Test Bank Questions - Leadership
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1. Role theory has its underpinnings in management theory. Management theories influence
managers' leadership styles. Which would a nurse manager be most likely to follow when
redesigning the staffing schedule?
a. Theory X.
b. Productivity theory.
c. Psychological theory.
d. Theory Y. - correct answersANS: D
Theory Y is effective in health care and helps reinforce the concept of team. Because the
manager needs to redesign staffing schedules, it would be important to use this participatory
approach, inasmuch as the change involves a group.
A nurse manager has worked rapidly to persuade the staff to accept changes in the unit's
mission, through innovative use of technology, to avoid downsizing. This nurse manager is
displaying:
a. A focus on past concerns related to the mission.
b. How to teach staff members about self-management.
c. Facilitation of goal accomplishment.
d. A requirement that all staff members need to review and reinforce their technologic skills. -
correct answersANS: C
Nurse managers, who are successful in motivating staff, provide a work environment that
facilitates goal accomplishment and personal satisfaction. In this situation, the nurse manager
worked quickly to avoid downsizing, thus facilitating the goal of avoiding staff layoffs.
3. The nurse manager, as the leader of the unit's "customer (patient) first" initiative, has asked
the staff nurses to develop and administer a survey to every patient before discharge. In asking
the staff nurses to accomplish this task, the nurse manager is demonstrating
,a. Accountability.
b. Shared governance.
c. A common purpose.
d. Independence in the nursing manager's role. - correct answersANS: B
Engaging staff and others in decision making and in obtaining information is one characteristic
of creating a shared governance structure in which nurses are encouraged to make decisions.
A nurse manager is encountering considerable conflict among staff members because of
weekend staffing coverage. During a called staff meeting, the nurse manager asks the
disgruntled staff to meet as a group and determine the best staffing practices. In doing this, the
nurse manager is using the concept of collaboration to:
a. Demonstrate interdependence.
b. Depict flexibility and broadmindedness.
c. Focus all energies of staff members on a win-win strategy.
d. Defuse the possibility that staff members' discontent will escalate when staffing the unit on
weekends. - correct answersANS: C
Conflict resolution skills are important for nursing managers. When collaboration is used to
solve a conflict, all energies are focused on solving the problem, rather than on defeating other
people with opposing views.
5. A nurse manager's responsibility for financial management involves making budgetary
decisions. Budgets that enable the nurse manager to allocate resources at the unit level allow:
a. Minimal nurse manager input.
b. Limited rationale for budgetary requests.
c. Budgetary allocations at the executive nurse level.
d. Budgetary decision making at the point of service - correct answersANS: D
In organizational structures in which decision making occurs at the point of service, nurse
managers are given responsibility for preparing and implementing a budget that meets the
long- and short-term needs of their unit without requiring hierarchical approval.
6. Which represents one of the Canadian Nurses Association's top six competencies of a good
nurse manager?
,a. Political activism.
b. Conflict resolution skills.
c. Budgetary responsibility.
d. Current clinical practice knowledge. - correct answersANS: B
The top six competencies for nurse managers are: (1) accountability for professional practice, (2)
verbal communication, (3) team-building skills, (4) leadership skills, (5) conflict resolution, and
(6) knowledge of ethical and legal issues.
7. Whenever a staff nurse asks Sue, the nursing manager, about the best way to perform a new
procedure, Sue immediately goes to the computer with the staff nurse and searches for online
best practices related to the procedure in question. What is Sue demonstrating?
a. Lack of procedural knowledge.
b. Role-modelling evidence-informed decision-making.
c. Empowerment for the staff nurse to do this on her own, rather than involve the manager.
d. The key role of informatics in the current health care system. - correct answersANS: B
Nurse managers can help staff use research evidence in their practice decision making by
valuing research, role modelling, providing encouragement, ensuring policies are based on
research and are up to date, and monitoring practice and patient outcomes
8. In planning a new wing, the nurse manager complies with the workplace safety requirements
of the US Occupational Safety and Health Administration (OSHA). Which of the following groups
is considered to be at high risk for violence in the workplace?
a. Pediatric staff.
b. Postsurgical unit staff.
c. Emergency department staff.
d. Medical oncology unit staff. - correct answersANS: C
Emergency department staff members are considered to be at high risk for violence
9. In orienting a 25-year-old nurse, the unit manager understands that this worker probably
a. Likes to attend to detail.
b. Is highly proficient in math and reading skills.
, c. Enjoys being managed by superiors.
d. Likes to solve problems without being given solutions - correct answersANS: D
A role of the manager is to understand various motivations of staff and to bring these together
in the accomplishment of goals. In general, younger workers are motivated strongly by shared
governance and decision making.
10. Nurses on Unit 4 are unhappy and frustrated with their nurse manager. They complain that
"nothing is ever good enough for him." Such statements suggest that the nurse manager's goals
may be:
a. Measurable.
b. Unrealistic.
c. Attainable.
d. Too low. - correct answersANS: B
Nurse managers need to set goals that are high enough to achieve excellence but reasonable
enough to enable achievement. Lack of achievement can result in frustration.
11. Budgeting and protection of revenues is a function of:
a. Leadership.
b. Management.
c. Team leadership.
d. Followers - correct answersANS: B
Managers address complex issues such as planning, budgeting, and allocating resources,
whereas leaders address change.
12. Which of the following is important in a positive work environment?
a. One-way communication.
b. Accountability and clarity of roles and responsibilities.
c. Hierarchical decision making.
d. Challenge and striving for excellence - correct answersANS: B
One of the six competencies of a good nursing manager is accountability for professional
practice; clarity of roles and responsibilities enhances accountability.
Save
1. Role theory has its underpinnings in management theory. Management theories influence
managers' leadership styles. Which would a nurse manager be most likely to follow when
redesigning the staffing schedule?
a. Theory X.
b. Productivity theory.
c. Psychological theory.
d. Theory Y. - correct answersANS: D
Theory Y is effective in health care and helps reinforce the concept of team. Because the
manager needs to redesign staffing schedules, it would be important to use this participatory
approach, inasmuch as the change involves a group.
A nurse manager has worked rapidly to persuade the staff to accept changes in the unit's
mission, through innovative use of technology, to avoid downsizing. This nurse manager is
displaying:
a. A focus on past concerns related to the mission.
b. How to teach staff members about self-management.
c. Facilitation of goal accomplishment.
d. A requirement that all staff members need to review and reinforce their technologic skills. -
correct answersANS: C
Nurse managers, who are successful in motivating staff, provide a work environment that
facilitates goal accomplishment and personal satisfaction. In this situation, the nurse manager
worked quickly to avoid downsizing, thus facilitating the goal of avoiding staff layoffs.
3. The nurse manager, as the leader of the unit's "customer (patient) first" initiative, has asked
the staff nurses to develop and administer a survey to every patient before discharge. In asking
the staff nurses to accomplish this task, the nurse manager is demonstrating
,a. Accountability.
b. Shared governance.
c. A common purpose.
d. Independence in the nursing manager's role. - correct answersANS: B
Engaging staff and others in decision making and in obtaining information is one characteristic
of creating a shared governance structure in which nurses are encouraged to make decisions.
A nurse manager is encountering considerable conflict among staff members because of
weekend staffing coverage. During a called staff meeting, the nurse manager asks the
disgruntled staff to meet as a group and determine the best staffing practices. In doing this, the
nurse manager is using the concept of collaboration to:
a. Demonstrate interdependence.
b. Depict flexibility and broadmindedness.
c. Focus all energies of staff members on a win-win strategy.
d. Defuse the possibility that staff members' discontent will escalate when staffing the unit on
weekends. - correct answersANS: C
Conflict resolution skills are important for nursing managers. When collaboration is used to
solve a conflict, all energies are focused on solving the problem, rather than on defeating other
people with opposing views.
5. A nurse manager's responsibility for financial management involves making budgetary
decisions. Budgets that enable the nurse manager to allocate resources at the unit level allow:
a. Minimal nurse manager input.
b. Limited rationale for budgetary requests.
c. Budgetary allocations at the executive nurse level.
d. Budgetary decision making at the point of service - correct answersANS: D
In organizational structures in which decision making occurs at the point of service, nurse
managers are given responsibility for preparing and implementing a budget that meets the
long- and short-term needs of their unit without requiring hierarchical approval.
6. Which represents one of the Canadian Nurses Association's top six competencies of a good
nurse manager?
,a. Political activism.
b. Conflict resolution skills.
c. Budgetary responsibility.
d. Current clinical practice knowledge. - correct answersANS: B
The top six competencies for nurse managers are: (1) accountability for professional practice, (2)
verbal communication, (3) team-building skills, (4) leadership skills, (5) conflict resolution, and
(6) knowledge of ethical and legal issues.
7. Whenever a staff nurse asks Sue, the nursing manager, about the best way to perform a new
procedure, Sue immediately goes to the computer with the staff nurse and searches for online
best practices related to the procedure in question. What is Sue demonstrating?
a. Lack of procedural knowledge.
b. Role-modelling evidence-informed decision-making.
c. Empowerment for the staff nurse to do this on her own, rather than involve the manager.
d. The key role of informatics in the current health care system. - correct answersANS: B
Nurse managers can help staff use research evidence in their practice decision making by
valuing research, role modelling, providing encouragement, ensuring policies are based on
research and are up to date, and monitoring practice and patient outcomes
8. In planning a new wing, the nurse manager complies with the workplace safety requirements
of the US Occupational Safety and Health Administration (OSHA). Which of the following groups
is considered to be at high risk for violence in the workplace?
a. Pediatric staff.
b. Postsurgical unit staff.
c. Emergency department staff.
d. Medical oncology unit staff. - correct answersANS: C
Emergency department staff members are considered to be at high risk for violence
9. In orienting a 25-year-old nurse, the unit manager understands that this worker probably
a. Likes to attend to detail.
b. Is highly proficient in math and reading skills.
, c. Enjoys being managed by superiors.
d. Likes to solve problems without being given solutions - correct answersANS: D
A role of the manager is to understand various motivations of staff and to bring these together
in the accomplishment of goals. In general, younger workers are motivated strongly by shared
governance and decision making.
10. Nurses on Unit 4 are unhappy and frustrated with their nurse manager. They complain that
"nothing is ever good enough for him." Such statements suggest that the nurse manager's goals
may be:
a. Measurable.
b. Unrealistic.
c. Attainable.
d. Too low. - correct answersANS: B
Nurse managers need to set goals that are high enough to achieve excellence but reasonable
enough to enable achievement. Lack of achievement can result in frustration.
11. Budgeting and protection of revenues is a function of:
a. Leadership.
b. Management.
c. Team leadership.
d. Followers - correct answersANS: B
Managers address complex issues such as planning, budgeting, and allocating resources,
whereas leaders address change.
12. Which of the following is important in a positive work environment?
a. One-way communication.
b. Accountability and clarity of roles and responsibilities.
c. Hierarchical decision making.
d. Challenge and striving for excellence - correct answersANS: B
One of the six competencies of a good nursing manager is accountability for professional
practice; clarity of roles and responsibilities enhances accountability.
