

Nursing Leadership and Management Exam Review
Course Introduction
Nursing Leadership and Management explores the principles, theories, and practices essential for effective leadership and management within the healthcare environment. The course focuses on the development of critical skills such as decision-making, team building, conflict resolution, communication, and ethical leadership. Students will examine strategies for managing healthcare teams, improving patient care quality, navigating organizational change, and understanding the role of nurse leaders in shaping health policy and fostering a positive workplace culture. Through case studies and practical scenarios, students will gain insights into the challenges and opportunities faced by nurse leaders at various levels of healthcare organizations.
Recommended Textbook
Professional Nursing Concepts Challenges 8th Edition by Beth Black
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16 Chapters
415 Verified Questions
415 Flashcards
Source URL: https://quizplus.com/study-set/2126

Page 2
Chapter 1: Nursing in Todays Evolving Health Care

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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/42342
Sample Questions
Q1) The major benefit of serving as a military nurse is
A) broader responsibilities and scope of practice than civilian nurses.
B) working with entirely baccalaureate-prepared peers on active duty.
C) serving as an officer on active duty or in the reserves.
D) the financial support to seek advanced degrees.
Answer: D
Q2) Which of the following statements is correct about community health nursing (CHN)?
A) Prevention and community education are the cornerstones of CHN.
B) Nursing care is rapidly moving from the home setting to the institutional setting.
C) High-tech care such as ventilators and total parenteral nutrition cannot be handled in the home.
D) Assessment skills are less important in CHN because patients are not acutely ill.
Answer: A
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3

Chapter 2: The History and Social Contexts of Nursing
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/42343
Sample Questions
Q1) A shift in population growth is expected to place stress on nursing resources.Which age-group is expected to experience the greatest population growth in the next decade?
A) Older than 85 years of age
B) 75 to 85 years of age
C) 35 to 65 years of age
D) 18 to 35 years of age
Answer: A
Q2) What were some of the application requirements of nursing education programs in the 1900s?
A) Male, intelligent, strong
B) Female, sensitive, subservient
C) Female, docile, from poor background
D) Male, high breeding, independent
Answer: B
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Chapter 3: Nursings Pathway to Professionalism
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/42344
Sample Questions
Q1) The nursing profession has experienced barriers to professionalism.Which of the following is the primary current barrier to nursing's professionalism?
A) Too many men in nursing
B) Unquestioning obedience to doctors
C) Limitations placed on practice by state legislators
D) Variability of educational backgrounds of nurses
Answer: D
Q2) Which of the following best describes the difference between an occupation and a profession?
A) A profession requires a duty to serve.
B) A profession is defined by members' average income.
C) In a profession, action is based on intuition.
D) In a profession, knowledge is handed down from generation to generation.
Answer: A
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Chapter 4: Nursing Education in an Evolving Health Care Environment
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/42345
Sample Questions
Q1) Which factors contribute to threatening the current and future supply of nurses?
A) The number of qualified applicants has decreased.
B) Seventy-five percent of current faculty may retire over the next decade.
C) Overall numbers of applicants to doctoral programs has decreased.
D) Faculty vacancies are having an impact on large numbers of schools.
E) More men are entering nursing and choosing faculty positions.
Q2) Which type of basic nursing education program graduates the largest number of RNs in the United States today?
A) Diploma programs
B) Associate degree programs
C) BSN programs
D) Nurse practitioner programs
Q3) Which of the following nursing leaders is credited with being one of the earliest nursing educators in the world?
A) Isabel Hampton Robb
B) Mary Adelaide Nutting
C) Melinda Anne Richards
D) Annie W. Goodrich
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Chapter 5: Becoming a Professional Nurse: Defining Nursing and
Socialization Into Practice
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/42346
Sample Questions
Q1) A nursing student says to the clinical faculty,"I know I will be able to care for this patient given your directions." In which stage of Cohen's model of professional socialization is this student?
A) Stage I: Unilateral dependence
B) Stage II: Negativity/independence
C) Stage III: Dependence/mutuality
D) Stage IV: Interdependence
Q2) Which of the following is an example of formal socialization into the profession of nursing?
A) Unplanned observation of a nurse comforting a child after a painful procedure
B) Hearing two nurses discussing how to organize patient care more effectively
C) Starting an intravenous (IV) line in the simulation laboratory under faculty guidance
D) Participating in a student nurses' association meeting
Q3) A definition of nursing is essential because it
A) differentiates nursing from other health occupations.
B) guides educational preparation and theory development.
C) helps state nurse practice acts reflect the changing roles of nurses.
D) clarifies the purposes and functions of the nurses.
E) informs potential students of exactly what nurses do.
Page 7
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Chapter 6: Legal Aspects of Professional Nursing Practice
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/42347
Sample Questions
Q1) The RN delegates changing a sterile dressing over a central line to a licensed practical/vocational nurse (LPN/LVN).The LPN/LVN contaminated the site during the dressing change,and an infection developed in the patient.Which of the following statements is true?
A) The LPN/LVN is guilty of malpractice.
B) The RN is ultimately responsible for acts he or she delegates.
C) The hospital cannot be held responsible for the acts of its employees.
D) A malpractice suit cannot be brought as no harm came to the patient.
Q2) Analysis of cases of reported negligence from 1995 to 2001 demonstrated that the majority of cases occurred in which patient care setting?
A) Acute care
B) Psychiatric
C) Nursing homes and long-term care facilities
D) Home health
Q3) Which of the following nursing responsibilities can never be delegated?
A) Complex tasks
B) Evaluation
C) Medication administration
D) Accountability
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Page 8
Chapter 7: Ethics: Basic Concepts for Professional Nursing Practice
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/42348
Sample Questions
Q1) Which of the following is the best description of a code of ethics?
A) A document that describes the correct course of action and does not change regardless of societal changes
B) A document that all professions must have even if not representative of practice
C) A document that permits others to know what principles guide professional decision making
D) A document widely open to interpretation by professionals in various settings
Q2) Which of the following are activities in the ethical decision making process?
A) Avoid looking at legal cases or precedents related to the situation.
B) Determine if the people who are affected by the dilemma have value conflicts.
C) Brainstorm with others involved to identify all possible solutions.
D) Evaluate the action taken to determine whether it accomplished its purpose.
E) Discuss only acceptable solutions that are practical to implement.
Q3) A school nurse teaching school-aged children about water safety is an example of which ethical principle?
A) Beneficence
B) Justice
C) Veracity
D) Autonomy

Page 9
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Chapter 8: Conceptual and Philosophical Foundations of Professional Nursing Practice
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/42349
Sample Questions
Q1) Nurses recognize which of the following about health?
A) Individuals desiring to change their behaviors are already motivated to change.
B) The burden of change is borne by the individual.
C) Health is relative and ever changing.
D) Multiple interventions are necessary to change health behaviors.
E) Unhealthy behaviors may persist in spite of increased knowledge.
Q2) Which of the following are considered systems?
A) Automobile engine
B) Person
C) Rock
D) Hospital
E) Family
Q3) Which of the following is true of Maslow's basic need of self-actualization?
A) Once self-actualization is achieved, it is never lost.
B) Elderly people outgrow the need for self-expression and self-development.
C) Most people achieve self-actualization after all other needs are met.
D) People use their abilities to the fullest extent possible and are true to their nature.
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Page 10
Chapter 9: Nursing Theory: The Basis for Professional Nursing
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/42350
Sample Questions
Q1) A patient who had a broken neck in an automobile accident and was paralyzed,but eventually went back to college,obtained a law degree,and became a practicing lawyer could be said to be demonstrating A) adaptation.
B) caring.
C) self-care.
D) homeostasis.
Q2) A nurse practitioner caring for a diabetic patient thinks the patient could gain better control of the diabetes if the patient lost weight.After assessing the patient's perception of weight loss,role,stresses,and support systems,the nurse and patient establish the goal of losing 5 pounds in a month.The nurse could be basing care on the conceptual model of
A) Johnson.
B) King.
C) Orem.
D) Roy.
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Page 11

Chapter 10: The Science of Nursing and Evidence-Based Practice
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/42351
Sample Questions
Q1) Which of the following is an example of a research question based on a clinical problem?
A) Published observations of a nurse who practiced many years in elder care
B) Nursing intuition about what measures are most useful with anxious patients before surgery
C) Stories of a flight nurse's experiences with posttraumatic stress disorder
D) Relationship between hours of bright light and irritability of preterm infants
Q2) Dissemination of findings may involve which of the following activities?
A) Manuscript reviewed by peers
B) Oral presentation of findings at annual conference of the Society of Pediatric Nurses
C) Poster presentation at regional conference of Sigma Theta Tau International
D) Publication of findings in Western Journal of Nursing Research
E) PowerPoint slides developed showing charts and graphs of the statistical results
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Chapter 11: Developing Nursing Judgment Through Critical Thinking
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/42352
Sample Questions
Q1) Which of the following is an independent nursing intervention?
A) Teaching a patient with congestive heart failure to weigh herself daily
B) Recommending an extra dose of diuretic to the patient whose weight has increased 2 pounds overnight
C) Changing the first surgical dressing on a patient after surgery
D) Transferring a patient out of the intensive care unit 2 days after vascular surgery
Q2) Critical thinking in nursing needs to include which of the following important variables?
A) Consideration of ethics and responsible decision making
B) Ability to act quickly, often on impulse
C) Ability to determine the best nursing interventions regardless of patient's values and beliefs
D) Flexible thinking that rarely follows a pattern or considers standards
Q3) Which of the following is a characteristic of an accomplished critical thinker?
A) Inquisitiveness
B) Narrow focus
C) Unaffected by other arguments
D) Quick decision making
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Chapter 12: Communication and Collaboration in Professional Nursing Practice
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/42353
Sample Questions
Q1) The patient says to the nurse,"The staff treats me like I'm a child.Everyone tells me what to do.No one ever asks my opinion.After all,it is my body." Which response by the nurse indicates active listening?
A) "Well, you're sick. Don't you think you should let us take care of you?"
B) "I don't think I can help you with this. This is a personal matter between you and the rest of the staff."
C) "It makes you angry not to be included in your health care decisions. Let's talk about how you can vent your anger appropriately."
D) "Let me see if I understand. It bothers you not to be recognized for your abilities to handle your life. I can discuss this with the staff if you wish so that everyone involves you in planning your care."
Q2) Within nurse-patient communication,the use of silence can
A) block further therapeutic communication.
B) allow the patient to not feel pressured to provide information.
C) demonstrate trust.
D) provide the nurse with an opportunity to complete the patient's care.
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Chapter 13: Nurses,patients Families: Caring at the
Intersection of Health,Illness Culture
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/42354
Sample Questions
Q1) When planning for patient teaching,the nurse is aware that which of the following factors create(s)a barrier to learning?
A) Mild anxiety
B) Pain and fatigue
C) Family presence
D) Patient autonomy
Q2) A patient in whom cancer has just been diagnosed tells the nurse,"Just get out of here and leave me alone! Let me suffer alone.God is punishing me." The nurse determines that the most appropriate nursing diagnosis for this patient is
A) risk for loneliness.
B) powerlessness.
C) dysfunctional grieving.
D) spiritual distress.
Q3) Which questions will aid the nurse in planning culturally congruent care?
A) "What do smiles, nods, and hand gestures mean?"
B) "How are you usually addressed?"
C) "How many health care professionals have you seen?"
D) "What is eaten when one is sick?"
E) "Who is involved in making decisions about health care?"
Page 15
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Chapter 14: Health Care in the United States
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/42355
Sample Questions
Q1) An impact of health care cost-containment measures on nursing has been
A) adding more registered nurses to the skill mix of the nursing team.
B) the concern about the assurance of quality care.
C) large annual salary increases for nurses.
D) development of standards of nursing practice
Q2) Governmental agencies differ from voluntary agencies in which way?
A) Level of community served
B) Administrative structure
C) Funding source
D) How the profits are used
Q3) Differences between treatment outcomes for different populations are known as A) health care outcomes.
B) population variability.
C) treatment choices.
D) health care disparities.
Q4) A contributing factor to health care disparities may be
A) genetic factors.
B) provider bias.
C) standard treatment options.
D) diagnostic differences.

Page 16
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Chapter 15: Political Activism in Nursing: Communities, Organizations,
Government
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/42356
Sample Questions
Q1) Which of the following is an effective method for the practicing nurse to achieve leadership skills?
A) Becoming active in professional organizations
B) Changing jobs frequently to improve skills
C) Learning about collective bargaining
D) Avoiding involvement in politics
Q2) The most critical aspect of nurses becoming personally "political" is
A) financially supporting political action committees (PACs).
B) being informed of social and political issues.
C) communicating with legislators.
D) running for office.
Q3) The principles and values that govern actions directed at influencing and determining decisions,actions,and other matters are known as
A) policy.
B) politics.
C) political power.
D) power.
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Page 17

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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/42357
Sample Questions
Q1) What is the most important action a nurse can take to help further the profession of nursing?
A) Joining a professional organization like the ANA
B) Running for political office and helping create health-related legislation
C) Maintaining a sense of well-being and taking care of oneself in the workplace
D) Developing leadership skills and increasing professional education
Q2) A patient asks a nurse to explain pharmacogenetics.Which response by the nurse is best?
A) "It is the effect of pharmaceutical agents on a person's genes."
B) "It uses genetic information to determine if particular drugs will work in a person."
C) "It is the science of using a person's genes to help create new medications."
D) "It was the project that mapped and sequenced human genes."
Q3) A tired,stressed nurse complains about being part of the "Sandwich Generation." What does that phrase mean?
A) People who care for both children and aging parents
B) Employees who are stuck in jobs they wish to quit
C) A person who is tired and stressed from a job
D) A group of people squeezed by the need for continued work
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