Leadership and Management

31Qw/exp-NCLEX Questions for Leadership and Management
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1. The nurse manager has asked Answer:

that all staff nurses develop 2. If the nurses learn about and use rel-
effective leadership competen- evant leadership and management theo-
cies. How should the staff nurs- ries and styles this is possible.
es interpret this request?
Rationale:
1. This is an unrealistic expecta- 1: A nurse does not need to have a formal
tion, because only managers are management position with a manage-
leaders. ment title to be a leader; if nurses demon-
2. If the nurses learn about strate leadership competencies, they are
and use relevant leadership and considered nurse leaders.
management theories and styles 2: In today's health care environment,
this is possible. nurses must have knowledge of rele-
3. In order to become leaders, the vant leadership and management the-
staff nurses will have to empha- ories and styles. This knowledge helps
size control, competition, and nurses emerge as leaders. Nurses are
getting the job done. also leaders of their own nursing prac-
4. Unless the staff nurses pos- tices.
sess the traits of a natural born 3: Control, competition, and getting the
leader, this is an unrealistic ex- job done are past theories and styles and
pectation. are not as useful in today's environment.
4: Leadership is a skill that can be
learned.
2. Peter Drucker's view of man- Answer:

agement stimulated the shift to- 4. Staff nurses provide input into planning
ward the realization of the im- and changes for their own unit.
portance of participatory organi-
zations. Which option provides a Rationale:
scenario that is an example of a 1: In participatory organizations, the con-
participatory organization? trol of the organization is decentralized
1. The control of the organiza- and many decisions are made by those
tion is centralized, and decisions "on the front lines" of the organization.
are made by upper-level man- 2: The theory is that the staff should be
agement. nurtured to promote greater leadership
2. Staff nurses are expected to competency.
provide support and nurturing 3: According to Drucker, when staff par-
for management's decisions. ticipate in the core functions of manage-
3. The organization's approach ment, the organization is more effective.
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to leadership is autocratic and 4: According to Drucker, when staff par-
bureaucratic. ticipate in the core functions of manage-
4. Staff nurses provide input into ment such as planning and changes for
planning and changes for their their own units, the organization is more
own unit. effective.
3. Which behavior demonstrates Answer:

the nurse's competency as an 3. The nurse supports team members.
emotionally intelligent leader?
1. The nurse is proficient in tech- Rationale:
nical skills. 1: While technical skill is important for all
2. The nurse relies on policies, nurses, it is not a hallmark of a competent
not options. leader.
3. The nurse supports team 2: Chaos theory states that solutions are
members. not always clear and policies might not
4. Productivity is not a major always be applied easily; other options
concern. might need to be considered.
3: In Emotional Intelligent theory, team
members support each other and feel
supported by the team leader.
4: This statement reflects the country club
leadership style.
4. Describe the primary focus of a Answer:

manager in a knowledge work 1. Developing the most effective teams.
environment.
1. Developing the most effective Rationale:
teams. 1: The most important focus of this man-
2. Taking risks. ager is on developing and supporting ef-
3. Routine work. fective teams, utilizing the knowledge of
4. Understanding the history of many.
the organization. 2: Risk taking is a part of knowledge work,
but is not the most important of this man-
ager's tasks.
3: Knowledge work is a combination of
routine and non-routine work, so the man-
ager will have focus on the routine. This is
not the manager's most important focus.
4: Understanding the history of the orga-
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nization is important as it will help the
manager work within the organization, but
it is not the most important focus.
5. A very young nurse has been Answer:

promoted to nurse manager of 2. Give assignments clearly, taking staff
an inpatient surgical unit. The expertise into consideration.
nurse is concerned that older
nurses may not respect the man- Rationale:
ager's authority because of the 1: Critical thinking is important for every
age difference. How can this RN, not just a manager 2: Giving clear as-
nurse manager best exercise au- signments is a characteristic of authority.
thority? The young nurse who takes staff exper-
1. Use critical thinking to solve tise into consideration when making as-
problems on the unit. signments is likely to be more successful
2. Give assignments clearly, tak- in leading the group.
ing staff expertise into consider- 3: Nurse managers do work in complex
ation. health care environments but must cre-
3. Understand complex health ate an appropriate organizational envi-
care environments. ronment as a way of exercising authority.
4. Maintain an autocratic ap- 4: In autocratic leadership, one person
proach to influence results. has all of the power. This is not a good
approach for a younger leader to adopt
when working with a group of older, more
experienced nurses.
6. What statement, made in the Answer:

morning shift report, would help 3. "I'm sorry, but I do not have a nurse to
an effective manager develop spare today to help on your unit. I cannot
trust on the nursing unit? make a change now, but we should talk
1. "I know I told you that you further about schedules and needs."
could have the weekend off, but
I really need you to work." Rationale:
2. "The others work many extra 1: To develop trust, managers who make
shifts, why can't you?" promises to staff must keep the promise.
3. "I'm sorry, but I do not have 2: This statement implies that the staff
a nurse to spare today to help nurse is not a team player. It also sets up
on your unit. I cannot make one nurse against the remainder of the
a change now, but we should staff. Effective managers must be fair and
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talk further about schedules and supportive with all staff.
needs." 3: This manager is standing up for staff by
4. "I can't believe you need help not allowing another unit to take a nurse
with such a simple task. Didn't today.
you learn that in school?" 4: This statement is belittling to the staff
nurse. This attitude does not demonstrate
trust that staff performances will be effec-
tive.
7. The nurse has just been pro- Answer:

moted to unit manager. Which 1. "If you make a mistake with your staff,
advice, offered by a senior unit admit it, apologize, and correct the error
manager, will help this nurse be- if possible."
come inspirational and motiva-
tional in this new role? Rationale:
1. "If you make a mistake with 1: Managers need to be honest and forth-
your staff, admit it, apologize, coming with staff, which includes taking
and correct the error if possi- responsibility for one's own actions and
ble." errors. This also provides a positive role
2. "Don't be too soft on the staff. model for the staff.
If they make a mistake, be certain 2: When errors occur, the manager should
to reprimand them immediately." use the opportunity for improvement, not
3. "Give your best nurses extra punishment.
attention and rewards for their 3: When staff feel some staff are given ex-
help." tra credit, staff will feel uncomfortable with
4. "Never get into a disagree- the manager and resentment will build.
ment with a staff member." 4: Staff need to feel that they can share
their feedback, positive or negative, and
not feel threatened when they disagree
with the manager.
8. The nurse wishes to improve Answer:

personal Emotional Intelligence 1. Self-confidence.
(EI) in hopes of a promotion to 4. Empathy.
nurse manager. Which skills are 5. Ability to initiate change.
important for this nurse to im-
prove? Select all that apply. Rationale:
1. Self-confidence. 1: EI competencies are self-confidence,
2. Knowledge base of nursing. empathy, change catalyst, and visionary
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3. Proficiency in technical skills. leadership.
4. Empathy. 2: While this is an important aspect of pro-
5. Ability to initiate change. fessional nursing, it is not a competency
of EI.
3: While this is an important aspect of pro-
fessional nursing, it is not a competency
of EI.
4: EI competencies are self-confidence,
empathy, change catalyst, and visionary
leadership.
5: EI competencies are self-confidence,
empathy, change catalyst, and visionary
leadership.
9. Compare and contrast manag- Answer:

er roles and leadership roles by 3. Control the environment.
choosing the options that are 5. Focus on efficiency.
more aligned with the manager
role. Select all that apply. Rationale:
1. Focus is change. 1: The manager accepts the status quo,
2. Have the ability to influence while the leader challenges it.
others. 2: The manager controls people, while the
3. Control the environment. leader influences
4. Focus is on people. 3: The manager controls the environment,
5. Focus on efficiency. patient care, and the staff that deliver that
care.
4: The leader focuses on people while the
manager focuses on systems and struc-
ture.
5: Managers focus on efficiency, while
leaders focus on effectiveness.
10. Typically the nurse manager of a Answer:

unit uses a participatory style of 2. Autocratic.
leadership. Today a patient suf- 4. Directive.
fered a cardiac arrest; the man- 5. Authoritarian.
ager took over the patient's care,
issuing orders, and expecting Rationale:
staff to obey them immediately. 1: This style is focused on organizational
5 / 17
Which type of leadership did this rules and policies.
manager exhibit today? Select 2: Autocratic, directive, and authoritarian
all that apply. are all terms used to describe leadership
1. Bureaucratic. in which the leader makes the decisions
2. Autocratic. for the group, issues direct orders, and
3. Permissive. expects staff to immediately obey. This is
4. Directive. an appropriate leadership style in emer-
5. Authoritarian. gencies such as a cardiac arrest.
3: This is a "hands-off" approach.
4: Autocratic, directive, and authoritarian
are all terms used to describe leadership
in which the leader makes the decisions
for the group, issues direct orders, and
expects staff to immediately obey. This is
an appropriate leadership style in emer-
gencies such as a cardiac arrest.
5: Autocratic, directive, and authoritarian
are all terms used to describe leadership
in which the leader makes the decisions
for the group, issues direct orders, and
expects staff to immediately obey. This is
an appropriate leadership style in emer-
gencies such as a cardiac arrest.
11. There have been several patient Answer:

complaints that the staff mem- 3. Laissez-faire.
bers of the unit are disorganized
and that "no one seems to know Rationale:
what to do or when to do it." 1: Autocratic and authoritarian leaders
The staff members concur that make decisions for the group and assume
they don't have a real sense of di- people are incapable of making indepen-
rection and guidance from their dent decisions. While this is not always
leader. Which type of leadership a good leadership style, it is unlikely the
is this unit experiencing? complaints in this scenario would occur.
1. Autocratic. 2: Bureaucratic leaders depend upon pol-
2. Bureaucratic. icy and rules. This is not always a good
3. Laissez-faire. style of leadership, but it is unlikely the
4. Authoritarian. complaints in this scenario would occur.
3: This style of leadership can be so de-
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tached that there is no direction or real
leadership. This will often be reflected in
the work of the staff and the perceptions
of the patients.
4: Autocratic and authoritarian leaders
make decisions for the group and assume
people are incapable of making indepen-
dent decisions. While this is not always
a good leadership style, it is likely the
complaints in this scenario would occur.
12. The nursing student clinical Answer:

group is attending the first clin- 1. Total patient care model.
ical session of the semester.
What nursing care delivery mod- Rationale 1: Typically, student nurses fol-
el can these students most usu- low the total patient care model and pro-
ally expect to follow? vide all of the care for a patient while
1. Total patient care model. in the clinical area. This model may be
2. Functional nursing model. altered slightly to accommodate the stu-
3. Primary nursing model. dent's progress in the nursing program or
4. Care management model. the policies of the facility. For example,
the nursing student may provide all care
except giving IV meds.
Rationale 2: Functional nursing is a
task-oriented approach where staff mem-
bers are assigned to provide a specific
task, such as wound care.
Rationale 3: In primary nursing, the RN
assumes 24-hour responsibility for plan-
ning, directing, and evaluating the pa-
tient's care, from admission to discharge.
Rationale 4: The care management mod-
el, which is similar to case management,
focuses on the needs of the integrated
delivery system.
13. This morning, the RN is as- Answer:

signed to administer medica- 2. Functional nursing model.
tions to all of the patients on
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the medical-surgical unit. From Rationale 1: The staff working for an or-
this assignment, the RN knows ganization that uses the total patient care
that this organization adheres to model are assigned to provide all of the
which type of patient care deliv- care for a patient while in the clinical area.
ery model? Rationale 2: Functional nursing is a
1. Total patient care model. task-oriented approach where staff mem-
2. Functional nursing model. bers are assigned to provide a specific
3. Primary nursing model. task, such as passing out medications for
4. Care management model. the unit.
Rationale 3: IN primary nursing, the RN
assumes 24-hour responsibility for plan-
ning, directing, and evaluating the pa-
tient's care, from admission to discharge.
Rationale 4: The care management mod-
el, which is similar to case management,
focuses on the needs of the integrated
delivery system.
14. What is a disadvantage of using Answer:

the team approach for care deliv- 1. The team leader might not have the
ery? necessary leadership skills required to
1. The team leader might not successfully lead the team.
have the necessary leadership
skills required to successfully Rationale 1: Using the team approach
lead the team. requires that the team leader have the
2. There is a risk that care will be necessary leadership skills to coordinate
fragmented. and delegate patient care.
3. This approach often leads to Rationale 2: The team approach helps
greater staff dissatisfaction, with keep care from becoming fragmented.
staff members feeling they are Rationale 3: In this approach, each team
just grinding out tasks. member can contribute his or her own
4. This approach may lead to special expertise or skill in caring for the
decreased collaboration and re- patient.
dundancy in patient care. Rationale 4: There is generally a greater
amount of collaboration and less redun-
dancy or care.
15. The nurse is interviewing for a Answer:

position in a newly opened hos- 2. Conversation with a staff nurse reveals
8 / 17
pital. Which observation would that the nurse feels empowered in making
best indicate to this nurse patient care decisions.
that the organization follows a
shared governance model? Rationale 1: This documents that the hos-
1. Among the documents pro- pital follows the classical theory of organi-
vided by the human resources zation.
department is an organizational Rationale 2: Shared governance increas-
chart of the nursing department, es each nurse's influence over the orga-
indicating that the director is the nization, empowering staff.
highest-ranking member. Rationale 3: This is a classical organiza-
2. Conversation with a staff tional model.
nurse reveals that the nurse Rationale 4: Although the shared gov-
feels empowered in making pa- ernance model does provide some au-
tient care decisions. tonomy, there is also an understanding
3. The mission statement of the that staff are expected to collaborate and
hospital describes centralized function cooperatively with both manage-
power. ment and colleagues.
4. A staff nurse mentions that
each individual staff member
has complete autonomy.
16. Which factor would least likely Answer:

be included in the analysis of an 4. The turnover rate of nursing personnel
organization? in a given unit.
1. Whether the organization's
mission and vision match staff Rationale 1: The vision and mission state-
performance. ments are the driving forces behind all
2. Results from a staff opinion decision, and provide critical information
survey regarding the organiza- about the organization's values and phi-
tion's decision-making process- losophy.
es. Rationale 2: It is important to analyze
3. How the organization's com- how staff members believe decisions are
munication patterns have affect- made.
ed the change process. Rationale 3: It is essential to analyze com-
4. The turnover rate of nursing munication patterns because communi-
personnel in a given unit. cation runs an organizations and its ability
to function effectively.
Rationale 4: Organizational analysis does
take staffing issues into consideration.
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However, of the options provided, the
turnover rate of a particular unit is least
likely to be considered. Analysis would
likely be focused on the turnover rate in
the entire organization.
17. The patient who had a Answer:

colonoscopy one hour ago sud- 1. Autonomy.
denly experiences bright red 2. Responsibility.
rectal bleeding, becomes di- 4. Accountability.
aphoretic, and is short of breath.
The nurse decides to implement Rationale 1: Autonomy in clinical decision
standing emergency orders and making occurs whenever a nurse makes
initiates oxygen per mask and an independent judgment about the pres-
increases the patient's IV rate ence of a clinical issue and then provides
while a colleague contacts the the resolution. This nurse identified that
patient's physician. Which criti- the patient was experiencing distress and
cal element of nursing is this made the clinical judgment to use emer-
nurse demonstrating? gency orders. The nurse could have also
Standard Text: Select all that ap- made a clinical judgment not to use them.
ply. Rationale 2: This nurse was entrusted
1. Autonomy. with a particular function, in this case,
2. Responsibility. caring for a post-op patient.
3. Delegation. Rationale 3: There is no indication that
4. Accountability. the nurse delegated care of this patient to
5. Relevance. anyone.
Rationale 4: Accountability is the accep-
tance of responsibility of the outcomes of
care.
Rationale 5: This term is not one of the
critical elements of nursing.
18. What is the oldest of the nursing Answer:

care models? 1. Total patient care.
1. Total patient care.
2. Functional nursing. Rationale 1: This is the oldest of the mod-
3. Team nursing. els. Nurses have provided this type of
4. Primary nursing. care for generations.
Rationale 2: This model is not as old as
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total patient care.
total patient care.
total patient care.
19. Which options are included in Answer:

the six dimensions of shared 2. Access to information about the orga-
governance? nization.
Standard Text: Select all that ap- 4. Ability to set goals and negotiate con-
ply. flict.
1. Informal authority base. 5. Control over professional practice.
2. Access to information about
the organization. Rationale 1: Shared governance requires
3. Delegation of care to others. formal authority granted by the organiza-
4. Ability to set goals and nego- tion.
tiate conflict. Rationale 2: This is a part of shared gov-
5. Control over professional ernance.
practice. Rationale 3: This is not a part of shared
governance though it occurs in a shared
governance organization.
Rationale 4: This is a part of shared gov-
ernance.
Rationale 5: This is a part of shared gov-
ernance.
20. What are the responsibilities Answer:

of the nurse manager in most 1. Staffing.
shared governance models? 3. Program evaluation.
Standard Text: Select all that ap- 4. Allocation of resources.
ply. 5. Long-range planning.
1. Staffing.
2. Direct patient care. Rationale 1: This is a responsibility of
3. Program evaluation. the nurse manager in most shared gover-
4. Allocation of resources. nance models.
5. Long-range planning. Rationale 2: In most shared governance
models, the nurse manager is not respon-
sible for providing direct patient care.
Rationale 3: This is a responsibility of
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the nurse manager in most shared gover-
nance models.
nance models.
nance models.
21. The nurse manager is making Answer:

patient assignments for the shift. 3. Patient needs.
What should be the primary
guiding factor in these assign- Rationale 1: This is an important determi-
ments? nant of staff assignments, but is not the
1. Number of staff available. most important factor.
2. Skill mix of the staff. Rationale 2: This is an important determi-
3. Patient needs. nant of staff assignments, but is not the
4. Physical layout of the unit. most important factor.
Rationale 3: The most important factor in
any decision made by any health care
provider should be patient needs.
Rationale 4: This is an important determi-
nant of staff assignments, but is not the
most important factor.
22. What is the primary focus of dis- Answer:

ease management programs? 3. The whole patient.
1. Curing the disease.
2. Reducing the need for medica- Rationale 1: This can be a focus, depend-
tions. ing upon the disease, but is not the prima-
3. The whole patient. ry focus.
4. Learning more about the dis- Rationale 2: This can be a focus, depend-
ease. ing upon the disease, but is not the prima-
ry focus.
Rationale 3: The primary focus is caring
for the whole patient.
Rationale 4: This can be a focus, but is not
the primary focus.
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23. The nurse who works for an Answer:
insurance company has been 1. High cost problems.
asked to develop an initial set of 2. Those with high numbers of hospital-
disease management programs. izations.
What factors should this nurse 3. Those with high risk for complications.
consider when choosing the dis- 4. Long-term problems.
eases? Select all that apply. 5. Those with a longer length of stay when
1. High cost problems. hospitalization is required.
2. Those with high numbers of
hospitalizations. Rationale 1: High cost, high volume, high
3. Those with high risk for com- risk diseases are typically considered for
plications. management programs.
4. Long-term problems. Rationale 2: High cost, high volume, high
5. Those with a longer length of risk diseases are typically considered for
stay when hospitalization is re- management programs.
quired. Rationale 3: High cost, high volume, high
risk diseases are typically considered for
management programs.
Rationale 4: Long-term problems incur
high costs.
Rationale 5: Longer length of stay in-
creases costs.
24. Which description of a clinical Answer:

pathway provided by a nursing 4. Clinical pathways guide the patient and
student would indicate the best interprofessional team in managing pa-
understanding of the concept? tient care and recovery within a designat-
1. Clinical pathways are tools to ed time frame.
measure patient outcomes.
2. Clinical pathways are the Rationale 1: This statement only de-
same as nursing care plans. scribes a portion of the use of clinical
3. Clinical pathways are devel- pathways.
oped to use in acute care set- Rationale 2: While the clinical pathway
tings and guide the nursing care does include nursing care, they are inter-
of patients as they are admitted, professsional.
treated, and discharged. Rationale 3: This option does not take
4. Clinical pathways guide the into account the interprofessional nature
patient and interprofessional of clinical pathways, nor does it take into
team in managing patient care account the fact that they are used in
13 / 17
and recovery within a designat- areas other than acute care.
ed time frame. Rationale 4: This statement is the clearest
and most complete description of a clini-
cal pathway.
25. The staff nurse has been asked Answer:

to work on a committee whose 1. To provide quality health care with the
task is to develop clinical path- efficient use of resources while controlling
ways for the facility. What is the costs.
purpose of these pathways?
1. To provide quality health care Rationale 1: Clinical pathways were de-
with the efficient use of re- veloped in response to the need to identi-
sources while controlling costs. fy quality, cost-effective health care within
2. To provide practice guidelines a specific time frame.
for the general treatment of a Rationale 2: Clinical pathways are specif-
specific diagnosis. ic and unique to the health care agency or
3. To reduce patient length of managed care organization in which they
stay. are used.
4. To justify alternative treatment Rationale 3: One of the purposes for de-
methods. veloping clinical pathways is to reduce
the cost of health care. This can occur
as a result of reduced length of stay, but
reducing length of stay is not the primary
goal.
Rationale 4: Clinical pathways often are
used to demonstrate compliance with
standards of care, accreditation, and reg-
ulatory requirements.
26. The health care providers in an Answer:

organization have chosen not to 1. Clinical pathways development and im-
adopt the use of clinical path- plementation takes time and can be cost-
ways. What are reasons to justify ly.
this decision? Select all that ap- 2. The pathway content has to be evaluat-
ply. ed each time it is used.
1. Clinical pathways develop- 3. Some believe that clinical pathways re-
ment and implementation takes sult in excessive paperwork and redun-
time and can be costly. dant documentation.
2. The pathway content has to be 4. There is fear that pathways will be used
14 / 17
evaluated each time it is used. in evaluating staff performance.
3. Some believe that clinical
pathways result in excessive pa- Rationale 1: These pathways are devel-
perwork and redundant docu- oped for each facility and can be costly to
mentation. develop and implement.
4. There is fear that pathways will Rationale 2: Since the content contains
be used in evaluating staff per- the general care of the patient with a
formance. specific disease, the content must be re-
5. The use of clinical pathways viewed and individualized to each patient
has not been proven to make a each time it is used.
difference in patient care. Rationale 3: New forms and paperwork
often cause health care providers to be
concerned about new methods of provid-
ing care.
Rationale 4: Some health care providers
fear the interprofessional aspects of
these tools. Others resent the require-
ment to follow the instructions of the criti-
cal pathway and fear they will be criticized
if their general care does not match that
required by the critical pathway.
Rationale 5: These pathways do change
patient care and can support interprofes-
sional care.
27. Which statement is true regard- Answer:

ing implementation of clinical 3. Using pathways is the best way to as-
pathways? sess length of stay (LOS).
1. Pathways replace physician
orders. Rationale 1: Pathways do not replace
2. Pathways cannot be used for physician orders.
patients with more than one ill- Rationale 2: Pathways can be used for
ness or condition. patients with more than one illness or
3. Using pathways is the best condition by developing co-paths.
way to assess length of stay Rationale 3: Using pathways is the best
(LOS). way to assess the LOS, and their use
4. Disclaimers may be used with helps to determine the best expected
clinical pathways to convey that LOS.
treatment is standardized. Rationale 4: Disclaimers are a way to indi-
15 / 17
cate that care will be provided to meet the
individual needs of the patient, which may
require variance from a clinical pathway.
28. Differentiate between disease Answer:

management programs and clin- 1. The major goal is to prepare the pa-
ical guidelines by choosing the tient to understand the disease and to in-
option that describes disease crease self-management of the disease.
management programs.
1. The major goal is to prepare Rationale 1: The purpose of disease man-
the patient to understand the dis- agement programs is to provide patients
ease and to increase self-man- with education and preventive care that
agement of the disease. improves quality of life.
2. They establish standards that Rationale 2: This is true of clinical guide-
focus on health maintenance. lines.
3. They have been adopted to Rationale 3: This is true of clinical guide-
control costs. lines.
4. They are also called medical Rationale 4: This is true of clinical guide-
review criteria. lines.
29. The Governing Board of the hos- Answer:

pital has completed an assess- 3. There is evidence that the values of the
ment of the organization's cul- organization and the health professionals
ture. Which findings would lead working there are similar.
the Board to determine that the 5. New people who come into the organi-
culture is healthy? zation learn about the culture by connect-
Standard Text: Select all that ap- ing behaviors and consequences.
ply.
1. There is wide variation in the Rationale 1: Separate approaches to ex-
expectations of individual em- pectations, caring, and values among de-
ployees and departments. partments would not be present.
2. The decisions made about Rationale 2: The decisions should be pa-
care are staff-centered. tient-centered.
3. There is evidence that the Rationale 3: A hallmark of a healthy or-
values of the organization and ganization is a close match of values be-
the health professionals working tween the organization and its health pro-
there are similar. fessionals.
4. The organization is designed Rationale 4: The organization should be
to serve its health professionals. designed to serve the patients.
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5. New people who come into Rationale 5: This is the way new people
the organization learn about the learn the values of the organization.
culture by connecting behaviors
and consequences.
30. The staff nurse has been asked Answer:

to assume leadership of a work 1. Keep promises that are made.
team. Which strategies should 2. Give honest feedback.
this nurse use to increase the 4. Reward followers.
team members' trust? Select all
that apply. Rationale 1: If the leader does not keep
1. Keep promises that are made. promises, trust is lost.
2. Give honest feedback. Rationale 2: Feedback should be honest
3. Create a logical excuse for not and formulated to help the follower do a
keeping promises made. better job.
4. Reward followers. Rationale 3: The leader can explain why
5. Ask followers to defer feed- a promise was not kept, but should not
back until the end of the project. "create" excuses.
Rationale 4: Followers appreciate re-
wards when they are earned.
Rationale 5: Followers should be encour-
aged to provide feedback to the leader
throughout the project.
31. The manager has asked the staff Answer:
to participate in the selection of 3. Empowerment of staff.
new intravenous pumps for the
unit. The manger has provided a Rationale 1: This manager has used ex-
list of choices and budget guide- pert opinion, not expert power.
lines. This is an example of use Rationale 2: Legitimate power is the type
of which management strategy? of power that is "awarded" with a position.
1. Use of expert power. Rationale 3: This action enables others to
2. Use of legitimate power. act and provides others with the oppor-
3. Empowerment of staff. tunity to participate and influence deci-
4. Management persuasiveness. sions.
Rationale 4: The manger would have
used persuasiveness to convince the staff
to adopt a particular kind of pump that the
manager chose.
17 / 17

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Leadership and Management

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31Qw/exp-NCLEX Questions for Leadership and Management

Study online at https://quizlet.com/_8akd8n

1. The nurse manager has asked Answer:

2. Peter Drucker's view of man- Answer:

3. Which behavior demonstrates Answer:

4. Describe the primary focus of a Answer:

5. A very young nurse has been Answer:

6. What statement, made in the Answer:

7. The nurse has just been pro- Answer:

8. The nurse wishes to improve Answer:

9. Compare and contrast manag- Answer:

10. Typically the nurse manager of a Answer:

11. There have been several patient Answer:

12. The nursing student clinical Answer:

13. This morning, the RN is as- Answer:

14. What is a disadvantage of using Answer:

15. The nurse is interviewing for a Answer:

16. Which factor would least likely Answer:

17. The patient who had a Answer:

18. What is the oldest of the nursing Answer:

19. Which options are included in Answer:

20. What are the responsibilities Answer:

21. The nurse manager is making Answer:

22. What is the primary focus of dis- Answer:

24. Which description of a clinical Answer:

25. The staff nurse has been asked Answer:

26. The health care providers in an Answer:

27. Which statement is true regard- Answer:

28. Differentiate between disease Answer:

29. The Governing Board of the hos- Answer:

30. The staff nurse has been asked Answer:

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