NURS 3325 Leading and Managing in Nursing | Questions
with 100% Verified Answers | Latest Update 2026/2027
Question: As the nurse manager who wants to increase motivation by
providing motivating factors, which action would you select?
a. Collaborate with the human resource/personnel
department to develop on-site daycare services.
b. Provide a hierarchical organizational structure.
c. Implement a model of shared governance.
d. Promote the development of a flexible benefits package.
Answer: C
Question: Sarah wonders about the direction that you have given
regarding management of incontinent, confused patients. She
brings you evidence that she has found regarding
incontinence interventions and asks you if she and you could
talk about the guidance that you have given after you have
had an opportunity to read the articles she has given you. This
is an example of (select all that apply):
a. Assertiveness.
b. Followership.
c. Management.
d. Insubordination.
Answer: AB
Question: As a leader on a rehab unit, you encourage all staff members
to see themselves as having a role in decision making and
quality care. You see your role as involving particular
responsibilities in decision making but not as a hierarchal role.
This view of decision making and leadership is consistent with:
a. Trait theories.
b. Complexity theory.
c. Situated theory.
d. Emotional intelligence.
Answer: B
,Question: A dispute arises between an RN staff member and an LPN
over a patient issue. The tension between the two begins to
affect other staff members, who are drawn into the conflict;
eventually, the team becomes polarized toward either the RN
or the LPN. This situation might have been prevented through:
a. Expediency in responding to the initial dispute, once it
became apparent that it could not be resolved by the two
parties themselves.
b. Asking other staff members what the real issues were in the
dispute between the RN and the LPN.
c. Reassigning one of the parties to another unit when it
became apparent that the two individuals could not resolve
the dispute themselves.
d. Calling a staff meeting at the onset of the dispute to allow
the team and the RN and LPN to discuss the initial dispute.
Answer: A
Question: According to the complexity theory, which of the following
should be the focus of measurement?
a. Cost per hospital day
b. Bed utilization
c. Infection rates
d. Staff morale and budgets
Answer: D
Question: As a nurse, you are responsible for teaching ostomy patients
self-management skills postoperatively. Mr. Jones is 2 days
postoperative after an abdominal perineal resection. In spite
of patient-controlled analgesia, Mr. Jones acknowledges
inadequate pain relief and rates his pain as an 8, utilizing a 0-
to-10 pain scale. When you approach him for teaching, he
turns away and closes his eyes. Which approach incorporating
Maslow's hierarchy of needs motivational theory is most
appropriate in this situation?
a. Tell him you will let him rest today and see if he is feeling
better tomorrow.
b. Intervene to improve his pain management control and
return later in the day to reassess his readiness to learn.
c. Talk to the social worker about arranging home healthcare
services at discharge to assist with teaching.
d. Gently approach Mr. Jones and inform him of the
importance of participating in postoperative teaching today
because he may be discharged within several days.
Answer: B
,Question: You overhear a newly graduated RN telling one of your
colleagues that leadership and management belong to the
unit manager and not to her. As a nursing colleague, your
response demonstrates understanding that the perception of
the new graduate:
a. Is correct. Leadership is not the role of the staff nurse.
b. Would benefit from further understanding of her role as a
professional, whose influence may affect the decision making
of patients, colleagues, and other professionals.
c. Has been influenced by nurse leaders and managers who
leave for other positions.
d. Is related to the general perception that nurse leaders and
managers are not satisfied in their jobs.
Answer: B
Question: You pull staff together to assess a situation in which the family
of a seriously ill patient is anxious and is absorbing a great
deal of staff time in consultation, discussion, and questioning
of treatment decisions. Staff members are becoming
distanced from the family. After inviting the concerns of staff,
you explain that the organization values patient-centered care
and suggest that evidence supports that acting as an
advocate and a listener is helpful to families. You ask the staff
for ideas as to strategies that are effectively patient-centered
in these situations. In this situation, you are taking on which
role?
a. Leadership
b. Management
c. Follower
d. Visionary
Answer: A
Question: In response to the situation in Question 15, you approach the
unit manager to apprise her of your concerns that the family
dynamics of the patient involved may lead to staff-family and
patient-family conflicts. You suggest that the physician may
need to discuss the treatment plan with the family. The unit
manager advises that he will arrange this discussion. If, after
the meeting with family members, this is identified as a desired
approach, you support the manager's decision. Your actions
indicate that you are acting in what role?
a. Leadership
b. Management
c. Follower
d. Evidence-based
Answer: C
, Question: Joan, the nursing unit manager, finds it difficult to work with
Thomas, a new graduate. Thomas has many ideas, and his
manner of presenting them irks Joan. After reflection and
discussion with others, Joan recognizes that she also feels
threatened by his behavior. She comes to understand that
Thomas is trying to establish his own role on the unit, is not
trying to challenge her, and needs guidance, coaching, and
affirmation. Joan is demonstrating:
a. A positive self-concept.
b. Deepening self-awareness.
c. Leadership.
d. Acquiescence.
Answer: B
Question: The unit is shifting from primary nursing to a team model in an
effort to contain costs. Staff members are angry and ask for a
meeting to discuss the change. After hearing their concerns
related to reduction in professional autonomy and care
quality, you:
a. Acknowledge the loss.
b. Explain the reasons for change, emphasizing the need to
reduce costs.
c. Repeat the information several times, giving detailed
budget overviews.
d. Adjourn the meeting and provide explanation through e-
mail.
Answer: A
Question: As the head of a nursing program, you consistently invite the
ideas of your team about innovations in teaching, community
partnerships, and curriculum design and invite participation in
decisions. Many of these ideas have been implemented
successfully, and your staff members are keen to try on other
ideas. You are employing _____ leadership.
a. Situational
b. Trait-based
c. Contingency-based
d. Transformational
Answer: D
with 100% Verified Answers | Latest Update 2026/2027
Question: As the nurse manager who wants to increase motivation by
providing motivating factors, which action would you select?
a. Collaborate with the human resource/personnel
department to develop on-site daycare services.
b. Provide a hierarchical organizational structure.
c. Implement a model of shared governance.
d. Promote the development of a flexible benefits package.
Answer: C
Question: Sarah wonders about the direction that you have given
regarding management of incontinent, confused patients. She
brings you evidence that she has found regarding
incontinence interventions and asks you if she and you could
talk about the guidance that you have given after you have
had an opportunity to read the articles she has given you. This
is an example of (select all that apply):
a. Assertiveness.
b. Followership.
c. Management.
d. Insubordination.
Answer: AB
Question: As a leader on a rehab unit, you encourage all staff members
to see themselves as having a role in decision making and
quality care. You see your role as involving particular
responsibilities in decision making but not as a hierarchal role.
This view of decision making and leadership is consistent with:
a. Trait theories.
b. Complexity theory.
c. Situated theory.
d. Emotional intelligence.
Answer: B
,Question: A dispute arises between an RN staff member and an LPN
over a patient issue. The tension between the two begins to
affect other staff members, who are drawn into the conflict;
eventually, the team becomes polarized toward either the RN
or the LPN. This situation might have been prevented through:
a. Expediency in responding to the initial dispute, once it
became apparent that it could not be resolved by the two
parties themselves.
b. Asking other staff members what the real issues were in the
dispute between the RN and the LPN.
c. Reassigning one of the parties to another unit when it
became apparent that the two individuals could not resolve
the dispute themselves.
d. Calling a staff meeting at the onset of the dispute to allow
the team and the RN and LPN to discuss the initial dispute.
Answer: A
Question: According to the complexity theory, which of the following
should be the focus of measurement?
a. Cost per hospital day
b. Bed utilization
c. Infection rates
d. Staff morale and budgets
Answer: D
Question: As a nurse, you are responsible for teaching ostomy patients
self-management skills postoperatively. Mr. Jones is 2 days
postoperative after an abdominal perineal resection. In spite
of patient-controlled analgesia, Mr. Jones acknowledges
inadequate pain relief and rates his pain as an 8, utilizing a 0-
to-10 pain scale. When you approach him for teaching, he
turns away and closes his eyes. Which approach incorporating
Maslow's hierarchy of needs motivational theory is most
appropriate in this situation?
a. Tell him you will let him rest today and see if he is feeling
better tomorrow.
b. Intervene to improve his pain management control and
return later in the day to reassess his readiness to learn.
c. Talk to the social worker about arranging home healthcare
services at discharge to assist with teaching.
d. Gently approach Mr. Jones and inform him of the
importance of participating in postoperative teaching today
because he may be discharged within several days.
Answer: B
,Question: You overhear a newly graduated RN telling one of your
colleagues that leadership and management belong to the
unit manager and not to her. As a nursing colleague, your
response demonstrates understanding that the perception of
the new graduate:
a. Is correct. Leadership is not the role of the staff nurse.
b. Would benefit from further understanding of her role as a
professional, whose influence may affect the decision making
of patients, colleagues, and other professionals.
c. Has been influenced by nurse leaders and managers who
leave for other positions.
d. Is related to the general perception that nurse leaders and
managers are not satisfied in their jobs.
Answer: B
Question: You pull staff together to assess a situation in which the family
of a seriously ill patient is anxious and is absorbing a great
deal of staff time in consultation, discussion, and questioning
of treatment decisions. Staff members are becoming
distanced from the family. After inviting the concerns of staff,
you explain that the organization values patient-centered care
and suggest that evidence supports that acting as an
advocate and a listener is helpful to families. You ask the staff
for ideas as to strategies that are effectively patient-centered
in these situations. In this situation, you are taking on which
role?
a. Leadership
b. Management
c. Follower
d. Visionary
Answer: A
Question: In response to the situation in Question 15, you approach the
unit manager to apprise her of your concerns that the family
dynamics of the patient involved may lead to staff-family and
patient-family conflicts. You suggest that the physician may
need to discuss the treatment plan with the family. The unit
manager advises that he will arrange this discussion. If, after
the meeting with family members, this is identified as a desired
approach, you support the manager's decision. Your actions
indicate that you are acting in what role?
a. Leadership
b. Management
c. Follower
d. Evidence-based
Answer: C
, Question: Joan, the nursing unit manager, finds it difficult to work with
Thomas, a new graduate. Thomas has many ideas, and his
manner of presenting them irks Joan. After reflection and
discussion with others, Joan recognizes that she also feels
threatened by his behavior. She comes to understand that
Thomas is trying to establish his own role on the unit, is not
trying to challenge her, and needs guidance, coaching, and
affirmation. Joan is demonstrating:
a. A positive self-concept.
b. Deepening self-awareness.
c. Leadership.
d. Acquiescence.
Answer: B
Question: The unit is shifting from primary nursing to a team model in an
effort to contain costs. Staff members are angry and ask for a
meeting to discuss the change. After hearing their concerns
related to reduction in professional autonomy and care
quality, you:
a. Acknowledge the loss.
b. Explain the reasons for change, emphasizing the need to
reduce costs.
c. Repeat the information several times, giving detailed
budget overviews.
d. Adjourn the meeting and provide explanation through e-
mail.
Answer: A
Question: As the head of a nursing program, you consistently invite the
ideas of your team about innovations in teaching, community
partnerships, and curriculum design and invite participation in
decisions. Many of these ideas have been implemented
successfully, and your staff members are keen to try on other
ideas. You are employing _____ leadership.
a. Situational
b. Trait-based
c. Contingency-based
d. Transformational
Answer: D
