Chapter 12: Leadership and Management
Verified Questions and Answers for
2025/2026
A nurse manager is introducing a new electronic documentation system. Which action is most
likely to reduce staff resistance?
A. Require immediate implementation without training
B. Involve staff in planning and provide education
C. Ignore staff concerns about the change
D. Delay implementation indefinitely
✓✓ B. Involve staff in planning and provide education
Which responsibility belongs primarily to the nurse leader rather than the nurse manager?
A. Inspiring staff toward a shared vision
B. Preparing the annual budget
C. Approving payroll records
D. Ordering unit supplies
✓✓ A. Inspiring staff toward a shared vision
A registered nurse delegates blood glucose monitoring to a competent nursing assistant. Which
principle of delegation is being followed?
A. Delegating nursing judgment
B. Assigning an appropriate routine task
C. Transferring accountability
D. Delegating patient education
✓✓ B. Assigning an appropriate routine task
Which action best demonstrates effective communication by a nurse manager?
A. Giving vague instructions
B. Confirming that staff understand assigned tasks
C. Assuming everyone knows expectations
D. Limiting opportunities for questions
✓✓ B. Confirming that staff understand assigned tasks
A nurse manager notices increasing absenteeism among staff. What should be the first action?
A. Suspend all absent employees
B. Explore possible causes of absenteeism
C. Reduce employee benefits
D. Hire temporary staff permanently
✓✓ B. Explore possible causes of absenteeism
Which situation is an example of conflict caused by limited resources?
1
,A. Two nurses disagree about vacation dates because only one request can be approved.
B. A patient refuses medication.
C. A physician changes a treatment plan.
D. A family requests additional visiting hours.
✓✓ A. Two nurses disagree about vacation dates because only one request can be approved.
A nurse manager evaluates whether patient care goals have been achieved. Which management
function is being performed?
A. Organizing
B. Staffing
C. Controlling
D. Planning
✓✓ C. Controlling
Which quality is most important for a nurse assuming a leadership role?
A. Ability to intimidate staff
B. Strong communication skills
C. Avoidance of responsibility
D. Preference for working alone
✓✓ B. Strong communication skills
A charge nurse assigns patient care according to each nurse's experience and competence. Which
principle is being applied?
A. Equal workload regardless of skill
B. Appropriate staff utilization
C. Random assignment
D. Seniority-based assignment only
✓✓ B. Appropriate staff utilization
A nurse manager encourages staff to report near-miss events without fear of punishment. What is
the primary purpose?
A. Increase disciplinary action
B. Improve patient safety through learning
C. Reduce documentation requirements
D. Eliminate incident reports
✓✓ B. Improve patient safety through learning
Which task should never be delegated to unlicensed assistive personnel (UAP)?
A. Assisting with bathing
B. Measuring urine output
C. Assessing a patient's pain level and planning interventions
D. Transporting a stable patient
✓✓ C. Assessing a patient's pain level and planning interventions
A nurse manager is preparing the unit's annual financial plan. This activity is known as:
2
,A. Budgeting
B. Staffing
C. Counseling
D. Auditing
✓✓ A. Budgeting
Which statement best describes accountability?
A. Responsibility can always be delegated.
B. Nurses remain answerable for the care they provide.
C. Only managers are accountable.
D. Accountability ends after the shift.
✓✓ B. Nurses remain answerable for the care they provide.
A nurse identifies a safety hazard on the unit and reports it immediately. Which professional
behavior is demonstrated?
A. Advocacy
B. Negligence
C. Avoidance
D. Delegation
✓✓ A. Advocacy
Which leadership style gives employees the greatest freedom to make decisions independently?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Bureaucratic
✓✓ C. Laissez-faire
A nurse manager wants to improve teamwork. Which intervention is most effective?
A. Encourage collaboration among team members
B. Limit staff meetings
C. Discourage feedback
D. Increase competition between employees
✓✓ A. Encourage collaboration among team members
Which factor should be considered before delegating a task?
A. Complexity of the patient's condition
B. Nurse's preferred assignment
C. Employee's years of age
D. Time remaining in the shift only
✓✓ A. Complexity of the patient's condition
A nurse leader demonstrates emotional intelligence by:
A. Ignoring staff concerns
B. Recognizing and managing emotions appropriately
3
, C. Avoiding difficult conversations
D. Making decisions based only on personal opinions
✓✓ B. Recognizing and managing emotions appropriately
A patient fall occurs on the unit. Which action should the nurse manager take first?
A. Investigate the circumstances surrounding the fall
B. Immediately terminate the assigned nurse
C. Ignore the event if no injury occurred
D. Delay documentation until the end of the week
✓✓ A. Investigate the circumstances surrounding the fall
Which characteristic is associated with servant leadership?
A. Focusing primarily on authority
B. Supporting the growth and needs of others
C. Avoiding employee involvement
D. Making all decisions independently
✓✓ B. Supporting the growth and needs of others
A nurse manager provides constructive feedback after observing a procedure. What is the main
purpose?
A. Embarrass the employee
B. Improve future performance
C. Delay professional development
D. Increase staff turnover
✓✓ B. Improve future performance
Which example demonstrates prioritization using patient acuity?
A. Assisting a stable patient with grooming before assessing a patient with chest pain
B. Assessing the patient experiencing sudden shortness of breath first
C. Refilling office supplies before giving medications
D. Completing paperwork before responding to an emergency call
✓✓ B. Assessing the patient experiencing sudden shortness of breath first
A nurse manager encourages lifelong learning by:
A. Discouraging continuing education
B. Supporting attendance at professional development programs
C. Eliminating staff training opportunities
D. Assigning education only to new employees
✓✓ B. Supporting attendance at professional development programs
Which situation reflects effective supervision?
A. Delegating a task without follow-up
B. Monitoring delegated tasks and providing assistance when needed
C. Assuming work is completed correctly without checking
D. Avoiding communication with staff
4
Verified Questions and Answers for
2025/2026
A nurse manager is introducing a new electronic documentation system. Which action is most
likely to reduce staff resistance?
A. Require immediate implementation without training
B. Involve staff in planning and provide education
C. Ignore staff concerns about the change
D. Delay implementation indefinitely
✓✓ B. Involve staff in planning and provide education
Which responsibility belongs primarily to the nurse leader rather than the nurse manager?
A. Inspiring staff toward a shared vision
B. Preparing the annual budget
C. Approving payroll records
D. Ordering unit supplies
✓✓ A. Inspiring staff toward a shared vision
A registered nurse delegates blood glucose monitoring to a competent nursing assistant. Which
principle of delegation is being followed?
A. Delegating nursing judgment
B. Assigning an appropriate routine task
C. Transferring accountability
D. Delegating patient education
✓✓ B. Assigning an appropriate routine task
Which action best demonstrates effective communication by a nurse manager?
A. Giving vague instructions
B. Confirming that staff understand assigned tasks
C. Assuming everyone knows expectations
D. Limiting opportunities for questions
✓✓ B. Confirming that staff understand assigned tasks
A nurse manager notices increasing absenteeism among staff. What should be the first action?
A. Suspend all absent employees
B. Explore possible causes of absenteeism
C. Reduce employee benefits
D. Hire temporary staff permanently
✓✓ B. Explore possible causes of absenteeism
Which situation is an example of conflict caused by limited resources?
1
,A. Two nurses disagree about vacation dates because only one request can be approved.
B. A patient refuses medication.
C. A physician changes a treatment plan.
D. A family requests additional visiting hours.
✓✓ A. Two nurses disagree about vacation dates because only one request can be approved.
A nurse manager evaluates whether patient care goals have been achieved. Which management
function is being performed?
A. Organizing
B. Staffing
C. Controlling
D. Planning
✓✓ C. Controlling
Which quality is most important for a nurse assuming a leadership role?
A. Ability to intimidate staff
B. Strong communication skills
C. Avoidance of responsibility
D. Preference for working alone
✓✓ B. Strong communication skills
A charge nurse assigns patient care according to each nurse's experience and competence. Which
principle is being applied?
A. Equal workload regardless of skill
B. Appropriate staff utilization
C. Random assignment
D. Seniority-based assignment only
✓✓ B. Appropriate staff utilization
A nurse manager encourages staff to report near-miss events without fear of punishment. What is
the primary purpose?
A. Increase disciplinary action
B. Improve patient safety through learning
C. Reduce documentation requirements
D. Eliminate incident reports
✓✓ B. Improve patient safety through learning
Which task should never be delegated to unlicensed assistive personnel (UAP)?
A. Assisting with bathing
B. Measuring urine output
C. Assessing a patient's pain level and planning interventions
D. Transporting a stable patient
✓✓ C. Assessing a patient's pain level and planning interventions
A nurse manager is preparing the unit's annual financial plan. This activity is known as:
2
,A. Budgeting
B. Staffing
C. Counseling
D. Auditing
✓✓ A. Budgeting
Which statement best describes accountability?
A. Responsibility can always be delegated.
B. Nurses remain answerable for the care they provide.
C. Only managers are accountable.
D. Accountability ends after the shift.
✓✓ B. Nurses remain answerable for the care they provide.
A nurse identifies a safety hazard on the unit and reports it immediately. Which professional
behavior is demonstrated?
A. Advocacy
B. Negligence
C. Avoidance
D. Delegation
✓✓ A. Advocacy
Which leadership style gives employees the greatest freedom to make decisions independently?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Bureaucratic
✓✓ C. Laissez-faire
A nurse manager wants to improve teamwork. Which intervention is most effective?
A. Encourage collaboration among team members
B. Limit staff meetings
C. Discourage feedback
D. Increase competition between employees
✓✓ A. Encourage collaboration among team members
Which factor should be considered before delegating a task?
A. Complexity of the patient's condition
B. Nurse's preferred assignment
C. Employee's years of age
D. Time remaining in the shift only
✓✓ A. Complexity of the patient's condition
A nurse leader demonstrates emotional intelligence by:
A. Ignoring staff concerns
B. Recognizing and managing emotions appropriately
3
, C. Avoiding difficult conversations
D. Making decisions based only on personal opinions
✓✓ B. Recognizing and managing emotions appropriately
A patient fall occurs on the unit. Which action should the nurse manager take first?
A. Investigate the circumstances surrounding the fall
B. Immediately terminate the assigned nurse
C. Ignore the event if no injury occurred
D. Delay documentation until the end of the week
✓✓ A. Investigate the circumstances surrounding the fall
Which characteristic is associated with servant leadership?
A. Focusing primarily on authority
B. Supporting the growth and needs of others
C. Avoiding employee involvement
D. Making all decisions independently
✓✓ B. Supporting the growth and needs of others
A nurse manager provides constructive feedback after observing a procedure. What is the main
purpose?
A. Embarrass the employee
B. Improve future performance
C. Delay professional development
D. Increase staff turnover
✓✓ B. Improve future performance
Which example demonstrates prioritization using patient acuity?
A. Assisting a stable patient with grooming before assessing a patient with chest pain
B. Assessing the patient experiencing sudden shortness of breath first
C. Refilling office supplies before giving medications
D. Completing paperwork before responding to an emergency call
✓✓ B. Assessing the patient experiencing sudden shortness of breath first
A nurse manager encourages lifelong learning by:
A. Discouraging continuing education
B. Supporting attendance at professional development programs
C. Eliminating staff training opportunities
D. Assigning education only to new employees
✓✓ B. Supporting attendance at professional development programs
Which situation reflects effective supervision?
A. Delegating a task without follow-up
B. Monitoring delegated tasks and providing assistance when needed
C. Assuming work is completed correctly without checking
D. Avoiding communication with staff
4
