Nurse Leadership Practice Questions
Exam 1 Actual Exam | 90+ Verified
Questions with Detailed Answers and
Rationales | 2025Edition
Which is a symptom of poor organizational structure?
A) Communication follows the chain of command
B) The smallest possible number of managers exists to keep units functioning
C) The chain of command is fairly short
D) There is a heavy reliance on committees to solve unit problems
Ans: D
Feedback: A heavy reliance on committees to solve problems is an indication of
a poorly structured organization and often results in delays in critical decision
making. The other options describe examples of good organizational structure.
Which statement about education is the accurate?
A) Education generally has an immediate use
B) Managers have a responsibility to see that their staff is well educated C)
Recognizing and encouraging educational pursuits are a leadership role
D) Education always results in increased productivity
Ans: C
Feedback: Although training has an immediate use, education is designed to
develop the person in a broader sense. A leader will encourage continuous
learning from all employees. Education is not a guarantee of productivity.
What did the motivational theorist Saul Gellerman argue?
A) Individuals should be ìstretchedî on a regular basis to increase their
productivity and motivation levels
B) "Stretching" should be used as a motivational strategy only for affiliation-
oriented individuals
,C) "Stretching" should be used as a motivational strategy only when an
individual is already demotivated
D) Employees should be ìstretchedî intermittently to complete tasks more
difficult than what they are used to doing
Ans: D
Feedback: Gellerman suggested stretching, which involves assigning tasks that
are more difficult than what the person is used to doing. Stretching should not,
however, be a routine or daily activity. The remaining options are not true
statements regarding "stretching."
The RN overhears the nurses' aide speaking in a harsh tone to Mrs. Smith, who
has some early Alzheimer's memory loss. Which statement will the RN make to
begin addressing this issue?
A) "You must remember to watch your tone of voice with patients. Someone
might overhear."
B) "Do you think it would be a good idea to have an in-service on dealing with
Alzheimer's patients?"
C) "I am concerned about your conversation with Mrs. Smith. It seemed short
and impatient."
D) "I have decided to reassign Mrs. Smith to another aide."
Ans: C
Feedback: Assertive communication effectively identifies and addresses an issue
without being rude, insensitive, or passive-aggressive. None of the remaining
options actually identifies the communication problem.
Which statement describes the informal communication referred to as ìthe
grapevine?
A) Most personnel engaging in the unofficial exchange of information.
B) Information exchange is initiated by subordinates and directed upward C)
Information is conveyed unofficially by administration through department
heads
D) The exchange of information initiated by someone in a staff position to
someone in a line position
,Ans: A
Feedback: Informal communication through the ìgrapevineî occurs when most
personnel are involved in the unofficial exchange of information. This process is
not accurately described by any of the other options.
.
According to Skinner, how should rewards used as a way to reinforce behavior be
given?
A) At established intervals
B) Specific to a particular performance
C) Sometime after the event for maximum reinforcement
D) Very sparingly to make them more valuable
Ans: B
Feedback: If rewards are to succeed as motivational strategies, they should
represent genuine accomplishment on the part of the employee. Rewards can be
spontaneous, as long as they are truly deserved. The other options are not
supportive of Skinner's thoughts on rewards.
Which statement best describes andragogy?
A) Andragogy techniques are usually ineffective for mature learners
B) Andragogy relies on structure and direction
C) Andragogy works well with people who have had life experiences
D) Andragogy works best with teacher-led activities
Ans: C
Feedback: Andragogy works well with those who have had life experiences,
because they are mature and can take part in their own learning experiences. In
this type of learning the learner is self-directed rather than dependent. None of
the remaining options accurately describes andragogy.
, Research supports that which factor may lead nurses to become disengated in
their careers?
A. They do not feel that nursing is valued as a career
B. Boredom increases with time on the same job
C. Many nurses interrupt their careers for childrearing
D. Nursing is low paying compared with other careers
Ans: B
Feeback: research has shown that boredome and job indifference leading to
disengaement increase with time on the same job. While the other options may
be factors they are not research supported.
Which term is used to identify having official power to act?
A) Responsibility
B) Authority
C) Accountability
D) Leadership
Ans: B
Feedback: Authority means having the official power to act. None of the other
terms is used to identify having official power to act.
10. Which technique will help the manager prioritize?
A. Doing "trivial" items first to get them out of the way
B. Putting some items in the "don't do" category
C. "Breaking of" overwhelming tasks
D. "Delegating" the most important things to someone else
Ans: B
Feedback: The "don't do" list contains items that will take care of themselves,
are already outdated, or are best accomplished by someone else. In the case of
items that are best done by someone else, the manager should pass these along
in a timely fashion. None of the remaining options address prioritization.
Exam 1 Actual Exam | 90+ Verified
Questions with Detailed Answers and
Rationales | 2025Edition
Which is a symptom of poor organizational structure?
A) Communication follows the chain of command
B) The smallest possible number of managers exists to keep units functioning
C) The chain of command is fairly short
D) There is a heavy reliance on committees to solve unit problems
Ans: D
Feedback: A heavy reliance on committees to solve problems is an indication of
a poorly structured organization and often results in delays in critical decision
making. The other options describe examples of good organizational structure.
Which statement about education is the accurate?
A) Education generally has an immediate use
B) Managers have a responsibility to see that their staff is well educated C)
Recognizing and encouraging educational pursuits are a leadership role
D) Education always results in increased productivity
Ans: C
Feedback: Although training has an immediate use, education is designed to
develop the person in a broader sense. A leader will encourage continuous
learning from all employees. Education is not a guarantee of productivity.
What did the motivational theorist Saul Gellerman argue?
A) Individuals should be ìstretchedî on a regular basis to increase their
productivity and motivation levels
B) "Stretching" should be used as a motivational strategy only for affiliation-
oriented individuals
,C) "Stretching" should be used as a motivational strategy only when an
individual is already demotivated
D) Employees should be ìstretchedî intermittently to complete tasks more
difficult than what they are used to doing
Ans: D
Feedback: Gellerman suggested stretching, which involves assigning tasks that
are more difficult than what the person is used to doing. Stretching should not,
however, be a routine or daily activity. The remaining options are not true
statements regarding "stretching."
The RN overhears the nurses' aide speaking in a harsh tone to Mrs. Smith, who
has some early Alzheimer's memory loss. Which statement will the RN make to
begin addressing this issue?
A) "You must remember to watch your tone of voice with patients. Someone
might overhear."
B) "Do you think it would be a good idea to have an in-service on dealing with
Alzheimer's patients?"
C) "I am concerned about your conversation with Mrs. Smith. It seemed short
and impatient."
D) "I have decided to reassign Mrs. Smith to another aide."
Ans: C
Feedback: Assertive communication effectively identifies and addresses an issue
without being rude, insensitive, or passive-aggressive. None of the remaining
options actually identifies the communication problem.
Which statement describes the informal communication referred to as ìthe
grapevine?
A) Most personnel engaging in the unofficial exchange of information.
B) Information exchange is initiated by subordinates and directed upward C)
Information is conveyed unofficially by administration through department
heads
D) The exchange of information initiated by someone in a staff position to
someone in a line position
,Ans: A
Feedback: Informal communication through the ìgrapevineî occurs when most
personnel are involved in the unofficial exchange of information. This process is
not accurately described by any of the other options.
.
According to Skinner, how should rewards used as a way to reinforce behavior be
given?
A) At established intervals
B) Specific to a particular performance
C) Sometime after the event for maximum reinforcement
D) Very sparingly to make them more valuable
Ans: B
Feedback: If rewards are to succeed as motivational strategies, they should
represent genuine accomplishment on the part of the employee. Rewards can be
spontaneous, as long as they are truly deserved. The other options are not
supportive of Skinner's thoughts on rewards.
Which statement best describes andragogy?
A) Andragogy techniques are usually ineffective for mature learners
B) Andragogy relies on structure and direction
C) Andragogy works well with people who have had life experiences
D) Andragogy works best with teacher-led activities
Ans: C
Feedback: Andragogy works well with those who have had life experiences,
because they are mature and can take part in their own learning experiences. In
this type of learning the learner is self-directed rather than dependent. None of
the remaining options accurately describes andragogy.
, Research supports that which factor may lead nurses to become disengated in
their careers?
A. They do not feel that nursing is valued as a career
B. Boredom increases with time on the same job
C. Many nurses interrupt their careers for childrearing
D. Nursing is low paying compared with other careers
Ans: B
Feeback: research has shown that boredome and job indifference leading to
disengaement increase with time on the same job. While the other options may
be factors they are not research supported.
Which term is used to identify having official power to act?
A) Responsibility
B) Authority
C) Accountability
D) Leadership
Ans: B
Feedback: Authority means having the official power to act. None of the other
terms is used to identify having official power to act.
10. Which technique will help the manager prioritize?
A. Doing "trivial" items first to get them out of the way
B. Putting some items in the "don't do" category
C. "Breaking of" overwhelming tasks
D. "Delegating" the most important things to someone else
Ans: B
Feedback: The "don't do" list contains items that will take care of themselves,
are already outdated, or are best accomplished by someone else. In the case of
items that are best done by someone else, the manager should pass these along
in a timely fashion. None of the remaining options address prioritization.
