MANAGEMENT MISC TEST BANK.|RUTGERS UNIVERSITY

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