Nursing Leadership and Management
Midterm Exam
Course Introduction
Nursing Leadership and Management explores the principles and practices vital to effective leadership and management within healthcare settings. The course covers foundational theories, ethical decision-making, communication strategies, conflict resolution, and the development of leadership skills in nursing. Students learn to balance clinical expertise with management responsibilities, oversee nursing teams, manage resources efficiently, and drive improvements in patient care. Through case studies and real-world scenarios, the course emphasizes the role of nurse leaders in fostering collaborative environments, advocating for patient safety, and navigating the complexities of healthcare systems.
Recommended Textbook
Nursing Delegation and Management of Patient Care 1st Edition by Kathleen Motacki RN MSN
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21 Chapters
502 Verified Questions
502 Flashcards
Source URL: https://quizplus.com/study-set/1593 Page 2
Chapter 1: Patient Care Management
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/31640
Sample Questions
Q1) The fundamental element of any patient care delivery combines work allocation with:
A)Patient acuity.
B)Leadership.
C)Clinical decision making.
D)Delegation.
Answer: C
Q2) The patient care delivery system used by an institution should be based on which fundamental elements? Select all that apply.
A)Work allocation
B)Accountability
C)Allocation of resources
D)Mission statement
E)Leadership style
Answer: A,B,D
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Page 3
Chapter 2: Communication in the Work Environment
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) Patients are complaining that they are not receiving pain medications on the night shift.The night nurse has charted that they were given.What is the most appropriate action by the charge nurse?
A)Notify the nurse manager.
B)Confront the nurse about the problem.
C)Ask other nurses what they think.
D)Report the suspicion to the State Board of Nursing.
Answer: A
Q2) A patient is inappropriate when speaking to a UAP.What is the most appropriate action by the nurse?
A)Change the assignment.
B)Ask the UAP what they did to precipitate this.
C)Explain to the patient how what they say is being interpreted.
D)Complain to the physician.
Answer: C
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4
Chapter 3: Delegation of Nursing Tasks
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) 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
Answer: B
Q2) When incorporating the five rights of delegation,the right communication is used when a patient's blood pressure is low in which of the following situations?
A)The RN tells the UAP to wait to give a patient a bath because her blood pressure is too low.
B)The RN tells a UAP to recheck the patient's blood pressure and report back to her before giving the patient a bath.
C)The UAP gives a bath to a patient with a low blood pressure.
D)The RN tells the UAP to give a patient a bath because they are unaware of the low blood pressure.
Answer: B
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Chapter 4: Evidence-Based Practice
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) When providing care to a child requiring temperature measurement,nurses use evidence-based practice whenever they:
A)Understand that a rectal temperature is the most accurate method in a child.
B)Understand that a rectal temperature is the least accurate method in a child.
C)Understand that an axillary temperature is the most accurate method in a child.
D)Understand that adding 1ºC to an axillary temperature in a child is as accurate as a rectal temperature.
Q2) Which of the following would most likely present the most difficult step in research utilization?
A)Monitoring outcomes
B)Determining the research question
C)Instituting the change
D)Piloting the project
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6
Chapter 5: Management of Emergencies and Disasters
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) Hazardous materials and waste are present within the hospital environment.Which objectives must be met to ensure compliance with federal regulatory agencies to ensure protection of all people within the environment?
A)Place HazMat stickers on all hazardous materials and waste.
B)Appoint nurses to monitor the hospital's compliance with regulations.
C)Provide a mechanism to reduce the risks of exposure to hazardous materials and waste.
D)Minimize Workers' Compensation.
Q2) When obtaining a patient's blood pressure using an automatic monitoring device,the nurse notices that the reading is not consistent with previous readings for that patient.What is the priority action by the nurse?
A)Replace the device with a different device and recheck the blood pressure.
B)Take a manual blood pressure measurement in the other arm.
C)Increase the IV drip rate.
D)Decrease the IV drip rate.
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7
Chapter 6: Health Care
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) In some circumstances,nurses care for patients whose outcome is predictable but,due to family dynamics,for whom advance directives are not available and therefore the patient's lives are extended without realistic outcomes.This presents an ethical dilemma for many nurses.Which of the following actions by the nurse is most appropriate when the patient's outcome is unpredictable and no advance directive is available?
A)Advise the family of their irrational perception of the patient's ultimate outcome.
B)Advise the family of the need for prayer to help make the decision that is right for the patient.
C)Advise the family that you have seen patients awaken from this type of insult and function normally.
D)Advise the family that the patient is not going to recover and for the ultimate benefit to the patient,they should reconsider the use end of life measures.
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Chapter 7: Healthcare Regulatory and Certifying Agencies
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Sample Questions
Q1) During a convention at a large hotel,several attendees become very ill with respiratory symptoms for which they are diagnosed with Legionnaires' disease.Which regulatory agency is responsible for investigation of an outbreak of Legionnaires' disease?
A)Occupational Safety and Health Administration ( OSHA )
B)The Joint Commission ( TJC )
C)Centers for Disease Control and Prevention ( CDC )
D)National League of Nursing Accrediting Committee ( NLNAC )
Q2) The Joint Commission ( TJC )measures the management of infections within the institution.By which method will TJC be able to measure the performance of the institution to manage infections?
A)Employment of an infection control nurse
B)Interviews with patients and families
C)Staff follow-up for prevention
D)Documentation of a patient's infection
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Chapter 8: Ethical Issues in Patient Care
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) 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.
Q2) A nurse is caring for a patient who has developed MODS (multiorgan dysfunction syndrome)resulting from septic shock.The patient is ventilator dependent and on vasopressors to maintain a Doppler-measured blood pressure of 80 mm Hg.The family is resistant to permit terminal weaning.The best action by the nurse is to:
A)Insist that the family disconnect the patient from the ventilator.
B)Ask the family to meet with the hospital's ethics committee.
C)Seek a family member who does agree and have them sign the consent form.
D)Arrange for the vasopressors to be turned off when the family is not present.
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10
Chapter 9: Developing Management Skills
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Which patient should be considered the highest priority by the new RN?
A)A patient who is requesting his pain medication
B)A patient who is reported by the UAP to be choking
C)A patient who is requiring suctioning per tracheostomy
D)A patient who is requiring discharge instructions who is waiting at the desk with her family
Q2) Which patient should be considered the highest priority by the nurse manager?
A)A patient who attempts suicide
B)A patient who attempts to escape from the hospital
C)A patient who refuses to eat
D)A patient who refuses her medications
Q3) A patient admitted with an elevated ST-segment myocardial infarction on oxygen per nasal cannula for his diagnosed influenza is complaining of shortness of breath with an oxygen saturation of 88%.Which action by the RN is best?
A)Increase the oxygen concentration.
B)Ask respiratory therapy to administer an albuterol treatment.
C)Notify the health care provider.
D)Determine if anxiety could be causing the shortness of breath.
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11
Chapter 10: Improving Organizational Performance
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A nurse has administered the wrong medication to a patient.In investigating the root cause of the error,it is discovered that the nurse was unfamiliar with the medication and that the Pyxis was incorrectly loaded with the wrong medication.What should be the outcome of this process?
A)The nurse should be educated on this medication.
B)Pharmacy should develop a second check of medications prior to loading in the Pyxis.
C)The nurse will not be allowed to pass medications without supervision until deemed safe.
D)An incident report will be completed.
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
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Chapter 11: Hospital Information Systems
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) The electronic health record (EHR)provides information to all members of the health care team on their patients.The nurse manager and other team members recognize the advantages of the EHR,which include:
A)Being handy for patients to carry with them.
B)Protecting patient privacy.
C)Being easier for patients to read.
D)Making data available for research and continuous performance improvement.
Q2) Health care facilities are incorporating the use of electronic health records (EHRs),and nurses are responsible for entering data on their patients.Nurses understand that there are many advantages to this new form of charting.Which of these factors make the electronic EHR an advantageous health care record for the nurse?
A)Record keeping is safe and accurate.
B)Documentation is timely.
C)Corrections to the record can be made at the end of the shift.
D)Coordination of vital signs to prescribed medications is automatic.
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Chapter 12: Monitoring Outcomes and Use of Data for Improvement
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/31651
Sample Questions
Q1) What are the benefits to the organization from greater patient satisfaction?
A)Fewer malpractice suits
B)Lower acuity
C)Higher employee benefits
D)Fewer call lights to solve
Q2) Nurses recognize that the use of beta-blockers within 24 hours of emergency department arrival for a patient with acute myocardial infarction is a standard of care established by health care regulating agencies based on which known action of this medication?
A)Beta-blockers are antihypertensives.
B)Beta-blockers reduce the workload of the heart.
C)Beta-blockers reduce the heart rate.
D)Beta-blockers reduce the patient's chest pain.
Q3) When reviewing outcome measurement for clinical use,the reviewers must understand that the data:
A)Identify the improvement required.
B)Identify the cause of the problem.
C)Identify questions to be asked.
D)Identify the results only.
Page 14
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Chapter 13: Strategic Management and Planning
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Sample Questions
Q1) When referring to the critical success factors (CSFs)that organizations use for developing their strategic plans,the term Community best describes which characteristic?
A)Community is society.
B)Community is the neighborhood surrounding the organization.
C)Community identifies the people served.
D)Community is the group of people working within the organization.
Q2) When applying for a management position,the nurse should ask about the goals and plans of the hospital.Strategic plans must be developed around:
A)The mission statement.
B)Patient population.
C)Staff input.
D)Infection rates.
Q3) Strategic goals are developed as a result of which information source?
A)Environmental scan
B)Electronic medical record
C)Changes in nursing practice
D)Changes in staff ratios
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Chapter 14: Financial Management
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Indirect costs in a nurse manager's budget would include:
A)Benefits.
B)Expected raises.
C)Shift differential.
D)Travel.
Q2) A positive budget variance can be identified by which situation?
A)A decrease in the budgeted expenditures
B)An increase in the budgeted expenditures
C)An increase in RN salaries
D)A decrease in patient ratios
Q3) A community health center leases space from the owner of the building.As the manager develops the budget,they understand this to be a fixed cost.From which of the following would the lease payment be paid?
A)Operating budget
B)Personnel budget
C)Capital budget
D)Cash budget
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Chapter 15: Management of Human Resources
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) When applying for a new position,the nurse knows to include what information in the cover letter?
A)Previous work history
B)Education
C)Date of availability
D)Salary expected
Q2) Employees are protected by federal law from sexual harassment.In which situation would this law apply?
A)A physician constantly approaches his surgical technician when she is alone.
B)A male nurse asks his female supervisor for an extra weekend off for a float trip and tells her she is welcome to come along.
C)During an annual performance evaluation,the female supervisor tells the male nurse that he is working above expectations and will receive a merit raise.
D)A male surgeon yells at a female nurse that she is incompetent and should be fired.
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Chapter 16: Providing Competent Staff
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27 Verified Questions
27 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) Orientation of new employees is a two-stage process.The first stage includes orientation to the hospital and its policies and expectations.What would the new nurse expect to accomplish at the time of the hospital orientation?
A)ECG interpretation
B)Critical care course
C)Medication test
D)BLS training
Q3) In addition to evaluative feedback,the nurse manager is also involved in orientation in which areas?
A)Encourages precepting with several nurses
B)Provides for optimal learning experiences
C)Orients to delegation of UAPs
D)Orients to nurse manager role
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18
Chapter 17: Personal and Workplace Safety
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Sample Questions
Q1) There are three steps to conflict management: determining the basis,analyzing the source,and conflict resolution.Which of the following may be the most likely source for conflict between a patient and the health care provider in the workplace?
A)Food served
B)Medication effects
C)Ethical dilemmas
D)Smoking withdrawal
Q2) Personal and financial issues,as well as drugs or alcohol,can impair employees and can precipitate violence.The nurse manager and all staff must be aware of the signs of drug or alcohol use.Which of the following indicators should concern the nurse manager in an employee when addressing violence in the workplace? Select all that apply.
A)Recent divorce
B)Troubled adolescent
C)Tremors of the hands
D)House foreclosure
E)Religious counseling
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Chapter 18: Legal Issues in Healthcare
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Sample Questions
Q1) Physical restraints are only allowed when the patient is at risk to themselves or others.Which of the following does the nurse understand about the use of restraints?
A)Restraints are used to prevent a patient from pulling out his Foley catheter.
B)Restraints are necessary to prevent the patient from getting out of bed.
C)If restraints are necessary,the least restrictive must be used.
D)The nurse must obtain an order to use restraints PRN.
Q2) If a nurse is caught confiscating pain medication for personal use,which procedure must be followed?
A)The nurse should be given a second chance.
B)The state nursing organization must be notified.
C)The state board of nursing must be contacted.
D)The nurse must be fired.
Q3) A nurse is moving to another state where she plans to practice nursing.Which of the following should she do to legally practice in another state?
A)Take the NCLEX exam for that state.
B)Seek reciprocity in the state.
C)Present the previous state license at the time of hire.
D)Seek a different profession.
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Page 20
Chapter 19: Staffing and Scheduling
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Sample Questions
Q1) Automated computerized staffing allows for which advantage to the staff?
A)It reduces the workload of the nurse manager.
B)Staff has many options on a first-come,first-served basis.
C)It provides for changes in daily patient acuity.
D)Weekend options are available.
Q2) Which ANA Principles for Nurse Staffing standard is applied to the organization?
A)Nursing ratios are mandated.
B)The need for documented competencies for all nurses delivering patient care is supported.
C)That nursing budgeted positions are not filled in a timely manner is accepted.
D)The needs of the staff nurse are secondary to the patient's needs.
Q3) Travel nurses have become very popular,especially among single,unattached nurses.Which of the following is an advantage of contracting with a travel nurse to the agency?
A)Cost
B)Availability
C)Competency
D)Contractual agreement
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21
Chapter 20: Supervising and Evaluating the Work of Others
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Sample Questions
Q1) What does it mean to create a legend in the organization?
A)A legend is to deify a person for his or her extraordinary actions.
B)A legend separates one member from another.
C)A legend creates an impossible example to duplicate.
D)A legend is a means of recognizing and rewarding a job well done.
Q2) When leading a team,a middle performing leader is seen as having which abilities?
A)Loyalty to institution
B)Acts as role model
C)Always positive with fellow nurses
D)Safe in all aspects of work
Q3) Which statement would one expect to hear at a team meeting in which members work cohesively?
A)"Who has ideas about this?"
B)"I think we have a solution."
C)"We are running out of time to discuss this today."
D)"We only want to hear positive ideas."
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Chapter 21: New Graduates: the Immediate Future
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Sample Questions
Q1) When interviewing with the nurse manager,the new nurse should be prepared to ask about:
A)Availability of on-site banking.
B)Timing of evaluations.
C)Benefits.
D)Parking.
Q2) The NCLEX-RN exam is designed to judge the candidate's ability to perform at the minimal standards for safety as an RN.When a new graduate gets the results,they understand which of the following?
A)Magnet Hospitals only hire those graduates who score very high on the exam.
B)This is a pass-fail exam.
C)Review courses were a waste of time and money.
D)Waiting for months after graduation allowed for more study time.
Q3) When preparing for the NCLEX-RN exam,students should remember Maslow's hierarchy of needs.What best explains this concept?
A)Patient's physical needs are a priority to safety.
B)Psychosocial needs are a priority to safety.
C)Education is a priority to safety.
D)Psychosocial needs are a priority to physical needs.
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