Study Guide – Practice
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2026/2027 Update.
A concentration on key aspects of the work environment, specifically the
people, the physical environment, and the job resources, can enhance
healthcare working conditions. This is an exam of:
a. Effective decision-making
b. Transactional leadership
c. Transformational leadership
d. Meaningful recognition - Answer✔✔-c. Transformational leadership
This transforms through contextual and cultural changes that relate to the
people, physical environment and job resources. The leader is aware of all that
is going on in the organization.
A key consideration in the process of group dynamics for the nurse manager to
remember is that the stage of group formation a where work is most effective
is the:
a. Norming stage
b. Storming stage
,c. Forming stage
d. Performing stage - Answer✔✔-d. Performing stage
The performing stage is the final stage of group formation, where the energy of
the group is focused on achieving its goals in a collaborative atmosphere.
Forming: In the beginning, when a new team forms, individuals will be unsure
of the team's purpose, how they fit in, and whether they'll work well with one
another. They may be anxious, curious, or excited to get going. However they
feel, they'll be looking to the team leader for direction. This may take some
time, as people get to know their new colleagues and one another's ways of
working.
Storming: people start to push against the established boundaries. Conflict or
friction can also arise between team members as their true characters - and
their preferred ways of working - surface and clash with other people's. At this
stage team members may challenge your authority or management style, or
even the team's mission.
Norming: People start to resolve their differences, appreciate one another's
strengths, and respect your authority as a leader. Now that they know one
another better, your team members will feel more comfortable asking for help
and offering constructive feedback.
A model that treats errors as system failures and encourages error
identification and correction without placing blame on individuals in an
attempt to improve patient safety is called:
a. Just culture
b. Emotional intelligence
c. Transformational Leadership
,d. Appreciative Inquiry - Answer✔✔-a. Just culture
In a just culture, patient safety is enhanced by treating errors as system failures
and encouraging error identification and correction without placing blame on
individuals.
A nurse leader feels there are issues on the unit preventing the staff from
improving their patient experience scores. Evidence-based practices have been
identified, education provided, and strategies implemented. However, results
are not improving. What qualitative design could be used to gain insight into
future strategies?
a. Ethnographic
b. Predictive
c. Descriptive
d. Case Study - Answer✔✔-a. Ethnographic
Helps describe the culture within which people live their daily lives and the
impact of this culture on their behavior.
A nurse leader must realize that in order for innovation to occur in staff nurses'
practice, the leader must also manage based on the principles of innovation.
Which behavior is an innovation principle?
a. create innovation skills, knowledge and attitudes
b. limit the allocation of resources to support innovation
c. change in difficult; staff and leaders will always embrace it
d. limit the interaction with staff along the journey from idea to
implementation - Answer✔✔-a. create innovation skills, knowledge and
attitudes
, A staff nurse describes the CNO as a transformational leader. This CNO keeps
an open door policy and is eager and caring when the nurses stop by. In
addition, the CNO motivates the nursing staff to collaborate on initiatives for a
healthy work environment. Which transformational leadership characteristics
are described?
a. providing inspiration and enthusiasm, creating harmony and fostering
horizontal and vertical communication.
b. providing protection, direction and clarity
c. focusing on short-term goals and initiatives
d. promoting responsibility, fairness, and honesty - Answer✔✔-a. providing
inspiration and enthusiasm, creating harmony and fostering horizontal and
vertical communication.
An important strategy for nurse executive succession planning is to:
a. Allow for job sharing of nursing leaders so they learn to work as a team
b. Include nurse leaders as part of the senior management team
c. Provide exposure to medical staff leadership committees
d. Provide flexible schedules for nurse leaders to attend educational training. -
Answer✔✔-b. Include nurse leaders as part of the senior management team
As CNO, you have pulled together a group to work on a major modification to
the Surgical Intensive Care Unit (SICU). Informal leaders begin to emerge. This
stage of group development is known as:
a. Norming stage
b. Storming stage
c. Forming stage
d. Performing stage - Answer✔✔-b. Storming stage