Test Bank for Leading and Managing inhj hj hj hj hj hj
Nursing, 8th Edition by Yoder-Wise | Chapters
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1–25 | Verified Answers | Updated 2025 Edition
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Exam: Leadership and Management in Nursing
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1. A nurse manager is implementing a shared governance model on a medical-surgical
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unit. Which outcome indicates that the model is being successfully adopted?
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A) The nursing staff consistently defer all decisions to the nurse manager.
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B) Staff nurses chair committees focused on quality improvement and scheduling.
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C) The manager creates all policies and procedures without staff input.
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D) The unit relies on agency nurses to fill all staffing gaps.
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Correct Answer: B hj hj
Rationale: Shared governance empowers staff nurses to take ownership of decisions affecting
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their practice, such as leading committees. Options A and C reflect traditional hierarchical
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management, and D does not relate to shared governance.
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2. According to Yoder-Wise, which leadership style is most effective during a sudden
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emergency or crisis situation on a nursing unit?
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A) Laissez-faire
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B) Transformational
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C) Autocratic
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D) Democratic
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,Correct Answer: C hj hj
Rationale: Autocratic leadership allows for rapid, decisive action when time is critical. Laissez-
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faire provides too little direction, democratic is too slow, and transformational is more suitable
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for long-term change.
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3. A nurse is using the "servant leadership" approach. Which action best exemplifies this
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style?
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A) Focusing first on meeting the needs of the nursing team and patients
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B) Exercising formal authority to enforce compliance with hospital policies
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C) Prioritizing personal career advancement over team development
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D) Avoiding involvement in conflict resolution on the unit
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Correct Answer: A hj hj
Rationale: Servant leadership emphasizes putting the needs of others (team and patients) first,
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removing obstacles, and fostering growth. Options B, C, and D contradict this philosophy.
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4. Which of the following best describes the primary purpose of the "situational
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leadership" model in nursing management?
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A) Using the same leadership style for all staff regardless of experience
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B) Adapting the leader’s style based on the competence and commitment of the follower
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C) Replacing all formal leaders with informal leaders on the unit
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D) Focusing exclusively on task completion without regard to relationships
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Correct Answer: B hj hj
Rationale: Situational leadership (Hersey-Blanchard) posits that leaders should adjust their style
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(telling, selling, participating, delegating) based on followers’ readiness. A, C, and D
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misrepresent the model.
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5. A staff nurse recognizes a potential medication error before it reaches the patient and
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reports it through the hospital’s safety reporting system. The unit manager’s best
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response is to:
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A) Discipline the nurse for nearly making an error.
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B) Praise the nurse for identifying a “near miss” and analyze the system cause.
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C) Ignore the report because no harm occurred.
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D) Assign the nurse to a different unit as a precaution.
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Correct Answer: B hj hj
Rationale: Just culture principles encourage reporting near misses to improve system safety.
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, Disciplining (A) or ignoring (C) decreases future reporting. Moving the nurse (D) does not
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address system issues.
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6. Which of the following is a key component of “transformational leadership” as applied
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to nursing?
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A) Maintaining the status quo and avoiding change
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B) Using rewards and punishments to control staff behavior
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C) Inspiring and motivating staff toward a shared vision of excellence
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D) Delegating all leadership responsibilities to external consultants
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Correct Answer: C hj hj
Rationale: Transformational leadership focuses on inspiration, intellectual stimulation,
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individualized consideration, and idealized influence. A describes transactional leadership, and
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B is closer to management by exception.
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7. A nurse manager is analyzing the budget and notices that overtime costs have
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increased significantly for three consecutive months. The manager’s first step should be
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to:
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A) Immediately cut all overtime without further analysis.
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B) Gather data on staffing patterns, sick calls, and patient acuity.
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C) Blame the night shift for inefficiency.
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D) Request an emergency budget increase from administration.
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Correct Answer: B hj hj
Rationale: Effective management requires data-driven decision-making. Assessing root causes
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(acuity, absences, scheduling) must precede action. Options A, C, and D are reactive or punitive.
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8. In the context of conflict resolution, a nurse who says, “I feel frustrated when I receive
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incomplete handoff reports because it compromises patient safety. Let’s develop a
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standardized checklist” is using which conflict management style?
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A) Avoiding
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B) Competing
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C) Collaborating
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D) Accommodating
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Correct Answer: C hj hj
Rationale: Collaborating involves assertiveness and cooperation to find a win-win solution.
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Avoiding ignores conflict, competing is win-lose, and accommodating is lose-win.
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, 9. Which statement by a new graduate nurse indicates an understanding of the
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difference between leadership and management?
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A) “Leadership requires a formal position of authority, but management does not.”
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B) “Managers focus on maintaining systems and resources; leaders focus on vision and change.”
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C) “Only nurse managers can be leaders in a healthcare organization.”
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D) “Leadership and management are exactly the same skill set.”
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Correct Answer: B hj hj
Rationale: Management emphasizes planning, budgeting, organizing, and controlling;
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leadership emphasizes setting direction, aligning people, and motivating. A and C are false, D is
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incorrect.
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10. A nursing unit has high staff turnover and low morale. The nurse leader decides to
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implement a shared decision-making council. This intervention primarily addresses
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which level of the work environment?
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A) Structural empowerment
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B) Physical safety hazards
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C) Payroll processes
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D) Patient discharge planning
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Correct Answer: A hj hj
Rationale: Shared decision-making councils provide structural empowerment (access to
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resources, information, support, and opportunity). They do not directly address physical
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hazards, payroll, or discharge planning.
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11. Which of the following is an example of “ethical leadership” in nursing?
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A) Falsifying staffing records to meet budget targets
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B) Allowing unsafe patient ratios because no policy prohibits them
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C) Advocating for adequate staffing based on patient acuity and professional standards
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D) Assigning unlicensed personnel to perform complex assessments without supervision
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Correct Answer: C hj hj
Rationale: Ethical leadership involves advocating for safe, quality care based on professional
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standards and moral principles. A and D are unethical, and B ignores patient safety.
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Nursing, 8th Edition by Yoder-Wise | Chapters
hj hj hj hj hj hj hj
1–25 | Verified Answers | Updated 2025 Edition
hj hj hj hj hj hj hj hj
Exam: Leadership and Management in Nursing
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1. A nurse manager is implementing a shared governance model on a medical-surgical
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unit. Which outcome indicates that the model is being successfully adopted?
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A) The nursing staff consistently defer all decisions to the nurse manager.
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B) Staff nurses chair committees focused on quality improvement and scheduling.
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C) The manager creates all policies and procedures without staff input.
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D) The unit relies on agency nurses to fill all staffing gaps.
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Correct Answer: B hj hj
Rationale: Shared governance empowers staff nurses to take ownership of decisions affecting
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their practice, such as leading committees. Options A and C reflect traditional hierarchical
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management, and D does not relate to shared governance.
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2. According to Yoder-Wise, which leadership style is most effective during a sudden
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emergency or crisis situation on a nursing unit?
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A) Laissez-faire
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B) Transformational
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C) Autocratic
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D) Democratic
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,Correct Answer: C hj hj
Rationale: Autocratic leadership allows for rapid, decisive action when time is critical. Laissez-
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faire provides too little direction, democratic is too slow, and transformational is more suitable
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for long-term change.
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3. A nurse is using the "servant leadership" approach. Which action best exemplifies this
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style?
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A) Focusing first on meeting the needs of the nursing team and patients
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B) Exercising formal authority to enforce compliance with hospital policies
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C) Prioritizing personal career advancement over team development
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D) Avoiding involvement in conflict resolution on the unit
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Correct Answer: A hj hj
Rationale: Servant leadership emphasizes putting the needs of others (team and patients) first,
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removing obstacles, and fostering growth. Options B, C, and D contradict this philosophy.
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4. Which of the following best describes the primary purpose of the "situational
hj hj hj hj hj hj hj hj hj hj hj hj
leadership" model in nursing management?
hj hj hj hj hj
A) Using the same leadership style for all staff regardless of experience
hj hj hj hj hj hj hj hj hj hj hj
B) Adapting the leader’s style based on the competence and commitment of the follower
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C) Replacing all formal leaders with informal leaders on the unit
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D) Focusing exclusively on task completion without regard to relationships
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Correct Answer: B hj hj
Rationale: Situational leadership (Hersey-Blanchard) posits that leaders should adjust their style
hj hj hj hj hj hj hj hj hj hj
(telling, selling, participating, delegating) based on followers’ readiness. A, C, and D
hj hj hj hj hj hj hj hj hj hj hj hj
misrepresent the model.
hj hj hj
5. A staff nurse recognizes a potential medication error before it reaches the patient and
hj hj hj hj hj hj hj hj hj hj hj hj hj hj
reports it through the hospital’s safety reporting system. The unit manager’s best
hj hj hj hj hj hj hj hj hj hj hj hj
response is to:
hj hj hj
A) Discipline the nurse for nearly making an error.
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B) Praise the nurse for identifying a “near miss” and analyze the system cause.
hj hj hj hj hj hj hj hj hj hj hj hj hj
C) Ignore the report because no harm occurred.
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D) Assign the nurse to a different unit as a precaution.
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Correct Answer: B hj hj
Rationale: Just culture principles encourage reporting near misses to improve system safety.
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, Disciplining (A) or ignoring (C) decreases future reporting. Moving the nurse (D) does not
hj hj hj hj hj hj hj hj hj hj hj hj hj hj
address system issues.
hj hj hj
6. Which of the following is a key component of “transformational leadership” as applied
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to nursing?
hj hj
A) Maintaining the status quo and avoiding change
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B) Using rewards and punishments to control staff behavior
hj hj hj hj hj hj hj hj
C) Inspiring and motivating staff toward a shared vision of excellence
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D) Delegating all leadership responsibilities to external consultants
hj hj hj hj hj hj hj
Correct Answer: C hj hj
Rationale: Transformational leadership focuses on inspiration, intellectual stimulation,
hj hj hj hj hj hj hj
individualized consideration, and idealized influence. A describes transactional leadership, and
hj hj hj hj hj hj hj hj hj hj
B is closer to management by exception.
hj hj hj hj hj hj hj
7. A nurse manager is analyzing the budget and notices that overtime costs have
hj hj hj hj hj hj hj hj hj hj hj hj hj
increased significantly for three consecutive months. The manager’s first step should be
hj hj hj hj hj hj hj hj hj hj hj hj
to:
hj
A) Immediately cut all overtime without further analysis.
hj hj hj hj hj hj hj
B) Gather data on staffing patterns, sick calls, and patient acuity.
hj hj hj hj hj hj hj hj hj hj
C) Blame the night shift for inefficiency.
hj hj hj hj hj hj
D) Request an emergency budget increase from administration.
hj hj hj hj hj hj hj
Correct Answer: B hj hj
Rationale: Effective management requires data-driven decision-making. Assessing root causes
hj hj hj hj hj hj hj hj
(acuity, absences, scheduling) must precede action. Options A, C, and D are reactive or punitive.
hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj
8. In the context of conflict resolution, a nurse who says, “I feel frustrated when I receive
hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj
incomplete handoff reports because it compromises patient safety. Let’s develop a
hj hj hj hj hj hj hj hj hj hj hj
standardized checklist” is using which conflict management style?
hj hj hj hj hj hj hj hj
A) Avoiding
hj
B) Competing
hj
C) Collaborating
hj
D) Accommodating
hj
Correct Answer: C hj hj
Rationale: Collaborating involves assertiveness and cooperation to find a win-win solution.
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Avoiding ignores conflict, competing is win-lose, and accommodating is lose-win.
hj hj hj hj hj hj hj hj hj hj
, 9. Which statement by a new graduate nurse indicates an understanding of the
hj hj hj hj hj hj hj hj hj hj hj hj
difference between leadership and management?
hj hj hj hj hj
A) “Leadership requires a formal position of authority, but management does not.”
hj hj hj hj hj hj hj hj hj hj hj
B) “Managers focus on maintaining systems and resources; leaders focus on vision and change.”
hj hj hj hj hj hj hj hj hj hj hj hj hj
C) “Only nurse managers can be leaders in a healthcare organization.”
hj hj hj hj hj hj hj hj hj hj
D) “Leadership and management are exactly the same skill set.”
hj hj hj hj hj hj hj hj hj
Correct Answer: B hj hj
Rationale: Management emphasizes planning, budgeting, organizing, and controlling;
hj hj hj hj hj hj hj
leadership emphasizes setting direction, aligning people, and motivating. A and C are false, D is
hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj
incorrect.
hj
10. A nursing unit has high staff turnover and low morale. The nurse leader decides to
hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj
implement a shared decision-making council. This intervention primarily addresses
hj hj hj hj hj hj hj hj hj
which level of the work environment?
hj hj hj hj hj hj
A) Structural empowerment
hj hj
B) Physical safety hazards
hj hj hj
C) Payroll processes
hj hj
D) Patient discharge planning
hj hj hj
Correct Answer: A hj hj
Rationale: Shared decision-making councils provide structural empowerment (access to
hj hj hj hj hj hj hj hj
resources, information, support, and opportunity). They do not directly address physical
hj hj hj hj hj hj hj hj hj hj hj
hazards, payroll, or discharge planning.
hj hj hj hj hj
11. Which of the following is an example of “ethical leadership” in nursing?
hj hj hj hj hj hj hj hj hj hj hj hj
A) Falsifying staffing records to meet budget targets
hj hj hj hj hj hj hj
B) Allowing unsafe patient ratios because no policy prohibits them
hj hj hj hj hj hj hj hj hj
C) Advocating for adequate staffing based on patient acuity and professional standards
hj hj hj hj hj hj hj hj hj hj hj
D) Assigning unlicensed personnel to perform complex assessments without supervision
hj hj hj hj hj hj hj hj hj
Correct Answer: C hj hj
Rationale: Ethical leadership involves advocating for safe, quality care based on professional
hj hj hj hj hj hj hj hj hj hj hj
standards and moral principles. A and D are unethical, and B ignores patient safety.
hj hj hj hj hj hj hj hj hj hj hj hj hj hj
