Nursing Leadership and Management
Textbook Exam Questions
Course Introduction
Nursing Leadership and Management explores the essential theories, principles, and practices of effective leadership and management within healthcare settings. The course emphasizes the development of critical skills such as communication, decision-making, conflict resolution, and team building, enabling nursing professionals to inspire and lead interdisciplinary teams. Students examine organizational structures, policy development, resource management, and strategies for fostering a positive workplace culture that promotes safe, high-quality patient care. Special focus is given to ethical and legal considerations, as well as the role of nurse leaders in influencing healthcare delivery systems and driving quality improvement initiatives.
Recommended Textbook
Professional Nursing Concepts and Challenges 7th Edition by Beth Black RN MSN PhD
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16 Chapters
415 Verified Questions
415 Flashcards
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Chapter 1: Nursing Today: A Time of Transformation
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18 Flashcards
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Sample Questions
Q1) 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
Q2) Which of the following is most essential for the nurse entrepreneur to be successful?
A) Ability to take direction well
B) Excellent time-management skills
C) Avoidance of risks
D) A college degree in business
Answer: B
Q3) Faith community nursing (FCN) was founded on which of the following premises?
A) Nurses' faith beliefs do not play a part in healing.
B) The spiritual aspect takes precedence over the physical body in healing.
C) Spiritual health is central to a person's well-being.
D) Faith community nurses must receive formal training as a minister or clergy.
Answer: C
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Page 3
Chapter 2: The History and Social Context of Nursing
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) Which of the following statements best describes how the Chicago World's Fair of 1893 became a pivotal point in the history of nursing education in the United States?
A) Florence Nightingale's work on sanitation and its relationship to mortality rates was finally recognized.
B) The organization today known as the NLN was formed to address issues in nursing education.
C) The American Nurses Association (ANA) was formed to oversee nursing education in the United States.
D) The International Council of Nurses (ICN) was formed to enhance collaboration between practicing nurses and educators.
Answer: B
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: Nursing's Pathway to Professionalism
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15 Flashcards
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Sample Questions
Q1) Scholars have defined "profession" through the years. Which of the following were identified as common major characteristics according to scholars? (Select all that apply.)
A) It is based on a body of knowledge that can be learned.
B) It has a service orientation.
C) Practice is in a single recognized setting.
D) Professionals control their own practice.
E) Skills can be learned in a variety of settings, including through job training.
Answer: A, B, D
Q2) Preparation is a component that separates occupations from professions. Which of the following is the best way that a nurse demonstrates preparation for the profession?
A) Improves nursing practice through the use of trial and error methods
B) Focuses on the skills needed for the practice setting
C) Articulates the values of caring and compassion in patient-centered care
D) Utilizes textbooks from college to support practice 5 years after graduation
Answer: C
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Chapter 4: Legal Aspects of Nursing
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Sample Questions
Q1) The RN delegates changing a sterile dressing over a central line to a licensed practical/vocational nurse (LPN/LVN). The LPN/LVN contaminated the site during the dressing change, and an infection developed in the patient. Which of the following statements is true?
A) The LPN/LVN is guilty of malpractice.
B) The RN is ultimately responsible for acts he or she delegates.
C) The hospital cannot be held responsible for the acts of its employees.
D) A malpractice suit cannot be brought as no harm came to the patient.
Q2) The most common reason that nurses are disciplined by the state board of nursing is
A) making medication errors.
B) following unsafe nursing practice.
C) practicing while impaired.
D) abandoning patients.
Q3) What is the primary function of the National Council of State Boards of Nursing (NCSBN)?
A) Overseeing decisions made by state boards of nursing
B) Developing the NCLEX-RN and NCLEX-PN licensing examinations
C) Administering the NCLEX examination at testing centers
D) Overseeing granting licensure by endorsement
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Chapter 5: Ethics: Basic Concepts for Nursing Practice
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22 Flashcards
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Sample Questions
Q1) Which of the following are activities in the ethical decision making process? (Select all that apply.)
A) Avoid looking at legal cases or precedents related to the situation.
B) Determine if the people who are affected by the dilemma have value conflicts.
C) Brainstorm with others involved to identify all possible solutions.
D) Evaluate the action taken to determine whether it accomplished its purpose.
E) Discuss only acceptable solutions that are practical to implement.
Q2) 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
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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Page 7
Chapter 6: Becoming a Nurse: Defining Nursing and
Socialization into Professional Practice
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A mother asks the nurse if her 5-year-old can visit his twin brother in the PICU after cardiac surgery. The nurse denies the request because hospital policy states that children younger than 12 years of age are not allowed to visit the PICU but suggests that the mother visit with the child in the visitor's lounge and talk to him about what is happening with his brother. This illustrates which of Benner's stages of nursing proficiency?
A) Novice
B) Advanced beginner
C) Competent practitioner
D) Proficient practitioner
Q2) Which early nursing theorist recognized therapeutic milieu, assessment skills, and a unique body of knowledge in her definition of nursing?
A) Dorothea Orem
B) Virginia Henderson
C) Hildegard Peplau
D) Florence Nightingale
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8
Chapter 7: The Education of Nurses: On the Leading Edge of Transformation
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24 Verified Questions
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Sample Questions
Q1) The 1948 Brown Report recommended which of the following?
A) Limit enrollment of men and minorities in nursing programs.
B) Students admitted to nursing programs should not be required to meet admission requirements of the university.
C) Schools of nursing should be associated with teaching hospitals.
D) Schools of nursing should be located in institutions of higher learning.
Q2) The purpose of mandatory continuing education for license renewal is to
A) ensure that nurses remain up to date in knowledge.
B) ensure that nurses remain competent in psychomotor skills.
C) ensure that nurses attend regular staff development meetings.
D) ensure consistency between states regarding continuing education requirements.
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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Page 9
Chapter 8: Critical Thinking, the Nursing Process, and Clinical Judgment
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33 Verified Questions
33 Flashcards
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Sample Questions
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 objective data? (Select all that apply.)
A) Twisting handkerchief
B) Blood pressure 150/90
C) "I'm having this little mole removed."
D) Patient is worried.
E) Patient is exhibiting denial.
Q2) Which of the following is considered objective data obtained from the patient?
A) "I can't catch my breath."
B) Patient expresses concern about missing work.
C) Patient nods, indicating an affirmative answer to a question.
D) Blood pressure is 110/70 at 8 PM.
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Chapter 9: Communication and Collaboration in Nursing
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Sample Questions
Q1) A 4-year-old child is going to have an abdominal x-ray examination. The child asks, "Why do they have to do this? Will it hurt?" Which of the following is the most appropriate response by the nurse?
A) "The doctor needs you to have the x-ray so she knows what is wrong with you."
B) "You will go to the x-ray department so they can take pictures of your tummy to find out why you have a tummy ache. The bed you lie on may be cool, but you will have a blanket to keep you warm. The test will not hurt."
C) "You will go downstairs on a stretcher. You will need to lie very still on a hard table while the x-ray machine goes over you. It will not take very long."
D) "X-rays do not hurt. The machine takes a picture but will not touch you."
Q2) Which of the following are examples of open-ended questions? (Select all that apply.)
A) "Ms. Goode, did you have a productive therapy session?"
B) "How are you?"
C) "How do you feel about staying with your daughter?"
D) "What would you like to discuss today while we take a walk?"
E) "Are you having that problem with arthritis in your hand again?"
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Page 11
Chapter 10: Illness, Culture, and Caring: Impact on
Families, and Nurses
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) Nurses can best help patients deal with stress by
A) helping patients eliminate all stress from their lives.
B) helping patients communicate their stress better to friends and family.
C) helping patients evaluate their lifestyles for areas of potential stress.
D) intervening in the family system to reduce family stress.
Q2) A patient states, "I am so upset that I need a knee replacement. I should have done those exercises that the physical therapist told me to do years ago." In which stage of illness is the patient?
A) Disbelief and denial
B) Irritability and anger
C) Attempting to gain control
D) Depression and despair
Q3) When planning for patient teaching, the nurse is aware that which of the following factors create(s) a barrier to learning?
A) Mild anxiety
B) Pain and fatigue
C) Family presence
D) Patient autonomy
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Chapter 11: The Science of Nursing and Evidence-Based Practice
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21 Verified Questions
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Sample Questions
Q1) Evidence-based nursing practice involves which of the following? (Select all that apply.)
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) Which research design would be used to determine the relationship between self-concept, physical fitness, and health habits in school-aged children?
A) Experimental design
B) Nonexperimental design
C) Applied research design
D) Pretest and posttest design
Q3) Which of the following is not a necessary step in the research process?
A) Review of the literature
B) Review of best practice guidelines
C) Design of the study
D) Dissemination of results
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Chapter 12: Conceptual and Philosophical Bases of Nursing
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Sample Questions
Q1) Dynamic balance between systems and their parts is called A) synergy.
B) homeostasis.
C) inertia.
D) suprasystems.
Q2) A nurse is caring for a new mother from Southeast Asia. The nurse is concerned that except for breastfeeding, the mother allows her mother-in-law to provide all other care for the baby. The plan of care and patient teaching for this mother should include
A) assessing the postpartum practices in her country of origin.
B) assuming that the mother-in-law will care for the baby well since she is experienced.
C) completing the teaching outlined for new mothers.
D) asking the mother-in-law not to care for the baby so that the mother learns the care.
Q3) What is an advantage of the holistic view of health valued by nurses?
A) Altering an individual's health beliefs to promote health
B) Identifying a state of optimal role functioning
C) Focusing on the interrelationship of all parts of a whole person
D) Emphasizing the environment
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Chapter 13: Nursing Theory: The Basis for Professional Nursing
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Sample Questions
Q1) Which nursing theorist based her model on the belief that adaptation to changes in the environment is the basis of health?
A) Watson
B) King
C) Roy
D) Peplau
Q2) The nurse assists the patient with a bath in the morning because the patient has a cast on one hand and an intravenous line in the other. The nurse could be basing care on the philosophy of A) Henderson.
B) Nightingale.
C) Roy.
D) Watson.
Q3) Leininger's theory uses the sunrise model. What is the major premise of Leininger's theory?
A) Nursing care should be culturally congruent.
B) Nursing care is based on personal, interpersonal, and social systems.
C) Nursing care is a deliberate action based on observation.
D) Nursing care is only possible after scientific evaluation.
Page 15
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Chapter 14: Health Care in the United States
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36 Verified Questions
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Sample Questions
Q1) Which of the following is not recognized as part of the role of the nurse as a member of the health care team?
A) Patient advocate and educator
B) Collaborator and provider of care
C) Manager of care and resources for a group of patients
D) Performance of physician functions under direct supervision of a physician
Q2) Which care delivery model uses critical pathways and continuous quality improvement to guide care practices?
A) Managed care
B) Primary care
C) Case management
D) Care redesign
Q3) 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
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Chapter
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Sample Questions
Q1) The area of philosophy that deals with the regulation and control of people living in society to preserve prosperity, defend rights, and augment resources is known as A) policy.
B) politics.
C) political power.
D) power.
Q2) A variety of benefits result from membership in professional organizations, including (Select all that apply.)
A) availability of practice guidelines to influence policy development.
B) discount on licensure fees.
C) continuing education opportunities.
D) opportunities to develop personal leadership skills.
E) increased pay and prestige in the work setting.
Q3) Which of the following is an effective method for the practicing nurse to achieve leadership skills?
A) Becoming active in professional organizations
B) Changing jobs frequently to improve skills
C) Learning about collective bargaining
D) Avoiding involvement in politics
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Chapter 16: Nursing's Challenge: The Call for Transformation
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Sample Questions
Q1) Which of the following are including in the basic beliefs set forth in the ANA's Nursing's Agenda for the Future? (Select all that apply.)
A) Health care is a basic human right.
B) Health policies should be based on outcomes research.
C) Government should be the only health care insurer.
D) Health care should provide more balance by including preventive and community care.
E) All people should have access to an all-inclusive package of health care.
Q2) A new graduate medical-surgical nurse is interested in joining a professional organization. Which organization should the nurse's manager recommend?
A) National Student Nurses Association (NSNA)
B) American Nurses Association (ANA)
C) The unit-based journal club
D) A national political action committee
Q3) What is true about genetics and nursing practice?
A) In the future, all drugs will be genetically based.
B) Nurses will need competence in genetics.
C) Genetic diseases will become more prevalent.
D) All genetic conditions can be identified prenatally.
Page 18
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