CHAPTER 10: CHALLENGES OF NURSING
MANAGEMENT AND LEADERSHIP ZERWEKH
9TH ED|QESTIONS AND 100% CORRECT
ANSWERS|LATEST 2025/2026|GUARANTEED
1. What is the most consistent concern of the nurse as manager?
A. To develop long-range career goals
B. To coordinate patient care while meeting the agency goals
C. To maintain harmony within the agency
D. To organize the subordinates to meet agency goals - ANSWER ANS: B
The role of the nurse as manager has evolved into a complex one that includes organizing
patient care, directing personnel to achieve agency goals, and allocating resources. The most
consistent concern of the nurse as manager is not to develop long-range career goals, maintain
harmony within the agency, or organize subordinates to meet agency goals. Although having
long-range career goals is a good idea for the nurse manager, it is not a day-to-day concern.
Organizing subordinates in not a role of the nurse manager, but instead it is directing or
supervising them to achieve patient care needs.
PTS: 1 DIF: Cognitive Level: Analysis REF: p. 208
OBJ: List characteristics of an effective manager and an influential leader.
TOP: Nursing definition
MSC: NCLEX®: Safe and effective care environment—management of care
2. What action would be an appropriate first step for the nurse to take toward becoming an
effective manager?
A. Learn how to effect and direct the change process.
B. Assess individuals' sources of power.
C. Develop communication and interpersonal skills.
D. Implement effective nursing care plans. - ANSWER ANS: C
1
,Effective managers have a balanced mix of management skills and leadership qualities. There
are generally four functions the manager performs: planning (what is to be done), organizing
(how it is to be done), directing (who is to do it), and controlling (when and how it is done). To
be effective in performing these functions, a manager must develop communication and
interpersonal skills.
PTS: 1 DIF: Cognitive Level: Application REF: p. 212
OBJ: List characteristics of an effective manager and an influential leader.
TOP: Nursing management
MSC: NCLEX®: Safe and effective care environment—management of care
3. What do the responsibilities of the nurse manager include?
A. Planning and organizing how nursing care can most effectively be delivered on the nursing
unit
B. Establishing the nursing care standards to be implemented on the unit
C. Developing educational programs to assist staff to meet licensure requirements
D. Assisting staff to adhere to organizational policies and procedures - ANSWER ANS: A
Managers must be attentive to both dimensions of their job: the mission and goals of the
organization and planning with the staff to meet the nursing care goals of the unit within the
overall goals of the institution. Both levels must be addressed—the organization as well as the
needs of the individuals. Other options are not as comprehensive and could be included within
the first option.
PTS: 1 DIF: Cognitive Level: Application REF: pp. 208-210
OBJ: List characteristics of an effective manager and an influential leader.
TOP: Nursing management
MSC: NCLEX®: Safe and effective care environment—management of care
4. The nursing staff on a busy unit enjoys autonomy and needs minimal direction for patient
care. Which leadership style would be most effective on this unit?
A. Democratic c. Laissez-faire
2
, B. Authoritarian d. Bureaucratic - ANSWER ANS: A
The democratic manager is people oriented and emphasizes effective group functioning. The
environment is open, communication is both ways, and staff members are encouraged to
participate in decision making. The manager is also willing to take responsibility to make
decisions when staff participation is not necessary. An authoritarian leader makes decisions
without the input of others. The laissez-faire manager maintains a permissive environment.
The bureaucratic leader follows a close set of standards to maintain order.
PTS: 1 DIF: Cognitive Level: Analysis REF: p. 212
OBJ: Describe various types of management. TOP: Nursing management
MSC: NCLEX®: Safe and effective care environment—management of care
5. Which statement best describes effective leadership by the nurse manager?
A. Directs a staff nurse to modify his or her communication skills
B. Fosters behavior changes in one staff member that have positive effects on the nurse
manager and his or her peers
C. Encourages behavior changes through the annual evaluation process
D. Uses the group process to determine what behavior is distressing to staff -
ANSWER ANS: B
Leadership in groups is democratic; the members feel positive about their participation and the
outcomes of the group process. The other options are not examples of effective leadership.
This person should be flexible enough to adapt to the changing roles of nursing staff. The nurse
manager/leader should be willing and able to share power with the same people that he or she
will supervise. It is important to understand that the most effective leadership style for one
situation is not necessarily the most effective for another. Research indicates that the
effectiveness of the leader is influenced by the situation itself. As leadership theories continue
to develop, emphasis is more on what the leader does rather than on the traits the leader
possesses. Effective leadership revolves around the leader focusing a group's efforts on
identifying goals and carrying out the activities needed to reach those goals, not necessarily on
individual issues, such as an annual evaluation processes or working with a staff to change
communication skills.
PTS: 1 DIF: Cognitive Level: Analysis REF: p. 216
3
MANAGEMENT AND LEADERSHIP ZERWEKH
9TH ED|QESTIONS AND 100% CORRECT
ANSWERS|LATEST 2025/2026|GUARANTEED
1. What is the most consistent concern of the nurse as manager?
A. To develop long-range career goals
B. To coordinate patient care while meeting the agency goals
C. To maintain harmony within the agency
D. To organize the subordinates to meet agency goals - ANSWER ANS: B
The role of the nurse as manager has evolved into a complex one that includes organizing
patient care, directing personnel to achieve agency goals, and allocating resources. The most
consistent concern of the nurse as manager is not to develop long-range career goals, maintain
harmony within the agency, or organize subordinates to meet agency goals. Although having
long-range career goals is a good idea for the nurse manager, it is not a day-to-day concern.
Organizing subordinates in not a role of the nurse manager, but instead it is directing or
supervising them to achieve patient care needs.
PTS: 1 DIF: Cognitive Level: Analysis REF: p. 208
OBJ: List characteristics of an effective manager and an influential leader.
TOP: Nursing definition
MSC: NCLEX®: Safe and effective care environment—management of care
2. What action would be an appropriate first step for the nurse to take toward becoming an
effective manager?
A. Learn how to effect and direct the change process.
B. Assess individuals' sources of power.
C. Develop communication and interpersonal skills.
D. Implement effective nursing care plans. - ANSWER ANS: C
1
,Effective managers have a balanced mix of management skills and leadership qualities. There
are generally four functions the manager performs: planning (what is to be done), organizing
(how it is to be done), directing (who is to do it), and controlling (when and how it is done). To
be effective in performing these functions, a manager must develop communication and
interpersonal skills.
PTS: 1 DIF: Cognitive Level: Application REF: p. 212
OBJ: List characteristics of an effective manager and an influential leader.
TOP: Nursing management
MSC: NCLEX®: Safe and effective care environment—management of care
3. What do the responsibilities of the nurse manager include?
A. Planning and organizing how nursing care can most effectively be delivered on the nursing
unit
B. Establishing the nursing care standards to be implemented on the unit
C. Developing educational programs to assist staff to meet licensure requirements
D. Assisting staff to adhere to organizational policies and procedures - ANSWER ANS: A
Managers must be attentive to both dimensions of their job: the mission and goals of the
organization and planning with the staff to meet the nursing care goals of the unit within the
overall goals of the institution. Both levels must be addressed—the organization as well as the
needs of the individuals. Other options are not as comprehensive and could be included within
the first option.
PTS: 1 DIF: Cognitive Level: Application REF: pp. 208-210
OBJ: List characteristics of an effective manager and an influential leader.
TOP: Nursing management
MSC: NCLEX®: Safe and effective care environment—management of care
4. The nursing staff on a busy unit enjoys autonomy and needs minimal direction for patient
care. Which leadership style would be most effective on this unit?
A. Democratic c. Laissez-faire
2
, B. Authoritarian d. Bureaucratic - ANSWER ANS: A
The democratic manager is people oriented and emphasizes effective group functioning. The
environment is open, communication is both ways, and staff members are encouraged to
participate in decision making. The manager is also willing to take responsibility to make
decisions when staff participation is not necessary. An authoritarian leader makes decisions
without the input of others. The laissez-faire manager maintains a permissive environment.
The bureaucratic leader follows a close set of standards to maintain order.
PTS: 1 DIF: Cognitive Level: Analysis REF: p. 212
OBJ: Describe various types of management. TOP: Nursing management
MSC: NCLEX®: Safe and effective care environment—management of care
5. Which statement best describes effective leadership by the nurse manager?
A. Directs a staff nurse to modify his or her communication skills
B. Fosters behavior changes in one staff member that have positive effects on the nurse
manager and his or her peers
C. Encourages behavior changes through the annual evaluation process
D. Uses the group process to determine what behavior is distressing to staff -
ANSWER ANS: B
Leadership in groups is democratic; the members feel positive about their participation and the
outcomes of the group process. The other options are not examples of effective leadership.
This person should be flexible enough to adapt to the changing roles of nursing staff. The nurse
manager/leader should be willing and able to share power with the same people that he or she
will supervise. It is important to understand that the most effective leadership style for one
situation is not necessarily the most effective for another. Research indicates that the
effectiveness of the leader is influenced by the situation itself. As leadership theories continue
to develop, emphasis is more on what the leader does rather than on the traits the leader
possesses. Effective leadership revolves around the leader focusing a group's efforts on
identifying goals and carrying out the activities needed to reach those goals, not necessarily on
individual issues, such as an annual evaluation processes or working with a staff to change
communication skills.
PTS: 1 DIF: Cognitive Level: Analysis REF: p. 216
3
