TEST ITEM FILE
FOR
NURSING MANAGEMENT AND LEADERSHIP:
WORKING IN CANADIAN HEALTH CARE ORGANIZATIONS
FIRST EDITION
Textbook Authors
Alice Gaudine, Memorial University
Marianne Lamb, Queen’s University
Test Item File
Katherine Poser, St. Lawrence College
Toronto
Copyright © 2015 Pearson Canada Inc., Toronto, Ontario. All rights reserved. This work is protected by Canadian
copyright laws and is provided solely for the use of instructors in teaching their courses and assessing student learning.
Dissemination or sale of any part of this work (including on the Internet) will destroy the integrity of the work and is
not permitted. The copyright holder grants permission to instructors who have adopted Nursing Management and
Leadership, First Edition, by Alice Gaudine and Marianne Lamb to post this material online only if the use of the
website is restricted by access codes to students in the instructor’s class that is using the textbook and provided the
reproduced material bears this copyright notice.
,CHAPTER 1 1-1
Multiple Choice Questions
1) Which of the following would not be considered concepts related to leadership?
a. Leaders are change agents.
b. Leadership is relationship-based.
c. Leadership is focused on orderly steps and coordination of details.
d. Leadership involves influencing the thinking and actions of others.
Answer: c
Rationale for Correct Answer:
a. Incorrect: This concept is related to leadership.
b. Incorrect: This concept is related to leadership.
c. Correct: This is a description of management, not leadership.
d. Incorrect: This concept is related to leadership.
Client need per NCLEX: safe and effective care environment
Integrated Nursing Process: Assessment, Evaluation
Objective: 1—Distinguish between leadership and management
2) Examples of management activities would include __________.
a. coaching a soccer team
b. party planning
c. motivational speaking
d. teaching
Answer: b
Rationale for Correct Answer:
a. Incorrect: This is a leadership activity.
b. Correct: Management involves directing activities.
c. Incorrect: This is a leadership activity.
d. Incorrect: This is a leadership activity.
Client need per NCLEX: safe and effective environment
Integrated Nursing Process: Assessment, Evaluation
Objective: 1—Distinguish between leadership and management
3) Leadership theories developed out of management theories in what order?
a. great man and trait theories, behavioural theories, contingency theories, interactional
theories
b. transactional theory, great man theories, behavioural theory, contingency theory
c. transformational theory, great man theories, behavioural theory, contingency theory
d. contingency theories, great man theories, transactional theory, behavioural theories
Answer: a
Rationale for Correct Answer:
Copyright © 2015 Pearson Canada Inc.
,CHAPTER 1 1-2
a. Correct: The theories were built one upon the other. Great man theory
included cultural and societal views that suggested that great leaders were
born with inherited traits. This was abandoned because it did little to
predict who would turn out to be a leader. In behavioural theories, leaders
were divided into those who were task-oriented vs. people-oriented. This
was determined to be unhelpful—no one style was better than another and
effectiveness was setting-dependent. Contingency theories were based on
the assumption that leadership varied based on the situation and there was
a need for innovation. Interactional theories look at leadership style but
focus on how it varies depending on characteristics of followers.
b. Incorrect: This does not reflect how leadership theories developed out of
management theories.
c. Incorrect: This does not reflect how leadership theories developed out of
management theories.
d. Incorrect: This does not reflect how leadership theories developed out of
management theories.
Client need per NCLEX: safe and effective care environment
Integrated Nursing Process: Assessment, Evaluation
Objective: 2—Discuss the evolution of theories of leadership
4) Authoritarian style and a focus on performance and production would be behaviours
demonstrated by what team leader style?
a. participative
b. laissez-faire
c. autocratic
d. innovative
Answer: c
Rationale for Correct Answer:
a. Incorrect: See Table 1.1 in the textbook (p. 5).
b. Incorrect: See Table 1.1 in the textbook (p. 5).
c. Correct: See Table 1.1 in the textbook (p. 5).
d. Incorrect: See Table 1.1 in the textbook (p. 5).
Client need per NCLEX: safe and effective environment
Integrated Nursing Process: Assessment, Evaluation
Objective: 2—Discuss the evolution of theories of leadership
5) The term “follower” has replaced which of the following terms?
a. superior
b. leader
c. Subordinate
d. participant
Answer: c
Rationale for Correct Answer:
Copyright © 2015 Pearson Canada Inc.
, CHAPTER 1 1-3
C is correct: Superior is the term replaced by leader. Leader replaced the
previously used term superior. A participant can be both a follower and a
leader in various circumstances.
Client need per NCLEX: safe and effective care environment
Integrated Nursing Process: Assessment, Evaluation
Objective: 3—Describe the role and behaviour of followers in an organization
6) Which of the following is not a basic tenet of active followership theory?
a. Followers and leaders share a common purpose.
b. Followers are active, not passive.
c. Followers and leaders are people with inherent characteristics.
d. Followers and leaders must be studied in the context of their relationship.
Answer: c
Rationale for Correct Answer:
a. Incorrect: This is a basic tenet of followership theory.
b. Incorrect: This is a basic tenet of followership theory.
c. Correct: Followers and leaders are roles, not people with inherent
characteristics.
d. Incorrect: This is a basic tenet of followership theory.
Client need per NCLEX: safe and effective care environment
Integrated Nursing Process: Assessment, Evaluation
Objective: 3—Describe the role and behaviour of followers in an organization
7) Resonant leadership styles __________.
a. create conflict
b. build energy in the group
c. set pace
d. command followers
Answer: b
Rationale for Correct Answer:
a. Incorrect: This is a dissonant leadership style.
b. Correct: This reflects a resonant leadership style.
c. Incorrect: This is a dissonant leadership style.
d. Incorrect: This is a dissonant leadership style.
Client need per NCLEX: safe and effective environment
Integrated Nursing Process: Assessment, Evaluation
Objective: 4—Debate the strengths and weaknesses of different styles of
leadership in various health care settings
8) Which of the following aspects of authentic leadership is particularly relevant to
nursing leadership?
Copyright © 2015 Pearson Canada Inc.
FOR
NURSING MANAGEMENT AND LEADERSHIP:
WORKING IN CANADIAN HEALTH CARE ORGANIZATIONS
FIRST EDITION
Textbook Authors
Alice Gaudine, Memorial University
Marianne Lamb, Queen’s University
Test Item File
Katherine Poser, St. Lawrence College
Toronto
Copyright © 2015 Pearson Canada Inc., Toronto, Ontario. All rights reserved. This work is protected by Canadian
copyright laws and is provided solely for the use of instructors in teaching their courses and assessing student learning.
Dissemination or sale of any part of this work (including on the Internet) will destroy the integrity of the work and is
not permitted. The copyright holder grants permission to instructors who have adopted Nursing Management and
Leadership, First Edition, by Alice Gaudine and Marianne Lamb to post this material online only if the use of the
website is restricted by access codes to students in the instructor’s class that is using the textbook and provided the
reproduced material bears this copyright notice.
,CHAPTER 1 1-1
Multiple Choice Questions
1) Which of the following would not be considered concepts related to leadership?
a. Leaders are change agents.
b. Leadership is relationship-based.
c. Leadership is focused on orderly steps and coordination of details.
d. Leadership involves influencing the thinking and actions of others.
Answer: c
Rationale for Correct Answer:
a. Incorrect: This concept is related to leadership.
b. Incorrect: This concept is related to leadership.
c. Correct: This is a description of management, not leadership.
d. Incorrect: This concept is related to leadership.
Client need per NCLEX: safe and effective care environment
Integrated Nursing Process: Assessment, Evaluation
Objective: 1—Distinguish between leadership and management
2) Examples of management activities would include __________.
a. coaching a soccer team
b. party planning
c. motivational speaking
d. teaching
Answer: b
Rationale for Correct Answer:
a. Incorrect: This is a leadership activity.
b. Correct: Management involves directing activities.
c. Incorrect: This is a leadership activity.
d. Incorrect: This is a leadership activity.
Client need per NCLEX: safe and effective environment
Integrated Nursing Process: Assessment, Evaluation
Objective: 1—Distinguish between leadership and management
3) Leadership theories developed out of management theories in what order?
a. great man and trait theories, behavioural theories, contingency theories, interactional
theories
b. transactional theory, great man theories, behavioural theory, contingency theory
c. transformational theory, great man theories, behavioural theory, contingency theory
d. contingency theories, great man theories, transactional theory, behavioural theories
Answer: a
Rationale for Correct Answer:
Copyright © 2015 Pearson Canada Inc.
,CHAPTER 1 1-2
a. Correct: The theories were built one upon the other. Great man theory
included cultural and societal views that suggested that great leaders were
born with inherited traits. This was abandoned because it did little to
predict who would turn out to be a leader. In behavioural theories, leaders
were divided into those who were task-oriented vs. people-oriented. This
was determined to be unhelpful—no one style was better than another and
effectiveness was setting-dependent. Contingency theories were based on
the assumption that leadership varied based on the situation and there was
a need for innovation. Interactional theories look at leadership style but
focus on how it varies depending on characteristics of followers.
b. Incorrect: This does not reflect how leadership theories developed out of
management theories.
c. Incorrect: This does not reflect how leadership theories developed out of
management theories.
d. Incorrect: This does not reflect how leadership theories developed out of
management theories.
Client need per NCLEX: safe and effective care environment
Integrated Nursing Process: Assessment, Evaluation
Objective: 2—Discuss the evolution of theories of leadership
4) Authoritarian style and a focus on performance and production would be behaviours
demonstrated by what team leader style?
a. participative
b. laissez-faire
c. autocratic
d. innovative
Answer: c
Rationale for Correct Answer:
a. Incorrect: See Table 1.1 in the textbook (p. 5).
b. Incorrect: See Table 1.1 in the textbook (p. 5).
c. Correct: See Table 1.1 in the textbook (p. 5).
d. Incorrect: See Table 1.1 in the textbook (p. 5).
Client need per NCLEX: safe and effective environment
Integrated Nursing Process: Assessment, Evaluation
Objective: 2—Discuss the evolution of theories of leadership
5) The term “follower” has replaced which of the following terms?
a. superior
b. leader
c. Subordinate
d. participant
Answer: c
Rationale for Correct Answer:
Copyright © 2015 Pearson Canada Inc.
, CHAPTER 1 1-3
C is correct: Superior is the term replaced by leader. Leader replaced the
previously used term superior. A participant can be both a follower and a
leader in various circumstances.
Client need per NCLEX: safe and effective care environment
Integrated Nursing Process: Assessment, Evaluation
Objective: 3—Describe the role and behaviour of followers in an organization
6) Which of the following is not a basic tenet of active followership theory?
a. Followers and leaders share a common purpose.
b. Followers are active, not passive.
c. Followers and leaders are people with inherent characteristics.
d. Followers and leaders must be studied in the context of their relationship.
Answer: c
Rationale for Correct Answer:
a. Incorrect: This is a basic tenet of followership theory.
b. Incorrect: This is a basic tenet of followership theory.
c. Correct: Followers and leaders are roles, not people with inherent
characteristics.
d. Incorrect: This is a basic tenet of followership theory.
Client need per NCLEX: safe and effective care environment
Integrated Nursing Process: Assessment, Evaluation
Objective: 3—Describe the role and behaviour of followers in an organization
7) Resonant leadership styles __________.
a. create conflict
b. build energy in the group
c. set pace
d. command followers
Answer: b
Rationale for Correct Answer:
a. Incorrect: This is a dissonant leadership style.
b. Correct: This reflects a resonant leadership style.
c. Incorrect: This is a dissonant leadership style.
d. Incorrect: This is a dissonant leadership style.
Client need per NCLEX: safe and effective environment
Integrated Nursing Process: Assessment, Evaluation
Objective: 4—Debate the strengths and weaknesses of different styles of
leadership in various health care settings
8) Which of the following aspects of authentic leadership is particularly relevant to
nursing leadership?
Copyright © 2015 Pearson Canada Inc.
