Leadership NCLEX style Questions
During which step in the change process would the who, how, and when of the change
be determined?
a. Assessment
b. Planning
c. Implementation
d. Evaluation - B
As a new graduate, you recognize that one of the reasons to introduce change is to:
a. solve a problem.
b. maintain relationships.
c. sort out the causes of chaos.
d. acknowledge that change is inevitable. - A
The nursing manager is preparing for change on the unit and approaches the change
using a rational-empirical strategy. The manager's approach to change uses which of
the following as a power base?
a. Social orientation
b. Authority and threat
c. Knowledge
d. Teaching - C
An indicator for successful implementation of a project is:
a. people owning the change.
b. change perceived as neutral.
c. time limits on change.
d. learning curve status. - A
Your hospital is making changes to improve patient satisfaction. You recognize that
many of your colleagues are satisfied with the current functioning of the hospital. In
examining their response, you realize that the most typical response to change is which
of the following?
a. Trust
b. Coping
c. Status quo
d. Resistance - D
Your unit is undergoing planned change. Most of the nurses have expressed openness
and receptivity to change. These nurses would be considered which of the following?
a. Innovator
b. Early adopter
c. Early majority
d. Late majority - B
,The conflict resolution technique in which each side gives up something and gains
something is called:
a. avoiding.
b. accommodating.
c. competing.
d. compromising. - D
Which conflict resolution technique has the advantage of being the best solution for the
conflict and encompassing all important goals to all sides?
a. Competing
b. Confrontation
c. Collaboration
d. Negotiating - C
Which conflict resolution technique might have the disadvantage of becoming bigger
than anticipated and being more important to one person or group than to others?
a. Collaboration
b. Confrontation
c. Competing
d. Avoiding - D
A conflict management technique where both sides work together to develop an optimal
outcome is called:
a. avoiding.
b. competing.
c. confronting.
d. collaborating. - D
A new graduate nurse has been having difficulty working with one of the older nurses
and has requested to be assigned to the evening shift. Which approach to conflict
management has the new nurse chosen?
a. Avoiding
b. Collaboration
c. Competing
d. Accommodation - A
The local hospital in your area has begun to implement evidence-based nursing care.
The last patient care unit to implement the change has frequently been skeptical and
suspicious about the change. According to Rogers's theory, these individual would be
considered which of the following?
a. Rejectors
b. Laggards
c. Innovators
d. Late majority - B
, A group of Nurse Practitioners have been informed that changes are being planned for
a new computerized charting system. The NPs are excited about the change and have
offered to lead the change. According to Rogers, these NPs would be considered which
of the following?
a. Innovators
b. Early adopters
c. Early majority
d. Laggards - A
The nurse manager knows that for change to be successful which of the following must
occur?
a. Autocratic approach must be used.
b. Only RNs should be involved in the change process.
c. Empowerment of those involved in the change must occur.
d. Physicians should be the initiators of change on the unit. - C
You have had concerns regarding the charting method used on your unit. You decide a
change needs to be made and begin the change process using Lippitt's model. Which
steps are included in this model? Select all that apply.
a. Diagnosing the problem
b. Assessing the motivation and capacity for change
c. Eliminating the routines and habits of people affected by the change
d. Choosing the solution
e. Choosing an appropriate role for the change agent
f. Maintaining change after it has been started - A B E F
In your role of change agent, which of the following approaches would be important?
Select all that apply.
a. Maintain a positive attitude
b. Look for possible conflicts
c. Constantly check the timeline for targeted activities
d. Map out a tentative timeline
e. Back away from any possible conflict
f. Select the change project team carefully - A C D F
The provision of guidance, direction, evaluation, and follow-up by a licensed nurse for
tasks provided by an NAP is:
a. delegation.
b. accountability.
c. authority.
d. supervision. - D
Three types of supervision identified by Hansten and Washburn (2004) are:
a. unsupervised, supervised, and periodic inspection.
b. unsupervised, initial direction, and assessment.
c. continuous supervision, periodic inspection, and initial assessment.
During which step in the change process would the who, how, and when of the change
be determined?
a. Assessment
b. Planning
c. Implementation
d. Evaluation - B
As a new graduate, you recognize that one of the reasons to introduce change is to:
a. solve a problem.
b. maintain relationships.
c. sort out the causes of chaos.
d. acknowledge that change is inevitable. - A
The nursing manager is preparing for change on the unit and approaches the change
using a rational-empirical strategy. The manager's approach to change uses which of
the following as a power base?
a. Social orientation
b. Authority and threat
c. Knowledge
d. Teaching - C
An indicator for successful implementation of a project is:
a. people owning the change.
b. change perceived as neutral.
c. time limits on change.
d. learning curve status. - A
Your hospital is making changes to improve patient satisfaction. You recognize that
many of your colleagues are satisfied with the current functioning of the hospital. In
examining their response, you realize that the most typical response to change is which
of the following?
a. Trust
b. Coping
c. Status quo
d. Resistance - D
Your unit is undergoing planned change. Most of the nurses have expressed openness
and receptivity to change. These nurses would be considered which of the following?
a. Innovator
b. Early adopter
c. Early majority
d. Late majority - B
,The conflict resolution technique in which each side gives up something and gains
something is called:
a. avoiding.
b. accommodating.
c. competing.
d. compromising. - D
Which conflict resolution technique has the advantage of being the best solution for the
conflict and encompassing all important goals to all sides?
a. Competing
b. Confrontation
c. Collaboration
d. Negotiating - C
Which conflict resolution technique might have the disadvantage of becoming bigger
than anticipated and being more important to one person or group than to others?
a. Collaboration
b. Confrontation
c. Competing
d. Avoiding - D
A conflict management technique where both sides work together to develop an optimal
outcome is called:
a. avoiding.
b. competing.
c. confronting.
d. collaborating. - D
A new graduate nurse has been having difficulty working with one of the older nurses
and has requested to be assigned to the evening shift. Which approach to conflict
management has the new nurse chosen?
a. Avoiding
b. Collaboration
c. Competing
d. Accommodation - A
The local hospital in your area has begun to implement evidence-based nursing care.
The last patient care unit to implement the change has frequently been skeptical and
suspicious about the change. According to Rogers's theory, these individual would be
considered which of the following?
a. Rejectors
b. Laggards
c. Innovators
d. Late majority - B
, A group of Nurse Practitioners have been informed that changes are being planned for
a new computerized charting system. The NPs are excited about the change and have
offered to lead the change. According to Rogers, these NPs would be considered which
of the following?
a. Innovators
b. Early adopters
c. Early majority
d. Laggards - A
The nurse manager knows that for change to be successful which of the following must
occur?
a. Autocratic approach must be used.
b. Only RNs should be involved in the change process.
c. Empowerment of those involved in the change must occur.
d. Physicians should be the initiators of change on the unit. - C
You have had concerns regarding the charting method used on your unit. You decide a
change needs to be made and begin the change process using Lippitt's model. Which
steps are included in this model? Select all that apply.
a. Diagnosing the problem
b. Assessing the motivation and capacity for change
c. Eliminating the routines and habits of people affected by the change
d. Choosing the solution
e. Choosing an appropriate role for the change agent
f. Maintaining change after it has been started - A B E F
In your role of change agent, which of the following approaches would be important?
Select all that apply.
a. Maintain a positive attitude
b. Look for possible conflicts
c. Constantly check the timeline for targeted activities
d. Map out a tentative timeline
e. Back away from any possible conflict
f. Select the change project team carefully - A C D F
The provision of guidance, direction, evaluation, and follow-up by a licensed nurse for
tasks provided by an NAP is:
a. delegation.
b. accountability.
c. authority.
d. supervision. - D
Three types of supervision identified by Hansten and Washburn (2004) are:
a. unsupervised, supervised, and periodic inspection.
b. unsupervised, initial direction, and assessment.
c. continuous supervision, periodic inspection, and initial assessment.
