LEADERSHIP ROLES AND MANAGEMENT
FUNCTIONS IN NURSING
THEORY AND APPLICATION
11TH EDITION
• AUTHOR(S)CAROL J. HUSTON
TEST BANK
1)
Reference: Ch. 1 — Decision Making, Problem Solving, Critical
Thinking, and Clinical Reasoning — Defining objectives clearly
Stem: As nurse manager of a med-surg unit, you must redesign
admission workflow to reduce delays. Before convening staff,
you outline three measurable goals: decrease admission time
by 20% within 3 months, improve patient satisfaction scores on
admissions by one point, and reduce documentation errors by
30%. Which next action best demonstrates clear objective
definition and supports decision-making?
,A. Ask staff at the meeting to propose goals based on their
experiences.
B. Finalize and circulate the three measurable goals with
baseline data and timelines.
C. Start a pilot of new admission paperwork on one shift
immediately.
D. Delegate the task to the clinical nurse specialist and review
results later.
Correct answer: B
Rationale — Correct: Circulating finalized, measurable goals
with baseline data and timelines sets explicit targets, aligns
stakeholders, and provides the data necessary for evaluating
changes — core to Huston’s emphasis on defining objectives
clearly for effective decision making.
Rationale — A: Soliciting staff input is valuable but leaving goals
undefined at the start delays clear accountability and
measurement.
Rationale — C: Piloting without agreed objectives and baseline
comparison risks inconclusive results.
Rationale — D: Delegation without leader-led alignment
reduces transparency and may fragment ownership.
Teaching Point: Clear, measurable objectives + baseline data
enable focused decisions.
Citation: Huston, C. J. (2024). Leadership Roles and
Management Functions in Nursing (11th ed.). Ch. 1.
,2)
Reference: Ch. 1 — Decision Making, Problem Solving, Critical
Thinking, and Clinical Reasoning — Gather data carefully
Stem: A unit shows increased falls over the past month. As
charge nurse, you begin investigating. Which initial data
collection approach best supports evidence-based problem
solving?
A. Interview the three nurses who worked the shifts when falls
occurred and accept their recollections.
B. Review incident reports, medication profiles, staffing levels,
and patient acuity for the affected shifts.
C. Hold a unit huddle and request staff to avoid documenting
near-misses to reduce alarm.
D. Implement hourly rounding on all patients immediately
without further data review.
Correct answer: B
Rationale — Correct: Comprehensive review of incident
reports, medications, staffing, and acuity gathers objective,
multi-source data necessary for root-cause analysis, aligning
with Huston’s directive to gather data carefully.
Rationale — A: Interviews are useful but relying solely on
recollection risks bias and incomplete information.
Rationale — C: Encouraging reduced documentation is
unethical and undermines data integrity.
Rationale — D: Hourly rounding may be beneficial but should
follow identification of root causes and targeted interventions.
Teaching Point: Use multiple objective data sources before
, acting.
Citation: Huston, C. J. (2024). … Ch. 1.
3)
Reference: Ch. 1 — Decision Making… — Use an evidence-
based approach
Stem: A nurse proposes a new handoff checklist she read about
online to reduce information loss. As nurse leader, how should
you evaluate and implement this suggestion?
A. Approve immediate unit-wide use—any checklist improves
handoffs.
B. Compare the checklist to published evidence, pilot it, and
measure handoff errors before scaling.
C. Reject it because change may upset staff routines.
D. Require staff to memorize the checklist without piloting.
Correct answer: B
Rationale — Correct: Huston emphasizes evidence-based
approaches: appraise literature, pilot interventions, measure
outcomes, then scale—balancing innovation with evaluation.
Rationale — A: Immediate full implementation lacks evaluation
and may introduce unintended consequences.
Rationale — C: Dismissing innovations without review
discourages vicarious learning and improvement.
Rationale — D: Mandating memorization without testing
effectiveness risks low adherence and uncertain benefit.
Teaching Point: Pilot and measure before unit-wide
FUNCTIONS IN NURSING
THEORY AND APPLICATION
11TH EDITION
• AUTHOR(S)CAROL J. HUSTON
TEST BANK
1)
Reference: Ch. 1 — Decision Making, Problem Solving, Critical
Thinking, and Clinical Reasoning — Defining objectives clearly
Stem: As nurse manager of a med-surg unit, you must redesign
admission workflow to reduce delays. Before convening staff,
you outline three measurable goals: decrease admission time
by 20% within 3 months, improve patient satisfaction scores on
admissions by one point, and reduce documentation errors by
30%. Which next action best demonstrates clear objective
definition and supports decision-making?
,A. Ask staff at the meeting to propose goals based on their
experiences.
B. Finalize and circulate the three measurable goals with
baseline data and timelines.
C. Start a pilot of new admission paperwork on one shift
immediately.
D. Delegate the task to the clinical nurse specialist and review
results later.
Correct answer: B
Rationale — Correct: Circulating finalized, measurable goals
with baseline data and timelines sets explicit targets, aligns
stakeholders, and provides the data necessary for evaluating
changes — core to Huston’s emphasis on defining objectives
clearly for effective decision making.
Rationale — A: Soliciting staff input is valuable but leaving goals
undefined at the start delays clear accountability and
measurement.
Rationale — C: Piloting without agreed objectives and baseline
comparison risks inconclusive results.
Rationale — D: Delegation without leader-led alignment
reduces transparency and may fragment ownership.
Teaching Point: Clear, measurable objectives + baseline data
enable focused decisions.
Citation: Huston, C. J. (2024). Leadership Roles and
Management Functions in Nursing (11th ed.). Ch. 1.
,2)
Reference: Ch. 1 — Decision Making, Problem Solving, Critical
Thinking, and Clinical Reasoning — Gather data carefully
Stem: A unit shows increased falls over the past month. As
charge nurse, you begin investigating. Which initial data
collection approach best supports evidence-based problem
solving?
A. Interview the three nurses who worked the shifts when falls
occurred and accept their recollections.
B. Review incident reports, medication profiles, staffing levels,
and patient acuity for the affected shifts.
C. Hold a unit huddle and request staff to avoid documenting
near-misses to reduce alarm.
D. Implement hourly rounding on all patients immediately
without further data review.
Correct answer: B
Rationale — Correct: Comprehensive review of incident
reports, medications, staffing, and acuity gathers objective,
multi-source data necessary for root-cause analysis, aligning
with Huston’s directive to gather data carefully.
Rationale — A: Interviews are useful but relying solely on
recollection risks bias and incomplete information.
Rationale — C: Encouraging reduced documentation is
unethical and undermines data integrity.
Rationale — D: Hourly rounding may be beneficial but should
follow identification of root causes and targeted interventions.
Teaching Point: Use multiple objective data sources before
, acting.
Citation: Huston, C. J. (2024). … Ch. 1.
3)
Reference: Ch. 1 — Decision Making… — Use an evidence-
based approach
Stem: A nurse proposes a new handoff checklist she read about
online to reduce information loss. As nurse leader, how should
you evaluate and implement this suggestion?
A. Approve immediate unit-wide use—any checklist improves
handoffs.
B. Compare the checklist to published evidence, pilot it, and
measure handoff errors before scaling.
C. Reject it because change may upset staff routines.
D. Require staff to memorize the checklist without piloting.
Correct answer: B
Rationale — Correct: Huston emphasizes evidence-based
approaches: appraise literature, pilot interventions, measure
outcomes, then scale—balancing innovation with evaluation.
Rationale — A: Immediate full implementation lacks evaluation
and may introduce unintended consequences.
Rationale — C: Dismissing innovations without review
discourages vicarious learning and improvement.
Rationale — D: Mandating memorization without testing
effectiveness risks low adherence and uncertain benefit.
Teaching Point: Pilot and measure before unit-wide
