Nursing Leadership and Management
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Course Introduction
This course explores the principles and practices of leadership and management within the nursing profession. Emphasizing the development of critical thinking, problem-solving, and decision-making abilities, it covers key topics such as effective communication, team dynamics, conflict resolution, resource allocation, and strategic planning. Students will examine contemporary leadership theories and management frameworks, focusing on their application in healthcare settings to improve patient outcomes and organizational efficiency. Through case studies and practical exercises, learners will gain the skills needed to lead diverse healthcare teams, manage change, ensure quality care, and address ethical and legal considerations in nursing leadership roles.
Recommended Textbook
Guide to Nursing Management and Leadership 8th Edition by Ann Marriner Tomey
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15 Chapters
375 Verified Questions
375 Flashcards
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Chapter 1: Communications
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) A rural health nurse is evaluating the use of a telehealth system for the rural health clinic.Using this type of information technology can violate a client's rights when personnel:
A)Disseminate client information to a local physician
B)Disseminate client information to nearby hospitals
C)Disseminate the client's password for easier access
D)Disseminate client information to third-party reimbursers
Answer: C
Q2) In assessment of cross-cultural communication,which nonverbal behavior is the most important?
A)Placement of hands
B)Facial expression
C)Use of words
D)Eye contact
Answer: B
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Chapter 2: Stress Management
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) A nurse manager complains to another nurse about a new graduate who just began working on the unit.The nurse manager's behavior can best be described as:
A)Workaholism
B)Chronic fatigue
C)Burnout
D)Eustress
Answer: C
Q2) What could a registered nurse (RN)delegate to a licensed practical nurse/vocational nurse (LPN/VN)that the RN could not delegate to a nursing assistant?
A)Making beds
B)Ambulating the client
C)Administering oral medications
D)Obtaining a urinary specimen
Answer: C
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Chapter 3: Decision-Making Process and Tools
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25 Flashcards
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Sample Questions
Q1) An ad hoc committee was formed to collect data about the increase in absenteeism throughout the hospital.To ensure that this ad hoc committee functioned efficiently,the hospital limited the number of committee members to:
A)8
B)3
C)20
D)18
Answer: A
Q2) The staff nurse is assessing the need for further teaching for a preoperative surgical client.Based on the steps of critical thinking,what is the nurse's first priority?
A)Identifying the problem
B)Developing a frame of reference
C)Identifying implications and consequences
D)Implementing inferences and conclusions
Answer: A
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Chapter 4: Motivation and Morale
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25 Flashcards
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Sample Questions
Q1) A staff nurse continually voiced complaints to the nurse manager about the workload.The staff nurse was exhibiting:
A)High productivity
B)High morale
C)Low productivity
D)Low morale
Q2) Newly hired nurses were having difficulty in delegating tasks to the nursing assistants.They approached the nurse manager about setting up a leadership laboratory.The nurse manager decided that the key component that needed to be taught was:
A)How to take care of one's body
B)How to accept feelings
C)How to engage in responsible decision making
D)How to be successful
Q3) Likert's participative management theory differs from McGregor's theory Y in that Likert's research found that:
A)Only general supervision is adequate
B)More supervision leads to greater productivity
C)Employee-centered supervision is more productive
D)Job-centered supervision is more productive
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Chapter 5: Power, Politics, and Labor Relations
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25 Flashcards
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Sample Questions
Q1) A bill,HR 152,was originated by a group of nurses lobbying Congress for staffing based on nurse-patient ratio.After it was originated,this bill then went to:
A)The president of the American Nurses Association
B)The primary sponsor
C)A committee of the House of Representatives
D)A committee of the Senate
Q2) The union has a security clause that requires all new employees to join the union.The security clause states that all members must maintain their memberships during the duration of the contract.This is an example of:
A)A closed shop
B)A union shop
C)A maintenance-of-membership clause
D)An agency shop
Q3) Which of the following statements about union labor practices is untrue?
A)Union representatives must be able to bargain with the employer.
B)The union may take a strike action without notifying the employer.
C)The union cannot boycott a hospital's vendors.
D)The union cannot cause the employer to pay for services not performed.
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Chapter 6: Conflict Management and Negotiation
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25 Flashcards
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Sample Questions
Q1) The licensed personnel were told that they could no longer wear different-colored scrubs as their uniforms.They were told that they had to wear white uniforms.Because the licensed personnel were unionized,they refused to continue working until they could resume wearing different-colored scrubs.The best way for the nurse manager to handle this situation would be to:
A)Express the shared value of choice with the licensed personnel
B)Use the nurse manager's authority and force them to comply
C)Demonstrate acceptance of their request
D)Explore the reason for the resistance to wearing white uniforms
Q2) The nurse manager of a long-term care facility was mediating an interpersonal conflict between a staff nurse and a nurse's aide who worked together on the night shift.One strategy that the nurse manager used was to:
A)Allow each staff member to blame the other
B)Encourage the staff nurse to tell her side of the story
C)Allow the nurse's aide to tell the staff nurse which of her personality traits bothered him
D)Encourage each staff member to listen to the other's point of view
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Page 8
Chapter 7: Theories of Leadership and Management Development
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25 Flashcards
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Sample Questions
Q1) What might one find in Likert's consultative system that would be less likely in participative management systems?
A)Staff members' ideas are sought.
B)Sometimes an informal organization resists the formal goals.
C)Staff members feel free to discuss their jobs with the manager.
D)Decision making is integrated throughout the organization.
Q2) Which of the following management theorists established a work standard based on the effects of fatigue on work performance?
A)Frederick Taylor
B)Frank Gilbreth
C)Henry Gantt
D)Abraham Maslow
Q3) Which of the following management theorists favored a division of work through specialization?
A)Elton Mayo
B)Kurt Lewin
C)Jacob Moreno
D)Henri Fayol
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Chapter 8: Strategic and Operational Planning
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25 Flashcards
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Sample Questions
Q1) A staff nurse participates in the determination of goals by establishing:
A)Institutional goals and objectives
B)Goals and objectives for the nursing service
C)Unit goals and objectives
D)Outpatient service goals and objectives
Q2) The hospital's business plans call for a market analysis.A market analysis includes:
A)Definition of the nature of the organization
B)A resource analysis
C)Determination of the developmental costs of projects
D)Formulation of alternative strategies
Q3) The nurse manager of a unit uses strategic planning when the manager:
A)Decreases staffing
B)Increases duplication of efforts
C)Sets unrealistic goals
D)Gives direction to the unit
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10
Chapter 9: Financial Management, Cost Containment, and Marketing
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Sample Questions
Q1) The chief nursing officer needed to make changes in the staffing budget because the hospital was opening an additional 10 beds to the emergency department.The nursing administrator had to look at what type of costs?
A)Variable costs
B)Sunk costs
C)Semivariable costs
D)Marginal costs
Q2) The hospital established the financial responsibilities of the personnel who are part of the budgetary process.The function of the nurse managers and department heads during the budgetary process is to:
A)Provide general planning expertise
B)Formulate and execute the budget by using guidelines
C)Establish a completion timetable
D)Prepare and review goals and objectives,and compile the budgets for their departments
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Chapter 10: Organizational Concepts and Structure
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Sample Questions
Q1) A hospital established a professional partnership with a local nursing program.A joint practice agreement was signed between the two agencies.This is an example of what type of multiorganizational arrangement?
A)Informal affiliations
B)Formal affiliations
C)Shared or cooperative services
D)Consortia
Q2) In response to the rising costs of health care,hospitals have developed population-based health programs that focus on a given disease or health condition and provide care to groups needing specialized health services.These programs,developed as managed care health plans,are termed:
A)Disease management programs
B)Coordination of care
C)Modular care
D)Consolidation of health plans
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12
Chapter 11: Organizational Culture, Change, and Innovation
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25 Flashcards
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Sample Questions
Q1) The nurse manager attempted to help staff members adjust to the new organizational merger by explaining the need for changes and modeling tolerance of these changes.The nurse manager demonstrated what type of tolerance?
A)Cognitive dissonance
B)Tolerance of others
C)Tolerance of ambiguity
D)Tolerance of insolubility
Q2) A hospital specializing in women's and children's services opened in a mid-sized town.As the organization grew,more staff members were needed to accommodate the new services added.The hospital developed job descriptions,policies,and procedures for the employees working in the new services.This hospital was going through which developmental stage?
A)Birth
B)Youth
C)Maturity
D)Termination
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13
Chapter 12: Selection and Development of Personnel
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Sample Questions
Q1) To promote nurses who are successful leaders within the organization,a hospital may institute what type of planning?
A)Career planning
B)Clinical ladder planning
C)Succession planning
D)Developmental planning
Q2) The human resources (HR)department has begun the process of orientation for a group of new nurses.After the HR department provides information about salaries,pay scale,holidays,and so on,the next most likely step in the orientation process,which is carried out by the nurse manager,is:
A)Induction
B)Orientation to the institution
C)Orientation to the nursing services
D)Orientation to the specific job
Q3) Which generation views retirement as a period of renewal?
A)The silent generation
B)The baby boomer generation
C)Generation X
D)The Internet generation
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Page 14
Chapter 13: Staffing and Scheduling
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Sample Questions
Q1) Various scheduling and staffing methods have advantages and disadvantages for personnel.When new graduates enter the workforce,they are more likely to be given undesirable work schedules if what type of scheduling system is used?
A)Self-scheduling
B)Rotating work shifts
C)Permanent shifts
D)Block,or cyclical,scheduling
Q2) Leaders and managers play different roles in staffing;therefore,one of the functions of the nurse manager with regard to staffing is:
A)Communicating the need for a staff mix
B)Examining the unit standard of productivity
C)Matching staff to patient needs
D)Considering the impact of extraneous factors on staffing
Q3) Centralized scheduling has many advantages,including which of the following?
A)Managers have authority.
B)Some managerial time is freed up for other activities.
C)Staffing is less complicated.
D)Employees can receive individualized treatment.
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15
Chapter 14: Evaluation and Discipline of Personnel
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Sample Questions
Q1) Which of the following is a multisource system of assessment that includes self-appraisal and subordinate,peer,and administrative feedback?
A)Appraisal interview
B)Subordinate evaluation
C)360-degree feedback
D)Management by objectives
Q2) The nurse manager is aware that decreased productivity is a side effect of:
A)Withdrawal
B)An appraisal report
C)Personnel problems
D)Conflict with physicians
Q3) The nurse manager referred a discharged staff member to counseling.Counseling helps to improve an employee's mental health and thus:
A)Enables the employee to relive the experience
B)Increases emotional tension
C)Promotes appropriate behavior
D)Enhances dependence on the counselor
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16
Chapter 15: Continuous Quality Improvement, Risk
Management, and Program
Evaluation
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Sample Questions
Q1) Both leaders and managers have a responsibility for quality improvement.A manager's function is to:
A)Build a culture of disparity
B)Determine discrepancies between care provided and standards
C)Be proactive rather than reactive
D)Encourage the use of electronic systems
Q2) Which organization attempts to develop and implement a case mix classification system that can provide a basis for Medicare and Medicaid payments as well as serve as a quality monitoring system?
A)The Joint Commission
B)The Institute of Medicine
C)The Multistate Nursing Home Case Mix and Quality Demonstration
D)The National Committee for Quality Assurance
Q3) Effective January 1,2007,the Joint Commission requires accredited hospitals to collect and submit performance data related to which of the following?
A)Acute myocardial infarction
B)Acquired immunodeficiency syndrome
C)Total hip replacement
D)Diabetes mellitus
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