Leadership
The nurse leader notices that a staff nurse does not participate in bringing forth new ideas, but enthusiastically accepts innovation when brought forth by other staff members. Which type of innovation adopters display these characteristics?
1
Laggards
2
ans 3
I put 4
The characteristic of early majority is observed in people who will not bring forth an innovation but will readily adopt it when it is
brought forth by others. A laggard is secure in holding to the past and comfortable only when an idea cann
While auditing unit documents, a nurse finds some omissions. Which term best describes when the nurse meets with the staff to discuss the findings and communicates ways to achieve the desired goals?
1
Leadership
2
Followership
3
Management
4
Decision maki
I put 1
ans: 3
The process of guiding, planning, and
controlling others in a situation where communication is shared to improve clinical processes and outcomes is referred to as management. Leadership can be defined as a process of identifying a goal or t
Which theory states that leaders act as change catalysts and innovators?
1
Role theory
2
Trait theory
3
Quantum theory
4
McGregor's Theory X
I put 1
ans 3
Quantum theory states that leaders must embrace uncertainty and
understand behaviors before changing them. Therefore quantum leaders represent change catalysts and innovators. Role theory is a collection of concepts that predict circumstance
Which model of nursing is focused on the task-oriented approach to client care?
1
Team model
2
Primary model
3
Functional model
4
Case management model
ans 3
I put 2
The functional model of nursing is a method of providing client care by which
each licensed and unlicensed staff member performs specific tasks for a large group of clients. Team nursing is a small group of licensed and unlicensed personnel,
Which skills would be essential for an effective nurse manager to develop and improve collaboration with others? Select all that apply.
1
Flexibility
2
Reacting hastily
3
Showing frustration
4
Ability to listen to others
5
Ability to share information and
correct
ans:
1, 4, 5
In order to collaborate effectively, the nurse should be flexible, must be willing to listen to others, and must share information and ideas with others. The nurse manager should plan a thoughtful response, consider others' perspectiv
A nurse leader is caring for a client during their entire stay in the hospital. Which nursing model is this nurse following?
1
Team nursing
2
Primary nursing
3
Functional nursing
4
Case method nursing
ans 2
I put 4
The primary nursing model brings the nurses back to direct client care. This means that the primary nurse provides coordinated, comprehensive, and continuous care to the client and the family. Team nursing involves different personnel such a
Which statement is true regarding the satisficing decision model?
1
It involves shared decision-making.
2
A decision is made by analyzing pros and cons associated with each
option.
3
It allows for a quick decision, which is important when lack of time is
ans: 3
The satisficing decision model allows for quick decisions and is best to use when lack of time is an issue. With shared decision-making, decisions are made through an interactive, deliberate process. In the optimizing decision style, decisions are
What would the nurse state is a characteristic of an effective leader?
1
Autocratic
behavior
2
Problem-solving skills
3
Culture of zero tolerance for violence
4
Emphasis on inconsistent job performance
correct
ans: 2
Expertise in problem-solving skills is an effective leadership quality that is increased by risk-taking behaviors by the nurse leader. Adapting autocratic behavior may lead to ineffective leadership. A culture of zero tolerance for violence
The nurse leader mentors the staff on types of conflict.
Which statement of the leader describes intrapersonal conflict?
1
It occurs due to difference in opinions with others.
2
It arises when a discord about policies and procedures exists.
3
It is relate
correct
ans: 4
Intrapersonal conflict arises due to imbalance between the nurse's personal and professional priorities. The conflict due to a difference in opinions with others causes interpersonal conflicts. Organizational conflicts arise from a discord
As a part of informed consent, a surgeon explains to the client who is scheduled for surgery the details of the surgery and the related care. The nurse as a leader witnesses the complete procedure. What information does the nurse leader ensure was provide
ans: 1, 2, 3
Informed consent must be done according to legal guidelines. It is an authorization by the client to perform a surgery or procedure on them. Therefore the detail about the procedure of
the surgery must be provided. It also informs the client
Which action would a nurse leader specifically take to promote a health care climate where curiosity, reflection, and change are embraced?
1
Serving as a coach or a guide
2
Maintaining a good relationship with the team
3
Working to solve process problems
correct
ans: 4
A nurse leader who empowers staff to be life-long learners and risk takers is promoting a health care
environment where questioning the status quo, reflecting on processes and advocating for change when appropriate is welcome and encouraged
How does a nurse leader effectively implement change in an organization?
1
By avoiding using managerial skills
2
By using personal and professional skills
3
By avoiding giving timely feedback to team members
4
By removing the ineffective team members from
correct
ans: 2
A nurse leader
should use both personal and professional skills to ensure effective implementation of a change in an organization. A nurse leader should also use managerial skills, not avoid them, to ensure effective implementation of a cha
What would the nurse recognize as the correct hierarchical order for human needs according to Maslow's theory of human needs? Arrange from the top priority need to the lowest priority
need.
1.
Safety
2.
Social
3.
Esteem
4.
Self-actualization
5.
Physiologi
correct
ans: 5, 1, 2, 3, 4
The nursing manager issued orders to take the utmost care of a client with myocardial infarction and expects the staff to obey and follow the rules immediately. Which type of decision making is the manager using?
1
Autocratic
2
Optimizing
3
Laissez-faire
correct
ans: 1
The
autocratic method results in rapid decision-making and is more appropriate in a crisis situation. Optimizing decision making is when the nurse considers both pros and cons of each position. Laissez-faire is a "hands-off" approach, which
The registered nurse is teaching a group of nursing students about leadership principles. Which statement made by a nursing student indicates the need for further teaching?
1
"A leader has a formal position."
2
"A leader
intervenes with courage."
3
"A lea
correct
ans: 1
Leader does not necessarily have a formal position to indicate that he or she is a leader; rather, leadership refers to the performance. Leaders are those medical professionals who can intervene with courage when needed. Leaders are also ab
A Hispanic nurse is celebrating a quincea�era for her 15-year-old daughter. What is the appropriate action of the culturally competent nurse
manager?
1
Make a joke about the cultural ritual.
2
Allow the nurse to take time off for this celebration.
3
Ask t
correct
ans: 2
The nurse who is celebrating this event for her daughter should have time to make plans and arrangements. The nurse manager should teach staff how cultural differences enrich all of us and make deliberate efforts to include them in their da
A nurse manager works on a unit where the nursing staff
members are uncomfortable taking care of clients from cultures that are different from their own. How should the nurse manager address this situation?
1
Assign articles about various cultures so that
correct
ans: 4
A workshop provides an opportunity to discuss cultural diversity; this should include identification of one's own feelings. Also, it provides an opportunity for participants to ask questions. Although articles provide information, they do n
Which term refers to the nurse's ability to plan, direct, control, and evaluate others in different situations?
1
Delegation
2
Leadership
3
Followership
4
Management
I put 2
ans: 4
Management is defined as the ability to plan, direct, control, and evaluate the nurse staff in various situations. Delegation is the transfer of authority to perform some type of task or work. Leadership can be defined as the use of individ
Which action by the nurse leader is indicative of transactional leadership?
1
Accounting for the needs and abilities of individual employees
2
Encouraging the novel and innovative thinking of the employees
3
Motivating the employees by articulation of an
correct
ans: 4
Transactional leadership relies on the power of organizational position and formal authority to reward and punish performance. Therefore offering external rewards to motivate
the self-interest of employees is a type of transactional leaders
Which action of the registered nurse (RN) represents his or her leadership ability?
1
Pursuing higher professional courses
2
Performing home visits to care for a client
3
Modifying the diet chart as per the client's condition
4
Supervising the tasks assig
ans: 4
The nurse as a leader should supervise the tasks assigned to unlicensed nursing personnel to ensure
the client's safety. Pursuing higher professional courses can help in self-growth but does not indicate leadership. Performing home visits and modif
The nursing manager said, "Nurse leaders must also be excellent change managers." Which statement supports this?
1
Nurse leaders ensure a change that will support only staff.
2
Nurse leaders are only coordinators to bring a change in the system.
3
Nurse l
correct
ans: 4
During
change, nurse leaders keep the delivery of safe and effective care at the center of their attention to ensure that the disruption and chaos of change do not affect clients. By supporting a transparent and evidence-based environment,
Which responsibility of the nurse manager differs from the responsibilities of a nurse leader?
1
Planning the budget
2
Motivating the team
3
Resolving the conflicts
4
Penalizing for poor performance
ans: 1
Budgeting is the responsibility of a nurse manager. The role of nurse leader is to motivate the nursing subordinates. Resolving conflicts is the responsibility of both the nurse leader and the nurse manager. Penalizing for poor performance is a beh
Under a leader, a team of followers has failed to achieve success in conducting research. What does an effective leader do in this situation?
1
Criticizes the team members for failure
2
Provides
excuses for the negative outcome
3
Refuses to take the respo
correct
ans: 4
An effective leader should accept the failure and gain experience from it to avoid repetition of the same errors. The effective leader should counsel and motivate the team members for future success and should not criticize them. Making exc
Which internal factors affect the decision-making process of a leader? Select all that
apply.
1
Time
2
Values
3
Interest
4
Resources
5
Knowledge
ans: 2, 3, 5
Values, interests, and knowledge are the internal factors that affect the decision-making process of a leader. Time and resources are the external factors that affect decision making of a leader.
Which theory states that the leadership traits in an individual are born and not made?
1
Style theory
2
Great Man theory
3
Two-factor
theory
4
Situational-contingency theory
ans: 2
The trait theory is sometimes referred as the Great Man theory. According to this theory, the leadership traits such as a certain set of physical and emotional characteristics are innate and cannot be learned. Style theory focuses on what leaders d
A nurse leader has prepared an objective for strategic planning. Which point indicates that the nurse possesses the ability to write objectives
clearly and concisely?
1
Inclusion of the timeline and deadline
2
Leaving expectations open to interpretation
3
correct
ans: 1
In order for objectives to be clear and concise, they should have a timeframe within which the activity or improvement must be achieved. The timeline and deadlines should be included in the written objective. A clear and concise objective s
Which statement is true regarding leadership?
1
Having the
title of chief executive officer indicates a good leader.
2
Leadership is an earned honor and an action-oriented responsibility.
3
Playing an administrative role can automatically place the title
correct
ans: 2
Leadership is an earned honor, right, and privilege and an action-oriented responsibility that requires a time commitment. Having a title such as chief executive officer or chief nursing officer does not guarantee that a person will be a go
A nurse leader is setting priorities for achieving success by using the simplest and fastest method of communication. Which rules and responsibilities does the nurse fulfill by this action?
1
Maintaining balance
2
Building self-confidence
3
Generating sel
ans 1
An effective leader maintains work-life balance in his or her own life, as well as facilitating balance for followers. Making communication as efficient as possible is one way of
helping to maintain this balance. Self-confidence can be established b
Which theory states that leaders should expand and respond to a dynamic change rather than prescribing and approaching change as a lock-step, pre-prescribed method?
1
Role theory
2
Chaos theory
3
Complexity theory
4
Organizational theory
ans: 3
Complexity theory states that the leaders should expand and respond to engaging dynamic change and focus on
relationships rather than on prescribing and approaching change as a lock-step, pre-prescribed method. Role theory is a framework used to un
Which strategy of the nurse leader regarding the quality improvement (QI) process requires revising?
1
Focus is on correcting errors.
2
The task includes staff development.
3
The leader involves the interprofessional team.
4
Outcomes are set with input fr
correct
ans 1
The quality
improvement process mainly focuses on preventing errors rather than correcting them. The task of the QI process includes staff development. The team of the QI process involves the interprofessional team and the outcomes are set w
The nursing manger wants to transfer a nurse to the intensive care unit (ICU) and describes the roles and responsibilities of the position in detail to the nurse. After disclosing all details, the nurse manager inquires about the nurse's decision. Which t
ans: 2
Veracity concerns telling the truth and demands involved, giving all the facts of a situation truthfully, and then assisting employees to make appropriate decisions. Justice is the principle of treating all persons equally and fairly and it often a
Which action of the nurse leader while preparing to share any information with followers is accurate?
1
Giving complete information at one time
2
Avoiding sharing
information through mail
3
Determining which information is to be shared
4
Sending text mess
correct
ans 3
The nurse leader should determine the information that has to be shared with followers, but should not give all information at once. The nurse leader should give only limited information; giving too much at once can create disinterest in the
Which actions can the mentor take to develop effective leadership qualities in the
aspiring leader? Select all that apply.
1
Avoiding criticism
2
Modeling behavior
3
Noting the mistakes
4
Giving timely feedback
5
Providing appropriate advice
correct
ans: 2, 4, 5
The mentor should model professional and desired behavior and give timely feedback and appropriate advice to make the aspiring leader an effective leader. The mentor should not criticize, but rather coach the new aspiring leader to de
What
qualities does the professional nurse require to lead, manage, and follow in a team? Select all that apply.
1
Being insensitive
2
Impeding relationships
3
Exercising self-awareness
4
Motivating self and others
5
Managing emotions in self and others
correct
ans: 3, 4, 5
Managing emotions, such as fear, anxiety, and anger, and responding to those feelings in a healthy manner, as well as avoiding passive-aggressive behavior, are traits that the
nurse should have to manage a team. The nurse should have
A nurse encourages employees to implement a Magnet Recognition Program in the organization. The nurses think beyond their own personal needs and are clear about the group outcomes. Which leadership quality according to Gardner's tasks is reflected in the
ans: 3
According to Gardner's Tasks of Leadership, encouraging employees to implement a Magnet Recognition Program shows that the nurse is
representing the group. Trust develops when leaders are clear when providing direction and refrain from misdirecting
Which actions can an effective mentor expect from an aspiring leader? Select all that apply.
1
Being loyal
2
Assisting with projects
3
Sharing personal problems
4
Maintaining confidentiality
5
Giving a fee in terms of rewards
correct
ans: 1, 2, 4
The mentor has a right to expect loyalty, respect,
assistance with projects, and confidentiality from the aspiring leader. An effective mentor does not expect a fee or rewards and gives guidance to balance the professional and persona
What are the major issues identified by the nurse leader as reasons for increased union activity? Select all that apply.
1
Low wages
2
Adequate staffing
3
Professional autonomy
4
Mandatory overtime requirement
5
Absence of reporting unsafe work environmen
correct
ans: 1, 4, 5
Low wages and poor benefits may lead to an increase in union activity. Mandatory overtime and work overload have led to increased union activity in nursing. The absence of procedures for reporting of unsafe work environments and poor
What are the qualities of an effective leader? Select all that apply.
1
Born with the right stuff
2
Elicit a vision from people
3
Bring out the best in people
4
Engender
discipline and obedience
5
Inspire people to bring the vision into reality
ans: 2, 3, 5
Leadership is the ability to elicit a vision from people and to inspire and empower those people to do what it takes to bring the vision into reality. A leadership quality is to bring out the best in people. Leaders are not born with the righ
Which is excluded from the competencies of nurse leader?
1
Work individually
2
Utilize
informatics
3
Provide client centered care
4
Employ evidence-based practice
correct
ans: 1
The core competency of a nurse leader is to work in interdisciplinary teams, but not individually. Utilizing informatics, providing client centered care, and employing evidence-based practice are the core competencies of a nurse leader.
The count of hydrocodone is incorrect. After several minutes of searching the medication cart and medication
records, no explanation is found. Who should the primary nurse notify about the discrepancy?
1
Nursing unit manager
2
Hospital administrator
3
Qua
correct
ans: 1
Controlled substance issues for a particular nursing unit are the responsibility of that unit's nurse manager. Responsibility flows directly from the staff of a nursing unit to the nurse manager; the nurse manager reports to a nurse adminis