Leading and Managing in Nursing – Exam 1 – Study Guide & Practice
Questions
You are a member of a team assigned to care for 15 general medical/surgical clients. You have
all worked well together in the past in this same type of care. If you are assigned to coordinate
this team's work, your best strategy, based on the Hersey and Blanchard model, would be to: -
correct answer ✔✔Provide minimal direction and let them come to you with questions.
The nurse manager is setting up the room assignments for the unit. She has one critical patient
on the unit, who is going to require more care than the others. Before delegating a task, a nurse
manager should: - correct answer ✔✔Assess the amount of guidance and support needed in a
particular situation.
A key advantage that a nurse manager has in terms of delegating is that: - correct answer
✔✔Team skills can be used more effectively.
The nurse on the 7-7 shift is assigning a component of care to an unlicensed nursing personnel
employee. The night nurse should remain: - correct answer ✔✔Accountable.
The night nurse understands that certain factors need to be considered before delegating tasks
to others. These factors include the: - correct answer ✔✔Complexity of the task and the
potential for harm.
During a fire drill, the nurse manager becomes very assertive and directive in her
communications with staff. This type of situational leadership depends on: - correct answer
✔✔The development level of the followers and the type of behavior of the leader.
The unit manager is working in a large metropolitan facility and is told that two UNPs are to be
assigned to work with her. Delegation begins with: - correct answer ✔✔Matching tasks with
qualified persons.
,During staff development programs, staff nurses verbalize their frustration about their
workloads and having to delegate so many tasks to others. One of the main reasons that
delegation has emerged as an issue is because of: - correct answer ✔✔The complexity of client
care.
The day shift nurse asks an LPN/LVN to complete a component of care for a client. The day shift
nurse is engaging in what function? - correct answer ✔✔Assigning
You are working in a home health service and have 3 UNPs assigned to your team. You have
worked with two; the third is new. The two experienced UNPs have patients with complex
illnesses. The third has been assigned to patients with less complex illnesses. - correct answer
✔✔Meet the new staff member at the first patient care site and call the others with questions
to determine whether anything is unusual.
With delegation, responsibility and accountability remain with the: - correct answer
✔✔Professional who delegates.
Which of the following exemplifies accountability? Karen, the nurse manager on 5E: - correct
answer ✔✔Outlines her rationale for reduction of RN coverage on nights to the Nursing Practice
Committee after serious patient injury.
Which of the following indicates safe delegation? - correct answer ✔✔A unit manager agrees to
release a staff from her unit to Unit B. The staff member she agrees to release is experienced on
Unit B and is agreeable to the change. The unit manager's unit is fully staffed and patients are
stable.
Which of the following would be most in line with Hersey and Blanchard's concepts? - correct
answer ✔✔The team of caregivers on day shift are familiar with their roles and with the
patients. The nurse manager decides to work on the unit budget in her office.
,In delegating to a UNP in a home health setting, which of the following represents the most
appropriate delegation communication? - correct answer ✔✔"Mrs. S. needs help to get into
and out of her bathtub. Her bath will need to be completed by 10:00. When you are helping her
to dry, please check between her toes and toenails, and phone me by 10:30 if you notice nail
discoloration or redness."
An RN colleague, who is a long-standing and collaborative member of your team, is performing
a complex and novel dressing for the first time for the patient to whom she has been assigned.
Which of the following would be the most appropriate communication with her? - correct
answer ✔✔"Here is what you need for the dressing, and I will show you what needs to be
done."
Sally is an experienced nurse on the unit and is very experienced with ICP monitoring. She is
assigned David, a patient who has been admitted with a severe head injury. In communicating
with Sally, you would: - correct answer ✔✔Advise her that you are available if she needs you.
You ask Evelyn to check what is left in Mrs. N.'s inhaler when makes visits also to check if she is
receiving positive effects from medication. for 3 weeks that Mrs. N. is using the inhaler and that
there is enough medication left. day of her last visit to Mrs. N. is admitted to hospital in severe
respiratory distress. When admitted, reports not been using inhaler for 4 weeks. - correct
answer ✔✔Failure to follow through.
You ask Evelyn, a new UNP, to check what is left in Mrs. N.'s inhaler when Evelyn makes visits to
Mrs. N. and also to check whether Mrs. N. is receiving any positive effect from the medication.
Evelyn reports for 3 weeks that Mrs. N. is using the inhaler and that there is enough medication
left in the device. The day of her last visit to Mrs. N., Mrs. N. is admitted to the hospital in severe
respiratory distress. When she is admitted, she tells the physician that she has not been using
the inhaler for 4 weeks. Before assigning Evelyn to Mrs. N.'s care, the most appropriate action of
the care coordinator would have been to: - correct answer ✔✔Ask Evelyn if she has worked
with inhalers before and to describe what she knows about them.
You ask Evelyn, a new UNP, to check what is left in Mrs. N.'s inhaler when Evelyn makes visits to
Mrs. N. and also to check whether Mrs. N. is receiving any positive effect from the medication.
, Evelyn reports for 3 weeks that Mrs. N. is using the inhaler and that there is enough medication
left in the device. The day of her last visit to Mrs. N., Mrs. N. is admitted to the hospital in severe
respiratory distress. When she is admitted, she tells the physician that she has not been using
the inhaler for 4 weeks. Determination of Evelyn's educational preparation and certification is
related to the concept of: - correct answer ✔✔Authority.
County Hospital has position descriptions for all staff, including RN Team Leaders. Sarah, a team
leader on the rehab unit, assesses the needs of the patients in her area, assesses the skills and
backgrounds of each of the individuals on her team, and then assigns and delegates the
appropriate care provider to each patient and task. Sarah's activity in the example described is
termed: - correct answer ✔✔Active delegation.
Functions such as "delegates tasks to assistive personnel" that are outlined in a position
description for an RN Team Leader would be considered: - correct answer ✔✔Passive
delegation.
County Hospital has position descriptions for all staff, including RN Team Leaders. Sarah, a team
leader on the rehab unit, assesses the needs of the patients in her area, assesses the skills and
backgrounds of each of the individuals on her team, and then assigns and delegates the
appropriate care provider to each patient and task. Sarah provides Colleen, her RN colleague
with details regarding the patients to whom Colleen has been assigned on the day shift. This is
an example of: - correct answer ✔✔Assignment.
Leslie, a UNP, transfers a patient while using improper technique. The patient is injured, and as a
result, a suit is launched in which both Sarah (the delegator) and Leslie (the delegatee) are
named. Sarah is named in the suit because she: - correct answer ✔✔Retains accountability for
the outcomes of care for the patient.
Ali, an RN on your unit, is consistently late to work and makes remarks such as "Do you really
want me to do that?" when patients and care are assigned to her. You have spoken with her
frequently about her: - correct answer ✔✔Attitude.
Questions
You are a member of a team assigned to care for 15 general medical/surgical clients. You have
all worked well together in the past in this same type of care. If you are assigned to coordinate
this team's work, your best strategy, based on the Hersey and Blanchard model, would be to: -
correct answer ✔✔Provide minimal direction and let them come to you with questions.
The nurse manager is setting up the room assignments for the unit. She has one critical patient
on the unit, who is going to require more care than the others. Before delegating a task, a nurse
manager should: - correct answer ✔✔Assess the amount of guidance and support needed in a
particular situation.
A key advantage that a nurse manager has in terms of delegating is that: - correct answer
✔✔Team skills can be used more effectively.
The nurse on the 7-7 shift is assigning a component of care to an unlicensed nursing personnel
employee. The night nurse should remain: - correct answer ✔✔Accountable.
The night nurse understands that certain factors need to be considered before delegating tasks
to others. These factors include the: - correct answer ✔✔Complexity of the task and the
potential for harm.
During a fire drill, the nurse manager becomes very assertive and directive in her
communications with staff. This type of situational leadership depends on: - correct answer
✔✔The development level of the followers and the type of behavior of the leader.
The unit manager is working in a large metropolitan facility and is told that two UNPs are to be
assigned to work with her. Delegation begins with: - correct answer ✔✔Matching tasks with
qualified persons.
,During staff development programs, staff nurses verbalize their frustration about their
workloads and having to delegate so many tasks to others. One of the main reasons that
delegation has emerged as an issue is because of: - correct answer ✔✔The complexity of client
care.
The day shift nurse asks an LPN/LVN to complete a component of care for a client. The day shift
nurse is engaging in what function? - correct answer ✔✔Assigning
You are working in a home health service and have 3 UNPs assigned to your team. You have
worked with two; the third is new. The two experienced UNPs have patients with complex
illnesses. The third has been assigned to patients with less complex illnesses. - correct answer
✔✔Meet the new staff member at the first patient care site and call the others with questions
to determine whether anything is unusual.
With delegation, responsibility and accountability remain with the: - correct answer
✔✔Professional who delegates.
Which of the following exemplifies accountability? Karen, the nurse manager on 5E: - correct
answer ✔✔Outlines her rationale for reduction of RN coverage on nights to the Nursing Practice
Committee after serious patient injury.
Which of the following indicates safe delegation? - correct answer ✔✔A unit manager agrees to
release a staff from her unit to Unit B. The staff member she agrees to release is experienced on
Unit B and is agreeable to the change. The unit manager's unit is fully staffed and patients are
stable.
Which of the following would be most in line with Hersey and Blanchard's concepts? - correct
answer ✔✔The team of caregivers on day shift are familiar with their roles and with the
patients. The nurse manager decides to work on the unit budget in her office.
,In delegating to a UNP in a home health setting, which of the following represents the most
appropriate delegation communication? - correct answer ✔✔"Mrs. S. needs help to get into
and out of her bathtub. Her bath will need to be completed by 10:00. When you are helping her
to dry, please check between her toes and toenails, and phone me by 10:30 if you notice nail
discoloration or redness."
An RN colleague, who is a long-standing and collaborative member of your team, is performing
a complex and novel dressing for the first time for the patient to whom she has been assigned.
Which of the following would be the most appropriate communication with her? - correct
answer ✔✔"Here is what you need for the dressing, and I will show you what needs to be
done."
Sally is an experienced nurse on the unit and is very experienced with ICP monitoring. She is
assigned David, a patient who has been admitted with a severe head injury. In communicating
with Sally, you would: - correct answer ✔✔Advise her that you are available if she needs you.
You ask Evelyn to check what is left in Mrs. N.'s inhaler when makes visits also to check if she is
receiving positive effects from medication. for 3 weeks that Mrs. N. is using the inhaler and that
there is enough medication left. day of her last visit to Mrs. N. is admitted to hospital in severe
respiratory distress. When admitted, reports not been using inhaler for 4 weeks. - correct
answer ✔✔Failure to follow through.
You ask Evelyn, a new UNP, to check what is left in Mrs. N.'s inhaler when Evelyn makes visits to
Mrs. N. and also to check whether Mrs. N. is receiving any positive effect from the medication.
Evelyn reports for 3 weeks that Mrs. N. is using the inhaler and that there is enough medication
left in the device. The day of her last visit to Mrs. N., Mrs. N. is admitted to the hospital in severe
respiratory distress. When she is admitted, she tells the physician that she has not been using
the inhaler for 4 weeks. Before assigning Evelyn to Mrs. N.'s care, the most appropriate action of
the care coordinator would have been to: - correct answer ✔✔Ask Evelyn if she has worked
with inhalers before and to describe what she knows about them.
You ask Evelyn, a new UNP, to check what is left in Mrs. N.'s inhaler when Evelyn makes visits to
Mrs. N. and also to check whether Mrs. N. is receiving any positive effect from the medication.
, Evelyn reports for 3 weeks that Mrs. N. is using the inhaler and that there is enough medication
left in the device. The day of her last visit to Mrs. N., Mrs. N. is admitted to the hospital in severe
respiratory distress. When she is admitted, she tells the physician that she has not been using
the inhaler for 4 weeks. Determination of Evelyn's educational preparation and certification is
related to the concept of: - correct answer ✔✔Authority.
County Hospital has position descriptions for all staff, including RN Team Leaders. Sarah, a team
leader on the rehab unit, assesses the needs of the patients in her area, assesses the skills and
backgrounds of each of the individuals on her team, and then assigns and delegates the
appropriate care provider to each patient and task. Sarah's activity in the example described is
termed: - correct answer ✔✔Active delegation.
Functions such as "delegates tasks to assistive personnel" that are outlined in a position
description for an RN Team Leader would be considered: - correct answer ✔✔Passive
delegation.
County Hospital has position descriptions for all staff, including RN Team Leaders. Sarah, a team
leader on the rehab unit, assesses the needs of the patients in her area, assesses the skills and
backgrounds of each of the individuals on her team, and then assigns and delegates the
appropriate care provider to each patient and task. Sarah provides Colleen, her RN colleague
with details regarding the patients to whom Colleen has been assigned on the day shift. This is
an example of: - correct answer ✔✔Assignment.
Leslie, a UNP, transfers a patient while using improper technique. The patient is injured, and as a
result, a suit is launched in which both Sarah (the delegator) and Leslie (the delegatee) are
named. Sarah is named in the suit because she: - correct answer ✔✔Retains accountability for
the outcomes of care for the patient.
Ali, an RN on your unit, is consistently late to work and makes remarks such as "Do you really
want me to do that?" when patients and care are assigned to her. You have spoken with her
frequently about her: - correct answer ✔✔Attitude.
