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NR 446 LEADERSHIP EXAM 1 STUDY EXAM WITH CORRECT QUESTIONS AND ANSWERS 2025

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NR 446 LEADERSHIP EXAM 1 STUDY EXAM WITH CORRECT QUESTIONS AND ANSWERS 2025

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NR 446
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NR 446

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NR 446 LEADERSHIP EXAM 1 STUDY
EXAM WITH CORRECT QUESTIONS
AND ANSWERS 2025

 Differentiate among the types of planning used by a nurse manager

 (Remember SOF) - CORRECT-ANSWERS-Strategic Planning

 -Operational/Organizational planning

 -Fiscal planning

 Examine the role of the nurse manager as a change agent - CORRECT-ANSWERSAs

part of the change theory, a change agent is an individual who implements change. They

may often be considered a pioneer or a patient advocate. W/O these individuals nursing

could remain stagnate with no room for growth.

 -The first step is to create urgency. For example in order to implement change,

individuals have to want to change and be motivated to do so (Marquis & Huston, 2014).

As a nursing leader a person can outline possible threats if implementation doesn't occur,

examine outcomes if it does occur, be honest about the situation, and ask for help with

the implementation. In addition, as part of this process, the change agent must prove it

through a three step process.

 -Internal vs. external change agent, use of theory with appropriate leadership style,

instituting classic change strategies.

, What are the 4 approaches to planning that are utilised by organizations and nurse

management? - CORRECT-ANSWERS*Reactive:* Occurs after a problem exists (crisis

management).

 *Inactive:* Manager is satisfied with outcome.

 *Preactive:* Anticipated need for action and plan for change.

 *Proactive:* Past, present and future states are taken into consideration in a plan to

achieve growth.

 How is strategic planning different from other types of planning? - CORRECT-

ANSWERSIt differs in the dimensions of time span and complexity. The time span is

generally 3-10 years with both long term and short term goals. It forecasts the future of

the organization. Close consideration is taken to identify strengths/weaknesses of each

objective.



 Examples: Dealing with nursing shortages, preparing succession plans for managers in

the organization, developing a marketing plan, redesigning workflow & developing

external partnerships.

 What is forecasting? - CORRECT-ANSWERSStrategic planning (considered proactive

planning), estimates how conditions will be in future states. Involves making an educated

budget by using historical data.

 -Takes advantage of input from others (historical data/trends), gives sequence in activity,

protects the organization from undesirable changes.

,  What is SWOT analysis? - CORRECT-ANSWERSAnalysis of strengths, weaknesses,

opportunities, and threats. One of the most common tools used in strategic planning is to

define the desired end state or objective, then list the SWOT.

 What is a balanced scorecard? - CORRECT-ANSWERSA system that's used to help

clarify the vision and strategy and then translate them into action. It provides feedback

around both internal processes and external outcomes in order to continue development.

 -Used to develop metrics (performance measuring indicators), collect data and analyze

from 4 organizational perspectives (financial, customers, processes and learning/growth).

 What is the planning hierarchy? - CORRECT-ANSWERS-Mission: Highest priority.

Identifies why an organization exists

 -Philosophy: A working philosophy is evident in a department's decisions, priorities and

accomplishments. In its absence there is conflict and burnout.

 -Goals/Objectives: Operationalize the philosophy. Movement towards the desired resort

and towards the way effort is directed (what does that even mean...)

 -Policies/Procedures: Plans that are reduced to statements or instructions that guide

decision making can be implied or expressed.

 -Rules: Plans that define specific action or non-action. Generally part of a policy or

procedure dictating one choice of action.

 What is the Great Man Theory? - CORRECT-ANSWERSThat some people are born to

lead whereas others are born to be led.

 -Great leaders will arise when situations demand it.

 What is the trait theory? - CORRECT-ANSWERS-Some people have certain

characteristics or personality traits that make them better leaders than others.

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