TEST BANK QUESTIONS -
LEADERSHIP
, Test Bank Questions - Leadership
1. 1. Role theory has its underpinnings in management theory. Management theories
influence managers' leadership styles. Which would a nurse manager be most likely to
follow when redesigning the staffing schedule? a. Theory X.
b. Productivity theory.
c. Psychological theory.
d. Theory Y.: ANS: D
Theory Y is effective in health care and helps reinforce the concept of team. Because the
manager needs to redesign staffing schedules, it would be important to use this
participatory approach, inasmuch as the change involves a group.
2. A nurse manager has worked rapidly to persuade the staff to accept changes in the unit's
mission, through innovative use of technology, to avoid downsizing. This nurse manager is
displaying:
a. A focus on past concerns related to the mission.
b. How to teach staff members about self-management.
c. Facilitation of goal accomplishment.
d. A requirement that all staff members need to review and reinforce their technologic
skills.: ANS: C
Nurse managers, who are successful in motivating staff, provide a work environment that
facilitates goal accomplishment and personal satisfaction. In this situation, the nurse
manager worked quickly to avoid downsizing, thus facilitating the goal of avoiding staff
layoffs.
3. 3. The nurse manager, as the leader of the unit's "customer (patient) first" initiative, has
asked the staff nurses to develop and administer a survey to every patient before discharge.
In asking the staff nurses to accomplish this task, the nurse manager is demonstrating a.
Accountability.
b. Shared governance.
c. A common purpose.
d. Independence in the nursing manager's role.: ANS: B
Engaging staff and others in decision making and in obtaining information is one
characteristic of creating a shared governance structure in which nurses are encouraged
to make decisions.
, Test Bank Questions - Leadership
4. A nurse manager is encountering considerable conflict among staff members because of
weekend staffing coverage. During a called staff meeting, the nurse manager asks the
disgruntled staff to meet as a group and determine the best staffing practices. In doing this,
the nurse manager is using the concept of collaboration to:
a. Demonstrate interdependence.
b. Depict flexibility and broadmindedness.
c. Focus all energies of staff members on a win-win strategy.
d. Defuse the possibility that staff members' discontent will escalate when staffing the unit
on weekends.: ANS: C
Conflict resolution skills are important for nursing managers. When collaboration is used
to solve a conflict, all energies are focused on solving the problem, rather than on
defeating other people with opposing views.
5. 5. A nurse manager's responsibility for financial management involves making
budgetary decisions. Budgets that enable the nurse manager to allocate resources at the
unit level allow:
a. Minimal nurse manager input.
b. Limited rationale for budgetary requests.
c. Budgetary allocations at the executive nurse level.
d. Budgetary decision making at the point of service: ANS: D
In organizational structures in which decision making occurs at the point of service, nurse
managers are given responsibility for preparing and implementing a budget that meets the
long- and short-term needs of their unit without requiring hierarchical approval.
6. 6. Which represents one of the Canadian Nurses Association's top six competencies of a
good nurse manager? a. Political activism.
b. Conflict resolution skills.
c. Budgetary responsibility.
d. Current clinical practice knowledge.: ANS: B
The top six competencies for nurse managers are: (1) accountability for professional
practice, (2) verbal communication, (3) team-building skills, (4) leadership skills, (5)
conflict resolution, and (6) knowledge of ethical and legal issues.
, Test Bank Questions - Leadership
7. 7. Whenever a staff nurse asks Sue, the nursing manager, about the best way to perform
a new procedure, Sue immediately goes to the computer with the staff nurse and searches
for online best practices related to the procedure in question. What is Sue demonstrating?
a. Lack of procedural knowledge.
b. Role-modelling evidence-informed decision-making.
c. Empowerment for the staff nurse to do this on her own, rather than involve the
manager.
d. The key role of informatics in the current health care system.: ANS: B
Nurse managers can help staff use research evidence in their practice decision making by
valuing research, role modelling, providing encouragement, ensuring policies are based
on research and are up to date, and monitoring practice and patient outcomes
8. 8. In planning a new wing, the nurse manager complies with the workplace safety
requirements of the US Occupational Safety and Health Administration (OSHA). Which of
the following groups is considered to be at high risk for violence in the workplace? a.
Pediatric staff.
b. Postsurgical unit staff.
c. Emergency department staff.
d. Medical oncology unit staff.: ANS: C
Emergency department staff members are considered to be at high risk for violence
9. 9. In orienting a 25-year-old nurse, the unit manager understands that this worker
probably
a. Likes to attend to detail.
b. Is highly proficient in math and reading skills.
c. Enjoys being managed by superiors.
d. Likes to solve problems without being given solutions: ANS: D
A role of the manager is to understand various motivations of staff and to bring these
together in the accomplishment of goals. In general, younger workers are motivated
strongly by shared governance and decision making.
10. 10. Nurses on Unit 4 are unhappy and frustrated with their nurse manager. They
complain that "nothing is ever good enough for him." Such statements suggest that the
nurse manager's goals may be: a. Measurable.
b. Unrealistic.
LEADERSHIP
, Test Bank Questions - Leadership
1. 1. Role theory has its underpinnings in management theory. Management theories
influence managers' leadership styles. Which would a nurse manager be most likely to
follow when redesigning the staffing schedule? a. Theory X.
b. Productivity theory.
c. Psychological theory.
d. Theory Y.: ANS: D
Theory Y is effective in health care and helps reinforce the concept of team. Because the
manager needs to redesign staffing schedules, it would be important to use this
participatory approach, inasmuch as the change involves a group.
2. A nurse manager has worked rapidly to persuade the staff to accept changes in the unit's
mission, through innovative use of technology, to avoid downsizing. This nurse manager is
displaying:
a. A focus on past concerns related to the mission.
b. How to teach staff members about self-management.
c. Facilitation of goal accomplishment.
d. A requirement that all staff members need to review and reinforce their technologic
skills.: ANS: C
Nurse managers, who are successful in motivating staff, provide a work environment that
facilitates goal accomplishment and personal satisfaction. In this situation, the nurse
manager worked quickly to avoid downsizing, thus facilitating the goal of avoiding staff
layoffs.
3. 3. The nurse manager, as the leader of the unit's "customer (patient) first" initiative, has
asked the staff nurses to develop and administer a survey to every patient before discharge.
In asking the staff nurses to accomplish this task, the nurse manager is demonstrating a.
Accountability.
b. Shared governance.
c. A common purpose.
d. Independence in the nursing manager's role.: ANS: B
Engaging staff and others in decision making and in obtaining information is one
characteristic of creating a shared governance structure in which nurses are encouraged
to make decisions.
, Test Bank Questions - Leadership
4. A nurse manager is encountering considerable conflict among staff members because of
weekend staffing coverage. During a called staff meeting, the nurse manager asks the
disgruntled staff to meet as a group and determine the best staffing practices. In doing this,
the nurse manager is using the concept of collaboration to:
a. Demonstrate interdependence.
b. Depict flexibility and broadmindedness.
c. Focus all energies of staff members on a win-win strategy.
d. Defuse the possibility that staff members' discontent will escalate when staffing the unit
on weekends.: ANS: C
Conflict resolution skills are important for nursing managers. When collaboration is used
to solve a conflict, all energies are focused on solving the problem, rather than on
defeating other people with opposing views.
5. 5. A nurse manager's responsibility for financial management involves making
budgetary decisions. Budgets that enable the nurse manager to allocate resources at the
unit level allow:
a. Minimal nurse manager input.
b. Limited rationale for budgetary requests.
c. Budgetary allocations at the executive nurse level.
d. Budgetary decision making at the point of service: ANS: D
In organizational structures in which decision making occurs at the point of service, nurse
managers are given responsibility for preparing and implementing a budget that meets the
long- and short-term needs of their unit without requiring hierarchical approval.
6. 6. Which represents one of the Canadian Nurses Association's top six competencies of a
good nurse manager? a. Political activism.
b. Conflict resolution skills.
c. Budgetary responsibility.
d. Current clinical practice knowledge.: ANS: B
The top six competencies for nurse managers are: (1) accountability for professional
practice, (2) verbal communication, (3) team-building skills, (4) leadership skills, (5)
conflict resolution, and (6) knowledge of ethical and legal issues.
, Test Bank Questions - Leadership
7. 7. Whenever a staff nurse asks Sue, the nursing manager, about the best way to perform
a new procedure, Sue immediately goes to the computer with the staff nurse and searches
for online best practices related to the procedure in question. What is Sue demonstrating?
a. Lack of procedural knowledge.
b. Role-modelling evidence-informed decision-making.
c. Empowerment for the staff nurse to do this on her own, rather than involve the
manager.
d. The key role of informatics in the current health care system.: ANS: B
Nurse managers can help staff use research evidence in their practice decision making by
valuing research, role modelling, providing encouragement, ensuring policies are based
on research and are up to date, and monitoring practice and patient outcomes
8. 8. In planning a new wing, the nurse manager complies with the workplace safety
requirements of the US Occupational Safety and Health Administration (OSHA). Which of
the following groups is considered to be at high risk for violence in the workplace? a.
Pediatric staff.
b. Postsurgical unit staff.
c. Emergency department staff.
d. Medical oncology unit staff.: ANS: C
Emergency department staff members are considered to be at high risk for violence
9. 9. In orienting a 25-year-old nurse, the unit manager understands that this worker
probably
a. Likes to attend to detail.
b. Is highly proficient in math and reading skills.
c. Enjoys being managed by superiors.
d. Likes to solve problems without being given solutions: ANS: D
A role of the manager is to understand various motivations of staff and to bring these
together in the accomplishment of goals. In general, younger workers are motivated
strongly by shared governance and decision making.
10. 10. Nurses on Unit 4 are unhappy and frustrated with their nurse manager. They
complain that "nothing is ever good enough for him." Such statements suggest that the
nurse manager's goals may be: a. Measurable.
b. Unrealistic.
