Test bank for Leading and Managing in Nursing,
YoderWise, 8th Edition exam questions with 100%
correct answers
A nurse manager is experiencing poor staff morale on her unit. While participating in
a baccalaureate course, the nurse manager had learned that one of the reasons
nurses lack power today is probably because of the past. In the early decades of the
profession, nurses lacked power because:
a. Nurses freely chose to defer to physicians and administrators with more
education.
b. Women lacked legal, social, and political power because of legal and cultural
barriers.
c. The first nursing licensure laws prohibited nurses from making most decisions.
d. Nurses astutely recognized the risks of grabbing too much power too soon. -
ANSWER B
Nurses who engage in in-fighting, seek physician support against nursing
colleagues, and avoid membership in nursing organizations:
a. Refuse to believe that they are acting like members of groups that suffer
socioeconomic oppression.
b. Do not understand how their failure to exercise power can limit the power of the
whole profession.
c. Purposefully choose to exercise their power in the workplace through indirect
means.
d. Suffer from learned helplessness as a result of abuse by powerful nurse
executives. - ANSWER B
A nurse belongs to several professional organizations, serving on a state-level
committee of one group and on two task forces at work. The nurse is committed to a
range of health issues. This nurse exemplifies which level of political activism in
nursing?
a. Gladiator
b. Buy-in
c. Self-interest
d. Political sophistication - ANSWER D
A manager relies on his director (immediate supervisor) for advice about enrolling in
graduate school to prepare for a career as a nurse executive. The director may
exercise what kinds of power in the relationship with the manager in this advisory
situation?
a. Expert, coercive, and referent
b. Reward, connection, and information
c. Referent, expert, and information
d. Reward, referent, and information - ANSWER C
,A nurse manager must implement a 2% budget cut on the nursing unit. Which
approach should the manager use to most effectively empower the staff of the unit?
a. Discuss the guidelines for the budget cuts with the staff, making the decisions with
those who participate.
b. Inform the staff of the budget cuts in a series of small group meetings, and accept
their ideas in writing only.
c. Provide the staff with handouts about the budget cuts, and let them make
recommendations in writing.
d. Hold a series of mandatory meetings on the budget cuts, asking staff for ideas on
the cuts. - ANSWER A
During orientation of new nurse managers, the chief nursing officer stresses
strategies that help nurse managers to achieve a powerful image. Which groups of
behaviors best contribute to a powerful image for the nurse manager?
a. Greeting patients, families, and colleagues with a handshake and a smile;
listening carefully when problems arise
b. For men, no facial hair, always wearing a suit and tie; for women, always wearing
a suit and high-heeled shoes
c. Maintaining a soft voice during times of conflict; making unbroken eye contact
during interactions
d. Smiling all the time; always wearing a suit and carrying a briefcase; women should
wear no jewelry - ANSWER A
Two nurses approach their manager about a conflict regarding the next month's
schedule. The nurses are talking loudly and at the same time. The manager most
effectively uses communication skills to resolve the conflict by:
a. Taking both nurses aside, separately and then together, and charging them with
resolving the problem without her direct intervention.
b. Listening to each nurse speak to the other without interruption and asking
clarifying questions to help them resolve the issue themselves.
c. Separating the nurses, instructing each to decide how the problem can be
resolved, and meeting with them the next day.
d. Calling an emergency scheduling committee meeting and asking volunteers to
resolve the conflict between the two nurses. - ANSWER B
A nurse manager recognizes the need to expand her professional network as she
begins a job search for a middle-management position. Which of the following
actions is least likely to expand her job-searching network?
a. Reviewing her address book or card file for names and phone numbers of former
colleagues who are now in middle-management positions
b. Making an appointment to meet with a former instructor from her graduate
program in nursing administration
c. Making a long overdue return call to a former colleague who is now a chief nurse
executive
d. Attending a state-level conference for nurse managers and executives and
attending informal luncheons and receptions - ANSWER C
A staff nurse asks the nurse manager for a few days off for personal reasons. The
nurse manager turns in the request to the human resources office with a note
indicating that the staff nurse has demonstrated excellent working skills and is a
,valued employee. The nurse manager has used the influence of her position to help
this staff member. Influence is the process of:
a. Using power.
b. Empowering others.
c. Understanding power.
d. Moving past apathy. - ANSWER A
A nurse is participating in a baccalaureate course. For the class, she has to attend
the legislative session regarding the new role of medication assistants. Nurses
should be involved in shaping public policy primarily because:
a. Involvement will enable nurses to take over the healthcare system at some point
in the future.
b. Other healthcare professions are less concerned about the essential needs of
clients.
c. Such activities are important career builders for nurses who seek top-level
executive positions.
d. They are closest to the front line of health care and see how it affects clients and
families. - ANSWER D
Which of the following accurately represents the concept of political activism?
a. Meghan, an ER supervisor, encourages staff to write letters to the local health
board, protesting closure of the ER and loss of 30 full-time jobs.
b. Sarah refuses involvement in her professional organization but is heavily involved
in the Little League organization to which her son belongs.
c. Because of her influential contributions to position papers on health care, Roberta
is asked to let her name stand for election as chair of the local organization of
gerontology nurse practitioners, who are lobbying for increased certification
standards.
d. Sondra volunteers to run for office in her state nursing organization because of her
concern about the underrepresentation of expertise from her area of nursing
practice. - ANSWER D
Literature on oppression in nursing has:
a. Verified the presence of behaviors associated with oppression within nursing.
b. Suggested that nurses are oppressed because of the actions of other groups.
c. Failed to establish that oppression is present in nursing groups.
d. Indicated that nurses use oppression negatively. - ANSWER A
Politics is usually:
a. Confined to legislatures.
b. Seen in dysfunctional workplaces.
c. Found in all social organizations.
d. A representation of self-interest. - ANSWER C
Your colleague, Mary, a recent graduate announces one day that she intends to
leave nursing in 3 to 4 months to pursue a position in marketing. While at your
agency, she plans to give patients excellent care and to learn as much as she can,
because "Who knows? Nursing is a great job with a great pay and I may return
someday." Mary's statements most accurately exemplify which orientation to the
concept of nursing? Nursing as a(n):
, a. Profession.
b. Occupation.
c. Flexible discipline.
d. Career with off and on ramps. - ANSWER B
Lucy, head nurse on the surgical unit, works with her staff to find ways in which they
can work together with other disciplines to provide more effective care for patients on
the unit. Lucy likely knows her power is:
a. Limited, thereby necessitating involvement of others in implementing ideas.
b. Restricted, which necessitates finding alternative means to achieve strong patient
outcomes.
c. Directly primarily toward those who are subordinate to her.
d. Of unlimited capacity when shared with others. - ANSWER D
One day, at coffee, your co-worker suggests that you and she sit with unit members
of the hospital research committee. She suggests that this would be an excellent
way to get to know people who share her interest in research. Her actions are an
example of:
a. Mentorship.
b. Politics.
c. Networking.
d. Empowerment. - ANSWER C
The workgroup on NU 23 is marked by apathy to the ward's patients, high
absenteeism, open conflict among team members, and high turnover of personnel,
including managers. The underlying behavior in this situation may be characterized
as:
a. Powerlessness.
b. Anger.
c. Apathy.
d. Oppression. - ANSWER A
During a unit meeting, you notice that Vivian listens attentively when Mary is
speaking and offers support and advice when Mary presents ideas to the group. You
are surprised because Vivian has often confided that she does not like Mary. Vivian's
behavior is best described as:
a. Insincere.
b. Networking.
c. Politically sophisticated.
d. Collegial. - ANSWER D
Which of the following interactions is MOST consistent with the idea of networking?
a. Meet with the same colleagues daily to have coffee and share concerns about the
workplace and stories about colleagues.
b. Join an online workplace forum to gain ideas about how to handle workplace
conflict.
c. Suggest that you and a new team member meet after work for coffee to review
unit guidelines.
d. Join a nurse executive informal lunch meeting to meet other executives for
support and for sharing ideas of expertise. - ANSWER D
YoderWise, 8th Edition exam questions with 100%
correct answers
A nurse manager is experiencing poor staff morale on her unit. While participating in
a baccalaureate course, the nurse manager had learned that one of the reasons
nurses lack power today is probably because of the past. In the early decades of the
profession, nurses lacked power because:
a. Nurses freely chose to defer to physicians and administrators with more
education.
b. Women lacked legal, social, and political power because of legal and cultural
barriers.
c. The first nursing licensure laws prohibited nurses from making most decisions.
d. Nurses astutely recognized the risks of grabbing too much power too soon. -
ANSWER B
Nurses who engage in in-fighting, seek physician support against nursing
colleagues, and avoid membership in nursing organizations:
a. Refuse to believe that they are acting like members of groups that suffer
socioeconomic oppression.
b. Do not understand how their failure to exercise power can limit the power of the
whole profession.
c. Purposefully choose to exercise their power in the workplace through indirect
means.
d. Suffer from learned helplessness as a result of abuse by powerful nurse
executives. - ANSWER B
A nurse belongs to several professional organizations, serving on a state-level
committee of one group and on two task forces at work. The nurse is committed to a
range of health issues. This nurse exemplifies which level of political activism in
nursing?
a. Gladiator
b. Buy-in
c. Self-interest
d. Political sophistication - ANSWER D
A manager relies on his director (immediate supervisor) for advice about enrolling in
graduate school to prepare for a career as a nurse executive. The director may
exercise what kinds of power in the relationship with the manager in this advisory
situation?
a. Expert, coercive, and referent
b. Reward, connection, and information
c. Referent, expert, and information
d. Reward, referent, and information - ANSWER C
,A nurse manager must implement a 2% budget cut on the nursing unit. Which
approach should the manager use to most effectively empower the staff of the unit?
a. Discuss the guidelines for the budget cuts with the staff, making the decisions with
those who participate.
b. Inform the staff of the budget cuts in a series of small group meetings, and accept
their ideas in writing only.
c. Provide the staff with handouts about the budget cuts, and let them make
recommendations in writing.
d. Hold a series of mandatory meetings on the budget cuts, asking staff for ideas on
the cuts. - ANSWER A
During orientation of new nurse managers, the chief nursing officer stresses
strategies that help nurse managers to achieve a powerful image. Which groups of
behaviors best contribute to a powerful image for the nurse manager?
a. Greeting patients, families, and colleagues with a handshake and a smile;
listening carefully when problems arise
b. For men, no facial hair, always wearing a suit and tie; for women, always wearing
a suit and high-heeled shoes
c. Maintaining a soft voice during times of conflict; making unbroken eye contact
during interactions
d. Smiling all the time; always wearing a suit and carrying a briefcase; women should
wear no jewelry - ANSWER A
Two nurses approach their manager about a conflict regarding the next month's
schedule. The nurses are talking loudly and at the same time. The manager most
effectively uses communication skills to resolve the conflict by:
a. Taking both nurses aside, separately and then together, and charging them with
resolving the problem without her direct intervention.
b. Listening to each nurse speak to the other without interruption and asking
clarifying questions to help them resolve the issue themselves.
c. Separating the nurses, instructing each to decide how the problem can be
resolved, and meeting with them the next day.
d. Calling an emergency scheduling committee meeting and asking volunteers to
resolve the conflict between the two nurses. - ANSWER B
A nurse manager recognizes the need to expand her professional network as she
begins a job search for a middle-management position. Which of the following
actions is least likely to expand her job-searching network?
a. Reviewing her address book or card file for names and phone numbers of former
colleagues who are now in middle-management positions
b. Making an appointment to meet with a former instructor from her graduate
program in nursing administration
c. Making a long overdue return call to a former colleague who is now a chief nurse
executive
d. Attending a state-level conference for nurse managers and executives and
attending informal luncheons and receptions - ANSWER C
A staff nurse asks the nurse manager for a few days off for personal reasons. The
nurse manager turns in the request to the human resources office with a note
indicating that the staff nurse has demonstrated excellent working skills and is a
,valued employee. The nurse manager has used the influence of her position to help
this staff member. Influence is the process of:
a. Using power.
b. Empowering others.
c. Understanding power.
d. Moving past apathy. - ANSWER A
A nurse is participating in a baccalaureate course. For the class, she has to attend
the legislative session regarding the new role of medication assistants. Nurses
should be involved in shaping public policy primarily because:
a. Involvement will enable nurses to take over the healthcare system at some point
in the future.
b. Other healthcare professions are less concerned about the essential needs of
clients.
c. Such activities are important career builders for nurses who seek top-level
executive positions.
d. They are closest to the front line of health care and see how it affects clients and
families. - ANSWER D
Which of the following accurately represents the concept of political activism?
a. Meghan, an ER supervisor, encourages staff to write letters to the local health
board, protesting closure of the ER and loss of 30 full-time jobs.
b. Sarah refuses involvement in her professional organization but is heavily involved
in the Little League organization to which her son belongs.
c. Because of her influential contributions to position papers on health care, Roberta
is asked to let her name stand for election as chair of the local organization of
gerontology nurse practitioners, who are lobbying for increased certification
standards.
d. Sondra volunteers to run for office in her state nursing organization because of her
concern about the underrepresentation of expertise from her area of nursing
practice. - ANSWER D
Literature on oppression in nursing has:
a. Verified the presence of behaviors associated with oppression within nursing.
b. Suggested that nurses are oppressed because of the actions of other groups.
c. Failed to establish that oppression is present in nursing groups.
d. Indicated that nurses use oppression negatively. - ANSWER A
Politics is usually:
a. Confined to legislatures.
b. Seen in dysfunctional workplaces.
c. Found in all social organizations.
d. A representation of self-interest. - ANSWER C
Your colleague, Mary, a recent graduate announces one day that she intends to
leave nursing in 3 to 4 months to pursue a position in marketing. While at your
agency, she plans to give patients excellent care and to learn as much as she can,
because "Who knows? Nursing is a great job with a great pay and I may return
someday." Mary's statements most accurately exemplify which orientation to the
concept of nursing? Nursing as a(n):
, a. Profession.
b. Occupation.
c. Flexible discipline.
d. Career with off and on ramps. - ANSWER B
Lucy, head nurse on the surgical unit, works with her staff to find ways in which they
can work together with other disciplines to provide more effective care for patients on
the unit. Lucy likely knows her power is:
a. Limited, thereby necessitating involvement of others in implementing ideas.
b. Restricted, which necessitates finding alternative means to achieve strong patient
outcomes.
c. Directly primarily toward those who are subordinate to her.
d. Of unlimited capacity when shared with others. - ANSWER D
One day, at coffee, your co-worker suggests that you and she sit with unit members
of the hospital research committee. She suggests that this would be an excellent
way to get to know people who share her interest in research. Her actions are an
example of:
a. Mentorship.
b. Politics.
c. Networking.
d. Empowerment. - ANSWER C
The workgroup on NU 23 is marked by apathy to the ward's patients, high
absenteeism, open conflict among team members, and high turnover of personnel,
including managers. The underlying behavior in this situation may be characterized
as:
a. Powerlessness.
b. Anger.
c. Apathy.
d. Oppression. - ANSWER A
During a unit meeting, you notice that Vivian listens attentively when Mary is
speaking and offers support and advice when Mary presents ideas to the group. You
are surprised because Vivian has often confided that she does not like Mary. Vivian's
behavior is best described as:
a. Insincere.
b. Networking.
c. Politically sophisticated.
d. Collegial. - ANSWER D
Which of the following interactions is MOST consistent with the idea of networking?
a. Meet with the same colleagues daily to have coffee and share concerns about the
workplace and stories about colleagues.
b. Join an online workplace forum to gain ideas about how to handle workplace
conflict.
c. Suggest that you and a new team member meet after work for coffee to review
unit guidelines.
d. Join a nurse executive informal lunch meeting to meet other executives for
support and for sharing ideas of expertise. - ANSWER D
