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Nursing Leadership and Management Exam Part 1
Nursing Leadership and Management Exam Part 1
Nursing Leadership and Management Exam Part 1
1. Ms. Castro is newly-promoted to a patient care manager position. She updates her knowledge on the
theories in management and leadership in order 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?
a. Organization Man
b. Impoverished Management
d. Team Management
2. Her 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 of
a. Transformational leader
b. Transactional leader
c. Servant leader
d. Charismatic leader
3. On the other hand, Ms. Castro notices that the Chief Nurse Executive has charismatic leadership style.
Which of the following behaviors best describes this style?
a. Possesses inspirational quality that makes followers gets attracted of him and regards him with
reverence
b. Acts as he does because he expects that his behavior will yield positive results
4. Which of the following conclusions of Ms. Castro about leadership characteristics is TRUE?
a. There is a high correlation between the communication skills of a leader and the ability to get the job
done.
d. There is good evidence that certain personal qualities favor success in managerial role.
5. She reads about Path Goal theory. Which of the following behaviors is manifested by the leader who
uses this theory?
b. 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?
a. Trait
b. Charismatic
c. Great Man
d. Situational
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?
a. Democratic
b. Authoritarian
c. Laissez faire
d. Bureaucratic
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?
a. Leadership behavior is generally determined by the relationship between the leader’s personality and
the specific situation
b. Leaders believe that people are basically good and need not be closely controlled
9. Ms. Castro learns that some leaders are transactional leaders. Which of the following does NOT
characterize a transactional leader?
10. She finds out that some managers have benevolent-authoritative style of management. Which of the
following behaviors will she exhibit most likely?
11. Harry 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 Harry?
12. She knows that there are external forces that influence changes in his unit. Which of the following is
NOT an external force?
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?
a. Collaboration
b. Majority rule
c. Dominance
d. Compromise
14. One staff suggests that they review the pattern of nursing care that they are using, which is
described as a:
a. job description
c. manual of procedure
d. rules to be followed
17. He raised the issue on giving priority to patient needs. Which of the following offers the best way for
setting priority?
18. Which of the following is the best guarantee that the patient’s priority needs are met?
20. She is hopeful that her unit will make a big turnaround in the succeeding months. Which of the
following actions of Harry demonstrates that he has reached the third stage of change?
21. Julius is a newly-appointed nurse manager of The Good Shepherd Medical Center, a tertiary hospital
located within the heart of the metropolis. He thinks of scheduling planning workshop with his staff in
order to ensure an effective and efficient management of the department. Should he decide to conduct
a strategic planningworkshop, which of the following is NOT a characteristic of this activity?
a. Long-term goal-setting
22. Which of the following statements refer to the vision of the hospital?
a. The Good Shepherd Medical Center is a trendsetter in tertiary health care in the Philippines in the
next five years Goal
b. The officers and staff of The Good Shepherd Medical Center believe in the unique nature of the
human person
d. The Good Shepherd Medical Center aims to provide a patient-centered care in a total healing
environment.
23. The statement, “The Good Shepherd Medical Center aims to provide patient-centered care in a total
healing environment” refers to which of the following?
a. Vision
b. Goal
c. Philosophy
d. Mission
24. Julius plans to revisit the organizational chart of the department. He plans to create a new position
of a Patient Educator who has a coordinating relationship with the head nurse in the unit. Which of the
following will likely depict this organizational relationship?
a. Box
b. Solid line
c. Broken line
d. Dotted 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?
a. Scalar chain
b. Discipline
c. Unity of command
d. Order
26. Julius orients his staff on the patterns of reporting relationship throughout the organization. Which
of the following principles refer to this?
a. Span of control
b. Hierarchy
c. Esprit d’ corps
d. Unity of direction
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?
a. Span of control
b. Unity of direction
c. Unity of command
d. Command responsibility
28. Julius stresses the importance of promoting ‘esprit d corps’ among the members of the unit. Which
of the following remarks of the staff indicates that they understand what he pointed out?
c. “We will ensure that all the resources we need are available when needed.”
d. “We need to put our efforts together in order to raise the bar of excellence in the care we provide to
all our patients.”
29. He discusses the goal of the department. Which of the following statements is a goal?
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?
a. Organizational chart
b. Cultural network
c. Organizational structure
d. Organizational culture
31. He asserts the importance of promoting a positive organizational culture in their unit. Which of the
following behaviors indicate that this is attained by the group?
32. Stephanie is a new Staff Educator of a private tertiary hospital. She conducts orientation among new
staff nurses in her department. Joseph, one of the new staff nurses, wants to understand the channel of
communication, span of control and lines of communication. Which of the following will provide this
information?
a. Organizational structure
b. Policy
c. Job description
d. Manual of procedures
33. Stephanie is often seen interacting with the medical intern during coffee breaks and after duty
hours. What type of organizational structure is this?
a. Formal
b. Informal
c. Staff
d. Line
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?
a. Flat organization
b. Participatory approach
c. Shared governance
d. Tall organization
35. Centralized organizations have some advantages. Which of the following statements are TRUE?
1. Highly cost-effective
2. Makes management easier
a. 1 & 2
b. 2 & 4
c. 2, 3& 4
d. 1, 2, & 4
36. Stephanie delegates effectively if she has authority to act, which is BEST defined as:
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?
a. Meet the needs of patients
38. Which of the following guidelines should be least considered in formulating objectives for nursing
care?
b. Holistic approach
c. Prescribed standards
d. Staff preferences
39. Stephanie considers shifting to transformational leadership. Which of the following statements best
describes this type of leadership?
d. Possesses innate charisma that makes others feel good in his presence.
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?
c. Team management
d. Authority-obedience management
Answers and rationale are given below for this exam. Check your correct answers and read the
rationales for additional learning. Tell us your scores on the comments section.
Country club management style puts concern for the staff as number one priority at the expense of the
delivery of services. He/she runs the department just like a country club where every one is happy
including the manager.
3. Answer: (A) Possesses inspirational quality that makes followers gets attracted of him and regards him
with reverence
Charismatic leaders make the followers feel at ease in their presence. They feel that they are in good
hands whenever the leader is around.
4. Answer: (C) Assessment of personal traits is a reliable tool for predicting a manager’s potential.
It is not conclusive that certain qualities of a person would make him become a good manager. It can
only predict a manager’s potential of becoming a good one.
5. Answer: (A) Recognizes staff for going beyond expectations by giving them citations
Path Goal theory according to House and associates rewards good performance so that others would do
the same
Leaders become leaders because of their birth right. This is also called Genetic theory or the Aristotelian
theory
Laissez faire leadership is preferred when the followers know what to do and are experts in the field.
This leadership style is relationship-oriented rather than task-centered.
Shared governance allows the staff nurses to have the authority, responsibility and accountability for
their own practice.
10. Answer: (A) Have condescending trust and confidence in their subordinates
Benevolent-authoritative managers pretentiously show their trust and confidence to their followers
11. Answer: (A) Call for a staff meeting and take this up in the agenda.
This will allow for the participation of every staff in the unit. If they contribute to the solutions of the
problem, they will own the solutions; hence the chance for compliance would be greater.
Low morale of staff is an internal factor that affects only the unit. All the rest of the options emanate
from the top executive or from outside the institution.
Majority rule involves dividing the house and the highest vote wins.1/2 + 1 is a majority.
A system used to deliver care. In the 70’s it was termed as methods of patient assignment; in the early
80’s it was called modalities of patient care then patterns of nursing care in the 90’s until recently
authors called it nursing care systems.
Functional nursing is focused on tasks and activities and not on the holistic care of the patients
When the functional method is used, the psychological and sociological needs of the patients are
neglected; the patients are regarded as ‘tasks to be done ‘
17. Answer: (A) Assessing nursing needs and problems
This option follows the framework of the nursing process at the same time applies the management
process of planning, organizing, directing and controlling
18. Answer: (B) Preparing a nursing care plan in collaboration with the patient
The best source of information about the priority needs of the patient is the patient himself. Hence
using a nursing care plan based on his expressed priority needs would ensure meeting his needs
effectively.
In setting priorities for a group of patients, those who need the most care should be number-one priority
to ensure that their critical needs are met adequately. The needs of other patients who need less care ca
be attended to later or even delegated to assistive personnel according to rules on delegation.
Integrate the solutions to his day-to-day activities is expected to happen during the third stage of change
when the change agent incorporate the selected solutions to his system and begins to create a change.
Strategic planning involves options A, B and D except C which is attributed to operational planning
22. Answer: (A) The Good Shepherd Medical Center is a trendsetter in tertiary health care in the
Philippines in the next five years
A vision refers to what the institution wants to become within a particular period of time.
This is a staff relationship hence it is depicted by a broken line in the organizational structure
The principle of unity of command means that employees should receive orders coming from only one
manager and not from two managers. This averts the possibility of sowing confusion among the
members of the organization
Hierarchy refers to the pattern of reporting or the formal line of authority in an organizational structure.
Unity of direction means having one goal or one objective for the team to pursue; hence all members of
the organization should put their efforts together towards the attainment of their common goal or
objective.
28. Answer: (A) “Let’s work together in harmony; we need to be supportive of one another”
The principle of ‘esprit d’ corps’ refers to promoting harmony in the workplace, which is essential in
maintaining a climate conducive to work.
Goal is a desired result towards which efforts are directed. Options AB, C and D are all objectives which
are aimed at specific end.
An organizational culture refers to the way the members of the organization think together and do
things around them together. It’s their way of life in that organization
31. Answer: (A) Proactive and caring with one another
Organizational structure provides information on the channel of authority, i.e., who reports to whom
and with what authority; the number of people who directly reports to the various levels of hierarchy
and the lines of communication whether line or staff.
Tall organizations are highly centralized organizations where decision making is centered on one
authority level.
Centralized organizations are needs only a few managers hence they are less expensive and easier to
manage
Authority is a legitimate or official right to give command. This is an officially sanctioned responsibility
Providing a pair of hands for other units is not a purpose in doing an effective staffing process. This is a
function of a staffing coordinator at a centralized model.
Staff preferences should be the least priority in formulating objectives of nursing care. Individual
preferences should be subordinate to the interest of the patients.
39. Answer: (A) Uses visioning as the essence of leadership.
Team management has a high concern for services and high concern for staff.