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Leadership Management Research With Professional Adjustment - Quiz
Leadership Management Research With Professional Adjustment - Quiz
3. When considering the different data collection schemes, researchers must be careful to
contemplate the presence of Hawthorne effect which is defined as:
A. A process in which the participant does not modify his behavior to meet expectation
of the study.
B. A process in which the researcher modifies his behavior because of conducting the
study.
C. A process in which the researcher modifies the participant’s behavior based on the
data collected.
D. A process in which the participant modifies his behavior as a result of engagement in
the study.
Answer: D. No Rationale
4. A researcher Jocelyn Magno, RN is studying the effects of exercise and sleep on blood
pressure. Her respondents are adult patients diagnoses of hypertension. What type of
variable is the blood pressure in this study?
A. Organismic C. Dependent
B. Extraneous D. Independent
Answer: C. No Rationale
9. Research studies include both a research hypothesis, which states what the researcher
thinks will be found, and a null or statistical hypothesis. Which of the following statements
about the null hypothesis is true?
A. The null hypothesis states that no interaction occurs between variables or that no
relationship exists among the variables being studied.
B. The null hypothesis states that any identified relationships or interactions are not
important and have no clinical relevance.
C. The null hypothesis must be stated explicitly in the research study; otherwise, it does
not exist.
D. The null hypothesis is always the opposite of what the researcher anticipates will
happen.
Answer: A. No Rationale
10. Nurse Paz is the research coordinator or a team research focus on breast cancer. They are
conducting a quantitative research. What is the name of the type of quantitative research,
conducted to directly influence or improve clinical practice?
A. Basic research C. Experimental research
B. Applied research D. Descriptive research
Answer: B. No Rationale
11. Nurse Anthony is in-charge of the Research Committee of the Hospital. She is
contemplating on conducting research among hypertensive patients admitted at the
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Medical Ward. He is using apple cider vinegar as a substance for reducing blood pressure.
Which statement about quasi-experimental research is true?
A. The use of probability random sampling is prevalent to ensure representativeness.
B. There is manipulation of independent variable but no control and random sampling
employed.
C. There is introduction of a treatment that will manipulate the dependent variable but
no control and randomization.
D. There is exposure of a treatment to a group of respondents with the use of
randomization and control group.
Answer: B. No Rationale
12. The nurse researcher of the hospital is conducting a research on the use of health
education to minimize nasocomial infection. She will use purposive sampling as his
sampling technique. Which statement is a description of purposive sampling?
A. It is a sampling strategy where each element of the population has an equal chance of
being chosen.
B. It is a sampling strategy where the population is divided into homogenous subsets
from which elements are selected at random.
C. It is a sampling strategy where the respondents have particular knowledge about
the issue under study.
D. It is a sampling strategy where early samples are asked to refer others who meet the
eligibility criteria.
Answer: C. No Rationale
13. Darwin Cruz, RN is the supervisor nurse researcher of the CD ward. His group is
conducting a research on AIDS patients. The purpose of conducting research in any setting
is:
A. Improve health C. Publication
B. Count financial gains D. Legal document
Answer: A. No Rationale
14. Nurse Anna is conducting research intended to determine the relationship of diet and
exercise in reducing blood cholesterol level. What type of research involves the systematic
investigation of relationship among variables?
A. Correlational research C. Grounded theory research
B. Descriptive research D. Philosophical inquiry
Answer: A. No Rationale
2. Establishing rapport
3. Carrying out interview
4. Selecting place of interview
5. Closing the interview
6. Recording the interview
A. 1, 3, 4, 2, 6, 5 C. 1, 4, 2, 3, 6, 5
B. 1, 3, 2, 6, 5, 4 D. 1, 2, 4, 3, 6, 5
Answer: D. No Rationale
16. The nurse researcher started interviewing her respondents in the OB ward. Which of the
following should not be avoided?
A. Avoid exerting undue pressure a respondent to make him participate in an interview.
B. Avoid disagreeing with or contradicting the respondent during the interview proper.
C. Avoid unduly pressing the respondent to make a reply.
D. Avoid talking about relevant matters.
Answer: D. No Rationale
17. The nurse supervisor in the ICU is spearheading the conduct of a research. She is very
much interested in developing an instrument to ensure that patients in the ICU are
properly cared for. She is conceptualizing a researchable problem. Which of the following
is a researchable problem?
A. Concerns and Issues of ICU Patients and their Family Members during Hospital Stay.
B. Minimizing Negligence Among ICU Patients Through Collaborative Effort by every
Member of the Health Team.
C. The Historical Background of ICU Patients and their Family Members: An In-Depth
Analysis.
D. A Case Study on a Vehicular Accident Client: A Springboard to an Improved Patient
Care.
Answer: B. No Rationale
18. One of the mother-respondents in a research undertaking involving glaucoma care said,
she is not comfortable being included in the research investigation. What will you do?
A. Pray for her so that she will reconsider being a respondent.
B. Talk to her husband so that he will persuade his wife to participate.
C. Give her time to reflect and come back after one day.
D. Consent to the respondent not being included in the research.
Answer: D. No Rationale
19. The nurse researcher went to the respondent mothers in a community-setting and used
an interview guide wherein all questions should be asked, need not be changed or
modified. What type of interview did the nurse researcher used?
A. Formal interview C. Non-directive interview
B. Informal interview D. Closed-ended interview
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Answer: A. No Rationale
20. The nurse researcher conceptualized this title, “Health education and Level of Anxiety
Among Pregnant Mothers.” What is the predictor variable?
A. Level of anxiety C. Health education
B. Pregnant mothers D. Labor and delivery
Answer: C. No Rationale
22. Nurse Rodessa Abella identified her respondents. She made a timeline from January to
December as the duration of her research. She will only include mothers who are married,
primi-gravida and finished college and at least 40 years old. What method of sampling did
the nurse researcher used?
A. Random sampling C. Systemic sampling
B. Purposive sampling D. Quota sampling
Answer: B. No Rationale
23. The researcher formulated a questionnaire to find out their personal profile and other
important data from the respondents who are diabetic pregnant mothers. What the
advantages of a questionnaire?
A. The questionnaire is easy to construct.
B. Distribution is easy and expensive
C. Responses are difficult to tabulate
D. Respondents can fill out questionnaire by force
Answer: A. No Rationale
24. The nurse researcher conducted a research employing the use of Yerba Buena in treating
wounds. After conceptualizing her problem, she formulated her hypothesis. Hypothesis is
intended to test whether a certain proposition is accepted or rejected. Which of the
following is a directional hypothesis?
A. There is no significant relationship between the use of health education in minimizing
the level of anxiety among pregnant mothers.
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25. This type of study is done when experimental design cannot be used, for example, when
research subjects cannot be assigned randomly to treatment conditions.
A. Quasi-experimental C. Program evaluation
B. Nonexperimental D. Individual experimental
Answer: A. No Rationale
Reference: Nursing Leadership and Management, Patricia Carroll, © 2007, Chapter 13: Strategic
Thinking to Improve Patient Care (Including Evidence-Based Care), pg. 170, Item no. 3.
26. This type of study provides little evidence other than the consensus of experts and is the
least reliable type of study.
A. Program evaluation C. Opinion of respected authorities
B. Quasi-experimental D. Individual experimental
Answer: C. No Rationale
Reference: Nursing Leadership and Management, Patricia Carroll, © 2007, Chapter 13: Strategic
Thinking to Improve Patient Care (Including Evidence-Based Care), pg. 170, Item no. 4.
27. This type of study, which determines what the research knows about that topic, is the
highest level of evidence.
A. Program evaluation
B. Meta-analysis of multiple controlled studies
C. Individual experimental
D. Quasi-experimental
Answer: B. No Rationale
Reference: Nursing Leadership and Management, Patricia Carroll, © 2007, Chapter 13: Strategic
Thinking to Improve Patient Care (Including Evidence-Based Care), pg. 170, Item no. 5.
28. Nurse Charlotte is a staff nurse at the OB ward. She is contemplating on conducting
research that will improve patient care. She is interested in conducting research on the
effectiveness of health education in minimizing anxiety among pregnant mothers before
their labor and delivery. What is the appropriate research method for this?
A. Qualitative research C. Experimental research
B. Meta-analysis D. Survey method
Answer: C. No Rationale
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29. Although it is not always possible to anticipate all potential undesirable effects,
researchers are obligated to inform everyone involved about the known potential risks.
This is an example of:
A. Confidentiality C. Informed consent
B. Anonymity D. Autonomy
Rationale: C. (pg. 1650) Informed consent means that research subjects (a) are given full and
complete information about the purpose of the study, procedures, data collection, potential
harm and benefits, and alternative methods of treatment; (b) are capable of fully
understanding the research and the implications of participation; (c) have the power of free
choice to voluntarily consent or decline participation in the research; and (d) understand how
confidentiality or anonymity is maintained.
Reference: Fundamentals of Nursing, Patricia A. Potter * Anne Griffin Perry, © 2005, Chapter 5:
Nursing Research as a Basis for Practice, pg. 87, Item no. 10.
Reference: Fundamentals of Nursing, Patricia A. Potter * Anne Griffin Perry, © 2005, Chapter 5:
Nursing Research as a Basis for Practice, pg. 87, Item no. 8.
33. The preparation of nurse scientists, who have primary responsibility for the conducting of
research, is begun at the master’s level and is concentrated at the doctoral and
postdoctoral levels. However:
A. Only doctorally prepared nurses identify a problem to be studied.
B. Only doctorally prepared nurses conduct the study.
C. Only master’s prepared nurses apply research findings to practice.
D. ANA’s position paper (1997) describes and includes research activities for nurses.
Rationale: D. (pg. 1650) ANA’s position paper (1997), which describes the participation of
nurses in research according to their academic preparation, does include research activities for
nurses with various levels of academic preparation.
Reference: Fundamentals of Nursing, Patricia A. Potter * Anne Griffin Perry, © 2005, Chapter 5:
Nursing Research as a Basis for Practice, pg. 87, Item no. 9.
34. Traditional is an efficient way of learning, although it also can limit the ability to seek new
ways of doing things when:
A. A person does not question the practice.
B. A client is experiencing stress.
C. It is treated as absolute truth.
D. A client is disinterested in learning new things.
Rationale: A. (pg. 1650) If tradition becomes so ingrained that a person does not question the
practice, other, more appropriate or research-based approaches may be overlooked.
Reference: Fundamentals of Nursing, Patricia A. Potter * Anne Griffin Perry, © 2005, Chapter 5:
Nursing Research as a Basis for Practice, pg. 86, Item no. 3.
Reference: Fundamentals of Nursing, Patricia A. Potter * Anne Griffin Perry, © 2005, Chapter 5:
Nursing Research as a Basis for Practice, pg. 87, Item no. 5.
37. Persons selected for comparison and experimental research groups are known as the:
A. Subjects C. Researchers
B. Control group D. Experimental group
Rationale: A. (pg. 1650) The subjects−persons selected for the comparison and experimental
groups−are chosen at random from among those eligible for the study.
Reference: Fundamentals of Nursing, Patricia A. Potter * Anne Griffin Perry, © 2005, Chapter 5:
Nursing Research as a Basis for Practice, pg. 87, Item no. 6.
38. Nursing studies use many research methods. The method chosen depends on:
A. The preference of the researcher
B. The amount of knowledge known about the problem
C. The latest healthcare issue
D. The availability of other research studies
Rationale: A. (pg. 1650) The amount of knowledge known about the problem and the type of
problem being investigated are factors that determine the methods used.
Reference: Fundamentals of Nursing, Patricia A. Potter * Anne Griffin Perry, © 2005, Chapter 5:
Nursing Research as a Basis for Practice, pg. 87, Item no. 7.
39. The approach a nurse uses to make choices based upon the idea that research-based care
improves outcomes is utilizing:
A. Past experience C. Intuition
B. Trial and error D. Clinical decision-making
Rationale: D. Clinical decision-making is an approach to making choices based on the idea that
research-based care improves outcomes. Past experience, trial and error, and intuition are
considered traditional sources of nursing knowledge which are not likely to be as effective as
evidence-based practice.
Reference: Electronic Classroom Manager to Accompany: Nursing Fundamentals: Caring and
Clinical Decision Making, Rick Daniels, 2nd Edition, © 2010, Chapter 6, Item no. 12.
40. The nurse utilized evidence-based practice to plan the care for a patient. One feature of
this approach would be:
A. It is purely nursing-focused
B. Clinical practice is based upon nursing theory
C. Evaluation is based on patient outcomes
D. Individual and organizational factors guide the integration of these new practices
Rationale: D. The features of evidence-based practice include: it is interdisciplinary; the
development of clinical practice is based on the evidence synthesis of the topic; clinical practice
guidelines are important in repackaging the evidence for use by the point-of-care clinician;
individual provider as well as organizational factors guide the integration and rate of evidence-
based practice adoption of new practices; and evaluation includes determining the
effectiveness and efficiency of patient outcomes and economy of the services.
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41. Which type of study describes in detail the nature of phenomena and tries to identify
contributing factors?
A. Quantitative study C. Exploratory study
B. Descriptive study D. Historical study
Rationale: C. Exploratory studies describe in detail the nature of the phenomena and try to
identify contributing factors.
Reference: Electronic Classroom Manager to Accompany: Nursing Fundamentals: Caring and
Clinical Decision Making, Rick Daniels, 2nd Edition, © 2010, Chapter 6, Item no. 17.
43. All of the following statements about quasi-experimental design are true EXCEPT:
A. It is more robust than a true experimental design
B. Control is not possible
C. Randomization is not possible
D. All subjects have some exposure to the independent variable
Rationale: A. Quasi-experimental designs are intervention studies that lack randomization but
the researcher exercises certain controls. A quasi-experimental study might include all subjects
who have a certain procedure and they would be tested in a pre/post test design so that the
subjects serve as their own controls. In this design, it’s not certain whether some other variable
than the independent variables caused a change or improvement of the condition. A quasi-
experimental design is less robust than a true experimental design. The quasi-experimental
design is often used in nursing and behavioral science because random assignment may be
unethical or otherwise not possible.
Reference: Electronic Classroom Manager to Accompany: Nursing Fundamentals: Caring and
Clinical Decision Making, Rick Daniels, 2nd Edition, © 2010, Chapter 6, Item no. 8.
44. All of the following statements about qualitative research are true EXCEPT:
A. It is also referred to as deductive reasoning
B. It is concerned with human interactions with the world
C. It is usually conducted where the individual lives
D. It uses a more holistic approach to data collection
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45. All of the following statements about Grounded Theory are true EXCEPT:
A. It arises from symbolic interactions in psychology
B. It seeks to explore and describe phenomena in naturalistic settings such as hospitals,
nursing homes, and outpatient clinics
C. It is concerned with exploring social processes as they occur with human interactions
D. It is a quantitative research approach
Rationale: D. Grounded theory is a form of field research used in nursing that seeks to explore
and describe social processes that present within human interactions. The aim of grounded
theory is to provide explanation or beginning theory about how the social process works. Data
are gathered in naturalistic locations called field settings. Participant observation and
interviews are data collection methods with data recorded through handwritten notes and tape
recordings.
Reference: Electronic Classroom Manager to Accompany: Nursing Fundamentals: Caring and
Clinical Decision Making, Rick Daniels, 2nd Edition, © 2010, Chapter 6, Item no. 10.
46. Phenomenology:
A. is a form of quantitative research.
B. is concerned with approaches to research.
C. is static.
D. begins in action.
Rationale: B. Phenomenology research is focused on the lived experience of humans. The aim
of this type of research is to describe the subject’s meaning for the experiences as they
perceive them. The data is generally collected through interviews.
Reference: Electronic Classroom Manager to Accompany: Nursing Fundamentals: Caring and
Clinical Decision Making, Rick Daniels, 2nd Edition, © 2010, Chapter 6, Item no. 11.
48. Research that involves the systematic collection of numerical information and the analysis
of that information using statistical procedures is known as:
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49. All of the following statements about quantitative research design are true EXCEPT:
A. It is usually under researcher-controlled conditions
B. Intuition is used
C. Historical review is a type of quantitative research
D. Deductive reasoning is used
Rationale: B. Quantitative studies use deductive reasoning, logic, and measurable aspects of
experience to produce new knowledge. Quantitative research methods include descriptive,
exploratory, survey, cross-sectional, longitudinal, retrospective, prospective, correlational,
quasi-experimental, and experimental studies.
Reference: Electronic Classroom Manager to Accompany: Nursing Fundamentals: Caring and
Clinical Decision Making, Rick Daniels, 2nd Edition, © 2010, Chapter 6, Item no. 5.
50. A nurse collecting data at one specific measurement point is engaged in which type of
study?
A. Cross-section study C. Retrospective study
B. Longitudinal study D. Prospective study
Rationale: A. Cross-sectional studies involve data collected at one specific measurement point.
Longitudinal studies involve data collected over time, in a particular research sample.
Retrospective studies involve reviewing existing data usually found in medical records or
hospital charts. Prospective studies actively follow subjects over the period of the study and do
not rely on data previously collected.
Reference: Electronic Classroom Manager to Accompany: Nursing Fundamentals: Caring and
Clinical Decision Making, Rick Daniels, 2nd Edition, © 2010, Chapter 6, Item no. 6.
52. This type of nurse coordinates care for complex cases that require significant resources:
A. Nurse sales representative C. Traveling nurse
B. Nurse-midwife D. Nurse case manager
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Answer: D. No Rationale
Reference: Nursing Leadership and Management, Patricia Carroll, © 2007, Chapter 21: Current
and Future Opportunities for Nurse Leaders, pg. 272, Item no. 3.
54. A graduate nurse is preparing to apply to the Nurse Licensure Exam to practice as a
registered professional nurse. The nurse understands that the primary purpose for
regulating nursing practice is to protect:
A. The public C. The employing agency
B. Practicing nurses D. Professional standards
Rationale: A. (pg.67) Each state or province protects the health and welfare of its populace by
regulating nursing practice.
Reference: Mosby’s Comprehensive Review of Nursing for the NCLEX-RN Examination 19th
Edition, Item no. 15 Page 51. © 2010
55. When being interviewed for a position as a registered professional nurse, the applicant is
asked to identify an example of an intentional tort. Which is an appropriate response?
A. Negligence C. Breach of duty
B. Malpractice D. False imprisonment
Rationale: D. (pg.67) False imprisonment is a wrong committed by one person against another
in a willful, intentional way without just cause and/or excuse.
Reference: Mosby’s Comprehensive Review of Nursing for the NCLEX-RN Examination 19th
Edition, Item no. 18 Page 51. © 2010
56. When teaching about child abuse, the nurse tells a parent group that the best legal
definition of assault is:
A. Threats to do bodily harm to another person
B. The application of force to another person without lawful justification
C. A legal wrong committed by one person against the property of another
D. A legal wrong committed against the public that is punishable by state law
Rationale: A. (pg.68) Assault is a threat or an attempt to do violence to another.
Reference: Mosby’s Comprehensive Review of Nursing for the NCLEX-RN Examination 19th
Edition, Item no. 21 Page 52. © 2010
57. Which of the following is a key activity for nurse managers who are evaluating staff
performance?
A. Avoid specifying specific behaviors, to provide latitude for employee creativity.
B. Enforce performance measurements and standards of care at all times.
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59. In this stage of the team development process, members define their goals and rules of
behavior:
A. Norming C. Performing
B. Storming D. Re-forming
Answer: A. No Rationale
Reference: Nursing Leadership and Management, Patricia Carroll, © 2007, Chapter 11: Team
Building Skills, pg. 146, Item no. 3.
60. Some conflict or competition may occur in this stage of team development.
A. Norming C. Performing
B. Storming D. Forming
Answer: B. No Rationale
Reference: Nursing Leadership and Management, Patricia Carroll, © 2007, Chapter 11: Team
Building Skills, pg. 147, Item no. 4.
61. The group of health care professional that is associated with the business of providing
health care is:
A. Nursing C. Allied health
B. Medical D. Administrative
Answer: C. No Rationale
Reference: Nursing Leadership and Management, Patricia Carroll, © 2007, Chapter 17: Current
Health Care Environment (And Into the Future), pg. 226, Item no. 5.
62. The process by which an association affiliate or subsidiary assures that a person has
acquired a body of knowledge and has met certain practice standards specified by that
organization is called:
A. Education C. Certification
B. Entrepreneurship D. Advanced practice
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Answer: C. No Rationale
Reference: Nursing Leadership and Management, Patricia Carroll, © 2007, Chapter 21: Current
and Future Opportunities for Nurse Leaders, pg. 272, Item no. 1.
63. Specialized knowledge and judgment used to diagnose and treat human responses to
health problems is classified as:
A. Technical skills C. Leadership skills
B. Partnership skills D. Clinical skills
Answer: D. No Rationale
Reference: Nursing Leadership and Management, Patricia Carroll, © 2007, Chapter 15:
Managing and Supporting Excellence in Staff Performance, pg. 196, Item no. 2.
64. A desired relationship between two parties seeking to work together toward a common
goal is:
A. Leadership C. Evaluation
B. Partnership D. Promotion
Answer: B. No Rationale
Reference: Nursing Leadership and Management, Patricia Carroll, © 2007, Chapter 15:
Managing and Supporting Excellence in Staff Performance, pg. 196, Item no. 3.
65. Effective nurse managers do which of the following to meet staff, client, and market
goals?
A. Allow staff to manage their own productivity issues
B. Tell team members what they need
C. Delay training to decrease costs
D. Set up and encourage mentoring relationships
Answer: D. No Rationale
Reference: Nursing Leadership and Management, Patricia Carroll, © 2007, Chapter 15:
Managing and Supporting Excellence in Staff Performance, pg. 197, Item no. 4.
66. The care delivery model in which one nurse is responsible for all aspects of patient care
for that nurse’s shift is called:
A. Functional nursing C. Total patient care
B. Team nursing D. Patient-focused care
Answer: C. No Rationale
Reference: Nursing Leadership and Management, Patricia Carroll, © 2007, Chapter 15:
Managing and Supporting Excellence in Staff Performance, pg. 197, Item no. 9.
67. A rule of conduct that prohibits extremes in behavior so that people can live their lives
without fear for self or property is called:
A. The Nurse Practice Act C. Advance directives
B. A law D. A DNR order
Answer: B. No Rationale
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Reference: Nursing Leadership and Management, Patricia Carroll, © 2007, Chapter 22: Legal
Aspects of Nursing Leadership, pg. 291, Item no. 1.
68. Constitutional, criminal, and administrative law all fall in the category of:
A. Civil law C. State law
B. Public law D. Contract law
Answer: B. No Rationale
Reference: Nursing Leadership and Management, Patricia Carroll, © 2007, Chapter 22: Legal
Aspects of Nursing Leadership, pg. 291, Item no. 2.
70. An employee’s daily performance to meet job requirements includes which of the
following?
A. Being honest and trustworthy with patients and staff
B. Errors and incidents
C. Vacation time
D. Following policies and procedures when time allows
Answer: A. No Rationale
Reference: Nursing Leadership and Management, Patricia Carroll, © 2007, Chapter 15:
Managing and Supporting Excellence in Staff Performance, pg. 196, Item no. 1.
Answer: B. No Rationale
Reference: Nursing Leadership and Management, Patricia Carroll, © 2007, Chapter 3:
Leadership versus Management, pg. 36, Item no. 1.
74. A nurse’s clinical abilities, education, and knowledge of systems are part of the power
source known as:
A. Legitimacy C. Connection
B. Charisma D. Expertise
Answer: D. No Rationale
Reference: Nursing Leadership and Management, Patricia Carroll, © 2007, Chapter 4: A Positive
Definition of Power, pg. 48, Item no. 4.
76. The management function that involves determining the objectives of an organization and
tasks needed to complete objectives is:
A. Staffing C. Planning
B. Directing D. Controlling
Answer: C. No Rationale
Reference: Nursing Leadership and Management, Patricia Carroll, © 2007, Chapter 2: What is
Management, pg. 25, Item no. 3.
77. Indentifying problems, establishing criteria, seeking and evaluating alternatives, and
selecting the best choice are steps in the management function of:
A. Controlling C. Staffing
B. Decision making D. Directing
Answer: B. No Rationale
Reference: Nursing Leadership and Management, Patricia Carroll, © 2007, Chapter 2: What is
Management, pg. 26, Item no. 6.
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81. The purpose of management is to coordinate and direct actions and assign resources in
order to:
A. Achieve the organization’s objectives.
B. Receive a promotion.
C. Develop high quality staff.
D. Keep staff turnovers as low as possible.
Answer: A. No Rationale
Reference: Nursing Leadership and Management, Patricia Carroll, © 2007, Chapter 2: What is
Management, pg. 25, Item no. 1.
85. Management as a process that is used today by nurses or nurse managers in health care
organizations is best described as:
A. Scientific management
B. Decision making
C. Commanding and controlling others using hierarchical authority
D. Planning, organizing, coordinating, and controlling
Answer: D. No Rationale
Reference: Nursing Leadership and Management, Patricia Kelly-Heidenthal, © 2003, Chapter 8:
Leadership and Management, pg. 176, Item no. 1.
87. A document that describes the institution’s purpose and philosophy is:
A. The organizational chain of command. C. The mission statement.
B. The organizational chart. D. The strategic plan.
Answer: C. No Rationale
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90. Patient classification systems measure nursing workload needed by the patient. The
higher the patient’s acuity, the more care that is required by the patient. Which of the
following statements is a weakness of classification systems?
A. Patient classification data are useful in predicting the required staffing for the next
shift and for justifying nursing hours provided.
B. Patient classification data can be utilized by the nurse making assignments to
determine what level of care a patient requires.
C. Classification systems typically focus on nursing tasks rather than a holistic view of a
patient’s needs.
D. Aggregate patient classification data are useful in costing out nursing services and for
developing the nursing budget.
Answer: C. No Rationale
Reference: Nursing Leadership and Management, Patricia Kelly-Heidenthal, © 2003, Chapter
12: Effective Staffing, pg. 263, Item no. 1.
92. A nurse stops at the scene of an accident and finds a man with a deep laceration on his
hand, a fractured arm and leg, and abdominal pain. The nurse wraps the man’s hand in a
soiled cloth and drives him to the nearest hospital. The nurse is:
A. Negligent and can be sued for malpractice
B. Practicing under guidelines of the Nurse Practice Act
C. Protected for these actions, is most states, by Good Samaritan legislation
D. Treating a health problem that can and should be addressed by a physician
Rationale: A. (pg. 106) The nurse at the scene of an accident should function in a responsible
and prudent manner; the use of a soiled cloth on an open wound is not prudent, nor is the
independent transfer of an accident victim from the scene.
Reference: Mosby’s Review Questions for the NCLEX-RN Examination.6th Edition by: Saxton /
Pelikan Nugent / Green. Chapter 2 p. 8 item 11
93. A visitor from a room adjacent to a client asks the nurse what disease the client has. The
nurse responds, “I will not discuss any client’s illness with you. Are you concerned about
it?” This response is based on the nurse’s knowledge that to discuss a client’s condition
with someone not directly involved with that client is an example of:
A. Libel C. Breach of confidentiality
B. Negligence D. Defamation of character
Rationale: C. (pg. 106) The release of information to an unauthorized person or gossiping about
a client’s activities constitutes a breach of confidentiality and an invasion of privacy.
Reference: Mosby’s Review Questions for the NCLEX-RN Examination.6th Edition by: Saxton /
Pelikan Nugent / Green. Chapter 2 p. 8 item 14
95. When a person fears another enough to act or behave differently than he would
otherwise, the source of the other person’s power is called?
A. Coercive power C. Expert power
B. Reward power D. Connection power
Answer: A. No Rationale
Reference: Nursing Leadership and Management, Patricia Kelly-Heidenthal, © 2003, Chapter
17: Power, pg. 357, Item no. 3.
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96. What source of power has become increasingly important because of technological
innovation in the past decade?
A. Expert power C. Connection power
B. Information power D. Legitimate power
Answer: B. No Rationale
Reference: Nursing Leadership and Management, Patricia Kelly-Heidenthal, © 2003, Chapter
17: Power, pg. 357, Item no. 4.
97. Why is leadership development important for nurses if they are not in a management
positions?
A. It is not really important for nurses.
B. Leadership is important at all levels in an organization because nurses have expert
knowledge and are interacting with and influencing the customer.
C. Nurses leader leave their jobs sooner for other positions.
D. Nurses who lead are less satisfied in their jobs.
Answer: B. No Rationale
Reference: Nursing Leadership and Management, Patricia Kelly-Heidenthal, © 2003, Chapter 8:
Leadership and Management, pg. 176, Item no. 1.
98. The Philippine Nurses Act does not allow a registered (RN) to suture wounds. The
physician offers to teach the RN how to suture and tells the RN that minor wounds may be
sutured without supervision. The nurse should:
A. Refuse to suture wounds
B. Follow up the physician’s instructions
C. Report the situation to the Board of Nursing
D. Agree to suture wounds in the Physician’s presence
Rationale: A. (pg. 105) A Philippine Nurses Act is the ultimate source relative to a nurse’s
professional practice; a nurse may not function outside of the legal definition of nursing
practice.
Reference: Mosby’s Review Questions for the NCLEX-RN Examination.6th Edition by: Saxton /
Pelikan Nugent / Green. Chapter 2 p. 7 item 6
99. A client is scheduled for surgery. Legally, the client may not sign the operative consent if:
A. Ambivalent feelings are present and acknowledged
B. Any sedative type of medication has recently been given
C. A discussion of alternatives with two physicians has not occurred
D. A complete history and physical has not been performed and recorded
Rationale: B. (pg. 106) Sedation may interfere with the client’s comprehension of the consent
form.
23
Reference: Mosby’s Review Questions for the NCLEX-RN Examination.6th Edition by: Saxton /
Pelikan Nugent / Green. Chapter 2 p. 8 item 9
100. A male client with ascites is to have a paracentesis and has signed the consent. While the
nurse is caring for him, he says that he has changed his mind and no longer wants the
procedure. The best initial response by the nurse should be:
A. “Why did you sign the consent?”
B. “Can you tell me why you decided to refuse the procedure?”
C. “You are obviously afraid about something concerning the procedure.”
D. “Although the procedure is very important, I understand why you changed your
mind.”
Rationale: B. (pg. 106) This response attempts to explore why the client is refusing the
procedure; it promotes communication.
Reference: Mosby’s Review Questions for the NCLEX-RN Examination.6th Edition by: Saxton /
Pelikan Nugent / Green. Chapter 2 p. 8 item
lpr/DE_LMR/PA
Dec. 2011