Question 1

A nurse manager is in the planning phase in a new job.Which actions show this?

Accepted Answer

A) Developing goals that reflect the mission and vision of the organization 
B) Defining strategies to meet the mission and vision of the organization 
C) Providing direction for staff to perform the work of the organization 
D) Retaining accountability for all work completed by the staff 
E) Planning for contingencies that may interfere with the work of the organization 
A) Developing goals that reflect the mission and vision of the organization 
B) Defining strategies to meet the mission and vision of the organization 
C) Providing direction for staff to perform the work of the organization 
D) Retaining accountability for all work completed by the staff 
E) Planning for contingencies that may interfere with the work of the organization A,B,E

Question 2

A nurse is unhappy about the way medications are being administered on the unit.What does the nurse need to do first to facilitate a change in the process?

Accepted Answer

A) Initiate a new method starting with assigned patients. 
B) Discuss concerns with fellow nurses to determine interest in changing. 
C) Develop a better method to administer the medications. 
D) Inform the charge nurse of how it can be done better. 
A) Initiate a new method starting with assigned patients. 
B) Discuss concerns with fellow nurses to determine interest in changing. 
C) Develop a better method to administer the medications. 
D) Inform the charge nurse of how it can be done better. B

Question 3

The nurse manager identifies which of the following as the most critical step in problem solving?

Accepted Answer

A) Brainstorm all possible solutions. 
B) Identify the problem. 
C) Evaluate possible solutions. 
D) Choose a solution. 
A) Brainstorm all possible solutions. 
B) Identify the problem. 
C) Evaluate possible solutions. 
D) Choose a solution. B

Question 4

What types of changes in management can be anticipated with the introduction of generations X and Y to the nursing work force?

Accepted Answer

A) More flexible work time and increased personal responsibility for work outcomes 
B) Increased loyalty to the institution and the need for a well-defined work environment 
C) Increased interest in the goals and needs of the institution 
D) Increased structure within the nursing environment to more effectively predict outcomes 
A) More flexible work time and increased personal responsibility for work outcomes 
B) Increased loyalty to the institution and the need for a well-defined work environment 
C) Increased interest in the goals and needs of the institution 
D) Increased structure within the nursing environment to more effectively predict outcomes

Question 5

The nurse understands that having a stand-up meeting versus the traditional (sitting at a conference table)meeting takes less time to come to a decision based on which of the following ideas?

Accepted Answer

A) Contingency-style leadership 
B) Evidence-based management protocols and interventions 
C) Autocratic management style 
D) Presence of a clinical nurse leader (CNL) 
A) Contingency-style leadership 
B) Evidence-based management protocols and interventions 
C) Autocratic management style 
D) Presence of a clinical nurse leader (CNL)

Question 6

The nurse manager oversees a busy unit that has experienced several major changes recently.The manager notes the staff comply with the changes but seem depressed and lack energy.What action by the manager is best?

Accepted Answer

A) Remind them that the changes were for the best. 
B) Explain why the changes were needed. 
C) Allow nurses to move at their own pace. 
D) Give weekly pep talks and bring treats. 
A) Remind them that the changes were for the best. 
B) Explain why the changes were needed. 
C) Allow nurses to move at their own pace. 
D) Give weekly pep talks and bring treats.

Question 7

Which statement best describes effective leadership by the nurse manager?

Accepted Answer

A) Directs a staff nurse to modify his/her communication skills 
B) Fosters behavior changes in one staff member that have positive effects on the others 
C) Encourages behavior changes through the annual evaluation process 
D) Uses the group process to determine what behavior is distressing to staff 
A) Directs a staff nurse to modify his/her communication skills 
B) Fosters behavior changes in one staff member that have positive effects on the others 
C) Encourages behavior changes through the annual evaluation process 
D) Uses the group process to determine what behavior is distressing to staff

Question 8

The nurse manager on a surgical unit receives notification that multiple victims of a plane crash will arrive at the hospital momentarily.What is the most appropriate leadership style to adopt in this situation?

Accepted Answer

A) Autocratic 
B) Democratic 
C) Laissez-faire 
D) Eclectic 
A) Autocratic 
B) Democratic 
C) Laissez-faire 
D) Eclectic

Question 9

Which statement by the staff nurse shows adequate understanding of the nurse manager role? The nurse manager:

Accepted Answer

A) "is given information and power through an official position." 
B) "coordinates group activities toward a common goal." 
C) "is responsible for developing goals to be accomplished." 
D) "selects and assumes a role among a group of peers." 
A) "is given information and power through an official position." 
B) "coordinates group activities toward a common goal." 
C) "is responsible for developing goals to be accomplished." 
D) "selects and assumes a role among a group of peers."

Question 10

What is the most consistent concern of the nurse as manager?

Accepted Answer

A) To develop long-range career goals 
B) To coordinate patient care while meeting the agency goals 
C) To maintain harmony within the agency 
D) To organize the subordinates to meet agency goals 
A) To develop long-range career goals 
B) To coordinate patient care while meeting the agency goals 
C) To maintain harmony within the agency 
D) To organize the subordinates to meet agency goals

Question 11

Which of the following statements by the nurse reflect transformational leaders?

Accepted Answer

A) Lifelong learners 
B) Courageous change agents 
C) Slow to change 
D) Value-driven visionaries 
E) Hesitant to follow 
A) Lifelong learners 
B) Courageous change agents 
C) Slow to change 
D) Value-driven visionaries 
E) Hesitant to follow

Question 12

Which of the following actions is consistent with a nurse leader?

Accepted Answer

A) A nurse who encourages staff to give excellent patient care 
B) A nurse who performs chart audits on her staff 
C) A nurse who writes yearly staff evaluations 
D) A nurse who gives pain medication to an assigned patient 
A) A nurse who encourages staff to give excellent patient care 
B) A nurse who performs chart audits on her staff 
C) A nurse who writes yearly staff evaluations 
D) A nurse who gives pain medication to an assigned patient

Question 13

The nurse manager is giving a presentation on the disadvantages of democratic leadership in group functioning.Which statement shows an understanding of this type of leadership?

Accepted Answer

A) "Requires more time and effort to make decisions and accomplish goals" 
B) "Discourages participation from quieter members of the group" 
C) "Increases the possibility of 'scapegoating' or argumentative behavior" 
D) "Is difficult to control the outcomes and decisions of the group" 
A) "Requires more time and effort to make decisions and accomplish goals" 
B) "Discourages participation from quieter members of the group" 
C) "Increases the possibility of 'scapegoating' or argumentative behavior" 
D) "Is difficult to control the outcomes and decisions of the group"

Question 14

The nurse manager is beginning the process of problem solving.Which action should be taken first?

Accepted Answer

A) Define the problem. 
B) Gather information. 
C) Analyze the information. 
D) Consider the alternatives. 
A) Define the problem. 
B) Gather information. 
C) Analyze the information. 
D) Consider the alternatives.

Question 15

Which of the following actions by the nurse manager would indicate an autocratic management style?

Accepted Answer

A) Allows staff members to make most of the decisions 
B) Makes most of the decisions without input from the staff members 
C) Exerts little control over staff 
D) Emphasizes effective group functioning 
A) Allows staff members to make most of the decisions 
B) Makes most of the decisions without input from the staff members 
C) Exerts little control over staff 
D) Emphasizes effective group functioning

Question 16

The nursing staff on a busy unit enjoys autonomy and needs minimal direction for patient care.Which leadership style would be most effective on this unit?

Accepted Answer

A) Democratic 
B) Authoritarian 
C) Laissez-faire 
D) Bureaucratic 
A) Democratic 
B) Authoritarian 
C) Laissez-faire 
D) Bureaucratic

Question 17

Which of the following actions is consistent with a manager?

Accepted Answer

A) Planning the agenda for a staff meeting 
B) Directing nurse assistants in how to divide up patient-care assignments 
C) Organizing a group of nurses to present a topic at a staff meeting 
D) Giving blood at the local hospital blood drive 
E) Assume control of the guidelines for how hourly rounding will work on the unit 
A) Planning the agenda for a staff meeting 
B) Directing nurse assistants in how to divide up patient-care assignments 
C) Organizing a group of nurses to present a topic at a staff meeting 
D) Giving blood at the local hospital blood drive 
E) Assume control of the guidelines for how hourly rounding will work on the unit

Question 18

The nurse manager tells the patient that he must eat his breakfast before getting out of bed.What type of power is the nurse manager using?

Accepted Answer

A) Legitimate power 
B) Expert power 
C) Coercive power 
D) Referent power 
A) Legitimate power 
B) Expert power 
C) Coercive power 
D) Referent power

Question 19

Which action by the nurse indicates placement in the unfreezing phase of Lewin's Change Theory?

Accepted Answer

A) The nurse reconsiders if he or she is resistant to change. 
B) The nurse begins the process of implementing change. 
C) The change has become routine. 
D) The change is permanent. 
A) The nurse reconsiders if he or she is resistant to change. 
B) The nurse begins the process of implementing change. 
C) The change has become routine. 
D) The change is permanent.

Question 20

A nurse is respected by peers for clinical skills and effective interpersonal relationships.The nurse has studied diabetic patient educational needs and consults with several units.What type of power does this nurse possess?

Accepted Answer

A) Informational 
B) Legitimate 
C) Reward 
D) Expert 
A) Informational 
B) Legitimate 
C) Reward 
D) Expert

Exam 10: Nursing Management and Leadership

A nurse manager is in the planning phase in a new job.Which actions show this?

A nurse is unhappy about the way medications are being administered on the unit.What does the nurse need to do first to facilitate a change in the process?

The nurse manager identifies which of the following as the most critical step in problem solving?

What types of changes in management can be anticipated with the introduction of generations X and Y to the nursing work force?

The nurse understands that having a stand-up meeting versus the traditional (sitting at a conference table)meeting takes less time to come to a decision based on which of the following ideas?

The nurse manager oversees a busy unit that has experienced several major changes recently.The manager notes the staff comply with the changes but seem depressed and lack energy.What action by the manager is best?

Which statement best describes effective leadership by the nurse manager?

The nurse manager on a surgical unit receives notification that multiple victims of a plane crash will arrive at the hospital momentarily.What is the most appropriate leadership style to adopt in this situation?

Which statement by the staff nurse shows adequate understanding of the nurse manager role? The nurse manager:

What is the most consistent concern of the nurse as manager?

Which of the following statements by the nurse reflect transformational leaders?

Which of the following actions is consistent with a nurse leader?

The nurse manager is giving a presentation on the disadvantages of democratic leadership in group functioning.Which statement shows an understanding of this type of leadership?

The nurse manager is beginning the process of problem solving.Which action should be taken first?

Which of the following actions by the nurse manager would indicate an autocratic management style?

The nursing staff on a busy unit enjoys autonomy and needs minimal direction for patient care.Which leadership style would be most effective on this unit?

Which of the following actions is consistent with a manager?

The nurse manager tells the patient that he must eat his breakfast before getting out of bed.What type of power is the nurse manager using?

Which action by the nurse indicates placement in the unfreezing phase of Lewin's Change Theory?

A nurse is respected by peers for clinical skills and effective interpersonal relationships.The nurse has studied diabetic patient educational needs and consults with several units.What type of power does this nurse possess?

Role Transitions

Personal Management: Time and Self-Care Strategies

Mentorship, Preceptorship, and Nurse Residency Programs

Employment Considerations: Opportunities, Resumes, and Interviewing

Nclex-Rn and the New Graduate

Historical Perspectives: Influences on the Present

Nursing Education

Nursing Theory

Image of Nursing: Influences on the Present

Building Nursing Management Skills

Effective Communication, Team Building, and Inter-professional Practice

Conflict Management

Delegation in the Clinical Setting

The Health Care Organization and Patterns of Nursing Care Delivery

Economics in the Health Care Delivery System

Political Action in Nursing

Collective Bargaining: Traditional Unionand Nontraditional Approaches

Ethical Issues

Legal Issues

Cultural and Spiritual Awareness

Quality Patient Care

Nursing Informatics

Using Evidence-Based Practice and Nursing Research

Workplace Issues

Emergency Preparedness

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