Nurse Leadership Quiz
A nurse leader changes the work schedule after a team member asks for more flexibility in the schedule. Which theory outlines this nurse leader's approach? 1 Maslow's theory 2 Herzberg's theory 3 Great Man theory 4 McGregor theory X
Correct: 2 Herzberg's theory
A nurse leader is promoting dialogue within the team successfully. Which actions of the nurse leader are responsible for this success? Select all that apply. 1 Serving as a facilitator 2 Encouraging the sharing of ideas 3 Discouraging the sharing of fears 4 Reacting to changed proposals honestly 5 Assigning different tasks to team members
Correct: 1 Serving as a facilitator Correct: 2 Encouraging the sharing of ideas Correct: 4 Reacting to changed proposals honestly
The nurse leader and the team received recognition because of a follower on the team. What could be the most important action of the nurse leader? 1 Sharing the appreciation with the team 2 Sharing the appreciation with the family 3 Sharing the appreciation with the friend 4 Sharing the appreciation with the higher professionals
Correct: 1 Sharing the appreciation with the team
According to chaos theory, what is the most important factor contributing to a successful organization? 1 Self-organizing structure 2 Managers who can take risks 3 Readiness to accept change 4 Leaders who are committed to lifelong learning
Correct: 3 Readiness to accept change
The nursing staff of a unit is frustrated and uncomfortable with the newly appointed nurse leader. Which role transition process is involved? 1 Role exploration 2 Role negotiation 3 Role discrepancy 4 Role internalization
Correct: 3 Role discrepancy
The nurse manager is planning to develop leadership skills in direct care nurses. What activities should the nurse encourage the direct care nurses to participate in to develop these skills? Select all that apply. 1 Participate in public forums 2 Participate in civic gatherings 3 Serve on practice councils 4 Join local professional associations 5 Participate in American Heart Association activities
Correct: 3 Serve on practice councils Correct: 4 Join local professional associations Correct: 5 Participate in American Heart Association activities
The registered nurse is teaching a group of student nurses about the role of the nurse as a leader. Which statement by a student nurse indicates effective learning? 1 "The nurse manager has a plan for identification of charge nurses." 2 "The nurse executive need not be aware of information on succession planning." 3 "The primary goal of the nurse executive is leadership within and outside the workplace." 4 "The goal of the nurse manager is to develop a shared vision of the future with direct care nurses."
Correct: 4 "The goal of the nurse manager is to develop a shared vision of the future with direct care nurses."
A client requires emergency cardiac surgery. The leader nurse wants to make the client aware of the situation and wants the client to decide what should be done. Which ethical model does the leader nurse follow here? 1 Autonomy model 2 Paternalistic model 3 Social justice model 4 Patient-benefit model
Correct: 1 Autonomy model
The unit nurse manager comes to work obviously intoxicated. Which action is the staff nurse ethically obligated to take? 1 Call the security guard. 2 Tell the nurse manager to go home. 3 Have the supervisor validate the observation. 4 Offer the nurse manager a large cup of coffee.
Correct: 3 Have the supervisor validate the observation.
The nurse manager assigned 5 visits per day to a home health nurse, but the weekly average of the home health nurse is 4.8 visits per day. What reason does the nurse manager expect is the cause for this discrepancy? 1 The client condition is not critical. 2 The client does not require more visits. 3 The time spent on the client visit is nonproductive. 4 The time for one visit took twice the amount of time normally.
Correct: 4 The time for one visit took twice the amount of time normally.
Which transformational leadership practices are involved when a leader empowers people and offers praise for the work done by one of the team members? Select all that apply. 1 Inspiring 2 Enabling 3 Modeling 4 Challenging 5 Encouraging
Correct: 2 Enabling Correct: 5 Encouraging
A hospital wants to implement the primary nursing model on the premises. Which challenges are likely to be faced by the management? Select all that apply. 1 Lack of client rapport 2 Lack of nurse availability 3 Lack of experienced nurses 4 Decrease in cost for management 5 Lack of communication with healthcare providers
Correct: 2 Lack of nurse availability Correct: 3 Lack of experienced nurses
The nurse manager finds that there is an increased infection rate in the unit due to an increased number of client visitors. The nurse believes that a change in the visitor policy could help reduce the infection rates. The leader is initiating an open dialogue about external and internal realities among the team members. Which attribute of Kotter's eight-step model is involved in this action by the nurse manager? 1 Creating urgency 2 Creating short-term wins 3 Forming a powerful coalition 4 Communicating the change vision
Correct: 1 Creating urgency
The registered nurse, as a transformational leader, is assigning a task to a practitioner nurse. Which effects on the follower does the nurse expect from transformational leadership? Select all that apply. 1 Increasing self-worth 2 Fulfilling the contract 3 Coaching and mentoring 4 Doing the work and getting paid 5 Performing challenging and meaningful work
Correct: 1 Increasing self-worth Correct: 3 Coaching and mentoring Correct: 5 Performing challenging and meaningful work
A direct care nurse performs exceedingly well on a cancer project. As a result, the managerial team decides to promote the nurse to a managerial position. Which actions by the nurse would justify the decision of the panel? Select all that apply. 1 Inspiring new ideas 2 Establishing short-term goals 3 Demonstrating positive feelings 4 Maximizing results from existing resources 5 Showing willingness to both lead and follow peers
Correct: 1 Inspiring new ideas Correct: 2 Establishing short-term goals Correct: 3 Demonstrating positive feelings Correct: 4 Maximizing results from existing resources
The nurse executive is seeking to improve client care by helping multidisciplinary leaders achieve optimal functioning. Which behavior related to Gardner's tasks of leading is the executive exhibiting? 1 Managing 2 Affirming values 3 Developing trust 4 Achieving workable unity
Correct: 4 Achieving workable unity
The nurse manager implements a change in the back care routine provided to bedridden clients to help prevent pressure ulcers. The nurse manager observes a decrease in the incidences of pressure ulcers in the unit and appreciates the efforts of the team members who implemented the change. Which step of Kotter's eight-step change model is reflected in this scenario? 1 Creating urgency 2 Removing obstacles 3 Creating a vision for change 4 Anchoring the changes in the culture
Correct: 4 Anchoring the changes in the culture
Which statement made by the nurse leader would satisfy the basic expectations of the client? 1 "I will return at 5 o'clock pm." 2 "What do you want us to do?" 3 "I am listening to you; please explain how you are affected by this problem." 4 "The problem was due to a delay in medication, but I have a solution to prevent this from happening again."
Correct: 1 "I will return at 5 o'clock pm."
Four nurse leaders are performing Gardner's tasks. Which nurse leader is implementing Gardner's task of "serving as symbol"? A: Representing the nursing profession, values and beliefs of the organization to the clients and their families and other community groups B: Being honest, keeping promises to clients and families in the nursing profession C: Assisting clients and their families with planning, priority setting, and decision making D: Ensuring that the organizational systems work on the client's behalf
Correct: 1 A Representing the nursing profession, values and beliefs of the organization to the clients and their families and other community groups
Which action of the clinical nurse is consistent with Gardner's task of "achieving work unity"? 1 Helping clients accomplish optimal functioning 2 Relating to and inspiring clients to achieve their vision 3 Providing self-care to enhance the ability to care for staff, clients, and families 4 Representing nursing and the unit on task forces and shared governance councils
Correct: 1 Helping clients accomplish optimal functioning
The transformational leader demonstrates charismatic behavior and the careful consideration of the value of every individual in the organization. What might be the expected organizational outcomes with this type of leadership? Select all that apply. 1 Increased loyalty 2 Deadlines are met 3 Increased performance 4 Low-to-stable levels of commitment 5 Work is supervised and completed according to the rules
Correct: 1 Increased loyalty Correct: 3 Increased performance
The nurse is relating to and inspiring the client who has a psychiatric disorder to achieve the client outcomes. Which of Gardner's leadership tasks is reflected in the nurse's actions? 1 Motivating 2 Envisioning goals 3 Serving as symbol 4 Achieving workable unity
Correct: 1 Motivating
Which internal factors should be considered while implementing any change in an organization? Select all that apply. 1 Number of staff 2 Leader competency 3 Nurse education level 4 Financial status of staff 5 Place at which the organization is located
Correct: 1 Number of staff Correct: 2 Leader competency Correct: 3 Nurse education level
The nurse notes a conflict between staff members during a meeting. Which principle should the nurse follow, as a leader, to put the focus on mutual interest? 1 Responding expediently to the issues 2 Providing a forum for open discussion 3 Reviewing with all parties the likely consequences of not proceeding 4 Working with staff or clients after the conflict to learn from the situation
Correct: 1 Responding expediently to the issues
Which point should the nurse exclude when developing strategies to project a powerful image? 1 Using authoritative language 2 Maintaining good body posture 3 Making good eye contact with clients 4 Ensuring that clothing and hair are appropriate to the situation
Correct: 1 Using authoritative language
Which behavioral manifestations in the nursing staff should alert the nurse manager of moral distress? Select all that apply. 1 Failing to act as a client advocate 2 Withdrawing from client care situations 3 Failing to complete the assigned tasks on time 4 Involving the family members in client care 5 Educating the family members about nurse's role in client care
Correct: 1 Failing to act as a client advocate Correct: 2 Withdrawing from client care situations
The leader teaches the student nurse about STAMP (staring, tone and volume of voice, anxiety, mumbling, pacing) assessment. During the session, the leader mentions rapid speech and dilated pupils. What component is responsible for these two conditions? 1 Pacing 2 Staring 3 Anxiety 4 Mumbling
Correct: 3 Anxiety
The nurse leader teaches the student nurse about the quality assurance (QA) process. Which statement made by the student nurse indicates ineffective learning? 1 "The goal is to improve quality." 2 "The major task is staff development." 3 "The focus is on discovery and correction of errors." 4 "The outcomes are set by the QA team with input from staff."
Correct: 2 "The major task is staff development."
The leader encounters a situation where the nursing outcomes are unpredictable. Which attributes or approaches should the leader utilize to navigate this situation? Select all that apply. 1 Creativity 2 Experience 3 Enthusiasm 4 Group process 5 Independent decision making
Correct: 1 Creativity Correct: 2 Experience Correct: 4 Group process
Which topics being taught by the nurse belong to Covey's characteristics of leadership? Select all that apply. 1 Enabling others to act 2 Inspiring shared vision 3 Believing in other people 4 Radiating positive energy 5 Engaging in lifelong learning
Correct: 3 Believing in other people Correct: 4 Radiating positive energy Correct: 5 Engaging in lifelong learning
Which aspect relates to the quality of relationships while assessing the degree of conflict resolution in nursing leadership? Select all that apply. 1 Creativity of the plan 2 Generation of empathy 3 Practicality of the objectives 4 Understanding being created 5 Wellness of the intended goals achieved
Correct: 2 Generation of empathy Correct: 4 Understanding being created
The nurse manager sends the nursing team to perform a pediculosis screening at an elementary school and stays behind to catch up on administrative work. Which leadership quality does the manager fail to demonstrate in this instance? 1 Willingness to grow 2 Sharing of the reward 3 Leading by example 4 Having a clear vision
Correct: 3 Leading by example
The nurse leader teaches student nurses about ways of making care visible. During a follow up visit, the leader observes the nurse holding the client's hand after finding him or her anxious before radiation therapy. Which communication skill applied by the student nurse shows effective learning? 1 Expressing appreciation 2 Using blameless apology 3 Showing nonverbal care 4 Making clear a positive intent
Correct: 3 Showing nonverbal care
A hospital administrator is evaluating the nursing teams of different units. Which team was found to be effective and will have positive outcomes? A: Managerial behavior = laissez-faire, Leadership behavior = autocratic, Follower behavior = Is flexible to a change process B: Managerial behavior = authoritative, Leadership behavior = Punitive, Follower behavior = Reports safety issues to the manager C: Managerial behavior = Communicates with nursing staff, Leadership behavior = Charismatic, Follower behavior = Participates in problem solving D: Managerial behavior = Takes self decisions, Leadership behavior = Inspirational, Follower behavior = Follows protocols to ensure quality 1 Team A 2 Team B 3 Team C 4 Team D
Correct: 3 Team C Managerial behavior = Communicates with nursing staff, Leadership behavior = Charismatic, Follower behavior = Participates in problem solving
What motivation factors would the nurse describe as forming a part of two-factor theory of leadership? Select all that apply. 1 Salary 2 Status 3 Security 4 Recognition 5 Achievement
Correct: 4 Recognition Correct: 5 Achievement
Which factors are associated with transformational leadership? Select all that apply. 1 A shared vision 2 Increased self worth of followers 3 Doing the work and getting paid 4 Coaching and mentoring by the leader 5 Correction of errors in a reactive manner
Correct: 1 A shared vision Correct: 2 Increased self worth of followers Correct: 4 Coaching and mentoring by the leader
The nursing manger previously assured the staff nurse that she would have flexibility regarding work shifts and agrees when the staff nurse requested different shift work than usual. Which principle does the nursing leader follow in this situation? 1 Fidelity 2 Autonomy 3 Paternalism 4 Beneficence
Correct: 1 Fidelity
What are the power strategies for nursing leaders? Select all that apply. 1 Accept responsibility for one's mistakes. 2 Give credit to others where credit is due. 3 Learn to be uncomfortable with conflict and ambiguity. 4 Use business cards when introducing yourself to new contacts. 5 Develop the ability to let constructive criticism roll off your back.
Correct: 1 Accept responsibility for one's mistakes. Correct: 2 Give credit to others where credit is due. Correct: 4 Use business cards when introducing yourself to new contacts.
The nursing leader stated, "The reimbursed cost is less than the full charge for a service in the hospital." Which type of health reimbursement does the nurse leader describe? 1 Contractual allowance 2 Value-based purchasing 3 Cost-based reimbursement 4 Prospective payment system
Correct: 1 Contractual allowance
The nurse manager asks the staff nurse to participate in creating new guidelines for providing services to the client. Which management strategy is utilized by the nurse manager? 1 Insubordination 2 Use of expert power 3 Empowerment of staff 4 Management by exception
Correct: 3 Empowerment of staff
Which performance appraisal method is used by nurse managers to measure the performance of the nurse both qualitatively and quantitatively? 1 Narrative method 2 Critical incidents method 3 Graphic rating scale form 4 Behaviorally anchored rating scales
Correct: 4 Behaviorally anchored rating scales
The nurse as a leader teaches staff about organizational disciplines to support change and evolution. Which statement of the nurse is relevant in the context of maintaining self-awareness and using reflection? 1 "Team learning promotes team thinking together." 2 "Personal mastery fosters openness in the face of change." 3 "Systems thinking considers organization as a complex entity." 4 "Shared vision creates a common view about the organization."
Correct: 2 "Personal mastery fosters openness in the face of change."
The intensive care unit at a hospital has recently experienced a turnover of several long-tenured nurses who assumed important leadership roles. As a result the unit has become less effective and productive despite the consistent performance of the remaining nurse leaders. What should the management team do to ensure that effectiveness and productivity remains consistent in the event of future leadership turnover? 1 Establish a leadership succession plan 2 Encourage remaining nurse leaders to develop new skills 3 Inspire all team members to work at their highest level 4 Push remaining nurse leaders to inspire team members to perform
Correct: 1 Establish a leadership succession plan
The nurse manager observes that the nurses in the unit take breaks during their shift longer than the organization policy of 15 minutes. What is the best action of the nurse manager? 1 The nurse manager should keep her/his break limited to 15 minutes. 2 The nurse manager should impose a monetary fine on the nurses for taking long breaks. 3 The nurse manager should appoint a nurse to keep a check on the breaks taken by the nurses. 4 The nurse manager should discuss a solution to the issue with the primary healthcare provider.
Correct: 1 The nurse manager should keep her/his break limited to 15 minutes.
An obese client leads a sedentary lifestyle and complains of leg pain when walking long distances. A nurse leader is teaching the client different exercises that can relieve the pain and can be performed while working in an office or doing daily activities. Which of Gardner's leadership tasks is the leader nurse following? 1 Managing 2 Explaining 3 Motivating 4 Affirming values
Correct: 2 Explaining
Which statement reflects the concept of "referent power" to the nurse? 1 The nurse leaders share their power with the direct care nurses in client care. 2 The nurse manager hires the student nurse she advised to work in the agency after graduation. 3 The nurse manager is perceived positively by the student nurse who received an exemplary grade. 4 The direct care nurses demonstrate great skill in teaching clients who have difficulty with self-care activities.
Correct: 2 The nurse manager hires the student nurse she advised to work in the agency after graduation.
After assessing the behavior of team members, the nurse leader concludes that the team is ineffective. Which activities by the team members might have led to this conclusion? Select all that apply. 1 They are involved in open discussions. 2 They are unclear about their assignments. 3 They are uncomfortable with disagreement. 4 They share discussion with almost everyone. 5 They frequently use formal voting to make decisions.
Correct: 2 They are unclear about their assignments. Correct: 3 They are uncomfortable with disagreement. Correct: 5 They frequently use formal voting to make decisions.
The nurse leader is focused on recognizing the dynamic, complex, and interdependent nature of systems in an organization. Which nursing action indicates an effective implementation of this principle of systems thinking theory? 1 Focusing on the measuring of morale, working relationship, team work, and the number of clients 2 Recognizing the consequences of actions taken on the long-term effect of the organization or client care 3 Identifying and understanding the relationships between clients, families, communities, and local economies 4 Focusing on the needs of all the residents in a long-term care facility or the complications of emergency department overcrowding
Correct: 3 Identifying and understanding the relationships between clients, families, communities, and local economies
Which of Gardner's tasks involves anticipating client outcomes for single clients or families and helping them formulate their vision of future well-being? 1 Explaining 2 Motivating 3 Affirming values 4 Envisioning goals
Correct: 4 Envisioning goals
A nurse leader implements the nominal group technique while making decisions about a critical issue but is unable to find a proper solution. What could be the reason for the failure of technique? 1 The members are using "pass" if they have exhausted their list of ideas. 2 The members are privately asked to assign a priority rank to each option. 3 The members are asked to share their ideas by displaying them on a flip chart. 4 The members are talking and discussing with one another while writing down their ideas.
Correct: 4 The members are talking and discussing with one another while writing down their ideas.
The registered nurse is evaluating a group of student nurses after teaching how leaders should maintain balance. Which statement by a student nurse indicates effective learning? 1 "New leaders, in their zeal, keep control of their lives." 2 "Good leaders use sophisticated methods of communication." 3 "A good strategy for retaining control is to get control over communication." 4 "Effective leaders provide time for balance of followers rather than having balance in their work life."
Correct: 3 "A good strategy for retaining control is to get control over communication."
What are the roles and responsibilities of a senior nurse leader while implementing strategies for improving the quality of the organization? Select all that apply. 1 Participating actively in the quality improvement activities 2 Setting priorities for staff effectiveness and client health outcomes 3 Providing support systems for staff who have been involved in a sentinel event 4 Building infrastructure, providing resources, and removing barriers for improvement 5 Meeting regularly with staff to monitor their progress and help them improve their work
Correct: 2 Setting priorities for staff effectiveness and client health outcomes Correct: 3 Providing support systems for staff who have been involved in a sentinel event Correct: 4 Building infrastructure, providing resources, and removing barriers for improvement
The nurse leader is executing quality improvement (QI) processes in a team. Why are QI processes important? 1 They involve chart audits. 2 They inspect nursing activities. 3 They discover and correct errors. 4 They review the nursing activities.
Correct: 4 They review the nursing activities.