Mastering the Art of Leadership and
Management: Your Essential Guide to Test
Success
Comprehensive Exam Study Guide Latest
Updated 2025/2026.
Guaranteed Success with Top Grade Score of
A+
1. You are a member of a team assigned to care for 15 general medical/surgical clients. You
have all worked well together in the past in this same type of care. If you are assigned to
coordinate this team's work, your best strategy, based on the Hersey and Blanchard model,
would be to:
a. Have a list of tasks to be accomplished and tell each member of the team what he or she
must do.
b. Encourage people to discuss their frustrations in providing this care.
c. Ignore them—they've done it before.
d. Provide minimal direction and let them come to you with questions. - ansANS: D
According to the Hersey and Blanchard model, when ability (skills, job knowledge) and
willingness are strong, the role of the delegator is less ("delegating behavior").
An outpatient clinic advertised for RN positions. Before authorizing an open position, the
nurse manager should:
a. Review the position description and performance expectations for the opening.
b. Place an ad in the local newspaper and on the telephone job line.
c. Review all current applications on file.
d. Look for employees within the system who might best fill the position. - ansANS: A
The position description provides the basis for this position within the organization and
communicates expectations for the role. When applying for a position, researching the facility
and position description will help an applicant gain insight into the organization; therefore,
the position description should be current and communicate expectations.
The most important approach that a nurse manager can take with an emotionally troubled
employee is to:
a.Act as a therapist for the employee.
b.Adjust the standard of care to assist the employee.
c.Assist the employee in obtaining professional help.
d.Adjust the employee's work schedule to decrease stress - ansAssist the employee in
obtaining professional help.
Your healthcare organization places a high value on workplace safety and integrates this into
all aspects of administrative and patient care processes. As a unit manager, you thoroughly
endorse this direction, and during the selection and hiring of new staff, you consistently:
a. Refuse to hire applicants who are pushy during interviews.
b. Thoroughly follow up with all references before offering a position.
c. Ask applicants during the interview if drug or alcohol abuse is a problem.
d. Refuse to interview applicants with sporadic work histories - ansANS: B
Determining if current employees pose a danger in the workplace is a critical factor that is
often overlooked. In addition to personal and psychological factors, behaviors can be
observed in employees that may be related to violence or aggression in the workplace
(Paludi, Nydegger, & Paludi, 2006). The most obvious indicator is a previous history of
aggression and substance abuse. Screening potential employees through drug testing,
,Mastering the Art of Leadership and
Management: Your Essential Guide to Test
Success
Comprehensive Exam Study Guide Latest
Updated 2025/2026.
Guaranteed Success with Top Grade Score of
A+
background checks, and references can help reduce the risk of hiring someone who may pose
a danger in the workplace.
REF: Page 469 | Page 470 TOP: AONE competency: Business Skills
In a small rural nursing home, a director of nursing decides, because of a shortage of nurses,
to implement a partnership model to help with basic tasks that comply with state rules
regarding delegation. What type of design constitutes a partnership care delivery model?
a. RN and LPN/LVN
b. RN and RN
c. RN and medication assistants
d. RN and certified nurses' aides - ansANS: C
The partnership care delivery model is a variation of primary nursing in which an RN works
with a consistent assistant, who performs basic nursing functions consistent with state
delegation rules.
The team leader notices at the beginning of the shift that all of the IV ABX for a client are
still in the medication room. Which action should the team leader take first?
1. ask client if client received the meds on previous shift
2. return meds to pharmacy so client does not get billed
3. ask nurse who cared for the client about the medications
4. notify the nurse-manager of the unit - ans3.
team leader should attempt to clarify with the involved staff first
The nurse manager knows that the most serious effect that absenteeism has on the nursing
unit is that:
a.Using replacement personnel with new ideas may be beneficial.
b.Salary costs are lower because personnel are fewer, and outcome is favorable.
c.Absence on the part of the rest of the staff is decreased.
d.Unacceptable patient care may result. - ansUnacceptable patient care may result.
The relief charge nurse has assigned a newly licensed baccalaureate-prepared nurse to be one
of the team leaders for the 3-11 shift. In making this decision, the charge nurse has
overlooked this nurse's:
a. Clinical expertise.
b. Leadership ability.
c. Communication style.
d. Conflict-resolution skills. - ansANS: A
Because the basic education of baccalaureate-prepared RNs emphasizes critical-thinking,
clinical reasoning, and leadership concepts, they are likely candidates for such roles. Benner
(2001), however, identified five stages of clinical competence for nurses: novice, advanced
beginner, competent, proficient, and expert. She suggests that competence is typified by a
nurse who has been on the job in the same or similar situation 2 to 3 years. Nurses who are at
the novice or advanced beginner stage would be less likely than their more experienced
,Mastering the Art of Leadership and
Management: Your Essential Guide to Test
Success
Comprehensive Exam Study Guide Latest
Updated 2025/2026.
Guaranteed Success with Top Grade Score of
A+
counterparts to implement any type of delivery model effectively and thus, this assignment
overlooks the nurse's level of clinical expertise and leadership experience.
2. You need to terminate Gregory, who has had a long-standing history of conflict with you
and the staff, and who recently was charged with theft of patient belongings. You consult
Human Resources, and together, you develop a plan, which includes:
a. A private meeting with Gregory, a Human Resources representative, and you to deliver the
news and deliver the termination notice and all other documents that are related.
b. Planning an opportunity for Gregory to return and be recognized at a staff farewell.
c. Calling Gregory at home to tell him that he is fired and that his paperwork will be sent to
him at a future date.
d. Calling him into a meeting in your office on the ward, where assistance is available, should
he become upset or agitated. - ansANS: A
Termination requires careful planning as to timing, privacy, safety, and how to preserve the
employee's dignity and avoid humiliation. Choosing a private location where colleagues are
not present, and organizing all documentation that is required to be given to Gregory,
achieves these goals and prevents his having to come to the organization at a future date.
REF: Page 469 TOP: AONE competency: Business Skills
On your unit, despite efforts to build a strong sense of team, conflict between some of the
staff is ongoing. Nonetheless, you want to proceed with developing a systematic and effective
performance appraisal system. Which of the following approaches would be most appropriate
for you to implement?
a. Peer review
b. A combination of tools
c. Anecdotal notes
d. Rating scale - ansANS: B
A combination of tools is likely superior to any one method in any situation.
The nurse is triaging clients from a large disaster. Which client should receive care first?
1. client w/ lrg shard of glass piercing chest wall, RR 32
2. client w/ forearm disfigured w/ protruding bone, finger cap refill 2 seconds
3. child w/ 3-in. oozing laceration on leg
4. woman who is 2 months pregnant, partial-thickness burn on forearm - ans1.
the integrity of the chest wall has been compromised and is becoming a "breathing" problem.
The others can wait up to two hours
2. The nurse manager is setting up the room assignments for the unit. She has one critical
patient on the unit, who is going to require more care than the others. Before delegating a
task, a nurse manager should:
a. Delegate the admission assessment to the LPN.
b. Review the employee's performance assessment for the most recent period.
c. Assess the amount of guidance and support needed in a particular situation.
, Mastering the Art of Leadership and
Management: Your Essential Guide to Test
Success
Comprehensive Exam Study Guide Latest
Updated 2025/2026.
Guaranteed Success with Top Grade Score of
A+
d. Create a task analysis of critical behaviors for the individual. - ansANS: C
To delegate effectively, the nurse manager must assess the abilities required in the situation
and the abilities that staff have to anticipate the amount of direction, monitoring, explanation,
and independence that can be assumed.
3. A key advantage that a nurse manager has in terms of delegating is that:
a. Clients receive less attention because too many staff make it difficult to coordinate care.
b. Nurses report less pressure to perform necessary tasks themselves.
c. Administration can predict overtime more accurately.
d. Team skills can be used more effectively. - ansANS: D
The use of multilevel healthcare providers enables healthcare organizations and nursing to
provide patient-centered care, with a focus on abilities and skills that can be employed to
perform "what is needed now." As tasks become more complicated, delegating skills to
others enables the nurse to effectively deliver a complex level of care.
There has been a large disaster, and nurses have been floated to help with the lrg influx of
clients. Which client is most appropriate to assign to the nurse floated from the mother-baby
unit?
1. 1 day postop hemicolectomy male with foley cath
2. women in pelvic traction who is 3 mo. pregnant
3. elderly woman who has herpes zoster
4. male admitted for hearing command voices to kill himself - ans1.
gv floated nurse clients with whom they can use the skills they would ordinarily use. 1 is
similar to client with c-section; OB nurses do not handle traction (woman dsnt hv issues r/t
pregnancy; OB nurse shouldnt take care of infectious clients to avoid inadvertent
transmission; OB nurses are nor experienced in managing suicidal clients
As part of orientation to your unit, you decide to administer Kolb's Learning Style Inventory
(LSI) to new staff. The most likely reason for your decision is that the use of Kolb's LSI:
a. Reduces the cost of orientation.
b. Determines if there is fit between learner and organizational values.
c. Develops the strengths of the new staff member.
d. Enables individualization of learning to the learner's needs. - ansANS: D
Administration of Kolb's LSI enables identification of the learning styles of new employees,
which assists in focusing the implementation of orientation goals and in individualizing
learning to the needs and learning style of the employee.
In keeping with guidelines of the organization, the nurse manager documents staff problems.
Documentation of disciplinary problems should:
a.Include a plan to correct them and to prevent future occurrences.
b.State a detailed history of past problems that are related to the current one.
c. Be written at the convenience of the manager.
d. Accumulate until the evaluation period begins - ansInclude a plan to correct them and to
prevent future occurrences.
Management: Your Essential Guide to Test
Success
Comprehensive Exam Study Guide Latest
Updated 2025/2026.
Guaranteed Success with Top Grade Score of
A+
1. You are a member of a team assigned to care for 15 general medical/surgical clients. You
have all worked well together in the past in this same type of care. If you are assigned to
coordinate this team's work, your best strategy, based on the Hersey and Blanchard model,
would be to:
a. Have a list of tasks to be accomplished and tell each member of the team what he or she
must do.
b. Encourage people to discuss their frustrations in providing this care.
c. Ignore them—they've done it before.
d. Provide minimal direction and let them come to you with questions. - ansANS: D
According to the Hersey and Blanchard model, when ability (skills, job knowledge) and
willingness are strong, the role of the delegator is less ("delegating behavior").
An outpatient clinic advertised for RN positions. Before authorizing an open position, the
nurse manager should:
a. Review the position description and performance expectations for the opening.
b. Place an ad in the local newspaper and on the telephone job line.
c. Review all current applications on file.
d. Look for employees within the system who might best fill the position. - ansANS: A
The position description provides the basis for this position within the organization and
communicates expectations for the role. When applying for a position, researching the facility
and position description will help an applicant gain insight into the organization; therefore,
the position description should be current and communicate expectations.
The most important approach that a nurse manager can take with an emotionally troubled
employee is to:
a.Act as a therapist for the employee.
b.Adjust the standard of care to assist the employee.
c.Assist the employee in obtaining professional help.
d.Adjust the employee's work schedule to decrease stress - ansAssist the employee in
obtaining professional help.
Your healthcare organization places a high value on workplace safety and integrates this into
all aspects of administrative and patient care processes. As a unit manager, you thoroughly
endorse this direction, and during the selection and hiring of new staff, you consistently:
a. Refuse to hire applicants who are pushy during interviews.
b. Thoroughly follow up with all references before offering a position.
c. Ask applicants during the interview if drug or alcohol abuse is a problem.
d. Refuse to interview applicants with sporadic work histories - ansANS: B
Determining if current employees pose a danger in the workplace is a critical factor that is
often overlooked. In addition to personal and psychological factors, behaviors can be
observed in employees that may be related to violence or aggression in the workplace
(Paludi, Nydegger, & Paludi, 2006). The most obvious indicator is a previous history of
aggression and substance abuse. Screening potential employees through drug testing,
,Mastering the Art of Leadership and
Management: Your Essential Guide to Test
Success
Comprehensive Exam Study Guide Latest
Updated 2025/2026.
Guaranteed Success with Top Grade Score of
A+
background checks, and references can help reduce the risk of hiring someone who may pose
a danger in the workplace.
REF: Page 469 | Page 470 TOP: AONE competency: Business Skills
In a small rural nursing home, a director of nursing decides, because of a shortage of nurses,
to implement a partnership model to help with basic tasks that comply with state rules
regarding delegation. What type of design constitutes a partnership care delivery model?
a. RN and LPN/LVN
b. RN and RN
c. RN and medication assistants
d. RN and certified nurses' aides - ansANS: C
The partnership care delivery model is a variation of primary nursing in which an RN works
with a consistent assistant, who performs basic nursing functions consistent with state
delegation rules.
The team leader notices at the beginning of the shift that all of the IV ABX for a client are
still in the medication room. Which action should the team leader take first?
1. ask client if client received the meds on previous shift
2. return meds to pharmacy so client does not get billed
3. ask nurse who cared for the client about the medications
4. notify the nurse-manager of the unit - ans3.
team leader should attempt to clarify with the involved staff first
The nurse manager knows that the most serious effect that absenteeism has on the nursing
unit is that:
a.Using replacement personnel with new ideas may be beneficial.
b.Salary costs are lower because personnel are fewer, and outcome is favorable.
c.Absence on the part of the rest of the staff is decreased.
d.Unacceptable patient care may result. - ansUnacceptable patient care may result.
The relief charge nurse has assigned a newly licensed baccalaureate-prepared nurse to be one
of the team leaders for the 3-11 shift. In making this decision, the charge nurse has
overlooked this nurse's:
a. Clinical expertise.
b. Leadership ability.
c. Communication style.
d. Conflict-resolution skills. - ansANS: A
Because the basic education of baccalaureate-prepared RNs emphasizes critical-thinking,
clinical reasoning, and leadership concepts, they are likely candidates for such roles. Benner
(2001), however, identified five stages of clinical competence for nurses: novice, advanced
beginner, competent, proficient, and expert. She suggests that competence is typified by a
nurse who has been on the job in the same or similar situation 2 to 3 years. Nurses who are at
the novice or advanced beginner stage would be less likely than their more experienced
,Mastering the Art of Leadership and
Management: Your Essential Guide to Test
Success
Comprehensive Exam Study Guide Latest
Updated 2025/2026.
Guaranteed Success with Top Grade Score of
A+
counterparts to implement any type of delivery model effectively and thus, this assignment
overlooks the nurse's level of clinical expertise and leadership experience.
2. You need to terminate Gregory, who has had a long-standing history of conflict with you
and the staff, and who recently was charged with theft of patient belongings. You consult
Human Resources, and together, you develop a plan, which includes:
a. A private meeting with Gregory, a Human Resources representative, and you to deliver the
news and deliver the termination notice and all other documents that are related.
b. Planning an opportunity for Gregory to return and be recognized at a staff farewell.
c. Calling Gregory at home to tell him that he is fired and that his paperwork will be sent to
him at a future date.
d. Calling him into a meeting in your office on the ward, where assistance is available, should
he become upset or agitated. - ansANS: A
Termination requires careful planning as to timing, privacy, safety, and how to preserve the
employee's dignity and avoid humiliation. Choosing a private location where colleagues are
not present, and organizing all documentation that is required to be given to Gregory,
achieves these goals and prevents his having to come to the organization at a future date.
REF: Page 469 TOP: AONE competency: Business Skills
On your unit, despite efforts to build a strong sense of team, conflict between some of the
staff is ongoing. Nonetheless, you want to proceed with developing a systematic and effective
performance appraisal system. Which of the following approaches would be most appropriate
for you to implement?
a. Peer review
b. A combination of tools
c. Anecdotal notes
d. Rating scale - ansANS: B
A combination of tools is likely superior to any one method in any situation.
The nurse is triaging clients from a large disaster. Which client should receive care first?
1. client w/ lrg shard of glass piercing chest wall, RR 32
2. client w/ forearm disfigured w/ protruding bone, finger cap refill 2 seconds
3. child w/ 3-in. oozing laceration on leg
4. woman who is 2 months pregnant, partial-thickness burn on forearm - ans1.
the integrity of the chest wall has been compromised and is becoming a "breathing" problem.
The others can wait up to two hours
2. The nurse manager is setting up the room assignments for the unit. She has one critical
patient on the unit, who is going to require more care than the others. Before delegating a
task, a nurse manager should:
a. Delegate the admission assessment to the LPN.
b. Review the employee's performance assessment for the most recent period.
c. Assess the amount of guidance and support needed in a particular situation.
, Mastering the Art of Leadership and
Management: Your Essential Guide to Test
Success
Comprehensive Exam Study Guide Latest
Updated 2025/2026.
Guaranteed Success with Top Grade Score of
A+
d. Create a task analysis of critical behaviors for the individual. - ansANS: C
To delegate effectively, the nurse manager must assess the abilities required in the situation
and the abilities that staff have to anticipate the amount of direction, monitoring, explanation,
and independence that can be assumed.
3. A key advantage that a nurse manager has in terms of delegating is that:
a. Clients receive less attention because too many staff make it difficult to coordinate care.
b. Nurses report less pressure to perform necessary tasks themselves.
c. Administration can predict overtime more accurately.
d. Team skills can be used more effectively. - ansANS: D
The use of multilevel healthcare providers enables healthcare organizations and nursing to
provide patient-centered care, with a focus on abilities and skills that can be employed to
perform "what is needed now." As tasks become more complicated, delegating skills to
others enables the nurse to effectively deliver a complex level of care.
There has been a large disaster, and nurses have been floated to help with the lrg influx of
clients. Which client is most appropriate to assign to the nurse floated from the mother-baby
unit?
1. 1 day postop hemicolectomy male with foley cath
2. women in pelvic traction who is 3 mo. pregnant
3. elderly woman who has herpes zoster
4. male admitted for hearing command voices to kill himself - ans1.
gv floated nurse clients with whom they can use the skills they would ordinarily use. 1 is
similar to client with c-section; OB nurses do not handle traction (woman dsnt hv issues r/t
pregnancy; OB nurse shouldnt take care of infectious clients to avoid inadvertent
transmission; OB nurses are nor experienced in managing suicidal clients
As part of orientation to your unit, you decide to administer Kolb's Learning Style Inventory
(LSI) to new staff. The most likely reason for your decision is that the use of Kolb's LSI:
a. Reduces the cost of orientation.
b. Determines if there is fit between learner and organizational values.
c. Develops the strengths of the new staff member.
d. Enables individualization of learning to the learner's needs. - ansANS: D
Administration of Kolb's LSI enables identification of the learning styles of new employees,
which assists in focusing the implementation of orientation goals and in individualizing
learning to the needs and learning style of the employee.
In keeping with guidelines of the organization, the nurse manager documents staff problems.
Documentation of disciplinary problems should:
a.Include a plan to correct them and to prevent future occurrences.
b.State a detailed history of past problems that are related to the current one.
c. Be written at the convenience of the manager.
d. Accumulate until the evaluation period begins - ansInclude a plan to correct them and to
prevent future occurrences.
