TEST BANK FOR
LEADERSHIP AND
NURSING CARE
MANAGEMENT 6TH
EDITION
,Chapter 01: Leadership and Management Principles
Test Bank
MULTIPLE CHOICE
1. Leadership is best defined as:
a. an interpersonal process of participating by encouraging fellowship.
b. delegation of authority and responsibility and the coordination of activities.
c. inspiring people to accomplish goals through support and confidence building.
d. the integration of resources through planning, organizing, and directing.
ANS : C
Leadership is the process of influencing people to accomplish goals by inspiring
confidence and support among followers.
DIF: Cognitive Level: Remember (Knowledge) REF: Page 4
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2. A medical - surgical unit reports higher rates of patient satisfaction coupled with
high rates of staff satisfaction and productivity. Which of the following is attributed
to the data? a. Effective leadership
b. Management involvement
c. Mentoring
d. Rewards and recognition
ANS : A
Effective leadership is important in nursing because of the impact on nurses’ work
lives, it being a stabilizing influence during change, and for nurses’ productivity and
quality of care.
DIF: Cognitive Level: Apply (Application) REF: Page 1
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
3. A staff registered nurse (RN) is leading a multidisciplinary clinical pathway team in
the development of care for patients with total knee replacement. Which of the
following statements would exemplify leadership behaviors in a clinical pathway
team meetin g? a. “Nursing is responsible for pain control of the total knee
replacement patient.”
b. “Our pharmacist has provided some excellent pain control literature.”
c. “Physical therapy’s expertise is in rehabilitation, not pain control.”
d. “Total knee replacement patients require optimal pain control.”
ANS : B
, Leadership is the process of influencing people to accomplish goals by inspiring
confidence and support among followers. The correct ANS wer is supportive of a
team member’s work and depicts some skill at interpersonal relationships.
DIF: Cognitive Level: Apply (Application) REF: Pages 3 - 4
TOP: Nursing Process: Assessment
MSC: Client Needs: Physiological Integrity: Pharmacological and Parenteral Therapies
4. Which of the following is true of management activities?
a. Inspiring a vision is a management function.
b. Management is focused on task accomplishment.
c. Management is more focused on human relationships.
d. Management is more important than leadership.
ANS : B
Management is focused on task accomplishment.
DIF: Cognitive Level: Remember (Knowledge) REF: Pages 2 - 3
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
5. During a staff meeting, a group of RNs has complained that medications are not
arriving to the unit in a timely manner. The nurse manager suggests that the group
resolve this issue through the development and work of a multidisciplinary team led
by one of these RNs. This scenario demonstrates: a. adaptation.
b. empowerment.
c. flexibility.
d. relationship management.
ANS : B
Empowerment is the giving of authority, responsibility, and the freedom to act. In this
situation, the manager has given authority, responsibility, and the freedom to act in
the investigation and resolution of this issue.
DIF: Cognitive Level: Apply (Application) REF: Page 5
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
6. A nurse is caring for an elderly patient who was admitted after sustaining a fall at
home. When creating a care plan for the patient, she requests that the doctor order
a home health visit to assess for home safety and medication compliance. In
addition, t he nurse is concerned about the nutrition of the patient and requests a
dietitian evaluation. The nurse is demonstrating which of the following leadership
skills? a. Care provider
b. Business principles
c. Care coordination
d. Change management
, ANS : C
Care coordination is the delivery of nursing services that involves the organization
and coordination of complex activities. The nurse uses managerial and leadership
skills to facilitate delivery of quality care.
DIF: Cognitive Level: Apply (Application) REF: Page 3
TOP: Nursing Process: Planning
MSC: Client Needs: Physiological Integrity: Reduction of Risk Potential
7. Interpersonal communication and the ability to apply _____ are two critical skills
every nurse needs to enhance professional practice.
a. vision
b. supervision
c. delegation
d. problem solving
ANS : D
Every nurse needs two critical skills to enhance professional practice. One is a skill
at interpersonal relationships. This is fundamental to leadership and the work of
nursing. The second skill is applying the problem - solving process. This involves
critic al thinking, problem identification, and the development of objectivity.
DIF: Cognitive Level: Remember (Knowledge) REF: Page 4
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
8. Good leaders need to be able to demonstrate an intuitive skill of empathy and
expressiveness when dealing with others in the workplace. This requires sensitivity
and awareness of the emotions and moods of others and is known as: a. social
awareness.
b. self - awareness.
c. self - management.
d. relationship management.
ANS : A
Social awareness is an intuitive skill of empathy and expressiveness in being
sensitive and aware of the emotions and moods of others.
DIF: Cognitive Level: Remember (Knowledge) REF: Page 4
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
9. The manager of the emergency department in a large hospital focuses on customer
service, exudes the nursing code of ethics, and sees his or her job as an occupation
with a lifetime commitment. This is a concept known as: a. leadership.
b. management.
LEADERSHIP AND
NURSING CARE
MANAGEMENT 6TH
EDITION
,Chapter 01: Leadership and Management Principles
Test Bank
MULTIPLE CHOICE
1. Leadership is best defined as:
a. an interpersonal process of participating by encouraging fellowship.
b. delegation of authority and responsibility and the coordination of activities.
c. inspiring people to accomplish goals through support and confidence building.
d. the integration of resources through planning, organizing, and directing.
ANS : C
Leadership is the process of influencing people to accomplish goals by inspiring
confidence and support among followers.
DIF: Cognitive Level: Remember (Knowledge) REF: Page 4
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2. A medical - surgical unit reports higher rates of patient satisfaction coupled with
high rates of staff satisfaction and productivity. Which of the following is attributed
to the data? a. Effective leadership
b. Management involvement
c. Mentoring
d. Rewards and recognition
ANS : A
Effective leadership is important in nursing because of the impact on nurses’ work
lives, it being a stabilizing influence during change, and for nurses’ productivity and
quality of care.
DIF: Cognitive Level: Apply (Application) REF: Page 1
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
3. A staff registered nurse (RN) is leading a multidisciplinary clinical pathway team in
the development of care for patients with total knee replacement. Which of the
following statements would exemplify leadership behaviors in a clinical pathway
team meetin g? a. “Nursing is responsible for pain control of the total knee
replacement patient.”
b. “Our pharmacist has provided some excellent pain control literature.”
c. “Physical therapy’s expertise is in rehabilitation, not pain control.”
d. “Total knee replacement patients require optimal pain control.”
ANS : B
, Leadership is the process of influencing people to accomplish goals by inspiring
confidence and support among followers. The correct ANS wer is supportive of a
team member’s work and depicts some skill at interpersonal relationships.
DIF: Cognitive Level: Apply (Application) REF: Pages 3 - 4
TOP: Nursing Process: Assessment
MSC: Client Needs: Physiological Integrity: Pharmacological and Parenteral Therapies
4. Which of the following is true of management activities?
a. Inspiring a vision is a management function.
b. Management is focused on task accomplishment.
c. Management is more focused on human relationships.
d. Management is more important than leadership.
ANS : B
Management is focused on task accomplishment.
DIF: Cognitive Level: Remember (Knowledge) REF: Pages 2 - 3
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
5. During a staff meeting, a group of RNs has complained that medications are not
arriving to the unit in a timely manner. The nurse manager suggests that the group
resolve this issue through the development and work of a multidisciplinary team led
by one of these RNs. This scenario demonstrates: a. adaptation.
b. empowerment.
c. flexibility.
d. relationship management.
ANS : B
Empowerment is the giving of authority, responsibility, and the freedom to act. In this
situation, the manager has given authority, responsibility, and the freedom to act in
the investigation and resolution of this issue.
DIF: Cognitive Level: Apply (Application) REF: Page 5
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
6. A nurse is caring for an elderly patient who was admitted after sustaining a fall at
home. When creating a care plan for the patient, she requests that the doctor order
a home health visit to assess for home safety and medication compliance. In
addition, t he nurse is concerned about the nutrition of the patient and requests a
dietitian evaluation. The nurse is demonstrating which of the following leadership
skills? a. Care provider
b. Business principles
c. Care coordination
d. Change management
, ANS : C
Care coordination is the delivery of nursing services that involves the organization
and coordination of complex activities. The nurse uses managerial and leadership
skills to facilitate delivery of quality care.
DIF: Cognitive Level: Apply (Application) REF: Page 3
TOP: Nursing Process: Planning
MSC: Client Needs: Physiological Integrity: Reduction of Risk Potential
7. Interpersonal communication and the ability to apply _____ are two critical skills
every nurse needs to enhance professional practice.
a. vision
b. supervision
c. delegation
d. problem solving
ANS : D
Every nurse needs two critical skills to enhance professional practice. One is a skill
at interpersonal relationships. This is fundamental to leadership and the work of
nursing. The second skill is applying the problem - solving process. This involves
critic al thinking, problem identification, and the development of objectivity.
DIF: Cognitive Level: Remember (Knowledge) REF: Page 4
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
8. Good leaders need to be able to demonstrate an intuitive skill of empathy and
expressiveness when dealing with others in the workplace. This requires sensitivity
and awareness of the emotions and moods of others and is known as: a. social
awareness.
b. self - awareness.
c. self - management.
d. relationship management.
ANS : A
Social awareness is an intuitive skill of empathy and expressiveness in being
sensitive and aware of the emotions and moods of others.
DIF: Cognitive Level: Remember (Knowledge) REF: Page 4
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
9. The manager of the emergency department in a large hospital focuses on customer
service, exudes the nursing code of ethics, and sees his or her job as an occupation
with a lifetime commitment. This is a concept known as: a. leadership.
b. management.
