NCLEX Sample Questions for LEADERSHIP, MANAGEMENT, BIOETHICS AND RESEARCH

      1.     Ms. Castro is newly-promoted to a patient care manager position. She updates her knowledge on the theories in management and leadership in order to become effective in her new role. She learns that some managers have low concern for services and high concern for staff. Which style of management refers to this?

a.       Organization Man

b.      Impoverished Management

c.       Country Club Management

d.      Team Management

      2.     Her former manager demonstrated passion for serving her staff rather than being served. She takes time to listen, prefers to be a teacher first before being a leader, which is characteristic of

a.       Transformational leader

b.      Transactional leader

c.       Servant leader

d.      Charismatic leader

      3.     On the other hand, Ms. Castro notices that the Chief Nurse Executive has charismatic leadership style. Which of the following behaviors best describes this style?

a.       Possesses inspirational quality that makes followers gets attracted of him and regards him with reverence

b.      Acts as he does because he expects that his behavior will yield positive results

c.       Uses visioning as the core of his leadership

d.      Matches his leadership style to the situation at hand.

      4.     Which of the following conclusions of Ms. Castro about leadership characteristics is TRUE?

a.       There is a high correlation between the communication skills of a leader and the ability to get the job done.

b.      A manager is effective when he has the ability to plan well.

c.       Assessment of personal traits is a reliable tool for predicting a manager’s potential.

d.      There is good evidence that certain personal qualities favor success in managerial role.

      5.     She 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 citations

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.

      6.     One leadership theory states that “leaders are born and not made,” which refers to which of the following theories?

a.       Trait

b.      Charismatic

c.       Great Man

d.      Situational

      7.     She came across a theory which states that the leadership style is effective dependent on the situation. Which of the following styles best fits a situation when the followers are self-directed, experts and are matured individuals?

a.       Democratic

b.      Authoritarian

c.       Laissez faire

d.      Bureaucratic

      8.     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?

a.       Leadership behavior is generally determined by the relationship between the leader’s personality and the specific situation

b.      Leaders believe that people are basically good and need not be closely controlled

c.       Leaders rely heavily on visioning and inspire members to achieve results

d.      Leadership is shared at the point of care.

      9.     Ms. Castro learns that some leaders are transactional leaders. Which of the following does NOT characterize a transactional leader?

a.       Focuses on management tasks

b.      Is a caretaker

c.       Uses trade-offs to meet goals

d.      Inspires others with vision

  10.     She finds out that some managers have benevolent-authoritative style of management. Which of the following behaviors will she exhibit most likely?

a.       Have condescending trust and confidence in their subordinates

b.      Gives economic or ego awards

c.       Communicates downward to the staff

d.      Allows decision making among subordinates

  11.     Harry is a Unit Manager I the Medical Unit. He is not satisfied with the way things are going in his unit. Patient satisfaction rate is 60% for two consecutive months and staff morale is at its lowest. He decides to plan and initiate changes that will push for a turnaround in the condition of the unit. Which of the following actions is a priority for Harry?

a.       Call for a staff meeting and take this up in the agenda.

b.      Seek help from her manager.

c.       Develop a strategic action on how to deal with these concerns.

d.      Ignore the issues since these will be resolved naturally.

  12.     She knows that there are external forces that influence changes in his unit. Which of the following is NOT an external force?

a.       Memo from the CEO to cut down on electrical consumption

b.      Demands of the labor sector to increase wages

c.       Low morale of staff in her unit

d.      Exacting regulatory and accreditation standards

  13.     After discussing the possible effects of the low patient satisfaction rate, the staff started to list down possible strategies to solve the problems head-on. Should they decide to vote on the best change strategy, which of the following strategies is referred to this?

a.       Collaboration

b.      Majority rule

c.       Dominance

d.      Compromise

  14.     One staff suggests that they review the pattern of nursing care that they are using, which is described as a:

a.       job description

b.      system used to deliver care

c.       manual of procedure

d.      rules to be followed

  15.     Which of the following is TRUE about functional nursing?

a.       Concentrates on tasks and activities

b.      Emphasizes use of group collaboration

c.       One-to-one nurse-patient ratio

d.      Provides continuous, coordinated and comprehensive nursing services

  16.     Functional nursing has some advantages, which one is an EXCEPTION?

a.       Psychological and sociological needs are emphasized.

b.      Great control of work activities.

c.       Most economical way of delivering nursing services.

d.      Workers feel secure in dependent role

  17.     He raised the issue on giving priority to patient needs. Which of the following offers the best way for setting priority?

a.       Assessing nursing needs and problems

b.      Giving instructions on how nursing care needs are to be met

c.       Controlling and evaluating the delivery of nursing care

d.      Assigning safe nurse: patient ratio

  18.     Which of the following is the best guarantee that the patient’s priority needs are met?

a.       Checking with the relative of the patient

b.      Preparing a nursing care plan in collaboration with the patient

c.       Consulting with the physician

d.      Coordinating with other members of the team

  19.     When Harry 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?

a.       Each patient as listed on the worksheet

b.      Patients who needs least care

c.       Medications and treatments required for all patients

d.      Patients who need the most care

  20.     She is hopeful that her unit will make a big turnaround in the succeeding months. Which of the following actions of Harry demonstrates that he has reached the third stage of change?

a.       Wonders why things are not what it used to be

b.      Finds solutions to the problems

c.       Integrate the solutions to his day-to-day activities

d.      Selects the best change strategy

  21.     Julius is a newly-appointed nurse manager of The Good Shepherd Medical Center, a tertiary hospital located within the heart of the metropolis. He thinks of scheduling planning workshop with his staff in order to ensure an 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?

a.       Long-term goal-setting

b.      Extends to 3-5 years in the future

c.       Focuses on routine tasks

d.      Determines directions of the organization

  22.     Which of the following statements refer to the vision of the hospital?

a.       The Good Shepherd Medical Center is a trendsetter in tertiary health care in the Philippines in the next five years Goal

b.      The officers and staff of The Good Shepherd Medical Center believe in the unique nature of the human person

c.       All the nurses shall undergo continuing competency training program.

d.      The Good Shepherd Medical Center aims to provide a patient-centered care in a total healing environment.

  23.     The statement, “The Good Shepherd Medical Center aims to provide patient-centered care in a total healing environment” refers to which of the following?

a.       Vision

b.      Goal

c.       Philosophy

d.      Mission

  24.     Julius 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 unit. Which of the following will likely depict this organizational relationship?

a.       Box

b.      Solid line

c.       Broken line

d.      Dotted line

  25.     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.       Scalar chain

b.      Discipline

c.       Unity of command

d.      Order

  26.     Julius orients his staff on the patterns of reporting relationship throughout the organization. Which of the following principles refer to this?

a.       Span of control

b.      Hierarchy

c.       Esprit d’ corps

d.      Unity of direction

  27.     He emphasizes to the team that they need to put their efforts together towards the attainment of the goals of the program. Which of the following principles refers to this?

a.       Span of control

b.      Unity of direction

c.       Unity of command

d.      Command responsibility

  28.     Julius stresses the importance of promoting ‘esprit d corps’ among the members of the unit. Which of the following remarks of the staff indicates that they understand what he pointed out?

a.       “Let’s work together in harmony; we need to be supportive of one another”

b.      “In order that we achieve the same results; we must all follow the directives of Julius and not from other managers.”

c.       “We will ensure that all the resources we need are available when needed.”

d.      “We need to put our efforts together in order to raise the bar of excellence in the care we provide to all our patients.”

  29.     He discusses the goal of the department. Which of the following statements is a goal?

a.       Increase the patient satisfaction rate

b.      Eliminate the incidence of delayed administration of medications

c.       Establish rapport with patients.

d.      Reduce response time to two minutes.

  30.     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.       Organizational chart

b.      Cultural network

c.       Organizational structure

d.      Organizational culture

  31.     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?

a.       Proactive and caring with one another

b.      Competitive and perfectionist

c.       Powerful and oppositional

d.      Obedient and uncomplaining

  32.     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, span of control and lines of communication. Which of the following will provide this information?

a.       Organizational structure

b.      Policy

c.       Job description

d.      Manual of procedures

  33.     Stephanie is often seen interacting with the medical intern during coffee breaks and after duty hours. What type of organizational structure is this?

a.       Formal

b.      Informal

c.       Staff

d.      Line

  34.     She takes pride in saying that the hospital has a decentralized structure. Which of the following is NOT compatible with this type of model?

a.       Flat organization

b.      Participatory approach

c.       Shared governance

d.      Tall organization

  35.     Centralized organizations have some advantages. Which of the following statements are TRUE?

1. Highly cost-effective
2. Makes management easier
3. Reflects the interest of the worker
4. Allows quick decisions or actions.

a.       1 & 2

b.      2 & 4

c.       2, 3& 4

d.      1, 2, & 4

  36.     Stephanie delegates effectively if she has authority to act, which is BEST defined as:

a.       having responsibility to direct others

b.      being accountable to the organization

c.       having legitimate right to act

d.      telling others what to do

  37.     Regardless of the size of a work group, enough staff must be available at all times to accomplish certain purposes. Which of these purposes is NOT included?

a.       Meet the needs of patients

b.      Provide a pair of hands to other units as needed

c.       Cover all time periods adequately.

d.      Allow for growth and development of nursing staff.

  38.     Which of the following guidelines should be least considered in formulating objectives for nursing care?

a.       Written nursing care plan

b.      Holistic approach

c.       Prescribed standards

d.      Staff preferences

  39.     Stephanie considers shifting to transformational leadership. Which of the following statements best describes this type of leadership?

a.       Uses visioning as the essence of leadership.

b.      Serves the followers rather than being served.

c.       Maintains full trust and confidence in the subordinates

d.      Possesses innate charisma that makes others feel good in his presence.

  40.     As a manager, she focuses her energy on both the quality of services rendered to the patients as well as the welfare of the staff of her unit. Which of the following management styles does she adopt?

a.       Country club management

b.      Organization man management

c.       Team management

d.      Authority-obedience management

Answers for LEADERSHIP, MANAGEMENT, BIOETHICS AND RESEARCH

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