Nursing Leadership Midterm

One of the major aspects of Kouzes and Posner’s Enabling Others to Act includes fostering collaboration. In order for a leader to foster collaboration, one must….
A. Work independently of others
B. Display a lack of empathy
C. Build a climate of trust and facilitate relationships
D. Use belittling and condescending communication with staff
C. Build a climate of trust and facilitate relationships
Kouzes and Posner believe that a good leader should do which of the following?
A. Encourage teamwork
B. Promote Independent work
C. Use threats with staff
D. Use fear tactics to “motivate” staff
A. Encourage teamwork
There is a dispute between nurses on the floor about how to best implement a specific policy, as the nurse manager you must deal with the concerns of the staff members of your floor. What are examples of participative leadership? select all that apply.

A. Delegating tasks randomly to members

B. Open communication

C. involving each nurse in the decision process

D. group brainstorming

B. Open communication
C. Involving each nurse in the decision process
D. Group brainstorming
Which of the following is not an argument in support of participatory leadership?

A. It supports the needs of deficiency-motivated employees

B. It supports humanistic values

C. It helps ensure power sharing

D. It increases efficiencies

C. It helps ensure power sharing
A staff nurse describes the unit manager as a “born leader,” which theory of leadership is she referring to?
A. Formal leadership theories
B. Behavioral theories
C. Democratic theories
D. Trait theories
D. Trait theories
All of the following were the primary traits identified by McCall and Lombardo by which a leader could succeed or fail EXCEPT:
A. Remain calm under pressure
B. Having a broad range of expertise
C. Persuading others with coercive tactics
D. Admitting errors and owning them
C. Persuading others with coercive tactics
Which statements are true regarding collective leadership? [Select all that apply]
A. Leadership is a simple process but not within everyone’s grasp
B. Leadership resides in individuals and is hierarchically based
C. Leadership is a complex process and is a property of a social system
D. Leaders are different from followers
E. Development of leadership involves the entire group
C. Leadership is complex process and is a property of a social system
E. Development of leadership involves the entire group
A nursing instructor is teaching nursing students about collective leadership. Which statement by the nursing student is correct in relation to how context plays a role in collective leadership?
A. Context plays no role in collective leadership
B. Context plays a minor role in collective leadership
C. Context only plays a role in collective leadership in some situations
D. Context is an important component of collective leadership
D. Context is an important component of collective leadership
An employer who recognizes an opportunity to create a change in a protocol will begin by:
A. Tackling the project as a whole
B. Asking others to do it for him/her
C. Breaking the project into smaller portions to meet the overall goal
D. Give up because it’s too hard
C. Breaking the project into smaller portions to meet the overall goal
An individual who is reading The Leadership Challenge recognizes that which following behaviors are aspects of challenging the system.
A. Searching for new opportunities
B. Recognizing that mistakes create learning opportunities
C. Generating small wins
D. All of the above
D. All of the above
The nurse manager on a Medical Surgical floor is researching different management theories in order to choose the best one. She encounters a management theory that focuses on timing and increased labor in order to accomplish increased production. Which theory is described?
A. Labor Management Theory
B. Time Theory
C. Scientific Management Theory
D. Organizational Theory
C. Scientific Management Theory
A nursing student is giving a presentation on the scientific management theory. Which of the following describes this theory?
A. Analyzes timing of routine movements to increase production
B. Values workers and compensates them fairly
C. Jobs are independently chosen by the worker
D. Increased production results in decreased pay
A. Analyzes timing of routine movements to increase production
A nurse instructor is explaining the leadership grid, which statement by the nursing student requires a need for further teaching?
A. “The leadership grid is a task versus person preference grid”
B. “The leadership grid only compares two aspects of leadership”
C. “The 1:1 type of leader has low concern for the tasks and the people”
D. “The 1:9 type of leadership is the most productive and efficient”
D. “The 1:9 type of leadership is the most productive and efficient”
A nurse administrator shows high concern for both tasks and people. Which type on the leadership grid is he/she exemplifying?
A. 1:1
B. 9:9
C. 1:9
D. 5:5
B. 9:9
A nursing instructor is explaining the authentic leadership theory to a group of nursing students, which of the following is not a part of the distinguishing characteristics of authentic leadership?
A. Being highly critical of others with no encouragement
B. Having “heart”
C. Establishing meaningful relationships with others
D. Having a strong set of core values
A. Being highly critical of others with no encouragement
A nurse manager that establishes meaningful relationships, shows compassion, and strives towards a common goal with the rest of their team members exhibits which type of leadership style?
A. Exploitative authoritative
B. Authentic leadership
C. Laissez-faire
D. Benevolent authoritative
B. Authentic leadership
Which type of leadership theories considers people able to learn to be a leader?
A. Contingency theories
B. Behavioral theories
C. Trait theories
D. Situational theories
E. “Great Man” theories
B. Behavioral theories
A student nurse is researching behavioral theories with his preceptor. The preceptor determines that the student nurse needs additional teaching when he states:
A. “Behavioral theorists study what leaders do.”
B. “Behavioral theorists do not study inborn traits and capabilities.”
C. “According to behavioral theory, anyone can be made into a leader with training and determination.”
D. “It is easy to separate those with leadership potential from those who will never have the chance according to behavioral theory.”
D. “It is easy to separate those with leadership potential from those who will never have the chance according to behavioral theory.”
According to the theory of humanistic and democratic values, in order to increase interpersonal competence, intergroup cooperation, and flexibility, the organization should: (select all that apply)
A. Promote humanistic and democratic values
B. Treat people as human beings
C. Promote bureaucratic values
D. Use clear, rational, and logical communication
A. Promote humanistic and democratic values
B. Treat people as human beings
D. Use clear, rational, and logical communication
During leadership, the instructor is teaching nursing students about Argyris’s theory of humanistic and democratic values. The first topic they discuss is about the different ways to increase organizational success in problem solving. Which of the following answers indicates that the nursing student has a need for further teaching?
A. Encourage interpersonal competence
B. Provide opportunities for employees to develop to their fullest potential
C. Make work exciting and challenging
D. Promote human relationships that are directive, and control oriented
D. Promote human relationships that are directive, and control oriented
Which of the following statements describes a leader that is “modeling the way,” oneof Kouzes and Posner’s five practices from The Leadership Challenge? (Select
all that apply)
A. Clearly articulates his/her guiding principles.
B. Sets the example by modeling behavior he/she expect of others.
C. Asserts that leadership is hierarchically based and linked to office.
D. Shares common principles and ideals with the organization he/she represent.
E. Believes the right and respect to lead is earned through direct involvement and action.
A. Clearly articulates his/her guiding principles
B. Sets the example by modeling behavior he/she expect of others
D. Shares common principles and ideals with the organization he/she represent
E. Believes the right and respect to lead is earned through direct involvement and action
Which of the following actions is not an example of “modeling the way?”
A. Telling a story to a nursing student that illustrates patient-centered care.
B. Asking staff for feedback about a new procedure then deciding how to implement the procedure on his/her own.
C. Visiting the ED and speaking with staff daily after years of high leadership turnover.
D. Asking questions during a huddle to encourage people to think about values and priorities after receiving a negative patient experience score.
B. Asking staff for feedback about a new procedure then deciding how to implement the procedure on his/her own.
. A nurse manager is an example of an individual who utilizes the organizational theory of management in the hospital. Which description accurately describes essential qualities of a manager who adheres to the organizational model?
A. The primary focus of the nurse manager is on what will be the most beneficial for the organization as a whole.
B. The nurse manager is concerned with outcomes for the organization, the individual staff and patients.
C. The patient outcomes and satisfaction are the most important concerns of the nurse manager.
D. The nurse manager focuses on the staff, but more importantly the organization as a whole.
B. The nurse manager is concerned with outcomes for the organization, the individual staff and patients
What responsibilities would be priority to a nurse manager if she uses the organizational model of management to guide her?
A. Being aware of the hospital budget and spending as well as contacting patients about unpaid medical bills.
B. Working with a select group of patients to provide optimal hands on nursing care.
C. Always holds in services for staff and meetings to improve hospital standards.
D. Assigning various duties to staff, delegating, communicating with those within the organization and creating group activities.
D. Assigning various duties to staff, delegating, communicating with those within the organization and creating group activities
A nursing student, Laurie, is teaching her nephews about McGregor’s Theory X and Theory Y. Which of the following statements said by one of her nephews requires a need for further teaching?
A. “Theory X assumes human beings are lazy.”
B. ” Theory Y assumes that people want to work and it is as natural as play or rest.”
C. ” Theory Y assumes people must be controlled and threatened to get work done.”
D. “Theory X assumes people hate responsibility.”
C. “Theory Y assumes people must be controlled and threatened to get work done.”
Jenny is the new nurse manager on the medical-surgical unit. She wants to create a positive and satisfying work environment. Which leadership style will Jenny use to accomplish this environment?
A. McGregor’s Theory X
B. McGregor’s Theory Y
C. Exploitative authoritative leadership
D. Autocratic leadership
b. McGregor’s Theory Y
Transformational leadership is characterized by all of the following except:
A. People will follow a leader who inspires them.
B. Leaders only listen to others when a problem develops in their vision.
C. A leader with a vision and passion can accomplish great things, but must maintain integrity and be accounted for.
D. Leaders use enthusiasm and energy to encourage others.
B. Leaders only listen to others when a problem develops in their vision.
Which of the following is the best way to inspire a shared vision?
A. Ignoring constitutes verbal and nonverbal expressions.
B. Believing that passion and enthusiasm are more important that truth and reality.
C. Focusing on the present situations because no one can predict the future.
D. Establish trust with others and find the common ground.
D. Establish trust with others and find the common ground.
Maria is a nursing student researching different leadership styles. She is currently researching the traditional model of leadership and notices that which of the following does not belong?
A. Leadership is hierarchically based and linked to office
B. Leadership differs from management and is more important
C. Leaders help clarify a path to a goal and remove roadblocks
D. Leadership resides in individuals
C. Leaders help clarify a path to a goal and remove roadblocks
In a hierarchy leadership, like that of the traditional model of leadership, the communication and orders associated with the decision making process usually follow the
A. Top-down approach
B. Bottom-up approach
C. All are involved in decision-making process
D.Leaders are minimally involved
A. Top-down approach
Lucy is a new nurse to the floor, on her first day she notices that the staff is not very connected and communicative to one another, under Weber’s Theory of democracy, which characteristic is being displayed by the other staff members?
a.) Hierarchy
b.) Impersonal Relationships
c.) Quiet Floor
d.) Administrative Class
B. Impersonal relationships
Which of the following is NOT an authority represented under Weber’s Bureaucratic and Authoritative Leadership style?
A. Traditional Authority
B. Rational- Legal Authority
C. Charismatic Authority
D. Expert Authority
D. Expert authority
A nursing student 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 rewards
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.
A. Recognizes staff for going beyond expectations by giving them rewards
Path-Goal theory helps leaders: (Select all that apply)
A. Clarify the path toward the goal
B. Remove roadblocks
C. Increase rewards along the way
D. Punish followers for not completing goals
A. Clarify the path toward the goal
B. Remove roadblocks
C. Increase rewards along the way
McClelland’s Achievement Motivation Theory states that most people possess and exhibit a combination of these characteristics or motivational needs. These include:
A. Achievement, Affiliation, Power
B. Achievement, Affirmation, Desire
C. Power, Affiliation, Delegating
D. Success, Power, Affiliation
A. Achievement, Affiliation, Power
A nursing student is asked to identify which need of McClelland’s Motivation theory is characterized by taking the responsibility for finding solutions to problems, mastering complex tasks, setting goals, prefer working alone, and like receiving feedback on level of personal success?
A. Affiliation
B. Power
C. Achievement
D. Success
C. Achievement
The nurse manager has asked that all staff nurses develop effective leadership competencies. How should the staff nurses interpret this request?
A. This is an unrealistic expectation, because only managers are leaders.
B. If the nurses learn about and use relevant leadership and management theories and styles this is possible.
C. In order to become leaders, the staff nurses will have to emphasize control, competition, and getting the job done.
D. Unless the staff nurses possess the traits of a natural born leader, this is an unrealistic expectation.
B. If the nurses learn about and use relevant leadership and management theories and styles this is possible.
The nurse executive of a health care organization wishes to prepare and develop nurse managers for several new units that the organization will open next year. What should be the primary goal for this work?
A. Focus on rewarding current staff for doing a good job with their assigned tasks by selecting them for promotion.
B. Prepare these managers so that they will focus on maintaining standards of care.
C. Prepare these managers to oversee the entire health care organization.
D. Prepare these managers to interact with hospital administration.
B. Prepare these managers so that they will focus on maintaining standards of care
The student nurse demonstrates understanding when they state that the main difference between normative leadership and situational leadership is:
A. “Normative leadership uses rules based on rational logic to reduce the likelihood of unpredictable leader behavior”
B. “Normative leadership uses threats and other fear-based methods to achieve conformance
C. “Leaders that use normative leadership are minimally involved in decision making”
A. “Normative leadership uses rules based on rational logic to reduce the likelihood of unpredictable leader behavior”
All of the following are advantages of the normative leadership theory except:
A. Effectiveness is supported by evidence
B. Provides ability to adapt to different situations
C. Accounts for social interactions between decision makers
D. Reduces likelihood of unpredictable leader behavior
C. Accounts for social interactions between decision makers
A framework for studying faster and more efficient ways to do jobs, including surgery is known as:
A. Theory of humanistic and democratic values
B. Achievement motivation theory
C. Theory X
D. Efficiency theory
D. Efficiency theory
A charge nurse asks a newly licensed nurse which are characteristics of the Hawthorne effect. Which of the following answers by the newly licensed nurse indicates a need for further education?
A. The physical conditions of work aren’t as important to employees as the need for recognition, security, and a sense of belonging
B. If employees are being watched, their productivity will increase, even if physical conditions worsen
C. If employees work longer hours and their rest breaks are cut, productivity will decrease
D. If employees communicate with supervisors and feel like part of the team, productivity will rise
C. If employees are being watched, their productivity will increase, even if physical conditions worsen
1) An employee comes into work dressed casually, does not try to take on extra work to benefit the company, and leaves as soon as it is time to clock out. Which group will the leader most likely place this employee into?
A. In-group
B. Always-group
C. Out-group
D. Leader-group
C. Out-group
A benefit to being in the in-group may include:
A. Being ignored
B. Not having any influence in decisions
C. Receiving an advancement opportunity
D. Having to work holidays
C. Receiving an advancement opportunity
Role theory would be effective in the following scenario:
A. A general medical-surgical floor with nurses caring for 24 patients
B. A hospice care home following a client death
C. A family home with siblings setting the dinner table
D. A nursing class with students preparing a community assessment
Role theory assumes all of the following EXCEPT:
A.Individual define roles for themselves and others
B. Others will always behave as one individual expects them to
C. Role conflict develops when expectations and behavior do not match
D. A group with multiple senders and receivers can develop role conflicts
An emergency code has been called on a nursing unit. Which leadership style is most effective in this situation?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Benevolent Authoritative
A. Autocratic
Which of the following are characteristics of autocratic leadership? (Select all that apply).
A.Leader maintains strict control on followers
B. Leader makes decisions without consulting anyone
C. Autocratic leadership is appropriate in emergencies
D. Encourages creativity and innovation
A. Leader maintains strict control on followers
B. Leader makes decisions without consulting anyone
C. Autocratic leadership is appropriate in emergencies
Which of the following is characteristic of Benevolent Authoritative Leadership?
A. Increased motivation through self-interest
B. Increased motivation through fear
C. Increased motivation through social interaction
D. Increased motivation through rewards
D. Increased motivation through rewards
Which of the following behaviors by the Nurse Manager is an example of Benevolent Authoritative Leadership?
A. The nurse manager holds monthly meetings to facilitate discussion about the staff’s concerns.
B. The nurse manager brings bagels on Fridays to motivate the staff.
C. The nurse manager decreases errors by giving the staff members gold stars for everyday they have no errors.
D. The nurse manager tightens the staff’s job descriptions and threatens to write up staff that deviates from the descriptions.
C. The nurse manager decreases errors by giving the staff members gold stars fore everyday they have no errors
A nurse manager working on a medical surgical unit uses the consultative leadership style to manage the staff. A student nurse asks the nurse manager what a consultative leadership style looks like in clinical practice. An appropriate response by the nurse manager is:
A. A consultative leader shows concern but sugarcoats information and maintains control of decisions.
B. A consultative leader uses threats and fear to achieve conformance.
C. A consultative leader increases collaboration, and seeks to involve other workers in the process of decision-making.
D. A consultative leader listens to everyone but still makes the major decisions.
D. A consultative leader listens to everyone but still makes the major decisions
Nurses in a NICU complain about not having a coffee maker in the break room. The nurse leader decides to sit with a few of the nurses to find out what can be done to target the issue. After listening to everyone involved, the nurse leader decides to buy a coffee maker for the staff. The nurse leader is exhibiting which of Likert’s leadership styles?
A. Exploitative authoritative style
B. Benevolent authoritative style
C. Consultative style
D. Participative style
C. Consultative style
Under the democratic style of leadership, what is the best way to avoid confusion while discussing an issue on which a decision must be made? The leader should:
A. Make a decision before consulting with anyone.
B. Provide staff with examples of specific ways to reach a decision.
C. Provide staff with a wide range of opinions and make a decision.
D. Consult with the inner-group before reaching a decision.
B. Provide staff with examples of specific ways to reach a decision
Somebody who consults with the unit and then makes the final decision is a:
A. Autocratic leader
B. Authentic leader
C. Laissez-faire leader
D. Democratic leader
D. Democratic leader
Mary is a second year student nurse and loves challenges. She is well liked by her peers and is often seen as a leader. She does well in clinical, but her professor thinks she may be too confident for her skill-set. According to the Situational Learning Theory, what approach should Mary’s professor take when addressing the situation?
A. High-task, low relationship
B. High-task, high relationship
C. Low-task, high relationship
D. Low-task, low relationship
B. High-tak, high relationship
According to the Situational Learning Theory, a low-task, low-relationship focus suggests that the leader should:
A. Correct the follower
B. Demonstrate the skill to the follower
C. Assess for fear or hesitation
D. Offer occasional praise
D. Offer occasional praise
Which of the follow are advantages of laissez-faire leadership? (Select all that apply)
A. Effective when individuals are highly motivated
B. Allows open communication amongst group members
C. Provides motivation for members to function productively and challenge themselves.
D. Motivates through coercion.
A. Effective when individuals are highly motivated
B. Allows open communication amongst group members
C. Provides motivation for members to function productively and challenge themselves
A nurse manager takes a “hands-off” approach in leadership and trusts her responsible nursing staff to make their own decisions and manage their own problems. This is an example of what type of leadership style?
A. Authoritarian
B. Democratic
C. Laissez-faire
D. Noninterference
C. Lassez-faire
Which of the following is not a quality of an emotionally intelligent leader?
A. The ability to perceive and identify others’ emotions through body language, tone of voice, or facial expressions
B. The ability to identify and be in control of one’s own emotions
C. The ability to generate positive learning outcomes and emotional and intellectual growth out of negative emotions
D. The ability to accomplish tasks on time and stay organized
D. The ability to accomplish tasks on time and stay organized
A fellow nurse has just given you constructive criticism on how you handled a situation with a patient’s family that resulted in a poor outcome. Which of the following would be an emotionally intelligent response to her critique?
A. “Thanks, but I think I know how to handle a patient’s family.”
B. “I have my way of doing things and you have yours.”
C. “Thank you for your critique. I’m going to think about what you said and see if it could help me better handle a patient’s situation in the future.”
D. “I did not ask for you advice.”
C. “Thank you for your critique. I’m going to think about what you said and see if it could help me better handle a patient’s situation in the future.”
A nurse manager is reviewing leadership theories with the nurse. She asks the nurse to describe the great man leadership theory. Which of the following would be the nurse’s best response?
A. “Great man theory proposes that effective leaders are born, not made.”
B. “Great man theory proposes that anyone can learn to be a leader.”
C. “Great man theory describes a leadership style in which the leader uses threats and fear to achieve confidence.”
D. “Great man theory helps clarify the path to a goal, removes roadblocks, and increases rewards along the way.”
A. “Great man theory proposes that effective leaders are born, not made.”
The nurse educator is teaching a group of nursing students on leadership theories. She asks the class what theory of leadership was first developed. The nurse educator determines teaching has been effective when the students respond:
A. “There is no agreement as to what the first learning theory was.”
B. “Great man theory was the first leadership theory to be developed.”
C. “Path-Goal theory was the first leadership theory to be developed.”
D. “Behavioral theory and role theory were the first two leadership theories to be developed, and they arose around the same time.”
B. “Great man theory was the first leadership theory to be developed.”
Which Behavior by the Nurse Manager demonstrates Exploitative Authoritative Style?
A. The Nurse mananger holds monthly meetings to facilitate discussion about concerns of the staff.
B. The nurse manager tightens the job descriptions of the staff and threatens to write up staff that deviates from description.
C. The Nurse Manager brings donuts on monday mornings to excite the staff for the coming week.
D. The nurse manager decreases errors by giving the staff members gold stars for everyday they have no errors.
Which of the following would be a goal of Likert’s Exploitative Authoriative Style?
A. Increased motivation through Fear.
B. Increased motivation through Social interaction
C.Increased motivation through positive reinforcement
D. Increased motivation through self-interest.
An employer who leads by encouraging the heart of his or her employees would exhibit which behaviors (select all that apply):
A. Expect the best from employees
B. Create opportunities for personalized recognition
C. Find his or her own voice
D. Pay attention in the workplace
E. Focus on clear standards
A. Expect the best from employees
B. Create opportunities for personalized recognition
D. Pay attention in the workplace
E. Focus on clear standards
The district manager of a major corporation fires an employee after the employee repeatedly fails to complete projects on time. This employee has previously received two warnings and was told that on his “third strike” he would be terminated. This manager is…
A. Demonstrating an coercive leadership style
B. Setting clear standards in the workplace
C. Being inaccessible to employees
D. Offering personal recognition
B. Setting clear standards in the workplace