Question

Responsibilities of the case manager include all of the following EXCEPT?
Select one:
a. Assessing client’s and their homes and communities
b. Reviewing the client’s history and current status
c. Monitoring and evaluating client’s progress and outcomes
d. Coordinating and planning

2.Which of the following Nursing care delivery models (NCDs) focuses on the job to be completed for a group of patients rather than specific patients?
Select one:
a. Team Nursing
b. Functional Nursing
c. Primary Nursing
d. Modular Nursing

Question 3
According to Kurt Lewin, in which of the following stages of change is change initiated after a careful process of planning?
Select one:
a. Moving
b. Freezing
c. Transforming
d. Unfreezing

Question 4
Question text
Which of the following statement about transformational leadership is FALSE?
Select one:
a. Focuses on vision and empowerment
b. Is committed
c. Does not identify shared values
d. Identifies common values

Question 5
The nursing team, consisting of one RN, one LPN, and one nursing assistant has just received report from the previous shift. At the completion of the report, what action should the RN take FIRST?
Select one:
a. Make assignments for the members of the nursing team.
b. Assess each patient that will be cared for by the nursing team.
c. Assess a patient who complains that the PCA has suddenly stopped controlling his postop pain.
d. Assess a patient who is requesting his prescribed prn for pain.

Question 6
Which phrase best describes transformational leadership?
Select one:
a. Drive rapid organization-wide change
b. Are frequently seen at senior or executive levels
c. Are focused exclusively on outcomes
d. Lack vision and vulnerability

Question 7
The nurse manager plans to implement a new method for scheduling Staff Vacations. Senior staff members oppose the change while newer staff members are more accepting. Which of the following would be the most effective strategy for resolving the difference?
Select one:
a.
Explain that the change will occu as designed, regardless of the staff’s preference.
b. Encourage interaction between the opposing sides to attempt resolution
c.
Withdraw the proposal to prevent a decrease in staff morale.
d.
Provide extensive and detailed rationale for the proposed change, then implement.

Question 8
Which of the following is best described as change that applies strategic actions to promote movement toward a speci?c goal?
Select one:
a. Reactive/unplanned change
b. Planned change
c. Internal force change
d. External force change

Question 9
Which of the following approaches best illustrates transformational leadership?
Select one:
a. The leader stimulates group interest in establishing unit goals that contribute to the agency mission.
b. The leader forms subgroups or task forces that make decisions about unit problems.
c. The leader provides funding for continuing education conferences to staff who have not used any sick leave.
d. The leader adjusts his/her strategies to fit the current situation

10
Which of the following leadership style uses trade-offs to meet organizational goals?
Select one:
a. Transactional
b. Transformational
c. Situational
d. Bureaucratic

Question 11
As a new nurse manager, you find it necessary to delegate tasks to your staff. Which of the following is not a requirement for this delegation process?
Select one:
a. Evaluate the results of the performed task
b. Communicate the work assignment using measurable terms
c. Obtain the employee’s voluntary acceptance of the task
d. Function from autocratic style of leadership

Question 12
The following are the Characteristics of Laissez-Faire leadership EXCEPT:
Select one:
a. The leader depends on the strengths of followers to direct the group activities
b. The leader and nurses work independently, making task accomplishment difficult
c. There is a sense of equality among the leader and other participants.
d. The leader relinquishes power to the group.

Question 13
Gaining trust is a fundamental element in planned change. Which process or behavior would hinder the development of trust?
Select one:
a. Providing only information deemed necessary by formal leaders
b. Achieving buy-in from formal and informal leaders
c. Including all interested parties in the planning of the change
d. Providing all necessary information

Question 14
One difference between a leader and a manager is that the manager:
Select one:
a. Influences others to follow his or her direction
b. Has a vision or a goal for the group
c. Is responsible for day-to-day operations and stability
d. Focuses on innovation and change

Question 15
A nurse manager who decides to use a staff action committee to resolve a problem related to unit policies is basing her actions on which of the following?
Select one:
a. Management process
b. Leadership skills
c. Situational leadership
d. Scientific management approach

Question 16
Which of the following is a classic nursing care delivery models used during the past five decades?
Select one:
a. Patient-centered care
b. Modular nursing
c. Co-primary nursing
d. Primary nursing

Question 17
Which of the following proponents of change theory first describe learning organization theory?
Select one:
a. Everett Rogers, 2003
b. Peter Senge, 1990
c. Ronald Havelock, 1973
d. Kurt Lewin, 1951

Question 18
There is an evidence that planning for change can be beneficial for all. Which sequence would be best for the nurse/midwife to use when planning change?
Select one:
a. Communicating, problem solving, managing, and self-evaluating
b. Determining what to change, evaluating possible resistance, determining the appropriate rate and degree of change
c. Planning, checking, implementing and evaluating
d. Unfreezing, freezing and refreezing

Question 19
The RN on a surgical unit is behind schedule administering her medications. Which of the following of her other tasks can she safely delegate to a Nurse Assistant?
Select one:
a. Documentation of a patient’s information on the flow chart
b. Teaching a patient with newly diagnosed diabetes about foot care
c. Helping a patient who has recently undergone surgery out of bed for the first time
d. The assessment of a patient who has just arrived on the unit

Question 20
A nurse case manager is assessing an alert patient who is a candidate for a nursing home. Which is the best source of information about this patient?
Select one:
a. Primary health-care provider
b. Family member
c. Charge nurse
d. Patient

Question 21
Which of the following statement about transactional leadership is TRUE?
Select one:
a. Focus on management tasks
b. Examines causes
c. Looks at effects
d. Uses contingency reward

Question 22
Which of the following Nursing care delivery model (NCDs) lend itself well to home health nursing, hospice nursing, and long term care setting in which patient requires care for an extended time period?
Select one:
a. Partnership model
b. Case management
c. Primary nursing
d. Shared governance

Question 23
A nurse/ midwife requests a schedule change due to a family issue. The nurse manager states, “if you can’t come in, we will figure it out.” The nurse manager is demonstrating what type of leadership style?
Select one:
a. Transformation
b. Laissez-faire
c. Autocratic
d. Democratic

Question 24
Senior nursing leaders in an organization should align their vision with:
Select one:
a. The current health care trend
b. That of their team
c. Personal philosophy
d. Organization’s mission statement

Question 25
When teaching a group of nursing students about quantum leadership, the following information would be most appropriate for the instructor to include EXCEPT:
Select one:
a. Involves rapid leaps or departures from command-and-control structures
b. Requires openness to continual and consistent feedback
c. Is responsive to persistent, unrelenting environmental change
d. Views change that is something planned

Question 26
Midwife Ababio ascribes to trait theory. Which of the following statements best describes her philosophy of Leadership and management?
Select one:
a. “My qualities of motivation and persistence are what make me a good leader”
b. “I believe that no one personality is associated with leadership”
c. “I believe intelligence is the predominant trait of effective leaders.”
d. “I was to born to be a leader”

Question 27
Managers can help create a climate that promote by developing a philosophy toward change Qualities promoting change include all of the following EXCEPT:
Select one:
a. Mutual trust
b. Organizational adaptability
c. Organizational learning
d. Conformity

Question 28
Which of the following is an important assumption to make about change?
Select one:
a. A positive change represents a gain for everyone affected by the change
b. The fewer the people involved in the process, the more likely the change will be accepted
c. When a series of changes is desired, it is more efficient to implement them all at once
d. The shorter the gap between change initiator and decision maker, the more likely the change will be implemented

Question 29
Which change strategy is represented by changing the location of unit patient information boards so the information cannot be seen except by those who need the information in order to provide patient care?
Select one:
a. Rational-empirical
b. Normative-re-educative
c. Notional-intuitive
d. Power-coercive

Question 30
One difference between a transactional and transformational leadership is that the transactional leader:
Select one:
a. Has a vision or goal for the group and show concern and care for others
b. Has a relationship with followers base on a change for some resources valued by the followers
c. Create revolutionary change
d. Focuses on activities that encourage group productivity to get the work done.

Question 31
All nurses are leaders in patient health care primarily because they
Select one:
a. Have the most education
b. Know the patient the best
c. Administrate hospitals
d. Are with the patients the longest

Question 32
The transformational leader exhibits the following behaviors EXCEPT:
Select one:
a. They show concern and care for others and are willing to take risks.
b. Leaders focus on tasks and getting the work done.
c. They pay attention to process as well as outcomes.
d. Independence, individual growth, and change are facilitated.

Question 33
Ideally hospital records should be kept for the following number of years before it should be sent for archives.
Select one:
a. 20 – 30 years
b. 5 – 10 years
c. 20 – 35 years

Question 34
Which model asserts that with sufficient, careful thorough planning, change agents can overcome resistance to change?
Select one:
a. Reddin’s theory
b. Roger’s theory
c. Spradley’s model
d. Havelock’s theory

Question 35
Which activity would be considered expected behavior during the refreezing phase of planned change?
Select one:
a. Allowing time for people to assimilate the change
b. Working to develop trust
c. Identifying restraining forces
d. Developing policies and procedures

Question 36
A nurse/ Midwife is asked to act as a mentor. The nurse/ midwife interprets this position as:
Select one:
a. A paid responsibility for all nurses/ Midwife
b. Limited to those with professional titles and rank
c. A formal process for professional growth
d. A means for participation in a professional organization

Question 37
Case management can be used in all of the following service settings EXCEPT:
Select one:
a. OPD settings
b. Health Maintenance organizations
c. Community agencies
d. Physician’s office

Question 38
The concept of case management was first introduced in which year?
Select one:
a. 1970s
b. 1900s
c. 1800s
d. 1950s

Question 39
Which of the following statements is an example Autocratic leadership?
Select one:
a. Individual group members then perform tasks in their area of expertise while the leader act as resource person.
b. Leaders make decisions independently with little or no input from the rest of the group and support the premise that leadership is context dependent.
c. Leaders encourage group members to participate, but retain the final say over the decision-making process.
d. Leaders encourages independent activity by group members and at cross purposes because of lack of cooperation and coordination.

Question 40
In which of the following styles of leadership are group satisfaction and motivation primary benefits?
Select one:
a. Democratic
b. Autocratic
c. Laissez-Faire
d. Transformational

Question 41
Which of the following care delivery model was developed originally in the critical care setting to help deal with the fragmentation of 12 hour shifts?
Select one:
a. Differentiated practice model
b. Patient centered care
c. Coprimary nursing job staring
d. Primary nursing

Question 42
An RN from the ICU is pulled to the oncology unit. Which assignment is most appropriate for this RN to take?
Select one:
a. A 45-year old after a colon resection.
b. A 92-year old comatose patient in the terminal stages of gastric cancer.
c. A 65-year old with a positive prostate biopsy.
d. A 21-year old receiving Lasix IV.

Question 43
A teaching plan about the differences between leadership and management would be considered effective if the student nurse identified which as a difference?
Select one:
a. Formal titles differentiate the two construct
b. Leadership is less tangible than management
c. Leadership and management are mutually exclusive
d. Management skills are the technical side of leadership

Question 44
A nurse midwife requests a schedule change due to a family issue. The nurse manager states, “Find someone to switch with you.” The nurse manager is demonstrating what type of leadership style?
Select one:
a. Democratic
b. Laissez-faire
c. Autocratic
d. Transformational

Question 45
A nursing team consists of an RN, two LPNs, and an UAP. Which of the following patients should be assigned to the RN?
Select one:
a. A 3 year old recovering from a gunshot wound to the abdomen that requires a dressing change.
b. A 1 year old who is receiving tube feedings via a nasogastric tube.
c. A 6 year old with cystic fibrosis who requires chest physiotherapy qid.
d. A 5 year who has been newly diagnosed with diabetes.

Question 46
An organizational model in which nursing staff have the autonomy to cooperate with administrative personnel in nursing decision, implementing, and evaluating client care is called?
Select one:
a. Shared Governance
b. Differential practice
c. Case management
d. Focused care

Question 47
To implement a program of change a nurse manager must be aware of the following EXCEPT:
Select one:
a. Aware of the way people in an organization react to change
b. What techniques can be used to modify change
c. Why change effort fail
d. Perception that the change will bring an economic gain

Question 48
Total patient care can also be described as:
Select one:
a. Focused care
b. Case nursing
c. Co-primary nursing
d. Prime nursing

Question 49
The change agent can increase the likelihood of the success of planned change by:
Select one:
a. Implementing the change rapidly to prevent development of the objections
b. Including only formal leaders in planning the change to ensure management support
c. Instituting the change process during a period of low staffing so fewer people will be affected
d. Being sensitive to the internal and external environment of the organization to ensure the change

Question 50
A popular contingency describes the situational leader as having all of the following characteristics EXCEPT:
Select one:
a. Gives little consideration to staff members activities but focus on vision
b. Is sensitive to the context or environment in which the task takes place.
c. Flexes task and relationship behaviors
d. Knows the nature of task to be done

Question 51
When a nurse arranges all the resources available to teach a teenage girl how to manage her asthma, she is performing which of the following roles of a nurse manager?
Select one:
a. Planning role
b. Organizing role
c. Directing role
d. Controlling role

Question 52
Chaos Theory embraces which of the following principles?
Select one:
a. It is important that the observer not in?uence what is being observed
b. Certain parts of the world interact predictably with certain other parts
c. Relationships between objects are more important than objects themselves
d. Change occurs following certain sequential steps

Question 53
All of the following are some of advantages of client satisfaction survey EXCEPT?
Select one:
a. It brings out client expectation
b. It brings out worrying instead of doing
c. It gives client satisfaction of participating in the decision making process.
d. It promotes client focus service delivery

Question 54
The nursing team consists of one RN, one LPN, and one nursing assistant. Which of the following patients should the RN attend to FIRST?
Select one:
a. A patient who is experiencing dysuria after a cystoscope.
b. A patient who is visually impaired who needs assistance to get to the bedside commode.
c. A patient who is experiencing incisional pain 24 hours postop cholecystectomy.
d. A patient whose BP has changed from 160/82 to 92/75

Question 55
Resistance to change is part of organizational life. Which action (s) would be most effective in approaching this resistance?
Select one:
a. Containing the anxiety in a small group and moving forward with the initiative
b. Reprimanding those who oppose the new initiative
c. Ignoring the environmental chart
d. Seeking guidance from staff

Question 56
The nurse manager plans to implement a new method for scheduling Staff Vacations. Senior staff members oppose the change while newer staff members are more accepting. Which of the following would be the most effective strategy for resolving the difference?
Select one:
a. Provide extensive and detailed rationale for the proposed change, then implement.
b. Withdraw the proposal to prevent a decrease in staff morale.
c. Encourage interaction between the opposing sides to attempt resolution.
d. Explain that the change will occur as designed, regardless of the staff’s preference.

Question 57
Which of the following NCDs may not fit well in the new health care system?
Select one:
a. Total patient care
b. Functional Nursing
c. Team Nursing
d. Modular Nursing

Question 58
Which of the following styles of leadership is rarely used in a hospital setting because of the difficulty of task achievement by independent nurses?
Select one:
a. Democratic
b. Autocratic
c. Laissez-Faire
d. Transformational

Question 59
In hospitals, the autocratic styles of leadership is gradually being replaced by the:
Select one:
a. Quantum
b. Autocratic
c. Democratic
d. Quantum
e. Bureaucratic

Question 60
The nurse leader informs the staff of a local emergency and instructs them to stay at the hospital to prepare for major casualties. The staff displays high levels of anxiety and disorganization. The most appropriate leadership style at this time is which of the following?
Select one:
a. Authoritarian
b. Democratic
c. Laissez-Faire
d. Bureaucratic

Answer 1

1. b. Reviewing the client’s history and current status

2. a. Team nursing

3. a. Moving

4. c. Does not identify shared values

5. c. Assess a patient who complains that the PCA has suddenly stopped controlling his postop pain.

6. a. Drive rapid organization-wide change

7. b. Encourage interaction b/w the opposing sides to attempt resolution

8. b. Planned change

9. d. The leader adjusts his/her strategies to fit the current situation

10. a. Transactional

11. d. Function from autocratic style of leadership

12. b. The leader and nurses work independently, making task accomplishment difficult

13. a. Providing only information deemed necessary by formal leaders

14. c. Is responsible for day-to-day operations and stability

15. c. Situational leadership

16. d. Primary nursing

17. b. Peter Senge, 1990

19. a. Documentation of a patient's I & O on the flow chart

20. d. Patient

21. d. Uses contingency reward

22. c. Primary nursing