1
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CHAPTER LIST
UNIT I: The Critical Triad: Decision Making, Management, and Leadership
1. Decision Making, Problem Solving, Critical Thinking, and Clinical
Reasoning: Requisites for Successful Leadership and Management
2. Classical Views of Leadership and Management
3. Twenty-First Century Thinking About Leadership and Management
UNIT II: Foundation for Effective Leadership and Management: Ethics, Law,
and Advocacy
4. Ethical Issues
5. Legal and Legislative Issues
6. Patient, Subordinate, Workplace, and Professional Advocacy
UNIT III: Roles and Functions in Planning
7. Organizational Planning
8. Planned Change
9. Time Management
10.Fiscal Planning and Health-Care Reimbursement
11.Career Planning and Development in Nursing
UNIT IV: Roles and Functions in Organizing
12.Organizational Structure
13.Organizational, Political, and Personal Power
14.Organizing Patient Care
UNIT V: Roles and Functions in Staffing
15.Employee Recruitment, Selection, Placement, and Onboarding
16.Educating and Socializing Staff in a Learning Organization
17.Staffing Needs and Scheduling Policies
UNIT VI: Roles and Functions in Directing
18.Creating a Motivating Climate
19.Organizational, Interpersonal, and Group Communication in Team Building
20.Delegation
21.Conflict, Workplace Violence, and Negotiation
22.Collective Bargaining, Unionization, and Employment Laws
UNIT VII: Roles and Functions in Controlling
23.Quality Control in Creating a Culture of Patient Safety
24.Performance Appraisal
25.Problem Employees: Rule Breakers, Marginal Employees, and Those with
Substance Use Disorder
, 3
Chapter 1: Decision Making, Problem
Solving, Critical Thinking, and Clinical
Reasoning: Requisites for Successful
Leadership and Management
Question 1:
A nurse manager is tasked with making a staffing decision for a busy medical-
surgical unit. Which of the following steps should the nurse manager take first to
ensure the decision is evidence-based?
A) Review the financial cost of staffing adjustments
B) Gather data on patient acuity and the current nurse-to-patient ratio
C) Consult with the nurse leaders of other units for staffing feedback
D) Review previous staff complaints about staffing shortages
✅Correct Answer: B) Gather data on patient acuity and the current nurse-to-
patient ratio
Rationale: The first step in making an evidence-based staffing decision is to assess
patient acuity and the current nurse-to-patient ratio. This ensures that staffing
levels meet the actual care needs of patients, which is the core focus of safe and
, 4
effective patient care. Financial costs, feedback from other units, and staff
complaints should be considered later in the decision-making process.
DIF: Applying
TOP: Decision-Making
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment –
Management of Care
Question 2:
A nurse leader is using clinical reasoning to decide whether to initiate a change in
the unit's infection control practices. Which of the following actions should the
nurse leader prioritize?
A) Gather evidence from recent research studies supporting new practices
B) Focus solely on reducing costs associated with the change
C) Consult with the facility's finance department for budget approval
D) Seek input from only the infection control department
✅Correct Answer: A) Gather evidence from recent research studies
supporting new practices
Rationale: Clinical reasoning involves evidence-based decision-making. The nurse
leader should prioritize gathering research evidence that supports the new infection
control practices to ensure that the decision is grounded in reliable data and will
enhance patient safety. Budget concerns and seeking input only from one
department are secondary considerations.
, 2
CHAPTER LIST
UNIT I: The Critical Triad: Decision Making, Management, and Leadership
1. Decision Making, Problem Solving, Critical Thinking, and Clinical
Reasoning: Requisites for Successful Leadership and Management
2. Classical Views of Leadership and Management
3. Twenty-First Century Thinking About Leadership and Management
UNIT II: Foundation for Effective Leadership and Management: Ethics, Law,
and Advocacy
4. Ethical Issues
5. Legal and Legislative Issues
6. Patient, Subordinate, Workplace, and Professional Advocacy
UNIT III: Roles and Functions in Planning
7. Organizational Planning
8. Planned Change
9. Time Management
10.Fiscal Planning and Health-Care Reimbursement
11.Career Planning and Development in Nursing
UNIT IV: Roles and Functions in Organizing
12.Organizational Structure
13.Organizational, Political, and Personal Power
14.Organizing Patient Care
UNIT V: Roles and Functions in Staffing
15.Employee Recruitment, Selection, Placement, and Onboarding
16.Educating and Socializing Staff in a Learning Organization
17.Staffing Needs and Scheduling Policies
UNIT VI: Roles and Functions in Directing
18.Creating a Motivating Climate
19.Organizational, Interpersonal, and Group Communication in Team Building
20.Delegation
21.Conflict, Workplace Violence, and Negotiation
22.Collective Bargaining, Unionization, and Employment Laws
UNIT VII: Roles and Functions in Controlling
23.Quality Control in Creating a Culture of Patient Safety
24.Performance Appraisal
25.Problem Employees: Rule Breakers, Marginal Employees, and Those with
Substance Use Disorder
, 3
Chapter 1: Decision Making, Problem
Solving, Critical Thinking, and Clinical
Reasoning: Requisites for Successful
Leadership and Management
Question 1:
A nurse manager is tasked with making a staffing decision for a busy medical-
surgical unit. Which of the following steps should the nurse manager take first to
ensure the decision is evidence-based?
A) Review the financial cost of staffing adjustments
B) Gather data on patient acuity and the current nurse-to-patient ratio
C) Consult with the nurse leaders of other units for staffing feedback
D) Review previous staff complaints about staffing shortages
✅Correct Answer: B) Gather data on patient acuity and the current nurse-to-
patient ratio
Rationale: The first step in making an evidence-based staffing decision is to assess
patient acuity and the current nurse-to-patient ratio. This ensures that staffing
levels meet the actual care needs of patients, which is the core focus of safe and
, 4
effective patient care. Financial costs, feedback from other units, and staff
complaints should be considered later in the decision-making process.
DIF: Applying
TOP: Decision-Making
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment –
Management of Care
Question 2:
A nurse leader is using clinical reasoning to decide whether to initiate a change in
the unit's infection control practices. Which of the following actions should the
nurse leader prioritize?
A) Gather evidence from recent research studies supporting new practices
B) Focus solely on reducing costs associated with the change
C) Consult with the facility's finance department for budget approval
D) Seek input from only the infection control department
✅Correct Answer: A) Gather evidence from recent research studies
supporting new practices
Rationale: Clinical reasoning involves evidence-based decision-making. The nurse
leader should prioritize gathering research evidence that supports the new infection
control practices to ensure that the decision is grounded in reliable data and will
enhance patient safety. Budget concerns and seeking input only from one
department are secondary considerations.
