Chapter 01: Leadership and Management
Principles Test Bank
MULTIPLE CHOICE
1. Leadership is best defined as:
a.
an interpersonal process of participating by encouraging fellowship.
b.
delegation of authority and responsibility and the coordination of activities.
c.
inspiring people to accomplish goals through support and confidence building.
d.
the integration of resources through planning, organizing, and directing.
ANS: C
Leadership is the process of influencing people to accomplish goals by inspiring confidence
and support among followers.
DIF: Cognitive Level: Remember (Knowledge) REF: Page 4
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2. A medical-surgical unit reports higher rates of patient satisfaction coupled with high rates of
staff satisfaction and productivity. Which of the following is attributed to the data?
a.
Effective leadership
b.
Management involvement
c.
Mentoring
d.
Rewards and recognition
ANS: A
Effective leadership is important in nursing because of the impact on nurses’ work lives, it
being a stabilizing influence during change, and for nurses’ productivity and quality of care.
DIF: Cognitive Level: Apply (Application) REF: Page 1
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
3. A staff registered nurse (RN) is leading a multidisciplinary clinical pathway team in the
development of care for patients with total knee replacement. Which of the following
statements would exemplify leadership behaviors in a clinical pathway team meeting?
a.
“Nursing is responsible for pain control of the total knee replacement patient.”
b.
“Our pharmacist has provided some excellent pain control literature.”
c.
“Physical therapy’s expertise is in rehabilitation, not pain control.”
d.
“Total knee replacement patients require optimal pain control.”
ANS: B
Leadership is the process of influencing people to accomplish goals by inspiring confidence
and support among followers. The correct answer is supportive of a team member’s work and
depicts some skill at interpersonal relationships.
DIF: Cognitive Level: Apply (Application) REF: Pages 3-4
TOP: Nursing Process: Assessment
MSC: Client Needs: Physiological Integrity: Pharmacological and Parenteral Therapies
,4. Which of the following is true of management activities?
a.
Inspiring a vision is a management function.
b.
Management is focused on task accomplishment.
c.
Management is more focused on human relationships.
d.
Management is more important than leadership.
ANS: B
Management is focused on task accomplishment.
DIF: Cognitive Level: Remember (Knowledge) REF: Pages 2-3
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
5. During a staff meeting, a group of RNs has complained that medications are not arriving to
the unit in a timely manner. The nurse manager suggests that the group resolve this issue
through the development and work of a multidisciplinary team led by one of these RNs.
This scenario demonstrates:
a.
adaptation.
b.
empowerment.
c.
flexibility.
d.
relationship management.
ANS: B
Empowerment is the giving of authority, responsibility, and the freedom to act. In this
situation, the manager has given authority, responsibility, and the freedom to act in
the investigation and resolution of this issue.
DIF: Cognitive Level: Apply (Application) REF: Page 5
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
6. A nurse is caring for an elderly patient who was admitted after sustaining a fall at home. When
creating a care plan for the patient, she requests that the doctor order a home health visit to
assess for home safety and medication compliance. In addition, the nurse is concerned about
the nutrition of the patient and requests a dietitian evaluation. The nurse is demonstrating
which of the following leadership skills?
a.
Care provider
b.
Business principles
c.
Care coordination
d.
Change management
ANS: C
Care coordination is the delivery of nursing services that involves the organization and
coordination of complex activities. The nurse uses managerial and leadership skills to
facilitate delivery of quality care.
DIF: Cognitive Level: Apply (Application) REF: Page 3
TOP: Nursing Process: Planning
MSC: Client Needs: Physiological Integrity: Reduction of Risk Potential
7. Interpersonal communication and the ability to apply are two critical skills every nurse
needs to enhance professional practice.
, a.
vision
b.
supervision
c.
delegation
d.
problem solving
ANS: D
Every nurse needs two critical skills to enhance professional practice. One is a skill at
interpersonal relationships. This is fundamental to leadership and the work of nursing. The
second skill is applying the problem-solving process. This involves critical thinking, problem
identification, and the development of objectivity.
DIF: Cognitive Level: Remember (Knowledge) REF: Page 4
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
8. Good leaders need to be able to demonstrate an intuitive skill of empathy and expressiveness
when dealing with others in the workplace. This requires sensitivity and awareness of the
emotions and moods of others and is known as:
a.
social awareness.
b.
self-awareness.
c.
self-management.
d.
relationship management.
ANS: A
Social awareness is an intuitive skill of empathy and expressiveness in being sensitive and
aware of the emotions and moods of others.
DIF: Cognitive Level: Remember (Knowledge) REF: Page 4
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
9. The manager of the emergency department in a large hospital focuses on customer
service, exudes the nursing code of ethics, and sees his or her job as an occupation with a
lifetime commitment. This is a concept known as:
a.
leadership.
b.
management.
c.
professionalism.
d.
vision.
ANS: C
Professionalism is an approach to an occupation that distinguishes it from being merely a job,
focuses on service as the highest ideal, follows a code of ethics, and is seen as a lifetime
commitment.
DIF: Cognitive Level: Remember (Knowledge) REF: Page 5
TOP: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
10. are vital to good leaders because they are able to take the vision of the leader and
achieve the determined goals.
a.
Managers
b.
Motivators
, c.
Visionaries
d.
Followers
ANS: D
Without followers there is not leadership. Followers are vital because they accept or reject the
leader and determine the leader’s personal power.
DIF: Cognitive Level: Remember (Knowledge) REF: Page 6
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
11. The best leadership style for unfavorable conditions is:
a.
leader–member relations.
b.
task-oriented structure.
c.
position power.
d.
laissez faire.
ANS: B
The need for task-oriented leaders occurs when the situation is extreme. The best leadership
style for unfavorable conditions is task-oriented.
DIF: Cognitive Level: Remember (Knowledge) REF: Pages 10, 12
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
12. Nursing management is defined as:
a.
delegation of authority and responsibility and the coordination of tasks.
b.
the integration of resources through planning, organizing, and directing.
c.
the process of influencing patients to accomplish goals.
d.
the coordination and integration of nursing resources by applying the management
process to accomplish nursing care and service goals and objectives.
ANS: D
The coordination and integration of nursing resources by applying the management process to
accomplish nursing care and service goals and objectives is the definition of nursing
management.
DIF: Cognitive Level: Remember (Knowledge) REF: Page 22
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
13. A nursing unit has demonstrated lower patient satisfaction scores during the last quarter. The
manager of the unit has formed a small team to set long- and short-term goals for the unit with
action plans to increase patient satisfaction. This is an example of which management
process?
a.
Planning
b.
Organizing
c.
Coordinating
d.
Controlling
ANS: A
Principles Test Bank
MULTIPLE CHOICE
1. Leadership is best defined as:
a.
an interpersonal process of participating by encouraging fellowship.
b.
delegation of authority and responsibility and the coordination of activities.
c.
inspiring people to accomplish goals through support and confidence building.
d.
the integration of resources through planning, organizing, and directing.
ANS: C
Leadership is the process of influencing people to accomplish goals by inspiring confidence
and support among followers.
DIF: Cognitive Level: Remember (Knowledge) REF: Page 4
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2. A medical-surgical unit reports higher rates of patient satisfaction coupled with high rates of
staff satisfaction and productivity. Which of the following is attributed to the data?
a.
Effective leadership
b.
Management involvement
c.
Mentoring
d.
Rewards and recognition
ANS: A
Effective leadership is important in nursing because of the impact on nurses’ work lives, it
being a stabilizing influence during change, and for nurses’ productivity and quality of care.
DIF: Cognitive Level: Apply (Application) REF: Page 1
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
3. A staff registered nurse (RN) is leading a multidisciplinary clinical pathway team in the
development of care for patients with total knee replacement. Which of the following
statements would exemplify leadership behaviors in a clinical pathway team meeting?
a.
“Nursing is responsible for pain control of the total knee replacement patient.”
b.
“Our pharmacist has provided some excellent pain control literature.”
c.
“Physical therapy’s expertise is in rehabilitation, not pain control.”
d.
“Total knee replacement patients require optimal pain control.”
ANS: B
Leadership is the process of influencing people to accomplish goals by inspiring confidence
and support among followers. The correct answer is supportive of a team member’s work and
depicts some skill at interpersonal relationships.
DIF: Cognitive Level: Apply (Application) REF: Pages 3-4
TOP: Nursing Process: Assessment
MSC: Client Needs: Physiological Integrity: Pharmacological and Parenteral Therapies
,4. Which of the following is true of management activities?
a.
Inspiring a vision is a management function.
b.
Management is focused on task accomplishment.
c.
Management is more focused on human relationships.
d.
Management is more important than leadership.
ANS: B
Management is focused on task accomplishment.
DIF: Cognitive Level: Remember (Knowledge) REF: Pages 2-3
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
5. During a staff meeting, a group of RNs has complained that medications are not arriving to
the unit in a timely manner. The nurse manager suggests that the group resolve this issue
through the development and work of a multidisciplinary team led by one of these RNs.
This scenario demonstrates:
a.
adaptation.
b.
empowerment.
c.
flexibility.
d.
relationship management.
ANS: B
Empowerment is the giving of authority, responsibility, and the freedom to act. In this
situation, the manager has given authority, responsibility, and the freedom to act in
the investigation and resolution of this issue.
DIF: Cognitive Level: Apply (Application) REF: Page 5
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
6. A nurse is caring for an elderly patient who was admitted after sustaining a fall at home. When
creating a care plan for the patient, she requests that the doctor order a home health visit to
assess for home safety and medication compliance. In addition, the nurse is concerned about
the nutrition of the patient and requests a dietitian evaluation. The nurse is demonstrating
which of the following leadership skills?
a.
Care provider
b.
Business principles
c.
Care coordination
d.
Change management
ANS: C
Care coordination is the delivery of nursing services that involves the organization and
coordination of complex activities. The nurse uses managerial and leadership skills to
facilitate delivery of quality care.
DIF: Cognitive Level: Apply (Application) REF: Page 3
TOP: Nursing Process: Planning
MSC: Client Needs: Physiological Integrity: Reduction of Risk Potential
7. Interpersonal communication and the ability to apply are two critical skills every nurse
needs to enhance professional practice.
, a.
vision
b.
supervision
c.
delegation
d.
problem solving
ANS: D
Every nurse needs two critical skills to enhance professional practice. One is a skill at
interpersonal relationships. This is fundamental to leadership and the work of nursing. The
second skill is applying the problem-solving process. This involves critical thinking, problem
identification, and the development of objectivity.
DIF: Cognitive Level: Remember (Knowledge) REF: Page 4
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
8. Good leaders need to be able to demonstrate an intuitive skill of empathy and expressiveness
when dealing with others in the workplace. This requires sensitivity and awareness of the
emotions and moods of others and is known as:
a.
social awareness.
b.
self-awareness.
c.
self-management.
d.
relationship management.
ANS: A
Social awareness is an intuitive skill of empathy and expressiveness in being sensitive and
aware of the emotions and moods of others.
DIF: Cognitive Level: Remember (Knowledge) REF: Page 4
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
9. The manager of the emergency department in a large hospital focuses on customer
service, exudes the nursing code of ethics, and sees his or her job as an occupation with a
lifetime commitment. This is a concept known as:
a.
leadership.
b.
management.
c.
professionalism.
d.
vision.
ANS: C
Professionalism is an approach to an occupation that distinguishes it from being merely a job,
focuses on service as the highest ideal, follows a code of ethics, and is seen as a lifetime
commitment.
DIF: Cognitive Level: Remember (Knowledge) REF: Page 5
TOP: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
10. are vital to good leaders because they are able to take the vision of the leader and
achieve the determined goals.
a.
Managers
b.
Motivators
, c.
Visionaries
d.
Followers
ANS: D
Without followers there is not leadership. Followers are vital because they accept or reject the
leader and determine the leader’s personal power.
DIF: Cognitive Level: Remember (Knowledge) REF: Page 6
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
11. The best leadership style for unfavorable conditions is:
a.
leader–member relations.
b.
task-oriented structure.
c.
position power.
d.
laissez faire.
ANS: B
The need for task-oriented leaders occurs when the situation is extreme. The best leadership
style for unfavorable conditions is task-oriented.
DIF: Cognitive Level: Remember (Knowledge) REF: Pages 10, 12
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
12. Nursing management is defined as:
a.
delegation of authority and responsibility and the coordination of tasks.
b.
the integration of resources through planning, organizing, and directing.
c.
the process of influencing patients to accomplish goals.
d.
the coordination and integration of nursing resources by applying the management
process to accomplish nursing care and service goals and objectives.
ANS: D
The coordination and integration of nursing resources by applying the management process to
accomplish nursing care and service goals and objectives is the definition of nursing
management.
DIF: Cognitive Level: Remember (Knowledge) REF: Page 22
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
13. A nursing unit has demonstrated lower patient satisfaction scores during the last quarter. The
manager of the unit has formed a small team to set long- and short-term goals for the unit with
action plans to increase patient satisfaction. This is an example of which management
process?
a.
Planning
b.
Organizing
c.
Coordinating
d.
Controlling
ANS: A
