TEST BANK
The New Leadership Challenge: Creating the Future of Nursing
Abby E. Garlock, and Nicole P. Waters
7th Edition
,Table of Contents
Chapter 01: The Phenomenon of Leadership: Classic/Historical and Contemporary
Leadership Theories 1
Chapter 02: The Nature of Leadership: Distinguishing Leadership From Management 7
Chapter 03: Uncertainty and Chaos: Challenging, Invigorating, and Growth Producing 13
Chapter 04: The New World and New Leadership: Changing Our Thinking About Leaders 19
Chapter 05: Followership and Empowerment 25
Chapter 06: Leadership as an Integral Component of Each Nurse’s Professional Role 31
Chapter 07: Vision and Creativity 37
Chapter 08: Shaping the Desired Future for Nursing 43
Chapter 09: Developing as a Leader Throughout One’s Career 50
Chapter 10: Leadership, Excellence, and Professional Involvement: Essential Components
to Creating the Future for Nursing 56
,______________________________________________________________________________________________
Test Bank - The New Leadership Challenge: Creating the Future of Nursing, 7th Edition (Garlock, 2025)
Chapter 1: The Phenomenon of Leadership: Classic/Historical and Contemporary
Leadership Theories
MULTIPLE CHOICE
1. The nurse manager is reviewing different leadership theories. Which theory should the
manager identify that stresses the significance of the environment or circumstance, notes that
the leader emerges but is not necessarily chosen, and gives little recognition to followers?
A. Trait theory
B. Complexity theory
C. Situational theory
D. Great man theory
ANS: C
Feedback
A Incorrect. Trait theory is focused only on the characteristics of the leader.
B Incorrect. Complexity theory acknowledges the complexity of social processes
and views leadership as an outcome of interactions.
C Correct. Situational theory includes the environment and emphasizes that the
leader is not necessarily chosen but evolves.
D Incorrect. Great man theory stresses only the leader.
2. The nurse manager is implementing transformational leadership on a patient-care area. Which
action should the manager take when using idealized influence to motivate staff?
A. Increase the staff’s confidence and trust
B. Teach the staff to be goal oriented and responsible
C. Encourage creativity and new approaches to problems
D. Assist staff to continue working hard and self-actualize
ANS: A
Feedback
A Correct. With idealized influence the leader assists the follower to increase
confidence, respect, and trust.
B Incorrect. Inspirational motivation involves teaching the follower to be
empowering, goal oriented, and responsible.
C Incorrect. Intellectual stimulation involves assisting the follower to be creative,
expand on ideas, and find new approaches to solve problems.
D Incorrect. Individualized consideration includes assisting the follower to increase
self-esteem, continue working hard, and self-actualize.
3. The nurse manager is implementing appreciative inquiry on a patient-care area. Which step
involves determining what should be?
A. Discover
B. Design
C. Dream
D. Destiny
______________________________________________________________________________________________
1|Page
,______________________________________________________________________________________________
Test Bank - The New Leadership Challenge: Creating the Future of Nursing, 7th Edition (Garlock, 2025)
ANS: B
Feedback
A Incorrect. During the discover step, the focus is on appreciating what is.
B Correct. The design step involves determining what should be.
C Incorrect. The dream step involves imagining what might be.
D Incorrect. The destiny (or deliver) step involves creating what will be.
4. The nurse is researching information about leadership for a staff presentation. Which major
factors in healthcare should the nurse emphasize that are creating the need for new leaders?
A. Chaos, uncertainty, unpredictability, and constant change
B. Healthcare reform, politics, violence, and surplus resources
C. Inferior technology, mergers, acquisitions, and one’s legal scope of practice
D. Too many workers, not enough work, unprepared employees, and technology
ANS: A
Feedback
A Correct. These chaotic, unpredictable, uncertain, and constantly changing times
are calling for new leaders even though “being an effective leader in today’s
tumultuous world is almost impossible” (Tetenbaum and Laurence, 2011, p. 48).
B Incorrect. There is not a surplus of resources.
C Incorrect. Technology in healthcare is not inferior.
D Incorrect. There are not enough workers, there is too much work, and technology
is a positive feature.
5. The nurse educator is preparing a teaching tool about the human-becoming leading-following
model. Which components should the educator include?
A. Goals, followers, and resources
B. Strategy, goals, and outcome evaluation
C. Commitment to vision, willingness to risk, and reverence for others
D. Trust, hierarchical power, and nonjudgmental attitude
ANS: C
Feedback
A Incorrect. Goals, followers, and resources are not parts of this model.
B Incorrect. Strategy, goals, and outcome evaluation are not parts of this model.
C Correct. Commitment to vision, willingness to risk, and reverence for others are
parts of this model.
D Incorrect. Trust, hierarchical power, and nonjudgmental attitude are not parts of
this model.
6. The nurse identifies the leader of the ethics committee as the person who is able to maintain a
high level of activity, has superior judgment, is decisive, and has self-confidence. Which
theory did this nurse use to identify the leader?
A. Trait theory
B. Situational theory
C. Great man theory
D. Contemporary leadership theory
______________________________________________________________________________________________
2|Page
,______________________________________________________________________________________________
Test Bank - The New Leadership Challenge: Creating the Future of Nursing, 7th Edition (Garlock, 2025)
ANS: A
Feedback
A Correct. Trait theory asserts that certain traits and characteristics are correlated
with leadership.
B Incorrect. Situational theory gives clear recognition to the significance of the
environment and the particular situation as factors in the effectiveness of a
leader.
C Incorrect. The great man theory asserts that one is a leader if one is born into the
“right” family.
D Incorrect. Contemporary leadership theories focus on relationships and
interactions with the leader, situation, and followers.
7. The nurse is working in an agency that focuses on the six freedoms. Which theory is this
agency using to guide client care?
A. Social model
B. Complexity theory
C. Appreciative inquiry
D. Humanbecoming leading-following model
ANS: C
Feedback
A Incorrect. Social models focus on the relational and complex social models
rather than on an individual leader, not on the six freedoms.
B Incorrect. Complexity theory acknowledges the “messiness” and complexity of
social processes in which leaders emerge through dynamic interactions, not on
the six freedoms.
C Correct. Appreciative inquiry environments are characterized by the six
freedoms.
D Incorrect. The humanbecoming leading-following model focuses on three
inherent components of leading: commitment to vision, willingness to risk, and
reverence for others.
8. The nurse is reading the report The Future of Nursing: Leading Change, Advancing Health.
According to this report, the nurse should identify which type of nurse as prepared to lead?
A. Managers
B. Direct care providers
C. Educators
D. All types of nurses
ANS: D
Feedback
A Incorrect. The report recommended that all nurses be prepared to assume
leadership positions, not just managers.
B Incorrect. The report recommends that all nurses should be prepared to assume
leadership positions, not just direct care providers.
C Incorrect. The report recommends that all nurses should be prepared to assume
leadership positions, not just educators.
______________________________________________________________________________________________
3|Page
, ______________________________________________________________________________________________
Test Bank - The New Leadership Challenge: Creating the Future of Nursing, 7th Edition (Garlock, 2025)
D Correct. The report recommends that all nurses should be prepared to assume
leadership positions.
9. The nurse is reviewing relational and social models of leadership. Which aspect of these
leadership models is often overlooked?
A. Being self-aware
B. Having alone time
C. Working with a team
D. Going along with the group
ANS: B
Feedback
A Incorrect. Being self-aware is an aspect of authentic leadership, but it is not
identified as a commonly overlooked element described in relational and social
models.
B Correct. Alone time is needed to feel more productive and creative, reflect on
past and present situations, and to think about future directions.
C Incorrect. Alone time is overlooked. Although working with a team is a
component of leadership, it is generally recognized as a key component; that is,
it is not overlooked.
D Incorrect. Going along with the group can lead to groupthink, which is
something leaders seek to avoid.
10. The nurse who provides care to clients in an intensive care unit goes to the park after work
and thinks about the activities of the day before returning home. Which authentic leadership
trait did the nurse demonstrate?
A. Integrity
B. Self-reflection
C. Relational transparency
D. Internalized moral perspective
ANS: B
Feedback
A Incorrect. Integrity is not the same thing as self-reflection.
B Correct. In authentic leadership the importance of self-reflection is emphasized
as a concept that may be particularly important for nurses.
C Incorrect. Relational transparency encompasses honest two-way communication.
D Incorrect. Internalized moral perspective is the individual’s moral compass.
11. The nurse manager selects a leadership style to use when guiding the needs of the staff and
clients. Which characteristic should the manager identify as essential if adopting the
innovative leadership style?
A. Focus on empathy
B. Self-awareness
C. Interpersonal dynamics
D. Creativity in problem-solving
ANS: D
______________________________________________________________________________________________
4|Page
The New Leadership Challenge: Creating the Future of Nursing
Abby E. Garlock, and Nicole P. Waters
7th Edition
,Table of Contents
Chapter 01: The Phenomenon of Leadership: Classic/Historical and Contemporary
Leadership Theories 1
Chapter 02: The Nature of Leadership: Distinguishing Leadership From Management 7
Chapter 03: Uncertainty and Chaos: Challenging, Invigorating, and Growth Producing 13
Chapter 04: The New World and New Leadership: Changing Our Thinking About Leaders 19
Chapter 05: Followership and Empowerment 25
Chapter 06: Leadership as an Integral Component of Each Nurse’s Professional Role 31
Chapter 07: Vision and Creativity 37
Chapter 08: Shaping the Desired Future for Nursing 43
Chapter 09: Developing as a Leader Throughout One’s Career 50
Chapter 10: Leadership, Excellence, and Professional Involvement: Essential Components
to Creating the Future for Nursing 56
,______________________________________________________________________________________________
Test Bank - The New Leadership Challenge: Creating the Future of Nursing, 7th Edition (Garlock, 2025)
Chapter 1: The Phenomenon of Leadership: Classic/Historical and Contemporary
Leadership Theories
MULTIPLE CHOICE
1. The nurse manager is reviewing different leadership theories. Which theory should the
manager identify that stresses the significance of the environment or circumstance, notes that
the leader emerges but is not necessarily chosen, and gives little recognition to followers?
A. Trait theory
B. Complexity theory
C. Situational theory
D. Great man theory
ANS: C
Feedback
A Incorrect. Trait theory is focused only on the characteristics of the leader.
B Incorrect. Complexity theory acknowledges the complexity of social processes
and views leadership as an outcome of interactions.
C Correct. Situational theory includes the environment and emphasizes that the
leader is not necessarily chosen but evolves.
D Incorrect. Great man theory stresses only the leader.
2. The nurse manager is implementing transformational leadership on a patient-care area. Which
action should the manager take when using idealized influence to motivate staff?
A. Increase the staff’s confidence and trust
B. Teach the staff to be goal oriented and responsible
C. Encourage creativity and new approaches to problems
D. Assist staff to continue working hard and self-actualize
ANS: A
Feedback
A Correct. With idealized influence the leader assists the follower to increase
confidence, respect, and trust.
B Incorrect. Inspirational motivation involves teaching the follower to be
empowering, goal oriented, and responsible.
C Incorrect. Intellectual stimulation involves assisting the follower to be creative,
expand on ideas, and find new approaches to solve problems.
D Incorrect. Individualized consideration includes assisting the follower to increase
self-esteem, continue working hard, and self-actualize.
3. The nurse manager is implementing appreciative inquiry on a patient-care area. Which step
involves determining what should be?
A. Discover
B. Design
C. Dream
D. Destiny
______________________________________________________________________________________________
1|Page
,______________________________________________________________________________________________
Test Bank - The New Leadership Challenge: Creating the Future of Nursing, 7th Edition (Garlock, 2025)
ANS: B
Feedback
A Incorrect. During the discover step, the focus is on appreciating what is.
B Correct. The design step involves determining what should be.
C Incorrect. The dream step involves imagining what might be.
D Incorrect. The destiny (or deliver) step involves creating what will be.
4. The nurse is researching information about leadership for a staff presentation. Which major
factors in healthcare should the nurse emphasize that are creating the need for new leaders?
A. Chaos, uncertainty, unpredictability, and constant change
B. Healthcare reform, politics, violence, and surplus resources
C. Inferior technology, mergers, acquisitions, and one’s legal scope of practice
D. Too many workers, not enough work, unprepared employees, and technology
ANS: A
Feedback
A Correct. These chaotic, unpredictable, uncertain, and constantly changing times
are calling for new leaders even though “being an effective leader in today’s
tumultuous world is almost impossible” (Tetenbaum and Laurence, 2011, p. 48).
B Incorrect. There is not a surplus of resources.
C Incorrect. Technology in healthcare is not inferior.
D Incorrect. There are not enough workers, there is too much work, and technology
is a positive feature.
5. The nurse educator is preparing a teaching tool about the human-becoming leading-following
model. Which components should the educator include?
A. Goals, followers, and resources
B. Strategy, goals, and outcome evaluation
C. Commitment to vision, willingness to risk, and reverence for others
D. Trust, hierarchical power, and nonjudgmental attitude
ANS: C
Feedback
A Incorrect. Goals, followers, and resources are not parts of this model.
B Incorrect. Strategy, goals, and outcome evaluation are not parts of this model.
C Correct. Commitment to vision, willingness to risk, and reverence for others are
parts of this model.
D Incorrect. Trust, hierarchical power, and nonjudgmental attitude are not parts of
this model.
6. The nurse identifies the leader of the ethics committee as the person who is able to maintain a
high level of activity, has superior judgment, is decisive, and has self-confidence. Which
theory did this nurse use to identify the leader?
A. Trait theory
B. Situational theory
C. Great man theory
D. Contemporary leadership theory
______________________________________________________________________________________________
2|Page
,______________________________________________________________________________________________
Test Bank - The New Leadership Challenge: Creating the Future of Nursing, 7th Edition (Garlock, 2025)
ANS: A
Feedback
A Correct. Trait theory asserts that certain traits and characteristics are correlated
with leadership.
B Incorrect. Situational theory gives clear recognition to the significance of the
environment and the particular situation as factors in the effectiveness of a
leader.
C Incorrect. The great man theory asserts that one is a leader if one is born into the
“right” family.
D Incorrect. Contemporary leadership theories focus on relationships and
interactions with the leader, situation, and followers.
7. The nurse is working in an agency that focuses on the six freedoms. Which theory is this
agency using to guide client care?
A. Social model
B. Complexity theory
C. Appreciative inquiry
D. Humanbecoming leading-following model
ANS: C
Feedback
A Incorrect. Social models focus on the relational and complex social models
rather than on an individual leader, not on the six freedoms.
B Incorrect. Complexity theory acknowledges the “messiness” and complexity of
social processes in which leaders emerge through dynamic interactions, not on
the six freedoms.
C Correct. Appreciative inquiry environments are characterized by the six
freedoms.
D Incorrect. The humanbecoming leading-following model focuses on three
inherent components of leading: commitment to vision, willingness to risk, and
reverence for others.
8. The nurse is reading the report The Future of Nursing: Leading Change, Advancing Health.
According to this report, the nurse should identify which type of nurse as prepared to lead?
A. Managers
B. Direct care providers
C. Educators
D. All types of nurses
ANS: D
Feedback
A Incorrect. The report recommended that all nurses be prepared to assume
leadership positions, not just managers.
B Incorrect. The report recommends that all nurses should be prepared to assume
leadership positions, not just direct care providers.
C Incorrect. The report recommends that all nurses should be prepared to assume
leadership positions, not just educators.
______________________________________________________________________________________________
3|Page
, ______________________________________________________________________________________________
Test Bank - The New Leadership Challenge: Creating the Future of Nursing, 7th Edition (Garlock, 2025)
D Correct. The report recommends that all nurses should be prepared to assume
leadership positions.
9. The nurse is reviewing relational and social models of leadership. Which aspect of these
leadership models is often overlooked?
A. Being self-aware
B. Having alone time
C. Working with a team
D. Going along with the group
ANS: B
Feedback
A Incorrect. Being self-aware is an aspect of authentic leadership, but it is not
identified as a commonly overlooked element described in relational and social
models.
B Correct. Alone time is needed to feel more productive and creative, reflect on
past and present situations, and to think about future directions.
C Incorrect. Alone time is overlooked. Although working with a team is a
component of leadership, it is generally recognized as a key component; that is,
it is not overlooked.
D Incorrect. Going along with the group can lead to groupthink, which is
something leaders seek to avoid.
10. The nurse who provides care to clients in an intensive care unit goes to the park after work
and thinks about the activities of the day before returning home. Which authentic leadership
trait did the nurse demonstrate?
A. Integrity
B. Self-reflection
C. Relational transparency
D. Internalized moral perspective
ANS: B
Feedback
A Incorrect. Integrity is not the same thing as self-reflection.
B Correct. In authentic leadership the importance of self-reflection is emphasized
as a concept that may be particularly important for nurses.
C Incorrect. Relational transparency encompasses honest two-way communication.
D Incorrect. Internalized moral perspective is the individual’s moral compass.
11. The nurse manager selects a leadership style to use when guiding the needs of the staff and
clients. Which characteristic should the manager identify as essential if adopting the
innovative leadership style?
A. Focus on empathy
B. Self-awareness
C. Interpersonal dynamics
D. Creativity in problem-solving
ANS: D
______________________________________________________________________________________________
4|Page
