Test Bank: Effective Leadership and
Management in Nursing Examination with
Answers andRationales
1. Which item below correctly describes the U.S. Bureau of Labor Statistics predictions
by 2020?
a. Positions that historically required registered nurses will be filled by unlicensed
personnel.
b. The job growth rate for RNs will surpass job growth in all other occupations.
c. The need for hospital nurses will dramatically decrease.
d. Hospitals will finally achieve the required RN workforce.
ANS: B
In 2020 the United States is projected to have only 64% of the registered nursing
workforce required to meet the demand for RNs.
Unlicensed personnel will not be filling positions for nurses because this group does not
have the education needed to provide such care.
The need for hospital nurses will dramatically increase, not decrease.
Hospitals will not have enough nurses as stated per statistics.
DIF: Knowledge REF: Page 28
2. What effect did the movie One Flew Over the Cuckoo's Nest have on health care?
a. Fundin - answersCherry: Contemporary Nursing, 5th Edition
Chapter 01: The Evolution of Professional Nursing
Test Bank
MULTIPLE CHOICE
1. Clara Barton is known for:
a. becoming the first African-American public health nurse.
b. establishing the Henry Street Settlement.
c. founding the American Red Cross.
d. publicizing the inadequacies of hospital-based nursing schools.
ANS: C
The American Red Cross, founded by Clara Barton in 1882, assisted in efforts to
continue public health nursing.
,Jessie Sleet Scales was the first African-American public health nurse.
Lillian Wald, a pioneer in public health nursing, is best known for the development and
establishment of the Henry Street Settlement.
The Goldmark Report criticized the inadequacies of hospital-based nursing schools and
recommended enhanced educational standards.
DIF: Knowledge REF: Page 13
2. Which bill provided for construction of hospitals?
a. Social Security Act
b. Hill-Burton Act
c. Sheppard-Towner Act
d. U.S. Civil Service Act
ANS: B
The purpose of the Hill-Burton Act was to provide funding to construct hospitals and to
assist states in planning for other health care facilities in accordance with the needs of
communities.
The main purposes of the 1935 Social Security Act were to provide (1) a national
insurance system for older adults; (2) monies to states for maternal and child welfare
services; (3) vocational rehabilitation services for the physically and mentally
challenged; (4) medical care for crippled children and blind people; (5) a plan to boost
public health services; and (6) a federal/state unemployment system.
The Sheppard-Towner Act provided federal aid for maternal and child health care.
The U.S. Civil Service Act is landmark U.S. legislation establishing the tradition and
mechanism of permanent federal employment based on merit rather than on politica
Cherry: Contemporary Nursing, 5th Edition
Chapter 06: Nursing Research and Evidence-Based Practice
Test Bank
MULTIPLE CHOICE
1. Institutional review boards determine whether research studies involving human
subjects will:
a. be published.
b. add to the body of nursing knowledge.
c. cause harm.
d. receive funding.
ANS: C
,The institutional review board (also called the human subjects committee) examines
research proposals to ensure that the ethical rights of those individuals participating in
the research study are protected. This board makes sure that persons who participate in
research are assured that their right to privacy, confidentiality, fair treatment, and
freedom from harm is protected.
Research publication is not controlled by institutional review boards.
Institutional review boards do not review the merit or significance of research to nursing
knowledge.
Institutional review boards do not award grants - answersCherry: Contemporary
Nursing, 5th Edition
Chapter 12: Workforce Advocacy and the Nursing Shortage
Test Bank
MULTIPLE CHOICE
1. When an RN is asked to accept an assignment that he or she may not be qualified to
perform, the nurse should:
a. accept the assignment as appropriate if assigned by a legitimate power.
b. be primarily concerned with the number of patients being assigned.
c. ask how other nurses have handled the assignment in the past.
d. determine whether he or she is familiar with the types of patients being assigned.
ANS: D
Nurses should always think critically about assignments so they can communicate what
makes them uncomfortable about a particular assignment. If nurses do not have the
knowledge or experience required for particular patient assignments, then modification
of the assignments is in order to ensure patient safety.
Even if the person who makes the assignment has legitimate power, he or she may not
be aware of the nurse's work experience and training.
The nurse should not respond on the basis of the actual number of patients assigned
but should consider the needs of each patient, his or her age and condition, other
factors that contribute to special needs, and the resources available to meet those
needs.
Each nurse possesses individual expertise. Basing decisions on the actions and
capabilities of others is incorrect and is potentially unsafe for the patient.
DIF: Application REF: Page 267; Box 12-8, page 269
2. One workplace issue—the nursing shortage—is caused by several complex issues,
including:
a. movement of nurses into acute care settings.
b. the use of unlicensed assistive personnel to replace RNs.
c. a mass of baby-boomers who have chosen nursing as a career.
, d. an aging nursing workforce.
ANS: D
Research validates that an aging population and an aging nursing workforce are s
Cherry: Contemporary Nursing, 5th Edition
Chapter 16: Nursing Leadership and Management
Test Bank
MULTIPLE CHOICE
1. In an attempt to persuade employees to bargain for another type of health insurance,
a handout is circulated that describes the present employees' health care insurance as
being insensitive, limiting choices of care providers, and providing inferior care. This
reflects which aspect of Lewin's planned change?
a. Unfreeze
b. Move
c. Refreeze
d. Acceptance
ANS: A
Unfreeze is correct because the change agent promotes problem identification and
encourages awareness of the need for change. In alignment with Lewin's stages of
change (unfreezing, moving, and refreezing), education and involvement are keys to
successful change. People must believe that improvement is possible before they will
be willing to consider change.
Move is incorrect because at this stage, the change agent clarifies the need to ch -
answersCherry: Contemporary Nursing, 5th Edition
Chapter 18: Effective Communication and Conflict Resolution
Test Bank
MULTIPLE CHOICE
1. A nurse is listening to a patient's apical heart rate. The patient asks, "Is everything
okay?" The nurse says nothing and shrugs her shoulders. The nurse is demonstrating:
a. open communication.
b. filtration.
c. blocking.
d. false assurance.
Management in Nursing Examination with
Answers andRationales
1. Which item below correctly describes the U.S. Bureau of Labor Statistics predictions
by 2020?
a. Positions that historically required registered nurses will be filled by unlicensed
personnel.
b. The job growth rate for RNs will surpass job growth in all other occupations.
c. The need for hospital nurses will dramatically decrease.
d. Hospitals will finally achieve the required RN workforce.
ANS: B
In 2020 the United States is projected to have only 64% of the registered nursing
workforce required to meet the demand for RNs.
Unlicensed personnel will not be filling positions for nurses because this group does not
have the education needed to provide such care.
The need for hospital nurses will dramatically increase, not decrease.
Hospitals will not have enough nurses as stated per statistics.
DIF: Knowledge REF: Page 28
2. What effect did the movie One Flew Over the Cuckoo's Nest have on health care?
a. Fundin - answersCherry: Contemporary Nursing, 5th Edition
Chapter 01: The Evolution of Professional Nursing
Test Bank
MULTIPLE CHOICE
1. Clara Barton is known for:
a. becoming the first African-American public health nurse.
b. establishing the Henry Street Settlement.
c. founding the American Red Cross.
d. publicizing the inadequacies of hospital-based nursing schools.
ANS: C
The American Red Cross, founded by Clara Barton in 1882, assisted in efforts to
continue public health nursing.
,Jessie Sleet Scales was the first African-American public health nurse.
Lillian Wald, a pioneer in public health nursing, is best known for the development and
establishment of the Henry Street Settlement.
The Goldmark Report criticized the inadequacies of hospital-based nursing schools and
recommended enhanced educational standards.
DIF: Knowledge REF: Page 13
2. Which bill provided for construction of hospitals?
a. Social Security Act
b. Hill-Burton Act
c. Sheppard-Towner Act
d. U.S. Civil Service Act
ANS: B
The purpose of the Hill-Burton Act was to provide funding to construct hospitals and to
assist states in planning for other health care facilities in accordance with the needs of
communities.
The main purposes of the 1935 Social Security Act were to provide (1) a national
insurance system for older adults; (2) monies to states for maternal and child welfare
services; (3) vocational rehabilitation services for the physically and mentally
challenged; (4) medical care for crippled children and blind people; (5) a plan to boost
public health services; and (6) a federal/state unemployment system.
The Sheppard-Towner Act provided federal aid for maternal and child health care.
The U.S. Civil Service Act is landmark U.S. legislation establishing the tradition and
mechanism of permanent federal employment based on merit rather than on politica
Cherry: Contemporary Nursing, 5th Edition
Chapter 06: Nursing Research and Evidence-Based Practice
Test Bank
MULTIPLE CHOICE
1. Institutional review boards determine whether research studies involving human
subjects will:
a. be published.
b. add to the body of nursing knowledge.
c. cause harm.
d. receive funding.
ANS: C
,The institutional review board (also called the human subjects committee) examines
research proposals to ensure that the ethical rights of those individuals participating in
the research study are protected. This board makes sure that persons who participate in
research are assured that their right to privacy, confidentiality, fair treatment, and
freedom from harm is protected.
Research publication is not controlled by institutional review boards.
Institutional review boards do not review the merit or significance of research to nursing
knowledge.
Institutional review boards do not award grants - answersCherry: Contemporary
Nursing, 5th Edition
Chapter 12: Workforce Advocacy and the Nursing Shortage
Test Bank
MULTIPLE CHOICE
1. When an RN is asked to accept an assignment that he or she may not be qualified to
perform, the nurse should:
a. accept the assignment as appropriate if assigned by a legitimate power.
b. be primarily concerned with the number of patients being assigned.
c. ask how other nurses have handled the assignment in the past.
d. determine whether he or she is familiar with the types of patients being assigned.
ANS: D
Nurses should always think critically about assignments so they can communicate what
makes them uncomfortable about a particular assignment. If nurses do not have the
knowledge or experience required for particular patient assignments, then modification
of the assignments is in order to ensure patient safety.
Even if the person who makes the assignment has legitimate power, he or she may not
be aware of the nurse's work experience and training.
The nurse should not respond on the basis of the actual number of patients assigned
but should consider the needs of each patient, his or her age and condition, other
factors that contribute to special needs, and the resources available to meet those
needs.
Each nurse possesses individual expertise. Basing decisions on the actions and
capabilities of others is incorrect and is potentially unsafe for the patient.
DIF: Application REF: Page 267; Box 12-8, page 269
2. One workplace issue—the nursing shortage—is caused by several complex issues,
including:
a. movement of nurses into acute care settings.
b. the use of unlicensed assistive personnel to replace RNs.
c. a mass of baby-boomers who have chosen nursing as a career.
, d. an aging nursing workforce.
ANS: D
Research validates that an aging population and an aging nursing workforce are s
Cherry: Contemporary Nursing, 5th Edition
Chapter 16: Nursing Leadership and Management
Test Bank
MULTIPLE CHOICE
1. In an attempt to persuade employees to bargain for another type of health insurance,
a handout is circulated that describes the present employees' health care insurance as
being insensitive, limiting choices of care providers, and providing inferior care. This
reflects which aspect of Lewin's planned change?
a. Unfreeze
b. Move
c. Refreeze
d. Acceptance
ANS: A
Unfreeze is correct because the change agent promotes problem identification and
encourages awareness of the need for change. In alignment with Lewin's stages of
change (unfreezing, moving, and refreezing), education and involvement are keys to
successful change. People must believe that improvement is possible before they will
be willing to consider change.
Move is incorrect because at this stage, the change agent clarifies the need to ch -
answersCherry: Contemporary Nursing, 5th Edition
Chapter 18: Effective Communication and Conflict Resolution
Test Bank
MULTIPLE CHOICE
1. A nurse is listening to a patient's apical heart rate. The patient asks, "Is everything
okay?" The nurse says nothing and shrugs her shoulders. The nurse is demonstrating:
a. open communication.
b. filtration.
c. blocking.
d. false assurance.
