Leadership Exam #3 Questions
with Accurate Answers
1. A nurse manager was orienting new staff members to computerized charting.
To understand computerized charting, staff members must understand
informatics. The three core concepts in informatics are:
a. Hardware, software, and printers.
b. Data, information, and knowledge.
c. Decision making, data gathering, and reporting.
d. Wireless technology, voice recognition, and handheld devices. correct answer
ANS: B
Informatics is the application of technology to all fields of nursing to facilitate and
extend nurses decision-making abilities and to support nurses in the use, storage,
and linkage of clinical information to provide effective and efficient patient care.
1. As a nurse manager, you want to institute point-of-care devices on your unit.
The rationale that you provide to support the point-of-care devices includes
(select all that apply):
a. Reduction in incidents of medication error.
b. Immediate documentation of care.
c. Comparison of patient data with previous data.
d. Immediate access to staffing schedules. correct answer ANS: A, B, C
Point-of-care devices that allow documentation of assessment, care, and teaching
at the bedside reduce the gap in time between care and documentation, thereby
reducing error, increasing accuracy, and improving communication of care.
Medication devices and patient databases enable accurate clinical decision
making.
,1. Complex care of acutely ill patients is required on a surgical unit, which utilizes
differentiated nursing practice as its model of care delivery. The concept of
differentiated nursing practice is based on:
a. Licensure status.
b. Experience in the agency.
c. Leadership capabilities.
d. Education and expertise. correct answer ANS: D
Differentiated nursing practice models are models of clinical nursing practice that
are defined or differentiated by level of education, expected clinical skills or
competencies, job descriptions, pay scales, and participation in decision making.
1. During the performance appraisal session, the manager should (select all that
apply):
a. Maintain a relaxed and professional manner.
b. Inquire about the employees personal life and how it is affecting performance.
c. Allow the employee to express opinions orally and in writing.
d. Plan to give specific examples only for poor performance. correct answer ANS:
A, C
During a performance appraisal, it is important to provide examples of both
strong and problematic performance and to provide opportunities to express
opinions. The supervisor needs to maintain a relaxed professional manner.
1. In reviewing the job description of a nurse manager, the staff becomes aware
that a nurse managers role is complex. Which of the following duties are required
of a nurse manager? (Select all that apply.)
a. Ensure unit productivity reports.
b. Develop policy and legislation to protect nurses well-being.
,c. Plan staffing of UNPs only.
d. Prepare a unit budget that reflects unit staffing needs.
e. Monitor nurse-sensitive indicators such as falls and incidence of infections.
correct answer ANS: A, D, E
A nurse manager manages financial resources by developing business and staffing
plans.
1. The number of adverse events such as falls and pressure ulcers on your unit is
increasing. An ideal staffing plan to address this issue would include which of the
following? Increasing the:
a. Total number of staff on the unit.
b. Staff and RN hours per patient.
c. Total number of staff, and implementing 12-hour shifts.
d. Number of RNs and number of RNs with experience on the unit. correct answer
ANS: D
A number of studies have identified that adverse events such as falls and pressure
ulcers can be reduced by increasing the number of RNs on a unit (relative to other
personnel) and utilizing experienced RNs. Overtime and 12-hour shifts are linked
to greater incidence of errors.
1. The nurse manager schedules evaluations of staff members using a newly
developed performance appraisal tool. The development of a performance
appraisal tool should include:
a. Organizational mission, philosophy, and position requirements.
b. A generalized overview of the duties of a position.
c. A skills checklist and accreditation requirements.
d. An ordinal scale that ranks all employees. correct answer ANS: A
, Performance appraisal tools and processes should reflect the organizational
mission and philosophy, as well as position requirements.
1. When goals/outcomes are somewhat unclear in early preparation for a
complex change, the manager and the change management team develop several
acceptable goals/outcomes. This change in management approach is termed:
a. Unfreezing.
b. Nonlinear.
c. Cybernetic.
d. Linear. correct answer ANS: B
While Lewins theory was designed to describe planned or first-order changes,
many scholars think the theory is too simplistic to address how unplanned or
second-order change occurs. In complex situations with an uncertain change
environment, a nonlinear approach that involves flexibility improves overall
outcomes. Linear change is appropriate to stable, less complex, and more
predictable situations.
1. Which of the following are examples of application of the Leadership Rounding
Tool? (Select all that apply.)
a. What is working well for you during bedside reporting?
b. What has not worked for you today?
c. Is there someone on your team who deserves special recognition for her efforts
in the implementation?
d. Did you have a good vacation? correct answer ANS: A, B, C, D
The Leadership Rounding Tool suggests establishing and maintaining rapport and
asking what is working well, what was a barrier, and who should be recognized, as
well as answering tough questions.
with Accurate Answers
1. A nurse manager was orienting new staff members to computerized charting.
To understand computerized charting, staff members must understand
informatics. The three core concepts in informatics are:
a. Hardware, software, and printers.
b. Data, information, and knowledge.
c. Decision making, data gathering, and reporting.
d. Wireless technology, voice recognition, and handheld devices. correct answer
ANS: B
Informatics is the application of technology to all fields of nursing to facilitate and
extend nurses decision-making abilities and to support nurses in the use, storage,
and linkage of clinical information to provide effective and efficient patient care.
1. As a nurse manager, you want to institute point-of-care devices on your unit.
The rationale that you provide to support the point-of-care devices includes
(select all that apply):
a. Reduction in incidents of medication error.
b. Immediate documentation of care.
c. Comparison of patient data with previous data.
d. Immediate access to staffing schedules. correct answer ANS: A, B, C
Point-of-care devices that allow documentation of assessment, care, and teaching
at the bedside reduce the gap in time between care and documentation, thereby
reducing error, increasing accuracy, and improving communication of care.
Medication devices and patient databases enable accurate clinical decision
making.
,1. Complex care of acutely ill patients is required on a surgical unit, which utilizes
differentiated nursing practice as its model of care delivery. The concept of
differentiated nursing practice is based on:
a. Licensure status.
b. Experience in the agency.
c. Leadership capabilities.
d. Education and expertise. correct answer ANS: D
Differentiated nursing practice models are models of clinical nursing practice that
are defined or differentiated by level of education, expected clinical skills or
competencies, job descriptions, pay scales, and participation in decision making.
1. During the performance appraisal session, the manager should (select all that
apply):
a. Maintain a relaxed and professional manner.
b. Inquire about the employees personal life and how it is affecting performance.
c. Allow the employee to express opinions orally and in writing.
d. Plan to give specific examples only for poor performance. correct answer ANS:
A, C
During a performance appraisal, it is important to provide examples of both
strong and problematic performance and to provide opportunities to express
opinions. The supervisor needs to maintain a relaxed professional manner.
1. In reviewing the job description of a nurse manager, the staff becomes aware
that a nurse managers role is complex. Which of the following duties are required
of a nurse manager? (Select all that apply.)
a. Ensure unit productivity reports.
b. Develop policy and legislation to protect nurses well-being.
,c. Plan staffing of UNPs only.
d. Prepare a unit budget that reflects unit staffing needs.
e. Monitor nurse-sensitive indicators such as falls and incidence of infections.
correct answer ANS: A, D, E
A nurse manager manages financial resources by developing business and staffing
plans.
1. The number of adverse events such as falls and pressure ulcers on your unit is
increasing. An ideal staffing plan to address this issue would include which of the
following? Increasing the:
a. Total number of staff on the unit.
b. Staff and RN hours per patient.
c. Total number of staff, and implementing 12-hour shifts.
d. Number of RNs and number of RNs with experience on the unit. correct answer
ANS: D
A number of studies have identified that adverse events such as falls and pressure
ulcers can be reduced by increasing the number of RNs on a unit (relative to other
personnel) and utilizing experienced RNs. Overtime and 12-hour shifts are linked
to greater incidence of errors.
1. The nurse manager schedules evaluations of staff members using a newly
developed performance appraisal tool. The development of a performance
appraisal tool should include:
a. Organizational mission, philosophy, and position requirements.
b. A generalized overview of the duties of a position.
c. A skills checklist and accreditation requirements.
d. An ordinal scale that ranks all employees. correct answer ANS: A
, Performance appraisal tools and processes should reflect the organizational
mission and philosophy, as well as position requirements.
1. When goals/outcomes are somewhat unclear in early preparation for a
complex change, the manager and the change management team develop several
acceptable goals/outcomes. This change in management approach is termed:
a. Unfreezing.
b. Nonlinear.
c. Cybernetic.
d. Linear. correct answer ANS: B
While Lewins theory was designed to describe planned or first-order changes,
many scholars think the theory is too simplistic to address how unplanned or
second-order change occurs. In complex situations with an uncertain change
environment, a nonlinear approach that involves flexibility improves overall
outcomes. Linear change is appropriate to stable, less complex, and more
predictable situations.
1. Which of the following are examples of application of the Leadership Rounding
Tool? (Select all that apply.)
a. What is working well for you during bedside reporting?
b. What has not worked for you today?
c. Is there someone on your team who deserves special recognition for her efforts
in the implementation?
d. Did you have a good vacation? correct answer ANS: A, B, C, D
The Leadership Rounding Tool suggests establishing and maintaining rapport and
asking what is working well, what was a barrier, and who should be recognized, as
well as answering tough questions.
