LEADERSHIP ROLES AND MANAGEMENT
FUNCTIONS IN NURSING COMPLETE STUDY
GUIDE WITH SOLVED QUESTIONS
◉ Which is a characteristic of a leader?
A) Always assigned a position of authority
B) Usually part of a formal organization
C) Focus on group process, information gathering, and feedback
D) Focus on decision making and results.
Answer: C. Focus on group process, information gathering, and
feedback
Rationale: While managers are more often part of a formal
organization and focus more on result-oriented tasks, leaders tend
to focus more on things such as group process
◉ Which was the focus of Weber's management theory?
A) Bureaucratic functions
B) Management functions
C) Scientific management
,D) Activities of management.
Answer: A. Bureaucratic functions
Rationale: Weber developed the theory of bureaucratic
organizations. Management functions theory was developed by
Fayol. Taylor developed scientific management theory and Gulick
developed activities of management theory
◉ Tell whether the following statement is True or False:
A characteristic of leadership management is to use trade-offs to
meet goals..
Answer: True
Rationale: Trade-offs can be a useful tool to achieve goals
◉ A nurse witnesses another nurse providing care without proper
hand hygiene and reports this to the charge nurse. The charge nurse
is friends with the other nurse and refuses to take action. This is an
example of:
A) Moral indifference
B) Moral conflict
C) Moral distress
,D) Ethical dilemma.
Answer: C. Moral distress
Rationale: Moral distress occurs when the individual knows the right
thing to do but organizational constraints make it difficult to take
the right course of action. With moral uncertainty or conflict, an
individual is unsure which moral principles or values apply. An
ethical dilemma occurs when an individual is being forced to choose
between two or more undesirable alternatives
◉ Tell whether the following statement is True or False:
A nurse manager who makes decisions based on what will benefit
the majority of the nurses in his or her charge is using the
intuitionism ethical framework for decision making..
Answer: B. False
Using an ethical framework of utilitarianism encourages decision
making based on what provides the greatest good for the greatest
number of people. The intuitionist framework allows the decision
maker to review each ethical problem or issue on a case-by-case
basis, comparing the relative weights of goals, duties, and rights
◉ Which is not an element of ethical decision making?
, A) Beneficence
B) Paternalism
C) Utility
D) Pragmatism.
Answer: D. Pragmatism
Rationale: The principles of ethical decision making include
autonomy, beneficence, paternalism, utility, justice, truth telling
(veracity), fidelity, and confidentiality
◉ Tell whether the following statement is true or false:
Nurse practice acts are examples of statutes..
Answer: A. True
Rationale: The 51 Nurse Practice Acts representing the 50 states and
the District of Columbia are examples of statutes. These Nurse
Practice Acts define and limit the practice of nursing, thereby stating
what constitutes authorized practice as well as what exceeds the
scope of authority
◉ A nurse is charged with administering a fatal dose of morphine to
a patient on hospice. In which type of court would this nurse be
charged?
FUNCTIONS IN NURSING COMPLETE STUDY
GUIDE WITH SOLVED QUESTIONS
◉ Which is a characteristic of a leader?
A) Always assigned a position of authority
B) Usually part of a formal organization
C) Focus on group process, information gathering, and feedback
D) Focus on decision making and results.
Answer: C. Focus on group process, information gathering, and
feedback
Rationale: While managers are more often part of a formal
organization and focus more on result-oriented tasks, leaders tend
to focus more on things such as group process
◉ Which was the focus of Weber's management theory?
A) Bureaucratic functions
B) Management functions
C) Scientific management
,D) Activities of management.
Answer: A. Bureaucratic functions
Rationale: Weber developed the theory of bureaucratic
organizations. Management functions theory was developed by
Fayol. Taylor developed scientific management theory and Gulick
developed activities of management theory
◉ Tell whether the following statement is True or False:
A characteristic of leadership management is to use trade-offs to
meet goals..
Answer: True
Rationale: Trade-offs can be a useful tool to achieve goals
◉ A nurse witnesses another nurse providing care without proper
hand hygiene and reports this to the charge nurse. The charge nurse
is friends with the other nurse and refuses to take action. This is an
example of:
A) Moral indifference
B) Moral conflict
C) Moral distress
,D) Ethical dilemma.
Answer: C. Moral distress
Rationale: Moral distress occurs when the individual knows the right
thing to do but organizational constraints make it difficult to take
the right course of action. With moral uncertainty or conflict, an
individual is unsure which moral principles or values apply. An
ethical dilemma occurs when an individual is being forced to choose
between two or more undesirable alternatives
◉ Tell whether the following statement is True or False:
A nurse manager who makes decisions based on what will benefit
the majority of the nurses in his or her charge is using the
intuitionism ethical framework for decision making..
Answer: B. False
Using an ethical framework of utilitarianism encourages decision
making based on what provides the greatest good for the greatest
number of people. The intuitionist framework allows the decision
maker to review each ethical problem or issue on a case-by-case
basis, comparing the relative weights of goals, duties, and rights
◉ Which is not an element of ethical decision making?
, A) Beneficence
B) Paternalism
C) Utility
D) Pragmatism.
Answer: D. Pragmatism
Rationale: The principles of ethical decision making include
autonomy, beneficence, paternalism, utility, justice, truth telling
(veracity), fidelity, and confidentiality
◉ Tell whether the following statement is true or false:
Nurse practice acts are examples of statutes..
Answer: A. True
Rationale: The 51 Nurse Practice Acts representing the 50 states and
the District of Columbia are examples of statutes. These Nurse
Practice Acts define and limit the practice of nursing, thereby stating
what constitutes authorized practice as well as what exceeds the
scope of authority
◉ A nurse is charged with administering a fatal dose of morphine to
a patient on hospice. In which type of court would this nurse be
charged?
