Nursing Leadership and Management
Exam Questions
Course Introduction
Nursing Leadership and Management explores the principles, theories, and practices essential to effective leadership and management within healthcare settings. This course focuses on the development of leadership skills such as critical thinking, decision-making, communication, and delegation, as well as the management of personnel, resources, and change. Topics include team building, conflict resolution, quality improvement, ethical and legal considerations, and strategies for promoting a healthy work environment. Through case studies and practical examples, students learn to apply leadership and management concepts to address challenges, improve patient care outcomes, and foster collaboration within interdisciplinary teams.
Recommended Textbook
Nursing Delegation and Management of Patient Care 2nd Edition by Kathleen Motacki RN MSN
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21 Chapters
433 Verified Questions
433 Flashcards
Source URL: https://quizplus.com/study-set/1687 Page 2
Chapter 1: Leadership and Management
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/33413
Sample Questions
Q1) Upper-level managers are responsible for the management of the nursing organization of the institution.What activity would the nurse expect to see only from an upper-level manager?
A)Supervising patient care delivery
B)Establishing strategic goals for nursing
C)Maintaining currency in profession
D)Being responsible for activities on the unit 24/7
Answer: B
Q2) The student nurse, shadowing on a medical-surgical unit, observes the charge nurse.Which action would the student identify as a leadership quality in the nurse's actions?
A)Making patient care assignments distributed equally to staff
B)Sitting with a confused combative patient
C)Calling the nursing office for extra staff when an RN calls in sick
D)Assisting in a code
Answer: B
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Chapter 2: Organizational Structure of Health Care
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) A nurse has accepted a position on a nursing unit where the nurse manager promotes autonomy and staff involvement in decision making.What would the nurse expect to observe on this unit?
A)Nurse manager mandates changes.
B)Staff takes responsibility for assignments.
C)Staff participates on hospital committees.
D)Nurses are recognized for excellence in practice.
Answer: C
Q2) In which health care delivery model would the nurse expect to see "point-of-care" decision making occur?
A)Primary care nursing
B)Team nursing
C)Functional nursing
D)Modular nursing
Answer: A
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Chapter 3: Strategic Management and Planning
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) When establishing a unit action plan, the nurse manager identifies steps to be taken to accomplish the goal.What is most important for achieving the goal?
A)Regularly scheduled meetings
B)Administration attendance at meetings
C)Staff involvement in decisions and actions
D)Involvement of other departments
Answer: C
Q2) Which of the following represents a short-term goal for an organization?
A)Health education to prevent the incidence of accidents due to drunk drivers
B)Heart failure education provided to every patient admitted with that diagnosis-related group
C)Building a new emergency department
D)Renovation of the intensive care unit
Answer: B
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Chapter 4: Financial Management in Health Care
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) The personnel budget is based on the calculations of which factors? (Select all that apply.)
A)Average daily census
B)Patient safety factors
C)Hours per patient day
D)Number of staff
E)Nurse/patient ratios
Q2) A nurse consistently remains past her shift for report or charting.The amount of overtime accumulated is equivalent to a full-time nurse's salary for 1 month.The nurse manager counsels the nurse and emphasizes that one of the responsibilities to the institution is
A)quality patient care.
B)fiscal accountability.
C)accurate documentation.
D)accurate medication administration.
Q3) A proactive budget should incorporate which situation?
A)Patient acuity changes
B)Patient/nurse ratio changes
C)Projection of sick time
D)Equipment maintenance
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Chapter 5: Healthcare Regulatory and Certifying Agencies
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) The state regulatory agency may impose a fine on a hospital for which patient safety infraction?
A)A UAP ambulating a patient
B)A UAP checking a blood glucose level
C)Allowing only RN staff in the medication room
D)Leaving the medication room unlocked
Q2) The Centers for Disease Control and Prevention ( CDC ) is a department headed by the Secretary of the U.S.Department of Health and Human Services ( HHS ).Which of the following situations would be expected to be investigated by this department?
A)Inaccessibility of the influenza shot
B)Toxic spill near a school
C)Outbreak of Salmonella
D)Rubella exposure of a pregnant woman
Q3) The state regulatory agency may impose a fine on a hospital for which patient safety infraction?
A)Not reporting a patient's change in condition
B)Physical abuse to patient by staff
C)Not documenting pain management
D)Not feeding a confused patient
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Page 7
Chapter 6: Organizational Decision Making and Shared Governance
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8 Verified Questions
8 Flashcards
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Sample Questions
Q1) In a health care organization, equity is
A)a willingness to invest in decision-making and express ownership in those decisions.
B)the best method for integrating staff roles and relationships into structures and processes to achieve positive patient outcomes.
C)recognition and acceptance of the importance of everyone's work and of the fact that an organization's success is bound to individual performance.
D)linking health care providers and patients along all points in the system.
Q2) Nursing shared governance models have always focused on
A)physician groups controlling all practice models.
B)nurses and physicians making nursing practice decisions.
C)nurses controlling their professional practice.
D)national accreditors controlling nursing practice decisions.
Q3) Equity maintains a focus on which of the following?
A)Services, executive management and staff
B)Services, patients, and staff
C)Staff, the management team and services
D)Staff, patients and resources
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Page 8
Chapter 7: Professional Decision Making and Advocacy
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7 Verified Questions
7 Flashcards
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Sample Questions
Q1) How can nurses communicate their positions to help influence policy?
1)Ongoing representation on policy-making committees.
2)Committees or boards.
3)Lobbying.
4)Making new laws at the state level.
5)Meeting with people in positions of influence
A)1, 2, 4
B)1, 2, 5
C)1, 2, 3, 5
D)1, 2, 4, 5
Q2) Which of the following is a policy that pertains to the decisions that promote the welfare of the public?
A)Social
B)Health
C)Organizational
D)Public
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Chapter 8: Communication in the Work Environment
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) Which of the following are true when communication is effective? (Select all that apply.)
A)The sender is credible.
B)There is clarity.
C)Simple, exact language is used.
D)Slang is used.
E)The receiver rolls her eyes when asked to complete a task.
Q2) Which patient should the charge nurse direct the RN to see immediately after the shift report?
A)Patient with a blood sugar of 240 mg/dL
B)Patient complaining of burning on urination
C)Patient in a Posey vest who is trying to get out of bed
D)Patient with a temperature of 38°C who is scheduled for surgery later that day
Q3) A UAP becomes sick at work and asks to leave.Which response by the charge nurse is most appropriate?
A)"You can't leave until all the baths are completed."
B)"Write down what needs to be completed."
C)"Tell me what responsibilities still need to be completed."
D)"Be sure to call by 5 AM if you are still sick tomorrow."
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Page 10
Chapter 9: Personnel Policies and Programs in the Workplace
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47 Verified Questions
47 Flashcards
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Sample Questions
Q1) When determining the basis for conflict, interpersonal sources as the basis would include which of the following?
A)Personality differences
B)Shift preferences
C)Staffing inconsistency
D)Assignments
Q2) When analyzing the sources for conflict, the nurse manager may identify which of the following as one of the most likely sources?
A)Different attitudes
B)Different facts or perception of the event
C)Different incomes
D)Different ages
Q3) In the workplace, violence may escalate as a result of many factors.Which of the following should the nurse be alert for in the escalation to violence?
A)Crying
B)Isolation
C)Asking for help
D)Pacing and using profanity
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Chapter 10: Professional Development
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8 Verified Questions
8 Flashcards
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Sample Questions
Q1) Clinical ladders for nurses are best used in what circumstance?
A)Horizontal advancement for clinicians who wish to stay at the bedside
B)Vertical advancement for management responsibilities
C)Horizontal ladder for nurses with more than 10 years of employment
D)Vertical ladder for nurses with more than 10 years of employment
Q2) You are the nursing supervisor on the 11 PM to 7 AM shift.When making rounds, the charge nurse on the unit reports that one of the patients is dyspneic.What action would be expected from a nurse in the expertise stage of clinical competence when assessing shortness of breath in a patient?
A)Recognizes the patient may have pulmonary edema and orders (or asks the physician for an order) an IVP diuretic
B)Places a patient complaining of shortness of breath in high-Fowler's position after hearing coarse crackles and rhonchi and obtaining a pulse oxygenation of 88%
C)Increases the oxygen concentration
D)Notifies the instructor of the patient's complaints
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Chapter 11: Professional Practice and Care Delivery Models and Emerging Practice Models
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) Which author proposed that a nursing care delivery model should consist of five key dimensions?
A)Porter-O'Grady
B)Dubois
C)Watson
D)ANA
Q2) Which population does a Traditional Care Model (TCM) specifically target?
A)Pediatric
B)Elderly/geriatric
C)Maternal child
D)Young adult
Q3) Which of the following guides the professional nurse as decision maker?
A)The American Nurses Association ( ANA ) Code of Ethics
B)The ANA Standards of the State Nursing Practice Act
C)State Titles
D)All of the above
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Chapter 12: Staffing and Scheduling
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) The best determinant of staffing needs is based on which factor?
A)Patient acuity
B)Productive time
C)Nonproductive time
D)Nurse/patient ratio
Q2) An agency nurse is assigned to work on a unit that uses the team nursing model of health care delivery.Which of the following would the nurse expect to experience in this environment?
A)UAP taking vital signs and giving baths
B)RN taking vital signs and giving baths
C)RN delegating patient care delivery to a group of patients
D)Charge nurse delegating care delivery
Q3) Leadership structures in health care can be centralized or decentralized.The nurse understands that she is working in a centralized structured environment when which of the following occurs?
A)All organizational decisions must be approved by the CEO.
B)Changes can be made rapidly based on immediate needs.
C)Nurses must work under a dual-authority structure.
D)Decisions can be made at the "point of care."
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Page 14
Chapter 13: Delegation of Nursing Tasks
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) When incorporating the five rights of delegation, the right person is being used in which of the following situations?
A)The LPN initiates TPN to a patient as ordered.
B)The charge nurse designates a UAP to "float" to another unit.
C)The staff nurse trades weekends with another staff nurse.
D)The UAP assists a patient to the bathroom after an echocardiogram.
Q2) The nurse is working on a medical unit with an LPN and a UAP as the team members.Which tasks should the RN complete?
A)Assignments of new admissions to staff
B)Regulation of heparin drip based on the heparin nomogram
C)Vital signs on patients admitted on previous shift
D)Dressing change for a patient 4 days post I&D of a pacemaker wound
Q3) Which action by a UAP requires an immediate intervention by the nurse?
A)Encouraging a patient to use the incentive spirometer
B)Encouraging a patient to ambulate 2 days after surgery
C)Checking the pH of the gastric aspirate of a patient receiving tube feedings
D)Informing the RN that a patient requests a pain medication
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Chapter 14: Providing Competent Staff
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) Performance appraisals provide the employee with which of the following?
A)Performance standards
B)Goals
C)Salary increases
D)Continuing education
Q2) In the first phase of the performance appraisal process, the nurse prepares for the interview with the nurse manager.Which of the following should the nurse do to prepare for the performance appraisal interview?
A)Make a list of patients who have remarked on your abilities as a nurse.
B)Identify accomplishments of last year's goals.
C)Bring documentation of charting.
D)Provide anecdotal notes of other staff evaluations of you.
Q3) Accrediting agencies require that staff demonstrate competency in their jobs.Annual competency of mandatory skills is evaluated.Which of the following skills should be demonstrated annually in the health care field as required by accrediting agencies?
A)Management of violent patients
B)Fire safety
C)Transport of patients
D)Transcription of orders
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Chapter 15: Group Management for Effective Outcomes
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) Smoothly functioning teams should possess which characteristics? (Select all that apply.)
A)Everyone is on time for meetings.
B)There is mutual trust.
C)There is a sense of identity with the team.
D)Everyone has the same objectives.
E)The team works well together.
Q2) Attributes of effective teams include
A)friendly interaction.
B)respectful, consensus-building discussions.
C)embarrassing and personal criticism.
D)resentment toward other members.
Q3) When a nurse manager leads a group meeting, which of the following guidelines should be practiced?
A)Allow group to set agenda.
B)Separate the group according to interests.
C)Facilitate problem-solving.
D)Coerce all members to interact.
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Chapter 16: Hospital Information Systems
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) All treatments and services for patients require two forms of patient identification prior to providing those services.Which would require an intervention if used by the nurse to identify a patient? (Select all that apply.)
A)Referring to the patient ID band
B)Asking the roommate
C)Asking another nurse on the unit
D)Asking the patient
E)Asking a family member
Q2) The electronic health record (EHR) provides a particular advantage to those patients with chronic diseases.Which of the following patients would most likely benefit from the use of an EHR by the health care provider?
A)A patient with diabetes, heart failure, and end-stage renal disease
B)A patient with heart failure following a myocardial infarction
C)A patient following an automobile accident with multiple fractures to the lower extremities
D)A patient with newly diagnosed hypertension
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Chapter 17: Ethical and Legal Issues in Patient Care
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) A nurse renewing advanced cardiac life support is practicing which ethical principle?
A)Veracity
B)Fidelity
C)Nonmaleficence
D)Beneficence
Q2) Autonomy is an ethical principle that can be applied to which clinical situation?
A)A nurse acts as a whistleblower in reporting unsafe practices observed on a clinical area.
B)A nurse administers an IV morphine drip for a patient being terminally weaned.
C)A nurse adheres to the HIPAA law when asked to reveal information on a patient to a nurse's family member.
D)A nurse permits a patient to refuse a medication.
Q3) In caring for a baby with non-life-sustaining defects, the nurse will most likely make decisions based on
A)personal ethical beliefs and values.
B)treating all patients equally.
C)treating all patients with respect and courtesy.
D)the futility of life issue.
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Chapter 18: Improving Organizational Performance
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20 Flashcards
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Sample Questions
Q1) A nurse is learning about quality improvement measures taken by the hospital.Root cause analysis is a process for identifying the cause of an error.What is the greatest benefit to establishing the root cause?
A)Prevention of future similar incidents
B)Identification of the responsible person
C)Allows corrective action to be taken
D)Identification of cause
Q2) Which of these is a measured outcome from a performance improvement process perspective?
A)Overtime hours worked by the RNs
B)Identifying the responsible person for a patient's fall
C)Sternal infection rates in cardiac surgery patients
D)Method of shift report
Q3) What benchmarks might be expected to be measured for hospital performance? (Select all that apply.)
A)Average length of hospital stay for cardiac surgery
B)Total admissions for cardiac surgery
C)Infection rates for cardiac surgery
D)Length of surgery
E)Deaths by surgeon
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Chapter 19: Evidence-Based Practice
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) After piloting changes based on evidence-based research, the nurse understands that they will be instituted as a result of the effects on which of the following? (Select all that apply.)
A)Staff
B)Number of UAPs available
C)Cost
D)Patient
E)Census
Q2) After piloting an evidence-based clinical practice change, the nurse would (Select all that apply.)
A)institute the change.
B)pilot the project until the desired outcome is achieved.
C)determine applicability for use.
D)incorporate changes into practice.
E)pilot the project until consensus is achieved.
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Chapter 20: Monitoring Outcomes and the Use of Data for Improvement
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) What information obtained from hospital data collection can be used for staffing purposes?
A)Patient satisfaction
B)Staff competency
C)Best practice
D)Use of agency nurses
Q2) Data provided by studies on patients with community-acquired pneumonia (CAP) have influenced the standards of practice for those patients.Which order should the nurse anticipate on the standard orders as a result of initiatives developed through clinical studies?
A)Obtaining blood cultures within 4 hours of arrival at the hospital
B)Administering antibiotics within 4 hours of arrival at the hospital
C)Administration of aspirin on arrival to the hospital
D)Administration of oxygen at 4 L per nasal prongs
Q3) One of the best indicators of clinical performance can be attributed to A)yearly census.
B)patient satisfaction surveys.
C)employee satisfaction surveys.
D)staff turnover.
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Chapter
Interviewing, Nclex, and Continuing Education
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Sample Questions
Q1) Which is most appropriate for the new graduate when preparing for the first interview?
A)Bring a list of references that was quickly put together.
B)List membership as a CCRN in 1 year as a goal.
C)Provide a list of weaknesses.
D)List tardiness as a weakness identified in school and how it has been corrected.
Q2) An effective job description includes
A)title, job objectives, list of duties.
B)title, job opportunity, list of duties.
C)job objectives, unit, competencies needed.
D)job objectives, unit, list of duties.
Q3) A nurse manager is legally not allowed to ask the following question:
A)Race
B)When you can begin
C)Past work history
D)University attended
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