Nursing Leadership and Management Exam Questions And Answers
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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 ref...
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Nursing Leadership and Management
Exam Questions And Answers
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?
A. Organization Management
B. Impoverished Management
C. Country Club Management
D. Team Management - ANS C
Country club management style puts concern for the staff as the number one priority at the
expense of the delivery of services. He/she runs the department just like a country club where
everyone is happy including the manager. This leadership style assumes that if people are
happy in their job, they will naturally work harder.
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:
A. Transformational leader
B. Transactional leader
C. Servant leader
D. Charismatic leader - ANS C
Servant leaders are open-minded, listen deeply, try to fully understand others, and not being
judgmental. Servant leadership is a leadership philosophy in which the goal of the leader is to
serve. A servant leader shares power puts the needs of the employees first and helps people
develop and perform as highly as possible. Servant leadership inverts the norm, which puts the
customer service associates as the main priority.
On the other hand, Ms. Caputo notices that the Chief Nurse Executive has a charismatic
leadership style. Which of the following behaviors best describes this style?
A. Possesses inspirational quality that makes followers get attracted to him and regard him with
reverence.
B. Acts as he does because he expects that his behavior will yield positive results.
C. Uses visioning as the core of his leadership.
,D. Matches his leadership style to the situation at hand. - ANS A
Charismatic leaders make the followers feel at ease in their presence. They feel that they are in
good hands whenever the leader is around. The charismatic leadership style relies on the
charm and persuasiveness of the leader. Charismatic leaders are driven by their convictions
and commitment to their cause.
Which of the following conclusions of Ms. Caputo about leadership characteristics is true?
A. There is a high correlation between the communication skills of a leader and the ability to get
the job done.
B. A manager is effective when he has the ability to plan well.
C. Assessment of personality traits is a reliable tool for predicting a manager's potential.
D. There is good evidence that certain personal qualities favor success in a managerial role. -
ANS C
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. Successful leaders tend to
have certain traits. Two keys areas of personal growth and development are fundamental to
leadership success: self-confidence and a positive attitude.
She reads about Path-Goal theory. Which of the following behaviors is manifested by the leader
who uses this theory?
A. Recognizes staff for going beyond expectations by giving them citations.
B. Challenges the staff to take individual accountability for their own practice.
C. Admonishes staff for being laggards.
D. Reminds staff about the sanctions for non-performance - ANS A
The path-Goal theory according to House and associates rewards good performance so that
others would do the same. The path-goal theory states that a leader's behavior is contingent on
the satisfaction, motivation, and performance of their employees. The manager's job is viewed
as guiding workers to choose the best paths to reach both their goals as well as the
corporation's goals.
One leadership theory states that "leaders are born and not made," which refers to which of the
following theories?
A. Trait
B. Charismatic
C. Great Man
D. Situational - ANS C
,Leaders become leaders because of their birthright. This is also called Genetic theory or the
Aristotelian theory. This quote sums up the basic tenet of the Great Man theory of leadership,
which suggests that the capacity for leadership is innate. According to this theory, you're either a
natural-born leader or you're not. The term "Great Man" was used because, at the time,
leadership was thought of primarily as a male quality, especially in terms of military leadership.
She came across a theory which states that the leadership style is effective depending on the
situation. Which of the following styles best fits a situation when the followers are self-directed,
experts, and are matured
A. Democratic
B. Authoritarian
C. Laissez-faire
D. Bureaucratic - ANS C
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. This kind of
leadership is very hands-off—managers trust their employees and are confident in their abilities.
They give guidance and take responsibility where needed, but this leadership style means that
subordinates and team members have the real lead.
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?
A. Leadership behavior is generally determined by the relationship between the leader's
personality and the specific situation.
B. Leaders believe that people are basically good and need not be closely controlled.
C. Leaders rely heavily on visioning and inspire members to achieve results.
D. Leadership is shared at the point of care - ANS D
Shared governance allows the staff nurses to have the authority, responsibility, and
accountability for their own practice. Shared leadership is the practice of governing a school by
expanding the number of people involved in making important decisions related to the school's
organization, operation, and academics. In practice, shared leadership may be defined
differently from school to school, and it may take a wide variety of forms.
Ms. Caputo learns that some leaders are transactional leaders. Which of the following does not
characterize a transactional leader?
A. Focuses on management tasks.
B. Is a caretaker.
C. Uses trade-offs to meet goals.
D. Inspires others with vision - ANS D
, 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. Transactional leadership depends on
self-motivated people who work well in a structured, directed environment. By contrast,
transformational leadership seeks to motivate and inspire workers, choosing to influence rather
than direct others.
She finds out that some managers have a benevolent-authoritative style of management. Which
of the following behaviors will she exhibit most likely?
A. Have condescending trust and confidence in their subordinates.
B. Gives economic or ego awards.
C. Communicates downward to the staff.
D. Allows decision-making among subordinates. - ANS A
Benevolent-authoritative managers pretentiously show their trust and confidence to their
followers. In Benevolent-Autocratic Leadership Style, the manager has condescending
confidence and trust in subordinates, motivates with rewards and some punishments, permits
some upward communication, solicits some ideas and opinions from subordinates, and allows
some delegation of decision making but with close policy control.
Henry is a Unit Manager in the Medical Unit. He is not satisfied with the way things are going in
his unit. The 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?
A. Call for a staff meeting and take this up in the agenda.
B. Seek help from her manager.
C. Develop a strategic action on how to deal with these concerns.
D. Ignore the issues since these will be resolved naturally. - ANS A
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. It's
one thing to articulate the change required and entirely another to conduct a critical review
against organizational objectives and performance goals to ensure the change will carry the unit
in the right direction strategically, financially, and ethically.
He knows that there are external forces that influence changes in his unit. Which of the following
is not an external force?
A. Memo from the CEO to cut down on electrical consumption.
B. Demands of the labor sector to increase wages.
C. Low morale of staff in his unit.
D. Exacting regulatory and accreditation standards. - ANS C
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