Principles of Nursing Management Pre-Test
Questions
Course Introduction
Principles of Nursing Management introduces students to foundational concepts and practices essential for effective leadership and management within healthcare environments. The course covers topics such as organizational behavior, communication skills, decision-making processes, delegation, team building, conflict resolution, quality improvement, and the development of policies and procedures. Students will learn strategies for managing resources, overseeing nursing staff, and ensuring high standards of patient care. Emphasis is placed on ethical and legal considerations, the roles and responsibilities of nurse managers, and adapting leadership styles to diverse healthcare settings.
Recommended Textbook Guide to Nursing Management and Leadership 8th Edition by Ann Marriner Tomey
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15 Chapters
375 Verified Questions
375 Flashcards
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Page 2
Chapter 1: Communications
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Sample Questions
Q1) The client complains to the nurse about the noise at the nurse's station at night.The nurse's best response is:
A)"I appreciate your reporting this to me."
B)"Thank you for contributing this information."
C)"What do you want me to do about this?"
D)"Are you saying that you are unable to rest at night because of the noise?"
Answer: D
Q2) Which of the following is indicative of trashing other nurses?
A)Nurses working together as a team
B)Nurses committing themselves to actions that they do not complete
C)Nurses identifying with their male colleagues
D)Nurses talking about other nurses behind their backs
Answer: D
Q3) In a unit meeting,a staff nurse exhibits what is commonly known as an adult tantrum.The nurse manager's best response is to:
A)Call the staff nurse by name
B)Discourage the staff nurse from talking
C)Allow the staff nurse to finish the outburst
D)Ask the staff nurse open-ended questions
Answer: C
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Chapter 2: Stress Management
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Sample Questions
Q1) The nurse manager was reprimanding the nursing assistant for clocking in late 3 days in a row.Which statement indicates the greatest source of stress for the nursing assistant?
A)"I'm sorry I am late.I have no excuse."
B)"I'm not the only one who clocks in late."
C)"I'm getting married this weekend."
D)"I need to get my cup of coffee."
Answer: C
Q2) The house supervisor is attempting to maximize his managerial time.Which of the following techniques can he use to maximize his time?
A)Delegation
B)Abdominal breathing
C)Compartmentalization
D)Anchoring
Answer: A
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Chapter 3: Decision-Making Process and Tools
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Sample Questions
Q1) A hospital planned to begin using a new computerized medication administration record.The hospital used an external consultant to act as a change agent and educate the staff.An advantage to using external consultants is that they:
A)Will devote more time to the problem
B)Are less costly
C)Have limited backgrounds
D)Bring new ideas and different perspectives to the situation
Answer: D
Q2) In the decision-making process,the nurse identifies a problem by:
A)Referring to the standards of practice
B)Using the nurse's own experience
C)Drawing on his or her education
D)Analyzing available information
Answer: D
Q3) Which of the following is an example of effective decision making?
A)Counseling an employee for taking off one sick day
B)Implementing changes before explaining them to the staff
C)Including staff from one shift to help make a decision
D)Implementing the decision that has been made
Answer: D
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Chapter 4: Motivation and Morale
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Sample Questions
Q1) A staff nurse became upset with the hospital because newer nurses were being hired directly after graduation from nursing programs at a higher pay than the nurse's.Based on the equity theory,what would be expected from the staff nurse?
A)Pride in his performance
B)Feelings of being overrewarded
C)Decrease in productivity
D)Increase in productivity
Q2) A group of staff nurses met in the hospital cafeteria.They decided to write a letter to the nurse manager regarding the behavior of another staff member.In the letter,they planned to ask that the staff member be removed.This is an example of:
A)High morale
B)Burnout
C)Vertical violence
D)Horizontal violence
Q3) Which of the following is an example of high organizational morale?
A)A staff nurse enjoys the quality of her work.
B)A staff nurse shows decreased quality of work.
C)A staff nurse is loyal to the profession.
D)A staff nurse has a high rate of absenteeism.
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Page 6
Chapter 5: Power, Politics, and Labor Relations
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Sample Questions
Q1) A nursing assistant complained to the nurse manager that a staff nurse was making sexually inappropriate statements.The nursing assistant felt that the nurse manager did not adequately counsel the staff nurse.After the nursing assistant filed a grievance,a hearing was held.It is the nursing assistant's responsibility to:
A)Hire an attorney
B)Obtain a witness
C)Leave the hospital because of conflict of interest
D)Obtain the services of the American Nurses Association
Q2) Hospital employees decided that they would support the union certified by the National Labor Relations Board and go out on strike.At what point in the unionization phase can striking occur?
A)Organizing phase
B)Recognition phase
C)Contract negotiation phase
D)Contract administration phase
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Chapter 6: Conflict Management and Negotiation
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Sample Questions
Q1) A rural hospital was switching to computerized charting.Many of the senior nurses were feeling anxious about the changes because of the new technology involved.In what stage of conflict were the senior nurses?
A)Latent
B)Perceived
C)Felt
D)Manifest
Q2) A physician reprimanded a staff nurse in front of a patient about missing laboratory work in the chart.The staff nurse excused himself and left the room without answering the physician.The staff nurse managed the conflict by:
A)Avoiding
B)Accommodating
C)Compromising
D)Competing
Q3) Which of the following is the most effective way to manage conflict?
A)Avoiding
B)Compromising
C)Collaborating
D)Competing
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Page 8
Chapter 7: Theories of Leadership and Management Development
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Sample Questions
Q1) According to Peter Senge's theory,all of the following are disciplines for building a learning organization except:
A)Systems thinking
B)Personal mastery
C)Mental models
D)Emotional competence
Q2) The nurse manager demonstrates self-confidence in his ability to lead.He also describes himself as a visionary with empathy.Daniel Goleman identifies this behavior as:
A)A servant leader
B)A benchmark for excellence
C)An emotional intelligence competency
D)Contingent reinforcement leadership
Q3) Transactional leadership focuses on management tasks and trade-offs in exchange for expected performance.In transformational leadership,the nurse manager:
A)Sets goals for the employees
B)Uses management by exception
C)Focuses on day-to-day operations
D)Encourages self-management
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Chapter 8: Strategic and Operational Planning
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Sample Questions
Q1) The nurse manager of a unit uses strategic planning when the manager:
A)Decreases staffing
B)Increases duplication of efforts
C)Sets unrealistic goals
D)Gives direction to the unit
Q2) The planning process is a critical element for nursing management.One consequence of planning is:
A)Vision
B)Values
C)Mission statement
D)External assessment
Q3) A staff nurse is transferred from the surgical unit to a medical intensive care unit.In the new unit,the staff nurse will most likely be at which level of competency as defined by Benner?
A)Novice
B)Advanced beginner
C)Advanced
D)Competent
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Chapter 9: Financial Management, Cost Containment, and Marketing
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Sample Questions
Q1) A system in which a fixed payment is given to a care provider per health plan participant per month for delivery of a specified amount of health care services is known as:
A)Managed care
B)Health maintenance organization
C)Individual provider arrangements
D)Capitation
Q2) Health care costs continue to increase.All of the following contribute to rising health care costs except:
A)Aging population
B)Increasing number of diseases requiring acute care
C)Increased health care needs
D)Increasing number of uninsured people
Q3) One difference between the traditional model and the McCloskey model for costing out nursing services is that the McCloskey model uses:
A)Average nursing hourly salary (ANHS)
B)Benefits across the institution (BAI)
C)Indirect cost amount (ICA)
D)Nursing intervention (NI)
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Chapter 10: Organizational Concepts and Structure
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Sample Questions
Q1) To increase performance effectiveness,the nurse manager must:
A)Ensure increased production
B)Give employees informal authority
C)Decrease delegation of tasks
D)Provide general supervision
Q2) A staff nurse who recently graduated from a health systems management graduate program was relieved of her duties on the unit and given a temporary assignment along with other staff members who were working on their certifications.The staff members were participating in:
A)Bureaucratic management
B)A task force
C)A line and staff model
D)An adhocracy
Q3) The nurse manager of the unit is responsible for:
A)Encouraging downward communication
B)Establishing a chain of command
C)Facilitating the formal group
D)Modeling the use of centralized power
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Chapter 11: Organizational Culture, Change, and Innovation
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Sample Questions
Q1) In a staff meeting,the staff complain that they would like to have more events that allow them to socialize with their co-workers.The nurse manager recognizes that there is a culture gap on the unit.The culture gap relates to which of the following?
A)Task support norms
B)Task innovation norms
C)Social relationship norms
D)Personal freedom norms
Q2) The hospital's mission statement includes the phrase,"We are committed to providing multicultural services." An example of carrying out this mission is:
A)Supporting dialogue between individuals of different cultures
B)Ensuring that patients of different cultures have translation services available
C)Providing services only for English-speaking patients
D)Excluding different cultural practices
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13
Chapter 12: Selection and Development of Personnel
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Sample Questions
Q1) Which of the following is used when the nurse manager is making a hiring decision?
A)Salary scale
B)Fringe benefits list
C)Cover letter
D)Résumé
Q2) Hospitals use various recruitment and retention strategies.One strategy adopted by hospitals is to arrange for a resource person to support the development of a younger nurse through influence and promotion.Such a person is called:
A)A preceptor
B)A mentor
C)A faculty member
D)A staff developer
Q3) The Americans with Disabilities Act of 1990 protects individuals with which of the following disorders?
A)Depression
B)Gender identity disorder
C)Dyslexia
D)Psychoactive substance abuse
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Chapter 13: Staffing and Scheduling
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Sample Questions
Q1) The nurse manager used variable staffing for a 25-bed postoperative unit at full capacity.On the unit,there were four patients who had undergone total knee replacement and four who had undergone total hip replacement who required blood transfusions.What kind of variable staffing mix would the nurse manager most likely use?
A)All-registered nurse (RN)staffing
B)One RN,two licensed practical nurses (LPNs),and four unlicensed personnel
C)One RN,one LPN,and five unlicensed personnel
D)One RN,four LPNs,and two unlicensed personnel
Q2) Clinical outcomes can be used to assess the adequacy of staffing.Which of the following indicates a need for better staffing?
A)Family falls
B)Short length of stay
C)Adverse drug reactions
D)Patient satisfaction
Q3) An adequate number of nursing staff has a positive effect on:
A)Acuteness of care
B)Length of patient stay
C)Family safety
D)Number of staffed beds
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Page 15
Chapter 14: Evaluation and Discipline of Personnel
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Q1) As an employee benefit,the hospital provides tuition assistance for employees who pursue further education for professional development provided they agree to work at least 2 years after they complete their studies.This can be viewed as what type of modification of employee behavior?
A)Reinforcement
B)Shaping
C)Extinction
D)Punishment
Q2) The counselor listens to the employee's problem and decides how to solve it.Then the counselor tells the employee what to do to fix the problem.This is what kind of counseling?
A)Nondirective counseling
B)Reassurance
C)Catharsis
D)Directive counseling
Q3) All of the following are purposes of the performance appraisal except:
A)Determining job competence
B)Improving communication between managers and physicians
C)Identifying unsatisfactory employees
D)Inventorying talent within the organization
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Chapter 15: Continuous Quality Improvement, Risk
Management, and Program
Evaluation
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Sample Questions
Q1) During President Clinton's years of service,the Health Security Act was passed,which was another step in health care reform.Which principle of the Health Security Act called for every employee and every employer to contribute to the cost of health care?
A)Security
B)Quality
C)Choice
D)Responsibility
Q2) Both leaders and managers have a responsibility for quality improvement.A manager's function is to:
A)Build a culture of disparity
B)Determine discrepancies between care provided and standards
C)Be proactive rather than reactive
D)Encourage the use of electronic systems
Q3) Which organization developed standards for nursing practice that became the basis for quality assurance programs?
A)The Joint Commission on Accreditation of Hospitals (JCAH)
B)The American Nurses Association (ANA)
C)The Hospitals Association
D)Centers for Medicare & Medicaid Services
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