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Leadership and management in Nursing

142 questions found

Practice Questions

A conflict arises between the pharmacy and the nursing unit over medication delivery times. The most effective leadership approach to resolve this is to:

A. Send an angry email to the head of the pharmacy.
B. Tell the nurses to complain directly to the pharmacists.
C. Arrange an interdepartmental meeting to map the process, identify bottlenecks, and collaboratively find a solution. ✓
D. Report the pharmacy to the hospital CEO.
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nmdcat.online BS Nursing
Jun 6, 2026

A patient’s right to confidentiality is protected under ethical codes and law. A breach of confidentiality occurs when a nurse:

A. Discusses the patient's condition with the consulting surgeon.
B. Shares details about her interesting patient case on her personal social media page. ✓
C. Gives a report to the oncoming shift nurse.
D. Documents the patient's diagnosis in the official medical record.
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nmdcat.online BS Nursing
Jun 6, 2026

A nurse leader who inspires extreme loyalty and high performance from their team by connecting with them on an emotional and intellectual level is likely a:

A. Transactional leader
B. Laissez-faire leader
C. Transformational leader ✓
D. Bureaucratic leader
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nmdcat.online BS Nursing
Jun 6, 2026

The process of “staffing” in nursing management includes:

A. Assigning daily patient loads.
B. Motivating employees to perform well.
C. Recruiting, interviewing, hiring, and orienting new nurses. ✓
D. Evaluating the quality of patient care.
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nmdcat.online BS Nursing
Jun 6, 2026

A new BSN graduate is asked to take on the role of charge nurse for a shift. Her leadership is best described as:

A. Formal leadership ✓
B. Informal leadership
C. Laissez-faire leadership
D. Servant leadership
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nmdcat.online BS Nursing
Jun 6, 2026

The leadership theory that suggests leaders should adapt their style to the maturity and readiness of their followers is:

A. Trait Theory
B. Transformational Theory
C. Situational Leadership Theory ✓
D. Great Man Theory
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nmdcat.online BS Nursing
Jun 6, 2026

Case Study: A patient’s family brings a traditional herbal remedy and insists on giving it to the patient, who is on multiple potent medications. The staff nurse’s most appropriate initial action is to:

A. Forbid the family from bringing outside remedies.
B. Allow the family to give the remedy to respect their culture.
C. Assess the remedy if possible, explain the potential for harmful drug interactions to the family, and notify the physician. ✓
D. Ignore the situation as long as the patient takes their prescribed medication.
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nmdcat.online BS Nursing
Jun 6, 2026

The legal doctrine “respondeat superior” holds that:

A. The patient is ultimately responsible for their own health.
B. The employer (hospital) can be held liable for the negligent acts of its employees. ✓
C. A nurse is only responsible for her own actions.
D. Every person is liable for their own torts.
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nmdcat.online BS Nursing
Jun 6, 2026

A nurse manager who consistently makes decisions that benefit her team and organization, even at personal cost, and who prioritizes the needs of her staff is demonstrating:

A. Integrity ✓
B. Incompetence
C. Selfishness
D. Indecisiveness
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nmdcat.online BS Nursing
Jun 6, 2026

The “organizing” function of management involves:

A. Motivating the staff to perform well.
B. Establishing a formal structure of roles and responsibilities for the unit. ✓
C. Hiring new employees.
D. Evaluating the performance of the staff.
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nmdcat.online BS Nursing
Jun 6, 2026

To manage the resistance in the previous scenario, the nurse manager should:

A. Order the nurse to use the new system or face disciplinary action.
B. Exclude the nurse from the training sessions.
C. Meet with the nurse to understand her concerns, highlight the benefits of the new system, and provide extra support and training. ✓
D. Reassign the nurse to a unit that still uses the old paper system.
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nmdcat.online BS Nursing
Jun 6, 2026

A key principle of effective delegation is that the RN retains ______ for the outcome of the delegated task.

A. the task
B. the salary
C. the accountability ✓
D. the license
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nmdcat.online BS Nursing
Jun 6, 2026

Which of the following is an “open-ended question” that facilitates therapeutic communication?

A. "Are you in pain?"
B. "Did you take your medication?"
C. "Can you tell me more about what happened?" ✓
D. "Is your family visiting today?"
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nmdcat.online BS Nursing
Jun 6, 2026

A nurse manager preparing the unit’s annual budget is engaging in which core activity?

A. Crisis management
B. Quality improvement
C. Legal compliance
D. Financial planning and resource allocation ✓
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nmdcat.online BS Nursing
Jun 6, 2026

The concept of a “just culture” in patient safety means:

A. Blaming individuals for all errors to ensure they don't happen again.
B. Creating an environment where staff can report errors and near misses without fear of punishment, distinguishing between human error, at-risk behavior, and reckless conduct. ✓
C. Never reporting errors to protect the hospital's reputation.
D. Only doctors are held accountable for errors.
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nmdcat.online BS Nursing
Jun 6, 2026

“Servant Leadership” is a philosophy where the leader’s primary motivation is to:

A. Serve their own career ambitions.
B. Serve the needs of their team and the organization, prioritizing their growth and well-being. ✓
C. Serve the demands of the hospital administration above all else.
D. Serve the public by seeking media attention.
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nmdcat.online BS Nursing
Jun 6, 2026

A nurse manager notices that several staff members are showing signs of burnout (exhaustion, cynicism). The most effective leadership intervention is to:

A. Tell them to work harder and be more resilient.
B. Organize a mandatory overtime shift to catch up on work.
C. Acknowledge the stress, offer support through debriefing sessions, and advocate for adequate staffing and resources. ✓
D. Ignore the issue as it is a personal problem for the nurses.
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nmdcat.online BS Nursing
Jun 6, 2026

The role of a nurse manager in a patient care team is to:

A. Provide all direct patient care herself.
B. Focus solely on administrative paperwork and stay out of clinical matters.
C. Facilitate communication, coordinate care, and ensure the team has the resources to provide safe care. ✓
D. Represent the interests of the doctors to the nursing staff.
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nmdcat.online BS Nursing
Jun 6, 2026

A staff nurse is concerned about a patient’s deteriorating condition. According to the chain of command, her first action should be to:

A. Call the hospital's Chief Executive Officer.
B. Inform her immediate charge nurse or team leader. ✓
C. Complain to the patient's family.
D. Document her concerns and wait for the doctor's next round.
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nmdcat.online BS Nursing
Jun 6, 2026
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