,Chapter .01: .Leadership .and .Management
MULTIPLE .CHOICE
1. Nurses .can .be .leaders .without .being .managers. .Which .nursing .actions
.demonstrate .leadership?
a. Assisting .a .new .nurse .with .enteral .tube .feedings
b. Counseling .a .new .nurse .regarding .attendance
c. Adjusting .assignments .after .a .staff .member .calls .in .sick
d. Calling .a .physician .for .new .order .clarification
ANS: . A
Leaders .act .as .role .models .and .mentor .new .staff. .The .other .options .are .incorrect .because
.they .are .management .responsibilities .and .not .leadership .roles.
DIF: Cognitive .Level: .Application REF: . page .6
2. Which .nursing .actions .demonstrate .the .role .of .management .in .nursing?
a. Encouraging .autonomous .decision .making
b. Observing .the .documentation .of .appropriate .charges .to .patients
c. Assisting .in .a .code
d. Asking .the .patient/family .about .advance .directives
ANS: . B
Managers .are .responsible .for .the .budget .of .their .units. .The .other .options .are .incorrect
.because .those .are .leadership .or .mentoN ngRrS
riU olI
esN. .GTB.COM
DIF: Cognitive .Level: .Application REF: . page .6
3. Much .like .a .politician, .a .nurse .manager .must .exhibit .leadership .that .inspires .and .motivates.
.In .which .instance .is .a .nurse .demonstrating .leadership .qualities?
a. A .staff .nurse .becomes .aware .of .increased .infection .rates .following .cardiac
.surgery. .The .nurse .takes .it .upon .herself .to .research .the .possible .causes .and
.prevention .measures .and .to .make .suggestions .to .better .protect .patients.
b. A .staff .nurse .acts .quickly .when .a .cardiac .arrest .is .called .on .her .patient.
c. A .staff .nurse .notifies .another .staff .member .that .she .is .being .―pulled‖ .today.
d. A .new .nurse .volunteers .to .work .when .another .staff .member .must .leave
.work .because .her .child .is .ill.
, ANS: . A
Nurse .leaders .are .interested .in .changing .practice .based .on .evidence. .Options .B .and .D
.are .incorrect .because .they .are .actions .taken .by .nurses .as .part .of .the .functional .structure
.of .the .unit. .Option .C .is .incorrect .because .it .is .an .action .taken .by .a .manager.
DIF: . . Cognitive .Level: .Analysis REF: . page .6
4. A .nurse .manager .must .exhibit .qualities .of .efficiency .and .organization. .Which .nurse
.is .demonstrating .the .qualities .necessary .for .a .manager?
a. A .nurse .becomes .aware .of .increased .infection .rates .following .cardiac .surgery. .The
, nurse .takes .it .upon .herself .to .research .the .possible .causes .and .prevention .measures
.and .to .make .suggestions .to .better .protect .patients.
b. A .nurse .acts .quickly .when .a .cardiac .arrest .is .called .on .her .patient.
c. A .nurse .notifies .another .staff .member .that .she .is .being .―pulled‖ .today.
d. A .nurse .volunteers .to .work .when .another .staff .member .must .leave .work
.because .her .child .is .ill.
ANS: . C
Determining .who .gets .―pulled‖ .is .a .management .decision. .Option .A .is .incorrect .because .it
.is .a .role .taken .by .a .nurse .leader. .Option .B .is .incorrect .because .it .is .an .action .taken .by
.staff .as .part .of .the .functional .structure .of .the .unit. .Option .D .is .incorrect .because .it .is .an
.action .taken .by .staff .as .part .of .the .functional .structure .of .the .unit.
DIF: Cognitive .Level: .Analysis REF: . page .6
5. A .nurse .has .accepted .a .position .on .a .nursing .unit .where .the .nurse .manager .promotes
.autonomy .and .staff .involvement .in .decision .making. .What .would .the .nurse .expect .to
.observe .on .this .unit?
a. Nurse .manager .mandates .changes.
b. Staff .takes .responsibility .for .assignments.
c. Staff .participates .on .hospital .committees.
d. Nurses .are .recognized .for .excellence .in .practice.
ANS: . C
Work .environments .that .promote .autonomy .and .decision .making .encourage .participation
.on .hospital .committees .so .that .staff .may .become .involved .in .the .decisions .that .are .made.
.Option .A .is .incorrect .because .this .is .not .an .environment .in .which .staff .are .encouraged .to
.participate
in .decision .making. .Option .BNiU
s .R coI
inS ecG
rrN b eBc a.uC
t .T s eOi tMs h o u l d .be .seen .in .all .environments
.regardless .of .autonomy. .Option .D .is .incorrect .because .excellence .in .practice .is .not .seen
.solely
in .autonomous .environments.
DIF: Cognitive .Level: .Analysis REF: . page .6
6. The .fundamental .element .of .any .patient .care .delivery .combines .work .allocation .with
a. patient .acuity.
b. leadership.
c. clinical .decision .making.
d. delegation.
ANS: . C
Work .allocation .is .necessary .in .any .patient .care .delivery .system. .The .other .options
.are .incorrect .because .it .is .not .necessarily .useful .in .determining .the .appropriate
.patient .care .delivery .systems .needed.
DIF: . . Cognitive .Level: .Analysis REF: . page .10
7. The .student .nurse, .shadowing .on .a .medical-surgical .unit, .observes .the .charge .nurse.
.Which .action .would .the .student .identify .as .a .leadership .quality .in .the .nurse‘s .actions?
a. Making .patient .care .assignments .distributed .equally .to .staff
b. Sitting .with .a .confused .combative .patient
c. Calling .the .nursing .office .for .extra .staff .when .an .RN .calls .in .sick
MULTIPLE .CHOICE
1. Nurses .can .be .leaders .without .being .managers. .Which .nursing .actions
.demonstrate .leadership?
a. Assisting .a .new .nurse .with .enteral .tube .feedings
b. Counseling .a .new .nurse .regarding .attendance
c. Adjusting .assignments .after .a .staff .member .calls .in .sick
d. Calling .a .physician .for .new .order .clarification
ANS: . A
Leaders .act .as .role .models .and .mentor .new .staff. .The .other .options .are .incorrect .because
.they .are .management .responsibilities .and .not .leadership .roles.
DIF: Cognitive .Level: .Application REF: . page .6
2. Which .nursing .actions .demonstrate .the .role .of .management .in .nursing?
a. Encouraging .autonomous .decision .making
b. Observing .the .documentation .of .appropriate .charges .to .patients
c. Assisting .in .a .code
d. Asking .the .patient/family .about .advance .directives
ANS: . B
Managers .are .responsible .for .the .budget .of .their .units. .The .other .options .are .incorrect
.because .those .are .leadership .or .mentoN ngRrS
riU olI
esN. .GTB.COM
DIF: Cognitive .Level: .Application REF: . page .6
3. Much .like .a .politician, .a .nurse .manager .must .exhibit .leadership .that .inspires .and .motivates.
.In .which .instance .is .a .nurse .demonstrating .leadership .qualities?
a. A .staff .nurse .becomes .aware .of .increased .infection .rates .following .cardiac
.surgery. .The .nurse .takes .it .upon .herself .to .research .the .possible .causes .and
.prevention .measures .and .to .make .suggestions .to .better .protect .patients.
b. A .staff .nurse .acts .quickly .when .a .cardiac .arrest .is .called .on .her .patient.
c. A .staff .nurse .notifies .another .staff .member .that .she .is .being .―pulled‖ .today.
d. A .new .nurse .volunteers .to .work .when .another .staff .member .must .leave
.work .because .her .child .is .ill.
, ANS: . A
Nurse .leaders .are .interested .in .changing .practice .based .on .evidence. .Options .B .and .D
.are .incorrect .because .they .are .actions .taken .by .nurses .as .part .of .the .functional .structure
.of .the .unit. .Option .C .is .incorrect .because .it .is .an .action .taken .by .a .manager.
DIF: . . Cognitive .Level: .Analysis REF: . page .6
4. A .nurse .manager .must .exhibit .qualities .of .efficiency .and .organization. .Which .nurse
.is .demonstrating .the .qualities .necessary .for .a .manager?
a. A .nurse .becomes .aware .of .increased .infection .rates .following .cardiac .surgery. .The
, nurse .takes .it .upon .herself .to .research .the .possible .causes .and .prevention .measures
.and .to .make .suggestions .to .better .protect .patients.
b. A .nurse .acts .quickly .when .a .cardiac .arrest .is .called .on .her .patient.
c. A .nurse .notifies .another .staff .member .that .she .is .being .―pulled‖ .today.
d. A .nurse .volunteers .to .work .when .another .staff .member .must .leave .work
.because .her .child .is .ill.
ANS: . C
Determining .who .gets .―pulled‖ .is .a .management .decision. .Option .A .is .incorrect .because .it
.is .a .role .taken .by .a .nurse .leader. .Option .B .is .incorrect .because .it .is .an .action .taken .by
.staff .as .part .of .the .functional .structure .of .the .unit. .Option .D .is .incorrect .because .it .is .an
.action .taken .by .staff .as .part .of .the .functional .structure .of .the .unit.
DIF: Cognitive .Level: .Analysis REF: . page .6
5. A .nurse .has .accepted .a .position .on .a .nursing .unit .where .the .nurse .manager .promotes
.autonomy .and .staff .involvement .in .decision .making. .What .would .the .nurse .expect .to
.observe .on .this .unit?
a. Nurse .manager .mandates .changes.
b. Staff .takes .responsibility .for .assignments.
c. Staff .participates .on .hospital .committees.
d. Nurses .are .recognized .for .excellence .in .practice.
ANS: . C
Work .environments .that .promote .autonomy .and .decision .making .encourage .participation
.on .hospital .committees .so .that .staff .may .become .involved .in .the .decisions .that .are .made.
.Option .A .is .incorrect .because .this .is .not .an .environment .in .which .staff .are .encouraged .to
.participate
in .decision .making. .Option .BNiU
s .R coI
inS ecG
rrN b eBc a.uC
t .T s eOi tMs h o u l d .be .seen .in .all .environments
.regardless .of .autonomy. .Option .D .is .incorrect .because .excellence .in .practice .is .not .seen
.solely
in .autonomous .environments.
DIF: Cognitive .Level: .Analysis REF: . page .6
6. The .fundamental .element .of .any .patient .care .delivery .combines .work .allocation .with
a. patient .acuity.
b. leadership.
c. clinical .decision .making.
d. delegation.
ANS: . C
Work .allocation .is .necessary .in .any .patient .care .delivery .system. .The .other .options
.are .incorrect .because .it .is .not .necessarily .useful .in .determining .the .appropriate
.patient .care .delivery .systems .needed.
DIF: . . Cognitive .Level: .Analysis REF: . page .10
7. The .student .nurse, .shadowing .on .a .medical-surgical .unit, .observes .the .charge .nurse.
.Which .action .would .the .student .identify .as .a .leadership .quality .in .the .nurse‘s .actions?
a. Making .patient .care .assignments .distributed .equally .to .staff
b. Sitting .with .a .confused .combative .patient
c. Calling .the .nursing .office .for .extra .staff .when .an .RN .calls .in .sick
