says that these questions were probing and unnecessary to his care,but he felt that if he refused to answer,the nurse would be angry with him and would not provide him with good care.Mr.M.'s statements reflect concern with
A) privacy.
B) confidentiality.
C) veracity.
D) informed consent.
Q3) Which province in Canada does not have a set of common laws?
A) British Columbia
B) Ontario
C) Quebec
D) Newfoundland
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Page 7
Chapter 6: Ethical Issues
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Sample Questions
Q1) The manager in the coronary care unit believes that the most important ethical considerations in performance evaluations are that they include the employee's good qualities and that they give positive direction for professional growth.This belief is an example of
A) justice.
B) fidelity.
C) beneficence.
D) nonmaleficence.
Q2) Which of the following are core elements of relational ethics?
A) Mutual respect
B) Justice and beneficence
C) Informed consent
D) Interdependent environment
Q3) Which of the following is a criticism of the principle of autonomy?
A) It is not culturally sensitive.
B) It can lead to focus on the needs of one person at the expense of the needs of others.
C) It is not applicable with entire groups.
D) It can be viewed as advancing professional directives rather than patient desires.
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8
Chapter 7: Making Decisions and Solving Problems
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Sample Questions
Q1) Several nurses on an adolescent psychiatric unit complain that the teenagers are becoming unmanageable on the shift from 2300 to 700 hours.To resolve this problem,the nurse manager decides that the staff should have a brainstorming session.The goal of brainstorming is to
A) evaluate problem solutions.
B) critique the ideas of other staff members.
C) generate as many solutions as possible.
D) identify only practical and realistic ideas.
Q2) A clinic nurse has observed another nurse deviating from agency policy in performing wound care.The best approach for the clinic nurse to take is to
A) stay out of it.
B) inform the nursing supervisor.
C) fill out a notification form (incident report).
D) assess the risk to the client and the agency before proceeding.
Q3) Which of the following is an intuitive decision-making model?
A) Fishbone model
B) SWOT model
C) Clinical judgement model
D) Bounded rationality model
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Page 9
Chapter 8: Health Care Organizations
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Sample Questions
Q1) In an open-systems model,an example of an input is
A) information.
B) safety.
C) decision-making.
D) budget variance.
Q2) A key feature of primary health care reform is
A) increasing access to entry points into the health care system.
B) development of clear, nonoverlapping scopes of professional practice.
C) the importance of teams of health care providers.
D) inability to sustain collaboration.
Q3) Which three provinces/territories provide nurses with unrestricted access to seek work and enable nearly seamless nurse mobility between them?
A) Nova Scotia, New Brunswick, and Prince Edward Island
B) Northwest Territories, Yukon, and Nunavut
C) Ontario, Manitoba, and Saskatchewan
D) Alberta, British Columbia, and Saskatchewan
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Chapter 9: Understanding and Designing Organizational
Structures
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Sample Questions
Q1) A hospital is working toward becoming a Magnet hospital.The chief nursing officer is aware that professional nursing departments of the future will
A) not be directed by nurses.
B) be virtual organizations.
C) be designed to maintain nursing standards of practice.
D) be entitled to have patient care departments.
Q2) "Bayshore Hospital will provide care that is a national example of consumer service" is a
A) vision statement.
B) statement of philosophy.
C) mission statement.
D) rationale for care.
Q3) Saskia is a clinical nurse educator in the dialysis unit at Pineview Health Centre and provides education,consultation,and training support.Saskia has
A) direct responsibility for patient care.
B) direct accountability for patient outcomes.
C) a relationship of authority over staff.
D) an influence over patient outcomes.
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Chapter 10: Cultural Diversity in Health Care
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Sample Questions
Q1) The nurse manager of a unit is asked by a family member of a dying Inuit patient if it is possible to for the patient's eight-member family to recite the rosary by the patient's bedside.The manager responds affirmatively.The nurse manager is most likely exhibiting behaviour related to A) acculturation.
B) ethnocentricity.
C) cultural diversity.
D) cultural sensitivity.
Q2) As a nurse manager,you notice that Sharon,an Aboriginal licenced practical nurse aide,is visibly upset.When you ask her if something is wrong,she becomes tearful and says,"Why is it that when Nick and I work together in giving patients care,he jokes about my being 'a little fat Eskimo'? The nurse manager's best response is,"Do you think he A) is sensitive to your culture?"
B) wants to learn more about you?"
C) has been hurt and wants to hurt others?"
D) is stereotyping you without thinking?"
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Chapter 11: Power,Politics,and Influence
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Sample Questions
Q1) Despite repeated invitations by his colleagues to become involved in regional and provincial nursing practice committees,Tom refuses.His reason is that "nursing committees rarely get anything worthwhile done because of politics and conflicts."
According to the political activism model,Tom's view of involvement
A) is rare in nursing today.
B) reflects a fear of power.
C) reflects apathy.
D) reflects empowerment and capacity to make his own decisions.
Q2) The workgroup on unit NU23 is marked by apathy toward the unit's patients,high rates of absenteeism,open conflict among team members,and high turnover of personnel,including managers.The behaviours in this situation are caused by feelings of A) powerlessness.
B) anger.
C) apathy.
D) oppression.
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Chapter 12: Caring,Communicating and Managing With Technology
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26 Verified Questions
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Sample Questions
Q1) A nurse manager is excited by the possible use of speech recognition (SR)systems for documentation of patient care,especially during crisis situations when staff members need to focus on performing rapid assessments and implementation of procedures.She learns,however,that SR systems would be impractical at this point for this.What characteristic would lead to this conclusion?
A) SR systems are not available outside pilot projects.
B) The type of speech required for voice recognition is unlikely in a pressured situation.
C) The hands-free function has not been perfected in SR technology.
D) Wireless communications are prone to unreliability in transmission.
Q2) As part of team to implement information technology,you are implementing a clinical decision support system.Particular considerations for successful implementation of this project include which of the following?
A) Ensuring that the system is reliable
B) Ensuring that patient information is reliable
C) Developing unique identifiers for individuals
D) Developing rules that support inferences
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14
Chapter 13: Managing Costs and Budgets
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Sample Questions
Q1) Of the following,which is the most effective strategy that a nurse manager could employ to reduce unnecessary costs in specific health care settings?
A) Training nurses on accurate documentation of supplies used for patient care
B) Reducing the number of overtime hours worked by staff
C) Reducing the number of staff on a unit
D) Making decisions for patients about which care is important to their health
Q2) The chief nursing officer works with her nurse managers by helping them understand how to develop and implement a budget.How would a nurse manager best describe a budget?
A) A day-to-day plan for operations
B) A unit of service
C) A statement of revenues and services
D) A financial plan
Q3) A nurse manager is planning to request three new infusion pumps at a cost of approximately $1500 each.This item would typically be included in which budget?
A) Operating
B) Strategic
C) Unit of service
D) Capital
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Page 15
Chapter 14: Care Delivery Strategies
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26 Verified Questions
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Sample Questions
Q1) Case-managed care may enhance profit in a for-profit health organization by
A) minimizing costs in areas of high resource consumption.
B) combining licensed and nonlicenced care providers in delivering patient care.
C) increasing reimbursement from third-party payers.
D) reducing the amount of technology used to support clinical decision-making.
Q2) The case method of care delivery could be best justified for which of the following scenarios?
A) Stable patient population with long-term care and family needs
B) Acute care surgical unit with predictable postsurgical outcomes and many technical procedures
C) Pediatric intensive care unit that heavily involves families as well as patients
D) Home health care environment with patients who have varying degrees of acute illness
Q3) The functional nursing model might be particularly effective in which of the following?
A) Promoting communication among diverse team members
B) Facilitating multiple perspectives on the total care of a patient
C) Avoiding patient-provider conflict
D) Developing competence and confidence in unlicensed workers
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Page 16
Chapter 15: Staffing and Scheduling
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Sample Questions
Q1) Scheduling is a function of implementing the staffing plan by assigning unit personnel to work specific hours and specific days of the week.To retain nursing staff,the nurse manager must schedule
A) all weekends off.
B) all holidays off.
C) a variety of scheduling options.
D) rotating shifts.
Q2) The difference between staffing and scheduling is that staffing
A) puts the right person in the right position.
B) puts the right person in the right time and place.
C) refers to the number of nursing hours per patient per day.
D) accounts for interpretation of benefits and compensation.
Q3) The number of adverse events such as falls and pressure ulcers on your unit is increasing.An ideal staffing plan to address this issue would include which of the following?
A) Increasing the total number of staff on the unit
B) Increasing the staff and registered nurse (RN) hours per patient
C) Increasing the total number of staff and implementing 12-hour shifts
D) Increasing the number of RNs and number of RNs with experience on the unit
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Page 17
Chapter 16: Selecting, developing, and Evaluating Staff
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Sample Questions
Q1) A nurse manager in the intensive care unit works with his staff to develop an appraisal instrument that includes quantitative data and respects standards for a registered nurse working on that unit.What type of appraisal is this?
A) Rating scale
B) Collaboratively based appraisal system
C) Narrative instrument
D) BARS
Q2) Yasmine is a likable and popular staff member.Despite occasional complaints from patients about inappropriate comments and rough handling of patients,Yasmine continues to receive positive performance appraisals.This is an example of
A) a halo effect.
B) rare conflict.
C) role ambiguity.
D) evaluator bias.
Q3) Anecdotal notes
A) should be completed only when there are performance concerns.
B) can be used to support and justify fairness in termination discussions.
C) are unnecessary if the evaluation instrument is thorough.
D) need to be completed at the end of a performance period.
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Page 18
Chapter 17: Strategic Planning and Goal Setting
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Sample Questions
Q1) From your observation of planning activities in the organization,you have noticed that planning and decision making occur at various levels of the organization.The nurse manager has overall responsibility for which of the following?
A) Sending out postcards
B) Organizing a telephone follow-up
C) Monitoring ongoing activities and projects
D) Listing the patient population
Q2) The executive team at Hospital XYZ develops a polished strategic plan that includes a mission statement,goals,objectives,and a business plan for various initiatives in the plan.The executive team ensured that the plan was communicated internally and externally.After 2 years,no significant progress has been made toward any of the goals.What has been omitted in the plan?
A) Consumer input planning
B) Clear communication
C) Integrated financial planning
D) Consideration of customer input
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Chapter 18: Leading Change
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Sample Questions
Q1) As the unit manager,you spend a day performing direct patient care and work with a new system that is designed to capture patient documentation at the patient's bedside.During discussions with staff while giving care,you discover that the number of screens that need to be opened during documentation makes charting more complex and time consuming than traditional manual charting approaches.On the basis of this feedback,you
A) assume that the system is doing what it needs to do.
B) provide reassurance to staff that the unit has achieved its goals in implementation of the system.
C) ask some of the staff if they have had similar experiences with the system.
D) consult chart audit data and end user consultation reports to determine whether errors and problems are occurring.
Q2) Which of the following are examples of application of the Leadership Rounding Tool (Studer,2009)?
A) "What is working well for you during bedside reporting?"
B) "What has not worked for you today?"
C) "Is there someone on your team who deserves special recognition for her efforts in the implementation?"
D) "Did you have a good vacation?"
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Page 20
Chapter 19: Building Teams Through Communication and Partnerships
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Sample Questions
Q1) Which of the following would not be a characteristic of an effective nursing team leader?
A) An autocratic perspective
B) Excellent communication skills
C) Awareness of everyone's abilities
D) A genuine interest in team members
Q2) The nurse educator was giving a workshop on team building.She noted that effective communication is essential for team building.One of the key questions in the workshop was "What is the best way to check to see whether what you have communicated to a team member is understood the way you meant it to be understood?" The correct response is which of the following options?
A) Active listening and feedback
B) Cues from nonverbal communications
C) Content and context clues
D) Reliance on paralanguage
Q3) What is not a key concept in a well-functioning team?
A) Absence of disagreement or conflict
B) Special work that is understood and supported by all
C) Willingness to work together respectfully
D) Dedication to a mission
Page 21
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Chapter 20: Collective Nursing Advocacy
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Sample Questions
Q1) A group of staff nurses and a nurse manager represent a subculture in their facility.Subcultures differ in regard to
A) organizational mission.
B) approaches to conflict.
C) quality patient care.
D) union membership.
Q2) The emergency department staff members are concerned that working long hours without rest puts patient safety at risk.One staff member decides that she will risk her job and become a whistle-blower.Whistle-blowing is an appropriate recourse when management
A) disregards due process when disciplining a nurse.
B) delays responding to repeated efforts to provide safe care.
C) hires nurses who are not a part of the union during a strike.
D) refuses to bargain in good faith with the elected bargaining agent.
Q3) Collective action is effective in
A) ensuring that needs of nurses are placed ahead of those of other disciplines.
B) defining nursing as a profession.
C) advising patients of the needs of nurses.
D) amplifying the influence of individuals.
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Page 22
Chapter 21: Managing Quality and Risk
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Sample Questions
Q1) A nurse manager wants to decrease the number of medication errors that occur in her department.The manager arranges a meeting with the staff to discuss the issue.The manager conveys a philosophy of total quality management (QM)by
A) explaining to the staff that disciplinary action will be taken in cases of additional errors.
B) recommending that a multidisciplinary team assess the root cause of errors in medication.
C) suggesting that the pharmacy department explore its role in the problem.
D) changing the unit policy to allow a certain number of medication errors per year without penalty.
Q2) A method commonly used in quality assurance to monitor adherence to established standards is
A) a Pareto chart.
B) brainstorming.
C) patient interviews.
D) chart audit.
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Chapter 22: Translating Research Into Practice
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Sample Questions
Q1) Tara,the unit manager,is telling her colleague about her recent project,which involves seeking the most effective approaches to incontinence care,with the intention of adopting evidence-based approaches on her dementia care unit.Her colleague suggests that knowledge translation is
A) less critical than knowledge research generation, which is required to advance the nursing profession.
B) a priority of all health care practitioners to better patient care.
C) plagued by lack of knowledge related to how to use research to guide practice. D) do difficult that it is useless to begin the query in the first place.
Q2) The chief nursing officer at a local hospital seeking Magnet status creates staff development classes concerning research utilization.What best describes research utilization?
A) Conducting an integrative review of the literature
B) Searching the literature for a systematic review
C) Providing the results of research studies to practitioners
D) Applying the results of a research study to practice
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Chapter 23: Understanding and Resolving Conflict
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Sample Questions
Q1) Kala,a unit manager,in discussing a role the hospital's chief executive officer would like her to perform,makes the following statement: "I will sit on the hospital task force on improving morale if you send me to the hospital's leadership training classes next week,so I can further develop my skills and thus be more effective." Which of the following conflict management styles is Kala using?
A) Collaborating
B) Avoiding
C) Negotiating
D) Accommodating
Q2) Lee,the head nurse in ER,has attempted to meet Jillian,one of her staff RNs,for several days to discuss concerns about Jillian's relationships with her team members.Lee hopes to offer Jillian coaching so that Jillian's relationships can be more satisfying for Jillian and her team members.Each time Lee and Jillian set a time to meet,Jillian phones in sick.In this situation,Lee and Jillian are demonstrating
A) similar conflict management strategies.
B) escalation of conflict.
C) avoidance and compromise strategies.
D) competing and compromise strategies.
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Chapter 24: Managing Personalpersonnel Problems
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Q1) A nurse manager understands that the second step in handling an employee with a disciplinary problem is to document the incident.Which of the following is best for documentation of personnel problems?
A) Use of the performance appraisal on an annual basis
B) Notes made immediately after an incident that include a description of the incident, actions taken, plans, and follow-up
C) A tally sheet of medication errors and other specific problems that will be used at annual review
D) Copies of reports, placed in the employee's file, of all unusual occurrences involving the employee
Q2) A nurse manager understands that the typical first step in handling an employee with a disciplinary problem is to
A) provide a verbal reprimand.
B) prepare a written reprimand.
C) counsel the employee regarding the problem.
D) give the employee the day off without pay.
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Chapter 25: Workplace Violence and Incivility
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Sample Questions
Q1) Reza,RN,works as a staff nurse in the mental health department; Sharon works as a data entry clerk in the admissions department; Sarah is an emergency room physician; and Donna is a housekeeper in the geriatrics department.Which of these four is most at risk for violence and aggression?
A) Reza
B) Sarah
C) Sharon
D) Donna
Q2) You are part of a multidisciplinary team that is charged with designing a workplace safety plan for your health care organization.This team has been established in response to increases in reports of violence and aggression.You begin designing the safety plan by
A) surveying staff about levels of satisfaction with the workplace and management, collegial, and patient relations.
B) offering training sessions in self-defence.
C) developing a policy that outlines zero tolerance for bullying.
D) offering education sessions on recognizing behaviours with potential for violence.
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Chapter 26: Practising and Leading in Interdisciplinary Settings
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Sample Questions
Q1) The nurse on the shift from 2300 to 700 hours is assigning a component of care to an unregulated care provider.The night nurse should remain
A) accountable and responsible.
B) accountable and liable.
C) authoritative and liable.
D) responsible and task oriented.
Q2) According to the National Interprofessional Competency Framework,which domain is considered relevant in every situation?
A) Role clarification
B) Team functioning
C) Patient-centred care
D) Collaborative leadership
Q3) During a fire drill,the nurse manager becomes very assertive and directive in her communications with staff.This type of situational leadership depends on
A) supportive behaviour by the leader and immature followers.
B) the relationship with the followers and the type of behaviour of the leader.
C) well-trained followers, combined with a strong leader who acts quickly.
D) the leader's ability to evaluate personnel and communicate that evaluation.
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Chapter 27: Role Transition
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Sample Questions
Q1) Samia (questions 11 to 15)finds that she is comfortable with the expectations of staff and her supervisor with regard to her management role and responsibilities and has been able to effect a strong commitment to quality clinical care on the unit.At this point,Samia has probably attained role
A) development.
B) acceptance.
C) symmetry.
D) stabilization.
Q2) Seth is hired as the nurse manager for a surgical unit.After a year,the hospital reorganizes,and his position is lost.In leaving the unit,it is important for Seth to A) engage in clarifying why the hospital did not state its expectations for the unit at the time of hiring.
B) hire a lawyer to represent his interests during this unexpected role transition.
C) seek counselling to deal with his shock and anger.
D) negotiate a reasonable settlement.
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Chapter 28: Self-Management: Stress and Time
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Sample Questions
Q1) Which of the following statements is true?
A) "Recent research has demonstrated that women do not have a unique physiologic response to stress."
B) "Both men and women interpret the same stressor in the same manner without regard to past experiences."
C) "Stress influences the immune system in one complex manner."
D) "Stressors that are identical do not have the same effect on each individual."
Q2) As a nurse manager,you observe that over the past few weeks,a staff nurse has become withdrawn and has had several absences because of minor ailments.Your best action would be to
A) ask the nurse if she is okay during report.
B) refer the nurse to the employee assistance program.
C) ask the nurse to meet with you for a few minutes before she leaves for the day.
D) write a note to the nurse advising her that her work attendance must improve.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 29: Managing Your Career
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/44774
Sample Questions
Q1) To develop a CV or résumé,a nurse should begin with
A) creating an opportunity to be interviewed.
B) listing facts about his or her professional life.
C) hiring someone to market himself or herself.
D) identifying his or her name and contact information.
Q2) You are offered an opportunity to take a temporary leave from your position as a nurse manager to lead a technology implementation project.Which of the following reasons for accepting the opportunity is most consistent with developing a solid career path?
A) You are pressured to do so by your supervisor.
B) The organization has no other suitable candidate for the position.
C) You have limited knowledge of information technology and no real interest, but this will increase your knowledge.
D) Accepting a position outside of your established skill set may establish you organizationally as an innovative, adaptable leader.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 30: Thriving for the Future
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/44775
Sample Questions
Q1) To move beyond stereotypical thinking and toward thinking about the future,which of the following would be most helpful?
A) Listing everything that is known about the current situation
B) Defining which practices will remain unchanged and which will change
C) Asking someone with a great deal of experience to share ideas about best practice
D) Challenging current and future practices with questions of "What if...?"
Q2) Which of the following hampers the ability of nurses to be leaders?
A) A focus on the patient and not on the system
B) Lack of interest in leadership
C) Disillusionment with change
D) Funding disparities
Q3) In developing curricula that will address needs on the basis of forecasts for the future,nursing educators need to contemplate
A) population-based strategies to prevent chronic disorders.
B) leadership skills and knowledge.
C) competence in use and application of technology.
D) strategies for job security.
To view all questions and flashcards with answers, click on the resource link above.