Nursing Leadership and Management Study Guide Questions - 415 Verified Questions

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Nursing Leadership and Management Study Guide Questions

Course Introduction

Nursing Leadership and Management explores the essential theories, principles, and practices of effective leadership and management within healthcare settings. Emphasizing both traditional and contemporary leadership styles, the course develops students' skills in communication, team building, conflict resolution, decision-making, and change management. Through case studies, practical exercises, and evidence-based approaches, students learn to supervise teams, coordinate care delivery, allocate resources, and foster a culture of safety and quality improvement. The course prepares future nurse leaders to navigate complex healthcare environments, promote ethical practice, influence policy, and drive positive organizational outcomes.

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Professional Nursing Concepts Challenges 8th Edition by Beth Black

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415 Verified Questions

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Chapter 1: Nursing in Todays Evolving Health Care Environment

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Q1) What has been found about the outcomes of patients cared for in hospitals with a higher percentage of BSN-prepared nurses as compared to patients in hospitals with a lower percentage of BSN-prepared nurses?

A) Patient outcomes are more dependent on nurse-patient ratios.

B) Outcomes were better in hospitals with more BSN-prepared nurses.

C) Outcomes were similar in both types of hospitals.

D) Medical patients had better outcomes, but surgical patients fared the same.

Answer: B

Q2) Which of the following could eventually change the historical status of nursing as a female-dominated profession?

A) More men graduating from baccalaureate and higher degree programs

B) The proportion of men in nursing beginning to increase

C) More male graduates of basic nursing programs entering the workplace

D) Salary compensation increasing to attract more men

Answer: C

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Chapter 2: The History and Social Contexts of Nursing

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Q1) Nursing practices during the Civil War advanced the cause of professional nursing.The move toward formal education and training was supported by

A) endorsement by the Catholic nursing orders (Sisters of Charity, Sisters of Mercy, and Sisters of the Holy Cross).

B) a proposal by Dr. Samuel Gross in 1869 that large hospitals develop training schools for nurses.

C) reports of inadequate conditions in hospitals reported by social reformers after the Civil War.

D) lobbying by the United States Sanitary Commission for the creation of nursing schools.

E) the appointment of Dorothea Dix as Superintendent of Women Nurses of the (Union) Army.

Answer: B,C,D,E

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

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Chapter 3: Nursings Pathway to Professionalism

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Q1) An important aspect of professionalism is collegiality.Which of the following demonstrates collegiality?

A) Assisting a nurse researcher with data collection related to measuring stress levels in hospitalized children

B) Reporting a nursing assistant to the nurse manager when heart rate was not recorded in a patient chart

C) Participating in weekly patient care conferences with physicians, social workers, and other therapists

D) Sharing with another nurse that you heard the nurse manager is dating the new physical therapist on the unit

E) Serving as a preceptor to a nurse completing a refresher course to reactivate her nursing license.

Answer: A,C,E

Q2) According to the nurse's Code of Ethics,the hallmark of nursing practice is A) autonomy.

B) accountability.

C) evidence-based practice.

D) altruism.

Answer: B

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Chapter 4: Nursing Education in an Evolving Health Care Environment

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Q1) What is the purpose of articulated models or systems for nursing education?

A) Increasing curriculum similarities in nursing programs

B) Allowing nurses to work in nursing as they gain additional education

C) Increasing the numbers of nursing education programs

D) Facilitating opportunities for nurses to move up the educational ladder with ease

Q2) 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

Q3) Which of the following is a part of the history of doctoral education in nursing?

A) The nurse scientist program was discontinued after more universities began offering doctoral programs in nursing.

B) The first doctoral degree (PhD) was offered at the University of Pittsburgh.

C) The number of doctoral programs in nursing has doubled since 1990.

D) The largest numbers of doctoral programs are practice-focused.

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Chapter 5: Becoming a Professional Nurse: Defining Nursing and

Socialization Into Practice

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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 of the following is an example of Orem's self-care theory?

A) Assuring proper fresh air and ventilation

B) Demonstrating good handwashing techniques

C) Assisting a disoriented patient with a bath

D) Performing a visual screening exam

Q3) The legal definition of nursing for any particular state can be found in the

A) state legislature's official newsletter.

B) state board of nursing's bylaws.

C) governor's official papers.

D) state's nurse practice act.

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Chapter 6: Legal Aspects of Professional Nursing Practice

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Q1) Which patient rights are guaranteed by HIPAA?

A) Patients are asked to sign a release of responsibility if their health care records inadvertently become a matter of public record.

B) Patients sign a release protecting the health care provider and insurance company against computer file theft.

C) Patients are protected against medical records being indiscriminately shared.

D) Patients may receive a complete copy of their medical records at no cost.

Q2) In which of the following situations should the legality of an informed consent be questioned?

A) Patient with dementia; consent given by spouse

B) Patient who received a preoperative dose of Demerol before giving consent

C) Patient who is anxious and asks many questions of the physician

D) Patient who expresses concern about the cost of the procedure

Q3) Which of the following puts the nurse at increased risk for legal action?

A) Delegating a Foley catheter insertion to a LPN/LVN

B) Documenting the exact words a patient uses when complaining

C) Not assessing a patient who is complaining of pain

D) Caring for a postoperative patient who has a pulmonary embolus while being transferred to the chair

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Page 8

Chapter 7: Ethics: Basic Concepts for Professional Nursing

Practice

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Sample Questions

Q1) A nurse is involved in an ethically challenging case.To use an ethical decision-making model,which step should the nurse perform first?

A) Gather and examine all possible solutions.

B) Identify the ethical dilemma in the case.

C) Identify all parties who will be impacted by the decision.

D) Gather all information important to the situation

Q2) The current emphasis on eliminating racially based health disparities is based on which of the following ethical principles?

A) Double effect

B) Fidelity

C) Justice

D) Veracity

Q3) According to Kohlberg's theory of moral development,adolescents who shoplift are operating in which level of moral development?

A) Preconventional

B) Conventional

C) Postconventional

D) Developmental

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Chapter 8: Conceptual and Philosophical Foundations of Professional Nursing Practice

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Q1) Bandura's theory of self-efficacy described people's response to health-related behaviors.Which of the following was a major premise of this theory?

A) Patients will take responsibility for their health if they understand the risks and benefits.

B) A "cue to action" is a powerful motivator for changing health behavior.

C) Belief in self as having the ability to improve health is important in changing health behaviors.

D) Health is genetically predetermined and cannot be influenced by an individual's actions or beliefs.

Q2) Which statement by an obese individual could be assessed as perceiving self-efficacy?

A) "I've never been able to lose weight on any diet."

B) "It's better to maintain one's weight than lose weight and gain it all back."

C) "I'll be all right as long as my spouse will stay on the diet with me."

D) "I believe I can stay on this diet as long as necessary."

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Page 10

Chapter 9: Nursing Theory: The Basis for Professional Nursing

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Q1) The nurse is caring for a young Hispanic patient after surgery.The patient hesitates when the nurse asks about meal selections from the menu.When the parents return,the nurse asks the patient what foods are eaten when one is ill.The nurse could be basing care on the theory of

A) Leininger.

B) Neuman.

C) Orlando.

D) Peplau.

Q2) A nurse has been introduced to theory as a guide to research and practice.This nurse is prepared at which level of nursing education?

A) Associate degree

B) Bachelor's degree

C) Master's degree

D) Doctoral degree

Q3) Which component of nursing theory describes a testable outcome?

A) Conceptual model

B) Proposition

C) Framework

D) Metaparadigm

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Chapter 10: The Science of Nursing and Evidence-Based Practice

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Q1) Evidence-based nursing practice involves which of the following?

A) The use of the best evidence available supporting the interventions

B) The use of randomized controlled trials only versus qualitative studies

C) The expertise of the professional nurse

D) Resources to identify practices that have traditionally been used in nursing practice

E) The preferences of the individual patients and their families

Q2) What is the current name of the agency that serves as an important source of funding for nursing research?

A) NIH

B) National Institute of Nursing Research

C) National Center for Nursing Research

D) National Nursing Research Agenda

Q3) What body has been established to protect participants of research?

A) Institutional review board

B) State board of nursing

C) Nursing research board

D) Peer review panel

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Chapter 11: Developing Nursing Judgment Through Critical Thinking

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Q1) The nurse is admitting a patient for surgery.The patient is twisting a handkerchief over and over while saying,"I'm going to have a little mole removed.I'm not worried.The surgery will take only an hour,and then I will go home.I've never been sick a day in my life,so I'll be fine." The nurse finds the following during her physical assessment: blood pressure is 150/90; temperature is 98.6° F; pulse is 88 beats per minute; respiration is 20 breaths per minute; black,brown,and red pigmented pea-sized raised area on her shoulder.Which of the above information would be considered subjective data?

A) Pigmented mole on shoulder

B) "I'm not worried I'll be fine."

C) Patient is anxious.

D) Heart rate is increased.

E) "The surgery will take only an hour and then I will go home."

Q2) A nurse reviewing a patient's care plan notes a goal of "Patient will ambulate 50 feet,three times in the hallway today." According to Bloom,what taxonomic category is this goal?

A) Affective domain

B) Physical domain

C) Psychomotor domain

D) Cognitive domain

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Chapter 12: Communication and Collaboration in Professional Nursing Practice

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Sample Questions

Q1) One of the most important outcomes of the orientation phase of the nurse-patient relationship is the development of mutual

A) communication.

B) understanding.

C) acceptance.

D) trust.

Q2) A patient states,"The harder I try to get along with my son,the more I feel he just wants to be left alone," and the nurse responds,"I guess parents have to expect these problems as children get older." The nurse's response is an example of a communication breakdown known as

A) failing to see the uniqueness of the individual.

B) failing to recognize levels of meaning.

C) using value statements.

D) failing to clarify unclear messages.

Q3) Which behaviors foster active listening?

A) Encouraging the speaker by saying, "Tell me more"

B) Limiting verbal ventilation because it is not focused

C) Sitting in an open posture such as leaning forward

D) Engagement in a task

E) Good eye contact at eye level and nodding of the head

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Chapter 13: Nurses,patients Families: Caring at the

Intersection of Health,Illness Culture

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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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Q1) Which of the following is not included as an overarching goal of Healthy People 2020?

A) Eliminating health disparities

B) Creating environments that promote good health

C) Lengthening the average lifespan by a decade

D) Attaining longer lives free of preventable diseases and injury

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) 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

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Chapter 15: Political Activism in Nursing: Communities,

Organizations, Government

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Sample Questions

Q1) A nurse is contemplating a political leadership position and wonders if she/he has the desired characteristics to make a good leader.Which of the following traits is inconsistent with a good leader?

A) Has a developed sense of systems thinking

B) Solves problems methodically using a strict model

C) Holds high moral and ethical standards

D) Adapts quickly to new situations

Q2) A nurse has applied for a job and during the interview was told that the health care facility is a "closed shop." What does that phrase mean to the nurse?

A) The nurse must join a union to be employed there.

B) The nurse can join the union if desired, but it is not required.

C) This facility is closed to all union activities.

D) The facility is negotiating with several unions for control of the employees.

Q3) The American Nurses Association (ANA)serves as the

A) clearinghouse of standards set by clinical specialty organizations.

B) regulatory agency setting the guidelines for the scope of practice.

C) source of dissemination of nursing research.

D) professional organization for all nurses regardless of practice setting or level of practice.

Page 17

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Chapter

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Q1) A nursing manager has noticed increasing incidents of rudeness and lack of cooperation among co-workers.Which action by the manager is best?

A) Holding a staff meeting and reminding the staff of policies regarding behavior

B) Disciplining the "ringleaders" in order to make an example for the other staff

C) Having informal meetings to solicit staff opinions on the workplace

D) Announcing that raises will be withheld from staff members engaging in this behavior

Q2) Approximately what percentage of today's nurses belong to the ANA?

A) 10%

B) 20%

C) 25%

D) 30%

Q3) What is the focus of the Truth About Nursing Campaign?

A) Educating high school students about the nature of nursing

B) Increasing interdisciplinary collaboration by highlighting nursing achievements

C) Changing how the world thinks of nursing and protecting its image

D) Defending nurses against malpractice by supplying expert witnesses at trial

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