Nursing Leadership and Management
Midterm Exam
Course Introduction
Nursing Leadership and Management explores the essential principles and practices required to lead and manage effectively within healthcare organizations. This course examines leadership theories, decision-making strategies, and communication skills necessary for guiding nursing teams and fostering a positive work environment. Topics include delegation, conflict resolution, budgeting, and resource management, as well as strategies for implementing change and improving patient care outcomes. Students will analyze real-world scenarios to develop critical thinking and problem-solving skills, preparing them to assume leadership roles in diverse healthcare settings.
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 Environment
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/42342
Sample Questions
Q1) Which of the following is a correct statement about the registered nurse (RN)population?
A) The racial/ethnic composition of RNs closely resembles that of the general population.
B) The number of men entering nursing has decreased steadily over the last decade.
C) The rate of aging of RNs has slowed for the first time in the past 30 years.
D) The majority of employed RNs working full time must work a second position.
Answer: C
Q2) One important advantage of clinical ladder programs for hospital-based RNs is that they
A) allow career advancement for nurses who choose to remain at the bedside.
B) encourage nurses to move into management positions in which they can influence patient care on a broader scale.
C) encourage RNs to become politically active and guide the profession of nursing.
D) provide training to staff nurses so they can move seamlessly across departments.
Answer: A
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Chapter 2: The History and Social Contexts of Nursing
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) To which early nursing leader is attributed the founding of the American Red Cross?
A) Clara Barton
B) Dorothea Dix
C) Florence Nightingale
D) Lavinia Lloyd Dock
Answer: A
Q2) When surveyed,what is the primary reason given by men for entering nursing?
A) To make a difference
B) High salaries
C) Flexible schedules
D) Opportunity for travel
Answer: A
Q3) The first trained nurse in the United States graduated in 1873 and later became the supervisor of the Boston Training School.Who was this nurse?
A) Mary Ann Bickerdyke
B) Dorothea Dix
C) Linda Richards
D) Sallie Thompkins
Answer: C
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Page 4
Chapter 3: Nursings Pathway to Professionalism
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) One of the characteristics of a profession identified by Kelly was "there is an organization (association)that encourages and supports high standards of practice."
Which of the following illustrates a concern for nursing meeting this characteristic?
A) The ANA has existed for more than 100 years.
B) Nursing specialty organizations have greater power to influence practice than a more general nursing organization.
C) The membership of the ANA is less than 10% of all nurses.
D) The purpose of the ANA does not address the economic and general welfare of nurses.
Answer: C
Q2) Similarities exist between various ideas about what constitutes a profession.Which of the following is believed to be a characteristic of a profession?
A) Members have autonomy.
B) Members are trained on the job.
C) Members are motivated primarily by financial reward.
D) The group lacks a code of ethics.
Answer: A
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5
Chapter 4: Nursing Education in an Evolving Health Care Environment
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) Which person or organization is credited with developing the model of associate degree nursing education?
A) Esther Lucille Brown
B) Annie W. Goodrich
C) Mildred Montag
D) National League for Nursing
Q2) 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.
Q3) Which American university opened the first nursing school as a separate department within the university?
A) Harvard
B) Teachers College
C) Columbia
D) Yale
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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
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Sample Questions
Q1) Which of the following illustrates an effective strategy for a registered nurse student returning for a bachelor's of science in nursing (BSN)?
A) Get reacquainted with the library; expect to spend many hours there doing research.
B) Be open to information that does not seem to be readily applicable to your current position.
C) Start a program only if you have a great deal of free time to devote to classes on campus.
D) Use your co-workers as a sounding board to relieve frustration.
Q2) Which early nursing theorist defined nursing in interpersonal terms by stating that nursing is a significant,therapeutic,and interpersonal process?
A) Virginia Henderson
B) Hildegard Peplau
C) Martha Rogers
D) Dorothea Orem
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Chapter 6: Legal Aspects of Professional Nursing Practice
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) Which of the following nursing responsibilities can never be delegated?
A) Complex tasks
B) Evaluation
C) Medication administration
D) Accountability
Q2) A competent resident in a long-term care facility refuses an ordered antidepressant medication.The nurse believes the patient needs the medication because he is clearly showing signs of depression and dissolves the medication in juice without telling the patient.This illustrates negligence by failure to
A) follow the standard of care.
B) assess and monitor a patient.
C) communicate with a patient.
D) document.
Q3) The most common reason that nurses are disciplined by the state board of nursing is
A) making medication errors.
B) following unsafe nursing practice.
C) practicing while impaired.
D) abandoning patients.
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Page 8
Chapter 7: Ethics: Basic Concepts for Professional Nursing Practice
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) 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
Q2) A father of four is admitted after an automobile accident in which two of the children were killed.Recognizing that he is in very serious condition,the nurse believes that it would be appropriate to avoid telling him about the death of his children unless he asks directly.This could be considered a violation of the ethical principle of A) beneficence.
B) fidelity.
C) justice.
D) veracity.
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Chapter 8: Conceptual and Philosophical Foundations of Professional Nursing Practice
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) The nursing process is an example of which of the following branches of philosophy?
A) Aesthetics
B) Ethics
C) Epistemology
D) Logic
Q2) An adult has difficulty initiating a conversation,and in working with others always agrees with them because "My opinion is not important." Which of Maslow's basic needs is not being met by this person?
A) Basic physiologic needs
B) Love and belonging needs
C) Esteem needs
D) Self-actualization
Q3) Which of the following is believed about the concept of locus of control?
A) Internally controlled people see themselves as responsible for their health and amenable to change.
B) Externally controlled people believe health is controlled by what they do.
C) Internally controlled people believe health is controlled by environmental factors.
D) Externally controlled people are not likely to change their health behaviors.
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Chapter 9: Nursing Theory: The Basis for Professional Nursing
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) The nurse has established a relationship with a patient in whom asthma was recently diagnosed.Through their interactions,the nurse helps the patient understand the mechanism of asthma and develop the skills to use a spacer with the inhaler.The nurse could be basing care on the theory of
A) Leininger.
B) Peplau.
C) Orlando.
D) Neuman.
Q2) Watson's 10 caritas processes include which of the following?
A) The promotion of interpersonal teaching-learning
B) The participation in recreation
C) The instillation of faith-hope
D) Avoidance of injuring others
E) Assistance with the gratification of human needs
Q3) Which of the following are included in Henderson's 14 basic needs of patients?
A) The need to eliminate body wastes
B) The need for interdependence
C) The need to communicate
D) The need for self-concept
E) The need for work and sense of accomplishment
Page 11
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Chapter 10: The Science of Nursing and Evidence-Based Practice
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) Which of the following must be included in the informed consent in research?
A) Participants relinquish the right to privacy.
B) Once participants agree to participate, they must complete the study.
C) Participants need to know the funding source for the research.
D) Participants must be informed of risks associated with participation.
Q2) Which research design would be used to determine the relationship between self-concept,physical fitness,and health habits in school-aged children?
A) Experimental design
B) Nonexperimental design
C) Applied research design
D) Pretest and posttest design
Q3) To build the body of knowledge of nursing,a problem amenable to study should be
A) able to ensure participants that the intervention is a "good idea."
B) based on published research findings and fit logically with what is already known.
C) an original area of study never researched previously.
D) able to produce results that are applicable to a variety of situations.
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Page 12
Chapter 11: Developing Nursing Judgment Through Critical Thinking
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) In the nursing process,the evaluation phase is used to determine the A) value of the nursing intervention.
B) accuracy of problem identification.
C) the quality of the plan of care.
D) degree of outcome achievement.
Q2) What is the primary method of obtaining patient data?
A) Medical record
B) Speaking with family
C) Interview with patient
D) Physical examination
Q3) Which of the following represents an interdependent nursing action?
A) Giving the patient an ordered medication
B) Bathing the patient
C) Inserting a Foley catheter
D) Participating in a "code" (cardiac arrest response)
Q4) 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
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Sample Questions
Q1) A new mother says to the nurse,"It really hurts me to breastfeed.I think I should wean my baby." The nurse responds,"If I understand you,it hurts when you breastfeed.Tell me how and when it hurts." This response best represents which criterion of successful communication?
A) Appropriateness
B) Efficiency
C) Feedback
D) Flexibility
Q2) The nurse and patient may experience sadness during the termination phase.How can the nurse help the patient be successful in the termination phase of the nurse-patient relationship?
A) Providing personal contact information so the patient can contact the nurse if needed
B) Visiting the patient at home during off-duty time to help the transition to self-care
C) Emphasizing the achievements the patient has made, including the ability for self-care
D) Exchanging goodbye gifts as a sign that the relationship is terminated
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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
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Sample Questions
Q1) A young girl from a Middle Eastern country is in the process of dying.Her parents ask the nurses to allow her to be prepared for death by being dressed in a specific garment and headdress every day.The parents cannot be there every day to do this and ask the nurses to apply the attire.Which actions by the nurses demonstrate culturally competent care?
A) Allowing the parents to dress the patient in the garment and headdress when they are by her side
B) Consulting the chaplain as to the meaning of the ritual in the Middle East
C) Informing the parents that hospital policy requires all patients to wear hospital garments
D) Learning how to apply the garment and headdress properly
Q2) 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?"
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Page 15
Chapter 14: Health Care in the United States
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) How can staff nurses play an important role in controlling health care costs?
A) Becoming aware of cost of supplies
B) Questioning the need for unnecessary or repetitive tests
C) Suggesting the use of brand-name medications to support the economy
D) Handwashing to prevent infections
E) Assuring that the payment method is identified on admission
Q2) A health care agency that uses its profits to better the institution rather than paying stockholders would be classified as a
A) for-profit agency.
B) not-for-profit agency.
C) voluntary agency.
D) private agency.
Q3) Which of the following is a responsibility of many nurse executives (chief nursing officers)?
A) Recruiting, hiring, and training new staff
B) Managing day-to-day staff scheduling
C) Managing budget for assigned unit
D) Participating as a member of the board of directors
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16
Chapter 15: Political Activism in Nursing: Communities,
Organizations, Government
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) 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.
Q2) A nurse was appointed to a governing board of a governmental agency and then ran for an elective office.The nurse is known as a
A) nurse citizen.
B) nurse activist.
C) nurse politician.
D) nurse clinician.
Q3) A nurse has held a media event to publicize the need for funding for immunizations and lobbied decision makers by providing pertinent statistical information about the risks and benefits of immunizations.The nurse is known as a
A) nurse citizen.
B) nurse activist.
C) nurse politician.
D) nurse clinician.
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) What are some recommendations for self-care for nurses in the workplace?
A) Wash hands consistently.
B) Use sharps disposal containers.
C) Use adequate help or mechanical devices for lifting
D) Demand mental health screening for all visitors and patients
E) Reduce the need for working double shifts.
Q2) Which medical conditions can be linked to decreases in environmental quality?
A) Chronic respiratory diseases
B) Allergies
C) Cancers
D) Mental illness
E) Inflammatory bowel disease
Q3) Approximately what percentage of today's nurses belong to the ANA?
A) 10%
B) 20%
C) 25%
D) 30%
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