TEST BANK

FOR

LEADERSHIP AND NURSING

CARE MANAGEMENT 6TH

EDITION HUBER

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Chapter 01: Leadership and Management Principles

Test Bank

MULTIPLE CHOICE

1. Leadership is best defined as:

a. an interpersonal process of participating by encouraging fellowship.

b. delegation of authority and responsibility and the coordination of activities.

c. inspiring people to accomplish goals through support and confidence building.

d. the integration of resources through planning, organizing, and directing.

ANS: C

Leadership is the process of influencing people to accomplish goals by inspiring confidence

and support among followers.

DIF: Cognitive Level: Remember (Knowledge) REF: Page 4

TOP: Nursing Process: Assessment

MSC: Client Needs: Safe and Effective Care Environment: Management of Care

2. A medical-surgical unit reports higher rates of patient satisfaction coupled with high rates of

staff satisfaction and productivity. Which of the following is attributed to the data?

a. Effective leadership

b. Management involvement

c. Mentoring

d. Rewards and recognition

ANS: A

Effective leadership is important in nursing because of the impact on nurses’ work lives, it

being a stabilizing influence during change, and for nurses’ productivity and quality of care.

DIF: Cognitive Level: Apply (Application) REF: Page 1

TOP: Nursing Process: Assessment

MSC: Client Needs: Safe and Effective Care Environment: Management of Care

3. A staff registered nurse (RN) is leading a multidisciplinary clinical pathway team in the

development of care for patients with total knee replacement. Which of the following

statements would exemplify leadership behaviors in a clinical pathway team meeting?

a. “Nursing is responsible for pain control of the total knee replacement patient.”

b. “Our pharmacist has provided some excellent pain control literature.”

c. “Physical therapy’s expertise is in rehabilitation, not pain control.”

d. “Total knee replacement patients require optimal pain control.”

ANS: B

Leadership is the process of influencing people to accomplish goals by inspiring confidence

and support among followers. The correct answer is supportive of a team member’s work and

depicts some skill at interpersonal relationships.

DIF: Cognitive Level: Apply (Application) REF: Pages 3-4

TOP: Nursing Process: Assessment

MSC: Client Needs: Physiological Integrity: Pharmacological and Parenteral Therapies

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4. Which of the following is true of management activities?

a. Inspiring a vision is a management function.

b. Management is focused on task accomplishment.

c. Management is more focused on human relationships.

d. Management is more important than leadership.

ANS: B

Management is focused on task accomplishment.

DIF: Cognitive Level: Remember (Knowledge) REF: Pages 2-3

TOP: Nursing Process: Assessment

MSC: Client Needs: Safe and Effective Care Environment: Management of Care

5. During a staff meeting, a group of RNs has complained that medications are not arriving to

the unit in a timely manner. The nurse manager suggests that the group resolve this issue

through the development and work of a multidisciplinary team led by one of these RNs. This

scenario demonstrates:

a. adaptation.

b. empowerment.

c. flexibility.

d. relationship management.

ANS: B

Empowerment is the giving of authority, responsibility, and the freedom to act. In this

situation, the manager has given authority, responsibility, and the freedom to act in the

investigation and resolution of this issue.

DIF: Cognitive Level: Apply (Application) REF: Page 5

TOP: Nursing Process: Assessment

MSC: Client Needs: Safe and Effective Care Environment: Management of Care

6. A nurse is caring for an elderly patient who was admitted after sustaining a fall at home. When

creating a care plan for the patient, she requests that the doctor order a home health visit to

assess for home safety and medication compliance. In addition, the nurse is concerned about

the nutrition of the patient and requests a dietitian evaluation. The nurse is demonstrating

which of the following leadership skills?

a. Care provider

b. Business principles

c. Care coordination

d. Change management

ANS: C

Care coordination is the delivery of nursing services that involves the organization and

coordination of complex activities. The nurse uses managerial and leadership skills to

facilitate delivery of quality care.

DIF: Cognitive Level: Apply (Application) REF: Page 3

TOP: Nursing Process: Planning

MSC: Client Needs: Physiological Integrity: Reduction of Risk Potential

7. Interpersonal communication and the ability to apply _____ are two critical skills every nurse

needs to enhance professional practice.

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a. vision

b. supervision

c. delegation

d. problem solving

ANS: D

Every nurse needs two critical skills to enhance professional practice. One is a skill at

interpersonal relationships. This is fundamental to leadership and the work of nursing. The

second skill is applying the problem-solving process. This involves critical thinking, problem

identification, and the development of objectivity.

DIF: Cognitive Level: Remember (Knowledge) REF: Page 4

TOP: Nursing Process: Assessment

MSC: Client Needs: Safe and Effective Care Environment: Management of Care

8. Good leaders need to be able to demonstrate an intuitive skill of empathy and expressiveness

when dealing with others in the workplace. This requires sensitivity and awareness of the

emotions and moods of others and is known as:

a. social awareness.

b. self-awareness.

c. self-management.

d. relationship management.

ANS: A

Social awareness is an intuitive skill of empathy and expressiveness in being sensitive and

aware of the emotions and moods of others.

DIF: Cognitive Level: Remember (Knowledge) REF: Page 4

TOP: Nursing Process: Assessment

MSC: Client Needs: Safe and Effective Care Environment: Management of Care

9. The manager of the emergency department in a large hospital focuses on customer service,

exudes the nursing code of ethics, and sees his or her job as an occupation with a lifetime

commitment. This is a concept known as:

a. leadership.

b. management.

c. professionalism.

d. vision.

ANS: C

Professionalism is an approach to an occupation that distinguishes it from being merely a job,

focuses on service as the highest ideal, follows a code of ethics, and is seen as a lifetime

commitment.

DIF: Cognitive Level: Remember (Knowledge) REF: Page 5

TOP: Nursing Process: Implementation

MSC: Client Needs: Safe and Effective Care Environment: Management of Care

10. _____ are vital to good leaders because they are able to take the vision of the leader and

achieve the determined goals.

a. Managers

b. Motivators

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Chapter 11: Workplace Diversity Huber: Leadership & Nursing Care Management, 6th Edition MULTIPLE CHOICE 1. Which of these statements are true about culture? a. Culture remains consistent. b. Individuals identify with one culture during their lifetime. c. Culture is complex. d. Culture excludes religion. ANS: C Culture is dynamic in nature, and individuals may identify with multiple cultures over the course of their lifetimes. There is a complex nature to culture, which has been defined and studied across many disciplines. DIF: Cognitive Level: Remember (Knowledge) TOP: Nursing Process: Assessment MSC: Client Needs: Physiological Integrity: Basic Care and Comfort 2. A client of Vietnamese background is admitted to the unit after a hysterectomy. She has an order for clear liquids. When her tray is brought to her, she refuses the lime Jell-O. Which response by the nurse is most appropriate? a. “I don’t blame you. I don’t like lime Jell-O either.” b. “Tell me about your cultural beliefs to best help you.” c. “Why don’t you want to eat the lime Jell-O?” d. “It is important for you to eat so that you will heal.” ANS: B The first step toward multicultural competence is to recognize one’s own prejudices and learn about other people’s differences. The problem is that many Americans are afraid to ask people about their culture because of the idea that “we don’t want to offend anyone.” The challenge with this thinking is that if nurses do not ask about people’s differences, then the only option is to make assumptions. DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Assessment MSC: Client Needs: Safe and Effective Care Environment: Management of Care 3. Cultural diversity refers to the: a. variety of cultural or ethnic groups within a society. b. belief that one’s own culture is similar to another’s culture. c. realization that all people in a particular culture have the same beliefs. d. view that individuals living in a country should speak the native language. ANS: A Cultural diversity is defined by the Oxford Dictionary (“Cultural diversity,” 2016) as “The existence of a variety of cultural or ethnic groups within a society.” DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process: Assessmen