Test Bank Questions – Leadership latest update
2025/ 2026
1. Role theory has its underpinnings in management theory. Management theories influence managers'
leadership styles. Which would a nurse manager be most likely to follow when redesigning the staffing
schedule?
a. Theory X.
b. Productivity theory.
c. Psychological theory.
d. Theory Y. - CORRECT ANSWER>> ANS: D
Theory Y is effective in health care and helps reinforce the concept of team. Because the manager needs
to redesign staffing schedules, it would be important to use this participatory approach, inasmuch as the
change involves a group.
A nurse manager has worked rapidly to persuade the staff to accept changes in the unit's mission,
through innovative use of technology, to avoid downsizing. This nurse manager is displaying:
a. A focus on past concerns related to the mission.
b. How to teach staff members about self-management.
c. Facilitation of goal accomplishment.
d. A requirement that all staff members need to review and reinforce their technologic skills. - CORRECT
ANSWER>> ANS: C
Nurse managers, who are successful in motivating staff, provide a work environment that facilitates goal
accomplishment and personal satisfaction. In this situation, the nurse manager worked quickly to avoid
downsizing, thus facilitating the goal of avoiding staff layoffs.
3. The nurse manager, as the leader of the unit's "customer (patient) first" initiative, has asked the staff
nurses to develop and administer a survey to every patient before discharge. In asking the staff nurses
to accomplish this task, the nurse manager is demonstrating
a. Accountability.
b. Shared governance.
c. A common purpose.
d. Independence in the nursing manager's role. - CORRECT ANSWER>> ANS: B
,Engaging staff and others in decision making and in obtaining information is one characteristic of
creating a shared governance structure in which nurses are encouraged to make decisions.
A nurse manager is encountering considerable conflict among staff members because of weekend
staffing coverage. During a called staff meeting, the nurse manager asks the disgruntled staff to meet as
a group and determine the best staffing practices. In doing this, the nurse manager is using the concept
of collaboration to:
a. Demonstrate interdependence.
b. Depict flexibility and broadmindedness.
c. Focus all energies of staff members on a win-win strategy.
d. Defuse the possibility that staff members' discontent will escalate when staffing the unit on
weekends. - CORRECT ANSWER>> ANS: C
Conflict resolution skills are important for nursing managers. When collaboration is used to solve a
conflict, all energies are focused on solving the problem, rather than on defeating other people with
opposing views.
5. A nurse manager's responsibility for financial management involves making budgetary decisions.
Budgets that enable the nurse manager to allocate resources at the unit level allow:
a. Minimal nurse manager input.
b. Limited rationale for budgetary requests.
c. Budgetary allocations at the executive nurse level.
d. Budgetary decision making at the point of service - CORRECT ANSWER>> ANS: D
In organizational structures in which decision making occurs at the point of service, nurse managers are
given responsibility for preparing and implementing a budget that meets the long- and short-term needs
of their unit without requiring hierarchical approval.
6. Which represents one of the Canadian Nurses Association's top six competencies of a good nurse
manager?
a. Political activism.
b. Conflict resolution skills.
c. Budgetary responsibility.
d. Current clinical practice knowledge. - CORRECT ANSWER>> ANS: B
,The top six competencies for nurse managers are: (1) accountability for professional practice, (2) verbal
communication, (3) team-building skills, (4) leadership skills, (5) conflict resolution, and (6) knowledge of
ethical and legal issues.
7. Whenever a staff nurse asks Sue, the nursing manager, about the best way to perform a new
procedure, Sue immediately goes to the computer with the staff nurse and searches for online best
practices related to the procedure in question. What is Sue demonstrating?
a. Lack of procedural knowledge.
b. Role-modelling evidence-informed decision-making.
c. Empowerment for the staff nurse to do this on her own, rather than involve the manager.
d. The key role of informatics in the current health care system. - CORRECT ANSWER>> ANS: B
Nurse managers can help staff use research evidence in their practice decision making by valuing
research, role modelling, providing encouragement, ensuring policies are based on research and are up
to date, and monitoring practice and patient outcomes
8. In planning a new wing, the nurse manager complies with the workplace safety requirements of the
US Occupational Safety and Health Administration (OSHA). Which of the following groups is considered
to be at high risk for violence in the workplace?
a. Pediatric staff.
b. Postsurgical unit staff.
c. Emergency department staff.
d. Medical oncology unit staff. - CORRECT ANSWER>> ANS: C
Emergency department staff members are considered to be at high risk for violence
9. In orienting a 25-year-old nurse, the unit manager understands that this worker probably
a. Likes to attend to detail.
b. Is highly proficient in math and reading skills.
c. Enjoys being managed by superiors.
d. Likes to solve problems without being given solutions - CORRECT ANSWER>> ANS: D
A role of the manager is to understand various motivations of staff and to bring these together in the
accomplishment of goals. In general, younger workers are motivated strongly by shared governance and
decision making.
, 10. Nurses on Unit 4 are unhappy and frustrated with their nurse manager. They complain that "nothing
is ever good enough for him." Such statements suggest that the nurse manager's goals may be:
a. Measurable.
b. Unrealistic.
c. Attainable.
d. Too low. - CORRECT ANSWER>> ANS: B
Nurse managers need to set goals that are high enough to achieve excellence but reasonable enough to
enable achievement. Lack of achievement can result in frustration.
11. Budgeting and protection of revenues is a function of:
a. Leadership.
b. Management.
c. Team leadership.
d. Followers - CORRECT ANSWER>> ANS: B
Managers address complex issues such as planning, budgeting, and allocating resources, whereas
leaders address change.
12. Which of the following is important in a positive work environment?
a. One-way communication.
b. Accountability and clarity of roles and responsibilities.
c. Hierarchical decision making.
d. Challenge and striving for excellence - CORRECT ANSWER>> ANS: B
One of the six competencies of a good nursing manager is accountability for professional practice; clarity
of roles and responsibilities enhances accountability.
13. As the manager of a unit with a high percentage of young professionals, you increase job satisfaction
among this young staff by:
a. Providing high levels of job structure and task orientation.
b. Developing schedules that are fair and observing contractual obligations.
2025/ 2026
1. Role theory has its underpinnings in management theory. Management theories influence managers'
leadership styles. Which would a nurse manager be most likely to follow when redesigning the staffing
schedule?
a. Theory X.
b. Productivity theory.
c. Psychological theory.
d. Theory Y. - CORRECT ANSWER>> ANS: D
Theory Y is effective in health care and helps reinforce the concept of team. Because the manager needs
to redesign staffing schedules, it would be important to use this participatory approach, inasmuch as the
change involves a group.
A nurse manager has worked rapidly to persuade the staff to accept changes in the unit's mission,
through innovative use of technology, to avoid downsizing. This nurse manager is displaying:
a. A focus on past concerns related to the mission.
b. How to teach staff members about self-management.
c. Facilitation of goal accomplishment.
d. A requirement that all staff members need to review and reinforce their technologic skills. - CORRECT
ANSWER>> ANS: C
Nurse managers, who are successful in motivating staff, provide a work environment that facilitates goal
accomplishment and personal satisfaction. In this situation, the nurse manager worked quickly to avoid
downsizing, thus facilitating the goal of avoiding staff layoffs.
3. The nurse manager, as the leader of the unit's "customer (patient) first" initiative, has asked the staff
nurses to develop and administer a survey to every patient before discharge. In asking the staff nurses
to accomplish this task, the nurse manager is demonstrating
a. Accountability.
b. Shared governance.
c. A common purpose.
d. Independence in the nursing manager's role. - CORRECT ANSWER>> ANS: B
,Engaging staff and others in decision making and in obtaining information is one characteristic of
creating a shared governance structure in which nurses are encouraged to make decisions.
A nurse manager is encountering considerable conflict among staff members because of weekend
staffing coverage. During a called staff meeting, the nurse manager asks the disgruntled staff to meet as
a group and determine the best staffing practices. In doing this, the nurse manager is using the concept
of collaboration to:
a. Demonstrate interdependence.
b. Depict flexibility and broadmindedness.
c. Focus all energies of staff members on a win-win strategy.
d. Defuse the possibility that staff members' discontent will escalate when staffing the unit on
weekends. - CORRECT ANSWER>> ANS: C
Conflict resolution skills are important for nursing managers. When collaboration is used to solve a
conflict, all energies are focused on solving the problem, rather than on defeating other people with
opposing views.
5. A nurse manager's responsibility for financial management involves making budgetary decisions.
Budgets that enable the nurse manager to allocate resources at the unit level allow:
a. Minimal nurse manager input.
b. Limited rationale for budgetary requests.
c. Budgetary allocations at the executive nurse level.
d. Budgetary decision making at the point of service - CORRECT ANSWER>> ANS: D
In organizational structures in which decision making occurs at the point of service, nurse managers are
given responsibility for preparing and implementing a budget that meets the long- and short-term needs
of their unit without requiring hierarchical approval.
6. Which represents one of the Canadian Nurses Association's top six competencies of a good nurse
manager?
a. Political activism.
b. Conflict resolution skills.
c. Budgetary responsibility.
d. Current clinical practice knowledge. - CORRECT ANSWER>> ANS: B
,The top six competencies for nurse managers are: (1) accountability for professional practice, (2) verbal
communication, (3) team-building skills, (4) leadership skills, (5) conflict resolution, and (6) knowledge of
ethical and legal issues.
7. Whenever a staff nurse asks Sue, the nursing manager, about the best way to perform a new
procedure, Sue immediately goes to the computer with the staff nurse and searches for online best
practices related to the procedure in question. What is Sue demonstrating?
a. Lack of procedural knowledge.
b. Role-modelling evidence-informed decision-making.
c. Empowerment for the staff nurse to do this on her own, rather than involve the manager.
d. The key role of informatics in the current health care system. - CORRECT ANSWER>> ANS: B
Nurse managers can help staff use research evidence in their practice decision making by valuing
research, role modelling, providing encouragement, ensuring policies are based on research and are up
to date, and monitoring practice and patient outcomes
8. In planning a new wing, the nurse manager complies with the workplace safety requirements of the
US Occupational Safety and Health Administration (OSHA). Which of the following groups is considered
to be at high risk for violence in the workplace?
a. Pediatric staff.
b. Postsurgical unit staff.
c. Emergency department staff.
d. Medical oncology unit staff. - CORRECT ANSWER>> ANS: C
Emergency department staff members are considered to be at high risk for violence
9. In orienting a 25-year-old nurse, the unit manager understands that this worker probably
a. Likes to attend to detail.
b. Is highly proficient in math and reading skills.
c. Enjoys being managed by superiors.
d. Likes to solve problems without being given solutions - CORRECT ANSWER>> ANS: D
A role of the manager is to understand various motivations of staff and to bring these together in the
accomplishment of goals. In general, younger workers are motivated strongly by shared governance and
decision making.
, 10. Nurses on Unit 4 are unhappy and frustrated with their nurse manager. They complain that "nothing
is ever good enough for him." Such statements suggest that the nurse manager's goals may be:
a. Measurable.
b. Unrealistic.
c. Attainable.
d. Too low. - CORRECT ANSWER>> ANS: B
Nurse managers need to set goals that are high enough to achieve excellence but reasonable enough to
enable achievement. Lack of achievement can result in frustration.
11. Budgeting and protection of revenues is a function of:
a. Leadership.
b. Management.
c. Team leadership.
d. Followers - CORRECT ANSWER>> ANS: B
Managers address complex issues such as planning, budgeting, and allocating resources, whereas
leaders address change.
12. Which of the following is important in a positive work environment?
a. One-way communication.
b. Accountability and clarity of roles and responsibilities.
c. Hierarchical decision making.
d. Challenge and striving for excellence - CORRECT ANSWER>> ANS: B
One of the six competencies of a good nursing manager is accountability for professional practice; clarity
of roles and responsibilities enhances accountability.
13. As the manager of a unit with a high percentage of young professionals, you increase job satisfaction
among this young staff by:
a. Providing high levels of job structure and task orientation.
b. Developing schedules that are fair and observing contractual obligations.
