Chapter 21. Leadership for APNs: If Not
Now, When?
Multiple Choice
1. Rather than focusing on a problem, which leadership model seeks to find
positives through conversations and relationship building?
a. Roving leadership
b. Appreciative inquiry
c. Systems leadership
d. Situational leadership
ANS: B
Appreciative inquiry seeks to find positives through appreciative
conversations and relationship building.
2. A well-trusted and liked clinician at an institution speaks to groups of
APRNs about his or he r experiences as a means to influence others to
improve. This is an example of which t ype of leadership?
a. Opinion leadership
b. Appreciative inquiry
c. Roving leadership
d. Spiritual leadership
ANS: A
Opinion leaders are clinicians who are identified by their colleagues as
likeable, trustworthy, and influential (Flodgren et al., 2007).
,3. An APRN is leading others about success and informs a group that it is
okay to make mistakes. This is an example of which characteristic of
APRN leadership?
a. Innovation
b. Mentoring
c. Likeabilit y
d. Fiscal responsibilit y
e. Empowering others
ANS: E
Empowering others is a defining characteristic of APRN leadership.
Other ways to empower others to succeed include sharing information,
creating clear goals and objectives, teaching it is okay to make
mistakes, creating an environment that celebrates both successes and
failures, support of a learning environment, and letting teams become
the hierarchy.
4. Which of the following broad qualities is a necessary attribute of APRN
leaders?
a. Failure to mentor
b. Horizontal violence
c. Risk taking
d. Documentation
ANS: C
Risk taking is a broad qualit y that is a necessary attribute of APRN
leaders. This includes getting involved, demonstrating self -confidence
and assertiveness, creative thinking, a willingness to fail, and coping
with change among others.
,5. Which of the following are the three defining characteristics of APRN
leadership? (Select all that apply.)
a. Likeabilit y
b. Mentoring
c. Innovation
d. Empowering others
e. Fiscal responsibilit y
ANS: B, C, D
The three defining characteristics of APRN leadership are mentoring,
empowering others, and innovation.
6. A nurse sees the “big picture” regarding multiple aspects of care. He or
she begins evaluating projects with a clinical information committee at his
or her hospital system. They focus on how the project will interoperate
with many departments at the hospit al. This is best defined as which t ype
of leadership?
a. Health policy leadership
b. Clinical leadership
c. Professional leadership
d. Systems leadership
ANS: D
Systems leadership includes leading at the organizational or delivery
s ystem level and requires a mu ltifaceted understanding of systems.
Professional leadership overlaps with systems leadership but has less
of a specific focus on the larger picture of systems.
, 7. An APRN joins a committee at his or her hospital system involved in
improving clinical outcom es. This is best defined as which t ype of
leadership?
a. Clinical leadership
b. Systems leadership
c. Professional leadership
d. Health policy leadership
ANS: A
Clinical leadership focuses on the needs and goals of the patient and
famil y and ensures qualit y pat ient care is achieved. This may also be
considered an example of professional leadership but clinical
leadership is the most correct answer.
8. An APRN joins state organization for nurses and begins actively
participating. This is best defined as which t ype of leadership?
a. Health policy leadership
b. Systems leadership
c. Clinical leadership
d. Professional leadership
ANS: D
Professional leadership is best defined as the active participation in
interprofessional organizations that are t ypicall y organized at the local,
state, or national level.
9. An APRN advocates for the development of laws regarding independent
authorit y of APRNs in his or her state. This is best defined as which t ype
of leadership?
a. Health policy leadership
Now, When?
Multiple Choice
1. Rather than focusing on a problem, which leadership model seeks to find
positives through conversations and relationship building?
a. Roving leadership
b. Appreciative inquiry
c. Systems leadership
d. Situational leadership
ANS: B
Appreciative inquiry seeks to find positives through appreciative
conversations and relationship building.
2. A well-trusted and liked clinician at an institution speaks to groups of
APRNs about his or he r experiences as a means to influence others to
improve. This is an example of which t ype of leadership?
a. Opinion leadership
b. Appreciative inquiry
c. Roving leadership
d. Spiritual leadership
ANS: A
Opinion leaders are clinicians who are identified by their colleagues as
likeable, trustworthy, and influential (Flodgren et al., 2007).
,3. An APRN is leading others about success and informs a group that it is
okay to make mistakes. This is an example of which characteristic of
APRN leadership?
a. Innovation
b. Mentoring
c. Likeabilit y
d. Fiscal responsibilit y
e. Empowering others
ANS: E
Empowering others is a defining characteristic of APRN leadership.
Other ways to empower others to succeed include sharing information,
creating clear goals and objectives, teaching it is okay to make
mistakes, creating an environment that celebrates both successes and
failures, support of a learning environment, and letting teams become
the hierarchy.
4. Which of the following broad qualities is a necessary attribute of APRN
leaders?
a. Failure to mentor
b. Horizontal violence
c. Risk taking
d. Documentation
ANS: C
Risk taking is a broad qualit y that is a necessary attribute of APRN
leaders. This includes getting involved, demonstrating self -confidence
and assertiveness, creative thinking, a willingness to fail, and coping
with change among others.
,5. Which of the following are the three defining characteristics of APRN
leadership? (Select all that apply.)
a. Likeabilit y
b. Mentoring
c. Innovation
d. Empowering others
e. Fiscal responsibilit y
ANS: B, C, D
The three defining characteristics of APRN leadership are mentoring,
empowering others, and innovation.
6. A nurse sees the “big picture” regarding multiple aspects of care. He or
she begins evaluating projects with a clinical information committee at his
or her hospital system. They focus on how the project will interoperate
with many departments at the hospit al. This is best defined as which t ype
of leadership?
a. Health policy leadership
b. Clinical leadership
c. Professional leadership
d. Systems leadership
ANS: D
Systems leadership includes leading at the organizational or delivery
s ystem level and requires a mu ltifaceted understanding of systems.
Professional leadership overlaps with systems leadership but has less
of a specific focus on the larger picture of systems.
, 7. An APRN joins a committee at his or her hospital system involved in
improving clinical outcom es. This is best defined as which t ype of
leadership?
a. Clinical leadership
b. Systems leadership
c. Professional leadership
d. Health policy leadership
ANS: A
Clinical leadership focuses on the needs and goals of the patient and
famil y and ensures qualit y pat ient care is achieved. This may also be
considered an example of professional leadership but clinical
leadership is the most correct answer.
8. An APRN joins state organization for nurses and begins actively
participating. This is best defined as which t ype of leadership?
a. Health policy leadership
b. Systems leadership
c. Clinical leadership
d. Professional leadership
ANS: D
Professional leadership is best defined as the active participation in
interprofessional organizations that are t ypicall y organized at the local,
state, or national level.
9. An APRN advocates for the development of laws regarding independent
authorit y of APRNs in his or her state. This is best defined as which t ype
of leadership?
a. Health policy leadership
