Nursing Leadership & Management NCLEX Exam
Review with Solved Questions
Katherine is a young Unit Manager of the Pediatric Ward. Most of her staff nurses are senior to her, very
articulate, confident and sometimes aggressive. Katherine feels uncomfortable believing that she is the
scapegoat of everything that goes wrong in her department. Which of the following is the best action
that she must take?
A. Identify the source of the conflict and understand the points of friction
B. Disregard what she feels and continue to work independently
C. Seek help from the Director of Nursing
D. Quit her job and look for another employment. - Answer Answer: A. Identify the source of the conflict
and understand the points of friction
This involves a problem solving approach, which addresses the root cause of the problem.
As a young manager, she knows that conflict occurs in any organization. Which of the following
statements regarding conflict is NOT true?
A. Can be destructive if the level is too high
B. Is not beneficial; hence it should be prevented at all times
C. May result in poor performance
D. May create leaders - Answer Answer: B. Is not beneficial; hence it should be prevented at all times
Conflicts are beneficial because it surfaces out issues in the open and can be solved right away. Likewise,
members of the team become more conscientious with their work when they are aware that other
members of the team are watching them.
Katherine tells one of the staff, "I don't have time to discuss the matter with you now. See me in my
office later" when the latter asks if they can talk about an issue. Which of the following conflict
resolution strategies did she use?
A. Smoothing
B. Compromise
, C. Avoidance
D. Restriction - Answer Answer: C. Avoidance
This strategy shuns discussing the issue head-on and prefers to postpone it to a later time. In effect the
problem remains unsolved and both parties are in a lose-lose situation.
Kathleen knows that one of her staff is experiencing burnout. Which of the following is the best thing for
her to do?
A. Advise her staff to go on vacation.
B. Ignore her observations; it will be resolved even without intervention
C. Remind her to show loyalty to the institution.
D. Let the staff ventilate her feelings and ask how she can be of help. - Answer Answer: D. Let the staff
ventilate her feelings and ask how she can be of help.
Reaching out and helping the staff is the most effective strategy in dealing with burn out. Knowing that
someone is ready to help makes the staff feel important; hence her self-worth is enhanced.
She knows that performance appraisal consists of all the following activities EXCEPT:
A. Setting specific standards and activities for individual performance.
B. Using agency standards as a guide.
C. Determine areas of strength and weaknesses
D. Focusing activity on the correction of identified behavior. - Answer Answer: D. Focusing activity on
the correction of identified behavior.
Performance appraisal deal with both positive and negative performance; is not meant to be a fault-
finding activity
Which of the following statements is NOT true about performance appraisal?
A. Informing the staff about the specific impressions of their work help improve their performance.
B. A verbal appraisal is an acceptable substitute for a written report
C. Patients are the best source of information regarding personnel appraisal.
Review with Solved Questions
Katherine is a young Unit Manager of the Pediatric Ward. Most of her staff nurses are senior to her, very
articulate, confident and sometimes aggressive. Katherine feels uncomfortable believing that she is the
scapegoat of everything that goes wrong in her department. Which of the following is the best action
that she must take?
A. Identify the source of the conflict and understand the points of friction
B. Disregard what she feels and continue to work independently
C. Seek help from the Director of Nursing
D. Quit her job and look for another employment. - Answer Answer: A. Identify the source of the conflict
and understand the points of friction
This involves a problem solving approach, which addresses the root cause of the problem.
As a young manager, she knows that conflict occurs in any organization. Which of the following
statements regarding conflict is NOT true?
A. Can be destructive if the level is too high
B. Is not beneficial; hence it should be prevented at all times
C. May result in poor performance
D. May create leaders - Answer Answer: B. Is not beneficial; hence it should be prevented at all times
Conflicts are beneficial because it surfaces out issues in the open and can be solved right away. Likewise,
members of the team become more conscientious with their work when they are aware that other
members of the team are watching them.
Katherine tells one of the staff, "I don't have time to discuss the matter with you now. See me in my
office later" when the latter asks if they can talk about an issue. Which of the following conflict
resolution strategies did she use?
A. Smoothing
B. Compromise
, C. Avoidance
D. Restriction - Answer Answer: C. Avoidance
This strategy shuns discussing the issue head-on and prefers to postpone it to a later time. In effect the
problem remains unsolved and both parties are in a lose-lose situation.
Kathleen knows that one of her staff is experiencing burnout. Which of the following is the best thing for
her to do?
A. Advise her staff to go on vacation.
B. Ignore her observations; it will be resolved even without intervention
C. Remind her to show loyalty to the institution.
D. Let the staff ventilate her feelings and ask how she can be of help. - Answer Answer: D. Let the staff
ventilate her feelings and ask how she can be of help.
Reaching out and helping the staff is the most effective strategy in dealing with burn out. Knowing that
someone is ready to help makes the staff feel important; hence her self-worth is enhanced.
She knows that performance appraisal consists of all the following activities EXCEPT:
A. Setting specific standards and activities for individual performance.
B. Using agency standards as a guide.
C. Determine areas of strength and weaknesses
D. Focusing activity on the correction of identified behavior. - Answer Answer: D. Focusing activity on
the correction of identified behavior.
Performance appraisal deal with both positive and negative performance; is not meant to be a fault-
finding activity
Which of the following statements is NOT true about performance appraisal?
A. Informing the staff about the specific impressions of their work help improve their performance.
B. A verbal appraisal is an acceptable substitute for a written report
C. Patients are the best source of information regarding personnel appraisal.
