ASIA PACIFIC COLLEGE OF ADVANCED STUDIES, INC.

A.H. Banzon St., Ibayo, City of Balanga, Bataan

COURSE AUDIT 2: NURSING LEADERSHIP AND MANAGEMENT (PRE TEST)

by: DR. GIOVANNI DAVID

NAME: ___________________________ YEAR AND SECTION: _____________________

Instruction: Encircle the letter of the best answer.

1. "The of Marian General Hospital is to be the leader in health care in the region" Statement 1 is the hospital's:
A. Vision C. Philosophy
B. Mission D. Goals and objective
2. Dean Cora is making the plan for a college of nursing where one of the objectives is 100% passing rate in the
Nurse Licensure examination. She detailed that selective admission, selective retention and In house review are
among the steps to achieve such objective:
A. Operational planning C. Strategic planning
B. Proactive planning D. Reactive planning
3. The hospital is guided by their belief that men are created in the image and likeness of God; thus, they should be
treated with respect. This statement reflects the hospital's:
A. Vision C. Philosophy
B. Mission D. Objectives
4. Which of the following conclusions of Ms. Alexa 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. One leadership theory states that “leaders are born and not made,” which refers to which of the following
theories?
A. Trait C. Great Man
B. Charismatic D. Situational
6. 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 C. Laissez faire
B. Authoritarian D. Bureaucratic
7. Feri 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
8. 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 C. Dominance
B. Majority rule D. Compromise
9. One staff suggests that they review the pattern of nursing care that they are using, which is described as a:
A. job description C. manual of procedure
B. system used to deliver care D. rules to be followed
10. 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
11. One of the ethical obligations of nursing is accountability. Accountability means that the staff nurse is
responsible for:
A. The behavior of clients who are noncompliant
B. The consequences of his or her actions, even mistakes in judgment
C. The behavior of other staff members who are negligent in their nursing care
D. The consequences of an administrative decision to decrease nursing staff
13. A nurse manager, understands that the development of TQM and CQI are meant to:
A. Serve as a system of external measures and balance
B. Protect patients and families during a health care crisis
C. Assure society that cost containment would not compromise safety
D. Result in extensive statistical data bases needed to provide patient care
14. The total nursing staff needed by your hospital is 180. If 60% of them are professional nurses, distribute them
in the three (3) different shifts:
A. AM 81 PM 67 - Night 32 C. AM 49 PM 40 Night 19
B. AM 79 PM 68 - Night 20 D. AM 50-PM 39 - Night 18
15. Controlling, as a step in the management process, is observed in which of the following situations:
A. The Chief Nurse tells the HR department to post advertisement for job vacancy for 10 staff nurses
B. The Nursing Supervisor monitors the activities of the five units she is responsible for.
C. The Head Nurse makes a performance evaluation of her staff nurses
D. The Chief Nurse develops the goals and objectives of her department
16. The collaborative role in a management is used when:
A. The nurse plans care with the patient
B. The nurse works with other members of the health care team from other units.
C. The nurse initiates nursing action with co-workers
D. The nurse defends rights of patients
17. A nurse leader assumes a critical role in planning, implementing and evaluating patient care outcomes. All of
the following are beneficial to the management of patient care in the hospital, except:
A. Integration of patient information management into the system
B. Assess patient acuity and prepare appropriate care
C. Focus of care in patient population rather than individual patient
D. Equal allocation of resources in all service units
18. Which pattern of nursing care involves the care given by a group of paraprofessional workers led by a
professional nurse who take care of patients with the same disease conditions and are located geographically near
each other?
[Link] method C. Nursing case management
[Link] nursing D. Team nursing
19. Steph is often seen interacting with the medical intern during coffee breaks and after duty hours. What type of
organizational structure is this?
A. Formal C. Staff
B. Informal D. Line
20. Ms. Glenda develops the standards to be followed. Among the following standards, which is considered as a
structure standard?
A. The patients verbalized satisfaction of the nursing care received
B. Rotation of duty will be done every four weeks for all patient care personnel.
C. All patients shall have their weights taken recorded
D. Patients shall answer the evaluation form before discharge
21. The following are basic steps in the controlling process of the department. Which of the following is NOT
included?
A. Measure actual performance
B. Set nursing standards and criteria
C. Compare results of performance to standards and objectives
D. Identify possible courses of action
22. A new nursing graduate is attending an agency orientation regarding the nursing model of practice
implemented in the health care facility. The nurse is told that the nursing model is a team nursing approach. The
nurse understands that planning care delivery will be based on which characteristic of this type of nursing model of
practice?
A. a task approach method is used to provide care to clients
B. managed care concepts and tools are used in providing client care
C. an RN leads nursing personnel in providing care to a group of clients
D. a single RN is responsible for providing nursing care to a group of clients
[Link] nurse manager is planning to implement a change in the nursing unit from team nursing to primary nursing.
The nurse anticipates that there will be resistance to the change during the change process. The primary technique
that the nurse would use in implementing this change is which of the following?
A. introduce the change gradually
B. confront the individuals involved in the change process
C. use coercion to implement the change
D. manipulate the participants in the change process
24. A nurse manager is reviewing the critical paths of the clients on the nursing unit. The nurse manager
collaborates with each nurse assigned to the clients and performs a variance analysis. Which of the following
would indicate the need for further action and analysis?
A. a client is performing his own colostomy care
B. purulent drainage is noted from a postoperative wound incision
C. a 1-day postoperative client has a temperature of 98.8F
D. a client newly diagnosed with diabetes mellitus is preparing his own insulin for injection
25. A charge nurse considers shifting to transformational leadership. Which of the following statements best
describes this type of leadership?
A. The leader uses visioning as the essence of leadership.
B. The leader serves the followers rather than being served.
C. The leader maintains full trust and confidence in the subordinates.
D. The leader possesses innate charisma that makes others feel good in his presence
26. 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.
27. In the performance of your duty you must possess knowledge to perform your job appropriately. The
organization mission is “Quality is in the details”. Which of the following statements support this mission?
A. Requiring competence and diligence in meeting the goals of the organization.
B. Making the smallest error or overlooking details can have negative impact on quality.
C. Performing one’s job to the best of one’s ability guided by principles.
D. Contributing to quality improvement throughout the organization to highest degree
28. Planning involves analyses of both external and internal factors affecting the process. External factors include:
A. Strength C. Opportunities
B. Strength and weakness D. Opportunities and threats
29. Which of these statements is not true about a strategic plan?
A. Requires focus on the mission and vision of the organization
B. Should not be done during financial crises
C. Requires an assessment of the environment for opportunities
D. Needs to be revisited periodically
30. The staffs of an outpatient clinic have formed a task force to develop new procedures for swift, safe evacuation
of the unit. The new procedures haven’t been reviewed, approved or shared with all personnel. When the nurse-
manager receives word of a bomb threat, the task force members push for evacuating the unit using the new
procedures. Which action should the nurse-manager take?
A. Determine that the procedures currently in place must be followed and direct staff to follow them without
question.
B. Tell staff members to use whatever procedures they feel are best
C. Ask staff members to quickly meet among themselves and decide what procedures to follow
D. Tell staff members to assemble in the staff lounge; there the nurse-manager will quickly gather opinions
about evacuation procedures before deciding what to do.
31. One staff suggests that they review the pattern of nursing care that they are using, which is described as a:
A. job description C. manual of procedure
B. system used to deliver care D. rules to be followed
32. 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
33. 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
34. The nurse manager prepares the process standards. Which of the ff. is NOT a process standard?
A. Initial assessment shall be done to all patients within 24 hours upon admission
B. Informed consent shall be secured prior to any invasive procedure
C. Patient shall fill up the customer’s feedback prior to discharge
D. Patient education about illness and treatment shall be provided for all patients and their families
35. One of the patients asked the nurse if she will be available to take care of her from the time of admission and
even after discharge. This refers to what type of system of nursing care delivery?
A. Primary Nursing C. Nursing case management
B. Team Nursing D. Case Method
36. Mr. Musngi, a management instructor, met his students to clarify some unclear concepts to them. One of the
students asked about staffing. Mr. Roberto explained that staffing is an essential part of what management
function?
A. Organizing C. Directing
B. Controlling D. Planning
37. One of the new staff nurses wants to understand the channel of communication, span of control and lines of
communication.
A. Organizational structure C. Job description
B. Policy D. Manual procedures
38. Which of the following conditions would prevent Pamela from a malpractice suit?
A. She performs her duty as prescribed in her job description
B. Her action resulted to an injury resulted from non-compliance to the standard of care
C. The participation of the child’s parents resulted to an injury to the child.
D. She is aware of the possibility of the injury to the patient
39. Which of the ff. articles is an example of operational budgets?
A. Fee for the Internet Service Provider C. Additional room for minor surgery
B. Purchase of an operating room table D. New anesthesia machine
40. The Forty-Hour Week Law (Republic Act 5901), provides that employees will work only 40 hours a week
provided that they are working in hospitals with a minimum of how many bed capacity:
A. 50-bed capacity C. 100-bed capacity
B. 75-bed capacity D. 150-bed capacity
41. It is a delivery system where the nursing staff is divided into teams who are responsible for the care of a group
of patients.
A. Primary Nursing C. Total Patient Care
B. Functional Nursing D. Team Nursing
SITUATION: Planning involves deciding what, when where and how to do it, by whom and with what resources.
42. An element of planning which helps the managers predict the future in which the plan will be executed.
A. Setting Policies and Procedures C. Forecasting
B. Budgeting D. Program Scheduling
43. A kind of nursing planning that includes the analysis of strengths, weaknesses, opportunities and strengths is
also known as:
A. Strategic Planning C. Fiscal Planning
B. SWOT Planning D. Contingency Planning
44. Mr. John, the new nurse administrator of Quirino Memorial Medical Center had defined one of their specific
objectives to the Government Official Council Meeting, “To expand and upgrade he hospital infrastructure, its
frontline, diagnostic and therapeutic services to meet the demands of scientific advancement and technology in
providing patient care”. The Mayor becomes aware to the hospital needs and therefore orders the municipal
treasury to allot a budget for the attainment of the presented purpose. Mr. Cornejo was able to successfully achieve
what component of SWOT analysis?
A. Strengths C. Opportunities
B. Weaknesses D. Threats
[Link] Y is correctly described by all, but one, of the following statements:
A. Applicable for people who enjoy work and have self-control
B. Uses threats as a prime motivator
C. Uses praise and recognition as the key motivators
D. A guide for managers to develop the potential of each person
46. The chief nurse is trying to implement a new method of staff assignment in the unit. Nurses are now required to
render 6 day workweeks instead of the usual 5 days a week. Majority of the staff resist the change, while a few
other nurses who welcome the opportunity for extra income, are more willing to accept the change. The nurse
supervisor can effectively implement this change by choosing which course of action?
A. Explain the purpose of the change and reinforce management decision
B. Postpone the implementation of the new schedule to let the antagonistic feelings of the staff “cool down”
C. Conduct a dialogue with the nursing staff and head nurses and involve them in planning the new schedule
D. Avoid discussing the issue with the staff and implement the new schedule as planned
47. The nurse manager evaluates her staff nurses for their work attitude and ethics. The manager determines that
her staff nurse shows work accountability when the staff nurse:
A. Performs tasks based on her job description
B. Follows the standards of safe nursing practice
C. Directs the work of her fellow nurses
 D. Answers for the consequences of her own decisions
48. Under the principles of Total Quality Management, identifying quality improvement opportunities is the
responsibility of which group?
A. Administration C. Nurse
B. Medical practitioners D. All healthcare personnel
49. The nursing supervisors and the Chief Nurse are brainstorming on ways to implement process standards. Which
of the following is NOT a process standard?
A. Initial assessment shall be done to all patients within twenty four hours upon admission.
B. Informed consent shall be secured prior to any invasive procedure
C. Patients’ reports 95% satisfaction rate prior to discharge from the hospital.
D. Patient education about their illness and treatment shall be provided for all patients and their families.
50. On the other hand, Ms. Alexa 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