TEST BANK
Nursing Leadership and Management for Patient Safety and Quality Care
ELIZABETH MURRAY
Second Edition
,Test Bank for Nursing Leadership and
Management
Chapter 1: Nursing Leadership and Management
MULTIPLE CHOICE
1. According to Henri Fayol, the functions of planning, organizing, coordinating, and
controlling are considered which aspect of management?
a. Roles
b. Process
c. Functions
d. Taxonomy
ANS: B, The management process includes planning, organizing, coordinating, and controlling. Management
roles include information processing, interpersonal relationships, and decision making. Management functions
include planning, organizing, staffing, directing, coordinating, reporting, and budgeting. A taxonomy is a
system that orders principles into a grouping or classification.
2. Which of the following is considered a decisional managerial role?
a. Disseminator
b. Figurehead
c. Leader
d. Entrepreneur
ANS: D, The decisional managerial roles include entrepreneur, disturbance handler, allocator of resources,
and negotiator. The information processing managerial roles include monitor, disseminator, and
spokesperson. The interpersonal managerial roles include figurehead, leader, and liaison.
3. A nurse manager meets regularly with other nurse managers, participates on the
organizations committees, and attends meetings sponsored by professional organizations in
order to manage relationships. These activities are considered which function of a manager?
a. Informing
b. Problem solving
c. Monitoring
d. Networking
ANS: D, The role functions to manage relationships are networking, supporting, developing and
mentoring, managing conflict and team building, motivating and inspiring, recognizing, and rewarding.
The role functions to manage the work are planning and organizing, problem solving, clarifying roles and
objectives, informing, monitoring, consulting, and delegating.
4. A nurse was recently promoted to a middle-level manager position. The nurses title
would most likely be which of the following?
a. First-line manager
b. Director
c. Vice president of patient care services
d. Chief nurse executive
ANS: B, A middle-level manager is called a director. A low managerial- level job is called the first-line
manager. A nurse in an executive level role is called a chief nurse executive or vice president of patient care
services.
5. A nurse manager who uses Frederick Taylors scientific management approach, would most
likely focus on which of the following?
a. General principles
b. Positional authority
c. Labor productivity
d. Impersonal relations
ANS: C, The area of focus for scientific management is labor productivity. In bureaucratic theory, efficiency is
1|Page
,achieved through impersonal relations within a formal structure and is based on positional authority.
Administrative principle theory consists of principles of management that are relevant to any organization.
6. According to Vrooms Theory of Motivation, force:
a. is the perceived possibility that the goal will be achieved.
b. describes the amount of effort one will exert to reach ones goal.
c. describes people who have free will but choose to comply with orders they are given.
d. is a naturally forming social group that can become a contributor to an organization.
ANS: B, According to Vrooms Theory of Motivation, Force describes the amount of effort one will exert to
reach ones goal. Valence speaks to the level of attractiveness or unattractiveness of the goal. Expectancy is
the perceived possibility that the goal will be achieved. Vrooms Theory of Motivation can be demonstrated
in the form of an equation: Force = Valence Expectancy (Vroom, 1964). The theory proposes that this
equation can help to predict the motivation, or force, of an individual as described by Vroom.
7. According to R. N. Lussier, motivation:
a. is unconsciously demonstrated by people.
b. occurs externally to influence behavior.
c. is determined by others choices.
d. occurs internally to influence behavior.
ANS: D, Motivation is a process that occurs internally to influence and direct our behavior in order to satisfy
needs. Motivation is not explicitly demonstrated by people, but rather it is interpreted from their behavior.
Motivation is whatever influences our choices and creates direction, intensity, and persistence in our
behavior.
8. According to R. N. Lussier, there are content motivation theories and process
motivation theories. Which of the following is considered a process motivation theory?
a. Equity theory
b. Hierarchy of needs theory
c. Existence-relatedness-growth theory
d. Hygiene maintenance and motivation factors
ANS: A, The process motivation theories are equity theory and expectancy theory. The content motivation
theories include Maslows hierarchy of needs theory, Aldefers existence- relatedness-growth (ERG) theory, and
Herzbergs hygiene maintenance factors and motivation factors.
9. The theory that includes maintenance and motivation factors is:
a. Maslows hierarchy of needs.
b. Herzbergs two-factor theory.
c. McGregors theory X and theory Y.
d. Ouchis theory Z.
ANS: B, The two-factor theory of motivation includes motivation and maintenance factors. Maslows
hierarchy of needs includes the following needs: physiological, safety, security, belonging, and self-
actualization. In theory X, employees prefer security, direction, and minimal responsibility. In theory Y,
employees enjoy their work, show self-control and discipline, are able to contribute creatively, and are
motivated by ties to the group, organization, and the work itself. The focus of theory Z is collective decision
making and long-term employment that involves slower promotions and less direct supervision.
10. A nurse is appointed to a leadership position in the local hospital. The nurses position would
be considered which of the following?
a. Informal leadership
b. Formal leadership
c. Leadership
d. Management
2|Page
, ANS: B, Formal leadership is based on occupying a position in an organization. Informal leadership is
shown by an individual who demonstrates leadership outside the scope of a formal leadership role or as a
member of a group. Leadership is a process of influence whereby the leader influences others toward goal
achievement. Management is a process to achieve organizational goals.
11. A nursing instructor is evaluating whether the nursing students understand the
three fundamental qualities that leaders share. According to Bennis and Nanus, the
fundamental qualities of effective leaders are:
a. guided vision, passion, and integrity.
b. knowledge of self, honesty, and maturity.
c. intelligence, self-confidence, and determination.
d. honesty, self-awareness, and sociability.
ANS: A Bennis and Nanus list guided vision, passion, and integrity as fundamental qualities of effective
leaders. Knowledge of self, honesty and maturity; intelligence, self-confidence and determination; self-
awareness and sociability are all desirable traits in leaders as well as in others.
12. The six traits identified by Kirkpatrick and Locke that separate leaders from non-leaders were:
a. respectability, trustworthiness, flexibility, self-confidence, intelligence, sociability.
b. self-confidence, progression of experiences, influence of others, personal life factors, honesty,
drive.
c. intelligence, self-confidence, determination, integrity, sociability, honesty.
d. drive, desire to lead, honesty, self-confidence, cognitive ability, knowledge of business.
ANS: D, Research by Kirkpatrick and Locke concluded that leaders possess six traits: drive, desire to
lead, honesty, self- confidence, cognitive ability, and knowledge of the business. Woods identified five
dominant factors that influenced leadership development: self-confidence, innate qualities, progression of
experience, influence of significant others, and personal life factors. Stogdill identified the following traits
of a leader: intelligence, self- confidence, determination, integrity, and sociability. Murphy and DeBack
identified the following leader characteristics: caring, respectability, trustworthiness, and flexibility.
13. A nurse manager who uses a leadership style that is participatory and where
authority is delegated to others is most likely using which of the following leadership
styles?
a. Autocratic
b. Democratic
c. Laissez-faire
d. Employee-centered
ANS: B, Democratic leadership is participatory, and authority is delegated to others. Autocratic leadership
involves centralized decision making, with the leader making decisions and using power to command and
control others. Laissez-faire leadership is passive and permissive, and the leader defers decision making.
Employee-centered leadership focuses on the human needs of subordinates.
14. A characteristic of the consideration dimension of leadership behavior is:
a. focus on the work to be done
b. focus on the task.
c. focus on production.
d. focus on the employee.
ANS: D, The leadership dimension of consideration involves activities that focus on the employee. Initiating
structures of leadership involves an emphasis on the work to be done, and a focus on the task and
production.
15. The leadership theory that considers follower readiness as a factor in
determining leadership style is:
a. contingency.
b. path goal.
3|Page
Nursing Leadership and Management for Patient Safety and Quality Care
ELIZABETH MURRAY
Second Edition
,Test Bank for Nursing Leadership and
Management
Chapter 1: Nursing Leadership and Management
MULTIPLE CHOICE
1. According to Henri Fayol, the functions of planning, organizing, coordinating, and
controlling are considered which aspect of management?
a. Roles
b. Process
c. Functions
d. Taxonomy
ANS: B, The management process includes planning, organizing, coordinating, and controlling. Management
roles include information processing, interpersonal relationships, and decision making. Management functions
include planning, organizing, staffing, directing, coordinating, reporting, and budgeting. A taxonomy is a
system that orders principles into a grouping or classification.
2. Which of the following is considered a decisional managerial role?
a. Disseminator
b. Figurehead
c. Leader
d. Entrepreneur
ANS: D, The decisional managerial roles include entrepreneur, disturbance handler, allocator of resources,
and negotiator. The information processing managerial roles include monitor, disseminator, and
spokesperson. The interpersonal managerial roles include figurehead, leader, and liaison.
3. A nurse manager meets regularly with other nurse managers, participates on the
organizations committees, and attends meetings sponsored by professional organizations in
order to manage relationships. These activities are considered which function of a manager?
a. Informing
b. Problem solving
c. Monitoring
d. Networking
ANS: D, The role functions to manage relationships are networking, supporting, developing and
mentoring, managing conflict and team building, motivating and inspiring, recognizing, and rewarding.
The role functions to manage the work are planning and organizing, problem solving, clarifying roles and
objectives, informing, monitoring, consulting, and delegating.
4. A nurse was recently promoted to a middle-level manager position. The nurses title
would most likely be which of the following?
a. First-line manager
b. Director
c. Vice president of patient care services
d. Chief nurse executive
ANS: B, A middle-level manager is called a director. A low managerial- level job is called the first-line
manager. A nurse in an executive level role is called a chief nurse executive or vice president of patient care
services.
5. A nurse manager who uses Frederick Taylors scientific management approach, would most
likely focus on which of the following?
a. General principles
b. Positional authority
c. Labor productivity
d. Impersonal relations
ANS: C, The area of focus for scientific management is labor productivity. In bureaucratic theory, efficiency is
1|Page
,achieved through impersonal relations within a formal structure and is based on positional authority.
Administrative principle theory consists of principles of management that are relevant to any organization.
6. According to Vrooms Theory of Motivation, force:
a. is the perceived possibility that the goal will be achieved.
b. describes the amount of effort one will exert to reach ones goal.
c. describes people who have free will but choose to comply with orders they are given.
d. is a naturally forming social group that can become a contributor to an organization.
ANS: B, According to Vrooms Theory of Motivation, Force describes the amount of effort one will exert to
reach ones goal. Valence speaks to the level of attractiveness or unattractiveness of the goal. Expectancy is
the perceived possibility that the goal will be achieved. Vrooms Theory of Motivation can be demonstrated
in the form of an equation: Force = Valence Expectancy (Vroom, 1964). The theory proposes that this
equation can help to predict the motivation, or force, of an individual as described by Vroom.
7. According to R. N. Lussier, motivation:
a. is unconsciously demonstrated by people.
b. occurs externally to influence behavior.
c. is determined by others choices.
d. occurs internally to influence behavior.
ANS: D, Motivation is a process that occurs internally to influence and direct our behavior in order to satisfy
needs. Motivation is not explicitly demonstrated by people, but rather it is interpreted from their behavior.
Motivation is whatever influences our choices and creates direction, intensity, and persistence in our
behavior.
8. According to R. N. Lussier, there are content motivation theories and process
motivation theories. Which of the following is considered a process motivation theory?
a. Equity theory
b. Hierarchy of needs theory
c. Existence-relatedness-growth theory
d. Hygiene maintenance and motivation factors
ANS: A, The process motivation theories are equity theory and expectancy theory. The content motivation
theories include Maslows hierarchy of needs theory, Aldefers existence- relatedness-growth (ERG) theory, and
Herzbergs hygiene maintenance factors and motivation factors.
9. The theory that includes maintenance and motivation factors is:
a. Maslows hierarchy of needs.
b. Herzbergs two-factor theory.
c. McGregors theory X and theory Y.
d. Ouchis theory Z.
ANS: B, The two-factor theory of motivation includes motivation and maintenance factors. Maslows
hierarchy of needs includes the following needs: physiological, safety, security, belonging, and self-
actualization. In theory X, employees prefer security, direction, and minimal responsibility. In theory Y,
employees enjoy their work, show self-control and discipline, are able to contribute creatively, and are
motivated by ties to the group, organization, and the work itself. The focus of theory Z is collective decision
making and long-term employment that involves slower promotions and less direct supervision.
10. A nurse is appointed to a leadership position in the local hospital. The nurses position would
be considered which of the following?
a. Informal leadership
b. Formal leadership
c. Leadership
d. Management
2|Page
, ANS: B, Formal leadership is based on occupying a position in an organization. Informal leadership is
shown by an individual who demonstrates leadership outside the scope of a formal leadership role or as a
member of a group. Leadership is a process of influence whereby the leader influences others toward goal
achievement. Management is a process to achieve organizational goals.
11. A nursing instructor is evaluating whether the nursing students understand the
three fundamental qualities that leaders share. According to Bennis and Nanus, the
fundamental qualities of effective leaders are:
a. guided vision, passion, and integrity.
b. knowledge of self, honesty, and maturity.
c. intelligence, self-confidence, and determination.
d. honesty, self-awareness, and sociability.
ANS: A Bennis and Nanus list guided vision, passion, and integrity as fundamental qualities of effective
leaders. Knowledge of self, honesty and maturity; intelligence, self-confidence and determination; self-
awareness and sociability are all desirable traits in leaders as well as in others.
12. The six traits identified by Kirkpatrick and Locke that separate leaders from non-leaders were:
a. respectability, trustworthiness, flexibility, self-confidence, intelligence, sociability.
b. self-confidence, progression of experiences, influence of others, personal life factors, honesty,
drive.
c. intelligence, self-confidence, determination, integrity, sociability, honesty.
d. drive, desire to lead, honesty, self-confidence, cognitive ability, knowledge of business.
ANS: D, Research by Kirkpatrick and Locke concluded that leaders possess six traits: drive, desire to
lead, honesty, self- confidence, cognitive ability, and knowledge of the business. Woods identified five
dominant factors that influenced leadership development: self-confidence, innate qualities, progression of
experience, influence of significant others, and personal life factors. Stogdill identified the following traits
of a leader: intelligence, self- confidence, determination, integrity, and sociability. Murphy and DeBack
identified the following leader characteristics: caring, respectability, trustworthiness, and flexibility.
13. A nurse manager who uses a leadership style that is participatory and where
authority is delegated to others is most likely using which of the following leadership
styles?
a. Autocratic
b. Democratic
c. Laissez-faire
d. Employee-centered
ANS: B, Democratic leadership is participatory, and authority is delegated to others. Autocratic leadership
involves centralized decision making, with the leader making decisions and using power to command and
control others. Laissez-faire leadership is passive and permissive, and the leader defers decision making.
Employee-centered leadership focuses on the human needs of subordinates.
14. A characteristic of the consideration dimension of leadership behavior is:
a. focus on the work to be done
b. focus on the task.
c. focus on production.
d. focus on the employee.
ANS: D, The leadership dimension of consideration involves activities that focus on the employee. Initiating
structures of leadership involves an emphasis on the work to be done, and a focus on the task and
production.
15. The leadership theory that considers follower readiness as a factor in
determining leadership style is:
a. contingency.
b. path goal.
3|Page
