NURS 3325 ACTUAL EXAMS SCRIPT QUESTIONS
AND ANSWERS SET A+
✔✔A unit manager watches a new RN graduate interacting with a patient. When the RN
comes out of the room, the unit manager says, "I don't know what they taught you in
your nursing program, but if I see you do that again, I will write you up." This example
demonstrates:
a. Coercive use of power.
b. Appropriate application of control.
c. Use of informatory power.
d. Use of power to provide coaching. - ✔✔A
✔✔You have been offered a position as a head nurse in the ED. You understand that:
a. You have stature and power by accepting the position.
b. You have stature but no power at this point in your position.
c. As a result of your position, you will need to keep much knowledge to yourself.
d. Knowledge is assumed as a result of your position. - ✔✔B
✔✔Susan, an RN in the ED, would like to pursue leadership roles in her career. She is
frustrated that others in her working environment seem to pay little attention to her
creative ideas or place her in informal leadership positions. As her colleague, you want
to provide her with helpful feedback. Which of the following statements will provide
feedback as to how she might communicate power and demonstrate that she is capable
of handling other leadership responsibilities?
a. "I find your soft voice and manners very reassuring and calming to patients."
b. "Try using a wider vocabulary and big words so that people will think that you are
knowledgeable."
c. "At times, you tend to slump and avoid eye contact when you are talking with
colleagues and families."
d. "Don't worry about what others think of you. If you feel like saying something, say it,
even if it hurts other people's feelings." - ✔✔C
,✔✔As the nurse manager who wants to increase motivation by providing motivating
factors, which action would you select?
a. Collaborate with the human resource/personnel department to develop on-site
daycare services.
b. Provide a hierarchical organizational structure.
c. Implement a model of shared governance.
d. Promote the development of a flexible benefits package. - ✔✔C
✔✔Sarah wonders about the direction that you have given regarding management of
incontinent, confused patients. She brings you evidence that she has found regarding
incontinence interventions and asks you if she and you could talk about the guidance
that you have given after you have had an opportunity to read the articles she has given
you. This is an example of (select all that apply):
a. Assertiveness.
b. Followership.
c. Management.
d. Insubordination. - ✔✔AB
✔✔As a leader on a rehab unit, you encourage all staff members to see themselves as
having a role in decision making and quality care. You see your role as involving
particular responsibilities in decision making but not as a hierarchal role. This view of
decision making and leadership is consistent with:
a. Trait theories.
b. Complexity theory.
c. Situated theory.
d. Emotional intelligence. - ✔✔B
✔✔A dispute arises between an RN staff member and an LPN over a patient issue. The
tension between the two begins to affect other staff members, who are drawn into the
conflict; eventually, the team becomes polarized toward either the RN or the LPN. This
situation might have been prevented through:
a. Expediency in responding to the initial dispute, once it became apparent that it could
not be resolved by the two parties themselves.
b. Asking other staff members what the real issues were in the dispute between the RN
and the LPN.
c. Reassigning one of the parties to another unit when it became apparent that the two
individuals could not resolve the dispute themselves.
d. Calling a staff meeting at the onset of the dispute to allow the team and the RN and
LPN to discuss the initial dispute. - ✔✔A
✔✔According to the complexity theory, which of the following should be the focus of
measurement?
a. Cost per hospital day
b. Bed utilization
c. Infection rates
,d. Staff morale and budgets - ✔✔D
✔✔As a nurse, you are responsible for teaching ostomy patients self-management skills
postoperatively. Mr. Jones is 2 days postoperative after an abdominal perineal
resection. In spite of patient-controlled analgesia, Mr. Jones acknowledges inadequate
pain relief and rates his pain as an 8, utilizing a 0-to-10 pain scale. When you approach
him for teaching, he turns away and closes his eyes. Which approach incorporating
Maslow's hierarchy of needs motivational theory is most appropriate in this situation?
a. Tell him you will let him rest today and see if he is feeling better tomorrow.
b. Intervene to improve his pain management control and return later in the day to
reassess his readiness to learn.
c. Talk to the social worker about arranging home healthcare services at discharge to
assist with teaching.
d. Gently approach Mr. Jones and inform him of the importance of participating in
postoperative teaching today beca - ✔✔B
✔✔You overhear a newly graduated RN telling one of your colleagues that leadership
and management belong to the unit manager and not to her. As a nursing colleague,
your response demonstrates understanding that the perception of the new graduate:
a. Is correct. Leadership is not the role of the staff nurse.
b. Would benefit from further understanding of her role as a professional, whose
influence may affect the decision making of patients, colleagues, and other
professionals.
c. Has been influenced by nurse leaders and managers who leave for other positions.
d. Is related to the general perception that nurse leaders and managers are not satisfied
in their jobs. - ✔✔B
✔✔You pull staff together to assess a situation in which the family of a seriously ill
patient is anxious and is absorbing a great deal of staff time in consultation, discussion,
and questioning of treatment decisions. Staff members are becoming distanced from
the family. After inviting the concerns of staff, you explain that the organization values
patient-centered care and suggest that evidence supports that acting as an advocate
and a listener is helpful to families. You ask the staff for ideas as to strategies that are
effectively patient-centered in these situations. In this situation, you are taking on which
role?
a. Leadership
b. Management
c. Follower
d. Visionary - ✔✔A
✔✔In response to the situation in Question 15, you approach the unit manager to
apprise her of your concerns that the family dynamics of the patient involved may lead
to staff-family and patient-family conflicts. You suggest that the physician may need to
discuss the treatment plan with the family. The unit manager advises that he will
arrange this discussion. If, after the meeting with family members, this is identified as a
, desired approach, you support the manager's decision. Your actions indicate that you
are acting in what role?
a. Leadership
b. Management
c. Follower
d. Evidence-based - ✔✔C
✔✔Joan, the nursing unit manager, finds it difficult to work with Thomas, a new
graduate. Thomas has many ideas, and his manner of presenting them irks Joan. After
reflection and discussion with others, Joan recognizes that she also feels threatened by
his behavior. She comes to understand that Thomas is trying to establish his own role
on the unit, is not trying to challenge her, and needs guidance, coaching, and
affirmation. Joan is demonstrating:
a. A positive self-concept.
b. Deepening self-awareness.
c. Leadership.
d. Acquiescence. - ✔✔B
✔✔The unit is shifting from primary nursing to a team model in an effort to contain
costs. Staff members are angry and ask for a meeting to discuss the change. After
hearing their concerns related to reduction in professional autonomy and care quality,
you:
a. Acknowledge the loss.
b. Explain the reasons for change, emphasizing the need to reduce costs.
c. Repeat the information several times, giving detailed budget overviews.
d. Adjourn the meeting and provide explanation through e-mail. - ✔✔A
✔✔As the head of a nursing program, you consistently invite the ideas of your team
about innovations in teaching, community partnerships, and curriculum design and
invite participation in decisions. Many of these ideas have been implemented
successfully, and your staff members are keen to try on other ideas. You are employing
_____ leadership.
a. Situational
b. Trait-based
c. Contingency-based
d. Transformational - ✔✔D
✔✔You recently acquired a position as a unit manager. During your time on the unit,
you have formed a strong social network among your staff, have promoted the
development of relationships between your staff and workers in other areas of the
organization, and have formed relationships that generate ideas from patient
organizations and the local nursing education program. According to complexity theory,
you are engaging which principle?
a. Empowerment
b. Systematic thinking
AND ANSWERS SET A+
✔✔A unit manager watches a new RN graduate interacting with a patient. When the RN
comes out of the room, the unit manager says, "I don't know what they taught you in
your nursing program, but if I see you do that again, I will write you up." This example
demonstrates:
a. Coercive use of power.
b. Appropriate application of control.
c. Use of informatory power.
d. Use of power to provide coaching. - ✔✔A
✔✔You have been offered a position as a head nurse in the ED. You understand that:
a. You have stature and power by accepting the position.
b. You have stature but no power at this point in your position.
c. As a result of your position, you will need to keep much knowledge to yourself.
d. Knowledge is assumed as a result of your position. - ✔✔B
✔✔Susan, an RN in the ED, would like to pursue leadership roles in her career. She is
frustrated that others in her working environment seem to pay little attention to her
creative ideas or place her in informal leadership positions. As her colleague, you want
to provide her with helpful feedback. Which of the following statements will provide
feedback as to how she might communicate power and demonstrate that she is capable
of handling other leadership responsibilities?
a. "I find your soft voice and manners very reassuring and calming to patients."
b. "Try using a wider vocabulary and big words so that people will think that you are
knowledgeable."
c. "At times, you tend to slump and avoid eye contact when you are talking with
colleagues and families."
d. "Don't worry about what others think of you. If you feel like saying something, say it,
even if it hurts other people's feelings." - ✔✔C
,✔✔As the nurse manager who wants to increase motivation by providing motivating
factors, which action would you select?
a. Collaborate with the human resource/personnel department to develop on-site
daycare services.
b. Provide a hierarchical organizational structure.
c. Implement a model of shared governance.
d. Promote the development of a flexible benefits package. - ✔✔C
✔✔Sarah wonders about the direction that you have given regarding management of
incontinent, confused patients. She brings you evidence that she has found regarding
incontinence interventions and asks you if she and you could talk about the guidance
that you have given after you have had an opportunity to read the articles she has given
you. This is an example of (select all that apply):
a. Assertiveness.
b. Followership.
c. Management.
d. Insubordination. - ✔✔AB
✔✔As a leader on a rehab unit, you encourage all staff members to see themselves as
having a role in decision making and quality care. You see your role as involving
particular responsibilities in decision making but not as a hierarchal role. This view of
decision making and leadership is consistent with:
a. Trait theories.
b. Complexity theory.
c. Situated theory.
d. Emotional intelligence. - ✔✔B
✔✔A dispute arises between an RN staff member and an LPN over a patient issue. The
tension between the two begins to affect other staff members, who are drawn into the
conflict; eventually, the team becomes polarized toward either the RN or the LPN. This
situation might have been prevented through:
a. Expediency in responding to the initial dispute, once it became apparent that it could
not be resolved by the two parties themselves.
b. Asking other staff members what the real issues were in the dispute between the RN
and the LPN.
c. Reassigning one of the parties to another unit when it became apparent that the two
individuals could not resolve the dispute themselves.
d. Calling a staff meeting at the onset of the dispute to allow the team and the RN and
LPN to discuss the initial dispute. - ✔✔A
✔✔According to the complexity theory, which of the following should be the focus of
measurement?
a. Cost per hospital day
b. Bed utilization
c. Infection rates
,d. Staff morale and budgets - ✔✔D
✔✔As a nurse, you are responsible for teaching ostomy patients self-management skills
postoperatively. Mr. Jones is 2 days postoperative after an abdominal perineal
resection. In spite of patient-controlled analgesia, Mr. Jones acknowledges inadequate
pain relief and rates his pain as an 8, utilizing a 0-to-10 pain scale. When you approach
him for teaching, he turns away and closes his eyes. Which approach incorporating
Maslow's hierarchy of needs motivational theory is most appropriate in this situation?
a. Tell him you will let him rest today and see if he is feeling better tomorrow.
b. Intervene to improve his pain management control and return later in the day to
reassess his readiness to learn.
c. Talk to the social worker about arranging home healthcare services at discharge to
assist with teaching.
d. Gently approach Mr. Jones and inform him of the importance of participating in
postoperative teaching today beca - ✔✔B
✔✔You overhear a newly graduated RN telling one of your colleagues that leadership
and management belong to the unit manager and not to her. As a nursing colleague,
your response demonstrates understanding that the perception of the new graduate:
a. Is correct. Leadership is not the role of the staff nurse.
b. Would benefit from further understanding of her role as a professional, whose
influence may affect the decision making of patients, colleagues, and other
professionals.
c. Has been influenced by nurse leaders and managers who leave for other positions.
d. Is related to the general perception that nurse leaders and managers are not satisfied
in their jobs. - ✔✔B
✔✔You pull staff together to assess a situation in which the family of a seriously ill
patient is anxious and is absorbing a great deal of staff time in consultation, discussion,
and questioning of treatment decisions. Staff members are becoming distanced from
the family. After inviting the concerns of staff, you explain that the organization values
patient-centered care and suggest that evidence supports that acting as an advocate
and a listener is helpful to families. You ask the staff for ideas as to strategies that are
effectively patient-centered in these situations. In this situation, you are taking on which
role?
a. Leadership
b. Management
c. Follower
d. Visionary - ✔✔A
✔✔In response to the situation in Question 15, you approach the unit manager to
apprise her of your concerns that the family dynamics of the patient involved may lead
to staff-family and patient-family conflicts. You suggest that the physician may need to
discuss the treatment plan with the family. The unit manager advises that he will
arrange this discussion. If, after the meeting with family members, this is identified as a
, desired approach, you support the manager's decision. Your actions indicate that you
are acting in what role?
a. Leadership
b. Management
c. Follower
d. Evidence-based - ✔✔C
✔✔Joan, the nursing unit manager, finds it difficult to work with Thomas, a new
graduate. Thomas has many ideas, and his manner of presenting them irks Joan. After
reflection and discussion with others, Joan recognizes that she also feels threatened by
his behavior. She comes to understand that Thomas is trying to establish his own role
on the unit, is not trying to challenge her, and needs guidance, coaching, and
affirmation. Joan is demonstrating:
a. A positive self-concept.
b. Deepening self-awareness.
c. Leadership.
d. Acquiescence. - ✔✔B
✔✔The unit is shifting from primary nursing to a team model in an effort to contain
costs. Staff members are angry and ask for a meeting to discuss the change. After
hearing their concerns related to reduction in professional autonomy and care quality,
you:
a. Acknowledge the loss.
b. Explain the reasons for change, emphasizing the need to reduce costs.
c. Repeat the information several times, giving detailed budget overviews.
d. Adjourn the meeting and provide explanation through e-mail. - ✔✔A
✔✔As the head of a nursing program, you consistently invite the ideas of your team
about innovations in teaching, community partnerships, and curriculum design and
invite participation in decisions. Many of these ideas have been implemented
successfully, and your staff members are keen to try on other ideas. You are employing
_____ leadership.
a. Situational
b. Trait-based
c. Contingency-based
d. Transformational - ✔✔D
✔✔You recently acquired a position as a unit manager. During your time on the unit,
you have formed a strong social network among your staff, have promoted the
development of relationships between your staff and workers in other areas of the
organization, and have formed relationships that generate ideas from patient
organizations and the local nursing education program. According to complexity theory,
you are engaging which principle?
a. Empowerment
b. Systematic thinking
