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Nursing Leadership and Management Test- questions with rationale

January 23, 2018

This nursing practice is about theories and principles regarding how the nurse functions independently and in collaboration with other nurses and various health team members in various setting.

The scope of this 25 – item practice test involves the following topics:

Types and style of leadership
Theories of leadership
Management process and functions
Patient classification system
Types of staffing
Modalities of patient care
Communication process in management
Conflict and conflict management

Nursing Leadership And Management Practice Test

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Question 1

Situation: You are not new in your department and you had been there for almost three years. Miss A, your previous nurse manager was considered strict and authoritative in implementing the protocols in your area. She would make your schedule fixed unless you will inform her two weeks before for any change of shift. On the contrary, your new nurse manager, Miss B, schedules a monthly staff meeting for any significant matters in your department. She is not so lax but makes it up to collect suggestions from all of you before making decisions. 1. If you are to choose which one of your nurse managers described above reflects a democratic type of leadership, who is she?

A	Miss A
B	Miss B
C	Both of them
D	None of the above

Question 1 Explanation:

A democratic leadership style offers and gives suggestions, but lets the whole group do the planning. Miss B basically exhibits a democratic leadership since she would allow the group decide and plan for any significant matter in the department.

Question 2

What leadership style did Miss A utilized to maintain a strong control in the department?

A	Laissez- faire
B	Democratic
C	Collegial
D	Autocratic

Question 2 Explanation:

Miss A used an autocratic leadership style to strictly maintain the control in the department. An autocratic leader usually gives orders and the one who makes decisions and the planning.

Question 3

There are nursing students who are conducting their study on leadership styles in your unit. One of the questions included is: What do you think is the most effective leadership style that can be used during emergency situations?

A	Democratic
B	Laissez- faire
C	Autocratic
D	Supportive

Question 3 Explanation:

Since an authoritative leader tends to be directive, during emergency situations this kind of leadership styles pays effectiveness in nursing care. It can be beneficial if the autocratic leader knows how to prioritize and do the things that needs to be done.

Question 4

What are the qualities that define a leader who uses laissez- faire?

A	She involves the group in planning and in decision making
B	She oversees everything to come up with good quantity and quality of output but provides little autonomy and self- motivation to her members.
C	She tends to be passive and puts the responsibility of decision making to others.
D	She would foster independence in your team by promoting motivation and creativity.

Question 4 Explanation:

Laissez- faire leadership style provides no control in the team. She may be passive and uninvolved. This type of leadership style is likely to have chaos within the area of duty since the members work independently without having prompt directions from the leader.

Question 5

This is a common trait of a leader which is defined as his ability to possess honesty, responsibility and maturity in the working area.

A	Integrity
B	Personality
C	Intelligence
D	Flexibility

Question 5 Explanation:

Personality refers to his personal alertness, creativity, emotional balance and control while intelligence corresponds to his sound judgement, decisiveness, and knowledge. Flexibility on the other hand, pertains to his ability to adapt rapidly to changes.

Question 6

You are the head nurse in the pediatric department. Your roles in the planning process in the hospital include the following, except one:

A	Act as link between higher- level managers and non managers
B	Directly responsible for the actual production of nursing services
C	Represent the organization
D	Answers C & B

Question 6 Explanation:

Answers A & B are both roles of a head nurse while representing the organization is the role of top managerial positions like director of nursing services, chief nurse or deans.

Question 7

What is true about patient classification system or PCS?

A	It is a method of grouping patients according to length or duration of nursing care
B	It is a measuring tool used to describe the progress of patient’s status
C	It depends on the complexity of nursing care requirements of the patient
D	All of the above

Question 7 Explanation:

It is both a method of grouping patients and a measuring tool but defines the workload of a nurse to a specific patient. It usually depends on how complex or simple nursing care needs the patient require.

Question 8

You are asked by your instructor to discuss about Contingency Theory. What should you include in your discussion?

A	It is a theory in leadership that views the pattern of leader behaviour as dependent on the interaction of the personality and the needs of the situation.
B	It considers that leaders must provide followers the sense of security and approval and discipline to be successful in an output.
C	It emphasizes that both leaders and followers should act on one another to raise their motivation.
D	It states that leadership qualities inspire followers to be motivated in what they do.

Question 8 Explanation:

Contingency theory is described as a leadership that depends on other factors in the environment for it to be effective. Option B refers to McGregor’s Theory X and Theory Y while option c pertains to Transformational theory, and option D corresponds to Charismatic theory.

Question 9

In planning, conceptualizing the purpose and the aspirations of the organization is essential. What statement gives a false description of a vision?

A	It reflects what the organization wants to be
B	It is written to magnify the various activities and it is projected with a broad time frame
C	It reflects why the organization exist
D	It uses action words in present tense

Question 9 Explanation:

This description corresponds to a mission statement not a vision statement.

Question 10

Isabelle, your co-worker, is a newly hired nurse. She asked you about centralized staffing system.

A	The head nurse or the supervisor does the scheduling of personnel.
B	Schedule is based on the needs of the patients and the knowledge of the personnel.
C	You can readily rearrange your schedule as needed.
D	The scheduling is planned and made by the nursing director.

Question 10 Explanation:

Centralized staffing system is done by the nursing director, wherein denies the head nurse to make the staffing decisions and it allows minimal personal contact with the staff. Other answers define what a decentralized staffing system is.

Question 11

In the hospital, your department is using the functional method of patient care modality. What is it all about?

A	One nurse is responsible for giving bedside care, another one for administering medications and another one for treatments and so on.
B	It is a one on one constant patient care for period of time.
C	The nurse has the responsibility for giving nursing care to the client from admission until discharge
D	A team leader has the responsibility for coordinating the total care of a group of patients.

Question 11 Explanation:

Functional nursing is a task- oriented way of delegating work. No single nurse is responsible for the total care of any patient.

Question 12

It corresponds to moderate care or category 2 in the patient classification system, if:

A	The patient is unstable and acutely ill and has high demands for nursing care
B	The patient is already recovering from a serious illness and requires some assistance.
C	The patient is only requiring diagnostic studies and minimal therapy.
D	The patient needs close monitoring and requires complete care in most activities

Question 12 Explanation:

A patient can be considered to be in category 2 if she is already recovering from an illness and is able to meet his needs with minimal assistance.

Question 13

It is a managerial function that indicates leading the staff in the most effective method.

A	Planning
B	Directing
C	Organizing
D	Controlling

Question 13 Explanation:

Directing means giving instructions, directions, or orders in such a way that a certain goal will be achieved effectively.

Question 14

Which describes an informal leader?

A	Anna who is appointed because of her competencies and continuing education
B	Maria who becomes the leader of the team because of her years of experience in the department
C	Eduard who is considered the leader of the team since he was given the legitimate authority to act as one.
D	Alexandra who is chosen by the administration because of her age and knowledge in the area of work.

Question 14 Explanation:

Words such as appointed, legitimate authority, and chose by the administration all describes a formal leader. Maria becomes the leader because of her years of experience is possible but it can only be considered as informal.

Question 15

Why is good communication important in managing personnel?

A	It motivates personnel to do their jobs well
B	It promotes independence and collaboration
C	It fosters influence and power
D	All of the above

Question 15 Explanation:

All the statements above describe the advantages of a good communication in the organization.

Question 16

Downward communication is described below. Which one is correct?

A	The communication is between two supervisors
B	The flow of communication is from the head nurse to supervisor
C	The flow of communication is from the chief nurse to the head nurse
D	The flow of communication is from the staff nurse to the chief nurse

Question 16 Explanation:

Downward communication is defined as the flow of communication from the top level managers to the lower levels.

Question 17

During controlling and evaluating phase, the following are quality improvement methods utilized by institutions. Which one refers to a review process used by healthcare organization to assure that the hospital may provide care to clients?

A	Credentialing and licensing
B	Standards of care
C	Clinical pathways
D	Benchmarking

Question 17 Explanation:

Standards of care refers to descriptions of standard client care which was developed by healthcare organizations to be considered as guide; clinical pathways pertains to tools for to be utilized for a specific client; benchmarking is a tool that identifies the best practice and by comparing it to other departments.

Question 18

Which type of conflict management technique is described as cooperating and that one side gives in to the other?

A	Avoiding
B	Accommodating
C	Competing
D	Compromising

Question 18 Explanation:

Accommodating allows stakes which is not high enough. It can be utilized when the other side is more concerned with the issue than the other one.

Question 19

The management theorist who developed the 14 principles of management is:

A	Frederick Taylor
B	Max Weber
C	Mary Follet
D	Henri Fayol

Question 19 Explanation:

Frederick Taylor postulated the theory of scientific management while Max Weber advocated that the ideal organization for complex institution is having bureaucracy; and Mary Follet indicated that management is a social process.

Question 20

What are the tasks that should not be delegated to a non professional staff?

A	Doing the vital signs
B	Turning the client every two hours
C	Grooming and bathing the client
D	Assessment of neurological deficits

Question 20 Explanation:

Nursing assessment requiring professional judgement should not be delegated to a non professional nurse.

Question 21

You are asked by your instructor to differentiate a leader and a manager. Which one is incorrect?

A	A leader is focused on purposes but a manager is focused with structures and processes.
B	A leader does the right thing and a manager does each task the right way.
C	A leader has a short term view while a manager views work in long term duration
D	A leader rely on trust while a manager rely on control

Question 21 Explanation:

It is incorrect since a leader focuses on the future of his organization thus it has long term goals for it while a manager focuses on the present making him plot for short term goals.

Question 22

Supervision and delegation fall to what phase of the management process?

A	Organizing
B	Directing
C	Controlling
D	Planning

Question 22 Explanation:

In directing, commanding orders or tasks and coordinating it to personnel are involved – thus, delegation and supervision have important roles in this phase.

Question 23

What type of conflict refers to when there are two or more opposing incompatible demands that arise and priority differences affects the resolution of the conflict.

A	Interpersonal conflict
B	Organizational conflict
C	Intrapersonal conflict
D	Answers A & B

Question 23 Explanation:

This kind of conflict usually arises when a staff is confronted with choosing between going to work or prioritizing her sick mother, and the like.

Question 24

What is not a characteristic of an organizational chart?

A	It shows the division of work
B	It shows the workload of each personnel
C	It reflects the type of work of each staff
D	It delineates the groupings according to type of work

Question 24 Explanation:

The organizational chart shows all the above descriptions except for telling the amount of work laid for personnel. It might impose the weight of responsibility of each staff but not their workload.

Question 25

What kind of staffing is considered the most common pattern and the oldest type?

A	Cyclical staffing
B	Full time equivalent staffing
C	Conventional staffing
D	Decentralized staffing

Question 25 Explanation:

It is the oldest staffing pattern utilized by many institutions. It combines centralized and decentralized staffing.

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Nursing Leadership And Management Practice Test

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