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TEST BANK FOR NURSING LEADERSHIP AND MANAGEMENT |QUESTIONS WITH 100% CORRECT WELL DETAILED ANSWERS|2025/2026|GUARANTEED A+|VERIFIED

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TEST BANK FOR NURSING LEADERSHIP AND MANAGEMENT |QUESTIONS WITH 100% CORRECT WELL DETAILED ANSWERS|2025/2026|GUARANTEED A+|VERIFIED

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Leadership And Management In Nursing
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MANAGEMENT |QUESTIONS WITH 100%
CORRECT WELL DETAILED
ANSWERS|2025/2026|GUARANTEED



An unlicensed assistive person (UAP) is working on a rehabilitation unit. Which task would
be appropriate for this person to delegate?

1. Taking and recording vital signs

2. Assisting with bathing

3. Making a bed

4. An unlicensed assistive person may not delegate tasks. - ANSWER Correct Answer: 4

Rationale 1: Taking and recording vital signs is an appropriate task for the registered nurse to
delegate to the UAP.

Rationale 2: Assisting with bathing is an appropriate task for the registered nurse to delegate
to the UAP.

Rationale 3: Making a bed is an appropriate task for the registered nurse to delegate to the
UAP.

Rationale 4: The unlicensed person may not delegate t



An RN delegates the task of taking a newly admitted clients vital signs to a nurses aide. The
clients blood pressure was 182/98, but did not get reported to the physician for several
hours. Who is responsible for the lapse in time between discovery and action?

1. Nurse manager

2. Aide

3. Client

4. RN - ANSWER Correct Answer: 4

Rationale 1: The nurse manager did not delegate the task of vital signs so therefore is not
responsible for the time lapse between discovery and action.



1

,Rationale 2: The aide did not delegate the task of vital signs so therefore is not responsible
for the time lapse between discovery and action.

Rationale 3: The client did not delegate the task of vital signs so therefore is not responsible
for the time lapse between discovery and action.

Rationale 4: The RN is ultimately responsible for the action, reporting it, and following
through on any action. Part of delegation is supervision and evaluation-ultimate
responsibilities that belong to the RN.



A nurse manager has the reputation of being an autocratic leader. Which of the following
statements by this manager would support that reputation?

1. Id like to hear from you (addressing the staff) what your ideas are for promoting better
morale in this unit.

2. Im putting a suggestion box in the break room if anyone has ideas that would be helpful to
the unit.

3. The new work schedule is posted for the next 6 weeks.

4. I put the new procedure manual out. Please add your comments to the blank sheet of
paper attached to the front. - ANSWER Correct Answer: 3

Rationale 1: This option is more reflective of a democratic style leader.

Rationale 2: This option is more reflective of a democratic style leader.

Rationale 3: An autocratic leader makes decisions for the group. This style is likened to a
dictator in that the autocratic leader gives orders and directions to the group, determines
policies, and solves problems without input from the group.

Rationale 4: This option is more reflective of a democratic style leader.



During a particularly heated staff meeting regarding staff assignments, the nurse manager
makes this comment: When you all can come to a decision, let me know and well move on
from there. This leader is best identified as which of the following?

1. Democratic leader

2. Permissive leader

3. Bureaucratic leader

4. Situational leader - ANSWER Correct Answer: 2



2

,Rationale 1: The democratic leader encourages group discussion and decision making,
provides constructive criticism, offers information, makes suggestions, and asks questions.

Rationale 2: The permissive leader recognizes the groups need for autonomy and self-
regulation by assuming a hands-off approach. Allowing the group to come to their own
decision, then accepting that would be the case in this situation.

Rationale 3: The bureaucratic leader relies on the organizations rules, policies, and
procedures to direct the groups work efforts.

Rationale 4: A situational leader is one who adapts his or her leadership style to the
situation.



A nurse manager allows the staff to make their own schedules and do their own client
assignments on their shifts. However, during a code situation, the nurse manager will make
decisions for the staff by instructing which nurse to assume which responsibility in the code
situation. This manager is exemplifying which style of leadership?

1. Permissive

2. Democratic

3. Situational

4. Bureaucratic - ANSWER Correct Answer: 3

Rationale 1: Permissive leaders assume a hands-off approach.

Rationale 2: The democratic leader encourages group discussion and decision making.

Rationale 3: According to contingency theorists, effective leaders adapt their leadership style
to the situation. Unlike the singular style of authoritarian, democratic, and permissive
leaders, the situational leader adapts his or her leadership to the readiness and willingness
of the group to perform the assigned task.

Rationale 4: A bureaucratic leader relies on the organizations rules, policies, and procedures
to direct the groups work efforts.



A group of community health nurses work together in the same office. They are each
responsible for their own caseloads and scheduling of appointments. Their major leadership
directives come from the state health office, several hundred miles away. This group of
nurses is functioning under what type of leadership?

1. Charismatic



3

, 2. Shared

3. Transformational

4. Transactional - ANSWER Correct Answer: 2

Rationale 1: A charismatic leader is characterized by an emotional relationship between the
leader and group members.

Rationale 2: Shared leadership recognizes that a professional workforce is made up of many
leaders. No one person is considered to have knowledge or ability beyond that of other
members of the work group, as in this situation.

Rationale 3: A transformational leader fosters creativity, risk taking, commitment, and
collaboration by empowering the group to share in the organizations vision.

Rationale 4: A transactional leader has a relationship with followers based on an exchange
for some resource valued by the followers.



A charge nurses responsibilities include the day-to-day management and coordination of
therapies for the clients, client assignments, and scheduling. This is an example of which
level of management?

1. Top-level

2. Middle-level

3. First-level

4. Upper-level - ANSWER Correct Answer: 3

Rationale 1: Upper-level (same as top-level) managers are organizational executives who are
primarily responsible for establishing goals and developing strategic plans.

Rationale 2: Middle-level managers supervise a number of first-level managers and are
responsible for the activities in the departments they supervise.

Rationale 3: First-level managers are responsible for managing the work of nonmanagerial
personnel and the day-to-day activities of a specific work group (rehabilitation unit in this
case).

Rationale 4: Upper-level (same as top-level) managers are organizational executives who are
primarily responsible for establishing goals and developing strategic plans.



A nurse manager is working on new job descriptions for all nursing units of the hospital. This
is an example of which function of management?

4

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