,Contents
✅ Chapter 1 – Leadership and Management ..................................................................... 3
✅ Chapter 2 – Organizational Structure of Health Care .......................................................... 19
✅ Chapter 3 – Strategic Management and Planning ............................................................... 34
✅ Chapter 4 – Financial Management in Health Care ............................................................. 48
✅ Chapter 5 – Health Care Regulatory and Certifying Agencies .............................................. 63
✅ Chapter 6 – Organizational Decision Making and Shared Governance ............................... 78
✅ Chapter 7 – Professional Decision Making and Advocacy ................................................... 92
✅ Chapter 8 – Communication in the Work Environment .................................................... 106
✅ Chapter 9 – Personnel Policies and Programs in the Workplace ....................................... 120
✅ Chapter 10 – Professional Development ........................................................................... 134
✅ Chapter 11 – Professional Practice and Care Delivery Models and Emerging Practice
Models ..................................................................................................................................... 148
✅ Chapter 12 – Staffing and Scheduling ................................................................................ 162
✅ Chapter 13 – Delegation of Nursing Tasks ......................................................................... 176
✅ Chapter 14 – Providing Competent Staff ........................................................................... 190
✅ Chapter 15 – Group Management for Effective Outcomes ............................................... 204
✅ Chapter 16 – Hospital Information Systems ...................................................................... 218
✅ Chapter 17 – Ethical and Legal Issues in Patient Care........................................................ 233
✅ Chapter 18 – Improving Organizational Performance ....................................................... 247
✅ Chapter 19 – Evidence-Based Practice ............................................................................... 261
✅ Chapter 20 – Monitoring Outcomes and the Use of Data for Improvement .................... 276
✅ Chapter 21 – New Graduates: The Immediate Future (Job Interviewing, NCLEX®, and
Continuing Education) ............................................................................................................. 290
,✅ Chapter 1 – Leadership and Management
1. Which of the following statements best reflects the difference
between leadership and management in nursing practice?
A) Leaders follow rules, while managers create vision.
B) Managers focus on strategic inspiration, while leaders handle day-to-
day tasks.
C) Leaders influence behavior and vision; managers organize processes
and ensure accountability.
D) Leadership is optional in nursing; management is required.
✅ Correct Answer: C
Rationale: Leaders inspire and guide others toward a shared vision,
while managers plan, coordinate, and control resources to meet
organizational goals.
2. Case Study: Differentiating Leadership and Management Roles
Scenario:
Amanda, an experienced RN on a surgical floor, has been promoted to
nurse manager. She quickly implements new scheduling software,
monitors time-off requests, and ensures unit supplies are stocked.
However, her team reports feeling unsupported and disconnected.
Amanda rarely attends interdisciplinary huddles or offers guidance on
patient care strategies.
Key Issues:
Amanda is focused more on management than leadership
Staff morale and support are lacking
Poor communication and presence from leadership
Guiding Questions:
, 1. What elements of leadership are Amanda neglecting?
2. How might Amanda balance management and leadership
responsibilities more effectively?
3. What strategies could build team engagement and trust?
Suggested Solution:
Amanda should increase visibility on the unit, engage in staff rounding,
and listen to team concerns. She must shift from purely task-oriented
management to including motivational leadership practices, such as
providing feedback, modeling clinical excellence, and fostering
collaboration.
3. A nurse demonstrates transformational leadership by:
A) Enforcing policy changes strictly
B) Minimizing staff participation in planning
C) Encouraging innovation and shared vision
D) Prioritizing documentation over patient interaction
✅ Correct Answer: C
Rationale: Transformational leaders inspire change by encouraging
innovation, engaging staff, and focusing on a shared vision rather than
rigid control.
4. Case Study: Leadership Style in Crisis Response
Scenario:
During a hospital-wide flu outbreak, Maria, a charge nurse, calls a
meeting with her staff, encourages feedback, and works alongside them
to implement infection control protocols. She motivates the team with
empathy and acknowledges their efforts regularly.
Key Issues:
✅ Chapter 1 – Leadership and Management ..................................................................... 3
✅ Chapter 2 – Organizational Structure of Health Care .......................................................... 19
✅ Chapter 3 – Strategic Management and Planning ............................................................... 34
✅ Chapter 4 – Financial Management in Health Care ............................................................. 48
✅ Chapter 5 – Health Care Regulatory and Certifying Agencies .............................................. 63
✅ Chapter 6 – Organizational Decision Making and Shared Governance ............................... 78
✅ Chapter 7 – Professional Decision Making and Advocacy ................................................... 92
✅ Chapter 8 – Communication in the Work Environment .................................................... 106
✅ Chapter 9 – Personnel Policies and Programs in the Workplace ....................................... 120
✅ Chapter 10 – Professional Development ........................................................................... 134
✅ Chapter 11 – Professional Practice and Care Delivery Models and Emerging Practice
Models ..................................................................................................................................... 148
✅ Chapter 12 – Staffing and Scheduling ................................................................................ 162
✅ Chapter 13 – Delegation of Nursing Tasks ......................................................................... 176
✅ Chapter 14 – Providing Competent Staff ........................................................................... 190
✅ Chapter 15 – Group Management for Effective Outcomes ............................................... 204
✅ Chapter 16 – Hospital Information Systems ...................................................................... 218
✅ Chapter 17 – Ethical and Legal Issues in Patient Care........................................................ 233
✅ Chapter 18 – Improving Organizational Performance ....................................................... 247
✅ Chapter 19 – Evidence-Based Practice ............................................................................... 261
✅ Chapter 20 – Monitoring Outcomes and the Use of Data for Improvement .................... 276
✅ Chapter 21 – New Graduates: The Immediate Future (Job Interviewing, NCLEX®, and
Continuing Education) ............................................................................................................. 290
,✅ Chapter 1 – Leadership and Management
1. Which of the following statements best reflects the difference
between leadership and management in nursing practice?
A) Leaders follow rules, while managers create vision.
B) Managers focus on strategic inspiration, while leaders handle day-to-
day tasks.
C) Leaders influence behavior and vision; managers organize processes
and ensure accountability.
D) Leadership is optional in nursing; management is required.
✅ Correct Answer: C
Rationale: Leaders inspire and guide others toward a shared vision,
while managers plan, coordinate, and control resources to meet
organizational goals.
2. Case Study: Differentiating Leadership and Management Roles
Scenario:
Amanda, an experienced RN on a surgical floor, has been promoted to
nurse manager. She quickly implements new scheduling software,
monitors time-off requests, and ensures unit supplies are stocked.
However, her team reports feeling unsupported and disconnected.
Amanda rarely attends interdisciplinary huddles or offers guidance on
patient care strategies.
Key Issues:
Amanda is focused more on management than leadership
Staff morale and support are lacking
Poor communication and presence from leadership
Guiding Questions:
, 1. What elements of leadership are Amanda neglecting?
2. How might Amanda balance management and leadership
responsibilities more effectively?
3. What strategies could build team engagement and trust?
Suggested Solution:
Amanda should increase visibility on the unit, engage in staff rounding,
and listen to team concerns. She must shift from purely task-oriented
management to including motivational leadership practices, such as
providing feedback, modeling clinical excellence, and fostering
collaboration.
3. A nurse demonstrates transformational leadership by:
A) Enforcing policy changes strictly
B) Minimizing staff participation in planning
C) Encouraging innovation and shared vision
D) Prioritizing documentation over patient interaction
✅ Correct Answer: C
Rationale: Transformational leaders inspire change by encouraging
innovation, engaging staff, and focusing on a shared vision rather than
rigid control.
4. Case Study: Leadership Style in Crisis Response
Scenario:
During a hospital-wide flu outbreak, Maria, a charge nurse, calls a
meeting with her staff, encourages feedback, and works alongside them
to implement infection control protocols. She motivates the team with
empathy and acknowledges their efforts regularly.
Key Issues:
