Deck 12: Leadership and Management

Question 1

The nurse correctly defines leadership when stating:

A) "Leadership is coordinating others toward a common goal."
B) "Leadership is the ability to influence others."
C) "Leadership focuses on the task at hand."
D) "Leadership is based in formal authority."

Answer 1

"Leadership is the ability to influence others."

Question 2

The nurse is acting in the planning function as a manager. Which of the following stages should be completed first?

A) Set the plan
B) Assess the situation and future trends
C) Convert plan into action statement
D) Set the goals

Answer 2

Set the goals

Question 3

The nurse manager of a unit is sharing the most recent results of a patient satisfaction survey to motivate staff. This nurse manager is a _________________leader.

A) Transformational
B) Transactional
C) Situational
D) Autocratic

Answer 3

Transformational

Question 4

The leadership theory that assumes that leaders are born with certain leadership skill that few people possess is known as:

A) trait theory.
B) behavioral theory.
C) situational theory.
D) transformational theory.

Question 5

Upon entering a patient's room, the nurse notes that the patient is unresponsive. The nurse takes control and begins to direct other members of the health care team during this crisis. This style of leadership is:

A) autocratic.
B) democratic.
C) laissez-faire.
D) bureaucratic.

Question 6

Communication skills are most essential for the nurse:

A) when they become nurse managers.
B) except when delegation is required.
C) to decrease nurse-family interaction.
D) to obtain information from patients.

Question 7

The unit charge nurse uses reward and punishment to gain the cooperation of the nurses assigned to the unit. What type of leader is this charge nurse?

A) Transformation
B) Autocratic
C) Transactional
D) Situational

Question 8

According to Fayol, controlling is a function of management. Controlling compares to what phase of the nursing process?

A) Evaluation
B) Diagnosis
C) Assessment
D) Implementation

Question 9

Hiscock and Shuldham state that, in order to deliver quality care, it is important for nurse leaders to be focused on the:

A) patient.
B) self.
C) staff.
D) physician.

Question 10

The nurse manager of the emergency room believes that efficiency is the expected standard for her department. She also believes that efficiency lies in following established rules, policies, and guidelines. The only way to change procedures is to changes rules, policies, and guidelines. In order to run the emergency room with this philosophy, the nurse manager must take on the role of:

A) laissez-faire leader.
B) democratic leader.
C) bureaucratic leader.
D) autocratic leader.

Question 11

For patient care to be completed in a safe and timely manner, it is sometimes necessary for the nurse to delegate tasks to other health care providers. The ANA describes delegation as:

A) a transfer of authority to a less-qualified individual.
B) the nurse transferring accountability to the delegate.
C) the transfer of tasks by the nurse while retaining accountability.
D) transferring responsibility for assessments and planning.

Question 12

Which of the following has been done improperly?

A) The UAP re-delegates vital signs to the student nurse.
B) The RN delegates assistance with bathing to the student nurse.
C) The RN delegates monitoring of intake and output to the UAP.
D) The RN delegates assistance with mobility to the UAP.

Question 13

The nurse leader is conducting a staff meeting. During the meeting, staff members have verbalized dissatisfaction with the staffing pattern created by the nurse leader. The nurse listens intently as the staff come up with other options. The nurse leader is demonstrating:

A) openness.
B) integrity.
C) dedication.
D) magnanimity.

Question 14

The terms leadership and management are often used interchangeably. Although these concepts are related, they are different in definition and in practice. Leadership behaviors and management skills complement each other. However,

A) managers focus on relationships.
B) a manager may not possess leadership traits.
C) leadership focuses on coordinating and directing others.
D) a manager is a visionary who sets the direction for a group.

Question 15

The nurse has made patient care assignments and expects all team members to set their own goals for the day and manage their time to meet their goals. The nurse is implementing what style of leadership?

A) Autocratic
B) Democratic
C) Bureaucratic
D) Laissez-faire

Question 16

The nurse manager is considered a "great communicator." She can be found on the unit talking with staff, keeping them informed and asking their opinions. She believes that her nurses are motivated by internal means and that they want to participate in making decisions about the unit although the final decision always rests with her. This nurse manager is what type of leader?

A) Autocratic
B) Democratic
C) Bureaucratic
D) Laissez-faire

Question 17

Which of the following was delegated inappropriately?

A) Personal hygiene by the UAP
B) Assistance with eating breakfast by the UAP
C) Assistance with toileting by the UAP
D) Interpretation of abnormal vital signs by the UAP

Question 18

A patient is found unresponsive and pulseless. The nurse begins cardiopulmonary resuscitation (CPR) and calls for help. When help arrives, the nurse should take on the role of:

A) autocratic leader.
B) democratic leader.
C) laissez-faire leader.
D) bureaucratic leader.

Question 19

The manager of the intensive care unit is accepting an award for excellence and efficiency in the provision of patient care. The manager accepts the award for the unit and cites the contributions of her staff since, without their expertise and dedication, the award may not have been achieved. The manager is demonstrating the quality of:

A) dedication.
B) openness.
C) magnanimity.
D) creativity.

Question 20

The nurse is acting as a leader in the role of charge nurse and notes that the unlicensed assistive personnel (UAP) on the floor are stressed related to their increased workload. The nurse changes the original planned approach based on the presenting situation. What theory of leadership is being implemented?

A) Situational
B) Transactional
C) Transformational
D) Autocratic

Question 21

When delegating to other health care providers, the nurse understands that the task: (Select all that apply.)

A) must be within the scope of the person to whom it is being delegated.
B) is one that can be delegated to other health care providers.
C) can be delegated whenever assessments are required.
D) may be re-delegated by the person to whom it was first delegated.
E) may require the nurse to procure resources to complete the task.

Question 22

An effective manager must: (Select all that apply.)

A) understand the concepts of budgeting.
B) run a unit efficiently without regard to cost.
C) be able to staff the unit effectively.
D) be adept at information management.
E) achieve desired outcomes in any way possible.

Question 23

A nurse does not have to be a manager to be a leader. Even at the bedside, nurses use leadership skills, although possibly in different ways than a nurse manager. The nurse who plans, organizes, delivers, and evaluates nursing care for patients is functioning as a:

A) patient care provider.
B) patient advocate.
C) case manager.
D) clinical nurse leader.

Question 24

The nurse has a question regarding scope of practice and delegation. Where should the nurse seek clarification? (Select all that apply.)

A) The state's Nurse Practice Act
B) Theory X management
C) Nurse's Code of Ethics
D) The NCSBN website
E) NCSBN journal articles

Question 25

Mintzberg described management in terms of behaviors. Mintzberg's decisional roles include: (Select all that apply.)

A) figurehead.
B) spokesperson.
C) entrepreneur.
D) resource allocator.
E) negotiator.