Leadership Exam 1
(Ch.1,2,4,5,8,20,21) Questions
with Accurate Answers
17. In which situation would the nurse be justified in overriding a client's right to
confidentiality?
a. An older adult client discloses to the nurse that her son occasionally hits her.
b. A client states that he does not want to know the results of his recent
diagnostic test.
c. A client does not want her husband to know that she is a client on the unit.
d. A teenage client asks the nurse not to tell her parents that she is pregnant.
correct answer a. An older adult client discloses to the nurse that her son
occasionally hits her.
26. A nurse has been hired to oversee the operations of a series of ambulatory
clinics. The nurse can best promote the success of the organization by:
a. promoting management skills among all employees.
b. integrating leadership skills and management skills.
c. clearly communicating to employees that they will be required to follow.
d. advocating for the organization to hire a leader for each site. correct answer b.
integrating leadership skills and management skills.
29. The nurse-manager is addressing a nurse's suspected breach of client
confidentiality in a social media posting. What function of the management
process is this nurse-manager demonstrating?
a. Organizing
,b. Staffing
c. Directing
d. Controlling correct answer d. Controlling
4. The only treatment alternative left for a client diagnosed with advanced cancer
is a rare, highly experimental bone marrow transfusion with a 10% success rate.
Some individuals are arguing that the high cost of the procedure could be better
spent providing well-baby screening for 2,000 residents in the service area. What
ethical principle is most directly involved in this situation?
a. Unethical conduct
b. Maleficence
c. Paternalism
d. Utility correct answer d. Utility
A change in the skills mix has been proposed at a care facility. What action by the
nurse-manager would best support a rational-empirical change strategy?
a. Presenting the research evidence that supports the change
b. Publicizing the change to generate enthusiasm
c. Appointing "champions" to ensure communication throughout the change
process
d. Ensuring that employees know the consequences of resisting correct answer a.
Presenting the research evidence that supports the change
A charge nurse has assisted two employees to resolve their conflict, with the
outcome being that the two opposing goals were discarded and new goals were
adopted. What is this an example of?
a. Smoothing of conflict by the leader
,b. Facilitating collaboration
c. A majority rule approach
d. A good lesson in compromising correct answer b. Facilitating collaboration
A charge nurse has discovered that a medication error was made on the previous
shift. What is the nurse's best action?
a. Share that information with the charge nurse on the previous shift.
b. Document the incident and follow it up as per hospital policy.
c. Write a memo to the nurse who made the error requesting an incident report
be written.
d. Document in the client's chart that an incident report will be completed.
correct answer b. Document the incident and follow it up as per hospital policy.
A client has provided informed consent for surgery and is being assessed by the
nurse. What statement by the client should prompt the nurse to contact the
surgeon?
a. "Why am I not allowed to eat and drink before the surgery?"
b. "How long do you think I'll stay in the recovery room?"
c. "Do you think this surgery is actually safe and necessary?"
d. "What is the difference between the surgeon and the anesthesiologist?"
correct answer c. "Do you think this surgery is actually safe and necessary?"
A client is preparing to be discharged from the health-care facility and has told
the nurse that he would like to read his medical record. What is the nurse's best
initial action?
, a. Arrange for the medical record to be provided to the client.
b. Inform the client that this request will be communicated to the facility's ethics
committee.
c. Confirm the facility's policy around providing medical records to clients.
d. Check whether this provision is included in the jurisdiction's Nurse Practice Act.
correct answer c. Confirm the facility's policy around providing medical records to
clients.
A health-care organization has laid off several RNs and hired numerous NAPs in
their place.What effect is this change most likely to have on the remaining RNs?
a. There will be a risk of the RNs underdelegating.
b. The RNs' level of liability will increase.
c. Cultural variables will become a larger consideration.
d. The RNs' scope of practice will become expanded. correct answer b. The RNs'
level of liability will increase.
A health-care provider prescribes a medical procedure that the staff nurse has
reason to believe will harm the client. Which principle should guide the nurse's
choice of action?
a. The staff nurse cannot be held legally liable for any harm to the client if the
procedure is carried out with due care.
b. The nurse may lose his or her license by refusing to carry out the procedure.
c. The nurse can be held legally liable for any harm if the procedure is carried out
without questioning it.
d. Liability rests with the health-care provider, not the nurse. correct answer c.
The nurse can be held legally liable for any harm if the procedure is carried out
without questioning it.
(Ch.1,2,4,5,8,20,21) Questions
with Accurate Answers
17. In which situation would the nurse be justified in overriding a client's right to
confidentiality?
a. An older adult client discloses to the nurse that her son occasionally hits her.
b. A client states that he does not want to know the results of his recent
diagnostic test.
c. A client does not want her husband to know that she is a client on the unit.
d. A teenage client asks the nurse not to tell her parents that she is pregnant.
correct answer a. An older adult client discloses to the nurse that her son
occasionally hits her.
26. A nurse has been hired to oversee the operations of a series of ambulatory
clinics. The nurse can best promote the success of the organization by:
a. promoting management skills among all employees.
b. integrating leadership skills and management skills.
c. clearly communicating to employees that they will be required to follow.
d. advocating for the organization to hire a leader for each site. correct answer b.
integrating leadership skills and management skills.
29. The nurse-manager is addressing a nurse's suspected breach of client
confidentiality in a social media posting. What function of the management
process is this nurse-manager demonstrating?
a. Organizing
,b. Staffing
c. Directing
d. Controlling correct answer d. Controlling
4. The only treatment alternative left for a client diagnosed with advanced cancer
is a rare, highly experimental bone marrow transfusion with a 10% success rate.
Some individuals are arguing that the high cost of the procedure could be better
spent providing well-baby screening for 2,000 residents in the service area. What
ethical principle is most directly involved in this situation?
a. Unethical conduct
b. Maleficence
c. Paternalism
d. Utility correct answer d. Utility
A change in the skills mix has been proposed at a care facility. What action by the
nurse-manager would best support a rational-empirical change strategy?
a. Presenting the research evidence that supports the change
b. Publicizing the change to generate enthusiasm
c. Appointing "champions" to ensure communication throughout the change
process
d. Ensuring that employees know the consequences of resisting correct answer a.
Presenting the research evidence that supports the change
A charge nurse has assisted two employees to resolve their conflict, with the
outcome being that the two opposing goals were discarded and new goals were
adopted. What is this an example of?
a. Smoothing of conflict by the leader
,b. Facilitating collaboration
c. A majority rule approach
d. A good lesson in compromising correct answer b. Facilitating collaboration
A charge nurse has discovered that a medication error was made on the previous
shift. What is the nurse's best action?
a. Share that information with the charge nurse on the previous shift.
b. Document the incident and follow it up as per hospital policy.
c. Write a memo to the nurse who made the error requesting an incident report
be written.
d. Document in the client's chart that an incident report will be completed.
correct answer b. Document the incident and follow it up as per hospital policy.
A client has provided informed consent for surgery and is being assessed by the
nurse. What statement by the client should prompt the nurse to contact the
surgeon?
a. "Why am I not allowed to eat and drink before the surgery?"
b. "How long do you think I'll stay in the recovery room?"
c. "Do you think this surgery is actually safe and necessary?"
d. "What is the difference between the surgeon and the anesthesiologist?"
correct answer c. "Do you think this surgery is actually safe and necessary?"
A client is preparing to be discharged from the health-care facility and has told
the nurse that he would like to read his medical record. What is the nurse's best
initial action?
, a. Arrange for the medical record to be provided to the client.
b. Inform the client that this request will be communicated to the facility's ethics
committee.
c. Confirm the facility's policy around providing medical records to clients.
d. Check whether this provision is included in the jurisdiction's Nurse Practice Act.
correct answer c. Confirm the facility's policy around providing medical records to
clients.
A health-care organization has laid off several RNs and hired numerous NAPs in
their place.What effect is this change most likely to have on the remaining RNs?
a. There will be a risk of the RNs underdelegating.
b. The RNs' level of liability will increase.
c. Cultural variables will become a larger consideration.
d. The RNs' scope of practice will become expanded. correct answer b. The RNs'
level of liability will increase.
A health-care provider prescribes a medical procedure that the staff nurse has
reason to believe will harm the client. Which principle should guide the nurse's
choice of action?
a. The staff nurse cannot be held legally liable for any harm to the client if the
procedure is carried out with due care.
b. The nurse may lose his or her license by refusing to carry out the procedure.
c. The nurse can be held legally liable for any harm if the procedure is carried out
without questioning it.
d. Liability rests with the health-care provider, not the nurse. correct answer c.
The nurse can be held legally liable for any harm if the procedure is carried out
without questioning it.
