Nursing Leadership and Management Test Questions
Course Introduction
Nursing Leadership and Management explores the principles, theories, and practical skills required to lead and manage effectively within healthcare environments. The course emphasizes the development of leadership qualities, critical thinking, decision-making, and effective communication. Topics include team building, conflict resolution, quality improvement, delegation, clinical supervision, and strategic planning within the context of nursing practice. Students will analyze contemporary leadership challenges in nursing and learn how to foster a positive workplace culture, ensure patient safety, and inspire interdisciplinary collaboration to achieve organizational goals.
Recommended Textbook LPN to RN Transitions 4th Edition by Lora Claywell
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18 Chapters
345 Verified Questions
345 Flashcards
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Page 2
Chapter 1: Honoring Your Past, Planning Your Future
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/24040
Sample Questions
Q1) The nurse educator is presenting a lecture on experience and learning to a group of RNs. Which statement by one of the RNs indicates that teaching has been effective?
A) "Experiences always help educational endeavors".
B) "The process of unlearning is easier than the initial learning".
C) "Learning can often be more difficult if previous knowledge is contradicted".
D) "Experiences rarely serve the student in the learning process".
Answer: C
Q2) An RN is caring for a diabetic patient. The patient appears interested in changing her lifestyle and has been asking questions about eating better. The nurse can interpret this behavior as which stage of Lewin's Change Theory?
A) Moving
B) Unfreezing
C) Action
D) Refreezing
Answer: B
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Chapter 2: Assessing Yourself and Designing Success
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) The roommate of a nursing student buys tickets to the student's favorite play. The student realizes that the play is the night before her final exam. When the student turns down the tickets, the roommate interprets the student's dedication to school as A) dedication to the plan until other mounting responsibilities interfere.
B) total dedication, even in the face of other attractive opportunities.
C) total dedication until resolve begins to wane.
D) discipline to change the plan as needed.
Answer: B
Q2) A clinical instructor notices that one of her students worries a lot, expects negative outcomes for most situations, strives for perfection, and seems to look for the tiniest faults in her work. The clinical instructor interprets these behaviors as A) commitment to learning.
B) assuming an external locus of control.
C) self-directedness.
D) self-defeating behaviors.
Answer: D
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Chapter 3: Study Habits and Test-Taking Skills
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) A nursing student is preparing for her first day of lecture. She knows that in order to succeed, she should
A) skip the first day of class and read the material at home.
B) sit in the front of the room, away from distractions.
C) take notes from the book during lecture time.
D) sit in the back of the class, next to her best friend.
Answer: B
Q2) The student is listening to a lecture on the SQRRR method. Which statement indicates that teaching has been effective?
A) "The appropriate way to use the method is to scan, skim, survey, read, recite, review".
B) "The appropriate way to use the method is to scan, skim, read, recite, review, reread".
C) "The appropriate way to use the method is to survey, question, read, recite, review".
D) "The appropriate way to use the method is to survey, question, read, review, reread".
Answer: C
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Chapter 4: Distinguishing the RN Role from the LPN/LVN Role
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Which of the following is an example of professional advocacy in nursing?
A) Charting and writing up a medication error
B) Writing up a nursing assistant for excessive absences
C) Writing one's senator concerning mandatory overtime
D) Mentoring a new graduate RN who is new to the unit
Q2) A nurse manager is discussing the RN's scope of practice with a new hire. Which statement, made by the new hire, is not true of the RN's scope of practice?
A) "A nurse may be disciplined by the Board of Nursing for practicing beyond his or her scope of practice."
B) "Scope of practice is legally defined by the American Nurses Association (ANA)."
C) "Scope of practice defines the responsibilities of nurses."
D) "Scope of practice can be found in state nurse practice acts."
Q3) The nurse would assume the care provider role of educator during which action?
A) Leading a hand washing initiative to reduce infection rates
B) Answering a new mother's questions about breastfeeding
C) Working with colleagues to transfer a patient into a rehab center
D) Requesting more pain medications for a patient who is recovering from a total hip replacement
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6
Chapter 5: Using Nursing Theory to Guide Professional Practice
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Which theory focuses on patterns, life processes, and wholeness and describes seeing the life process as a progression believing that health and the evolving pattern of consciousness are the same?
A) Theory of Goal Attainment
B) Theory of Health as Expanding Consciousness: Margaret Newman
C) Theory of Interpersonal Relations
D) Roy Adaptation Model
Q2) Which statement by a nurse reflects an accurate understanding of systems theory?
A) "My patient has anemia reflected by low RBC, Hgb, and Hct values, so I have to monitor for fatigue, dyspnea, and tachycardia."
B) "It is my responsibility to provide my patients with basic human needs including food, water, and sleep."
C) "Would you like me to call the chaplain for you to discuss your feelings about your upcoming surgery?"
D) "My patient's daughter makes all decisions and living arrangements for my patient such as reserving a home health aide and Meals on Wheels during the week."
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Chapter 6: Providing Patient-Centered Care Through the Nursing Process
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) A patient with pneumonia has been using the incentive spirometer four times daily while awake during his 3-day hospitalization. How would the nurse explore the effectiveness of this intervention?
A) The nurse would ask whether the patient was breathing better.
B) The nurse would add turn, cough, and deep breathing exercises.
C) The nurse would watch the patient use the incentive spirometer.
D) The nurse would auscultate the lungs for adventitious breath sounds.
Q2) Determine which example is true of measurability within the context of the nursing diagnosis.
A) The patient will list signs of infection such as redness, pain, swelling, and warmth by the end of the shift.
B) The patient will be pain-free and then walk to the bathroom.
C) The patient reported abdominal pain for 2 days but denies nausea, vomiting, and diarrhea.
D) The patient received Dilaudid 1 mg IV and 2 hours later received Lortab 500/5.
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Chapter 7: Critical and Diagnostic Thinking for Better Clinical Judgment
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) Each element of the nursing process involves critical thinking. Which definition of assessment reflects critical thinking?
A) Correctly and completely documenting the assessment data on a form
B) A process of discovery and decision-making about the nature of the patient's needs
C) Using a systematic approach to ensure comprehensive collection of assessment data
D) Selecting the most accurate NANDA-I nursing diagnosis for the patient
Q2) A patient has a problem that prevents him from shaving himself, tying his shoes, or fixing his meals. He is not physically able to compensate for the problem, so he is in need of assistance. Data support the nursing diagnosis "impaired physical mobility" by what mode of reasoning?
A) Induction
B) Deduction
C) Reduction
D) Reflection
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Chapter 8: Practicing Evidence-Based Decision Making
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A nurse evaluates the results of two different studies examining the relationship between time of day and sundowning in the geriatric setting. After 1 month, the nurse realizes that there is a difference of 1 hour in the instruments used for measurement. What conclusion can be drawn about the type of threat this causes the study?
A) Validity
B) Reliability
C) Causality
D) Truthfulness
Q2) A nurse manager attempts to explain why the greatest number of medication errors occurs during the evening shift. The nurse manager chooses a quasi-experimental design to study this relationship. Why did the nurse manager choose this type of research design?
A) It does not allow for complete control over the variance.
B) It allows for randomization.
C) It allows for control over the independent variable.
D) It requires manipulation of the variable.
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Chapter 9: Communicating With Patients and Co-Workers
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) When preparing for patient teaching what should the nurse do first?
A) Assess the learner's needs.
B) List key points to be presented.
C) Collect the teaching materials.
D) Think about how the skill can be done at home.
Q2) The nurse and patient are discussing the patient's perceptions and feelings related to the patient's illness. The patient is emotional and tearful and expresses feelings of hopelessness. During which phase of the nurse-patient relationship does the nurse interpret this patient to be in?
A) Pre-orientation
B) Orientation
C) Working
D) Termination
Q3) The nurse is preparing to assess a newly admitted Chinese patient. Which of the following would be most appropriate to assess first?
A) Pain
B) Language barrier
C) Family support
D) Religious preference
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Page 11
Chapter 10: Teaching Patients and Their Families
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Which patient characteristic must a nurse consider when planning teaching?
A) Literacy level
B) Discharge instructions
C) Good lighting
D) Pain medication
Q2) A 63-year-old patient is uncertain whether she can self-inject her medication. Which would be most likely to be an effective strategy at this time?
A) Start with the details about her condition, why she has it, and the importance of her medication.
B) In the first session, teach the patient how and why to rotate her abdominal injection sites.
C) Start with information about avoiding rubbing or putting pressure on the site after an injection.
D) In the first session let the patient handle a syringe while the nurse prepares and administers the next injection with another syringe.
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/24050
Sample Questions
Q1) The nurse is listening to a lecture on Mildred Montag. Which statement indicates that teaching has been effective?
A) "Montag fought for women's rights."
B) "Montag promoted the associates degree as a way to enter the field of nursing."
C) "Montag was America's first trained nurse."
D) "Montag care for tenement families by establishing a visiting nurse service."
Q2) Which is the dominant focus of patient care in the current health care environment?
A) To increase cost to increase profit
B) To contain rising costs
C) To ignore rising costs
D) To manage care according to cost
Q3) What is the function of Continuous Quality Improvement?
A) To improve staff compliance with training
B) To assist staff in building on nursing skills
C) To assess patient care, from admission to discharge
D) To improve collaboration of staff
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Chapter 12: Upholding Legal and Ethical Principles
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) The nurse threatens to place a verbally abusive patient in restraints. The patient could press charges against the nurse for which of the following?
A) Battery
B) Assault
C) Malpractice
D) Negligence
Q2) The nurse who respects the patient's right to refuse treatment is following which bioethical principle?
A) Justice
B) Beneficence
C) Autonomy
D) Fidelity
Q3) Which statement is correct about the bioethical decision-making theory of deontology?
A) It is concerned only with consequences.
B) It judges actions based on motive or intent.
C) It emphasizes treating others as a means to an end.
D) It cannot be applied to research.
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Chapter 13: Care and Safety Standards, Competence, and Nurse Accountability
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/24052
Sample Questions
Q1) A nurse manager wants to assess quality of care over the last 6 months for her unit. How could the nurse manager best accomplish this?
A) Interview each nurse about the patients on the unit for the last 6 months.
B) Review the results of patient satisfaction surveys.
C) Obtain charts from medical records for all of the patients.
D) Ask the nurses to perform discharge phone calls on previous patients.
Q2) The medical team determines that a patient needs to be transferred to another facility to continue receiving the most appropriate and beneficial care. The transfer process has been slow and difficult, and the nurse is struggling to care for the transferring patient along with her other assigned patients. What is the best action the nurse can take to improve her situation?
A) Continue to do the best that she can do for all of her patients.
B) Inform the medical team that the transfer will have to wait for the next shift.
C) Involve management so that the nurse can focus on patient care.
D) Ask her co-workers to manage her patient assignment.
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Chapter 14: Leading, Delegating, and Collaborating
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) Holiday scheduling is always a sensitive issue on the nursing unit, and the manager is trying something different this year. The manager says that whoever works the most extra shifts when asked to do so will get first pick for the holiday schedule. Which type of conflict resolution does this represent?
A) Competition resolution
B) Win-win resolution
C) Sacrifice resolution
D) Active resolution
Q2) Which statement by the RN best represents the "right communication" when delegating a task to an unlicensed individual?
A) "Feed the patient and watch for cheeking and choking."
B) "I want you to help the patient to eat his lunch. You should elevate the head and feed him slowly enough so he does not choke."
C) "Feed the patient his pureed diet at lunchtime. Elevate the head of the bed to 90 degrees and make certain he swallows each bite."
D) "Assist the patient with lunch, and make sure he sits up and doesn't store food in his cheek in between bites."
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Page 16
Chapter 15: Promoting Healthful Living in the Primary Care Setting
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A patient has chosen to see a Family Nurse Practitioner (FNP) to assist with health promoting activities. Which of the following services provided by the FNP is the best example of a health promotion activity?
A) Teaching about a low-fat diet for a patient with a blood pressure of 136/82
B) Prescribing a cholesterol-lowering medication
C) Scheduling a cardiac stress test
D) Prescribing an anticoagulant for a patient with atrial fibrillation
Q2) A program designed to increase exercise, reduce fat in a diet, and teach low-fat cooking methods to improve the health of a large population could be best described as A) supportive care.
B) rehabilitation.
C) diagnosis and treatment.
D) health promotion and health protective.
Q3) Which family would the nurse consider healthy?
A) A family in which the parents do not allow their 10-year-old child to make basic decisions.
B) A family that encourages independence while supporting each other.
C) A family that does not require a specific curfew for their 16-year-old son.
D) A family that does not allow their 15-year-old child to be an individual.
Page 17
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Chapter 16: Managing Care in Secondary and Tertiary
Health Care
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) Some cultures see personal touching as an insult unless you are intimately related. In the acute care setting, the need for touching to administer care may produce what within the patient?
A) Cultural strain
B) Impaired functioning
C) Cultural insult
D) Increased self-care deficit
Q2) The nurse is listening to a lecture on the Orem's theory. Which statement indicates that teaching has been effective?
A) "Patients enter the acute health care setting when they are experiencing a dependent-care agency."
B) "Patients enter the acute health care setting when they are experiencing a community-care agency."
C) "Patients enter the acute health care setting when they are experiencing a dependent-care deficit."
D) "Patients enter the acute health care setting when they are experiencing a community-care deficit."
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18
Chapter 17: Reflecting on Your Transition
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18 Verified Questions
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Sample Questions
Q1) A graduate RN on the telemetry unit is on the way to the nurse's station to chart and suddenly hears from a patient's room, "Help! Nurse!" This is not the nurse's assigned patient. Others also hear this cry for help and quickly run in with the crash cart while the graduate RN looks on. In planning care for this patient, the beginning RN must realize the importance of identifying and (Select all that apply)
A) arranging experiences.
B) correcting weaknesses.
C) investigating insights.
D) leveraging strengths.
E) applying poise.
F) accepting doubts.
Q2) Which of the following is an example of an anxiety-causing situation below that is potentially caused by a role transition from licensed practical nurse/license vocational nurse (LPN/LVN) to RN?
A) A shift assignment of four patients
B) Managing care based on your knowledge and skills
C) Changing work shifts from days to nights
D) Delegating tasks to LPNs/LVNs and medical assistants
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Chapter 18: Prepare Now to Pass NCLEX-RN
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/24057
Sample Questions
Q1) Students in a nursing class have just finished an exam on the KATTS Framework. The students should know that they can do which of the following, in order to strengthen the knowledge component of the KATTS Framework? (Select all that apply.)
A) Complete NCLEX-RN pretests.
B) Review past NCLEX-RN test plans.
C) Create a study plan, and then identify knowledge deficits.
D) Reread textbooks from nursing courses.
E) Focus studying on strong areas of knowledge.
Q2) Before beginning the exam, a student stops and reflects on the Five C's: content, confidence, control, common sense, and comparison. Which statement made by the student indicates her understanding of confidence?
A) "I know I can do this."
B) "I just need to remember what I studied."
C) "I just need to narrow down the right answer."
D) "What do I think is the right answer?"
E) "Relax, stay calm and focused."
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