LEADING AND MANAGING IN NURSING
EXAM QUESTIONS AND ANSWERS
A nurse manager is experiencing poor staff morale on her unit. While participating in a
baccalaureate course, the nurse manager had learned that one of the reasons nurses
lack power today is probably because of the past. In the early decades of the
profession, nurses lacked power because:
a. Nurses freely chose to defer to physicians and administrators with more education.
b. Women lacked legal, social, and political power because of legal and cultural
barriers.
c. The first nursing licensure laws prohibited nurses from making most decisions.
d. Nurses astutely recognized the risks of grabbing too much power too soon. - Answer-
B
Nurses who engage in in-fighting, seek physician support against nursing colleagues,
and avoid membership in nursing organizations:
a. Refuse to believe that they are acting like members of groups that suffer
socioeconomic oppression.
b. Do not understand how their failure to exercise power can limit the power of the
whole profession.
c. Purposefully choose to exercise their power in the workplace through indirect means.
d. Suffer from learned helplessness as a result of abuse by powerful nurse executives. -
Answer-B
A nurse belongs to several professional organizations, serving on a state-level
committee of one group and on two task forces at work. The nurse is committed to a
range of health issues. This nurse exemplifies which level of political activism in
nursing?
a. Gladiator
b. Buy-in
c. Self-interest
d. Political sophistication - Answer-D
A manager relies on his director (immediate supervisor) for advice about enrolling in
graduate school to prepare for a career as a nurse executive. The director may exercise
what kinds of power in the relationship with the manager in this advisory situation?
a. Expert, coercive, and referent
b. Reward, connection, and information
c. Referent, expert, and information
d. Reward, referent, and information - Answer-C
A nurse manager must implement a 2% budget cut on the nursing unit. Which approach
should the manager use to most effectively empower the staff of the unit?
, a. Discuss the guidelines for the budget cuts with the staff, making the decisions with
those who participate.
b. Inform the staff of the budget cuts in a series of small group meetings, and accept
their ideas in writing only.
c. Provide the staff with handouts about the budget cuts, and let them make
recommendations in writing.
d. Hold a series of mandatory meetings on the budget cuts, asking staff for ideas on the
cuts. - Answer-A
During orientation of new nurse managers, the chief nursing officer stresses strategies
that help nurse managers to achieve a powerful image. Which groups of behaviors best
contribute to a powerful image for the nurse manager?
a. Greeting patients, families, and colleagues with a handshake and a smile; listening
carefully when problems arise
b. For men, no facial hair, always wearing a suit and tie; for women, always wearing a
suit and high-heeled shoes
c. Maintaining a soft voice during times of conflict; making unbroken eye contact during
interactions
d. Smiling all the time; always wearing a suit and carrying a briefcase; women should
wear no jewelry - Answer-A
Two nurses approach their manager about a conflict regarding the next month's
schedule. The nurses are talking loudly and at the same time. The manager most
effectively uses communication skills to resolve the conflict by:
a. Taking both nurses aside, separately and then together, and charging them with
resolving the problem without her direct intervention.
b. Listening to each nurse speak to the other without interruption and asking clarifying
questions to help them resolve the issue themselves.
c. Separating the nurses, instructing each to decide how the problem can be resolved,
and meeting with them the next day.
d. Calling an emergency scheduling committee meeting and asking volunteers to
resolve the conflict between the two nurses. - Answer-B
A nurse manager recognizes the need to expand her professional network as she
begins a job search for a middle-management position. Which of the following actions is
least likely to expand her job-searching network?
a. Reviewing her address book or card file for names and phone numbers of former
colleagues who are now in middle-management positions
b. Making an appointment to meet with a former instructor from her graduate program in
nursing administration
c. Making a long overdue return call to a former colleague who is now a chief nurse
executive
d. Attending a state-level conference for nurse managers and executives and attending
informal luncheons and receptions - Answer-C
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