Nursing Leadership and Management
Exam Answer Key
Course Introduction
Nursing Leadership and Management is a comprehensive course that equips students with the essential knowledge and skills to assume leadership roles in healthcare settings. The course covers key concepts such as leadership theories, decision-making processes, effective communication, team building, delegation, conflict resolution, and change management within nursing practice. Students explore strategies for resource management, quality improvement, and patient safety while examining the roles and responsibilities of nurse leaders and managers. Through case studies and practical applications, the course prepares future nurses to lead interdisciplinary teams, adapt to evolving healthcare environments, and advocate for both patients and staff, ensuring optimal outcomes and organizational success.
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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Sample Questions
Q1) The best response for the nurse manager to use with an angry employee is:
A)"What is wrong?"
B)"You are really inappropriate with your anger."
C)"If you would like to talk,we can go into my office."
D)"I'm not sure why you are angry,but don't take it out on me."
Answer: C
Q2) A staff nurse was approached by a nursing assistant who wanted to give a report about a client's condition.The nurse said,"I don't have time to listen right now." This is an example of:
A)Upward communication
B)Barrier to communication
C)Downward communication
D)Grapevine communication
Answer: B
Q3) Which of the following cultures views eye contact as indicating trustworthiness?
A)Hispanic Americans
B)Asian Americans
C)White Americans of European origin
D)Native Americans
Answer: C
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Chapter 2: Stress Management
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Sample Questions
Q1) A staff nurse complained that she was being a "gofer" for the nurse manager without any recognition for doing the extra work of developing policies.So the staff nurse decided not to continue working on the policies.This is an example of:
A)Underdelegation
B)Overdelegation
C)Procrastination
D)Lack of self-confidence
Answer: C
Q2) 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
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4
Chapter 3: Decision-Making Process and Tools
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Sample Questions
Q1) An ad hoc committee was formed to collect data about the increase in absenteeism throughout the hospital.To ensure that this ad hoc committee functioned efficiently,the hospital limited the number of committee members to:
A)8
B)3
C)20
D)18
Answer: A
Q2) A staff nurse witnessed a hospital staff member who was finishing up the night shift stuff her pockets with extra rolls of tape.The hospital has a policy about unauthorized removal of supplies from the unit.The staff nurse reported the incident to the nurse manager.Instead of reporting the hospital staff member to the house supervisor,the nurse manager counseled the staff member in the nurse manager's office.This is an example of what type of ethical position?
A)Utilitarianism
B)Formalism
C)Egoism
D)Rule ethics
Answer: D
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Chapter 4: Motivation and Morale
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Sample Questions
Q1) Which of the following is an example of a hygiene factor in Herzberg's two-factor theory?
A)Staff members' concern that the hospital will lay off workers
B)Hospital's sponsoring of an awards banquet for all personnel
C)Performance evaluations that provide positive feedback
D)Staff nurses' attendance at workshops to increase knowledge
Q2) 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
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) The union has a security clause that requires all new employees to join the union.The security clause states that all members must maintain their memberships during the duration of the contract.This is an example of:
A)A closed shop
B)A union shop
C)A maintenance-of-membership clause
D)An agency shop
Q2) A staff nurse admires the nurse manager's leadership style.What type of power does the nurse manager have in this situation?
A)Informal power
B)Coercive power
C)Referent power
D)Information power
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) A nurse at a physician-run clinic tried to schedule an operating room for an early morning outpatient surgery.The nurse manager of the operating rooms did not have any available rooms until late afternoon,so the nurse manager refused the request.This resulted in what type of conflict?
A)Cultural conflict
B)Horizontal conflict
C)Vertical conflict
D)Intradepartmental conflict
Q2) The hospital hired a consultant in the hopes of developing:
A)An adversary
B)An opponent
C)An ally
D)A bedfellow
Q3) Two staff members were experiencing an interpersonal conflict.They agreed to have the nurse manager present while discussing the problem.The nurse manager's role would be that of:
A)Compromiser
B)Collaborator
C)Mediator
D)Complainer
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Chapter 7: Theories of Leadership and Management Development
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Sample Questions
Q1) 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
Q2) What might one find in Likert's consultative system that would be less likely in participative management systems?
A)Staff members' ideas are sought.
B)Sometimes an informal organization resists the formal goals.
C)Staff members feel free to discuss their jobs with the manager.
D)Decision making is integrated throughout the organization.
Q3) Which management theorist focused on the organization as a whole rather than concentrating solely on production?
A)Frederick Taylor
B)Frank Gilbreth
C)Lillian Gilbreth
D)Max Weber
Page 9
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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) A staff nurse participates in the determination of goals by establishing:
A)Institutional goals and objectives
B)Goals and objectives for the nursing service
C)Unit goals and objectives
D)Outpatient service goals and objectives
Q3) While writing a procedure for the administration of chemotherapy,the staff nurse included all of the following except:
A)Materials needed and how to locate them
B)Methods for recycling the materials used
C)The physician's responsibilities
D)Appropriate charting
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10
Chapter 9: Financial Management, Cost Containment, and Marketing
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Sample Questions
Q1) A nurse manager uses what technique to help control costs?
A)Delegating appropriate tasks to unlicensed personnel
B)Comparing costs with those of other departments
C)Calculating the break-even points on an item
D)Conducting comparisons in monetary units
Q2) A wellness clinic was promoting a new weight loss capsule that was approved by the Food and Drug Administration.Over the last quarter,the clinic's data revealed an increase in the sale of the product.This is an example of what stage of the product's life cycle?
A)Introduction stage
B)Growth stage
C)Maturity stage
D)Market decline stage
Q3) The hospital's board of directors sent letters to wealthy community leaders seeking donations to help build an extension to the hospital.This target group is an example of:
A)An exchange public
B)An internal public
C)A sought public
D)An unwelcome public
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Chapter 10: Organizational Concepts and Structure
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Sample Questions
Q1) In response to the rising costs of health care,hospitals have developed population-based health programs that focus on a given disease or health condition and provide care to groups needing specialized health services.These programs,developed as managed care health plans,are termed:
A)Disease management programs
B)Coordination of care
C)Modular care
D)Consolidation of health plans
Q2) The nurse manager develops an organizational chart that includes all of the following except:
A)Formal organizational relationships
B)Informal organizational relationships
C)Areas of responsibility
D)Channels of communication
Q3) To increase performance effectiveness,the nurse manager must:
A)Ensure increased production
B)Give employees informal authority
C)Decrease delegation of tasks
D)Provide general supervision
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Page 12
Chapter 11: Organizational Culture, Change, and Innovation
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Sample Questions
Q1) One way that administration can handle incompetent executives is to:
A)Hire new managers
B)Move them from line to staff authority
C)Terminate their employment
D)Counsel them toward satisfactory performance
Q2) A nurse manager motivates her employees and serves on community service boards as a representative of the organization.The nurse is said to be:
A)A hero
B)A legend
C)A metaphor
D)An overachiever
Q3) A Hispanic nurse was interviewed for a position at a small rural hospital.The nurse was told that the hospital has written policies regarding the provision of equal support and career development resources to all employees.This hospital deals with cultural diversity through:
A)Intercultural sensitivity
B)Cultural awareness building
C)Discrimination control
D)Prejudice reduction
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Page 13
Chapter 12: Selection and Development of Personnel
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Sample Questions
Q1) A 55-year-old community-based nurse is seeking employment at the Department of Health and Human Services.She is in the applicant pool with several younger nurses who have less experience than she in community-based nursing.Which federal law protects the older community-based nurse?
A)Equal Pay Act of 1963
B)Title VI of the Civil Rights Act of 1964
C)Age Discrimination in Employment Act of 1967
D)Immigration Reform and Control Act of 1986
Q2) Which generation views retirement as a period of renewal?
A)The silent generation
B)The baby boomer generation
C)Generation X
D)The Internet generation
Q3) To promote nurses who are successful leaders within the organization,a hospital may institute what type of planning?
A)Career planning
B)Clinical ladder planning
C)Succession planning
D)Developmental planning
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Page 14
Chapter 13: Staffing and Scheduling
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Sample Questions
Q1) The Joint Commission calls on hospitals to use which strategy to help address the nursing shortage?
A)Increase patient-nurse ratio
B)Increase mandatory overtime hours
C)Provide management training
D)Provide informal orientation
Q2) Because of a called-in absence,a nurse manager has to find a replacement for the uncovered position on the shift.Which of the following is an option?
A)Substituting a person of one classification for another,such as a licensed practical nurse (LPN)for a registered nurse (RN)
B)Implementing variable staffing
C)Instituting 12-hour shifts for all staff
D)Drawing from the retirement pool for the replacement
Q3) Centralized scheduling has many advantages,including which of the following?
A)Managers have authority.
B)Some managerial time is freed up for other activities.
C)Staffing is less complicated.
D)Employees can receive individualized treatment.
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Chapter 14: Evaluation and Discipline of Personnel
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Sample Questions
Q1) A staff nurse complains to the nurse manager that another staff member is making her feel uncomfortable by making sexual comments.Before the nurse manager takes disciplinary action,the manager most likely will:
A)Investigate the allegations carefully
B)Wait to see if the problem resolves itself
C)Focus on the individual's personality
D)Disregard the staff nurse's length of service,past accomplishments or problems,level of skill,and importance to the organization
Q2) Hospitals have disciplinary action programs that determine how staff disciplinary problems are handled.Which of the following statements is correct regarding a hospital's disciplinary action program?
A)Employees should be given a code of conduct handbook during orientation.
B)Employees should be able to review the personnel record.
C)Employees should be notified about suspension in a verbal interview.
D)Employees has no recourse until investigation is over.
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16
Chapter 15: Continuous Quality Improvement, Risk
Management, and Program
Evaluation
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Sample Questions
Q1) The first step in risk management is identifying potential or actual risks for accidents,injuries,or financial loss.The occurrence of an injury that is caused by medical management and results in a measurable disability is termed:
A)An error
B)An adverse event
C)An unpreventable adverse event
D)A near miss
Q2) Which of the following is a valuable tool that is used for planning and judging the progress of the program evaluation?
A)Conceptual framework
B)Review of the literature
C)Instrument development
D)Calendar of events
Q3) Which quality management philosopher believed in a system that creates quality by prevention of errors instead of appraisal?
A)Deming
B)Juran
C)Donabedian
D)Crosby
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