LEADERSHIP EXAM 1 FINAL PAPER 2026
EXAM Q&A STUDY GUIDE COMPLETE
SOLUTION
◉An RN staff nurse in the intensive care unit has acquired a
significant amount of personal power within the hospital
organization. This acquisition of power is due in part to regularly
attending local meetings of the Association of Critical Care Nurses
and reading the American Journal of Critical Care. Which factor is
increased for this nurse based on the participation in these
activities?
a. Communication network
b. Credibility
c. Interpersonal relations
d. Persuasion. Answer: b. Credibility
Credibility is gained through hard work, gaining skill and becoming
competent in your work, and being very honest in your relationships
with other people. This credibility gives the nurse expert power on
the unit. While this nurse's communication network has likely
increased, this is not the most likely factor to increase power on the
unit. The nurse has likely improved interpersonal relations through
,this work, but this is not the most likely factor to increase power on
the unit. The nurse may have learned persuasion strategies during
this work, but this is not the factor most likely to increase power on
the unit.
◉Which statement regarding the major difference between
managers and leaders will the nurse include in a presentation to
fellow nurses regarding management of care?
a. "Managers are seldom leaders."
b. "Leaders do not make good managers."
c. "Managers have legitimate power within the organization."
d. "Leaders are tasked with accomplishing the work of the
organization.". Answer: c. "Managers have legitimate power within
the organization."
Managers always will have legitimate power that belongs to them
from holding the manager position. Managers are often also leaders.
Some leaders are excellent managers. Managers, not leaders, are
tasked with accomplishing the work of the organization.
◉The unit manager of a 32-bed medical-surgical unit allows the
staff nurses to do self-governance for scheduling, client care
assignments, and committee work. This sometimes leads to
,confusion, which the staff must correct. Which type of leader would
the nurse manager be considered?
a. Bureaucratic
b. Autocratic
c. Democratic
d. Laissez-fair. Answer: d. Laissez-faire
The laissez-faire type of manager exerts very little control.
Bureaucratic leadership is a leadership style that assumes that
individuals are motivated by external forces; the leader trusts
neither followers nor self to make decisions, and therefore relies on
organizational policies and rules. Autocratic leadership is a
leadership style that assumes that individuals are motivated by
external forces; therefore, the leader makes all the decisions and
directs the followers' behavior. Democratic leadership is a
leadership style that assumes that individuals are motivated by
internal forces; the leader uses participation and majority rule to get
work done.
◉The nurse manager for the emergency department (ED) is
preparing the staff for the arrival of multiple trauma patients. Which
type of leadership will the nurse manager implement?
a. Laissez-faire
, b. Autocratic
c. Democratic
d. Bureaucratic. Answer: b. Autocratic
Different situations call for different types of managing style. An
emergency is best handled with one person in control, delegating
activities, which describes an autocratic style. The "laissez-faire"
approach would be ineffective in this situation. There would be little
or no direction to the staff. In an emergency, leading by majority rule
would be ineffective. The bureaucratic leader strictly follows rules
and regulations. This would not be an effective means of leading in
an emergency.
◉The complexities of the current healthcare delivery system require
a variety of leadership styles. Which leadership style is the one that
has emerged in response to these changes?
a. Autocratic
b. Democratic
c. Consultative
d. Transformational. Answer: d. Transformational
The transformational leadership theory has emerged in response to
the complexities of today's healthcare systems. Autocratic
leadership follows an old theory. Democratic leadership emerged
EXAM Q&A STUDY GUIDE COMPLETE
SOLUTION
◉An RN staff nurse in the intensive care unit has acquired a
significant amount of personal power within the hospital
organization. This acquisition of power is due in part to regularly
attending local meetings of the Association of Critical Care Nurses
and reading the American Journal of Critical Care. Which factor is
increased for this nurse based on the participation in these
activities?
a. Communication network
b. Credibility
c. Interpersonal relations
d. Persuasion. Answer: b. Credibility
Credibility is gained through hard work, gaining skill and becoming
competent in your work, and being very honest in your relationships
with other people. This credibility gives the nurse expert power on
the unit. While this nurse's communication network has likely
increased, this is not the most likely factor to increase power on the
unit. The nurse has likely improved interpersonal relations through
,this work, but this is not the most likely factor to increase power on
the unit. The nurse may have learned persuasion strategies during
this work, but this is not the factor most likely to increase power on
the unit.
◉Which statement regarding the major difference between
managers and leaders will the nurse include in a presentation to
fellow nurses regarding management of care?
a. "Managers are seldom leaders."
b. "Leaders do not make good managers."
c. "Managers have legitimate power within the organization."
d. "Leaders are tasked with accomplishing the work of the
organization.". Answer: c. "Managers have legitimate power within
the organization."
Managers always will have legitimate power that belongs to them
from holding the manager position. Managers are often also leaders.
Some leaders are excellent managers. Managers, not leaders, are
tasked with accomplishing the work of the organization.
◉The unit manager of a 32-bed medical-surgical unit allows the
staff nurses to do self-governance for scheduling, client care
assignments, and committee work. This sometimes leads to
,confusion, which the staff must correct. Which type of leader would
the nurse manager be considered?
a. Bureaucratic
b. Autocratic
c. Democratic
d. Laissez-fair. Answer: d. Laissez-faire
The laissez-faire type of manager exerts very little control.
Bureaucratic leadership is a leadership style that assumes that
individuals are motivated by external forces; the leader trusts
neither followers nor self to make decisions, and therefore relies on
organizational policies and rules. Autocratic leadership is a
leadership style that assumes that individuals are motivated by
external forces; therefore, the leader makes all the decisions and
directs the followers' behavior. Democratic leadership is a
leadership style that assumes that individuals are motivated by
internal forces; the leader uses participation and majority rule to get
work done.
◉The nurse manager for the emergency department (ED) is
preparing the staff for the arrival of multiple trauma patients. Which
type of leadership will the nurse manager implement?
a. Laissez-faire
, b. Autocratic
c. Democratic
d. Bureaucratic. Answer: b. Autocratic
Different situations call for different types of managing style. An
emergency is best handled with one person in control, delegating
activities, which describes an autocratic style. The "laissez-faire"
approach would be ineffective in this situation. There would be little
or no direction to the staff. In an emergency, leading by majority rule
would be ineffective. The bureaucratic leader strictly follows rules
and regulations. This would not be an effective means of leading in
an emergency.
◉The complexities of the current healthcare delivery system require
a variety of leadership styles. Which leadership style is the one that
has emerged in response to these changes?
a. Autocratic
b. Democratic
c. Consultative
d. Transformational. Answer: d. Transformational
The transformational leadership theory has emerged in response to
the complexities of today's healthcare systems. Autocratic
leadership follows an old theory. Democratic leadership emerged
