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Leadership and management in Nursing

142 questions found

Practice Questions

The SBAR (Situation, Background, Assessment, Recommendation) tool is primarily used to:

A. Document a patient's full medical history.
B. Structure communication between healthcare professionals for clarity and efficiency. ✓
C. Complete an employee performance appraisal.
D. Plan the weekly nursing schedule.
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nmdcat.online BS Nursing
Jun 6, 2026

A patient who is alert and oriented refuses a blood transfusion based on his personal beliefs. The nurse’s primary ethical responsibility is to:

A. Administer the transfusion anyway because it is medically necessary.
B. Tell the patient he is making a foolish decision.
C. Respect the patient's autonomy and right to refuse treatment, and notify the physician. ✓
D. Ask the patient's family to convince him to change his mind.
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nmdcat.online BS Nursing
Jun 6, 2026

Informed consent is a process that requires the healthcare provider to explain the risks, benefits, and alternatives of a procedure. The nurse’s role in this process often includes:

A. Making the decision for the patient if the patient is unsure.
B. Signing the consent form on behalf of the patient.
C. Acting as a witness to the patient's signature and ensuring the patient understands the information provided. ✓
D. Forcing the patient to sign the consent form quickly.
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nmdcat.online BS Nursing
Jun 6, 2026

An ethical dilemma occurs when:

A. A nurse makes a medication error.
B. A clear right and wrong action is apparent.
C. There is a conflict between two or more ethical principles, and there is no clear right answer. ✓
D. A hospital policy is violated.
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nmdcat.online BS Nursing
Jun 6, 2026

A nurse who reports a colleague’s unsafe practice to the nurse manager is demonstrating:

A. Loyalty to their friend above all else.
B. Professional accountability and patient advocacy. ✓
C. A desire to get their colleague into trouble.
D. A violation of the colleague's privacy.
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nmdcat.online BS Nursing
Jun 6, 2026

Patient advocacy means:

A. Agreeing with everything the patient says.
B. Protecting the patient from their family.
C. Speaking up for the patient's rights and best interests, especially when they cannot speak for themselves. ✓
D. Making all decisions for the patient.
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nmdcat.online BS Nursing
Jun 6, 2026

According to Kurt Lewin’s Change Theory, the first stage of any planned change is “unfreezing,” which involves:

A. Implementing the change immediately.
B. Solidifying the change into the new normal.
C. Creating awareness and a readiness for the change. ✓
D. Evaluating the effects of the change.
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nmdcat.online BS Nursing
Jun 6, 2026

Evidence-based leadership in nursing involves:

A. Making decisions based on tradition and "how it's always been done."
B. Using the best available research, clinical expertise, and staff input to guide leadership decisions. ✓
C. Following the leadership style of the most popular person on the unit.
D. Making decisions based on intuition alone.
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nmdcat.online BS Nursing
Jun 6, 2026

A nurse manager wants to reduce the rate of catheter-associated urinary tract infections (CAUTIs) on her unit. A key quality improvement strategy would be to:

A. Blame the staff for the high infection rates.
B. Implement and monitor adherence to an evidence-based bundle of care for catheter insertion and maintenance. ✓
C. Stop using urinary catheters for all patients.
D. Reward the nurse who has the fewest patients with CAUTIs.
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nmdcat.online BS Nursing
Jun 6, 2026

Two nurses are in conflict over who gets to take leave during the Eid holidays. The Head Nurse helps them look at the schedule together and find a solution where both can get some, but not all, of the days they wanted. This is an example of which conflict resolution strategy?

A. Avoidance
B. Competition
C. Accommodation
D. Compromise ✓
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nmdcat.online BS Nursing
Jun 6, 2026

The PDSA cycle is a tool for quality improvement. PDSA stands for:

A. Plan, Do, Study, Act. ✓
B. Patient, Diagnosis, Solution, Assessment.
C. Problem, Decision, Strategy, Action.
D. Plan, Delegate, Supervise, Achieve.
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nmdcat.online BS Nursing
Jun 6, 2026

A nurse manager using the “directing” function of management would be:

A. Creating the annual budget for the unit.
B. Interviewing candidates for a vacant nursing position.
C. Guiding and motivating staff to achieve the unit's objectives. ✓
D. Comparing the unit's infection rates to the hospital benchmark.
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nmdcat.online BS Nursing
Jun 6, 2026

A “sentinel event” in a healthcare setting is:

A. Any minor error that causes no harm to the patient.
B. A daily staff meeting.
C. An unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof. ✓
D. A planned quality improvement initiative.
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nmdcat.online BS Nursing
Jun 6, 2026

Effective time management for a charge nurse involves:

A. Trying to complete every task by herself to ensure it's done right.
B. Prioritizing tasks based on urgency and importance. ✓
C. Responding to interruptions and requests in the order they are received.
D. Focusing only on administrative tasks and ignoring clinical needs.
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nmdcat.online BS Nursing
Jun 6, 2026

During a major flood in a rural area of Sindh, the nurse leader at a basic health unit (BHU) demonstrates effective crisis management by:

A. Waiting for instructions from the provincial health department before taking any action.
B. Prioritizing the safety of her staff and patients, and beginning immediate triage and basic care with available resources. ✓
C. Closing the BHU to protect the equipment.
D. Focusing only on documentation and ignoring the influx of patients.
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nmdcat.online BS Nursing
Jun 6, 2026

The “controlling” function of nursing management is best defined as:

A. Exerting absolute authority over the staff.
B. Monitoring performance and taking corrective action to ensure goals are met. ✓
C. Limiting the autonomy of professional nurses.
D. Staffing the unit with the minimum number of nurses to save costs.
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nmdcat.online BS Nursing
Jun 6, 2026

Resource allocation is a key management responsibility. When creating the daily staffing roster, a nurse manager must primarily consider:

A. The personal preferences of each nurse.
B. The patient acuity (level of sickness) and the skill mix of the available staff. ✓
C. Which nurses are friends and work well together.
D. The need to keep staffing costs as low as possible, regardless of patient needs.
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nmdcat.online BS Nursing
Jun 6, 2026

Interprofessional collaboration is essential for patient safety. An example of effective collaboration is:

A. A nurse, doctor, and pharmacist meeting to discuss a patient's complex medication regimen. ✓
B. A nurse complaining to her colleagues about a doctor's orders.
C. A pharmacist changing a medication dose without informing the doctor or nurse.
D. A doctor refusing to listen to a nurse's concern about a patient.
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nmdcat.online BS Nursing
Jun 6, 2026

A Head Nurse on a busy surgical ward in Lahore notices that her team seems unmotivated and morale is low. She decides to start holding weekly meetings to recognize staff achievements and collaboratively set ward goals. This action is most characteristic of which leadership style?

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