LEADERSHIP NURSING TEST BANK
QUESTIONS & ANSWERS; GRADED A+
A nurse is considering applying for employment at a new health-care facility. How should the nurse best
identify the aims and priorities of the organization?
a. Review the organization's mission statement.
b. Speak with as many front-line workers as possible.
c. Ask interviewers about recent responses to consumer satisfaction surveys.
d. Review the organization's policy and procedures documents. - ANS-a. Review the organization's
mission statement.
The nurse is participating in a planning process in a large health-care organization. The nurse and the
other members of the team should:
a. avoid specifics so that the plan can be applied in any health-care setting.
b. ensure that long-term priorities are always prioritized over short-term priorities.
c. ensure that evaluation occurs at several points during the process.
d. begin to engage employees in the process after the plan has been implemented. - ANS-c. ensure that
evaluation occurs at several points during the process.
Which is a true statement about planning?
a. All plans should be defined at the outset so that changes are not necessary.
b. Long- and short-range plans should be kept separate so priorities do not become
confused.
c. Objectives and goals must be established before the philosophy is written.
d. All plans should be flexible to accommodate changing circumstances. - ANS-d. All plans should be
flexible to accommodate changing circumstances.
A nurse is participating in the process of values clarification. What are the characteristics of
a true value? Select all that apply.
a. It is freely chosen from among alternatives.
b. It aligns with the dominant values of society.
c. It is prized and cherished.
d. It is positively affirmed.
e. It is acted upon. - ANS-a. It is freely chosen from among alternatives.
c. It is prized and cherished.
d. It is positively affirmed.
e. It is acted upon.
Which statement is an example of a process objective?
,a. "Every nurse will screen newly admitted clients for alcohol abuse."
b. "The falls rate on the unit will decrease by 50% compared with 2016 rates."
c. "The health-care facility will achieve accreditation within the next 24 months."
d. "The new bowel care protocol will be fully implemented by the end of the calendar year." - ANS-a.
"Every nurse will screen newly admitted clients for alcohol abuse."
A leader has launched an organizational planning process that requires the development of
new policies. How should the leader utilize subordinates during this process?
a. Delegate the evaluation phase of organizational planning to subordinates.
b. Ask subordinates to brainstorm alternatives and then have industry
experts evaluate each alternative.
c. Limit the involvement of subordinates to developing unit-level policies and
procedures.
d. Include subordinates early in the process and include them in all aspects of policy
formation. - ANS-d. Include subordinates early in the process and include them in all aspects of policy
formation.
The manager is leading a team to develop a unit-level philosophy statement. What guidelines should the
team use during this process?
a. The unit philosophy should align with the larger organization's philosophy.
b. The unit's philosophy should include a mission statement and vision statement.
c. The statement should reflect the values and priorities of the specific unit manager.
d. The statement should be consistent with that of other similar health-care agencies. - ANS-a. The unit
philosophy should align with the larger organization's philosophy.
A new nurse on the unit has been criticized for deviating from the accepted model of end-of-shift report,
even though there is no written policy about the content or format for
report. Which term is used for this type of policy?
a. Implied policies
b. Expressed policies
c. Understood precedents
d. The organizational culture - ANS-a. Implied policies
A health-care organization has adopted a new philosophy statement. What observation best shows that
the philosophy is being implemented?
a. The philosophy is displayed prominently in client care areas and staff areas.
b. The philosophy aligns with the organization's vision and mission.
c. The philosophy is reflected in the care that clients and families receive.
d. The philosophy was created by an interdisciplinary group that included nurses. - ANS-c. The
philosophy is reflected in the care that clients and families receive.
A recent nursing graduate has not performed a dressing change on a central catheter for several months
and is unsure of how to correctly perform this. The nurse should refer to the:
a. documentation.
b. practice rules.
c. organization policy.
d. procedure manual. - ANS-d. procedure manual.
, A nurse-manager recognizes the role that individual values play on decision making. How should the
manager best address this fact during a period of organizational planning?
a. The manager should carefully reflect on his or her most important values.
b. The manager should make every attempt to set values when making decisions.
c. The manager should seek individuals who have similar values when creating a decision-making team.
d. The manager should seek individuals who claim to have flexible values when
creating a decision-making team. - ANS-a. The manager should carefully reflect on his or her most
important values.
A nurse has been asked to join the health-care organization's strategic planning committee.
What actions should the committee perform in order to create an efficient and evidence-based planning
process? Select all that apply.
a. Enlist members with expertise in health-care economics.
b. Carefully consider political issues related to health care.
c. Prioritize the role of intuition in the planning process.
d. Identify and implement a planning theory.
e. Include as many stakeholders as possible in the planning process. - ANS-a. Enlist members with
expertise in health-care economics.
b. Carefully consider political issues related to health care.
d. Identify and implement a planning theory.
e. Include as many stakeholders as possible in the planning process.
Which statement best describes an emerging paradigm that is likely to influence strategic planning for
health care in the 21st century?
a. Reduced emphasis on cost containment
b. Reduced regulatory oversight of health-care organizations
c. A shift from interdependence of health-care professionals to greater autonomy
d. Continued increases in the cost of pharmaceuticals - ANS-d. Continued increases in the cost of
pharmaceuticals
Which element should influence the nurse executive most heavily when assessing the organization's
philosophy of nursing services for possible revision?
a. Consumer surveys
b. Input from other health disciplines
c. The organization's mission statement
d. Policy statements - ANS-c. The organization's mission statement
A nurse-manager can implement the principles of preactive planning by:
a. responding quickly to emergent problems.
b. using new technologies to accelerate change.
c. preferring the status quo as a stable environment.
d. directing planning in response to a crisis. - ANS-b. using new technologies to accelerate change.
A manager has been experiencing challenges during a planning process and must implement strategies
to overcome barriers that impede planning. What is the manager's best action?
a. Reevaluate whether the goals and objectives are appropriate and achievable.
b. Establish a fixed goal that is unaffected by changes in the organization.
c. Limit membership in the planning team to administrators, leaders, and executives.
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