Essentials of Nursing Leadership &
Management
A clinic run by volunteer doctors and nurses belongs in which of the following categories?
A) Voluntary for profit
B) Publicly supported
C) Not for profit
D) Governmental agency - correct answer-Answer: C
A healthy work environment includes an atmosphere of work excitement. Which factor will
NOT contribute to a healthy work environment?
A) Variable work schedules
B) Growth opportunities
C) Depersonalization
D) A variety of work experiences - correct answer-Answer: C
A mental way to reduce stress is to:
A) Avoid humor
B) Ignore social support systems
C) Continue the same thought patterns
D) Develop realistic expectations - correct answer-Answer: D
A method for working smarter and not harder would be:
A) Gathering all the equipment needed to help a physician perform a procedure in advance
of the physician coming to the unit
B) Trying to perform a task you are unsure about prior to asking for assistance or instructions
C) Ignoring client statements such as, "I don't feel right," as assessing these issues at the
time interrupt your routine
D) Obtaining all your vital signs first thing in the morning so that you do not have to repeat
them prior to giving medications - correct answer-Answer: A
A new nurse manager plans to give a performance evaluation to a staff nurse who has
worked on the unit for 15 years. The staff nurse has had multiple complaints regarding the
delivery of client care from clients and other staff. The best statement by the nurse manager
in beginning the performance appraisal would be:
A) "Tell me how you view your delivery of client care?"
B) "I have reviewed your past evaluations and cannot believe that you are still here!"
C) "The other day I noticed how well you taught your client about his new medications."
D) "I think that the acuity on this unit is too difficult for you." - correct answer-Answer: A
A positive aspect of hierarchy is:
A) Few policies or practices
B) Consistent operation
C) Flexibility
D) Promotion of creativity - correct answer-Answer: B
, A sentinel event occurs at a hospital. Which of the following is NOT an end result of the
Continuous Quality Improvement Process?
A) Identification of the factors contributing to the event.
B) Improving the system to prevent future sentinel events.
C) Termination of all health-care professionals involved.
D) Reporting to Risk Management the potential for similar events. - correct answer-Answer:
C
A single-payer or National Health Coverage aims to
A) Increase the financial burden of health care on employers
B) Increase the financial burden of health care on consumers
C) Decrease the cost of care by eliminating third-party insurers
D) Decrease the cost of care by decreasing quality and safety of care - correct
answer-Answer: C
According to OSHA, employers must provide all of the following EXCEPT:
A) Tuberculosis testing and hepatitis B vaccine
B) Client rooms that are painted with pleasant colors
C) Protective equipment, such as gloves, gowns, and masks
D) Immediate treatment after exposure to bloodborne pathogens - correct answer-Answer: B
After administering an incorrect dosage of a medication the nurse realizes that too little
medication was given to the client. The nurse then administers a second dose in order to
give the correct dosage. Legally, the nurse must:
A) Not tell anyone about the error
B) Document that the correct medication was administered
C) Document the error in the nursing notes
D) Both A and B - correct answer-Answer: C
An action that can lead to a malpractice suit would be:
A) Assessing a client more than once per shift.
B) Listening to the physician explain the benefits and risks of a procedure as they are being
explained to the client.
C) Reporting that he or she has witnessed a coworker using controlled substances when
working.
D) Altering a client's record. - correct answer-Answer: D
An example that may be a cause of reality shock is:
A) Taking care of six clients during your first day on the floor
B) Getting to lunch every day
C) Having the nurse technician do all of the a.m. care
D) Charting after finishing each assessment - correct answer-Answer: A
Anne wanted to simplify the current method of ordering missing medications. She devised
what she thought was an excellent idea and presented her plan to the nurse manager on the
unit. Her idea was rejected. What step in the process of change did Anne forget to follow?
A) Threatening others
Management
A clinic run by volunteer doctors and nurses belongs in which of the following categories?
A) Voluntary for profit
B) Publicly supported
C) Not for profit
D) Governmental agency - correct answer-Answer: C
A healthy work environment includes an atmosphere of work excitement. Which factor will
NOT contribute to a healthy work environment?
A) Variable work schedules
B) Growth opportunities
C) Depersonalization
D) A variety of work experiences - correct answer-Answer: C
A mental way to reduce stress is to:
A) Avoid humor
B) Ignore social support systems
C) Continue the same thought patterns
D) Develop realistic expectations - correct answer-Answer: D
A method for working smarter and not harder would be:
A) Gathering all the equipment needed to help a physician perform a procedure in advance
of the physician coming to the unit
B) Trying to perform a task you are unsure about prior to asking for assistance or instructions
C) Ignoring client statements such as, "I don't feel right," as assessing these issues at the
time interrupt your routine
D) Obtaining all your vital signs first thing in the morning so that you do not have to repeat
them prior to giving medications - correct answer-Answer: A
A new nurse manager plans to give a performance evaluation to a staff nurse who has
worked on the unit for 15 years. The staff nurse has had multiple complaints regarding the
delivery of client care from clients and other staff. The best statement by the nurse manager
in beginning the performance appraisal would be:
A) "Tell me how you view your delivery of client care?"
B) "I have reviewed your past evaluations and cannot believe that you are still here!"
C) "The other day I noticed how well you taught your client about his new medications."
D) "I think that the acuity on this unit is too difficult for you." - correct answer-Answer: A
A positive aspect of hierarchy is:
A) Few policies or practices
B) Consistent operation
C) Flexibility
D) Promotion of creativity - correct answer-Answer: B
, A sentinel event occurs at a hospital. Which of the following is NOT an end result of the
Continuous Quality Improvement Process?
A) Identification of the factors contributing to the event.
B) Improving the system to prevent future sentinel events.
C) Termination of all health-care professionals involved.
D) Reporting to Risk Management the potential for similar events. - correct answer-Answer:
C
A single-payer or National Health Coverage aims to
A) Increase the financial burden of health care on employers
B) Increase the financial burden of health care on consumers
C) Decrease the cost of care by eliminating third-party insurers
D) Decrease the cost of care by decreasing quality and safety of care - correct
answer-Answer: C
According to OSHA, employers must provide all of the following EXCEPT:
A) Tuberculosis testing and hepatitis B vaccine
B) Client rooms that are painted with pleasant colors
C) Protective equipment, such as gloves, gowns, and masks
D) Immediate treatment after exposure to bloodborne pathogens - correct answer-Answer: B
After administering an incorrect dosage of a medication the nurse realizes that too little
medication was given to the client. The nurse then administers a second dose in order to
give the correct dosage. Legally, the nurse must:
A) Not tell anyone about the error
B) Document that the correct medication was administered
C) Document the error in the nursing notes
D) Both A and B - correct answer-Answer: C
An action that can lead to a malpractice suit would be:
A) Assessing a client more than once per shift.
B) Listening to the physician explain the benefits and risks of a procedure as they are being
explained to the client.
C) Reporting that he or she has witnessed a coworker using controlled substances when
working.
D) Altering a client's record. - correct answer-Answer: D
An example that may be a cause of reality shock is:
A) Taking care of six clients during your first day on the floor
B) Getting to lunch every day
C) Having the nurse technician do all of the a.m. care
D) Charting after finishing each assessment - correct answer-Answer: A
Anne wanted to simplify the current method of ordering missing medications. She devised
what she thought was an excellent idea and presented her plan to the nurse manager on the
unit. Her idea was rejected. What step in the process of change did Anne forget to follow?
A) Threatening others
