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Nursing Leadership and Management explores the principles, roles, and responsibilities essential for effective leadership and management in nursing practice. This course focuses on developing critical leadership skills such as decision-making, delegation, conflict resolution, and effective communication, as well as understanding the impact of organizational structure and culture on healthcare delivery. Students will learn strategies for managing teams, resources, and change within diverse healthcare settings, while also emphasizing ethical and legal considerations. By integrating theory and real-world scenarios, the course prepares future nurse leaders to promote safe, patient-centered care and adapt to the evolving challenges of the healthcare environment.
Recommended Textbook
Contemporary Nursing Issues Trends and Management 7th Edition by Cherry
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28 Chapters
610 Verified Questions
610 Flashcards
Source URL: https://quizplus.com/study-set/162 Page 2

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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/1942
Sample Questions
Q1) Occupational health nursing features beliefs similar to those of which early nursing pioneer?
A) Lillian Wald
B) Florence Nightingale
C) Clara Barton
D) Mary Seacole
Answer: A
Q2) The practice of public health nursing and the Henry Street Settlement are credited to:
A) Mary Breckenridge.
B) Mary Seacole.
C) Clara Barton.
D) Lillian Wald.
Answer: D
Q3) Nursing in the 1990s was characterized by:
A) men leaving nursing to enter the armed services.
B) traditional 8-hour shifts to nurse burnout and compassion fatigue.
C) a focus on preventable diseases.
D) a decrease in nursing research.
Answer: C
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/1943
Sample Questions
Q1) A group of new graduate nurses is asked to speak to a group of politicians to describe the current state of professional nursing and how best to alleviate the nursing shortage. Which statements accurately portray professional nursing today and tomorrow? (select all that apply)
A) More RNs attain a bachelor's degree than an associate degree or diploma.
B) Because of pressure to shorten length of stay in hospitals, more RNs practice in outpatient settings and home health than in acute care settings.
C) The most popular advanced practice specialty is nurse anesthesia.
D) White nurses are more likely to enter graduate school than nurses from other ethnic groups.
E) Nursing represents the largest health care professional group, followed by medical doctors.
Answer: A, E
Q2) Which nurse best portrays nursing as a "knowledge worker"?
A) Nurse in matched scrubs with lab coat, hair back, small stud earrings
B) Nurse in mismatched scrubs, no lab coat, large hoop earrings
C) Nurse in white uniform with apron with no jewelry/hair back
D) Nurse with nose ring and eyebrow piercing with starched white uniform and cap
Answer: A
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Available Study Resources on Quizplus for this Chatper
23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/1944
Sample Questions
Q1) A nurse realizes that a health care concern related to globalization was:
A) the emergence of epidemic hepatitis A.
B) the pandemic of H1N1 "swine flu."
C) reemergence of polio.
D) an increase in chronic illnesses.
Answer: B
Q2) When focusing on addressing issues identified by the 2000 Institute of Medicine report, the nursing faculty will access information associated with which initiative?
A) Quality and Safety in Nursing Education
B) Competency Outcomes and Performance Model (COPA)
C) The National Organization of Nurse Practitioner Faculties (NONPF)
D) Academic Center for Evidence-Based Practice (ACE)
Answer: A
Q3) The first university to offer nursing graduates a baccalaureate degree was:
A) Columbia Teachers College.
B) Yale University.
C) Harvard University.
D) the New York Regents Program.
Answer: B

Page 5
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Available Study Resources on Quizplus for this Chatper
22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/1945
Sample Questions
Q1) Which statements concerning licensure as a registered nurse are correct? (select all that apply)
A) Nurses who graduate from different types of nursing education programs are granted different types of licenses, those with a baccalaureate degree having the most expanded role.
B) A nursing license cannot be revoked, only suspended.
C) Each nurse practice act describes requirements for initial licensure.
D) It is illegal for states to ask about the mental or physical status of an applicant.
E) Students who graduate in the top 10% of their class are exempt from taking the NCLEX-RN for licensure.
F) Candidates for licensure must present proof of graduation as required by the state.
Q2) The primary purpose of licensure for RNs is to:
A) prevent others from using the title nurse.
B) demonstrate a specialized body of knowledge.
C) protect the public.
D) enhance recognition for the profession.
Q3) The primary purpose of licensure is protection of the ___________.
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/1946
Sample Questions
Q1) The basic ingredients of theory are ____________.
Q2) The statement, "Nursing is a caring profession that focuses on helping people be as healthy as possible," is an example of a:
A) concept.
B) construct.
C) philosophy.
D) model.
Q3) A nurse believes that humans use creativity and critical thinking to balance their connections with their surroundings. The nurse decides to conduct a study on the basis of this belief. Which nursing theory would be best for this study?
A) Peplau's interpersonal relations as a nursing process: man as an organism that exists in an unstable equilibrium
B) Roy's adaptation model: assistance with the adaptation to stressors to facilitate the integration process of the client
C) Orem's self-care deficit model: self-care, self-care deficits, and nursing systems
D) Rogers' science of unitary human beings: humans as energy fields that interact constantly with the environment
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Available Study Resources on Quizplus for this Chatper
23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/1947
Sample Questions
Q1) A new nurse researcher is interested in tracing the history of nursing research. The researcher learns that nursing research began with:
A) the work of Florence Nightingale during the Crimean War.
B) studies between 1900 and 1940 following Nightingale's work.
C) studies to improve patient care by doctorally prepared nurses.
D) studies based on the naturalistic paradigm.
Q2) A researcher is interested in quality of life and after an extensive literature review quantitatively integrates data from identified studies and describes the findings. This researcher is using which approach? (select all that apply)
A) Survey
B) Triangulation
C) Meta-analysis
D) State of the science summary
E) Quasi-experimental design
Q3) Development and validation of the body of knowledge and foundation on which practice is based is called ____________.
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/1948
Q1) A patient is eligible to change health care providers and insurance and asks, "I am interested in health promotion activities; I walk, swim, and eat healthy. Which health insurance plan would support these activities rather than just pay for services when I am sick"? Which, if any, health insurance plan would best meet the needs of this patient?
A) Health Maintenance Organization (HMO).
B) Fee for Service.
C) Preferred Provider Organization (PPO).
D) None, because health insurance plans currently cover only disease management, not preventive care.
Q2) Lack of insurance, uninsured populations, and uncompensated care are covered by charging more to those who can pay. This practice is referred to as: A) charity.
B) cost shifting.
C) price sharing.
D) governmental reimbursement.
Q3) The largest single payer of hospital charges in the United States is ___________.
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/1949
Sample Questions
Q1) A nursing student planning to apply for licensure knows that being charged with which offense would result in a minor criminal offense?
A) Solicitation of illegal drugs
B) Stealing a car
C) Failing to report elder abuse
D) Billing Medicare for services not rendered
Q2) A client states, "I am leaving. No one here knows what they are doing." The nurse completing the Against Medical Advice form must:
A) defer notifying the provider until the client has had ample time to leave.
B) state in medical terms the risks of leaving.
C) inform the client that leaving could result in complications and impairment.
D) detain the person with the use of soft restraints until security arrives.
Q3) A nurse who functions in the role of team leader can be held negligent for matters involving:
A) inadequate training.
B) lack of development of proper policies and procedures.
C) failure to discipline unsafe workers.
D) delegation of client care tasks.
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/1950
Sample Questions
Q1) A 13-year-old female is brought to the family planning clinic by her enraged father, who has just learned that she is pregnant. The pregnant client states, "I want to have this baby and give it up for adoption." However, the father is adamant that she will disgrace the family and demands that the health care providers tell his daughter that she has a physical condition that would prohibit her from carrying this baby to a viable stage. The nurse realizes that this is a conflict that involves the ethical principle of:
A) deontology.
B) veracity.
C) autonomy.
D) beneficence.
Q2) The nurse who admits making a medication error and immediately files an incident report is demonstrating:
A) accountability.
B) individuality.
C) an injustice.
D) values clarification.
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/1951
Q1) While completing a nursing degree in Virginia, a student who is interested in teaching in Laredo, Texas, enrolls in Spanish classes for 4 years, knowing that a high number of Mexican-Americans live there. This nursing student values:
A) cultural competence.
B) ethnocentrism.
C) prejudice.
D) stereotyping.
Q2) An Asian teenager is admitted with an eating disorder which she contributes to by not meeting the academic expectations of her parents. The nurse is overheard saying, "That isn't the reason; all Asians are really smart." This nurse is demonstrating:
A) cultural humility.
B) stereotyping.
C) cultural assimilation.
D) acculturation.
Q3) Although communication varies among members of different cultures, the greatest obstacle to providing multicultural care is differences in _____.
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/1952
Sample Questions
Q1) A patient states, "My cancer is in remission finally after all that chemotherapy, my friend used the same chemotherapy and wasn't so lucky. I want to continue participating in spiritual care and 'mind games' to keep my memory intact. I am also enrolled in Tai chi, but I just can't stop thinking about my sick lung." This patient adheres to which principle underlying alternative healing?
A) A negative alteration in the body produces a parallel effect on the mind and spirit.
B) The body can heal itself with the help of complementary alternative therapies.
C) Approaches to therapy are individualized.
D) There is a focus on the total lifestyle.
Q2) The massage therapist uses kinesthesia, or thinking about how movement is expressed, to correct habits that cause poor posture and limited movement. This type of massage is called:
A) Alexander technique.
B) Feldenkrais method.
C) healing touch.
D) Reiki.
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/1953
Sample Questions
Q1) According to the Palliative Performance Scale which patient is considered to possess 70% of normal function?
A) 40 year old diagnosed with AIDS whose condition makes it impossible to hold a job.
B) 70 year old diagnosed with end stage renal failure who spends most of the day in bed.
C) 50 year old diagnosed with emphysema whose disease has begun to impact normal ambulate.
D) 30 year old diagnosed with muscular dystrophy who is bed bound.
Q2) When working with the family of a patient receiving palliative care, what is the nurse's initial intervention?
A) Determining who will be the patient's durable power of attorney
B) Identifying what types of help the family will need to care for the patient
C) Completely an assessment of the family's strengths and weaknesses
D) Discuss the dynamics of the family with the patient
Q3) ________________ occurs when a physician predicts the course and outcome of a disease process.
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/1954
Sample Questions
Q1) Nurses who are expected to work overtime as dictated by their employer are being subjected to a ___________ hazard in the workplace.
Q2) Which situation would be considered a workforce advocacy issue that is reportable to the state nurses association or the Center for American Nurses if it is not resolved at the local level?
A) Nurses prefer to wear navy blue scrubs, but the institution requires burgundy scrubs, which interferes with autonomy.
B) The cafeteria often serves fried vegetables rather than healthier baked vegetables, causing the potential for hyperlipidemia.
C) The hospital pharmacy does not fill employee prescriptions upon receiving them; instead, they fill employee prescriptions after all inpatient prescriptions have been filled. D) The key needed to change the sharps container is locked in the supervisor's office after 3 PM on weekdays and all day on weekends, which prevents changing of the container when needed and places nurses at risk for needlesticks.
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/1955
Q1) A concern that nurses were being asked to perform tasks that went beyond the state's nurse practice act was brought to the union's attention. Nurses were informed that either mediation or binding arbitration will be used to resolve the issue. A novice nurse asks about the difference between these techniques and is informed that:
A) mediation is sanctioned by the National Labor Relations Board (NLRB) to formally discuss concerns with management and labor.
B) binding arbitration is a formal discussion between labor and management in which the arbitrator's recommendations are compulsory.
C) mediation uses a trained person to negotiate a legally binding plan.
D) binding arbitration requires both labor and management to participate in discussions on the least destructive approach to allow self-governance by employees.
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/1956
Sample Questions
Q1) When paper-and-pencil medical records are compared with computer-based records:
A) paper-and-pencil records provide controls to determine who has viewed the health information.
B) information contained in a paper-and-pencil record has the capability of being more in-depth than that found in computer-based records.
C) patients have the right to know that the confidentiality of their records is strictly maintained, regardless of the type of medical record used.
D) patients must sign for each item of information released on the computer record.
Q2) A nurse interested in quality improvement tools performed a search for cause and effect diagrams using www.ishikawa.com. A page opened that provided images and templates for performing fishbone diagrams. Which type of search did the nurse conduct?
A) Quick and dirty
B) Advanced
C) Brute force
D) Link searching
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/1957
Q1) Troops from the United States participating in a peace mission in a foreign country were the victims of suicide bombers and many soldiers were evacuated back home to receive specialized medical care. The nation's medical responses will be augmented by:
A) the federally coordinated National Disaster Medical System.
B) local homeland communities where troops receive care.
C) the Medical Reserve Corps, which organizes and utilizes public health, nursing, medical, and other volunteers.
D) the National Incident Management System, which guides government, nongovernmental organizations, and the private sector to work seamlessly during disaster situations.
Q2) The disaster medical assistance team works quickly to contain contaminants from a chemical plant explosion. Afterward, personnel undergo a special process to remove harmful chemicals from equipment and supplies. This removal process is known as:
A) containment.
B) decontamination.
C) triage.
D) scene assessment.
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/1958
Sample Questions
Q1) A hospital's policy requires that all nurse managers must have a minimum of a bachelor's degree in nursing. A BSN nurse new to the hospital has recently been hired as nurse manager for the oncology unit. An RN who has worked on this unit for many years is unable to be promoted to a nurse manager position because of his educational status and has been commenting to physicians and staff, "The new nurse manager has book sense but no leadership abilities." What is the best approach that can be used by the new nurse manager who is attempting to gain the trust and respect of the nursing staff on the unit?
A) Send memos to all staff except the upset nurse to invite them to a luncheon.
B) Ask management to transfer the upset nurse to another unit.
C) Assign the upset nurse to committees that do not directly affect that nursing unit.
D) Acknowledge the clinical expertise of the upset nurse and clearly explain the expectations for teamwork and open, honest communication.
Q2) One difference between a leader and a manager is that a:
A) leader has legitimate authority.
B) manager motivates and inspires others.
C) manager focuses on coordinating resources.
D) leader focuses on accomplishing goals of the organization.
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Page 19
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/1959
Sample Questions
Q1) Nurses on a unit met with the nurse manager as part of participatory budgeting. They ask, "What exactly is the difference between fixed and variable costs?
Understanding this will help us better understand the budgeting process." The manager provides a definition and asks the staff to list types of direct and indirect cost. Which example would indicate a need for further teaching?
A) Fixed costs would include accreditation fees.
B) Fixed cost would include the cost for the automated medication-dispensing system.
C) Variable cost would include the nurse manager's salary.
D) Variable cost would include the salary expense for registered nurses.
Q2) Which component of budgeting might normally be addressed in the annual performance evaluation for a nurse manager?
A) Including in the labor budget costs for overtime and benefits
B) Managing variances in nursing overtime costs and supply usage
C) Accurately predicting revenues on the basis of unit-of-service
D) Providing qualitative analysis for variances in the capital budget
Q3) The financial plan required for the distribution of resources and expenses is a
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/1960
Sample Questions
Q1) The nurse caring for a patient states, "Your blood pressure is dangerously high. Are you taking antihypertensive medicine?" The patient states, "I can't afford my medicine. I have no insurance." The nurse states "I feel really sorry for that patient. I wish it wasn't against policy to give her money." The nurse wants to help and places a note on Facebook that any donations would be appreciated to help a waitress who works at the cafeteria next door to the hospital buy her medications. The nurse posts that "She was so sick last evening when she came to the ED. I can't believe they don't provide insurance. I can't give her money but you all can help." This nurse:
A) is showing empathy and as long as she lets the patient know the money is not from her, she is not violating any social media guidelines.
B) is at risk for HIPAA violations.
C) has properly followed policy and protected the patient by not using her name. D) is demonstrating the logical fallacy of slippery slope.
Q2) The healthiest form of communication is the ________ style.
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Page 21

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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/1961
Sample Questions
Q1) An RN delegates to the unlicensed assistive personnel (UAP) the task of performing blood pressure checks for a group of patients on a nursing unit. The UAP accepts the task and is responsible for:
A) delegating the task to another UAP if he or she does not have the time or skill to complete the task.
B) keeping the RN informed of any abnormal blood pressure readings.
C) calling the physician when the patient's vital signs are not within established parameters.
D) informing the dietary department to initiate a low-sodium diet for patients who are hypertensive.
Q2) The RN instructs the LPN to "Give an enema to the patient in room 327 who is being discharged but is complaining of being constipated. Then be sure to document on the medication administration record when given." Which of the five rights was missing in this situation? The right of:
A) direction and communication.
B) task.
C) person.
D) circumstances.
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/1962
Sample Questions
Q1) A nurse plans care knowing when specific recovery milestones are expected. The nurse is providing care via:
A) patient classification systems.
B) clinical pathways.
C) functional nursing.
D) case management.
Q2) A hospital is concerned with nurse retention and realizes that job satisfaction is a major influence. To enhance employee satisfaction related to staffing, the management team:
A) negotiates for additional agency nurses.
B) hires more part-time employees.
C) includes participatory management into staffing decisions.
D) uses "float" nurses to cover vacancies.
Q3) Customer satisfaction is primarily based on:
A) access to modern, up-to-date facilities.
B) availability of an extensive menu selection.
C) personal interactions with employees.
D) having to undergo fewer invasive procedures.
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/1963
Sample Questions
Q1) While taking a shower, a patient pushes the emergency light. When the nurse arrives, the patient complains of feeling dizzy and unsteady. The nurse turns to reach for the patient's walker and the patient falls, hitting the right side of the face resulting in loss of vision in the right eye. This scenario represents a _______ event.
Q2) A nurse is assisting with the delivery of twins. The first infant is placed on the scale to be weighed. The physician requests an instrument stat. The nurse turns to hand the instrument to the physician, and the infant falls off the scale. When evaluating the incident, the nurse and her manager list contributory factors such as the need for two nurses when multiple births are known, and the location of the scale so far from the delivery field. These nurses are performing a(n):
A) standardization of care.
B) root cause analysis.
C) process variation.
D) analysis of a deployment flowchart.
Q3) Quality is defined by the ____________.
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/1964
Sample Questions
Q1) A nurse is interested in learning more about health policy and how it might impact nursing practice. She is especially interested in The Patient Protection and Affordable Care Act (PPACA) and how it will travel through the three branches of the federal government. She researches the roles of the legislative branch of the federal government and learns that this branch: (select all that apply)
A) determines which laws are constitutional, such as recently deciding the PPACA is constitutional because it is a form of taxation.
B) has the exclusive power to determine where federal dollars will be spent, such as supporting the PPACA.
C) consists of the Office of the President and 15 executive departments that supported the PPACA.
D) has the power to veto laws found constitutional by the Supreme court and therefore could veto the PPACA.
E) can override a Presidential veto, making it possible to amend the PPACA even without approval of the President.
Q2) The greatest barrier to access to health care for a poor Hispanic person living in downtown Chicago is lack of health ____________________.
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/1965
Sample Questions
Q1) During orientation, a novice nurse sits and "virtually spends" the first few paychecks, envisioning the money going into a personal bank account. In the dream state, the nurse smiles and knows that the pain of nursing school was worth it. Which phase of reality shock is the nurse experiencing?
A) Honeymoon
B) Shock or rejection
C) Recovery
D) Resolution
Q2) In distinguishing between evaluation methods used in school versus those used in the work environment, it is noted that the work environment evaluation includes:
A) determining whether steps are logical.
B) formulating increments in correct order.
C) efficiently organizing stages of the procedure.
D) appraising outcomes according to policy.
Q3) It is important for novice nurses to know that "self-esteem = self-confidence + self-______."
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/1966
Sample Questions
Q1) When using the ABC system of managing time, those items coded A include:
A) calling the pharmacy to see whether a drug insert is available for a patient.
B) checking to see why a ventilator is alarming.
C) organizing the medication cart.
D) writing memos to remind everyone to contribute to the boss's birthday gift.
Q2) When choosing to delegate, the nurse should delegate the task to the most qualified person or to the person he or she wishes to:
A) develop.
B) promote.
C) punish.
D) reward.
Q3) When deciding whether and when a task should be completed, a nurse must:
A) complete all tasks as they are thought of to prevent having to take time to consider which is most important.
B) procrastinate and hope that someone will volunteer to do it.
C) ask, "What will happen if I don't complete the task now?"
D) view large projects holistically and not as many small pieces.
Q4) The most important step in time management is ____________.
Page 27
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/1967
Sample Questions
Q1) Advanced practice nurses are prepared minimally at the master's degree level with prescriptive privileges; these professionals include: (select all that apply)
A) clinical nurse leader.
B) nurse practitioner.
C) nursing administrator.
D) certified nurse-midwife.
E) clinical nurse specialist.
Q2) A new graduate desires a position in labor and delivery; however, no position is available. What is the best advice for this nurse?
A) Continue to study to keep skills current and wait for desired position.
B) Return to college until a position in labor or delivery opens.
C) Accept another nursing position and transfer into labor and delivery when a position is available.
D) Practice obstetrical skills in a simulation lab then present evidence of competency to potential employer.
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Source URL: https://quizplus.com/quiz/1968
Sample Questions
Q1) A nurse preparing a resume for the first position is anxious to demonstrate all achievements, which included completing a rigorous accelerated program and maintaining a high GPA while also serving in many community projects and leadership positions. The applicant finds it impossible to include all the accolades on one page and researches tips for professional cover letters and resumes and learns:
A) margins should be at least 0.5 inch on all four sides, making conciseness important.
B) paper should be bright colored to catch the attention of the recruiter.
C) legal size paper may be used when applicants have many accolades or extensive work history.
D) standardized cover letters present a professional image as opposed to those that stress the applicant's perspective too heavily.
E) include in the cover letter that after researching other position, this is the applicant's preference.
Q2) The key to a successful interview is being ____________.
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/1969
Sample Questions
Q1) "A patient with end-stage renal disease has a potassium level of 7.5 mEq/L. Based on this laboratory result, the nurse interprets which symptom as significant prompting which action?
A) Drowsiness, stimulate the patient every 30 minutes
B) Confusion, ask the patient to state their name and date of birth
C) Irregular heartbeat, evaluate the patient's capillary refill
D) Muscle cramps, elevate the affected limb"
Q2) Which strategy would promote a high rate of success on the National Council Licensure Examination for Registered Nurses (NCLEX-RN) examination?
A) Since the examination is time limited, skip questions when unsure of the answer and return later if time permits.
B) Work quickly through the examination to answer as many questions as possible.
C) Mark questions that may need to have the answer reviewed to make it possible to quickly go back and make change after answering all questions.
D) Read the entire question and all possible answer options before selecting an answer.
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