TEST BANK FOR LEADERSHIP
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AND NURSING CARE
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,Chapter 01: Leadership and Management Principles
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Test Bank
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MULTIPLE CHOICE L
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1. Leadership is best defined as: L
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a. an interpersonal process of participating by encouraging fellowship.
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b. delegation of authority and responsibility and the coordination of activities. L
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c. inspiring people to accomplish goals through support and confidence building. FT L FT L L
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d. the integration of resources through planning, organizing, and directing.L
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Leadership is the process of influencing people to accomplish goals by inspiring confidence L
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and support among followers.
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DIF: Cognitive Level: Remember (Knowledge) REF: FT L FT L FT L
F Page 4 TOP:
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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2. A medical-surgical unit reports higher rates of patient satisfaction coupled with high rates of
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staff satisfaction and productivity. Which of the following is attributed to the data?
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a. Effective leadership L
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c. Mentoring
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ANS: F T L A
Effective leadership is important in nursing because of the impact on nurses’ work lives, it FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L L
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being a stabilizing influence during change, and for nurses’ productivity and quality of care.
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DIF: Cognitive Level: Apply (Application) REF: FT L FT L FT L
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T L Nursing Process: Assessment L
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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3. A staff registered nurse (RN) is leading a multidisciplinary clinical pathway team in the
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development of care for patients with total knee replacement. Which of the following
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statements would exemplify leadership behaviors in a clinical pathway team meeting?
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a. “Nursing is responsible for pain control of the total knee replacement patient.” FT L L
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b. “Our pharmacist has provided some excellent pain control literature.” L
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c. “Physical therapy’s expertise is in rehabilitation, not pain control.” L
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d. “Total knee replacement patients require optimal pain control.” L
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ANS: F T L B
Leadership is the process of influencing people to accomplish goals by inspiring confidence FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
and support among followers. The correct answer is supportive of a team member’s work and
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depicts some skill at interpersonal relationships.
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DIF: Cognitive Level: Apply (Application) REF: Pages FT L FT L FT L F T L
3-4 TOP:
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MSC: Client Needs: Physiological Integrity: Pharmacological and Parenteral Therapies
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,4. Which of the following is true of management activities?
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a. Inspiring a vision is a management function. FT L L
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b. Management is focused on task accomplishment. FT L FT L L
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c. Management is more focused on human relationships. FT L L
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d. Management is more important than leadership. FT L L
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ANS: F T L B
Management is focused on task accomplishment. FT L FT L FT L FT L FT L
DIF: Cognitive Level: Remember (Knowledge) REF: Pages FT L FT L FT L F T L
2-3 TOP:
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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5. During a staff meeting, a group of RNs has complained that medications are not arriving to
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the unit in a timely manner. The nurse manager suggests that the group resolve this issue
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through the development and work of a multidisciplinary team led by one of these RNs. This
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scenario demonstrates:
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a. adaptation.
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ANS: F T L B
Empowerment is the giving of authority, responsibility, and the freedom to act. In this FT L L
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situation, the manager has given authority, responsibility, and the freedom to act in the
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investigation and resolution of this issue.
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DIF: Cognitive Level: Apply (Application) REF: FT L FT L FT L
F Page 5 TOP:
T L Nursing Process: Assessment T
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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6. A nurse is caring for an elderly patient who was admitted after sustaining a fall at home. When
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creating a care plan for the patient, she requests that the doctor order a home health visit to
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assess for home safety and medication compliance. In addition, the nurse is concerned about
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the nutrition of the patient and requests a dietitian evaluation. The nurse is demonstrating
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which of the following leadership skills?
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a. Care provider FT L
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c. Care coordination FT L
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ANS: F T L C
Care coordination is the delivery of nursing services that involves the organization and
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coordination of complex activities. The nurse uses managerial and leadership skills to
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facilitate delivery of quality care.
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DIF: Cognitive Level: Apply (Application) REF: FT L FT L FT L
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MSC: Client Needs: Physiological Integrity: Reduction of Risk Potential
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7. Interpersonal communication and the ability to apply FT L FT L FT L FT L FT L FT L FT L are two critical skills every nurse L
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, a. vision
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Every nurse needs two critical skills to enhance professional practice. One is a skill at
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interpersonal relationships. This is fundamental to leadership and the work of nursing. The
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second skill is applying the problem-solving process. This involves critical thinking, problem
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identification, and the development of objectivity.
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DIF: Cognitive Level: Remember (Knowledge) REF: FT L FT L FT L
F Page 4 TOP:
T L Nursing Process: Assessment L
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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8. Good leaders need to be able to demonstrate an intuitive skill of empathy and expressiveness
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when dealing with others in the workplace. This requires sensitivity and awareness of the
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emotions and moods of others and is known as:
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a. social awareness. FT L
b. self-awareness.
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ANS: F T L A
Social awareness is an intuitive skill of empathy and expressiveness in being sensitive and
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aware of the emotions and moods of others.
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DIF: Cognitive Level: Remember (Knowledge) REF: FT L FT L FT L
F Page 4 TOP:
T L Nursing Process: Assessment L
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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9. The manager of the emergency department in a large hospital focuses on customer service,
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exudes the nursing code of ethics, and sees his or her job as an occupation with a
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lifetime commitment. This is a concept known as:
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a. leadership.
b. management.
c. professionalism.
d. vision.
ANS: F T L C
Professionalism is an approach to an occupation that distinguishes it from being merely a job, L
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focuses on service as the highest ideal, follows a code of ethics, and is seen as a lifetime
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commitment.
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DIF: Cognitive Level: Remember (Knowledge) REF: FT L FT L FT L
F Page 5 TOP:
T L Nursing Process: Implementation L
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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10. are vital to good leaders because they are able to take the vision of the leader and
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achieve the determined goals.
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a. Managers
b. Motivators
L
FT L
FT L
FT
AND NURSING CARE
L
FT FT L
FT L MANAGEMENT6THEDITION L
FT L
FT
,Chapter 01: Leadership and Management Principles
L
T
F FT L FT L L
FT L
FT
Test Bank
L
FT L
FT
MULTIPLE CHOICE L
FT
1. Leadership is best defined as: L
FT L
FT L
FT FT L
a. an interpersonal process of participating by encouraging fellowship.
L
FT FT L L
FT FT L L
FT L
FT FT L
b. delegation of authority and responsibility and the coordination of activities. L
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FT L
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c. inspiring people to accomplish goals through support and confidence building. FT L FT L L
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FT FT L FT L
d. the integration of resources through planning, organizing, and directing.L
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FT L
FT L
FT L
FT L
FT FTL L
FT
ANS: F T L C
Leadership is the process of influencing people to accomplish goals by inspiring confidence L
FT L
FT FT L FT L L
FT FT L FT L L
FT FT L L
FT L
FT L
FT
and support among followers.
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DIF: Cognitive Level: Remember (Knowledge) REF: FT L FT L FT L
F Page 4 TOP:
T L Nursing Process: Assessment L
T
F FT L F T L FT L FT L
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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FT L
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2. A medical-surgical unit reports higher rates of patient satisfaction coupled with high rates of
L
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FT L
FT L
FT FT L L
FT L
FT FT L L
FT L
FT
staff satisfaction and productivity. Which of the following is attributed to the data?
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a. Effective leadership L
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b. Management involvement FT L
c. Mentoring
d. Rewards and recognition L
FT L
FT
ANS: F T L A
Effective leadership is important in nursing because of the impact on nurses’ work lives, it FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L L
T
F FT L FT L
being a stabilizing influence during change, and for nurses’ productivity and quality of care.
FT L FT L L
FT FT L FT L FT L L
FT L
FT L
FT L
T
F FT L L
FT FT L L
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DIF: Cognitive Level: Apply (Application) REF: FT L FT L FT L
F Page 1 TOP:
T L Nursing Process: Assessment L
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F FT L F T L FT L FT L
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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3. A staff registered nurse (RN) is leading a multidisciplinary clinical pathway team in the
L
T
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FT FT L FT L FTL FT L L
FT L
FT L
FT L
FT L
FT L
FT L
FT
development of care for patients with total knee replacement. Which of the following
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statements would exemplify leadership behaviors in a clinical pathway team meeting?
FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
a. “Nursing is responsible for pain control of the total knee replacement patient.” FT L L
FT L
FT FT L FT L L
FT FT L FT L L
FT FT L FT L
b. “Our pharmacist has provided some excellent pain control literature.” L
FT L
FT L
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FT L
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c. “Physical therapy’s expertise is in rehabilitation, not pain control.” L
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d. “Total knee replacement patients require optimal pain control.” L
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FT FT L L
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ANS: F T L B
Leadership is the process of influencing people to accomplish goals by inspiring confidence FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
and support among followers. The correct answer is supportive of a team member’s work and
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FT L
FT L
FT L
T
F L
FT L
FT L
FT L
FT FT L FT L L
FT FTL L
FT L
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depicts some skill at interpersonal relationships.
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DIF: Cognitive Level: Apply (Application) REF: Pages FT L FT L FT L F T L
3-4 TOP:
L
T
F Nursing Process: Assessment
FT L F T L FT L FT L
MSC: Client Needs: Physiological Integrity: Pharmacological and Parenteral Therapies
F T L FT L FT L L
FT FT L L
FT L
FT FT L
,4. Which of the following is true of management activities?
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FT L
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a. Inspiring a vision is a management function. FT L L
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b. Management is focused on task accomplishment. FT L FT L L
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c. Management is more focused on human relationships. FT L L
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d. Management is more important than leadership. FT L L
FT L
FT L
FT L
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ANS: F T L B
Management is focused on task accomplishment. FT L FT L FT L FT L FT L
DIF: Cognitive Level: Remember (Knowledge) REF: Pages FT L FT L FT L F T L
2-3 TOP:
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T
F Nursing Process: Assessment
FT L F T L FT L FT L
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
F T L FT L L
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5. During a staff meeting, a group of RNs has complained that medications are not arriving to
FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
the unit in a timely manner. The nurse manager suggests that the group resolve this issue
FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
through the development and work of a multidisciplinary team led by one of these RNs. This
FT L FT L L
FT FT L FT L L
FT FT L FT L FT L L
FT FT L L
FT L
FT L
FT L
FT L
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scenario demonstrates:
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a. adaptation.
b. empowerment.
c. flexibility.
d. relationship management. L
FT
ANS: F T L B
Empowerment is the giving of authority, responsibility, and the freedom to act. In this FT L L
FT L
FT FT L L
FT FT L L
FT FT L FT L L
FT L
FT FT L L
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situation, the manager has given authority, responsibility, and the freedom to act in the
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FT FT L L
FT FTL L
FT L
FT FT L L
FT FT L L
FT FT L L
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investigation and resolution of this issue.
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DIF: Cognitive Level: Apply (Application) REF: FT L FT L FT L
F Page 5 TOP:
T L Nursing Process: Assessment T
F L FT L F T L FT L FT L
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
F T L FT L L
FT FT L FT L L
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6. A nurse is caring for an elderly patient who was admitted after sustaining a fall at home. When
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FT FT L L
FT FT L FT L L
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creating a care plan for the patient, she requests that the doctor order a home health visit to
FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
assess for home safety and medication compliance. In addition, the nurse is concerned about
FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
the nutrition of the patient and requests a dietitian evaluation. The nurse is demonstrating
FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
which of the following leadership skills?
FT L FT L FT L FT L FT L FT L
a. Care provider FT L
b. Business principles L
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c. Care coordination FT L
d. Change management FT L
ANS: F T L C
Care coordination is the delivery of nursing services that involves the organization and
L
FT FT L L
FT L
FT FT L L
FT FT L L
FT FT L FT L FT L L
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coordination of complex activities. The nurse uses managerial and leadership skills to
FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
facilitate delivery of quality care.
FT L FT L FT L FT L FT L
DIF: Cognitive Level: Apply (Application) REF: FT L FT L FT L
F Page 3 TOP:
T L Nursing Process: Planning T
F L FT L F T L FT L FT L
MSC: Client Needs: Physiological Integrity: Reduction of Risk Potential
F T L FT L FT L L
FT L
FT FT L FT L L
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7. Interpersonal communication and the ability to apply FT L FT L FT L FT L FT L FT L FT L are two critical skills every nurse L
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FT L
FT L
FT L
FT
FT needs to enhance professional practice.
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, a. vision
b. supervision
c. delegation
d. problem solving L
FT
ANS: F T L D
Every nurse needs two critical skills to enhance professional practice. One is a skill at
FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
interpersonal relationships. This is fundamental to leadership and the work of nursing. The
FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
second skill is applying the problem-solving process. This involves critical thinking, problem
FT L L
FT L
FT L
FT L
FT L
FT FT L L
T
F L
FT L
FT L
FT L
FT
identification, and the development of objectivity.
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DIF: Cognitive Level: Remember (Knowledge) REF: FT L FT L FT L
F Page 4 TOP:
T L Nursing Process: Assessment L
T
F FT L F T L FT L FT L
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
F T L FT L L
FT L
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8. Good leaders need to be able to demonstrate an intuitive skill of empathy and expressiveness
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FT FT L L
FT L
FT L
FT L
FT FT L
when dealing with others in the workplace. This requires sensitivity and awareness of the
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emotions and moods of others and is known as:
FT L FT L FT L FT L FT L FT L FT L FT L FT L
a. social awareness. FT L
b. self-awareness.
c. self-management.
d. relationship management. L
FT
ANS: F T L A
Social awareness is an intuitive skill of empathy and expressiveness in being sensitive and
L
FT L
FT FT L FT L FT L L
FT L
FT L
FT L
FT L
FT FT L FT L FT L
aware of the emotions and moods of others.
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DIF: Cognitive Level: Remember (Knowledge) REF: FT L FT L FT L
F Page 4 TOP:
T L Nursing Process: Assessment L
T
F FT L F T L FT L FT L
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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9. The manager of the emergency department in a large hospital focuses on customer service,
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FT FT L L
FT FT L L
FT L
FT L
FT L
FT FT L L
FT L
FT L
FT
exudes the nursing code of ethics, and sees his or her job as an occupation with a
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lifetime commitment. This is a concept known as:
FT L FT L FT L FT L FT L FT L FT L FT L
a. leadership.
b. management.
c. professionalism.
d. vision.
ANS: F T L C
Professionalism is an approach to an occupation that distinguishes it from being merely a job, L
FT L
FT L
FT L
FT L
FT L
FT FT L FT L FT L L
FT L
FT FT L L
FT L
FT
focuses on service as the highest ideal, follows a code of ethics, and is seen as a lifetime
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commitment.
FT L
DIF: Cognitive Level: Remember (Knowledge) REF: FT L FT L FT L
F Page 5 TOP:
T L Nursing Process: Implementation L
T
F FT L F T L FT L FT L
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
F T L FT L L
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10. are vital to good leaders because they are able to take the vision of the leader and
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achieve the determined goals.
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a. Managers
b. Motivators
