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NCM 107A-Nursing Leadership and Managemen... (NCM 107A - Nursing Leadership & Management (Lecture) )
NCM 107A-Nursing Leadership and Managemen... (NCM 107A - Nursing Leadership & Management (Lecture) )
(NCM
107A- Nursing Leadership & Management (Lecture))
Read the directions very carefully. Select the best answer in each question by clicking the button that best
correspond to your choice.
Points:
81/100
1.Ms. Dacera is newly-promoted to a patient care manager position. She updates
her knowledge on the theories in management and leadership to become
effective in her new role. She learns that some managers have low concern for
services and high concern for staff. Which style of management refers to this?
Required to answer. Single choice.
(1/1 Point)
Organization Man
Impoverished Management
Team Management
Correct answers: Country Club Management
2.Ms. Dacera’s former manager demonstrated passion for serving her staff rather
than being served. She takes time to listen, prefers to be a teacher first before
being a leader, which is characteristic ofRequired to answer. Single choice.
(1/1 Point)
Transformational leader
Transactional leader
Servant leader
Charismatic leader
Correct answers: Servant leader
3.On the other hand, Ms. Dacera notices that the Chief Nurse Executive has
charismatic leadership style. Which of the following behaviors best describes this
style?Required to answer. Single choice.
(1/1 Point)
Possesses inspirational quality that makes followers gets attracted of him and regards him with
reverence
Acts as he does because he expects that his behavior will yield positive result
There is good evidence that certain personal qualities favor success in managerial role.
Correct answers: Assessment of personal traits is a reliable tool for predicting a manager’s potential.
5.She reads about Path Goal theory. Which of the following behaviors is
manifested by the leader who uses this theory?Required to answer. Single
choice.
(1/1 Point)
Recognizes staff for going beyond expectations by giving them citation.
Challenges the staff to take individual accountability for their own practice
6.One leadership theory states that “leaders are born and not made,” which
refers to which of the following theories?Required to answer. Single choice.
(1/1 Point)
Trait
Charismatic
Great Man
Situational
Correct answers: Great Man
7.She came across a theory which states that the leadership style is effective
dependent on the situation. Which of the following styles best fits a situation
when the followers are self-directed, experts and are matured individuals?
Required to answer. Single choice.
(1/1 Point)
Democratic
Authoritarian
Laissez faire
Bureaucratic
Correct answers: Laissez faire
8.She surfs the internet for more information about leadership styles. She reads
about shared leadership as a practice in some magnet hospitals. Which of the
following describes this style of leadership?Required to answer. Single choice.
(1/1 Point)
Leadership behavior is generally determined by the relationship between the leader’s
personality and the specific situation
Leaders believe that people are basically good and need not be closely controlled
9.Ms. Dacera learns that some leaders are transactional leaders. Which of the
following does NOT characterize a transactional leader?Required to answer.
Single choice.
(1/1 Point)
Focuses on management tasks
Is a caretaker
11.Henry is a Unit Manager I the Medical Unit. He is not satisfied with the way
things are going in his unit. Patient satisfaction rate is 60% for two consecutive
months and staff morale is at its lowest. He decides to plan and initiate changes
that will push for a turnaround in the condition of the unit. Which of the
following actions is a priority for Henry?Required to answer. Single choice.
(1/1 Point)
Call for a staff meeting and take this up in the agenda.
12.He knows that there are external forces that influence changes in his unit.
Which of the following is NOT an external force?Required to answer. Single
choice.
(1/1 Point)
Memo from the CEO to cut down on electrical consumption
13.After discussing the possible effects of the low patient satisfaction rate, the
staff started to list down possible strategies to solve the problems head-on.
Should they decide to vote on the best change strategy, which of the following
strategies is referred to this?Required to answer. Single choice.
(1/1 Point)
Collaboration
Majority rule
Dominance
Compromise
Correct answers: Majority rule
14.One staff suggests that they review the pattern of nursing care that they are
using, which is described as a:Required to answer. Single choice.
(1/1 Point)
job description
manual of procedure
rules to be followed
Correct answers: system used to deliver care
17.He raised the issue on giving priority to patient needs. Which of the following
offers the best way for setting priority?Required to answer. Single choice.
(1/1 Point)
Assessing nursing needs and problems
18.Which of the following is the best guarantee that the patient’s priority needs
are met?Required to answer. Single choice.
(1/1 Point)
Checking with the relative of the patient
19.When Henry uses team nursing as a care delivery system, he and his team
need to assess the priority of care for a group of patients, which of the following
should be a priority?Required to answer. Single choice.
(1/1 Point)
Each patient as listed on the worksheet
20.He is hopeful that his unit will make a big turnaround in the succeeding
months. Which of the following actions of Henry demonstrates that he has
reached the third stage of change?Required to answer. Single choice.
(1/1 Point)
Wonders why things are not what it used to be
The officers and staff of The Holy Spirit Medical Center believe in the unique nature of the
human
23.The statement, “The Holy Spirit Medical Center aims to provide patient-
centered care in a total healing environment” refers to which of the following?
Required to answer. Single choice.
(0/1 Point)
Vision
Goal
Philosophy
Mission
Your answer to question 23 is wrong. Correct answers: Vision
Solid line
Broken line
Dotted line
Correct answers: Broken line
25.He likewise stresses the need for all the employees to follow orders and
instructions from him and not from anyone else. Which of the following principles
does he refer to?Required to answer. Single choice.
(1/1 Point)
Scalar chain
Discipline
Unity of Command
Order
Correct answers: Unity of Command
26.Joey orients his staff on the patterns of reporting relationship throughout the
organization. Which of the following principles refer to this?Required to answer.
Single choice.
(0/1 Point)
Span of control
Hierarchy
Esprit d’ corps
Unity of Direction
Your answer to question 26 is wrong. Correct answers: Hierarchy
27.He emphasizes to the team that they need to put their efforts together
towards the attainment of the goals of the program. Which of the following
principles refers to this?Required to answer. Single choice.
(1/1 Point)
Span of control
Unity of direction
Unity of command
Command Responsibility
Correct answers: Unity of direction
“In order that we achieve the same results; we must all follow the directives of Julius and not
from other managers.
“We will ensure that all the resources we need are available when needed.”
“We need to put our efforts together in order to raise the bar of excellence in the care we
provide to all our patients.”
Correct answers: “Let’s work together in harmony; we need to be supportive of one another”
29.He discusses the goal of the department. Which of the following statements is
a goal?Required to answer. Single choice.
(1/1 Point)
Increase the patient satisfaction rate
30.He wants to influence the customary way of thinking and behaving that is
shared by the members of the department. Which of the following terms refer to
this?Required to answer. Single choice.
(1/1 Point)
Organizational chart
Cultural network
Organizational structure
Organizational culture
Correct answers: Organizational culture
Policy
Job description
Manual of procedures
Your answer to question 32 is wrong. Correct answers: Organizational structure
33.Stephanie is often seen interacting with the medical intern during coffee
breaks and after duty hours. What type of organizational structure is this?
Required to answer. Single choice.
(1/1 Point)
Formal
Informal
Staff
Line
Correct answers: Informal
34.She takes pride in saying that the hospital has a decentralized structure.
Which of the following is NOT compatible with this type of model?Required to
answer. Single choice.
(1/1 Point)
Flat organization
Participatory approach
Shared governance
Tall organization
Correct answers: Tall organization
2&4
2, 3 & 4
1, 2 & 4
Correct answers: 1 & 2
37.Regardless of the size of a work group, enough staff must be available at all
times to accomplish certain purposes. Which of these purposes is NOT included?
Required to answer. Single choice.
(0/1 Point)
Meet the needs of patients
B. Holistic approach
Prescribed standards
Staff preferences
Correct answers: Staff preferences
Possesses innate charisma that makes others feel good in his presence.
Correct answers: Uses visioning as the essence of leadership.
40.As a manager, she focuses her energy on both the quality of services
rendered to the patients as well as the welfare of the staff of her unit. Which of
the following management styles does she adopt?Required to answer. Single
choice.
(1/1 Point)
Country club management
Team management
Authority-obedience management
Correct answers: Team management
41.Katherine is a young Unit Manager of the Pediatric Ward. Most of her staff
nurses are senior to her, very articulate, confident and sometimes aggressive.
Katherine feels uncomfortable believing that she is the scapegoat of everything
that goes wrong in her department. Which of the following is the best action that
she must take?Required to answer. Single choice.
(1/1 Point)
Identify the source of the conflict and understand the points of friction
42.As a young manager, she knows that conflict occurs in any organization.
Which of the following statements regarding conflict is NOT true?Required to
answer. Single choice.
(0/1 Point)
Can be destructive if the level is too high
43.Katherine tells one of the staff, “I don’t have time to discuss the matter with
you now. See me in my office later” when the latter asks if they can talk about
an issue. Which of the following conflict resolution strategies did she use?
Required to answer. Single choice.
(1/1 Point)
Smoothing
Compromise
Avoidance
Restriction
Correct answers: Avoidance
44.Kathleen knows that one of her staff is experiencing burnout. Which of the
following is the best thing for her to do?Required to answer. Single choice.
(1/1 Point)
Advise her staff to go on vacation.
Let the staff ventilate her feelings and ask how she can be of help.
Correct answers: Let the staff ventilate her feelings and ask how she can be of help.
45.She knows that performance appraisal consists of all the following activities
EXCEPT:Required to answer. Single choice.
(1/1 Point)
Setting specific standards and activities for individual performance.
47.There are times when Katherine evaluates her staff as she makes her daily
rounds. Which of the following is NOT a benefit of conducting an informal
appraisal?Required to answer. Single choice.
(1/1 Point)
The staff member is observed in natural setting.
The evaluation may provide valid information for compilation of a formal report.
Correct answers: The evaluation is focused on objective data systematically.
49.Alexandra is tasked to organize the new wing of the hospital. She was given
the authority to do as she deems fit. She is aware that the director of nursing
has substantial trust and confidence in her capabilities, communicates through
downward and upward channels and usually uses the ideas and opinions of her
staff. Which of the following is her style of management?Required to answer.
Single choice.
(1/1 Point)
Benevolent –authoritative
Consultative
Exploitive-authoritative
Participative
Correct answers: Consultative
Lines of communication
Span of control
Unity of direction
Correct answers: Unity of direction
51.She plans of assigning competent people to fill the roles designed in the
hierarchy. Which process refers to this?Required to answer. Single choice.
(1/1 Point)
Staffing
Scheduling
Recruitment
Induction
Correct answers: Staffing
52.She checks the documentary requirements for the applicants for staff nurse
position. Which one is NOT necessary?Required to answer. Single choice.
(1/1 Point)
Certificate of previous employment
53.Which phase of the employment process includes getting on the payroll and
completing documentary requirements?Required to answer. Single choice.
(1/1 Point)
Orientation
Induction
Selection
Recruitment
Correct answers: Induction
Decentralized
Matrix
Informal
Correct answers: Decentralized
55.In a horizontal chart, the lowest level worker is located at theRequired to
answer. Single choice.
(0/1 Point)
Left most box
Middle
Bottom
Your answer to question 55 is wrong. Correct answers: Bottom
conserves time
57.Juliet thinks about primary nursing as a system to deliver care. Which of the
following activities is NOT done by a primary nurse?Required to answer. Single
choice.
(1/1 Point)
Collaborates with the physician
58.58. Which pattern of nursing care involves the care given by a group of
paraprofessional workers led by a professional nurse who take care of patients
with the same disease conditions and are located geographically near each
other?Required to answer. Single choice.
(1/1 Point)
A. Case method
B. Modular nursing
D. Team nursing
Correct answers: B. Modular nursing
59.St. Raphael Medical Center just opened its new Performance Improvement
Department. Ms. Valencia is appointed as the Quality Control Officer. She
commits herself to her new role and plans her strategies to realize the goals and
objectives of the department. Which of the following is a primary task that they
should perform to have an effective control system?Required to answer. Single
choice.
(1/1 Point)
Make an interpretation about strengths and weaknesses
Rotation of duty will be done every four weeks for all patient care personnel.
61.When she presents the nursing procedures to be followed, she refers to what
type of standards?Required to answer. Single choice.
(1/1 Point)
Process
Outcome
Structure
Criteria
Correct answers: Process
62.The following are basic steps in the controlling process of the department.
Which of the following is NOT included?Required to answer. Single choice.
(1/1 Point)
Measure actual performance
Step-by-step guidelines
Statement which guide the group in decision making and problem solving
Correct answers: Characteristics used to measure the level of nursing care.
64.She wants to ensure that every task is carried out as planned. Which of the
following tasks is NOT included in the controlling process?Required to answer.
Single choice.
(1/1 Point)
Instructing the members of the standards committee to prepare policies
Patients’ reports 95% satisfaction rate prior to discharge from the hospital.
Patient education about their illness and treatment shall be provided for all patients and their
families.
Correct answers: Patients’ reports 95% satisfaction rate prior to discharge from the hospital.
Unity of command
Decentralization
Renumerationn
Correct answers: Span of control
68.She notes that there is an increasing unrest of the staff due to fatigue
brought about by shortage of staff. Which action is a priority?Required to
answer. Single choice.
(1/1 Point)
Evaluate the overall result of the unrest
Team work
Transcultural care
Correct answers: Direct patient care
Supervision
Delegation
Competence
Correct answers: Competence
71.Five factors to consider when_______ are: potential for harm, complexity of
the task, amount of problem solving and innovation required, predictability of
outcome, and level of patient interaction.Required to answer. Single choice.
(0/1 Point)
Supervising
Delegating
Directing
Staffing
Your answer to question 71 is wrong. Correct answers: Delegating
Belief in taking action and not waiting for luck or fate to intervene
Belief in taking action and not waiting for luck or fate to intervene
74.The degree of people perceive they have control over their environment is
called:Required to answer. Single choice.
(1/1 Point)
Control
Transcultural delegation
Fate and luck
Environmental control
Correct answers: Environmental control
Productive time
Indirect care
Nonproductive time
Your answer to question 75 is wrong. Correct answers: Indirect care
Nonproductive time
Direct care
Indirect time
Correct answers: Nonproductive time
77.A measurement tool used to articulate the nursing workload for a specified
patient or group of patients over a specific period of time is called:Required to
answer. Single choice.
(1/1 Point)
Benchmarking
Skill mix
Staffing pattern
Patient classification
Correct answers: Patient classification
78.You are a preoperative nurse in small rural hospital and have just received
your schedule for the upcoming month. You are dismayed to find that you seem
to be scheduled to work on the one day you request off in the order to attend an
event at your son’s elementary school. Whose responsibility is it to schedule staff
and who should you talk about this?Required to answer. Single choice.
(1/1 Point)
Staff members themselves
Nurse manager
Director of Nursing
Correct answers: Nurse manager
79.You are a newly-hired nurse assigned to an inpatient neuro unit and have
been asked to assist with the followed for this type of staffing?Required to
answer. Single choice.
(1/1 Point)
Nurse manager outcomes
Patient outcomes
Staff outcomes
Scheduling period
Correct answers: Scheduling period
80.In which model of patient care delivery does the nurse have the responsibility
for the totalRequired to answer. Single choice.
(1/1 Point)
Case method
Functional nursing
Team nursing
Correct answers: Total patient care
81.An advantage of both the total patient care and the case method of care
delivery is:Required to answer. Single choice.
(1/1 Point)
Cost
Same patient
Continuum of care
Consistency of care
Correct answers: Consistency of care
82.On your patient ob-gyn unit, the model of patient care delivery consists of a
group of patients who are cared for by an RN, an LPN, and a nursing assistive
personnel (NAP). This patient care model is called:Required to answer. Single
choice.
(1/1 Point)
Functional nursing
Team nursing
Primary nursing
Correct answers: Team nursing
83.In which model of care delivery is the focus on patients’ needs rather than
staff needs?Required to answer. Single choice.
(1/1 Point)
Primary
Patient- centered
Differentiated practice
Modular
Correct answers: Patient- centered
84.You have been floated to another inpatient unit that utilizes the primary
nursing model of care. You are excited about being able to work under this type
of care model because one of the advantages of this particular model
is_______.Required to answer. Single choice.
(0/1 Point)
accountability
cost
geographic boundaries
85.A strategy used to improve patient care and help reduce hospital cost through
the coordination of care is called:Required to answer. Single choice.
(0/1 Point)
Clinical pathways
Case management
Primary nursing
Utilization review
Your answer to question 85 is wrong. Correct answers: Case management
86.A strategy that can be used by staff to positively affect the budget is:Required
to answer. Single choice.
(0/1 Point)
Increase patient charge items
Maintain productivity
Capital budget
Competitive analysis
Strategic planning
Correct answers: Dashboard
88.Which of the following is not one of the four elements of sound vision
statement?Required to answer. Single choice.
(0/1 Point)
It is written down
89.A value statement of the principles and beliefs that direct an organization’s
behavior is called:Required to answer. Single choice.
(1/1 Point)
Mission statement
Philosophy
Purpose
Strategic Plan
Correct answers: Philosophy
90.Most health care organizations have mission statements that address the
following:Required to answer. Single choice.
(1/1 Point)
Providing care
Promoting research
Educating professionals
Mission
Philosophy
Goals
Correct answers: Mission
92.An organization that uses formal, top-down reporting is using which type of
organizational structure?Required to answer. Single choice.
(0/1 Point)
Centralization
Decentralization
Hierarchial Structure
Organizational Chart
Your answer to question 92 is wrong. Correct answers: Hierarchial Structure
Job description
94.In a ______ organizational structure, a nurse may report to more than one
manager.Required to answer. Single choice.
(0/1 Point)
Tall
Decentralized
Matrix
Centralized
Your answer to question 94 is wrong. Correct answers: Matrix
95.________refers to the number of individuals who report to one
person.Required to answer. Single choice.
(1/1 Point)
Matrix
Vision
Mission
Span of control
Correct answers: Span of control
96.When nurse leaders are perceived as knowledgeable, strong risk takers who
follow an articulated philosophy of nursing, which of the Magnet Recognition
Program characteristic are they demonstrating?Required to answer. Single
choice.
(1/1 Point)
Quality of care
Quality improvement
Management style
Correct answers: Quality nursing leadership
Nurses as teacher
99.When an unexpected death occurs in the ED, which of the following tasks is
most appropriate to delegate to the nursing assistant?Required to answer. Single
choice.
(0/1 Point)
Escort the family to a place of privacy.
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