LEADERSHIP EXAM 1 STUDY SHEET 2026
EXAM QUESTIONS AND ANSWERS EXPERT
VERIFIED
◉The nurse manager has determined that a system variance exists
for one critical pathway being used on the care area. Which option is
an example of this type of variance?
a. Lack of supplies
b. Misread orders
c. Care provided by a nurse who is ill-prepared
d. Mislabeled medications. Answer: a. Lack of supplies
System or operational variances focus on hindrances in the system
or the organization that prevent the achievement of client outcomes.
Examples are delay in laboratory results, lack of bed space or hours
of service, delayed transfers to a long-term care facility, and lack of
supplies. Other choices are a provider variance.
,◉The quality improvement committee is reviewing practice
guidelines and written standards of care. What is the difference
between these two items?
a. Practice guidelines provide information and options.
b. Practice guidelines define treatment.
c. Standards of care pull together research information from the
literature.
d. Standards of care save money for the healthcare system.. Answer:
a. Practice guidelines provide information and options.
Practice guidelines are different from standards of care in that
guidelines do not define treatment but rather provide information
and options. Standards of care define treatment. Both standards of
care and practice guidelines use research information. Both practice
guidelines and standards of care have the potential to save money
for the system.
◉The nurse's neighbor asks, "Who do you think is a good
pediatrician for my new baby?" The nurse replies, "Here is a website
that will give you information on many pediatricians to help you
choose." This is an example of which attribute of patient-centered
care?
a. Superb access to care
,b. Patient engagement in care
c. Publicly available information
d. Integrated and comprehensive team care. Answer: c. Publically
available information
Superb access to care is focused on being able to make appointments
easily with short wait times, the provision of e-mail and telephone
consultation, and availability of off-hours service. Patient
engagement in care focuses on provision of information on
treatment options, access to medical records, assistance with self-
care, and counseling. Publicly available information focuses on
patients' having accurate, standardized information on physicians to
help them choose a practice that will meet their needs. Integrated
and comprehensive team care focuses on a free flow of
communication among physicians, nurses, and other health
professionals with avoidance of duplication of tests and procedures.
◉What is the central purpose of cost-effectiveness analysis (CEA) as
it pertains to provision of healthcare services?
a. To save money
b. To understand the costs associated with new technologies
c. To choose intervention for a specific patient
d. Creating better health and longer life. Answer: d. Creating better
health and longer life
, Cost savings is not the primary purpose of CEA, nor are choices (b)
or (c). All of the components and other benefits of CEA are directed
toward creating better health and longer life.
◉The Future of Nursing Report. Answer: -Role of the Institute of
Medicine and impact of the report
-Emphasis on need for nursing leadership in a redesigned healthcare
system
-Impact of the Affordable Care Act of 2010
**Changed it's name to National Academies of Science (NAM) April
2015. There is a new video on the website that gives the progress on
the report. (listed above). Bullets on bottom of page 5-6 are most
critical points relevant to Leadership
◉Report Recommendations. Answer: 1. Remove scope of practice
barriers.
2. Expand opportunities for nurses to lead and diffuse collaborative
improvement efforts.
3. Implement nurse residency programs.
4. Increase the proportion of nurses with a baccalaureate degree to
80 percent by 2020.
5. Double the number of nurses with a doctorate by 2020.
EXAM QUESTIONS AND ANSWERS EXPERT
VERIFIED
◉The nurse manager has determined that a system variance exists
for one critical pathway being used on the care area. Which option is
an example of this type of variance?
a. Lack of supplies
b. Misread orders
c. Care provided by a nurse who is ill-prepared
d. Mislabeled medications. Answer: a. Lack of supplies
System or operational variances focus on hindrances in the system
or the organization that prevent the achievement of client outcomes.
Examples are delay in laboratory results, lack of bed space or hours
of service, delayed transfers to a long-term care facility, and lack of
supplies. Other choices are a provider variance.
,◉The quality improvement committee is reviewing practice
guidelines and written standards of care. What is the difference
between these two items?
a. Practice guidelines provide information and options.
b. Practice guidelines define treatment.
c. Standards of care pull together research information from the
literature.
d. Standards of care save money for the healthcare system.. Answer:
a. Practice guidelines provide information and options.
Practice guidelines are different from standards of care in that
guidelines do not define treatment but rather provide information
and options. Standards of care define treatment. Both standards of
care and practice guidelines use research information. Both practice
guidelines and standards of care have the potential to save money
for the system.
◉The nurse's neighbor asks, "Who do you think is a good
pediatrician for my new baby?" The nurse replies, "Here is a website
that will give you information on many pediatricians to help you
choose." This is an example of which attribute of patient-centered
care?
a. Superb access to care
,b. Patient engagement in care
c. Publicly available information
d. Integrated and comprehensive team care. Answer: c. Publically
available information
Superb access to care is focused on being able to make appointments
easily with short wait times, the provision of e-mail and telephone
consultation, and availability of off-hours service. Patient
engagement in care focuses on provision of information on
treatment options, access to medical records, assistance with self-
care, and counseling. Publicly available information focuses on
patients' having accurate, standardized information on physicians to
help them choose a practice that will meet their needs. Integrated
and comprehensive team care focuses on a free flow of
communication among physicians, nurses, and other health
professionals with avoidance of duplication of tests and procedures.
◉What is the central purpose of cost-effectiveness analysis (CEA) as
it pertains to provision of healthcare services?
a. To save money
b. To understand the costs associated with new technologies
c. To choose intervention for a specific patient
d. Creating better health and longer life. Answer: d. Creating better
health and longer life
, Cost savings is not the primary purpose of CEA, nor are choices (b)
or (c). All of the components and other benefits of CEA are directed
toward creating better health and longer life.
◉The Future of Nursing Report. Answer: -Role of the Institute of
Medicine and impact of the report
-Emphasis on need for nursing leadership in a redesigned healthcare
system
-Impact of the Affordable Care Act of 2010
**Changed it's name to National Academies of Science (NAM) April
2015. There is a new video on the website that gives the progress on
the report. (listed above). Bullets on bottom of page 5-6 are most
critical points relevant to Leadership
◉Report Recommendations. Answer: 1. Remove scope of practice
barriers.
2. Expand opportunities for nurses to lead and diffuse collaborative
improvement efforts.
3. Implement nurse residency programs.
4. Increase the proportion of nurses with a baccalaureate degree to
80 percent by 2020.
5. Double the number of nurses with a doctorate by 2020.
