Patient Care 3rd Edition Test Bank |
Complete Chapters A+ Guide (ISBN:
9780323625463)
NURSING DELEGATION & MANAGEMENT OF PATIENT CARE
3rd Edition — Test Bank | Chapters 1 Onward
ISBN: 9780323625463
CHAPTER 1: MANAGING, LEADING, AND FOLLOWING
Question 1
Which of the following best describes the primary role of a nurse manager?
A. Providing direct bedside care to all assigned patients
B. Coordinating staff schedules and budgets only
C. Planning, organizing, directing, and controlling resources to achieve
organizational goals
D. Delegating all clinical decisions to the charge nurse
E. Focusing exclusively on staff education and development
CORRECT ANSWER: C RATIONALE: The nurse manager's primary role
encompasses planning, organizing, directing, and controlling human and material
resources to achieve patient care goals. This is the classical management function that
distinguishes a manager from a staff nurse or educator.
Question 2
A new nurse graduate is asked to follow the charge nurse during orientation. Which
behavior BEST demonstrates effective followership?
A. Questioning every decision made by the charge nurse
B. Passively observing without contributing any ideas
C. Actively participating, asking thoughtful questions, and supporting team goals
,D. Taking independent actions without informing the charge nurse
E. Deferring all clinical judgments to the physician
CORRECT ANSWER: C RATIONALE: Effective followers are active participants
who support team goals, ask thoughtful questions, and contribute positively. Good
followership is essential to team success and is considered a foundational nursing
competency.
Question 3
Which leadership style involves making all decisions without input from staff?
A. Autocratic leadership
B. Democratic leadership
C. Laissez-faire leadership
D. Transformational leadership
E. Servant leadership
CORRECT ANSWER: A RATIONALE: Autocratic leadership is characterized by
centralized decision-making where the leader makes all decisions independently without
soliciting input from team members. This style may be effective in emergencies but
reduces staff autonomy.
Question 4
A nurse manager encourages staff to participate in unit decisions and values their input.
This describes which leadership style?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Bureaucratic
E. Transactional
, CORRECT ANSWER: B RATIONALE: Democratic leadership involves sharing
decision-making authority with the group, encouraging participation and valuing staff
input. It promotes staff satisfaction and engagement.
Question 5
Which of the following is a characteristic of transformational leadership?
A. Focuses on maintaining the status quo
B. Uses punishment and reward systems exclusively
C. Inspires and motivates staff toward a shared vision
D. Avoids communication with subordinates
E. Delegates all responsibilities without oversight
CORRECT ANSWER: C RATIONALE: Transformational leaders inspire and
motivate followers by creating a compelling vision, fostering innovation, and
encouraging staff to exceed their own expectations. This style is associated with
positive organizational change.
Question 6
A charge nurse allows staff to make their own decisions with minimal guidance. This is
an example of:
A. Autocratic leadership
B. Transformational leadership
C. Laissez-faire leadership
D. Democratic leadership
E. Servant leadership
CORRECT ANSWER: C RATIONALE: Laissez-faire leadership is characterized
by a hands-off approach where the leader provides minimal direction and allows staff to
function independently. While suitable for highly experienced staff, it may lead to
confusion in less experienced teams.
, Question 7
Which statement best distinguishes management from leadership?
A. Managers inspire people; leaders focus on tasks
B. Management focuses on systems and structures; leadership influences people
toward goals
C. Leadership is a formal role; management is informal
D. Managers work with individuals; leaders work with groups only
E. There is no distinction between management and leadership
CORRECT ANSWER: B RATIONALE: Management is primarily concerned with
organizing, planning, and controlling systems and structures to achieve goals, while
leadership focuses on influencing and inspiring people. Both are necessary in nursing
practice.
Question 8
Which of the following is an example of formal power in nursing leadership?
A. A nurse who is respected for clinical expertise
B. A nurse who mentors peers informally
C. A nurse manager who has authority based on job title
D. A nurse who motivates others through personal charisma
E. A bedside nurse who leads a committee voluntarily
CORRECT ANSWER: C RATIONALE: Formal power is derived from an official
position or title within an organization, such as a nurse manager. Informal power, in
contrast, comes from personal attributes like expertise or charisma.
Question 9
A nurse leader who focuses on the needs of others before their own is demonstrating:
A. Autocratic leadership
B. Transactional leadership
C. Servant leadership