Leadership & Management – Practice Questions and Revision Guide
40-year-old women is scheduled for a hysterectomy. The patient has yet to sign an informed
consent form. Which of the following describes the nurse's role in obtaining informed consent?
1. Witness the patient sign the consent form
2. Explain the procedure to the patient
3. Explain the risks and benefits associated with the procedure
4. Describe alternatives to the procedure - correct answer ✔✔ANS: 1
Rationale:
(1) Correct. One the nurse's role is to witness the patient sign the consent form. (2) Incorrect.
The healthcare provider is responsible for explaining the procedure to the patient prior to
receiving consent (3) Incorrect. The healthcare provider explains the risks and benefits
associated with the procedure. (4) Incorrect. The healthcare provider is responsible for
providing information to the client related to alternatives.
An 89 year old patient is admitted to the hospital with an UTI. The nurse notices the bed alarm
going off and finds the patient on the floor alone in pain. Upon assessment, the nurse notices
the bed in a high position for one bedrail up. Which of following examples of tort does this
exemplify?
1. Negligence
2. Assault
3. Battery
4. Malpractice - correct answer ✔✔ANS: 4
RATIONAL
,(1) Incorrect. Negligence is failing to perform an action that a reasonably prudent nurse would
do in a similar situation. (2) Incorrect. Assault is intentionally threatening a patient with physical
harm. (3) Incorrect. Battery is intentional tort physically harming a patient. (4) Correct.
Malpractice is unintentional injury to a patient as a result of a breach of duty.
The nurse manager of a postpartum unit trusts her staff and considers their opinion. She
communicates with them in an upward and downward channel. What is the leadership style of
the director of nursing?
1. Authoritative
2. Democratic
3. Laissez-faire
4. Exploitive - correct answer ✔✔ANS: 2
(1) Incorrect. The director of nursing would be authoritative if she communicated in a
downward channel and only gave commands to her staff. (2) Correct. This is correct because the
director of nursing takes what her staff has to say into consideration. (3). Incorrect. Laissez-faire
is when the leader has a low level of involvement. (4)Incorrect. The nurse doesn't exploit the
nurses or try to sway their opinions.
A CT scan machine unexpectedly broke on floor 6 East of Utopia Hospital. Then nurse manager
needs to properly use her budgeted money to pay for a replacement. What type of budget will
the nurse manager need to pull from to allocate the money to replace the CT scan machine?
1. Operating budget
2. Personnel budget
3. Supply/Non-supply budget
4. Capital budget - correct answer ✔✔ANS: 4
, (1) incorrect. Operating budget is a combination of known expenses over the course of a
specific time frame. (2) Incorrect. This is incorrect because personnel budget is related to
personnel like nurses etc.(3) Incorrect. This is incorrect because this relates to the supplies that
the hospitals use.(4) Correct. Capital budget includes equipment and large items costing over
$5000.
A client was admitted with a hemoglobin of 6.8 g/dL and has an order to receive 1 unit of blood.
The nurse began administering the blood later realizing that the client was receiving the wrong
blood type. What type of medical error occurred?
A. Error of omission
B. Sentinel event
C. Error of commission
D. Near miss - correct answer ✔✔ANS: B
A sentinel event is a patient safety event that results in death, permanent harm, or severe
temporary harm. Sentinel events signal the need for immediate response or investigation. Once
the nurse realized the client is receiving the wrong blood type, immediate response to stop the
administration is needed and results in a reaction of severe harm. Error of omission is when
action is not taken. Error of commission is when wrong action is taken. Near miss is when a
potential error is discovered before being carried out
The nurse manager's view of management stimulated a shift toward the realization of the
importance of participatory organizations. Which option provides a scenario that is an example
of a democratic organization?
A. The control of the organization is centralized, and decisions are made by upper-level
management.
B. Staff nurses are expected to provide support and nurturing for managements decisions.
C. The organization's approach to leadership is autocratic and bureaucratic.
40-year-old women is scheduled for a hysterectomy. The patient has yet to sign an informed
consent form. Which of the following describes the nurse's role in obtaining informed consent?
1. Witness the patient sign the consent form
2. Explain the procedure to the patient
3. Explain the risks and benefits associated with the procedure
4. Describe alternatives to the procedure - correct answer ✔✔ANS: 1
Rationale:
(1) Correct. One the nurse's role is to witness the patient sign the consent form. (2) Incorrect.
The healthcare provider is responsible for explaining the procedure to the patient prior to
receiving consent (3) Incorrect. The healthcare provider explains the risks and benefits
associated with the procedure. (4) Incorrect. The healthcare provider is responsible for
providing information to the client related to alternatives.
An 89 year old patient is admitted to the hospital with an UTI. The nurse notices the bed alarm
going off and finds the patient on the floor alone in pain. Upon assessment, the nurse notices
the bed in a high position for one bedrail up. Which of following examples of tort does this
exemplify?
1. Negligence
2. Assault
3. Battery
4. Malpractice - correct answer ✔✔ANS: 4
RATIONAL
,(1) Incorrect. Negligence is failing to perform an action that a reasonably prudent nurse would
do in a similar situation. (2) Incorrect. Assault is intentionally threatening a patient with physical
harm. (3) Incorrect. Battery is intentional tort physically harming a patient. (4) Correct.
Malpractice is unintentional injury to a patient as a result of a breach of duty.
The nurse manager of a postpartum unit trusts her staff and considers their opinion. She
communicates with them in an upward and downward channel. What is the leadership style of
the director of nursing?
1. Authoritative
2. Democratic
3. Laissez-faire
4. Exploitive - correct answer ✔✔ANS: 2
(1) Incorrect. The director of nursing would be authoritative if she communicated in a
downward channel and only gave commands to her staff. (2) Correct. This is correct because the
director of nursing takes what her staff has to say into consideration. (3). Incorrect. Laissez-faire
is when the leader has a low level of involvement. (4)Incorrect. The nurse doesn't exploit the
nurses or try to sway their opinions.
A CT scan machine unexpectedly broke on floor 6 East of Utopia Hospital. Then nurse manager
needs to properly use her budgeted money to pay for a replacement. What type of budget will
the nurse manager need to pull from to allocate the money to replace the CT scan machine?
1. Operating budget
2. Personnel budget
3. Supply/Non-supply budget
4. Capital budget - correct answer ✔✔ANS: 4
, (1) incorrect. Operating budget is a combination of known expenses over the course of a
specific time frame. (2) Incorrect. This is incorrect because personnel budget is related to
personnel like nurses etc.(3) Incorrect. This is incorrect because this relates to the supplies that
the hospitals use.(4) Correct. Capital budget includes equipment and large items costing over
$5000.
A client was admitted with a hemoglobin of 6.8 g/dL and has an order to receive 1 unit of blood.
The nurse began administering the blood later realizing that the client was receiving the wrong
blood type. What type of medical error occurred?
A. Error of omission
B. Sentinel event
C. Error of commission
D. Near miss - correct answer ✔✔ANS: B
A sentinel event is a patient safety event that results in death, permanent harm, or severe
temporary harm. Sentinel events signal the need for immediate response or investigation. Once
the nurse realized the client is receiving the wrong blood type, immediate response to stop the
administration is needed and results in a reaction of severe harm. Error of omission is when
action is not taken. Error of commission is when wrong action is taken. Near miss is when a
potential error is discovered before being carried out
The nurse manager's view of management stimulated a shift toward the realization of the
importance of participatory organizations. Which option provides a scenario that is an example
of a democratic organization?
A. The control of the organization is centralized, and decisions are made by upper-level
management.
B. Staff nurses are expected to provide support and nurturing for managements decisions.
C. The organization's approach to leadership is autocratic and bureaucratic.
