Nursing Practice and Leadership
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Course Introduction
This course explores the essential principles of nursing practice and the critical role of leadership within healthcare environments. Students will examine contemporary nursing theories, ethical and legal responsibilities, and evidence-based approaches to patient care. Emphasis is placed on developing leadership skills, such as effective communication, decision-making, and team management, to enhance collaboration and ensure high-quality patient outcomes. Through case studies and practical scenarios, learners gain insight into the dynamic challenges faced by nurse leaders and are equipped with strategies to foster a positive practice environment, advocate for patients, and manage change in diverse clinical settings.
Recommended Textbook
Nursing Leadership and Management 2nd Canadian Edition by Patricia Kelly
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22 Chapters
442 Verified Questions
442 Flashcards
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Chapter 1: Canadas Health Care Environment
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Sample Questions
Q1) Based on commonly used international comparisons,where does Canada rank in terms of annual total spending on health care?
A) first
B) second
C) sixth
D) tenth
Answer: C
Q2) Health care is often viewed in four levels: health promotion,disease and injury prevention,diagnosis and treatment,and which of the following levels of care?
A) palliative care
B) long-term care
C) rehabilitation
D) mental health care
Answer: C
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Page 3
Chapter 2: Basic Clinical Health Care Economics
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Sample Questions
Q1) Through what mechanism do most regions receive funding from their provincial government?
A) a needs-based funding formula
B) a program budgeting and marginal analysis (PBMA)
C) a global budget
D) program budgets
Answer: C
Q2) Which of these systems has replaced in-house costing in many Canadian hospitals?
A) case-costing
B) resource benchmarking
C) resource intensity weights (RIWs)
D) activity-based costing (ABC)
Answer: C
Q3) What is the main strategy associated with discussions about reform in health care delivery?
A) increasing the reliance on private insurance
B) changing the taxed-based funding arrangement
C) privatizing
D) implementing user fees
Answer: C
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Chapter 3: Evidence-Based Practice
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Sample Questions
Q1) What is the purpose of the nursing research chairs established across Canada?
A) to promote evidence-based practice
B) to promote the nursing profession
C) to examine nursing practice and resources,and develop knowledge transfer strategies
D) to fund nursing research
Answer: C
Q2) Which of the following is an evidenced-based nursing program or initiative in Canada?
A) Joanna Briggs Evidence Based Nursing and Midwifery
B) Sara Cole Hirsch Institute for Best Nursing Practice Based on Evidence
C) Nursing Health Services Research Unit
D) The University of York Centre for Evidenced Based Nursing
Answer: C
Q3) Which other two terms does the term evidence-based practice encompass?
A) evidence-based medicine and the clinical setting
B) evidence-based medicine and evidenced-based care
C) guidelines and care plans
D) research utilization and practice
Answer: B
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Chapter 4: Nursing and Health Care Informatics
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Sample Questions
Q1) What was the original purpose of the World Wide Web (WWW)when it was first designed?
A) communication of health information
B) a method of advertising
C) a communication aid for physicists
D) communication between governments
Q2) Which of these terms best describes networking and attending conferences on nursing informatics as activities for becoming knowledgeable in that field?
A) certification
B) job qualifications
C) educational activities
D) informal opportunities
Q3) Which of the following first developed the definition of nursing informatics?
A) Gorn
B) Canadian Nurses Association
C) Canadian Association of Schools of Nursing
D) Ball and Hannah
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Chapter 5: Population-Based Health Care Practice
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Sample Questions
Q1) Which of the following is a goal of population-based health?
A) to maintain access to health care services
B) to maintain quality of health care services
C) to reduce health care disparities
D) to increase health care delivery costs
Q2) What is the name of the federal agency in Canada that oversees federal efforts to prevent and control disease and promote health?
A) Public Health Agency of Canada
B) Health Canada
C) Department of Health and Social Services
D) Canadian Institute of Health Research
Q3) What is the term for the level of health of an individual,family,group,population,or community?
A) instrumental activities of daily living
B) functional health status
C) health status
D) health-related quality of life
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Chapter 6: Personal and Interprofessional Communication
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Sample Questions
Q1) What is the term for a conflict resolution that results in neither party getting all they wanted?
A) avoidance
B) accommodating
C) compromising
D) collaborating
Q2) Which type of organizational communication occurs among people with similar status?
A) downward
B) upward
C) lateral
D) diagonal
Q3) Which form of communication is touching considered to be?
A) visual
B) auditory
C) kinesthetic
D) message
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Chapter 7: Politics and Consumer Partnerships
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Sample Questions
Q1) Which of these terms refers to a group that represents the same political perspective or position on an issue?
A) partnership
B) voting block
C) alliance
D) lobby group
Q2) Which of these conditions exists when there is politics in any system?
A) abundant resources
B) unlimited control of resources
C) competing interests for resources
D) unlimited distribution of resources
Q3) What is the projected median age range of the Canadian population for 2036?
A) 30 to 35 years
B) 36 to 39 years
C) 40 to 42 years
D) 42 to 45 years
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Chapter 8: Nursing Leadership and Management
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Sample Questions
Q1) On which of the following factors is the definition of nursing productivity/utilization in Canada based?
A) number of nurses and number of clients
B) workload over worked hours
C) nurse/ client ratios
D) client care intensity
Q2) Which of these assumptions is the basis of the acceptance theory of authority?
A) Naturally forming social groups can become contributors to an organization.
B) The individual worker is the source of control,motivation,and productivity in an organization.
C) People have free will and choose to comply with orders they are given.
D) People benefit and are productive when they participate in decisions about their work.
Q3) Which of the following is a common title for a middle-level manager position?
A) first line manager
B) director
C) vice president of client care services
D) chief nurse executive
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Chapter 9: Effective Team Building
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Sample Questions
Q1) In comparing the essential differences for leadership in a team and a group,which of the following best describes how leadership is established in a group setting?
A) Highest ranking member is the leader.
B) Leadership is shared.
C) The leader is voted in by the majority.
D) The leader is appointed.
Q2) In a team setting,which of these factors should be considered when selecting a decision-making approach?
A) next meeting date
B) complexity of the situation
C) anticipated outcome
D) situation and desired outcome
Q3) Which of the following is a decision-making style where the leader seeks the opinions of all team members before making a final decision?
A) autocratic
B) consultative
C) delegated
D) joint
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11
Chapter 10: Budget Concepts for Client Care
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Q1) Which of these terms refers to a report that documents and explains when a unit deviates from the approved budget?
A) monthly report
B) budget report
C) variance report
D) cost centre report
Q2) Which of these categories includes investments and billable client services?
A) reimbursement
B) expenditures
C) revenue
D) line item
Q3) In terms of the budget,which category would include a donation coming to an organization?
A) profit
B) revenue
C) dashboard
D) variance
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Chapter 11: Effective Staffing
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Sample Questions
Q1) Which of the following must the nurse manager first take into account when scheduling staff?
A) staffing pattern
B) volume of staff
C) volume of clients
D) staff needs
Q2) What is an advantage of the factor-type client classification system?
A) ongoing workload for nurses to classify clients
B) captures holistic client needs
C) data readily available
D) captures typical nursing time
Q3) Which of these tools is used to articulate the nursing tasks for a specific client or groups of clients over a specific period of time?
A) benchmarking
B) skill mix
C) staffing pattern
D) workload measurement system
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13
Chapter 12: Delegation of Nursing Care
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Sample Questions
Q1) Which of these personnel is an example of an unregulated care provider?
A) registered nurse
B) physician
C) health care aide
D) dentist
Q2) What is the most important consideration for nurses in any delegation situation?
A) client safety
B) accomplishing all necessary tasks
C) making clients receive treatments on time
D) support staff capabilities are carefully assessed
Q3) What is the main benefit that nurses' themselves gain from developing effective delegation skills?
A) They feel more efficient.
B) They develop better working relationships.
C) They receive a good performance review.
D) They become more productive and enjoy their work more.
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Page 14
Chapter 13: Strategic Planning and Organizing Client Care
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Sample Questions
Q1) What is the term used to refer to a council whose purpose is to establish the practice council standards for a work group?
A) shared governance
B) clinical practice council
C) quality council
D) management council
Q2) In shared governance,whom do the vested parties include?
A) the multi-disciplinary team
B) nurse managers
C) nurses practicing indirect care
D) finance managers
Q3) Which of the following is the main feature of primary care nursing?
A) It is an inexpensive system.
B) It requires less nursing staff.
C) One nurse is the primary caregiver.
D) It is dependent on associate nurses.
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Page 15
Chapter 14: Change and Conflict Resolution
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Sample Questions
Q1) What is the term for individuals whose behavioural response includes openness and receptivity to planned change?
A) innovators
B) early adopters
C) early majority
D) late majority
Q2) Which characteristic of Lewin's change theories causes it to have limited application in health care organizations?
A) narrow in scope
B) too complex
C) difficult to apply
D) linear and simplistic
Q3) Which of the following statements,in general,best describes the concept of change?
A) Most people enjoy change.
B) Changes happen infrequently.
C) Change is inevitable and frequent.
D) One can resist change indefinitely.
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Chapter 15: Power
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Sample Questions
Q1) Which type of power do nurses exercise when they teach others in their practice?
A) expert power
B) connection power
C) information power
D) legitimate power
Q2) Which of the following can result when workers circumvent levels of power?
A) respect
B) tension and conflict
C) knowledge
D) positive image
Q3) Which of these types of power is formally bestowed by an organization?
A) information power
B) connection power
C) referent power
D) legitimate power
Q4) Which characteristic is evident in a nurse's personal power?
A) decision making
B) connections
C) charisma
D) expertise
Page 17
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Chapter 16: Managing Performance and Outcomes Using an Organizational Quality Improvement Model
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Q1) Which of these groups is an example of internal customers?
A) clients
B) nurses
C) private physicians
D) insurance payers
Q2) As a program manager which of the following visual aids might you choose to use to identify reasons for delays or problems in a process?
A) time series chart
B) fishbone diagram
C) balanced scorecard
D) flowchart
Q3) Which of these acronyms stands for a model that outlines a methodology for improvement?
A) ACDP
B) CDPA
C) DPAC
D) PDCA
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Page 18
Chapter 17: Decision Making
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Sample Questions
Q1) Which of the following refers to improved thinking about a subject using skill and intellectual standards?
A) problem solving
B) critical thinking
C) rational thinking
D) anticipation
Q2) What is the term for the group decision-making strategy that involves distributing questionnaires to members asking for their opinions,then summarizing and disseminating the summaries to the group members?
A) consensus
B) group think
C) Delphi technique
D) nominal technique
Q3) Which of these outcomes is a pitfall identified by Hammond,Keeney,and Raiffa to effective decision making?
A) Decisions are based on large amounts of information.
B) Decisions are based on positive and negative evidence.
C) Decisions are made to effect change.
D) Decisions are made to justify previous decisions.
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Page 19
Chapter 18: Legal Aspects of Client Care
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Q1) Which of these is a set of basic laws that specify the powers of the various segments of the government and how they relate to each other?
A) a constitution
B) a legislative body
C) the judicial branch
D) an administrative agency
Q2) Which of these is a written document representing the wishes and values of an adult in regard to life-sustaining treatments?
A) living will
B) power of attorney
C) personal health care directive
D) hybrid form
Q3) Which law protects health care professionals from legal liability for actions rendered in an emergency situation?
A) a Good Samaritan law
B) a tort law
C) the CNA Code
D) a Nurse Practice Act
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Chapter 19: Spirituality and the Profession of Nursing
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Sample Questions
Q1) Which of the following differentiates spirituality from religion?
A) Religion is characterized by boundaries.
B) Religion involves rituals.
C) Spirituality is defined by boundaries.
D) They involve different beliefs.
Q2) What are two simple spiritual care practices every nurse can adopt?
A) learn the client's religion and notify pastoral care
B) keep the client and family informed
C) provide medications on time and chart accurately
D) be present and develop trust
Q3) What is the relationship between nursing practice and spiritual care?
A) religious beliefs
B) nursing competencies
C) nursing theory identifies humans as spiritual beings
D) requirement of licensure
Q4) Which of these terms means "to remember one's value"?
A) a memorial
B) recall
C) posthumous
D) legacy
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Chapter 20: Ethics and the Profession of Nursing
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Q1) Which of these terms refers to our beliefs and traditions about right and wrong behaviour?
A) morality
B) ethics
C) professional behaviour
D) norms
Q2) What influences encouraged the emergence of nursing ethics?
A) some seeing nursing as a "moral practice"
B) the need for a contextual approach to nursing ethics
C) the need to respond to societal ethical issues
D) the need to examine the ethical norms,unique relationships,and sphere of nursing practice
Q3) Which of the following statements best describes moral issues?
A) They are a minor concern for health care providers.
B) They help us identify good and bad behaviour.
C) They are easily resolved by following certain general rules.
D) They are complex,dynamic,contextual,and difficult to resolve.
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Chapter 21: Collective Bargaining
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Q1) Which term refers to the act of an individual disclosing information regarding violation of a law,rule,or regulation or a substantial and specific danger to public health?
A) free speech
B) whistle-blowing
C) tattletale
D) gossip
Q2) Which of the following statements best describes why nurses seek to unionize?
A) They feel powerless in their workplace.
B) They want to improve client care.
C) They want to alter a nursing procedure.
D) They want input into decisions.
Q3) Which of these terms is used for a formal complaint or dispute between management and a union member regarding the terms of the collective agreement?
A) arbitration
B) grievance
C) mediation
D) dispute
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Chapter 22: Career Planning and Development: Creating Your Path to the Future
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Sample Questions
Q1) What is the best response to the interview question,"Why do you want to work here?"
A) "I am looking for good benefits."
B) "You are located close to my home."
C) "I admire the service your organization provides."
D) "Your organization can help my career."
Q2) What is the first phase of the Donner-Wheeler Model?
A) creating your career vision
B) networking
C) checking the want ads
D) scanning your environment
Q3) What is a résumé?
A) a paper that shares your life story
B) a concise summary of your background
C) an outline of your past jobs
D) a narrative summary of responsibilities and skills
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