Nursing Management Exam 1 | Questions, Answers & Detailed
Rationales.
A nurse manager encourages staff members to participate in unit decisions and
values input before making changes. Which leadership style is being demonstrated?
A) Democratic
B) Autocratic
C) Laissez-faire
D) Transactional
Correct Answer: Democratic
Rationale: Democratic leadership promotes staff participation, shared decision-making,
and collaboration. It is especially useful when staff engagement, creativity, and
commitment to change are important.
2. Which leadership behavior best reflects transformational leadership?
A) Inspiring staff to work toward a shared vision
B) Focusing only on rule enforcement
C) Avoiding staff development
D) Maintaining the status quo
Correct Answer: Inspiring staff to work toward a shared vision
Rationale: Transformational leaders motivate followers by creating a compelling vision,
encouraging professional growth, promoting innovation, and helping team members
recognize their contribution to broader organizational goals.
3. A charge nurse takes immediate control during a mass-casualty event and assigns
tasks without discussion. Which leadership approach is most appropriate for this
situation?
A) Autocratic leadership
B) Laissez-faire leadership
C) Democratic leadership
D) Servant leadership
Correct Answer: Autocratic leadership
Rationale: Autocratic leadership can be appropriate during emergencies because rapid
decisions and clear direction are required. Collaborative discussion may delay time-
sensitive action.
4. Which characteristic is most associated with laissez-faire leadership?
A) Close supervision of every task
, B) Strict centralized decision-making
C) Minimal direction with considerable staff independence
D) Frequent use of corrective discipline
Correct Answer: Minimal direction with considerable staff independence
Rationale: Laissez-faire leaders provide limited direct supervision and allow experienced,
self-directed staff substantial autonomy. This style can be ineffective when the team lacks
experience or direction.
5. A nurse manager rewards employees for meeting specific performance expectations.
Which leadership style is being used?
A) Transformational
B) Servant
C) Transactional
D) Laissez-faire
Correct Answer: Transactional
Rationale: Transactional leadership is based on exchanges between leaders and followers,
such as rewards for meeting established performance goals or corrective action when
standards are not achieved.
6. Which action best reflects servant leadership?
A) Emphasizing personal authority
B) Using fear to increase productivity
C) Focusing only on organizational metrics
D) Prioritizing the growth and needs of team members
Correct Answer: Prioritizing the growth and needs of team members
Rationale: Servant leadership emphasizes supporting, empowering, and developing others.
The leader focuses on removing barriers and helping team members succeed.
7. Which leadership principle best promotes staff empowerment?
A) Limiting access to information
B) Making all decisions independently
C) Providing appropriate authority and resources to accomplish responsibilities
D) Discouraging staff suggestions
Correct Answer: Providing appropriate authority and resources to accomplish
responsibilities
Rationale: Empowerment occurs when staff members receive the information, authority,
support, and resources needed to make appropriate decisions and perform effectively.