Leading And Managing Nursing Exam Questions With Answers
2024
MULTIPLE,.CHOICE
1. As,.a,.nurse,.manager,,.you,.observe,.a,.staff,.nurse,.who,.over,.the,.past,.few,.weeks,.has,.become,.
withdrawn,.and,.has,.had,.several,.absences,.due,.to,.minor,.ailments.,.Your,.best,.action,.would,.be,.
to:
a. ask,.the,.nurse,.if,.she,.is,.okay,.during,.report.
b. refer,.the,.nurse,.to,.the,.employee,.assistance,.program.
c. ask,.the,.nurse,.to,.meet,.with,.you,.for,.a,.few,.minutes,.before,.she,.leaves,.for,.the,.day.
d. write,.a,.note,.to,.the,.nurse,.advising,.her,.that,.her,.work,.attendance,.must,.improve.
ANS:, . C
Stress,.can,.lead,.to,.emotional,.symptoms,.such,.as,.depression,.and,.a,.variety,.of,.ailments.,.Meetin
g,.with,.the,.nurse,.privately,.may,.assist,.in,.identifying,.stress,.and,.possible,.solutions.
TOP:, . AONE,.competency:,.Business,.Skills
2. The,.nurse,.manager,.of,.a,.unit,.has,.lost,.many,.staff,.members,,.and,.the,.unit,.is,.now,.staffed,.wit
h,.a,.large,.number,.of,.agency,.and,.traveling,.nurses.,.She,.knows,.that,.the,.agency,.and,.travelin
g,.nurses,.are,.all,.contracted,.to,.stay,.on,.the,.unit,.for,.the,.next,.3,.months.,.One,.way,.to,.improv
e,.morale,.and,.decrease,.stress,.in,.the,.unit,.would,.be,.to:
a. plan,.a,.social,.event,.and,.include,.the,.agency,.and,.traveling,.nurse,.staff,.members.
b. plan,.unit-based,.social,.events,.for,.your,.remaining,.permanent,.staff,.members.
c. request,.hospital-based,.―floating‖,.nurses,.to,.substitute,.for,.the,.temporary,.staff.
d. implement,.team,.nursing.N R I G B.C M
ANS:, . U S N T O
Social
A ,.support,,.in,.the,.form,.of,.positive,.work,.relationships,,.can,.be,.an,.important,.way,.to,.buff
er,.the,.effects,.of,.a,.stressful,.work,.environment.,.Including,.all,.staff,.in,.the,.social,.event,.enables,.
those,.who,.are,.not,.normally,.part,.of,.the,.team,.to,.experience,.this,.support,.and,.provides,.an,.opp
ortunity,.for,.the,.staff,.as,.a,.whole,.to,.develop,.supportive,.relationships.
TOP:, . AONE,.competency:,.Communication,.and,.Relationship-Building
3. As,.a,.nurse,.manager,,.the,.one,.activity,.you,.should,.not,.overlook,.is:
a. posting,.the,.yearly,.rotation,.schedule.
b. reviewing,.vacation,.requests.
c. scheduling,.staffing,.for,.holidays,.6,.months,.in,.advance.
d. anticipating,.staff,.sick,.days.
ANS:, . B
Free,.time,.and,.vacation,.time,.are,.needed,.for,.individuals,.to,.recharge.,.If,.time,.for,.work,.is, .
more,.than,.60%,.of,.wake,.time,,.or,.when,.self-
time,.is,.less,.than,.10%,.of,.wake,.time,,.stress,.levels,.increase.
TOP:, . AONE,.competency:,.Business,.Skills
4. A,.nurse,.manager,.has,.decided,.that,.she,.must,.institute,.some,.personal,.time-
management,.steps,.to,.survive,.work,.and,.home,.life.,.Her,.first,.step,.should,.be,.to:
, a. determine,.what,.takes,.up,.so,.much,.of,.her,.time,.and,.energy.
b. organize,.her,.personal,.and,.work,.spaces.
c. purchase,.a,.handheld,.personal,.digital,.assistant,.to,.help,.remind,.her,.of,.importa
nt,.meetings.
d. determine,.her,.personal,.and,.professional,.goals.
ANS:, . D
Personal,.time,.management,.refers,,.in,.part,,.to,.―the,.knowing,.of,.self.‖,.Self-
awareness,.is,.a,.critical,.leadership,.skill,,.and,.being,.self-
aware,.and,.setting,.goals,.helps,.managers,.determine,.how,.their,.time,.is,.best,.spent.
TOP:, . AONE,.competency:,.Leadership
5. A,.hospice,.nurse,.has,.been,.feeling,.very,.stressed,.at,.work,.because,.of,.both,.the,.physical,.str
ain,.and,.the,.emotional,.drain,.of,.working,.with,.clients,.with,.AIDS.,.She,.tries,.to,.walk,.1,.to,.
2,.miles,.three,.times,.a,.week,.and,.to,.talk,.regularly,.with,.her,.husband,.about,.her,.work-
related,.feelings.,.One,.reasonable,.stress-management,.strategy,.would,.be,.to:
a. start,.taking,.yoga,.lessons.
b. make,.an,.appointment,.to,.meet,.with,.a,.psychiatrist.
c. start,.jogging,.5,.to,.6,.miles,.every,.day.
d. plan,.to,.go,.out,.for,.a,.drink,.with,.fellow,.nurses,.after,.work,.every,.day.
ANS:, . A
Stress,.relief,.techniques,.include,.30,.minutes,.of,.exercise,.five,.times,.a,.week,,.as,.well,.as,.techn
iques,.such,.as,.yoga,.that,.relieve,.mental,.stress.
TOP:, . AONE,.competency:,.Leadership
N,.UR,.,.SI,.,.NG,.,.TB.C,.M
6. The,.nurse,.manager,.is,.implementing,.a,.shared,.governance,.model,.to,.help,.with,.communication
and,.decision,.making.,.AlthoughO,.staff,.members,.like,.the,.concept,,.change,.is,.difficult.,.Staff,.n
urses,.feel:
a. more,.empowered.
b. more,.communicative.
c. less,.stressed.
d. more,.powerless,.and,.devalued.
ANS:, . D
Change,.can,.lead,.to,.feelings,.of,.being,.overwhelmed,.and,.powerless,,.especially,.if,.complexity,.c
ompression,.or,.rapid,,.intense,.changes,.have,.been,.involved.
TOP:, . AONE,.competency:,.Business,.Skills
7. The,.chief,.nursing,.officer,.listens,.to,.nurse,.managers,.verbalize,.their,.feelings,.of,.intern
al,.stress.,.One,.common,.source,.of,.internal,.stress,.seems,.to,.be:
a. the,.death,.of,.a,.loved,.one.
b. perfectionism.
c. getting,.married.
d. losing,.a,.job.
ANS:, . B
,Losing,.a,.job,,.the,.death,.of,.a,.loved,.one,,.and,.getting,.married,.are,.examples,.of,.external,.stress.
, TOP:, . AONE,.competency:,.Business,.Skills
8. The,.staff,.development,.educator,.presents,.a,.series,.of,.programs,.on,.stress,.management,.t
o,.the,.nurse,.managers.,.Research,.has,.indicated,.that,.an,.individual‘s,.ability,.to,.deal,.with,.st
ress,.is,.moderated,.by,.psychological,.hardiness.,.Psychological,.hardiness,.is,.a,.composite,.
of:
a. commitment,,.control,,.and,.challenge.
b. commitment,,.powerlessness,,.and,.passivity.
c. commitment,,.control,,.and,.passivity.
d. decreased,.isolation,,.challenge,,.and,.passivity.
ANS:, . A
Some,.people,.have,.the,.capacity,.to,.accept,.changes,.in,.life,.with,.good,.humor,.and,.resilience,,.w
hich,,.in,.turn,,.influences,.behavior,.that,.prevents,.illness.,.Hardiness,.involves,.the,.capacity,.to,.m
anage,.time,.and,.stress,,.to,.reframe,.situations,.positively,,.and,.to,.commit.
TOP:, . AONE,.competency:,.Leadership
9. The,.chief,.nursing,.officer,.understands,.that,.a,.nurse,.manager,.can,.exhibit,.stress,.that,.is,.relat
ed,.to,.trying,.to,.keep,.up,.with,.the,.number,.of,.electronic,.messages,.that,.arrive,,.as,.well,.as,.try
ing,.to,.remain,.accessible,.to,.staff.,.What,.is,.a,.strategy,.that,.would,.assist,.the,.manager,.to,.ma
nage,.the,.information,.overload,.effectively?
a. Ignore,.messages,.unless,.they,.are,.labeled,.as,.important.
b. Determine,.who,.is,.most,.likely,.to,.send,.useful,.or,.important,.information,.or,.requests.
c. Check,.e-mail,.messages,.once,.a,.day.
d. Encourage,.face-to-face,.meetings,.rather,.than,.e-mail.
ANS:, . B
Reduction,.of,.stress,.related,.t o NUi n f RSo r mNI aTt i o G n ,.ovBe.rloCad,.Mrequires,.the,.developm
ent,.of,.information-receiving,.and,.information-sending,.skills.,.Information-sending
skills,.include,.determining,.most,.common,.sources,.of,.useful,.data,,.labeling,.files,.and,.folde
rs,.to,.which,.e-mail
messages,.can,.be,.directed,,.deletion,.of,.e-
mails,,.and,.focusing,.on,.the,.most,.important,.pieces.,.Information-
sending,.skills,.include,.keeping,.e-
mail,.messages,.short,.(and,.calling,.if,.the,.message,.needs,.to,.be,.long),.and,.considering,.the,.mos
t,.appropriate,.medium,.for,.messages,.(telephone,,.fax,,.face-to-face).
TOP:, . AONE,.competency:,.Professionalism
10. In,.helping,.nurse,.managers,.to,.manage,.their,.time,,.the,.chief,.nursing,.officer,.suggests,.that,.they:
a. maintain,.a,.perfectionistic,.attitude.
b. set,.up,.a,.complaint,.list.
c. have,.good,.negotiation,.skills.
d. have,.good,.information,.literacy,.skills.
ANS:, . D
Time,.can,.be,.saved,.by,.using,.information,.technology,.effectively,,.as,.it,.assists,.with,.effective,.
data,.retrieval,.and,.information,.gathering,.and,.with,.communication,.related,.to,.a,.variety,.of,.nee
ds,.in,.the,.management,.setting.
TOP:, . AONE,.competency:,.Business,.Skills
11. Which,.of,.the,.following,.statements,.would,.best,.define,.stress?,.Stress,.is:
2024
MULTIPLE,.CHOICE
1. As,.a,.nurse,.manager,,.you,.observe,.a,.staff,.nurse,.who,.over,.the,.past,.few,.weeks,.has,.become,.
withdrawn,.and,.has,.had,.several,.absences,.due,.to,.minor,.ailments.,.Your,.best,.action,.would,.be,.
to:
a. ask,.the,.nurse,.if,.she,.is,.okay,.during,.report.
b. refer,.the,.nurse,.to,.the,.employee,.assistance,.program.
c. ask,.the,.nurse,.to,.meet,.with,.you,.for,.a,.few,.minutes,.before,.she,.leaves,.for,.the,.day.
d. write,.a,.note,.to,.the,.nurse,.advising,.her,.that,.her,.work,.attendance,.must,.improve.
ANS:, . C
Stress,.can,.lead,.to,.emotional,.symptoms,.such,.as,.depression,.and,.a,.variety,.of,.ailments.,.Meetin
g,.with,.the,.nurse,.privately,.may,.assist,.in,.identifying,.stress,.and,.possible,.solutions.
TOP:, . AONE,.competency:,.Business,.Skills
2. The,.nurse,.manager,.of,.a,.unit,.has,.lost,.many,.staff,.members,,.and,.the,.unit,.is,.now,.staffed,.wit
h,.a,.large,.number,.of,.agency,.and,.traveling,.nurses.,.She,.knows,.that,.the,.agency,.and,.travelin
g,.nurses,.are,.all,.contracted,.to,.stay,.on,.the,.unit,.for,.the,.next,.3,.months.,.One,.way,.to,.improv
e,.morale,.and,.decrease,.stress,.in,.the,.unit,.would,.be,.to:
a. plan,.a,.social,.event,.and,.include,.the,.agency,.and,.traveling,.nurse,.staff,.members.
b. plan,.unit-based,.social,.events,.for,.your,.remaining,.permanent,.staff,.members.
c. request,.hospital-based,.―floating‖,.nurses,.to,.substitute,.for,.the,.temporary,.staff.
d. implement,.team,.nursing.N R I G B.C M
ANS:, . U S N T O
Social
A ,.support,,.in,.the,.form,.of,.positive,.work,.relationships,,.can,.be,.an,.important,.way,.to,.buff
er,.the,.effects,.of,.a,.stressful,.work,.environment.,.Including,.all,.staff,.in,.the,.social,.event,.enables,.
those,.who,.are,.not,.normally,.part,.of,.the,.team,.to,.experience,.this,.support,.and,.provides,.an,.opp
ortunity,.for,.the,.staff,.as,.a,.whole,.to,.develop,.supportive,.relationships.
TOP:, . AONE,.competency:,.Communication,.and,.Relationship-Building
3. As,.a,.nurse,.manager,,.the,.one,.activity,.you,.should,.not,.overlook,.is:
a. posting,.the,.yearly,.rotation,.schedule.
b. reviewing,.vacation,.requests.
c. scheduling,.staffing,.for,.holidays,.6,.months,.in,.advance.
d. anticipating,.staff,.sick,.days.
ANS:, . B
Free,.time,.and,.vacation,.time,.are,.needed,.for,.individuals,.to,.recharge.,.If,.time,.for,.work,.is, .
more,.than,.60%,.of,.wake,.time,,.or,.when,.self-
time,.is,.less,.than,.10%,.of,.wake,.time,,.stress,.levels,.increase.
TOP:, . AONE,.competency:,.Business,.Skills
4. A,.nurse,.manager,.has,.decided,.that,.she,.must,.institute,.some,.personal,.time-
management,.steps,.to,.survive,.work,.and,.home,.life.,.Her,.first,.step,.should,.be,.to:
, a. determine,.what,.takes,.up,.so,.much,.of,.her,.time,.and,.energy.
b. organize,.her,.personal,.and,.work,.spaces.
c. purchase,.a,.handheld,.personal,.digital,.assistant,.to,.help,.remind,.her,.of,.importa
nt,.meetings.
d. determine,.her,.personal,.and,.professional,.goals.
ANS:, . D
Personal,.time,.management,.refers,,.in,.part,,.to,.―the,.knowing,.of,.self.‖,.Self-
awareness,.is,.a,.critical,.leadership,.skill,,.and,.being,.self-
aware,.and,.setting,.goals,.helps,.managers,.determine,.how,.their,.time,.is,.best,.spent.
TOP:, . AONE,.competency:,.Leadership
5. A,.hospice,.nurse,.has,.been,.feeling,.very,.stressed,.at,.work,.because,.of,.both,.the,.physical,.str
ain,.and,.the,.emotional,.drain,.of,.working,.with,.clients,.with,.AIDS.,.She,.tries,.to,.walk,.1,.to,.
2,.miles,.three,.times,.a,.week,.and,.to,.talk,.regularly,.with,.her,.husband,.about,.her,.work-
related,.feelings.,.One,.reasonable,.stress-management,.strategy,.would,.be,.to:
a. start,.taking,.yoga,.lessons.
b. make,.an,.appointment,.to,.meet,.with,.a,.psychiatrist.
c. start,.jogging,.5,.to,.6,.miles,.every,.day.
d. plan,.to,.go,.out,.for,.a,.drink,.with,.fellow,.nurses,.after,.work,.every,.day.
ANS:, . A
Stress,.relief,.techniques,.include,.30,.minutes,.of,.exercise,.five,.times,.a,.week,,.as,.well,.as,.techn
iques,.such,.as,.yoga,.that,.relieve,.mental,.stress.
TOP:, . AONE,.competency:,.Leadership
N,.UR,.,.SI,.,.NG,.,.TB.C,.M
6. The,.nurse,.manager,.is,.implementing,.a,.shared,.governance,.model,.to,.help,.with,.communication
and,.decision,.making.,.AlthoughO,.staff,.members,.like,.the,.concept,,.change,.is,.difficult.,.Staff,.n
urses,.feel:
a. more,.empowered.
b. more,.communicative.
c. less,.stressed.
d. more,.powerless,.and,.devalued.
ANS:, . D
Change,.can,.lead,.to,.feelings,.of,.being,.overwhelmed,.and,.powerless,,.especially,.if,.complexity,.c
ompression,.or,.rapid,,.intense,.changes,.have,.been,.involved.
TOP:, . AONE,.competency:,.Business,.Skills
7. The,.chief,.nursing,.officer,.listens,.to,.nurse,.managers,.verbalize,.their,.feelings,.of,.intern
al,.stress.,.One,.common,.source,.of,.internal,.stress,.seems,.to,.be:
a. the,.death,.of,.a,.loved,.one.
b. perfectionism.
c. getting,.married.
d. losing,.a,.job.
ANS:, . B
,Losing,.a,.job,,.the,.death,.of,.a,.loved,.one,,.and,.getting,.married,.are,.examples,.of,.external,.stress.
, TOP:, . AONE,.competency:,.Business,.Skills
8. The,.staff,.development,.educator,.presents,.a,.series,.of,.programs,.on,.stress,.management,.t
o,.the,.nurse,.managers.,.Research,.has,.indicated,.that,.an,.individual‘s,.ability,.to,.deal,.with,.st
ress,.is,.moderated,.by,.psychological,.hardiness.,.Psychological,.hardiness,.is,.a,.composite,.
of:
a. commitment,,.control,,.and,.challenge.
b. commitment,,.powerlessness,,.and,.passivity.
c. commitment,,.control,,.and,.passivity.
d. decreased,.isolation,,.challenge,,.and,.passivity.
ANS:, . A
Some,.people,.have,.the,.capacity,.to,.accept,.changes,.in,.life,.with,.good,.humor,.and,.resilience,,.w
hich,,.in,.turn,,.influences,.behavior,.that,.prevents,.illness.,.Hardiness,.involves,.the,.capacity,.to,.m
anage,.time,.and,.stress,,.to,.reframe,.situations,.positively,,.and,.to,.commit.
TOP:, . AONE,.competency:,.Leadership
9. The,.chief,.nursing,.officer,.understands,.that,.a,.nurse,.manager,.can,.exhibit,.stress,.that,.is,.relat
ed,.to,.trying,.to,.keep,.up,.with,.the,.number,.of,.electronic,.messages,.that,.arrive,,.as,.well,.as,.try
ing,.to,.remain,.accessible,.to,.staff.,.What,.is,.a,.strategy,.that,.would,.assist,.the,.manager,.to,.ma
nage,.the,.information,.overload,.effectively?
a. Ignore,.messages,.unless,.they,.are,.labeled,.as,.important.
b. Determine,.who,.is,.most,.likely,.to,.send,.useful,.or,.important,.information,.or,.requests.
c. Check,.e-mail,.messages,.once,.a,.day.
d. Encourage,.face-to-face,.meetings,.rather,.than,.e-mail.
ANS:, . B
Reduction,.of,.stress,.related,.t o NUi n f RSo r mNI aTt i o G n ,.ovBe.rloCad,.Mrequires,.the,.developm
ent,.of,.information-receiving,.and,.information-sending,.skills.,.Information-sending
skills,.include,.determining,.most,.common,.sources,.of,.useful,.data,,.labeling,.files,.and,.folde
rs,.to,.which,.e-mail
messages,.can,.be,.directed,,.deletion,.of,.e-
mails,,.and,.focusing,.on,.the,.most,.important,.pieces.,.Information-
sending,.skills,.include,.keeping,.e-
mail,.messages,.short,.(and,.calling,.if,.the,.message,.needs,.to,.be,.long),.and,.considering,.the,.mos
t,.appropriate,.medium,.for,.messages,.(telephone,,.fax,,.face-to-face).
TOP:, . AONE,.competency:,.Professionalism
10. In,.helping,.nurse,.managers,.to,.manage,.their,.time,,.the,.chief,.nursing,.officer,.suggests,.that,.they:
a. maintain,.a,.perfectionistic,.attitude.
b. set,.up,.a,.complaint,.list.
c. have,.good,.negotiation,.skills.
d. have,.good,.information,.literacy,.skills.
ANS:, . D
Time,.can,.be,.saved,.by,.using,.information,.technology,.effectively,,.as,.it,.assists,.with,.effective,.
data,.retrieval,.and,.information,.gathering,.and,.with,.communication,.related,.to,.a,.variety,.of,.nee
ds,.in,.the,.management,.setting.
TOP:, . AONE,.competency:,.Business,.Skills
11. Which,.of,.the,.following,.statements,.would,.best,.define,.stress?,.Stress,.is:
