Leading and Managing in Nursing Test
Q examples questions with correct
answers
A nurse manager is experiencing poor staff morale on her unit. While participating in a
baccalaureate course, the nurse manager had learned that one of the reasons nurses lack power
today is probably because of the past. In the early decades of the profession, nurses lacked power
because:
a. Nurses freely chose to defer to physicians and administrators with more education.
b. Women lacked legal, social, and political power because of legal and cultural barriers.
c. The first nursing licensure laws prohibited nurses from making most decisions.
d. Nurses astutely recognized the risks of grabbing too much power too soon. - ANSWERS B
Nurses who engage in in-fighting, seek physician support against nursing colleagues, and avoid
membership in nursing organizations:
a. Refuse to believe that they are acting like members of groups that suffer socioeconomic
oppression.
b. Do not understand how their failure to exercise power can limit the power of the whole
profession.
c. Purposefully choose to exercise their power in the workplace through indirect means.
d. Suffer from learned helplessness as a result of abuse by powerful nurse executives. - ANSWERS B
A nurse belongs to several professional organizations, serving on a state-level committee of one
group and on two task forces at work. The nurse is committed to a range of health issues. This nurse
exemplifies which level of political activism in nursing?
a. Gladiator
b. Buy-in
c. Self-interest
d. Political sophistication - ANSWERS D
A manager relies on his director (immediate supervisor) for advice about enrolling in graduate
school to prepare for a career as a nurse executive. The director may exercise what kinds of power in
the relationship with the manager in this advisory situation?
,a. Expert, coercive, and referent
b. Reward, connection, and information
c. Referent, expert, and information
d. Reward, referent, and information - ANSWERS C
A nurse manager must implement a 2% budget cut on the nursing unit. Which approach should the
manager use to most effectively empower the staff of the unit?
a. Discuss the guidelines for the budget cuts with the staff, making the decisions with those who
participate.
b. Inform the staff of the budget cuts in a series of small group meetings, and accept their ideas in
writing only.
c. Provide the staff with handouts about the budget cuts, and let them make recommendations in
writing.
d. Hold a series of mandatory meetings on the budget cuts, asking staff for ideas on the cuts. -
ANSWERS A
During orientation of new nurse managers, the chief nursing officer stresses strategies that help
nurse managers to achieve a powerful image. Which groups of behaviors best contribute to a
powerful image for the nurse manager?
a. Greeting patients, families, and colleagues with a handshake and a smile; listening carefully when
problems arise
b. For men, no facial hair, always wearing a suit and tie; for women, always wearing a suit and high-
heeled shoes
c. Maintaining a soft voice during times of conflict; making unbroken eye contact during interactions
d. Smiling all the time; always wearing a suit and carrying a briefcase; women should wear no
jewelry - ANSWERS A
Two nurses approach their manager about a conflict regarding the next month's schedule. The
nurses are talking loudly and at the same time. The manager most effectively uses communication
skills to resolve the conflict by:
a. Taking both nurses aside, separately and then together, and charging them with resolving the
problem without her direct intervention.
b. Listening to each nurse speak to the other without interruption and asking clarifying questions to
help them resolve the issue themselves.
c. Separating the nurses, instructing each to decide how the problem can be resolved, and meeting
with them the next day.
,d. Calling an emergency scheduling committee meeting and asking volunteers to resolve the conflict
between the two nurses. - ANSWERS B
A nurse manager recognizes the need to expand her professional network as she begins a job search
for a middle-management position. Which of the following actions is least likely to expand her job-
searching network?
a. Reviewing her address book or card file for names and phone numbers of former colleagues who
are now in middle-management positions
b. Making an appointment to meet with a former instructor from her graduate program in nursing
administration
c. Making a long overdue return call to a former colleague who is now a chief nurse executive
d. Attending a state-level conference for nurse managers and executives and attending informal
luncheons and receptions - ANSWERS C
A staff nurse asks the nurse manager for a few days off for personal reasons. The nurse manager
turns in the request to the human resources office with a note indicating that the staff nurse has
demonstrated excellent working skills and is a valued employee. The nurse manager has used the
influence of her position to help this staff member. Influence is the process of:
a. Using power.
b. Empowering others.
c. Understanding power.
d. Moving past apathy. - ANSWERS A
A nurse is participating in a baccalaureate course. For the class, she has to attend the legislative
session regarding the new role of medication assistants. Nurses should be involved in shaping public
policy primarily because:
a. Involvement will enable nurses to take over the healthcare system at some point in the future.
b. Other healthcare professions are less concerned about the essential needs of clients.
c. Such activities are important career builders for nurses who seek top-level executive positions.
d. They are closest to the front line of health care and see how it affects clients and families. -
ANSWERS D
Which of the following accurately represents the concept of political activism?
a. Meghan, an ER supervisor, encourages staff to write letters to the local health board, protesting
closure of the ER and loss of 30 full-time jobs.
, b. Sarah refuses involvement in her professional organization but is heavily involved in the Little
League organization to which her son belongs.
c. Because of her influential contributions to position papers on health care, Roberta is asked to let
her name stand for election as chair of the local organization of gerontology nurse practitioners,
who are lobbying for increased certification standards.
d. Sondra volunteers to run for office in her state nursing organization because of her concern about
the underrepresentation of expertise from her area of nursing practice. - ANSWERS D
Literature on oppression in nursing has:
a. Verified the presence of behaviors associated with oppression within nursing.
b. Suggested that nurses are oppressed because of the actions of other groups.
c. Failed to establish that oppression is present in nursing groups.
d. Indicated that nurses use oppression negatively. - ANSWERS A
Politics is usually:
a. Confined to legislatures.
b. Seen in dysfunctional workplaces.
c. Found in all social organizations.
d. A representation of self-interest. - ANSWERS C
Your colleague, Mary, a recent graduate announces one day that she intends to leave nursing in 3 to
4 months to pursue a position in marketing. While at your agency, she plans to give patients
excellent care and to learn as much as she can, because "Who knows? Nursing is a great job with a
great pay and I may return someday." Mary's statements most accurately exemplify which
orientation to the concept of nursing? Nursing as a(n):
a. Profession.
b. Occupation.
c. Flexible discipline.
d. Career with off and on ramps. - ANSWERS B
Lucy, head nurse on the surgical unit, works with her staff to find ways in which they can work
together with other disciplines to provide more effective care for patients on the unit. Lucy likely
knows her power is:
a. Limited, thereby necessitating involvement of others in implementing ideas.
Q examples questions with correct
answers
A nurse manager is experiencing poor staff morale on her unit. While participating in a
baccalaureate course, the nurse manager had learned that one of the reasons nurses lack power
today is probably because of the past. In the early decades of the profession, nurses lacked power
because:
a. Nurses freely chose to defer to physicians and administrators with more education.
b. Women lacked legal, social, and political power because of legal and cultural barriers.
c. The first nursing licensure laws prohibited nurses from making most decisions.
d. Nurses astutely recognized the risks of grabbing too much power too soon. - ANSWERS B
Nurses who engage in in-fighting, seek physician support against nursing colleagues, and avoid
membership in nursing organizations:
a. Refuse to believe that they are acting like members of groups that suffer socioeconomic
oppression.
b. Do not understand how their failure to exercise power can limit the power of the whole
profession.
c. Purposefully choose to exercise their power in the workplace through indirect means.
d. Suffer from learned helplessness as a result of abuse by powerful nurse executives. - ANSWERS B
A nurse belongs to several professional organizations, serving on a state-level committee of one
group and on two task forces at work. The nurse is committed to a range of health issues. This nurse
exemplifies which level of political activism in nursing?
a. Gladiator
b. Buy-in
c. Self-interest
d. Political sophistication - ANSWERS D
A manager relies on his director (immediate supervisor) for advice about enrolling in graduate
school to prepare for a career as a nurse executive. The director may exercise what kinds of power in
the relationship with the manager in this advisory situation?
,a. Expert, coercive, and referent
b. Reward, connection, and information
c. Referent, expert, and information
d. Reward, referent, and information - ANSWERS C
A nurse manager must implement a 2% budget cut on the nursing unit. Which approach should the
manager use to most effectively empower the staff of the unit?
a. Discuss the guidelines for the budget cuts with the staff, making the decisions with those who
participate.
b. Inform the staff of the budget cuts in a series of small group meetings, and accept their ideas in
writing only.
c. Provide the staff with handouts about the budget cuts, and let them make recommendations in
writing.
d. Hold a series of mandatory meetings on the budget cuts, asking staff for ideas on the cuts. -
ANSWERS A
During orientation of new nurse managers, the chief nursing officer stresses strategies that help
nurse managers to achieve a powerful image. Which groups of behaviors best contribute to a
powerful image for the nurse manager?
a. Greeting patients, families, and colleagues with a handshake and a smile; listening carefully when
problems arise
b. For men, no facial hair, always wearing a suit and tie; for women, always wearing a suit and high-
heeled shoes
c. Maintaining a soft voice during times of conflict; making unbroken eye contact during interactions
d. Smiling all the time; always wearing a suit and carrying a briefcase; women should wear no
jewelry - ANSWERS A
Two nurses approach their manager about a conflict regarding the next month's schedule. The
nurses are talking loudly and at the same time. The manager most effectively uses communication
skills to resolve the conflict by:
a. Taking both nurses aside, separately and then together, and charging them with resolving the
problem without her direct intervention.
b. Listening to each nurse speak to the other without interruption and asking clarifying questions to
help them resolve the issue themselves.
c. Separating the nurses, instructing each to decide how the problem can be resolved, and meeting
with them the next day.
,d. Calling an emergency scheduling committee meeting and asking volunteers to resolve the conflict
between the two nurses. - ANSWERS B
A nurse manager recognizes the need to expand her professional network as she begins a job search
for a middle-management position. Which of the following actions is least likely to expand her job-
searching network?
a. Reviewing her address book or card file for names and phone numbers of former colleagues who
are now in middle-management positions
b. Making an appointment to meet with a former instructor from her graduate program in nursing
administration
c. Making a long overdue return call to a former colleague who is now a chief nurse executive
d. Attending a state-level conference for nurse managers and executives and attending informal
luncheons and receptions - ANSWERS C
A staff nurse asks the nurse manager for a few days off for personal reasons. The nurse manager
turns in the request to the human resources office with a note indicating that the staff nurse has
demonstrated excellent working skills and is a valued employee. The nurse manager has used the
influence of her position to help this staff member. Influence is the process of:
a. Using power.
b. Empowering others.
c. Understanding power.
d. Moving past apathy. - ANSWERS A
A nurse is participating in a baccalaureate course. For the class, she has to attend the legislative
session regarding the new role of medication assistants. Nurses should be involved in shaping public
policy primarily because:
a. Involvement will enable nurses to take over the healthcare system at some point in the future.
b. Other healthcare professions are less concerned about the essential needs of clients.
c. Such activities are important career builders for nurses who seek top-level executive positions.
d. They are closest to the front line of health care and see how it affects clients and families. -
ANSWERS D
Which of the following accurately represents the concept of political activism?
a. Meghan, an ER supervisor, encourages staff to write letters to the local health board, protesting
closure of the ER and loss of 30 full-time jobs.
, b. Sarah refuses involvement in her professional organization but is heavily involved in the Little
League organization to which her son belongs.
c. Because of her influential contributions to position papers on health care, Roberta is asked to let
her name stand for election as chair of the local organization of gerontology nurse practitioners,
who are lobbying for increased certification standards.
d. Sondra volunteers to run for office in her state nursing organization because of her concern about
the underrepresentation of expertise from her area of nursing practice. - ANSWERS D
Literature on oppression in nursing has:
a. Verified the presence of behaviors associated with oppression within nursing.
b. Suggested that nurses are oppressed because of the actions of other groups.
c. Failed to establish that oppression is present in nursing groups.
d. Indicated that nurses use oppression negatively. - ANSWERS A
Politics is usually:
a. Confined to legislatures.
b. Seen in dysfunctional workplaces.
c. Found in all social organizations.
d. A representation of self-interest. - ANSWERS C
Your colleague, Mary, a recent graduate announces one day that she intends to leave nursing in 3 to
4 months to pursue a position in marketing. While at your agency, she plans to give patients
excellent care and to learn as much as she can, because "Who knows? Nursing is a great job with a
great pay and I may return someday." Mary's statements most accurately exemplify which
orientation to the concept of nursing? Nursing as a(n):
a. Profession.
b. Occupation.
c. Flexible discipline.
d. Career with off and on ramps. - ANSWERS B
Lucy, head nurse on the surgical unit, works with her staff to find ways in which they can work
together with other disciplines to provide more effective care for patients on the unit. Lucy likely
knows her power is:
a. Limited, thereby necessitating involvement of others in implementing ideas.
