Nursing Practice and Leadership Test Bank
Course Introduction
Nursing Practice and Leadership explores the foundational principles and advanced concepts related to nursing roles within healthcare systems. The course emphasizes the development of effective clinical skills, evidence-based practice, ethical decision-making, and patient-centered care. Students will examine the responsibilities of nurses as leaders in interdisciplinary teams, including communication, conflict resolution, quality improvement, and advocacy for patients and communities. Through case studies and practical applications, this course prepares students to step confidently into leadership roles, fostering resilience and adaptability in dynamic healthcare environments.
Recommended Textbook
Nursing Leadership and Management 2nd Canadian Edition by Patricia Kelly
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22 Chapters
442 Verified Questions
442 Flashcards
Source URL: https://quizplus.com/study-set/2429
Page 2
Chapter 1: Canadas Health Care Environment
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/48250
Sample Questions
Q1) Which of the following federal acts was passed in 1977 and changed the funding arrangement between the federal government and the provinces from cost-sharing to block funding provided by the federal government?
A) the Canada Health Act
B) the Medicare Act
C) the Established Programs Financing Act (EPF)
D) the Constitution Act
Answer: C
Q2) In which year did all provinces and territories expand their public insurance plans to include both physician and hospital services?
A) 1962
B) 1972
C) 1977
D) 1984
Answer: B
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Page 3
Chapter 2: Basic Clinical Health Care Economics
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) 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
Q2) Which of these terms do citizen involvement,accreditation and credentialing,and complaints procedures exemplify?
A) performance indicators
B) stakeholder involvement
C) accountability processes
D) managerial functions
Answer: C
Q3) Which of the following factors is NOT expected to contribute to the growing cost of health care?
A) increasing rates of debilitating diseases associated with aging
B) increased use of expensive technology
C) emergence of new infectious diseases
D) expanded roles for nurses
Answer: D
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Chapter 3: Evidence-Based Practice
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/48252
Sample Questions
Q1) 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
Q2) Despite the importance of evidence-based medicine,many physicians have been concerned that it may most devalue which of the following factors?
A) individual preference
B) clinical expertise
C) continuing education
D) the art of clinical medicine
Answer: D
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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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Which of the following is an example of a user group?
A) MS-HUG
B) AMIA
C) MRI
D) CPRI
Q2) 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
Q3) What is the acronym for a patient record stored and accessed electronically?
A) CIS
B) EHR
C) EPR
D) CNA
Q4) Which of the following is a key attribute of a nursing specialty?
A) quality assurance
B) representation of the specialty by at least two organized bodies
C) differentiated practice
D) degree status
Page 6
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Chapter 5: Population-Based Health Care Practice
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/48254
Sample Questions
Q1) Which of the following is considered the most serious threat to health?
A) lack of adequate food
B) violence
C) contaminated water supply
D) poverty
Q2) Approximately what percentage of the nursing workforce in Canada is involved in community health?
A) 25 percent
B) 13 percent
C) 10 percent
D) 4 percent
Q3) 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
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Page 7
Chapter 6: Personal and Interprofessional Communication
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/48255
Sample Questions
Q1) Which of the following is considered the most influential in conveying a verbal message?
A) tone
B) eye contact
C) content
D) the sender's vocabulary
Q2) The chief executive officer of an organization announces that the company will adopt a new policy.Which type is this organizational communication?
A) downward
B) upward
C) lateral
D) diagonal
Q3) Which of the following trends benefits from nurses' ability to adapt the principles of communication?
A) the "X" generation
B) cultural diversity
C) telephone technology
D) kinesthetic communication
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8
Chapter 7: Politics and Consumer Partnerships
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Who will make the decisions that affect nursing practice if nurses do NOT participate in systems level decisions?
A) employers
B) doctors
C) consumers
D) other stakeholders
Q2) What is the term for using power to influence or persuade in order to achieve individual or group goals?
A) politics
B) collaboration
C) negotiation
D) competition
Q3) Which of the following terms describes active participation in risk identification and problem solving in health care?
A) institutional procedure
B) competency
C) professional accountability
D) collaboration
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Chapter 8: Nursing Leadership and Management
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/48257
Sample Questions
Q1) Which type of leader focuses on operations and short-term goals?
A) transformational leader
B) charismatic leader
C) transactional leader
D) autocratic leader
Q2) 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
Q3) According to Bruch and Ghoshal,which two factors do managers need to balance in order to be effective?
A) time and energy
B) focus and energy
C) approachability and decisiveness
D) productivity and quality
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Chapter 9: Effective Team Building
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/48258
Sample Questions
Q1) In which stage of group development is conflict most likely to first arise?
A) storming
B) performing
C) forming
D) norming
Q2) Which of these is a key task performed by the leader in a team meeting?
A) recorder
B) antagonist
C) role model
D) controller
Q3) Which dysfunctional group member tends to monopolize the group discussion?
A) detailer
B) controller
C) pleaser
D) antagonist
Q4) What is the main advantage of an interdisciplinary team?
A) single discipline
B) same ideas
C) variety of people and ideas
D) similar contributions
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Chapter 10: Budget Concepts for Client Care
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/48259
Sample Questions
Q1) Which of these categories includes investments and billable client services?
A) reimbursement
B) expenditures
C) revenue
D) line item
Q2) Which of these terms refers to a budget that indicates designated funds for the purchase of major new equipment?
A) unit budget
B) construction budget
C) capital budget
D) equipment budget
Q3) In relation to budget preparation,which of these terms refers to the units or subsections within a facility?
A) financial unit
B) cost sections
C) compartments
D) cost centres
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Page 12
Chapter 11: Effective Staffing
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Which of these terms refers to a full-time employee who works 37.5 hours a week?
A) 0.5 FTE
B) 0.8 FTE
C) 0.9 FTE
D) 1.0 FTE
Q2) 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
Q3) Which of the following is a disadvantage of applying the clinical pathways concept?
A) ability to manage care
B) shortened length of stay
C) ability to collect variances
D) standardized care
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Chapter 12: Delegation of Nursing Care
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/48261
Sample Questions
Q1) Which of these factors is important for a registered nurse to consider when delegating?
A) evaluating the effectiveness of the delegation of duties at the end of the shift
B) removing duties periodically
C) accepting major variations in the style in which the duties are performed
D) communicating the duty to be performed and the expected outcomes
Q2) According to the Canadian Nurses Association,which of the following responsibilities are included when nurses delegate?
A) being accountable for decisions,assessing expertise and education,and evaluation of outcomes
B) knowing staff preferences and usual roles
C) determining skills and evaluating outcomes
D) assigning regular breaks and determining progress on delegated tasks
Q3) The beginning of delegation in nursing is associated with which of the following?
A) team nursing
B) primary nursing
C) nursing shortages
D) Florence Nightingale
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14
Chapter 13: Strategic Planning and Organizing Client Care
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) 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
Q2) Successful leadership in health care in the 21st century most requires which of the following?
A) organizational structure
B) a mission statement
C) planning for continuous improvement
D) bureaucracy
Q3) In which of the following stages of the Colorado Differentiated Nursing Practice Model is the nurse able to accurately draw on intuitive knowledge?
A) Stage I
B) Stage II
C) Stage III
D) Stage IV
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Page 15
Chapter 14: Change and Conflict Resolution
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/48263
Sample Questions
Q1) According to the text,what is the most frequent response to change?
A) trust
B) coping
C) status quo
D) resistance
Q2) What is the term for a source of disagreement between two people or groups?
A) intrapersonal conflict
B) interpersonal conflict
C) organizational conflict
D) conflict
Q3) Which of the following series of changes are included in Rogers' Diffusion of Innovations Theory of Change?
A) diagnose,assess,select progressive change objective,choose role of change agent,maintain change,and terminate helping relationship
B) unfreeze,move,refreeze
C) create awareness,encourage interest,evaluate,trial,adopt
D) build relationship,diagnose problem,acquire resources,choose,gain acceptance
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Chapter 15: Power
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/48264
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 is a way for nurses to establish and use experts' status within the group?
A) demonstrate nursing skills
B) proclaim oneself an expert
C) achieve position status
D) network with expert nurses
Q3) Which of the following do many believe will cause power to become more evenly distributed?
A) government policies
B) higher education
C) the Internet
D) the media
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Page 17
Chapter 16: Managing Performance and Outcomes Using an Organizational Quality Improvement Model
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/48265
Sample Questions
Q1) Which of these people has made an important contribution to the science of improvement?
A) Katz
B) Drucker
C) Deming
D) Plsek
Q2) What is the term for an unexpected occurrence involving death or serious physical or psychological injury to a client?
A) below standard
B) quality failure
C) benchmarking
D) sentinel event
Q3) Which of these statements best describes the concept of "quality"?
A) being better,doing things right the first time,and being as good as the competition
B) seeing clients and others as customers
C) providing basics to the customers
D) achieving customer satisfaction and loyalty
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Page 18
Chapter 17: Decision Making
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/48266
Sample Questions
Q1) To which of the following has the nursing profession in Canada been compared?
A) a highly visible force
B) a strong force
C) a sleeping giant
D) other female-dominated occupations
Q2) 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.
Q3) What kind of perspective is employed when an individual views a problem as if standing outside their body?
A) autonomous perception
B) management perception
C) objective perception
D) subjective perception
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Chapter 18: Legal Aspects of Client Care
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/48267
Sample Questions
Q1) According to the International Nursing Review,how much more workplace violence do nurses experience compared to other professionals?
A) 3 times more
B) 10 times more
C) 16 times more
D) 20 times more
Q2) Which of the following is encompassed by civil law?
A) contract and tort law
B) contract and malpractice law
C) contract and negligence law
D) tort law and common law
Q3) According to the text,what is the definition of negligence?
A) wrongful conduct in the discharge of professional duties or the failure to meet standards of care for the profession
B) failure to provide the care a reasonable person would ordinarily provide in a similar situation
C) failure to do a procedure as a result of binding legal agreement or a moral responsibility
D) failure to act or be in control
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Page 20
Chapter 19: Spirituality and the Profession of Nursing
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/48268
Sample Questions
Q1) Which type of issues related to spirituality includes privacy,the right to refuse treatment,and definitions of death?
A) legal concerns
B) ethical concerns
C) treatment concerns
D) religious concerns
Q2) How can nurses benefit from use of the ASSET model?
A) increases understanding about religion
B) promotes cultural sensitivity
C) increases nurses' self-awareness about spirituality
D) helps assess clients' spiritual needs
Q3) What are clients said to experience when feel they have lost their hopes and dreams following bad news,such as a terminal diagnosis?
A) anticipatory grief
B) sadness
C) spiritual distress
D) disappointment
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Chapter 20: Ethics and the Profession of Nursing
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/48269
Sample Questions
Q1) Which of the following is an important fiduciary duty for nurses?
A) respecting the client's wishes
B) ensuring consent
C) being truthful
D) providing explanations to the family
Q2) New technologies,choices,and concerns about intervening in the lives of others have led to a subspecialty within the field of ethical inquiry.What is this subspecialty now called?
A) professional ethics
B) bioethics
C) social values
D) ethics algorithms
Q3) Which of the following statements best defines ethics?
A) a response to a situation or similar situations
B) a way of understanding moral issues,norms,and practices
C) the study of right and wrong behaviour
D) the study of problems associated with the practice of nursing
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Chapter 21: Collective Bargaining
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) 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
Q2) What is the term for a group acting with a single voice?
A) advocacy
B) collective action
C) bargaining
D) unionization
Q3) What organizations provide collective bargaining for physicians?
A) provincial and territorial medical associations
B) health care workers unions
C) doctors unions
D) College of Physicians and Surgeons
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Page 23
Chapter 22: Career Planning and Development: Creating Your Path to the Future
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/48271
Sample Questions
Q1) Which of these terms is another term for career?
A) résumé
B) work pattern
C) jobs
D) your life's work
Q2) 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."
Q3) What is the second phase in the Donner-Wheeler Model?
A) educational credentials
B) self-assessment
C) identifying your references
D) writing your résumé
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