31Qw/exp-NCLEX Questions for
Leadership and Management
The nurse manager has asked that all staff nurses develop effective leadership competencies.
How should the staff nurses interpret this request?
1. This is an unrealistic expectation, because only managers are leaders.
2. If the nurses learn about and use relevant leadership and management theories and styles
this is possible.
3. In order to become leaders, the staff nurses will have to emphasize control, competition, and
getting the job done.
4. Unless the staff nurses possess the traits of a natural born leader, this is an unrealistic
expectation. - ANS Answer:
2. If the nurses learn about and use relevant leadership and management theories and styles
this is possible.
Rationale:
1: A nurse does not need to have a formal management position with a management title to be
a leader; if nurses demonstrate leadership competencies, they are considered nurse leaders.
2: In today's health care environment, nurses must have knowledge of relevant leadership and
management theories and styles. This knowledge helps nurses emerge as leaders. Nurses are
also leaders of their own nursing practices.
3: Control, competition, and getting the job done are past theories and styles and are not as
useful in today's environment.
4: Leadership is a skill that can be learned.
Peter Drucker's view of management stimulated the shift toward the realization of the
importance of participatory organizations. Which option provides a scenario that is an example
of a participatory organization?
1. The control of the organization is centralized, and decisions are made by upper-level
management.
2. Staff nurses are expected to provide support and nurturing for management's decisions.
3. The organization's approach to leadership is autocratic and bureaucratic.
4. Staff nurses provide input into planning and changes for their own unit. - ANS Answer:
4. Staff nurses provide input into planning and changes for their own unit.
Rationale:
1: In participatory organizations, the control of the organization is decentralized and many
decisions are made by those "on the front lines" of the organization.
, 2: The theory is that the staff should be nurtured to promote greater leadership competency.
3: According to Drucker, when staff participate in the core functions of management, the
organization is more effective.
4: According to Drucker, when staff participate in the core functions of management such as
planning and changes for their own units, the organization is more effective.
Which behavior demonstrates the nurse's competency as an emotionally intelligent leader?
1. The nurse is proficient in technical skills.
2. The nurse relies on policies, not options.
3. The nurse supports team members.
4. Productivity is not a major concern. - ANS Answer:
3. The nurse supports team members.
Rationale:
1: While technical skill is important for all nurses, it is not a hallmark of a competent leader.
2: Chaos theory states that solutions are not always clear and policies might not always be
applied easily; other options might need to be considered.
3: In Emotional Intelligent theory, team members support each other and feel supported by the
team leader.
4: This statement reflects the country club leadership style.
Describe the primary focus of a manager in a knowledge work environment.
1. Developing the most effective teams.
2. Taking risks.
3. Routine work.
4. Understanding the history of the organization. - ANS Answer:
1. Developing the most effective teams.
Rationale:
1: The most important focus of this manager is on developing and supporting effective teams,
utilizing the knowledge of many.
2: Risk taking is a part of knowledge work, but is not the most important of this manager's tasks.
3: Knowledge work is a combination of routine and non-routine work, so the manager will have
focus on the routine. This is not the manager's most important focus.
4: Understanding the history of the organization is important as it will help the manager work
within the organization, but it is not the most important focus.
A very young nurse has been promoted to nurse manager of an inpatient surgical unit. The
nurse is concerned that older nurses may not respect the manager's authority because of the
age difference. How can this nurse manager best exercise authority?
1. Use critical thinking to solve problems on the unit.
2. Give assignments clearly, taking staff expertise into consideration.
3. Understand complex health care environments.
4. Maintain an autocratic approach to influence results. - ANS Answer:
Leadership and Management
The nurse manager has asked that all staff nurses develop effective leadership competencies.
How should the staff nurses interpret this request?
1. This is an unrealistic expectation, because only managers are leaders.
2. If the nurses learn about and use relevant leadership and management theories and styles
this is possible.
3. In order to become leaders, the staff nurses will have to emphasize control, competition, and
getting the job done.
4. Unless the staff nurses possess the traits of a natural born leader, this is an unrealistic
expectation. - ANS Answer:
2. If the nurses learn about and use relevant leadership and management theories and styles
this is possible.
Rationale:
1: A nurse does not need to have a formal management position with a management title to be
a leader; if nurses demonstrate leadership competencies, they are considered nurse leaders.
2: In today's health care environment, nurses must have knowledge of relevant leadership and
management theories and styles. This knowledge helps nurses emerge as leaders. Nurses are
also leaders of their own nursing practices.
3: Control, competition, and getting the job done are past theories and styles and are not as
useful in today's environment.
4: Leadership is a skill that can be learned.
Peter Drucker's view of management stimulated the shift toward the realization of the
importance of participatory organizations. Which option provides a scenario that is an example
of a participatory organization?
1. The control of the organization is centralized, and decisions are made by upper-level
management.
2. Staff nurses are expected to provide support and nurturing for management's decisions.
3. The organization's approach to leadership is autocratic and bureaucratic.
4. Staff nurses provide input into planning and changes for their own unit. - ANS Answer:
4. Staff nurses provide input into planning and changes for their own unit.
Rationale:
1: In participatory organizations, the control of the organization is decentralized and many
decisions are made by those "on the front lines" of the organization.
, 2: The theory is that the staff should be nurtured to promote greater leadership competency.
3: According to Drucker, when staff participate in the core functions of management, the
organization is more effective.
4: According to Drucker, when staff participate in the core functions of management such as
planning and changes for their own units, the organization is more effective.
Which behavior demonstrates the nurse's competency as an emotionally intelligent leader?
1. The nurse is proficient in technical skills.
2. The nurse relies on policies, not options.
3. The nurse supports team members.
4. Productivity is not a major concern. - ANS Answer:
3. The nurse supports team members.
Rationale:
1: While technical skill is important for all nurses, it is not a hallmark of a competent leader.
2: Chaos theory states that solutions are not always clear and policies might not always be
applied easily; other options might need to be considered.
3: In Emotional Intelligent theory, team members support each other and feel supported by the
team leader.
4: This statement reflects the country club leadership style.
Describe the primary focus of a manager in a knowledge work environment.
1. Developing the most effective teams.
2. Taking risks.
3. Routine work.
4. Understanding the history of the organization. - ANS Answer:
1. Developing the most effective teams.
Rationale:
1: The most important focus of this manager is on developing and supporting effective teams,
utilizing the knowledge of many.
2: Risk taking is a part of knowledge work, but is not the most important of this manager's tasks.
3: Knowledge work is a combination of routine and non-routine work, so the manager will have
focus on the routine. This is not the manager's most important focus.
4: Understanding the history of the organization is important as it will help the manager work
within the organization, but it is not the most important focus.
A very young nurse has been promoted to nurse manager of an inpatient surgical unit. The
nurse is concerned that older nurses may not respect the manager's authority because of the
age difference. How can this nurse manager best exercise authority?
1. Use critical thinking to solve problems on the unit.
2. Give assignments clearly, taking staff expertise into consideration.
3. Understand complex health care environments.
4. Maintain an autocratic approach to influence results. - ANS Answer:
