Leadership Exam Questions & Answers
Which objective is associated with creating urgency in Kotter's eight-step model?
1
To create short-term targets
2
To honor the people who helped complete a task
3
To create a culture with continuous improvement
Correct4
To generate open dialogue about external and internal realities - The attribute of
creating urgency is associated with generating open dialogue about external and
internal realities. Short-term targets are created for creating short-term wins.
Honoring the people who help complete the task anchors the changes in the
culture. A culture created with continuous improvement builds on the change.
A client who was in an accident is admitted to the hospital. Which decision making
approach by the nurse leader indicates the 'satisficing' approach?
1
Informing the client's family members
Correct2
Providing preliminary care to the client
3
Waiting for the primary healthcare provider to initiate treatment
4
Thinking of pros and cons and then performing the action - In the satisficing
approach to decision making, the nurse makes a quick decision by selecting an
acceptable solution, even if it isn't the best one. Therefore the nurse leader makes a
,decision to provide preliminary care to the client, which meets the objective of
treating the client minimally. Informing the client's family members may be the
next step after providing preliminary care. Waiting for the primary healthcare
provider to treat the client would not be an effective decision for the nurse leader to
make as it may lead a serious condition in the client. Thinking of pros and cons and
then performing an action indicates 'optimizing approach' of decision making.
A discussion between a group of team members results in a serious conflict in an
organization. The nurse, as a leader, accepts the challenge of the situation and uses
an adaptive style. Which theory of leadership is the nurse applying in practice?
1
Trait theory
2
Two-factor theory
3
Hierarchy of needs
Correct4
Situational-contingency theory - Situational-contingency theory takes into account
the challenge of a situation and encourages an adaptive style of leadership. Trait
theory holds that self-awareness of traits is required to inspire others to achieve a
goal. The two-factor theory of leadership posits that both hygiene and motivator
factors are required for inspiring work performance. The hierarchy of needs theory
of leadership holds that motivation is achieved by providing individuals with a
hierarchy of needs.
In evaluating risks, what does the nurse understand is the responsibility of risk
managers?
1
,Using a single data source to interpret data
Correct2
Involving perspectives from numerous disciplines
3
Using only quantitative methods in gathering data
4
Analyzing qualitative data for actionable plans to prevent adverse events -
Involving perspectives from numerous disciplines helps to discover underlying
problems that a single discipline might miss. Risk managers should use multiple
data sources, multiple data collection techniques, and multiple perspectives to
collect and interpret data accurately. Both qualitative and quantitative data should
be assessed and analyzed for implementing actionable plans to prevent adverse
events.
The nurse manager is assisting the nursing staff with planning, priority setting, and
decision making. Which Gardner's task of leading is being applied in this practice?
Correct1
Managing
2
Motivating
3
Affirming values
4
Developing trust - According to Gardner's tasks of leading, the nursing manager
carries out the task of managing by assisting the staff with planning, priority
setting, and decision making. Motivating involves inspiring and relating to staff to
achieve the mission of the organization and the vision associated with
organizational enhancement. Affirming values as a manager involves assisting the
, staff in interpreting organizational values and reinforcing every staff member's
personal values to be more attuned with those of others. Developing trust as a
manager involves sharing organizational information.
The nurse manager threatens a staff nurse about being penalized for poor
performance in the unit. Which type of leader behavior did the staff nurse
experience?
Correct1
Punitive
2
Charismatic
3
Laissez-faire
4
Intellectual stimulation - Punitive behavior is experienced in transactional
leadership; this occurs when the nurse manager aims at punishing the staff nurse by
penalizing for poor performance. Charismatic behavior and intellectual stimulation
are seen in transformational leadership. Laissez-faire behavior is the hands-off
style in which the manager allows a high degree of autonomy and self rule.
A nurse manager promotes a staff nurse to assistant manager of the medical unit as
the staff nurse had expressed interest in taking on more responsibilities. Which
type of ethical principle is exhibited by the nurse manager by this activity?
1
Fidelity
2
Autonomy
3
Which objective is associated with creating urgency in Kotter's eight-step model?
1
To create short-term targets
2
To honor the people who helped complete a task
3
To create a culture with continuous improvement
Correct4
To generate open dialogue about external and internal realities - The attribute of
creating urgency is associated with generating open dialogue about external and
internal realities. Short-term targets are created for creating short-term wins.
Honoring the people who help complete the task anchors the changes in the
culture. A culture created with continuous improvement builds on the change.
A client who was in an accident is admitted to the hospital. Which decision making
approach by the nurse leader indicates the 'satisficing' approach?
1
Informing the client's family members
Correct2
Providing preliminary care to the client
3
Waiting for the primary healthcare provider to initiate treatment
4
Thinking of pros and cons and then performing the action - In the satisficing
approach to decision making, the nurse makes a quick decision by selecting an
acceptable solution, even if it isn't the best one. Therefore the nurse leader makes a
,decision to provide preliminary care to the client, which meets the objective of
treating the client minimally. Informing the client's family members may be the
next step after providing preliminary care. Waiting for the primary healthcare
provider to treat the client would not be an effective decision for the nurse leader to
make as it may lead a serious condition in the client. Thinking of pros and cons and
then performing an action indicates 'optimizing approach' of decision making.
A discussion between a group of team members results in a serious conflict in an
organization. The nurse, as a leader, accepts the challenge of the situation and uses
an adaptive style. Which theory of leadership is the nurse applying in practice?
1
Trait theory
2
Two-factor theory
3
Hierarchy of needs
Correct4
Situational-contingency theory - Situational-contingency theory takes into account
the challenge of a situation and encourages an adaptive style of leadership. Trait
theory holds that self-awareness of traits is required to inspire others to achieve a
goal. The two-factor theory of leadership posits that both hygiene and motivator
factors are required for inspiring work performance. The hierarchy of needs theory
of leadership holds that motivation is achieved by providing individuals with a
hierarchy of needs.
In evaluating risks, what does the nurse understand is the responsibility of risk
managers?
1
,Using a single data source to interpret data
Correct2
Involving perspectives from numerous disciplines
3
Using only quantitative methods in gathering data
4
Analyzing qualitative data for actionable plans to prevent adverse events -
Involving perspectives from numerous disciplines helps to discover underlying
problems that a single discipline might miss. Risk managers should use multiple
data sources, multiple data collection techniques, and multiple perspectives to
collect and interpret data accurately. Both qualitative and quantitative data should
be assessed and analyzed for implementing actionable plans to prevent adverse
events.
The nurse manager is assisting the nursing staff with planning, priority setting, and
decision making. Which Gardner's task of leading is being applied in this practice?
Correct1
Managing
2
Motivating
3
Affirming values
4
Developing trust - According to Gardner's tasks of leading, the nursing manager
carries out the task of managing by assisting the staff with planning, priority
setting, and decision making. Motivating involves inspiring and relating to staff to
achieve the mission of the organization and the vision associated with
organizational enhancement. Affirming values as a manager involves assisting the
, staff in interpreting organizational values and reinforcing every staff member's
personal values to be more attuned with those of others. Developing trust as a
manager involves sharing organizational information.
The nurse manager threatens a staff nurse about being penalized for poor
performance in the unit. Which type of leader behavior did the staff nurse
experience?
Correct1
Punitive
2
Charismatic
3
Laissez-faire
4
Intellectual stimulation - Punitive behavior is experienced in transactional
leadership; this occurs when the nurse manager aims at punishing the staff nurse by
penalizing for poor performance. Charismatic behavior and intellectual stimulation
are seen in transformational leadership. Laissez-faire behavior is the hands-off
style in which the manager allows a high degree of autonomy and self rule.
A nurse manager promotes a staff nurse to assistant manager of the medical unit as
the staff nurse had expressed interest in taking on more responsibilities. Which
type of ethical principle is exhibited by the nurse manager by this activity?
1
Fidelity
2
Autonomy
3
