Nursing Leadership and Management Test Bank
Course Introduction
Nursing Leadership and Management explores the essential principles and practices required for effective leadership and management within healthcare settings. This course examines theories of leadership, decision-making processes, change management, and strategic planning as they relate to nursing practice. Students will develop skills in communication, conflict resolution, team building, and resource management while analyzing the roles and responsibilities of nurse leaders in promoting quality patient care, fostering a positive work environment, and navigating ethical and legal issues. Emphasis is placed on real-world application, preparing nurses to assume leadership and management roles in diverse healthcare organizations.
Recommended Textbook
Leading and Managing in Canadian Nursing 1st Canadian Edition by Patricia S. Yoder - Copy
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30 Chapters
745 Verified Questions
745 Flashcards
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Chapter 1: Leading, Managing, and Following
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/44746
Sample Questions
Q1) A unit manager of a 25-bed medical/surgical area receives a phone call from a nurse who has called in sick five times in the past month.He tells the manager that he very much wants to come to work when scheduled but must often care for his wife,who is undergoing treatment for breast cancer.In practice of a strengths-based nursing leader,what would be the best approach to satisfying the needs of this nurse,other staff,and patients?
A) Line up agency nurses who can be called in to work on short notice.
B) Place the nurse on unpaid leave for the remainder of his wife's treatment.
C) Sympathize with the nurse's dilemma and let the charge nurse know that this nurse may be calling in frequently in the future.
D) Work with the nurse, staffing office, and other nurses to arrange his scheduled days off around his wife's treatments.
Answer: D
Q2) Which category is unique to management but is not part of leadership?
A) Initiating change
B) Personal qualities
C) Developing people
D) Information management
Answer: D
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Page 3
Chapter 2: Patient Focus
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) Approximately what percentage of Canadian hospital admissions can be expected to include an adverse event?
A) 5
B) 7.5
C) 10
D) 12.5
Answer: B
Q2) Traditional approaches to ensuring patient safety have focused on A) assigning blame.
B) finding solutions to systems issues.
C) instituting best practices in response to errors.
D) hiding errors from potential litigation.
Answer: A
Q3) Having access to information,evidence,and research is an important driver for quality and A) nurse safety.
B) patient safety.
C) organizational policy development.
D) patient-centred care.
Answer: B
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Chapter 3: Developing the Role of Leader
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) The new head nurse has been the subject of a great deal of discussion and complaining among staff during breaks.She is a competent nurse of tremendous integrity with approximately 30 years' experience.Her predominant method of problem solving and communication is through meetings,which can go over the allotted time.The staff may
A) be represented by a high number of Baby Boomers.
B) be presenting different generational values and attitudes than the head nurse.
C) be unresponsive to her transactional leadership style.
D) want a leader rather than a manager.
Answer: B
Q2) The adage "leaders are born and not made" reflects which of the following ideas about leadership?
A) Management can be taught; leadership depends on abilities.
B) Mentorship is important in developing innate skills of leaders.
C) Leadership is a natural skill that cannot be refined and developed.
D) Succession planning and formal education related to leadership are ineffective.
Answer: A
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Page 5
Chapter 4: Developing the Role of Manager
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24 Verified Questions
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Sample Questions
Q1) The successful integration of informatics into health care settings is key to A) quality decision-making and processes related to management of resources.
B) accessing current information about business practices.
C) leveraging ideas from other managers.
D) speeding up calculations and decisions in budget development.
Q2) As a nurse manager,you determine that a shift in nursing care models might decrease workplace violence.Members of the hospital administration are reluctant to adopt this new approach to care.To leverage your ideas,you
A) ask staff to send e-mails to administration members encouraging consideration of your option.
B) invite a senior member of administration to your staff meeting, so you can tell him what you are planning.
C) write a letter of complaint to a member of the institutional board about the lack of openness of the administration.
D) identify influential members of your nurse manager group with similar ideas and request an opportunity to meet with administration members to discuss options.
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Chapter 5: Legal Issues
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Sample Questions
Q1) The nurse manager organizes an orientation for new staff members.As part of the orientation,the nurse manager reviews the unit's policy and procedure manual,which is a part of which type of law?
A) Employment law
B) Common law
C) Written law
D) Legislated law
Q2) With regard to nursing practice,nurse managers are held responsible for A) practising within legal guidelines established under provincial or territorial law and nurse practice acts.
B) ensuring that nursing staff members under their supervision are currently licenced to practice.
C) referring all errors in nursing judgement to state discipline boards.
D) ensuring that physicians are properly licenced to provide care on patient care units.
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Chapter 6: Ethical Issues
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Sample Questions
Q1) Which of the following is a key area of ethical nursing practice?
A) Nursing process
B) Therapeutic relationship
C) Decision-making model
D) Embodied knowledge
Q2) The manager in the coronary care unit believes that the most important ethical considerations in performance evaluations are that they include the employee's good qualities and that they give positive direction for professional growth.This belief is an example of
A) justice.
B) fidelity.
C) beneficence.
D) nonmaleficence.
Q3) Autonomy is best promoted through which of the following,in taking a relational approach to autonomy?
A) Specific roles within the relationship
B) Social change
C) Protecting an individual's freedom of choice
D) The necessity of treating everyone fairly
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Page 8
Chapter 7: Making Decisions and Solving Problems
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25 Verified Questions
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Sample Questions
Q1) During a fire drill,several psychiatric patients become agitated.The nurse manager quickly assigns a staff member to each patient.This decision style is most appropriate for
A) routine problems.
B) crisis situations.
C) managers who prefer an authoritarian style.
D) followers who cannot agree on a solution.
Q2) Knowing when to have the entire team participate in the decision-making process or when to have only the team leader make the decisions depends on the situation and the desired outcomes.Which situation would warrant individual decision making?
A) The task and the outcome are relatively simple.
B) It is unlikely that the group will reach a consensus.
C) A decision has to be discussed thoroughly.
D) A number of options need to be considered.
Q3) Decisions are most likely to be of high quality in nursing situations when
A) team leaders make the crucial decisions.
B) individuals are advised of the problems.
C) group size is neither too small nor too large.
D) members are passively involved.
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Page 9
Chapter 8: Health Care Organizations
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26 Verified Questions
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Sample Questions
Q1) In an open-systems model,an example of feedback is A) errors.
B) patient satisfaction.
C) wellness.
D) collaboration.
Q2) Which of the following is a characteristic of an open-systems organization?
A) A change in one component will not affect other components.
B) The internal environment consists of dependent, interactive components.
C) Inputs are acquired from the internal environment and are processed to be released as outputs.
D) Feedback about performance is used to influence subsequent selection of inputs.
Q3) Which of the following is a key function associated with the Canadian health care system?
A) Financing
B) Accessibility
C) Implementation of insurance programs
D) Universality
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Chapter 9: Understanding and Designing Organizational Structures
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Sample Questions
Q1) A hospital and a nursing education program form a partnership to recruit more nurses to the region.This organizational structure is
A) being responsive to changes in the environment.
B) being bureaucratic.
C) creating permanent professional boundaries.
D) delineating structures for all decision-making.
Q2) With revenue reductions and cost saving measures,the number of managers has been reduced,which has increased the number of team leaders supervised by managers by as many as three.This change may result in
A) decreased patient satisfaction.
B) increased efficiency in costs.
C) a more positive perception of managers.
D) little change to manager-staff relationships.
Q3) "Bayshore Hospital will provide care that is a national example of consumer service" is a
A) vision statement.
B) statement of philosophy.
C) mission statement.
D) rationale for care.
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Chapter 10: Cultural Diversity in Health Care
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26 Verified Questions
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Sample Questions
Q1) At Health Centre XYZ,staff members on the rehabilitation unit have a head nurse who is intolerant of error and publicly chides anyone who makes a mistake.Over time,the rules on the unit dictate that mistakes are hidden and that areas of concern related to the functioning of the unit are discussed in privacy and are never openly discussed during periodic meetings.New staff members are quickly made to realize that silence is expected.The situation described is an example of A) ethnicity.
B) work environment.
C) work culture.
D) marginalization.
Q2) When interviewing a candidate for a nursing position who has an Aboriginal background,a non-Aboriginal nurse recognize that the candidate's lack of eye contact reflects the candidate's A) lack of confidence.
B) professional behaviour.
C) cultural sensitivity.
D) ethnicity.
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Chapter 11: Power,Politics,and Influence
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Sample Questions
Q1) Which of the following accurately represents the concept of political activism?
A) Meghan, an emergency room supervisor, encourages staff to write letters to the local health board to protest closure of the emergency room and the loss of 30 full-time jobs.
B) Sarah refuses involvement in her professional organization but is heavily involved in the Little League organization to which her son belongs.
C) Because of her influential contributions to position papers on health care, Roberta is asked to let her name stand for election as chair of the local organization of gerontology nurse practitioners, who are lobbying for increased certification standards.
D) Sondra volunteers to run for office with her professional nursing association because of her concern about the underrepresentation of expertise from her area of nursing practice.
Q2) Literature on oppression in nursing has
A) verified the presence of behaviours associated with oppression within nursing.
B) suggested that nurses are oppressed because of the actions of other groups.
C) failed to establish that oppression is present in nursing groups.
D) indicated that nurses use oppression negatively.
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Chapter 12: Caring,Communicating and Managing With Technology
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Sample Questions
Q1) The nursing manager of a surgical unit has been asked by administration to evaluate patient outcomes after cardiac catheterization.Using data about patient outcomes after cardiac catheterization for the past 6 months so as to modify practice is an example of
A) gathering information.
B) cost-effective care.
C) meeting standards.
D) evidence-informed practice.
Q2) When assessing the appropriateness of adopting personal digital assistants (PDAs)for a nursing unit,you need to consider which of the following advantages?
A) Lower cost in relation to personal computers
B) Small display screen
C) Font size
D) Speed of operation
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Chapter 13: Managing Costs and Budgets
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Sample Questions
Q1) Within a health care environment,where the gap between revenues and costs can mean the difference between sustainability and nonsustainability of an organization or services,it is critical for nurse managers to
A) maintain a clear vision of how to trim health care costs.
B) balance value-added services against costs and revenues.
C) consistently delete programs that are of high cost.
D) implement programs that bring in additional revenues.
Q2) Because of the complexity of reimbursement systems and its implications for the services available to patients,the nurse has a key role in which of the following?
A) Advocacy for patients with regard to services required and services used
B) Increasing the volume of services and decreasing the number of patients served
C) Accomplishing more with each visit and decreasing the volume of services used
D) Decreasing the volume of services used and the number of return visits
Q3) Which of the following factors is not implicated in rising health care costs?
A) Rising expectations of consumers for cure and care
B) Method of health care funding
C) Socioeconomic conditions
D) Rising health care insurance costs
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Chapter 14: Care Delivery Strategies
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26 Verified Questions
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Sample Questions
Q1) In a small rural nursing home,a director of nursing decides,because of a shortage of nurses,to implement a partnership model to help with certain tasks.What combination of health care providers constitutes a partnership care delivery model?
A) RN and licensed practical nurse/licensed vocational nurse
B) RN and RN
C) RN and medication assistants
D) RN and certified nurses' aides
Q2) A patient is admitted to a medical unit with pulmonary edema.His primary nurse admits him and then provides a written plan of care.What type of educational preparation best fits the role of primary nurse?
A) Baccalaureate
B) Associate
C) Diploma
D) Licensed practical nurse/licensed vocational nurse
Q3) Case-managed care may enhance profit in a for-profit health organization by A) minimizing costs in areas of high resource consumption.
B) combining licensed and nonlicenced care providers in delivering patient care.
C) increasing reimbursement from third-party payers.
D) reducing the amount of technology used to support clinical decision-making.
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Page 16
Chapter 15: Staffing and Scheduling
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Sample Questions
Q1) To maintain patient safety,studies suggest that scheduling should avoid which of the following?
A) Rotating shifts
B) Weekends
C) Eight-hour shifts
D) Mandatory overtime
Q2) A nurse manager uses many sources of data when planning the unit's workload for the year.Which of the following data must be considered in the planning?
A) Hours of operation of the unit
B) Trends in the numbers of acutely ill patients on the unit
C) Maximum work stretch for each employee
D) Weekend requirements
Q3) To prepare staffing schedules,a nurse manager needs to calculate paid nonproductive time.When calculating paid nonproductive time,the nurse manager considers
A) work time, educational time, and holiday time.
B) paid hours minus worked hours.
C) vacation time, holiday time, and sick time.
D) paid hours minus meeting time.
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Page 17
Chapter 16: Selecting, developing, and Evaluating Staff
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Sample Questions
Q1) The final section of a performance appraisal is a rating scale.This scale is very detailed and relates to competency standards specific to surgical patients.The scale is a summary of performance directly observed or documentation reviewed and is specific to patient care situations in which the employee has been involved.This type of evaluation is most commonly known as
A) a traditional rating scale.
B) management by objectives/learning goals.
C) a forced distribution scale.
D) a BARS.
Q2) Joshua,a new graduate,reviews the employee evaluation for his new position.The first section requires that he list his own specific objectives to be accomplished.This is an example of
A) the traditional rating scale.
B) learning goals or management by objectives.
C) a forced distribution scale.
D) a behaviourally anchored rating scale (BARS).
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Chapter 17: Strategic Planning and Goal Setting
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Sample Questions
Q1) In establishing the strategic plan for effective use of evidence to guide nursing practice at Pacific Hospital,the nursing unit managers take the next step,which is the implementation.Implementation would probably involve
A) revisiting the mission statement and objectives.
B) reevaluating external and internal factors affecting evidence-informed practice.
C) preparing a budget to support implementation.
D) developing unit-based objectives related to the plan.
Q2) The reasons that nursing administrators sometimes do not plan in a systematic manner include
A) lack of understanding of the planning process.
B) lack of knowledge regarding the internal and external operations of the organization.
C) not enough hours in the day for both day-to-day operations and planning.
D) delegation of the task to subordinates.
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Chapter 18: Leading Change
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Sample Questions
Q1) The home health agency hired an expert in financial management to evaluate and propose a plan for reversing a growth in expenses and a decrease in revenues.The expert is well respected,both personally and professionally,by members living in this small community.To be effective,staff will need to perceive this change agent as
A) trusted and quiet.
B) flexible and informal.
C) credible and legitimate.
D) communicative and personable.
Q2) Elizabeth,a registered nurse (RN)with approximately 15 years of service on your unit,walks away from one of the learning sessions on intravenous care,and you overhear her telling a colleague that she thought the session was a waste of time because "the unit has been using heparin for years and there has never been any adverse effect." According to Havelock (1973),this comment may originate from failure in which phase of the six phases of planned change?
A) Generating self-renewal
B) Choosing the solution
C) Diagnosing the problem
D) Building a relationship
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Chapter 19: Building Teams Through Communication and Partnerships
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Sample Questions
Q1) You are charged with developing a new nursing curriculum and are committed to developing a curriculum that reflects the needs of the profession and of the workplace.To address deficits that may already be present in nursing curricula related to the workplace,you include more content and skills development related to A) therapeutic communication with patients.
B) effective communication in the workplace.
C) increased emphasis on sender-receiver dyads.
D) generational differences in communication.
Q2) The state of being emotionally impelled,demonstrated by a sense of passion and dedication to a project or event,describes
A) commitment.
B) control.
C) willingness to cooperate.
D) communication.
Q3) Which of the following is a characteristic of a good team member?
A) Inflexibility
B) Cooperation
C) Enlarging
D) Playing politics
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Chapter 20: Collective Nursing Advocacy
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Sample Questions
Q1) In an inner-city neighbourhood characterized by high levels of violence,nurses in an emergency department are concerned with low levels of security presence in their department.Security levels have recently been decreased.An appropriate action would be which of the following?
A) Provide information about the decision related to recent changes in staffing.
B) Refer the matter to the head of security and let her deal with it.
C) Provide mentors who can help nurses diffuse aggressiveness.
D) Accept the security levels as a consequence of funding realities.
Q2) Which of the following is a common belief related to the relationship between supervisory and nonsupervisory nursing positions?
A) Nonsupervisory nurses have no decision-making power.
B) Supervisory nurses have an adversarial relationship with nonsupervisory nurses.
C) Nonsupervisory nurses are rarely empowered on an individual basis.
D) Supervisory nurses have total accountability for patient care on the unit.
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Chapter 21: Managing Quality and Risk
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Sample Questions
Q1) The chief executive officer asks the nurse manager of the telemetry unit to justify the disproportionately high number of registered nurses on the telemetry unit.The nurse manager explains that nursing research has validated which statement about a low nurse-to-patient ratio?
A) "It promotes teamwork among health care providers."
B) "It increases adverse events."
C) "It improves outcomes."
D) "It contributes to duplication of services."
Q2) A method commonly used in quality assurance to monitor adherence to established standards is
A) a Pareto chart.
B) brainstorming.
C) patient interviews.
D) chart audit.
Q3) Patient perceptions are useful in
A) determining disciplinary actions in QI.
B) establishing the competitive advantage of QI decisions.
C) establishing priorities among possible changes to care identified in QI.
D) establishing blame for poor-quality care.
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Page 23
Chapter 22: Translating Research Into Practice
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Sample Questions
Q1) Tara,the unit manager,is telling her colleague about her recent project,which involves seeking the most effective approaches to incontinence care,with the intention of adopting evidence-based approaches on her dementia care unit.Her colleague suggests that knowledge translation is
A) less critical than knowledge research generation, which is required to advance the nursing profession.
B) a priority of all health care practitioners to better patient care.
C) plagued by lack of knowledge related to how to use research to guide practice. D) do difficult that it is useless to begin the query in the first place.
Q2) The chief nursing officer at a local hospital seeking Magnet status creates staff development classes concerning research utilization.What best describes research utilization?
A) Conducting an integrative review of the literature
B) Searching the literature for a systematic review
C) Providing the results of research studies to practitioners
D) Applying the results of a research study to practice
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Chapter 23: Understanding and Resolving Conflict
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Q1) Nurses entering into the workforce today are faced with which of the following relationships that could create organizational conflict?
A) Nurse-physician relationship
B) Nurse-nurse relationship
C) Nurse-patient relationship
D) Nurse-chief nursing officer relationship
E) Nurse-auxiliary personnel relationships
Q2) Kala,a unit manager,in discussing a role the hospital's chief executive officer would like her to perform,makes the following statement: "I will sit on the hospital task force on improving morale if you send me to the hospital's leadership training classes next week,so I can further develop my skills and thus be more effective." Which of the following conflict management styles is Kala using?
A) Collaborating
B) Avoiding
C) Negotiating
D) Accommodating
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25
Chapter 24: Managing Personalpersonnel Problems
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Sample Questions
Q1) Incivility is a disruptive behaviour or communication that creates negativity in the environment and interferes with quality of patient care and safety.The manager can implement steps that help to alleviate uncivil behaviour on a unit.Which of the following would not be an appropriate first step?
A) Suspending the staff member from work
B) Providing written admonishment that is discussed and placed in the employee's file
C) Providing verbal admonishment
D) Terminating the staff member
Q2) Clinical incompetence is one of the more serious problems facing a nurse manager.Joyce,the nurse manager,is not aware of the problems of Sarah,a novice nurse.After she investigates,it is obvious that Sarah's peers are covering for her.Which of the following might Joyce include in her meeting with the nurses?
A) "It is a nurse's professional responsibility to maintain quality control."
B) "All instances of clinical incompetence are to be reported."
C) "It is not considered being disloyal when one nurse reports another for poor care."
D) "Patient care is the number one concern. Meeting standards is mandatory and necessary."
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Chapter 25: Workplace Violence and Incivility
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Q1) At 3 a.m.,a man walks into your emergency department.He paces back and forth in the waiting area before he approaches staff to ask if he can see his wife,who is a patient on another floor.He speaks rapidly,his face is flushed,he glances around often,and he keeps his hand in his jacket pocket.A best initial response would be to A)assess your situation and your surroundings.
B)ask two or three staff to assist in confronting the individual.
C)ask what floor his wife is on and remind him that visiting hours are over.
D)remain calm as there is no potential for violence here.
Q2) Sabotage is an example of which type of violence?
A) Threatening behaviour
B) Written threat
C) Harassment
D) Verbal abuse
Q3) A safety and security plan is important to a health care organization because it A) specifies preventive measures in relation to violence.
B) provides direction as to changes in facilities that protect staff.
C) establishes expectations in relation to behaviour and tolerance of violence.
D) establishes policies and practices that guide prevention of violence and expectations in the workplace.
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Page 27
Chapter 26: Practising and Leading in Interdisciplinary Settings
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Q1) A key advantage that a nurse manager has in terms of delegating is that
A) patients receive less attention because too many staff members make it difficult to coordinate care.
B) nurses report less pressure to perform necessary tasks themselves.
C) administration can predict overtime more accurately.
D) team skills can be used more effectively.
Q2) Which of the following is considered an organizational facilitator to primary care and public health collaboration?
A) Shared protocols
B) Role clarity
C) Education and training
D) Philosophy and personal identity
Q3) Determination of unregulated care provider's educational preparation and certification is related to the concept of:
A) accountability.
B) authority.
C) role performance.
D) assignment.
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Chapter 27: Role Transition
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Q1) A nurse is interviewing for a manager's position.Which of the following actions is considered a role preview?
A) Formal commitment of the employment contract
B) Improving role performance
C) Touring the unit
D) Disillusionment about the expectations of the job
Q2) Samia finds that she has begun to think negatively about the way nursing care is delivered on her nursing unit.She often wishes that she were back on her old unit and in her familiar staff nurse role.This behaviour
A) is natural when a new position is assumed.
B) diverts energy from internalization of Samia's new role.
C) is justified if practices are deficient on the new unit.
D) reflects Samia's astuteness as a clinician.
Q3) The chief nursing officer develops a mentoring program to help new staff members adjust to their new jobs.The main purpose of mentoring is
A) promoting staff retention.
B) promoting staff attrition.
C) developing new role expectations.
D) promoting staff supervision.
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Page 29
Chapter 28: Self-Management: Stress and Time
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Sample Questions
Q1) Which area of meeting management is a group leader's best strategy for contributing to a satisfactory meeting experience?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
Q2) In helping nurse managers manage their time,the chief nursing officer suggests that they
A) maintain a perfectionistic attitude.
B) set up a complaint list.
C) have good negotiation skills.
D) have good information literacy skills.
Q3) Sources of occupational stress in nursing include all except which of the following?
A) Authoritarian leadership
B) Concern about moral wrongdoing by colleagues
C) Multiple changes in a short time
D) Job insecurity
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Chapter 29: Managing Your Career
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/44774
Sample Questions
Q1) An example of a career is
A) employment in short-term contract jobs in business, nursing, and whatever is available.
B) involvement in an area of practice that is regulated.
C) continuous employment in the same position and the same arrangement for 20 years.
D) moving into and out of nursing positions in various cities while pursuing travel and education that develops understanding of global health.
Q2) To develop a CV or résumé,a nurse should begin with
A) creating an opportunity to be interviewed.
B) listing facts about his or her professional life.
C) hiring someone to market himself or herself.
D) identifying his or her name and contact information.
Q3) Knowing your professional strengths is important to
A) find your fit in positions and a career path.
B) maintain a professional status.
C) act in a manner that is legal and ethical.
D) understand the role expectations of a position.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 30: Thriving for the Future
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/44775
Sample Questions
Q1) According to studies of workplace environments for nurses and future projections,the workplace of the future will be
A) less intense because of more technology.
B) about the same as it is now.
C) more intense because of more technology.
D) fluctuating between intense periods and less intense periods.
Q2) Which of the following behaviours exemplifies the characteristic most desired in the nurse of the future?
A) Coordination and maximization of resources
B) Acquiescence to the leader
C) Attentiveness to detail
D) Development of vision that is based on current realities, future trends, and evidence
Q3) A necessary leadership strength for nurses of the future is
A) the ability to involve health care teams in common interests to achieve outcomes that meet their needs.
B) enhanced skills and knowledge in advanced clinical techniques.
C) understanding of the nuances of fundraising to make up funding shortfalls.
D) the ability to manage a workforce that lacks loyalty to one organization.
To view all questions and flashcards with answers, click on the resource link above.