Chapter 01: Leadership and Management
Principles Test Bank
MULTIPLE CHOICE
1. Leadership is best defined as:
c. inspiring people to accomplish goals through support and confidence building.
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
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?
b. “Our pharmacist has provided some excellent pain control literature.”
4. Which of the following is true of management activities?
b. Management is focused on task accomplishment.
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:
b.
empowerment.
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?
c.
Care coordination
7. Interpersonal communication and the ability to apply are two critical skills every nurse
needs to enhance professional practice.
d.
problem solving
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.
, 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:
c.
professionalism.
10. are vital to good leaders because they are able to take the vision of the leader and
achieve the determined goals.
d.
Followers
11. The best leadership style for unfavorable conditions is:
b. task-oriented structure.
12. Nursing management is defined as:
d. the coordination and integration of nursing resources by applying the management
process to accomplish nursing care and service goals and objectives.
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
14. A nursing unit has discovered a series of medication errors with regards to a particular
computerized physician order set and the calculation within the order. The unit manager has a
theory on changes that should be made within the order to decrease the confusion for nursing
staff. However, the nurse manager realizes that changes would need to be made with
pharmacy input as well as other nursing units within the facility and the multi-hospital
system. Which of the following management theories is exemplified when the nurse manager
considers the impact of change on the organization as a whole?
b.
Systems theory
15. The role of the is to provide leadership and direction for all aspects of nursing care.
c.
nurse executive
16. The postoperative patient with anterior cervical laminectomy is complaining of tightness in
his throat. His voice is raspy. The staff nurse asks the unit secretary to page Dr. Julio stat.
This is an example of leadership.
a.
authoritarian
17. A quality improvement team is working to enhance teamwork among the staff in a newly
developed Alzheimer’s program. Which of the following statements would be an
expected behavior that illustrates quantum leadership?
b. “How would you describe an ideal collaborative practice environment?”
18. A nursing executive is leading a multidisciplinary team of professionals who have worked
well together on prior initiatives. Which of the following leadership styles might work best
in this situation?
b. Democratic
,MULTIPLE RESPONSE
1. Which of the following behavioral aspects are present in the feminist perspective leadership
style (select all that apply)?
a.
Builds relationships
c. Empowers others
f. Promotes personal growth
2. A nurse manager at Great Lakes Hospital is meeting with the dean of a well-recognized
university who is the keynote speaker today at the nursing conference. He remembers that one
of the RNs is interested in attending a well-known university to obtain a doctorate. The nurse
manager arranges for the RN to meet with this dean. The nurse manager is exhibiting
leadership behaviors consistent with (select all that apply):
a.
feminist perspective.
b.
servant leadership.
d. transformational leadership.
3. A nurse manager at Morgan Hill Community Hospital is known to be an excellent nursing
manager by the personnel working on her nursing unit. The nurse manager exhibits which
of the following behaviors (select all that apply)?
a.
Knows the personnel and addresses them by name
d.
Is visible on the nursing unit by all shifts on a frequent basis
e.
Evaluates a number of aspects of problems prior to making decisions
g. Fosters collaboration
4. To reach Magnet status the nursing service in a hospital must attain competency in which
of the following areas (select all that apply)?
a.
Professionalism
c.
Business skills and principles
d.
Leadership
e.
Communication and relationship management
f.
Knowledge of the health care environment
5. Which of the following behaviors build trust between leaders and employees in an
organization (select all that apply)?
a.
Sharing relevant information
c. Reducing controls
e. Avoiding discussion of sensitive issues
6. Which of the following traits describe a transactional leader (select all that apply)?
a.
Functions in a caregiver role
b.
Surveys their followers’ needs and sets goals for them
d. Focuses on the maintenance and management of ongoing and routine work
7. Which of the following factors are central to successful nursing leadership (select all that
apply)?
a.
Access to information and resources
b.
Respectful and collaborative teamwork
, c.
Supportive cultures in which nurses are valued for their expertise
d.
Formal and informal power
8. Which of the following definitions apply to management (select all that apply)?
b.
It is the process of coordination and integration of resources to accomplish specific
goals.
c.
It includes the activities of planning, organizing, coordinating, directing,
and controlling.
d.
It is a process of planning and directing human effort to achieve
established objectives.
e.
It is the directing of the organizations’ money, facilities, and supplies to achieve
results.
Chapter 04: Critical Thinking and Decision-Making Skills
Test Bank
MULTIPLE CHOICE
1. What is the definition of the process of making choices that will provide maximum benefit?
c. Decision making
2. A patient has arrived at the critical care unit with a head injury. On admission, the patient is
talking and is a little drowsy but oriented. Two hours later, the nurse discovers that the patient
is talking at a rapid pace and keeps repeating his words. Which of the following examples
best depicts Benner’s stages and appropriate critical-thinking processes in this situation?
b. Competent—thinks that the patient is experiencing effects from cerebral edema
3. A staff registered nurse (RN) has been struggling with the delivery system from central
supply. He documents a delay of 1 to 3 hours from the time that the order is sent to central
supply to the time that the requested equipment is sent to the floor. The RN asks, “Why does
a central supply unit need to service the entire hospital? Why not consider a decentralized
central supply established for each floor?” This is an example of what type of thinking?
b.
Critical thinker
4. A staff RN is leading a quality improvement team on the care of the total hip replacement
patient. The issue is an increased length of stay from 1 year ago. The nurse asks team
members to reframe the problem statement from their perspective. Twenty different problem
statements were developed. The team is focusing on four of the problem statements. This is
an example of which of the following techniques?
a.
Problem solving
5. How is leadership at the staff nurse level exemplified?
a.
The staff nurse adapts to a challenging patient assignment.
6. Family members of a dying patient are arguing about terminating life support. The nurse
educates the two opposing groups individually about terminating life support and discusses
the dying process. This is an example of:
c.
clinical judgment.
Principles Test Bank
MULTIPLE CHOICE
1. Leadership is best defined as:
c. inspiring people to accomplish goals through support and confidence building.
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
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?
b. “Our pharmacist has provided some excellent pain control literature.”
4. Which of the following is true of management activities?
b. Management is focused on task accomplishment.
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:
b.
empowerment.
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?
c.
Care coordination
7. Interpersonal communication and the ability to apply are two critical skills every nurse
needs to enhance professional practice.
d.
problem solving
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.
, 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:
c.
professionalism.
10. are vital to good leaders because they are able to take the vision of the leader and
achieve the determined goals.
d.
Followers
11. The best leadership style for unfavorable conditions is:
b. task-oriented structure.
12. Nursing management is defined as:
d. the coordination and integration of nursing resources by applying the management
process to accomplish nursing care and service goals and objectives.
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
14. A nursing unit has discovered a series of medication errors with regards to a particular
computerized physician order set and the calculation within the order. The unit manager has a
theory on changes that should be made within the order to decrease the confusion for nursing
staff. However, the nurse manager realizes that changes would need to be made with
pharmacy input as well as other nursing units within the facility and the multi-hospital
system. Which of the following management theories is exemplified when the nurse manager
considers the impact of change on the organization as a whole?
b.
Systems theory
15. The role of the is to provide leadership and direction for all aspects of nursing care.
c.
nurse executive
16. The postoperative patient with anterior cervical laminectomy is complaining of tightness in
his throat. His voice is raspy. The staff nurse asks the unit secretary to page Dr. Julio stat.
This is an example of leadership.
a.
authoritarian
17. A quality improvement team is working to enhance teamwork among the staff in a newly
developed Alzheimer’s program. Which of the following statements would be an
expected behavior that illustrates quantum leadership?
b. “How would you describe an ideal collaborative practice environment?”
18. A nursing executive is leading a multidisciplinary team of professionals who have worked
well together on prior initiatives. Which of the following leadership styles might work best
in this situation?
b. Democratic
,MULTIPLE RESPONSE
1. Which of the following behavioral aspects are present in the feminist perspective leadership
style (select all that apply)?
a.
Builds relationships
c. Empowers others
f. Promotes personal growth
2. A nurse manager at Great Lakes Hospital is meeting with the dean of a well-recognized
university who is the keynote speaker today at the nursing conference. He remembers that one
of the RNs is interested in attending a well-known university to obtain a doctorate. The nurse
manager arranges for the RN to meet with this dean. The nurse manager is exhibiting
leadership behaviors consistent with (select all that apply):
a.
feminist perspective.
b.
servant leadership.
d. transformational leadership.
3. A nurse manager at Morgan Hill Community Hospital is known to be an excellent nursing
manager by the personnel working on her nursing unit. The nurse manager exhibits which
of the following behaviors (select all that apply)?
a.
Knows the personnel and addresses them by name
d.
Is visible on the nursing unit by all shifts on a frequent basis
e.
Evaluates a number of aspects of problems prior to making decisions
g. Fosters collaboration
4. To reach Magnet status the nursing service in a hospital must attain competency in which
of the following areas (select all that apply)?
a.
Professionalism
c.
Business skills and principles
d.
Leadership
e.
Communication and relationship management
f.
Knowledge of the health care environment
5. Which of the following behaviors build trust between leaders and employees in an
organization (select all that apply)?
a.
Sharing relevant information
c. Reducing controls
e. Avoiding discussion of sensitive issues
6. Which of the following traits describe a transactional leader (select all that apply)?
a.
Functions in a caregiver role
b.
Surveys their followers’ needs and sets goals for them
d. Focuses on the maintenance and management of ongoing and routine work
7. Which of the following factors are central to successful nursing leadership (select all that
apply)?
a.
Access to information and resources
b.
Respectful and collaborative teamwork
, c.
Supportive cultures in which nurses are valued for their expertise
d.
Formal and informal power
8. Which of the following definitions apply to management (select all that apply)?
b.
It is the process of coordination and integration of resources to accomplish specific
goals.
c.
It includes the activities of planning, organizing, coordinating, directing,
and controlling.
d.
It is a process of planning and directing human effort to achieve
established objectives.
e.
It is the directing of the organizations’ money, facilities, and supplies to achieve
results.
Chapter 04: Critical Thinking and Decision-Making Skills
Test Bank
MULTIPLE CHOICE
1. What is the definition of the process of making choices that will provide maximum benefit?
c. Decision making
2. A patient has arrived at the critical care unit with a head injury. On admission, the patient is
talking and is a little drowsy but oriented. Two hours later, the nurse discovers that the patient
is talking at a rapid pace and keeps repeating his words. Which of the following examples
best depicts Benner’s stages and appropriate critical-thinking processes in this situation?
b. Competent—thinks that the patient is experiencing effects from cerebral edema
3. A staff registered nurse (RN) has been struggling with the delivery system from central
supply. He documents a delay of 1 to 3 hours from the time that the order is sent to central
supply to the time that the requested equipment is sent to the floor. The RN asks, “Why does
a central supply unit need to service the entire hospital? Why not consider a decentralized
central supply established for each floor?” This is an example of what type of thinking?
b.
Critical thinker
4. A staff RN is leading a quality improvement team on the care of the total hip replacement
patient. The issue is an increased length of stay from 1 year ago. The nurse asks team
members to reframe the problem statement from their perspective. Twenty different problem
statements were developed. The team is focusing on four of the problem statements. This is
an example of which of the following techniques?
a.
Problem solving
5. How is leadership at the staff nurse level exemplified?
a.
The staff nurse adapts to a challenging patient assignment.
6. Family members of a dying patient are arguing about terminating life support. The nurse
educates the two opposing groups individually about terminating life support and discusses
the dying process. This is an example of:
c.
clinical judgment.
