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Chapter 01: Leadership and Management Principles
ss ss ss ss ss
Test Bank
ss ss
MULTIPLE CHOICE ss
1. Leadership is best defined as: ss ss ss ss
a. an interpersonal process of participating by encouraging fellowship.
ss ss ss ss ss ss ss
b. delegation of authority and responsibility and the coordination of activities. ss ss ss ss ss ss ss ss ss
c. inspiring people to accomplish goals through support and confidence building.
ss ss ss ss ss ss ss ss ss
d. the integration of resources through planning, organizing, and directing.
ss ss ss ss ss ss ss ss
ANS: s s C
Leadership is the process of influencing people to accomplish goals by inspiring confidence
ss ss ss ss ss ss ss ss ss ss ss ss
and support among followers.
ss ss ss ss
DIF: Cognitive Level: Remember (Knowledge) REF: Page ss ss ss s s
4 TOP: Nursing Process: Assessment
ss ss s s ss ss
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
s s ss ss ss ss ss ss ss ss ss
2. A medical-surgical unit reports higher rates of patient satisfaction coupled with high rates
ss ss ss ss ss ss ss ss ss ss ss ss
ss of staff satisfaction and productivity. Which of the following is attributed to the data?
ss ss ss ss ss ss ss ss ss ss ss ss ss
a. Effective leadership ss
b. Management involvement ss
c. Mentoring
d. Rewards and recognition ss ss
ANS: s s A
Effective leadership is important in nursing because of the impact on nurses‘ work lives, it
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
being a stabilizing influence during change, and for nurses‘ productivity and quality of care.
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
DIF: Cognitive Level: Apply (Application) REF: Page ss ss ss s s
1 TOP: Nursing Process: Assessment
ss ss s s ss ss
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
s s ss ss ss ss ss ss ss ss ss
3. A staff registered nurse (RN) is leading a multidisciplinary clinical pathway team in
ss ss ss ss ss ss ss ss ss ss ss ss
the development of care for patients with total knee replacement. Which of the
ss ss ss ss ss ss ss ss ss ss ss ss ss
following statements would exemplify leadership behaviors in a clinical pathway
ss ss ss ss ss ss ss ss ss ss
team meeting?
ss ss
a. ―Nursing is responsible for pain control of the total knee replacement patient.‖
ss ss ss ss ss ss ss ss ss ss ss
b. ―Our pharmacist has provided some excellent pain control literature.‖
ss ss ss ss ss ss ss ss
c. ―Physical therapy‘s expertise is in rehabilitation, not pain control.‖ ss ss ss ss ss ss ss ss
d. ―Total knee replacement patients require optimal pain control.‖
ss ss ss ss ss ss ss
ANS: s s B
Leadership is the process of influencing people to accomplish goals by inspiring
ss ss ss ss ss ss ss ss ss ss ss
confidence and support among followers. The correct answer is supportive of a team
ss ss ss ss ss ss ss ss ss ss ss ss ss
member‘s work and depicts some skill at interpersonal relationships.
ss ss ss ss ss ss ss ss ss
DIF: Cognitive Level: Apply (Application) REF: Pages 3- ss ss ss s s ss
4 TOP: Nursing Process: Assessment
ss s s ss ss
MSC: Client Needs: Physiological Integrity: Pharmacological and Parenteral Therapies
ss ss ss ss ss ss ss ss
pg. 2
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4. Which of the following is true of management activities?
ss ss ss ss ss ss ss ss
a. Inspiring a vision is a management function. ss ss ss ss ss ss
b. Management is focused on task accomplishment. ss ss ss ss ss
c. Management is more focused on human relationships. ss ss ss ss ss ss
d. Management is more important than leadership. ss ss ss ss ss
ANS: s s B
Management is focused on task accomplishment. ss ss ss ss ss
DIF: Cognitive Level: Remember (Knowledge) REF: Pages 2- ss ss ss s s ss
3 TOP: Nursing Process: Assessment
ss s s ss ss
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
s s ss ss ss ss ss ss ss ss ss
5. During a staff meeting, a group of RNs has complained that medications are not arriving
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
to the unit in a timely manner. The nurse manager suggests that the group resolve this
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
issue through the development and work of a multidisciplinary team led by one of these
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
RNs. This scenario demonstrates:
ss ss ss ss
a. adaptation.
b. empowerment.
c. flexibility.
d. relationship management. ss
ANS: s s B
Empowerment is the giving of authority, responsibility, and the freedom to act. In ss ss ss ss ss ss ss ss ss ss ss ss
this situation, the manager has given authority, responsibility, and the freedom to act
ss ss ss ss ss ss ss ss ss ss ss ss ss
in the investigation and resolution of this issue.
ss ss ss ss ss ss ss ss
DIF: Cognitive Level: Apply (Application) REF: Page ss ss ss s s
5 TOP: Nursing Process: Assessment
ss ss s s ss ss
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
s s ss ss ss ss ss ss ss ss ss
6. A nurse is caring for an elderly patient who was admitted after sustaining a fall at home.
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
When creating a care plan for the patient, she requests that the doctor order a home health
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
visit to assess for home safety and medication compliance. In addition, the nurse is
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
concerned about the nutrition of the patient and requests a dietitian evaluation. The nurse
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
is demonstrating which of the following leadership skills?
ss ss ss ss ss ss ss ss
a. Care provider ss
b. Business principles ss
c. Care coordination ss
d. Change management ss
ANS: s s C
Care coordination is the delivery of nursing services that involves the organization
ss ss ss ss ss ss ss ss ss ss ss
and coordination of complex activities. The nurse uses managerial and leadership
ss ss ss ss ss ss ss ss ss ss ss
skills to facilitate delivery of quality care.
ss ss ss ss ss ss ss
DIF: Cognitive Level: Apply (Application) REF: Page ss ss ss s s
3 TOP: Nursing Process: Planning
ss ss s s ss ss
MSC: Client Needs: Physiological Integrity: Reduction of Risk Potential
ss ss ss ss ss ss ss ss
7. Interpersonal communication and the ability to apply ss ss ss ss ss ss ss are two critical skills every nurse
ss ss ss ss ss
ss needs to enhance professional practice.
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pg. 3
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Chapter 01: Leadership and Management Principles
ss ss ss ss ss
Test Bank
ss ss
MULTIPLE CHOICE ss
1. Leadership is best defined as: ss ss ss ss
a. an interpersonal process of participating by encouraging fellowship.
ss ss ss ss ss ss ss
b. delegation of authority and responsibility and the coordination of activities. ss ss ss ss ss ss ss ss ss
c. inspiring people to accomplish goals through support and confidence building.
ss ss ss ss ss ss ss ss ss
d. the integration of resources through planning, organizing, and directing.
ss ss ss ss ss ss ss ss
ANS: s s C
Leadership is the process of influencing people to accomplish goals by inspiring confidence
ss ss ss ss ss ss ss ss ss ss ss ss
and support among followers.
ss ss ss ss
DIF: Cognitive Level: Remember (Knowledge) REF: Page ss ss ss s s
4 TOP: Nursing Process: Assessment
ss ss s s ss ss
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
s s ss ss ss ss ss ss ss ss ss
2. A medical-surgical unit reports higher rates of patient satisfaction coupled with high rates
ss ss ss ss ss ss ss ss ss ss ss ss
ss of staff satisfaction and productivity. Which of the following is attributed to the data?
ss ss ss ss ss ss ss ss ss ss ss ss ss
a. Effective leadership ss
b. Management involvement ss
c. Mentoring
d. Rewards and recognition ss ss
ANS: s s A
Effective leadership is important in nursing because of the impact on nurses‘ work lives, it
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
being a stabilizing influence during change, and for nurses‘ productivity and quality of care.
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
DIF: Cognitive Level: Apply (Application) REF: Page ss ss ss s s
1 TOP: Nursing Process: Assessment
ss ss s s ss ss
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
s s ss ss ss ss ss ss ss ss ss
3. A staff registered nurse (RN) is leading a multidisciplinary clinical pathway team in
ss ss ss ss ss ss ss ss ss ss ss ss
the development of care for patients with total knee replacement. Which of the
ss ss ss ss ss ss ss ss ss ss ss ss ss
following statements would exemplify leadership behaviors in a clinical pathway
ss ss ss ss ss ss ss ss ss ss
team meeting?
ss ss
a. ―Nursing is responsible for pain control of the total knee replacement patient.‖
ss ss ss ss ss ss ss ss ss ss ss
b. ―Our pharmacist has provided some excellent pain control literature.‖
ss ss ss ss ss ss ss ss
c. ―Physical therapy‘s expertise is in rehabilitation, not pain control.‖ ss ss ss ss ss ss ss ss
d. ―Total knee replacement patients require optimal pain control.‖
ss ss ss ss ss ss ss
ANS: s s B
Leadership is the process of influencing people to accomplish goals by inspiring
ss ss ss ss ss ss ss ss ss ss ss
confidence and support among followers. The correct answer is supportive of a team
ss ss ss ss ss ss ss ss ss ss ss ss ss
member‘s work and depicts some skill at interpersonal relationships.
ss ss ss ss ss ss ss ss ss
DIF: Cognitive Level: Apply (Application) REF: Pages 3- ss ss ss s s ss
4 TOP: Nursing Process: Assessment
ss s s ss ss
MSC: Client Needs: Physiological Integrity: Pharmacological and Parenteral Therapies
ss ss ss ss ss ss ss ss
pg. 2
ss
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Material
4. Which of the following is true of management activities?
ss ss ss ss ss ss ss ss
a. Inspiring a vision is a management function. ss ss ss ss ss ss
b. Management is focused on task accomplishment. ss ss ss ss ss
c. Management is more focused on human relationships. ss ss ss ss ss ss
d. Management is more important than leadership. ss ss ss ss ss
ANS: s s B
Management is focused on task accomplishment. ss ss ss ss ss
DIF: Cognitive Level: Remember (Knowledge) REF: Pages 2- ss ss ss s s ss
3 TOP: Nursing Process: Assessment
ss s s ss ss
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
s s ss ss ss ss ss ss ss ss ss
5. During a staff meeting, a group of RNs has complained that medications are not arriving
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
to the unit in a timely manner. The nurse manager suggests that the group resolve this
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
issue through the development and work of a multidisciplinary team led by one of these
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
RNs. This scenario demonstrates:
ss ss ss ss
a. adaptation.
b. empowerment.
c. flexibility.
d. relationship management. ss
ANS: s s B
Empowerment is the giving of authority, responsibility, and the freedom to act. In ss ss ss ss ss ss ss ss ss ss ss ss
this situation, the manager has given authority, responsibility, and the freedom to act
ss ss ss ss ss ss ss ss ss ss ss ss ss
in the investigation and resolution of this issue.
ss ss ss ss ss ss ss ss
DIF: Cognitive Level: Apply (Application) REF: Page ss ss ss s s
5 TOP: Nursing Process: Assessment
ss ss s s ss ss
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
s s ss ss ss ss ss ss ss ss ss
6. A nurse is caring for an elderly patient who was admitted after sustaining a fall at home.
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
When creating a care plan for the patient, she requests that the doctor order a home health
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
visit to assess for home safety and medication compliance. In addition, the nurse is
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
concerned about the nutrition of the patient and requests a dietitian evaluation. The nurse
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
is demonstrating which of the following leadership skills?
ss ss ss ss ss ss ss ss
a. Care provider ss
b. Business principles ss
c. Care coordination ss
d. Change management ss
ANS: s s C
Care coordination is the delivery of nursing services that involves the organization
ss ss ss ss ss ss ss ss ss ss ss
and coordination of complex activities. The nurse uses managerial and leadership
ss ss ss ss ss ss ss ss ss ss ss
skills to facilitate delivery of quality care.
ss ss ss ss ss ss ss
DIF: Cognitive Level: Apply (Application) REF: Page ss ss ss s s
3 TOP: Nursing Process: Planning
ss ss s s ss ss
MSC: Client Needs: Physiological Integrity: Reduction of Risk Potential
ss ss ss ss ss ss ss ss
7. Interpersonal communication and the ability to apply ss ss ss ss ss ss ss are two critical skills every nurse
ss ss ss ss ss
ss needs to enhance professional practice.
ss ss ss ss
pg. 3
ss
