Leadership & Management in Nursing NCLEX Challenge Exam (Quiz #1 - 40 Questions) - Nurseslabs
Leadership & Management in Nursing NCLEX Challenge Exam (Quiz #1 - 40 Questions) - Nurseslabs
On the other hand, Ms. Caputo notices that the Chief Nurse Executive has a charismatic
C. Servant leader leadership style. Which of the following behaviors best describes this style?
D. Charismatic leader 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.
Correct
Correct Answer: C. Servant leader
Servant leaders are open-minded, listen deeply, try to fully understand others, and not
C. Uses visioning as the core of his leadership.
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
D. Matches his leadership style to the situation at hand.
inverts the norm, which puts the customer service associates as the main priority.
Option A: Transformational leadership is a leadership style that can inspire
positive changes in those who follow. Transformational leaders are generally
energetic, enthusiastic, and passionate. Not only are these leaders concerned
and involved in the process; they are also focused on helping every member of Correct
the group succeed as well. Correct Answer: A. Possesses inspirational quality that makes followers gets
Option B: A transactional leader is someone who values order and structure. attracted to him and regards him with reverence.
They are likely to command military operations, manage large corporations, or Charismatic leaders make the followers feel at ease in their presence. They feel that
lead international projects that require rules and regulations to complete they are in good hands whenever the leader is around. The charismatic leadership style
objectives on time or move people and supplies in an organized way. relies on the charm and persuasiveness of the leader. Charismatic leaders are driven by
their convictions and commitment to their cause.
Option B: The impoverished leader has the least concern for people and for It is not conclusive that certain qualities of a person would make him become a good
production. This leader has no system of getting work done, nor is the work manager. It can only predict a manager’s potential of becoming a good one. Successful
environment satisfying or motivating for employees. This leader’s low interest in leaders tend to have certain traits. Two keys areas of personal growth and development
the work and the work environment results in disorganized work, dissatisfied are fundamental to leadership success: self-confidence and a positive attitude.
employees, and a lack of harmony. Option A: A true leader communicates with their team to keep them updated
Option C: In the transformational leadership style, the leader inspires his or her and show that they are valued. They will be the ones intentionally learning more,
followers with a vision and then encourages and empowers them to achieve it. challenging themselves and others, improving the workplace environment and
The leader also serves as a role model for the vision. work ethics, and encouraging teams to achieve goals.
Option D: With situational leadership, it is up to the leader to change his style, Option B: True leaders seek to improve themselves and their work ethics. They
not the follower to adapt to the leader’s style. In situational leadership, the style accept challenges as opportunities to grow, and they’re eager to learn new skills.
may change continually to meet the needs of others in the organization based Leaders are responsible for ensuring the organization gets value from the time
on the situation. allocated to accomplish business tasks.
Option D: Assessment tools vary in what they examine and the depth of the
1 point(s) questions. There are personality, leadership skills, and behavioral assessments.
4. Question
Before choosing a tool, one should make sure that it will test for the specific
Which of the following conclusions of Ms. Caputo about leadership characteristics is true? skills one wants in a leader.
1 point(s)
5. Question
A. There is a high correlation between the communication skills of a leader and the
ability to get the job done. She reads about Path-Goal theory. Which of the following behaviors is manifested by the
leader who uses this theory?
D. There is good evidence that certain personal qualities favor success in a C. Admonishes staff for being laggards.
managerial role.
Incorrect
Correct Answer: C. Assessment of personality traits is a reliable tool for predicting
a manager’s potential. Incorrect
Correct Answer: A. Recognizes staff for going beyond expectations by giving
them citations Correct
The path-Goal theory according to House and associates rewards good performance so Correct Answer: C. Great Man
that others would do the same. The path-goal theory states that a leader’s behavior is Leaders become leaders because of their birthright. This is also called Genetic theory or
contingent on the satisfaction, motivation, and performance of their employees. The the Aristotelian theory. This quote sums up the basic tenet of the Great Man theory of
manager’s job is viewed as guiding workers to choose the best paths to reach both leadership, which suggests that the capacity for leadership is innate. According to this
their goals as well as the corporation’s goals. theory, you’re either a natural-born leader or you’re not. The term “Great Man” was
Option B: It is the leader’s job to assist followers in attaining goals and to used because, at the time, ?leadership was thought of primarily as a male quality,
provide the direction and support needed to ensure that their goals are especially in terms of military leadership.
compatible with the organization’s goals. Path–goal theory assumes that leaders Option A: According to trait leadership theory, effective leaders have in
are flexible and that they can change their style, as situations require. common a pattern of personal characteristics that support their ability to
Option C: The fourth theory is the transformational leadership theory, which mobilize others toward a shared vision. These traits include dimensions of
suggests that good leaders are those able to stimulate, transform, and use the personality and motives, sets of skills and capabilities, and behavior in social
values, beliefs, and needs of their followers to accomplish tasks. relationships.
Option D: Providing employees with the necessary tools to resolve issues in the Option B: Charismatic leadership is a trait-based leadership theory where the
workplace will ensure organizational success is not hindered. Effective leadership leaders act as visionary driven by their convictions and motivate their followers
not only guides employees in the right direction towards their goals but also to work towards a common vision using their charm and persuasiveness. Leaders
requires leaders to assist in the identification of goals and objectives from the are able to cultivate a profound sense of trust with the group of followers.
get-go. Option D: The situational theory of leadership refers to those leaders who adopt
different leadership styles according to the situation and the development level
1 point(s) of their team members. It is an effective way of leadership because it adapts to
6. Question
the team’s needs and sets a beneficial balance for the whole organization.
One leadership theory states that “leaders are born and not made,” which refers to which of
the following theories?
1 point(s)
7. Question
A. Trait She came across a theory which states that the leadership style is effective depends on the
situation. Which of the following styles best fits a situation when the followers are self-
directed, experts, and are matured A. Democraticindividuals?
B. Charismatic
A. Democratic
C. Great Man
B. Authoritarian
D. Situational
C. Laissez-faire A. Leadership behavior is generally determined by the relationship between the
leader’s personality and the specific situation.
D. Bureaucratic
B. Leaders believe that people are basically good and need not be closely
controlled.
Incorrect
C. Leaders rely heavily on visioning and inspire members to achieve results.
Correct Answer: C. Laissez faire
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-
D. Leadership is shared at the point of care.
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.
Option A: Democratic leadership, also known as participative leadership or Incorrect
shared leadership, is a type of leadership style in which members of the group Correct Answer: D. Leadership is shared at the point of care.
take a more participative role in the decision-making process. This type of Shared governance allows the staff nurses to have the authority, responsibility, and
leadership can apply to any organization, from private businesses to schools to accountability for their own practice. Shared leadership is the practice of governing a
the government. school by expanding the number of people involved in making important decisions
Option B: Authoritarian leadership, also known as autocratic leadership, is a related to the school’s organization, operation, and academics. In practice, shared
management style in which an individual has total decision-making power and leadership may be defined differently from school to school, and it may take a wide
absolute control over his subordinates. Leaders make decisions with little or no variety of forms.
participation or creative input from their followers or team members. Option A: The situational theory of leadership refers to those leaders who adopt
Option D: Bureaucratic leadership refers to organizational leadership through a different leadership styles according to the situation and the development level
highly formalized set of processes, procedures, and structures. Here, rules, of their team members. It is an effective way of leadership because it adapts to
policies, and hierarchies form a clear set of expectations as well as an explicit the team’s needs and sets a beneficial balance for the whole organization.
chain of command. Option B: The laissez-faire leadership style is at the opposite end of the
autocratic style. Of all the leadership styles, this one involves the least amount of
oversight. While it’s beneficial to give people opportunities to spread their
1 point(s) wings, with a total lack of direction, people may unwittingly drift in the wrong
8. Question
direction—away from the critical goals of the organization.
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?
Option C: In the transformational leadership style, the leader inspires his or her organization’s system of rewards and penalties. Transactional leaders have
followers with a vision and then encourages and empowers them to achieve it. formal authority and positions of responsibility in an organization.
The leader also serves as a role model for the vision. Option C: This type of leader sets the criteria for their workers according to
previously defined requirements. Performance reviews are the most common
1 point(s) way to judge employee performance. Transactional, or managerial, leaders work
9. Question
best with employees who know their jobs and are motivated by the reward-
Ms. Caputo learns that some leaders are transactional leaders. Which of the following does not penalty system. The status quo of an organization is maintained through
characterize a transactional leader? transactional leadership.
1 point(s)
10. Question
A. Focuses on management tasks.
She finds out that some managers have a benevolent-authoritative style of management.
Which of the following behaviors will she exhibit most likely?
B. Is a caretaker.
He knows that there are external forces that influence changes in his unit. Which of the
A. Call for a staff meeting and take this up in the agenda. following is not an external force?
B. Seek help from her manager. A. Memo from the CEO to cut down on electrical consumption.
C. Develop a strategic action on how to deal with these concerns. B. Demands of the labor sector to increase wages.
D. Ignore the issues since these will be resolved naturally. C. Low morale of staff in his unit.
Incorrect
Correct Answer: A. Call for a staff meeting and take this up on the agenda.
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 Correct
would be greater. It’s one thing to articulate the change required and entirely another Correct Answer: C. Low morale of staff in his unit.
Low morale of staff is an internal factor that affects only the unit. External forces are The majority rule involves dividing the house and the highest vote wins. 1/2 + 1 is a
those changes that are part of an organization’s general and business environment. All majority. The majority rule is a decision rule that selects alternatives that have a
the rest of the options emanate from the top executive or from outside the institution. majority, that is, more than half the votes. It is the binary decision rule used most often
Option A: During the 2008 recession, consumers lost their jobs and cut back on in influential decision-making bodies, including all the legislatures of democratic
their spending. These economic downturns had a major impact on businesses. nations.
Banks failed. General Motors and Chrysler filed for bankruptcy. Survival meant Option A: Collaboration in the workplace takes into account employees’ ideas,
adapting to change. skills, experiences, and opinions. When individuals work together openly,
Option B: Government restrictions often force change onto organizations. This processes and goals become more aligned, leading the group towards a higher
can be something as simple as a change in the minimum wage for employees, or success rate of achieving a common goal.
as complex as rules and restrictions governing fair competition in business. Option C: Accordingly, a strategy is dominant if it leads a player to better
Option D: For instance, when the Affordable Health Care Act was put into place, outcomes than alternative strategies (i.e., it dominates the alternative strategies).
businesses had to change their operations and put steps into place to confirm Conversely, a strategy is dominated if it leads a player to worse outcomes than
that all employees had healthcare coverage to comply with the new law. alternative strategies.
Option D: A person who typically uses a compromising conflict style attempts to
1 point(s) balance the needs of both or all sides in a conflict by encouraging everyone to
13. Question
give in on at least some points. This style of conflict can be more time-
After discussing the possible effects of the low patient satisfaction rate, the staff started to list consuming and require more “people skills” than other conflict resolution
down possible strategies to solve the problems head-on. Should they decide to vote on the techniques.
best change strategy, which of the following strategies is referred to this?
1 point(s)
14. Question
A. Collaboration One staff suggests that they review the pattern of nursing care that they are using, which is
described as a:
B. Majority rule
A. Job description
C. Dominance
B. System used to deliver care
D. Compromise
C. Manual of procedure
D. Rules to be followed
Correct
Correct Answer: B. Majority rule
Correct D. Provides continuous, coordinated, and comprehensive nursing services.
Correct Answer: B. System used to deliver care
A system used to deliver care. In the 70’s it was termed as methods of patient
assignment; in the early 80’s it was called modalities of patient care then patterns of
nursing care in the ’90s until recently authors called it nursing care systems. Ideally, Correct
nursing care delivery models match the number and type of caregivers to patient care Correct Answer: A. Concentrates on tasks and activities.
needs determine who is going to perform what tasks, who is responsible, and who Functional nursing is focused on tasks and activities and not on the holistic care of the
makes decisions and detail assignments, responsibilities, and authority to accomplish patients. Functional nursing is task-oriented in scope. Instead of one nurse performing
patient care. many functions, several nurses are given one or two assignments. Functional nursing
Option A: A job description or JD lists the main features of a specific job. The was designed around an efficacy model that seeks to get many tasks accomplished in a
description typically includes the person’s main duties, responsibilities, and short period of time.
working conditions. It also includes the job title and to whom the person holding Option B: Team nursing involves the use of a team leader and team members to
that job has to report. provide various aspects of nursing care to a group of patients. In team nursing,
Option C: A procedure manual contains the institution’s best practices that medications might be given by one nurse while baths and physical care are
define the systematic approach to implementing policy expectations, plans, and given by a nursing assistant under the supervision of a nurse team leader.
work routines — also known as procedures. Option C: Primary care nursing is when a single nurse is identified as the point
Option D: Rules can be described as the guidelines or instructions for doing of contact and primary caregiver for a patient during his or her particular
something correctly. these are the principles that govern the conduct or hospital stay or another episode of care.
behavior of a person in an organization or country. On the other hand, Option D: Primary care nursing includes a set of attributes, as in the 1978 IOM
regulations refer to the directives or statutes enforced by law, in a particular definition—care that is accessible, comprehensive, coordinated, continuous, and
country. accountable—or as defined by Starfield (1992)—care that is characterized by first
contact, accessibility, longitudinally, and comprehensiveness
1 point(s)
15. Question
1 point(s)
Which of the following is true about functional nursing?
16. Question
Correct
Correct Answer: A. Psychological and sociological needs are emphasized.
D. Assigning a safe nurse: patient ratio.
When the functional method is used, the psychological and sociological needs of the
patients are neglected; the patients are regarded as ‘tasks to be done ‘. Functional
nursing was designed around an efficacy model that seeks to get many tasks
accomplished in a short period of time.
Option B: Modular Nursing is a modification of team nursing and focuses on Incorrect
the patient’s geographic location for staff assignments; the unit is divided into Correct Answer: A. Assessing nursing needs and problems.
groups referred to as modules – also called districts or pods. This option follows the framework of the nursing process and at the same time applies
The same team of caregivers is assigned consistently to the same geographic the management process of planning, organizing, directing, and controlling. At the
location. Each location, or module, has an RN assigned as the team leader, and basic level, management is a regimen that comprises five standard functions, namely,
the other team members may include LVNs/LPNs and Unlicensed Assistant planning, organizing, staffing, leading, and controlling. These functions are part of a
Personnel. body of practices and theories that educate on becoming an efficient manager.
Option C: Functional nursing revolves around team ethics, and it produces a Option B: Leading is a function that involves stating a vision, influencing,
catalog of processes, which are undertaken by different individuals to ensure persuading, motivating, and inspiring employees. An efficient and effective
efficient patient care delivery. As well as taking advantage of the skills of nurses management process aligns individual interests with the organization’s goals
at different stages of their careers, this model can also save healthcare providers and objectives as a whole.
and facilities money by increasing efficiency and productivity. Option C: Evaluate the achievement of goals, improvement in performance, and
Option D: Team nursing is a patient care delivery model, which was established the ability to take action. Put processes in place to help you establish standards,
in the 1950s. For healthcare providers, the team nursing model improves so you can measure, compare, and make decisions.
efficiency and provides valuable training opportunities for those keen to Option D: Enlisting and recruiting employees for positions within the various
progress during the early stages of their careers. teams and departments in an organized manner. The staffing process helps in
getting the right people for the right job at right time. The function of staffing
helps the management to decide the number of employees needed for the
1 point(s) organization and with what qualifications and experience.
17. Question
He raised the issue of giving priority to patient needs. Which of the following offers the best
way for setting priority? 1 point(s)
18. Question
Which of the following is the best guarantee that the patient’s priority needs are met?
A. Assessing nursing needs and problems.
A. Checking with the relative of the patient. A. Each patient is listed on the worksheet.
B. Preparing a nursing care plan in collaboration with the patient. B. Patients who need the least care.
C. Consulting with the physician. C. Medications and treatments required for all patients.
D. Coordinating with other members of the team. D. Patients who need the most care.
Incorrect Incorrect
Correct Answer: B. Preparing a nursing care plan in collaboration with the patient. Correct Answer: D. Patients who need the most care.
The best source of information about the priority needs of the patient is the patient In setting priorities for a group of patients, those who need the most care should be
himself. Hence using a nursing care plan based on his expressed priority needs would the number-one priority to ensure that their critical needs are met adequately. The
ensure meeting his needs effectively. It is about understanding each patient’s health needs of other patients who need less care can be attended to later or even delegated
outcome goals and health care preferences and ensuring that the care provided is in to assistive personnel according to rules on delegation. The ability to prioritize and
line with those goals. manage time is vital for any successful nurse, whether a novice or expert.
Option A: Checking with the relative of the patient would not yield actual needs Option A: Clinical judgment and prioritization of patient care are built on the
for the patient. Asking the patient himself would be an assurance that what he nursing process. Nurses learn the steps of the nursing process in their
deems as the priority would be addressed. foundational nursing course and utilize it throughout their academic and clinical
Option C: Consulting or collaborating with the physician should occur after the careers to direct patient care and determine priorities.
implementation of independent nursing interventions. A nursing care plan Option B: In unfamiliar situations, patient prioritization should be approached as
includes independent, dependent, and collaborative nursing interventions a structured process, highlighting risk factors that may contribute to a decline in
specific to every client’s needs. the patient’s condition and potential interventions that can reduce the risk of
Option D: Collaborating may come after consultation with a physician. adverse outcomes (Jessee, 2019).
Collaboration may include teams from the laboratory services, radiological Option C: Seasoned nurses are able to pull from their depth of knowledge and
department, and other departments involved in the care of the patient. experience that allows them to act deductively and intuitively when prioritizing
patient care.
1 point(s)
19. Question
1 point(s)
20. Question
When Henry uses team nursing as a care delivery system, he and his team need to assess the
priority of care for a group of patients, which of the following should be a priority?
He is hopeful that his unit will make a big turnaround in the succeeding months. Which of the People are aware that the old ways are being challenged, but they do not yet
following actions of Henry demonstrates that he has reached the third stage of change? have a clear picture as to what these ways will be replaced with.
1 point(s)
21. Question
A. Wonders why things are not what they used to be.
Joey is a newly-appointed nurse manager of The Holy Spirit Medical Center, a tertiary hospital
located within the heart of the metropolis. He thinks of scheduling a planning workshop with
B. Finds solutions to the problems. his staff in order to ensure effective and efficient management of the department. Should he
decide to conduct a strategic planning workshop, which of the following is not a characteristic
of this activity?
C. Integrate the solutions to his day-to-day activities.
A. Long-term goal-setting.
D. Selects the best change strategy.
Correct
C. Focuses on routine tasks.
Correct Answer: C. Integrate the solutions to his day-to-day activities.
Integrate the solutions to his day-to-day activities is expected to happen during the
third stage of change when the change agent incorporates the selected solutions into
D. Determines directions of the organization.
his system and begins to create a change. In the third and final stage, freezing, the new
mindset of the change begins to become the standard, and people’s comfort levels
return to normal.
Option A: The first stage (unfreezing) involves overcoming inertia and
dismantling the existing mindset. It involves getting over the initial defense Incorrect
mechanisms that people exhibit to avoid making a change. People eventually Correct Answer: C. Focuses on routine tasks
realize that change is necessary and urgent, and this realization allows them to Focusing on routine tasks is a characteristic of operational planning. Strategic planning
move on to the next stage. is an organizational management activity that is used to set priorities, focus energy and
Option B: In the second stage, the actual change occurs. During this stage, an resources, strengthen operations, ensure that employees and other stakeholders are
organization’s leaders need to focus on clearly communicating to employees the working toward common goals, establish agreement around intended
reasons for change and the steps needed to achieve it. outcomes/results, and assess and adjust the organization’s direction in response to a
Option D: The second stage is typically a period of confusion and transition in changing environment.
which people are unsure about the change and what may happen in the future. Option A: Long-term planning is about setting a process by which a particular
strategic plan will be achieved. This process focuses on activities that start now
and continue well into the future.
Option B: Effective strategic planning articulates not only where an organization Option B: In a conventional sense, company philosophy stands for the basic
is going and the actions needed to make progress, but also how it will know if it beliefs that people in the business are expected to hold and be guided by –
is successful. A strategic plan is a document used to communicate with the informal unwritten guidelines on how people should perform and conduct
organization the organization’s goals, the actions needed to achieve those goals, themselves.
and all of the other critical elements developed during the planning exercise. Option C: The main difference between objectives and goals is that objectives
Option D: Strategic planning is a disciplined effort that produces fundamental are precise actions or measurable steps individuals and groups take to move
decisions and actions that shape and guide what an organization is, who it closer to the goal. They are specific targets that typically have a time-bound
serves, what it does, and why it does it, with a focus on the future. schedule or timeline for completion.
Option D: Goals define the general intentions and ambitions of the business but
1 point(s) can be difficult to measure. Setting goals is an important step of business
22. Question
planning, as a well-defined broad primary outcome will have an impact on areas
Which of the following statements refer to the vision of the hospital? including your mission statement, financial objectives, corporate culture, and
marketing strategy.
A. The Holy Spirit Medical Center is a trendsetter in tertiary health care in the 1 point(s)
23. Question
next five years.
The statement, “The Holy Spirit Medical Center aims to provide patient-centered care in a total
healing environment” refers to which of the following?
B. The officers and staff of The Holy Spirit Medical Center believe in the unique
nature of the human person.
A. Vision
D. The Holy Spirit Medical Center aims to provide patient-centered care in a total
healing environment. C. Philosophy
D. Mission
Correct
Correct Answer: A. The Holy Spirit Medical Center is a trendsetter in tertiary
health care in the next five years
A vision refers to what the institution wants to become within a particular period of Incorrect
time. A vision statement looks forward and creates a mental image of the ideal state Correct Answer: B. Goal
that the organization wishes to achieve. It is inspirational and aspirational and should Goals define the general intentions and ambitions of the business but can be difficult to
challenge employees. measure. Setting goals is an important step of business planning, as a well-defined
broad primary outcome will have an impact on areas including your mission statement, Correct Answer: C. Broken line
financial objectives, corporate culture, and marketing strategy. This is a staff relationship hence it is depicted by a broken line in the organizational
Option A: A vision refers to what the institution wants to become within a structure. The broken line’s meaning in an organizational chart is a less formal
particular period of time. A vision statement looks forward and creates a mental reporting relationship. The person at the end of that line isn’t the immediate and
image of the ideal state that the organization wishes to achieve. It is inspirational permanent manager, but someone else. In theory, it means that these reporting
and aspirational and should challenge employees. relationships are secondary, but in practice, that’s not always the case.
Option C: In a conventional sense, company philosophy stands for the basic Option A: The boxes on an organizational chart might represent individual
beliefs that people in the business are expected to hold and be guided by – employees, ad-hoc working groups, or formal teams or departments. Employee
informal unwritten guidelines on how people should perform and conduct names and titles and/or job positions are generally depicted in boxes or circles
themselves. with lines linking them to other employees and departments.
Option D: A mission statement is a concise explanation of the organization’s Option B: The lines always represent the reporting path for anyone in a given
reason for existence. It describes the organization’s purpose and its overall box. In a simple hierarchy, the lines run vertically from employees to managers
intention. The mission statement supports the vision and serves to communicate and ultimately the CEO or proprietor.
purpose and direction to employees, customers, vendors, and other Option D: For example, the department or a member might be assigned to do
stakeholders. some work for a team or a manager in some other part of the company. This
member will still have a solid line connecting to the full-time manager, but now
1 point(s) he’ll also have a dotted line connecting to whoever’s in charge of the other
24. Question
project. This particular relationship is often referred to as “dotted line reporting.”
Joey plans to revisit the organizational chart of the department. He plans to create a new
position of a Patient Educator who has a coordinating relationship with the head nurse in the 1 point(s)
25. Question
unit. Which of the following will likely depict this organizational relationship?
He likewise stresses the need for all the employees to follow orders and instructions from him
and not from anyone else. Which of the following principles does he refer to?
A. Box
A. Scalar chain
B. Solid line
B. Discipline
C. Broken line
C. Unity of command
D. Dotted line
D. Order
Incorrect
Incorrect C. Esprit de' corps
A. Span of control
1 point(s)
27. Question
He emphasizes to the team that they need to put their efforts together towards the attainment
B. Hierarchy
of the goals of the program. Which of the following principles refers to this?
Joey stresses the importance of promoting ‘esprit d corps’ among the members of the unit.
A. Span of control Which of the following remarks of the staff indicates that they understand what he pointed
out?
B. Unity of direction
A. “Let’s work together in harmony; we need to be supportive of one another”
C. Unity of command
B. “In order that we achieve the same results; we must all follow the directives of
Julius and not from other managers.”
D. Command responsibility
C. “We will ensure that all the resources we need are available when needed.”
Correct
D. “We need to put our efforts together in order to raise the bar of excellence in the
Correct Answer: B. Unity of direction
care we provide to all our patients.”
Unity of direction means having one goal or one objective for the team to pursue;
hence all members of the organization should put their efforts together towards the
attainment of their common goal or objective. Whoever is engaged in the same activity
should have a unified goal. This means all the people working in a company should
have one goal and motive which will make the work easier and achieve the set goal Correct
easily. Correct Answer: A. “Let’s work together in harmony; we need to be supportive of
Option A: Span of control refers to the number of subordinates under a one another”
manager’s direct control. As an example, a manager with five direct reports has a Esprit de corps means managers should create and foster among their employees the
span of control of five. The span of control is a good metric to assess the morale, common spirit, sense of identification, feeling of pride, loyalty, devotion, honor,
efficiency of an organization, as long as it looked at in the context of the solidarity, unity, and cohesiveness with respect to their organization or organizational
company’s organizational structure. department.
Option C: Unity of command an employee should have only one boss and Option B: In the principle of unity of command, an employee should have only
follow his command. If an employee has to follow more than one boss, there one boss and follow his command. If an employee has to follow more than one
begins a conflict of interest and can create confusion. boss, there begins a conflict of interest and can create confusion.
Option D: Command responsibility is an omission mode of individual criminal Option C: A company should maintain a well-defined work order to have a
liability: the superior is responsible for crimes committed by his subordinates favorable work culture. A positive atmosphere in the workplace will boost more
and for failing to prevent or punish (as opposed to crimes he ordered). positive productivity.
Option D: In the principle of unity of direction, whoever is engaged in the same
activity should have a unified goal. This means all the people working in a
1 point(s)
28. Question
company should have one goal and motive which will make the work easier and Option D: Goals are general statements of what is to be achieved. They do not
achieve the set goal easily. specify the tasks that need to be performed to accomplish them. Objectives, on
the other hand, are specific actions one takes within a certain timeframe.
1 point(s)
29. Question
1 point(s)
30. Question
He discusses the goal of the department. Which of the following statements is a goal?
He wants to influence the customary way of thinking and behaving that is shared by the
members of the department. Which of the following terms refer to this?
A. Increase the patient satisfaction rate.
A. Organizational chart
B. Eliminate the incidence of delayed administration of medications.
B. Cultural network
C. Establish rapport with patients.
C. Organizational structure
D. Reduce response time to two minutes.
D. Organizational culture
Incorrect
Correct Answer: A. Increase the patient satisfaction rate.
A goal is a desired result towards which efforts are directed. A goal is a short statement Correct
of the desired outcome to be accomplished over a long time frame, usually three to Correct Answer: D. Organizational culture
five years. It is a broad statement that focuses on the desired results and does not Organizational culture refers to the way the members of the organization think
describe the methods used to get the intended outcome. together and do things around them together. It’s their way of life in that organization.
Option B: Objectives are specific, actionable targets that need to be achieved An organization’s culture defines the proper way to behave within the organization.
within a smaller time frame, such as a year or less, to reach a certain goal. This culture consists of shared beliefs and values established by leaders and then
Objectives describe the actions or activities involved in achieving a goal. communicated and reinforced through various methods, ultimately shaping employee
Option C: Goals are the outcomes you intend to achieve, whereas objectives are perceptions, behaviors, and understanding.
the specific actions and measurable steps that you need to take to achieve a Option A: An organizational chart is a diagram that visually conveys a
goal. Goals and objectives work in tandem to achieve success. company’s internal structure by detailing the roles, responsibilities, and
relationships between individuals within an entity. Organizational charts are
alternatively referred to as “org charts” or “organization charts.”
Option B: A cultural network hierarchy is presented which classifies these tools
according to the CEO?s personal involvement with each element. Guidelines are
presented for using the tools of cultural communication to change or maintain talent that is willing to make their next workplace a home, rather than just a
the culture at both the managerial level and the operational level of the stepping-stone.
organization. Option C: Maintaining positive company culture is a guaranteed way to boost
Option C: An organizational structure is a system that outlines how certain employee morale. Employees will naturally feel happier and enjoy their work
activities are directed in order to achieve the goals of an organization. These more when they work in a positive environment.
activities can include rules, roles, and responsibilities. The organizational Option D: Employees are much more likely to come together as a team at
structure also determines how information flows between levels within the companies with a strong culture. A positive culture facilitates social interaction,
company. teamwork, and open communication. This collaboration can lead to some
amazing results.
1 point(s)
31. Question
1 point(s)
32. Question
He asserts the importance of promoting a positive organizational culture in their unit. Which of
the following behaviors indicate that this is attained by the group? Stephanie is a new Staff Educator of a private tertiary hospital. She conducts orientation
among new staff nurses in her department. Joseph, one of the new staff nurses, wants to
understand the channel of communication, a span of control, and lines of communication.
A. Proactive and caring with one another Which of the following will provide this information?
D. Manual of procedures
Correct
Correct Answer: A. Proactive and caring with one another
Without a positive corporate culture, many employees will struggle to find the real
value in their work, and this leads to a variety of negative consequences for the bottom Correct
line. Employers who invest in the well-being of their employees will be rewarded with Correct Answer: A. Organizational structure
happy, dedicated employees Organizational structure provides information on the channel of authority, (i.e., who
Option B: A positive culture gives an organization a competitive advantage. reports to whom and with what authority) the number of people who directly report to
People want to work for companies with a good reputation from previous and the various levels of hierarchy, and the lines of communication whether line or staff.
current employees. A company with a positive culture will attract the type of
Option B: Policy is a law, regulation, procedure, administrative action, incentive, a dynamic set of personal relationships, social networks, communities of common
or voluntary practice of governments and other institutions. Policy decisions are interest, and emotional sources of motivation.
frequently reflected in resource allocations. Health can be influenced by policies Option A: The formal structure of a group or organization includes a fixed set of
in many different sectors. rules of procedures and structures, usually set out in writing, with a language of
Option C: Job description is a broad, general, and written statement of a specific rules that ostensibly leave little discretion for interpretation. In some societies
job, based on the findings of a job analysis. It generally includes duties, purpose, and organizations, such rules may be strictly followed; in others, they may be
responsibilities, scope, and working conditions of a job along with the job’s title, little more than an empty formalism.
and the name or designation of the person to whom the employee reports. Option C: In the staff organization structure, the employees follow the directives
Option D: A procedures manual contains the policies, guidelines, and processes of the managers. The line group as a whole is seen as a function that is essential
for the whole organization. It exists to help employees do their jobs in an to the business. Staff positions are those that indirectly support line functions in
approved and consistent manner. the organizations. Like line positions, staff positions also consist of managers
and employees.
1 point(s) Option D: Line organization structure is the oldest and simplest form of
33. Question
organization. In these organizations, a supervisor exercises direct supervision
Stephanie is often seen interacting with the medical intern during coffee breaks and after duty over a subordinate. Also, authority flows from the top-most person in the
hours. What type of organizational structure is this? organization to the person in the lowest rung.
1 point(s)
34. Question
A. Formal
She takes pride in saying that the hospital has a decentralized structure. Which of the
following is not compatible with this type of model?
B. Informal
A. Flat organization
C. Staff
B. Participatory approach
D. Line
C. Shared governance
Correct
D. Tall organization
Correct Answer: B. Informal
This is usually not published and oftentimes concealed. The informal organization is the
interlocking social structure that governs how people work together in practice. It is the
aggregate of behaviors, interactions, norms, and personal/professional connections
through which work gets done and relationships are built among people. It consists of Incorrect
Correct Answer: D. Tall organization
Tall organizations are highly centralized organizations where decision-making is D. Allows quick decisions or actions.
centered on one authority level. A tall organizational structure means that management
is broken down into several layers, with executives on top and normal employees on
the bottom. In a tall organization, there will be a large number of managers, and each
manager will usually be responsible for a small group of employees. Incorrect
Option A: Flat organizations have a structure with few levels of middle
Correct Answer: A & B
management between leadership and employees—or, in some cases, no middle Centralized organizations need only a few managers hence they are less expensive and
management at all. Small organizations and startups often have flat structures
easier to manage. In a centralized organization, the decision-making powers are
because they have fewer employees and less of a need for hierarchical retained in the head office, and all other offices receive commands from the main
management.
office. The executives and specialists who make critical decisions are based in the head
Option B: A participatory approach means that the person in charge of solving a office.
problem or designing an innovation involves people who are directly concerned
Option B: A centralized organization benefits from a clear chain of command
by the result of his or their work. Problem solving and innovation are thus because every person within the organization knows who to report to. Junior
conducted directly with regards to the situation to be transformed.
employees know who to approach whenever they have concerns about the
Option C: In its simplest form, shared governance is shared decision-making organization.
based on the principles of partnership, equity, accountability, and ownership at
Option C: When an organization follows a centralized management structure, it
the point of service. Shared governance increases nurse engagement, improves can focus on the fulfillment of its vision with ease. There are clear lines of
patient outcomes, and allows hospital administrators to optimize efficiency,
communication and the senior executive can communicate the organization’s
increase nurse retention and promote quality care, a study in The Journal of vision to employees and guide them toward the achievement of the vision.
Nursing Administration found.
Option D: In a centralized organization, decisions are made by a small group of
people and then communicated to the lower-level managers. The involvement
1 point(s)
35. Question of only a few people makes the decision-making process more efficient since
they can discuss the details of each decision in one meeting.
Centralized organizations have some advantages. Which of the following statements is true?
Select all that apply.
1 point(s)
36. Question
A. Highly cost-effective
Stephanie delegates effectively if she has authority to act, which is best defined as:
D. Telling others what to do. D. Allow for growth and development of nursing staff.
Incorrect Correct
Correct Answer: C. Having legitimate right to act. Correct Answer: B. Provide a pair of hands to other units as needed.
Authority is a legitimate or official right to give the command. This is an officially Providing a pair of hands for other units is not a purpose in doing an effective staffing
sanctioned responsibility. Managers must possess the authority to give orders, and process. This is a function of a staffing coordinator at a centralized model. Staff
recognize that with authority comes responsibility. As well as rank, Fayol argues that a positions affect customers indirectly, only to the extent that the support they provide
manager’s intelligence, experience, and values should command respect. helps line employees improve quality and customer satisfaction.
Option A: In order to get things done in an organization, management has the Option A: Staff structure allows to preserve the principle of one-man
authority to give orders to the employees. Of course with this authority comes management (every worker has only one superior), but at the same time
responsibility. According to Henri Fayol, the accompanying power or authority provides greater flexibility in changing operating conditions. It also introduces
gives the management the right to give orders to the subordinates. an element of encouraging cooperation between all members of the
Option B: The responsibility can be traced back from performance and it is, organization.
therefore, necessary to make agreements about this. In other words, authority Option C: Staff structure or linear-staff organizational structure is one of the
and responsibility go together and they are two sides of the same coin. attempts to solve the problem of linear structure constraints. Manager having
Option D: The right to give orders should not be considered without reference too much various tasks is not able to effectively manage its employees.
to responsibility. If the authority is more than responsibility then chances are Option D: One of the key advantages is that this structure provides line
that a manager may misuse it. If responsibility is more than authority then he personnel with expertise from staff groups. As a result, the key decision-makers
may feel frustrated. in the organization are well-informed and armed with specialized knowledge.
1 point(s) 1 point(s)
37. Question 38. Question
Regardless of the size of a workgroup, enough staff must be available at all times to Which of the following guidelines should be least considered in formulating objectives for
accomplish certain purposes. Which of these purposes is not included? nursing care?
D. Possesses innate charisma that makes others feel good in his presence.
Correct
Correct Answer: D. Staff preferences
Staff preferences should be the least priority in formulating objectives of nursing care.
Individual preferences should be subordinate to the interest of the patients. Along with Correct
clinical guidelines, patient preferences provide direction for selecting treatment options Correct Answer: A. Uses visioning as the essence of leadership.
and tailoring interventions. Patient preferences also help inform choice in clinical Transformational leadership relies heavily on visioning as the core of leadership.
decisions where science has yet to provide dominant solutions to health care problems. Transformational leadership is a leadership style that can inspire positive changes in
Option A: Care plans help nurses focus on patients in a holistic, big-picture way those who follow. Transformational leaders are generally energetic, enthusiastic, and
so they can deliver evidence-based, patient-centered care. Care plans also help passionate. Not only are these leaders concerned and involved in the process; they are
hospitals ensure continuity of care across nursing shifts, promote inter- also focused on helping every member of the group succeed as well.
professional collaboration by getting everyone on the same page, and meet Option B: Servant leadership is a leadership philosophy in which the goal of the
documentation requirements for insurers and governing bodies. leader is to serve. This is different from traditional leadership where the leader’s
Option B: A holistic approach means providing the support that looks at the main focus is the thriving of their company or organizations. Instead of the
whole person, not just their mental health needs. The support should also people working to serve the leader, the leader exists to serve the people.
consider their physical, emotional, social, and spiritual wellbeing. A holistic Option C: Laissez-faire leadership is fairly self-explanatory. This kind of
approach focuses on a person’s wellness and not just their illness or condition. leadership is very hands-off—managers trust their employees and are confident
Option C: Standards of care in nursing are guidelines that provide a foundation in their abilities. They give guidance and take responsibility where needed, but
as to how a nurse should act, and what they should and should not do in their this leadership style means that subordinates and team members have the real
professional capacity. These policies and procedures are guidelines that all lead.
nurses must follow. Option D: Charismatic leadership is a trait-based leadership theory where the
leaders act as visionary driven by their convictions and motivate their followers
to work towards a common vision using their charm and persuasiveness. Leaders
1 point(s) are able to cultivate a profound sense of trust with the group of followers.
39. Question
As a manager, she focuses her energy on both the quality of services rendered to the patients
A. Uses visioning as the essence of leadership. as well as the welfare of the staff of her unit. Which of the following management styles does
she adopt? management style overly emphasizes the value of completing tasks to the extent
that it risks human relationships.
C. Team management
D. Authority-obedience management
Correct
Correct Answer: C. Team management
Team management has a high concern for services and high concern for staff. Team
management is the ability of an individual or an organization to administer and
coordinate a group of individuals to perform a task. Team management involves
teamwork, communication, objective setting, and performance appraisals.
Option A: The country club leader has the most concern for people. This leader
assumes that if employees are happy, they will work hard. This leader’s high
interest in the needs and feelings of employees affects productivity. With much
of the focus on employee comfort, this leader finds it difficult to punish an
employee. As a result, the relationship between employee and leader is very
casual, like that of friends.
Option B: Management is the process of guiding the development,
maintenance, and allocation of resources to attain organizational goals. This
process is based on four key functional areas of the organization: planning,
organizing, leading, and controlling.
Option D: Authority-obedience management results from such a management
style that is task-oriented, or task-motivated. The authority-obedience
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