Nursing Leadership & Management NCLEX Practice Quiz #1

This is a timed quiz. You will be given 45 seconds per question. Are you ready?

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Ms. Caputo 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?

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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.

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

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Servant leaders are open-minded, listen deeply, try to fully understand others and not being judgmental

On the other hand, Ms. Caputo notices that the Chief Nurse Executive has charismatic leadership style. Which of the following behaviors best describes this style?

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Charismatic leaders make the followers feel at ease in their presence. They feel that they are in good hands whenever the leader is around.

Which of the following conclusions of Ms. Caputo about leadership characteristics is TRUE?

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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.

She reads about Path Goal theory. Which of the following behaviors is manifested by the leader who uses this theory?

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Path Goal theory according to House and associates rewards good performance so that others would do the same

One leadership theory states that “leaders are born and not made,” which refers to which of the following theories?

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Leaders become leaders because of their birth right. This is also called Genetic theory or the Aristotelian theory

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?

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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.

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?

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Shared governance allows the staff nurses to have the authority, responsibility and accountability for their own practice.

Ms. Caputo learns that some leaders are transactional leaders. Which of the following does NOT characterize a transactional leader?

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Inspires others with a vision is characteristic of a transformational leader. He is focused more on the day-to-day operations of the department/unit.

She finds out that some managers have benevolent-authoritative style of management. Which of the following behaviors will she exhibit most likely?

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Benevolent-authoritative managers pretentiously show their trust and confidence to their followers

Henry is a Unit Manager I the Medical Unit. He is not satisfied with the way things are going in his unit. Patient satisfaction rate is 60% for two consecutive months and staff morale is at its lowest. He decides to plan and initiate changes that will push for a turnaround in the condition of the unit. Which of the following actions is a priority for Henry?

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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.

He knows that there are external forces that influence changes in his unit. Which of the following is NOT an external force?

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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.

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?

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Majority rule involves dividing the house and the highest vote wins.1/2 + 1 is a majority.

One staff suggests that they review the pattern of nursing care that they are using, which is described as a:

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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.

Which of the following is TRUE about functional nursing?

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Functional nursing is focused on tasks and activities and not on the holistic care of the patients

Functional nursing has some advantages, which one is an EXCEPTION?

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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 ‘

He raised the issue on giving priority to patient needs. Which of the following offers the best way for setting priority?

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This option follows the framework of the nursing process at the same time applies the management process of planning, organizing, directing and controlling

Which of the following is the best guarantee that the patient’s priority needs are met?

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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.

When Henry uses team nursing as a care delivery system, he and his team need to assess the priority of care for a group of patients, which of the following should be a priority?

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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.

He is hopeful that his unit will make a big turnaround in the succeeding months. Which of the following actions of Henry demonstrates that he has reached the third stage of change?

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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.

Joey is a newly-appointed nurse manager of The Holy Spirit 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 planning workshop, which of the following is NOT a characteristic of this activity?

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Strategic planning involves options A, B and D except C which is attributed to operational planning

Which of the following statements refer to the vision of the hospital?

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A vision refers to what the institution wants to become within a particular period of time.

The statement, “The Holy Spirit Medical Center aims to provide patient-centered care in a total healing environment” refers to which of the following?

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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?

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This is a staff relationship hence it is depicted by a broken line in the organizational structure

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?

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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

Julius orients his staff on the patterns of reporting relationship throughout the organization. Which of the following principles refer to this?

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Hierarchy refers to the pattern of reporting or the formal line of authority in an organizational structure.

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?

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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.

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?

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The principle of ‘esprit d’ corps’ refers to promoting harmony in the workplace, which is essential in maintaining a climate conducive to work.

He discusses the goal of the department. Which of the following statements is a goal?

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Goal is a desired result towards which efforts are directed. Options B, C and D are all objectives which are aimed at specific end.

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?

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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

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?

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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?

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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.

Stephanie is often seen interacting with the medical intern during coffee breaks and after duty hours. What type of organizational structure is this?

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This is usually not published and oftentimes concealed.

She takes pride in saying that the hospital has a decentralized structure. Which of the following is NOT compatible with this type of model?

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Tall organizations are highly centralized organizations where decision making is centered on one authority level.

Centralized organizations have some advantages. Which of the following statements are TRUE? 1. Highly cost-effective 2. Makes management easier 3. Reflects the interest of the worker 4. Allows quick decisions or actions.

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Centralized organizations are needs only a few managers hence they are less expensive and easier to manage

Stephanie delegates effectively if she has authority to act, which is BEST defined as:

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Authority is a legitimate or official right to give command. This is an officially sanctioned responsibility

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?

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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.

Which of the following guidelines should be least considered in formulating objectives for nursing care?

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Staff preferences should be the least priority in formulating objectives of nursing care. Individual preferences should be subordinate to the interest of the patients.

Stephanie considers shifting to transformational leadership. Which of the following statements best describes this type of leadership?

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Transformational leadership relies heavily on visioning as the core of leadership.

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?

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