NURSING LEADERSHIP AND MANAGEMENT (LMR) P2.
1. The manager of a care facility advocates traditional management science. What is this manager most likely to
prioritize?
a. Ensuring that workers are satisfied in their roles
b. Identifying and addressing barriers to efficiency
c. Empowering workers to make decisions independently
d. Providing rewards for exceptional caring
2. Caregivers at a public health center believe that their manager adheres to Theory X. What action by the manager best
confirms this suspicion?
a. The manager collaborates with senior staff to set quarterly goals for the center.
b. The manager insists on accompanying nurses to community events and observes them closely.
c. The manager is difficult to access when there is a problem or crisis in the center.
d. The manager allocates rewards based on the outcomes of nurses' work.
3. Accreditors are scheduled to visit a hospital site, and staff members have been made aware of what they will be
assessing. What staff behavior would most clearly suggest the presence of the Hawthorne effect?
a. The nurses consciously improve their performance because they know it is being scrutinized.
b. The nurses avoid contact with the accreditors because they fear criticism.
c. The manager blames individual nurses for deficits identified in the accreditation report.
d. The manager temporarily adopts a leadership role.
4. The manager at a long-term care facility has intervened in a conflict between two staff members about the timing and
length of lunch and coffee breaks. What management function is this manager demonstrating?
a. Planning
b. Organizing
c. Directing
d. Evaluating
5. A manager demonstrates one of the four principles of scientific management when he or she:
a. shows an interest in employees' personal lives and emotional health.
b. engages in lifelong learning and expects employees to do the same.
c. allows employees to do their jobs independently, with minimal oversight.
d. hires and promotes employees on the basis of their competence and skills.
6. What aspect of the way that work is organized on a nursing unit best reflects the management theories of Max
Weber?
a. A committee that includes employees and managers has been established to plan the work on the unit.
b. The hierarchy of authority and the policies and procedures on the unit are clearly posted.
c. Quarterly awards are granted to employees who have demonstrated exceptional service.
d. Employees are allowed to self-schedule their vacation time and must work out any conflicts on their own.
7. The clinic leader tends to make decisions independently and closely supervises and controls the practice of the nurses
at the clinic. What type of leadership is being exemplified?
a. Authoritarian
b. Democratic
c. Laissez-faire
d. A contingency approach
8. How can a manager best implement the principles of situational or contingency leadership theory?
a. By establishing rules and norms that can be applied in all conditions in the organization
b. By avoiding punitive consequences when addressing workers' lack of performance
c. By deferring to employees for day-to-day management decisions
d. By adapting his or her leadership style to a particular circumstance
9. Which statement best depicts leadership?
a. Strong leaders can coerce people into following them.
b. A leadership position has a narrower scope than a management position.
c. People will follow a person in a leadership position only by choice.
d. Leadership requires meeting organizational goals.
10. What characteristic of a nurse-manager suggests that he or she is acting in the role of a traditional manager rather
than an integrated leader-manager?
a. The manager is conscious of the important role of politics and is politically astute.
b. The manager has an outward view, extending to the larger organization.
c. The manager's influence is limited to his or her group.
d. The manager emphasizes the importance of vision and values.
11. What statement by a leader most clearly demonstrates the Great Man theory of leadership?
a. "Leadership is grounded in close, supportive relationships."
b. "Leadership and management are two different manifestations of one skill set."
c. "Some people are born to lead, and some are born to be led."
d. "Leadership can't exist without earning people's respect."
12. A nurse-manager has recently been accused of assigning work unequally. The manager has recognized the need to
revise the process for assigning work to nurses. How can the manager best apply the principles of Theory Z?
a. Making a decision independently and imposing it on the nurses
b. Gathering input from employees in order to reach a consensus
c. Making a decision based on the pros and cons of each option
d. Identifying as many different alternatives as possible
13. The nurse who manages an ambulatory clinic is well known as being a visionary leader who is skilled at empowering
others with this vision. What type of leader is this nurse?
a. Transactional
b. Transformational
c. Interactional
d. Bureaucratic
14. A nurse-leader has set a goal of becoming a more transformational leader. What outcome will best indicate progress
toward achieving this goal?
a. The nurse maximizes efficiency when allocating scarce resources.
b. The nurse's subordinates demonstrate respect and loyalty.
c. The nurse empowers others to reach their full potential.
d. The nurse provides praise for good work performances.
15. What management activity characterizes the priorities that existed during the human relations era of management?
a. Collaborative decision making
b. Punishing workers who were unproductive
c. Granting equal rights to men and women
d. Application of laissez-faire leadership
16. A nurse oversees the care on a hospital unit in the role of an integrated leader-manager. What characteristics should
this nurse exhibit? Select all that apply.
a. The nurse describes herself has an "inward thinker."
b. The nurse's thinking includes long-term issues.
c. The nurse consciously attempts to motivate the employees.
d. The nurse has influence that goes beyond her own group.
e. The nurse is always conscious of political realities.
17. The nurse-manager of a community clinic is applying the principles of interactional leadership when addressing a
challenging situation. What variables should the nurse prioritize when applying this model of leadership? Select all that
apply.
a. The characteristics of the nurse's personality
b. The financial resources available to the nurse
c. The consequences of failure
d. The factors that motivate the employees of the clinic
e. The specifics of the clinical challenge that the nurse is addressing
18. The nurse-manager of the perioperative department is attempting to apply the full-range leadership model (FRLM)
when overseeing the department. The nurse should attempt to integrate what types of leadership? Select all that apply.
a. Laissez-faire
b. Scientific
c. Autocratic
d. Transactional
e. Transformational
19. The manager of a busy emergency department is primarily concerned with the practical, day-to-day operations of
the department. This manager is most clearly demonstrating what type of leadership?
a. Transactional
b. Transformational
c. Interactional
d. Bureaucratic
20. What statement by a manager best reflects the principles of interactional leadership?
a. "People's motives are important, and motives change over time."
b. "People perform to their fullest potential and then they're under pressure."
c. "A person can't simultaneously act as a manager and a leader."
d. "Organizations run best when there is no formal, centralized authority."
21. Which activities are associated with a leadership role? Select all that apply.
a. Mentoring two new managers
b. Establishing goals for the coming year
c. Advocating for nurses to receive more professional development opportunities
d. Providing a motivational speech at the new employee orientation
e. Finding a nurse to cover another nurse's shift
22. The failure to engage in which activities are considered a fatal flaw of leadership? Select all that apply.
a. Collaboration with colleagues
b. Communication with employees
c. Self-improvement
d. Staff development
e. Determining salary scales for employees
23. Which statement by a subordinate demonstrates the greatest challenge for the leader?
a. "Your plans for the change can't realistically be implemented."
b. "I don't think you heard what the rest of us had to say."
c. "Do you have an idea what direction we need to go?"
d. "Can you tell me why my suggestion will not work?"
24. Which function of the management process involves the performance evaluation of employees?
a. Planning
b. Organizing
c. Staffing
d. Controlling
25. A nurse has been hired to oversee the operations of a series of ambulatory clinics. The nurse can best promote the
success of the organization by:
a. promoting management skills among all employees.
b. integrating leadership skills and management skills.
c. clearly communicating to employees that they will be required to follow.
d. advocating for the organization to hire a leader for each site.
26. What action by the nurse-manager in a health organization best demonstrates transformational leadership?
a. The manager readily takes responsibility after making a scheduling error.
b. The manager's employees are reminded that they must submit evidence of renewing their license.
c. The manager informs each employee about the new criteria that will be the basis of the performance reviews.
d. The manager holds a workshop to outline a new vision for patient-centered care.
27. A nurse was 20 minutes late returning from a scheduled lunch break and a colleague's break was consequently cut
short. What response by the manager best demonstrates a laissez-faire leadership approach?
a. Ask each of the nurses to speak with the manager separately to discuss the implications of this event.
b. Ask the nurses to attend a short meeting together in the manager's office.
c. Allow the two nurses to dialogue about this event and observe for evidence of a satisfactory resolution.
d. Impose a meaningful consequence on the first nurse and have the nurse apologize to the colleague.
28. The nurse-manager is addressing a nurse's suspected breach of client confidentiality in a social media posting. What
function of the management process is this nurse-manager demonstrating?
a. Organizing
b. Staffing
c. Directing
d. Controlling
29. The nurse-manager has been approached by three different families in recent weeks, all of whom have described a
particular nurse as giving exceptional care. The manager has relayed this feedback to the nurse and nominated the nurse
for an organization-wide award. How should the manager's actions be best interpreted?
a. The manager is giving an example of democratic leadership.
b. The manager's actions are likely to cause accusations of favoritism.
c. The manager is following the Great Man theory of leadership.
d. The manager's actions may inadvertently discourage the other nurses.
30. Which of the following is not an element of planning?
a. Forecasting
b. Setting the Vision, Mission, Philosophy, Goals & Objectives
c. Developing & Scheduling Operations
d. Preparing the Budget
31. Total patient care delivery systems are typically used in which areas?
a. Critical care units
b. Post-anesthesia recovery area
c. All of the above
d. None of the above
32. The following are the contents of job description except. Select all that apply.
a. Contact information
b. Job objectives
c. Qualification Requirements
d. Job Heirarchy
e. Job Summary
f. Job Relationships
33. The purpose of selection process is/are the following, except?
a. To match people to jobs
b. To assess applicant's ability, skills and motivation related to the requirements and rewards of the job
c. To generate a pool of qualified applicants.
d. None of the above
34. The risk manager may encourage a nurse to report medication errors, but the nurse manager follows up with
discipline over the error. This is an example of:
a. Intrasender Conflict
b. Intersender Conflict
c. Intrareceptor Conflict
d. Interreceptor Conflict
35. Patients on level 1 care needs how much NCH?
a. 67.5
b. 146.25
c. 157.5
d. 22.5
36. Patients on level 3 of care needs how much NCH?
a. 101.25
b. 303.75
c. 33. 75
d. 67.5
37. The nursing care assignment hat began in hospitals in the mid -1940s in response to a national nursing shortage.
a. Functional nursing
b. Team nursing
c. Total patient care
d. Primary nursing
38. The staff nurse is to report the daily activities to the nurse supervisor this is a/an:
a. Downward communication
b. Upward communication
c. Lateral communication
d. Diagonal communication
e. Grapevine
39. This describes the skills, abilities, & knowledge required to perform the job; must reflect current practice guidelines.
a. Organization's description
b. Selection description
c. Employer description
d. Position description
40. How many patients needs minimal care?
a. 45
b. 97.5
c. 105
d. 15
41. What type of planning is devised for an exceptional risk which is impractical or impossible to avoid.
a. Short term
b. Long term
c. Contingency
d. Middle range
42. The nurse managers of the operating room and delivery room held a meeting regarding a CS client. This is an
example of what type of communication?
a. Downward communication
b. Upward communication
c. Lateral communication
d. Diagonal communication
e. Grapevine
43. How many patients needs moderate care?
a. 45
b. 97.5
c. 105
d. 15
44. This nursing care assignment was designed to place the registered nurse back at the patient's bedside.
a. Functional nursing
b. Team nursing
c. Total patient care
d. Primary nursing
45. In team nursing, the following are the activities done by the team leader. Except.
a. Developing or updating nursing care plans
b. Resolving problems encountered by team members
c. Conducting nursing care conferences
d. Communicating with physicians only
46. How many patients needs intensive care?
a. 22.5
b. 67.5
c. 7.5
d. 15
47. Patients on level 2 of care needs how much NCH?
a. 135
b. 292.5
c. 315
d. 45
48. This describes the goal to which the organization aspires.
a. Objective
b. Vision
c. Goal
d. Philosophy
49. A written statement that reflects the organizational values, vision & mission.
a. Objective
b. Vision
c. Goal
d. Philosophy
50. The staff nurse of the oncological unit coordinated with the ER nurse supervisor. This is a/an:
a. Downward communication
b. Upward communication
c. Lateral communication
d. Diagonal communication
e. Grapevine
51. A rumor started in the unit about a staff nurse dating his/her patient. This came from what type of communication?
a. Downward communication
b. Upward communication
c. Lateral communication
d. Diagonal communication
e. Grapevine
52. This is where action commitments through which an organization's mission & purpose will be achieved is stated
a. Objective
b. Vision
c. Goal
d. Philosophy
53. Which nursing care assignment is infrequently used in acute care facilities?
a. Functional nursing
b. Team nursing
c. Total patient care
d. Primary nursing
54. Which of the following is not an instrument of the selection process?
a. Background check
b. Reference check
c. Tests
d. Managerial interviews
55. The process of working through staff members to be able to provide comprehensive care to the patient.
a. Nursing
b. Management
c. Nursing Management
d. Leadership
56. This leader acts as facilitator.
a. Autocratic
b. Democratic
c. Laissez-faire
d. Bureaucratic
57. Leaders should use what type of leadership style with followers who are unable and unwilling or insecure about
performing the task?
a. S1
b. S2
c. S3
d. S4
58. When taking a telephone order, which of the following if the least helpful?
a. The nurse should read back the physician's order.
b. The physician must sign the order on his/her next visit within 48 hours.
c. The nurse should sign the name of physician per her own and note the time the order was received.
d. When a telephone order is being given there should be another resident physician or intern in the same service to
receive it
59. This means the unjustifiable detention of a person without a legal warrant within boundaries fixed by the defendant
by an act or violation of duty intended to result in such confinement.
a. Assault
b. Battery
c. False Imprisonment
d. Invasion of Right to Privacy
60. The elements of professional negligence are the following. Select all that apply.
a. existence of a duty on the part of the person charged to use due care under circumstances
b. failure to meet the standard of due care
c. the foreseeability of harm resulting from failure to meet the standard
d. the fact that the breach of this standard did not result in an injury to the plaintiff
e. the breach of duty has occurred regardless of the presence of damage to the patient
61. This is the lack of ability, or legal qualifications and being unfit to discharge the required duty."
a. Negligence
b. Incompetence
c. Malpractice
d. None of the above
62. The right to privacy is the right to be left alone, the right to be free from unwarranted publicity and exposure to
public view as well as the right to live one's life without having anyone's name, picture or private affairs made public
against one's will.
a. Assault
b. Battery
c. False Imprisonment
d. Invasion of Right to Privacy
63. It serves as a legal protection for the hospital, doctor, and nurse by reflecting the disease or condition of the patient
and his management.
a. Medical Records
b. Consent
c. Advance Directives
d. Will
64. This leadership style based on the managerial grid believes that adequate organization performance is possible
through balancing the necessity.
a. Impoverished
b. Middle of the Road
c. Authority compliance
d. Country Club
e. Team
65. The leader that makes all the decisions & uses coercion, punishment, & direction to change followers' behavior &
achieve results.
a. Autocratic
b. Democratic
c. Laissez-faire
d. Bureaucratic
66. What law states that "in the administration of intravenous injections, special training shall be required according to
protocol established."
a. Philippine Nursing Act of 1991 Section 21
b. Philippine Nursing Act of 1991 Section 30
c. Philippine Nursing Act of 1991 Section 28
d. Philippine Nursing Act of 1991 Section 20
67. The goal of communication is to:
a. Approach, as closely as possible, a common understanding of the message sent and the one received.
b. Recede, as closely as possible, a common understanding of the message sent and the one received.
c. Approach, as open as possible, a common understanding of the message sent and the one received.
d. Approach, as closely as possible, a unique understanding of the message sent and the one received.
68. It is an interpersonal process that involves motivating and guiding others to achieve goals.
a. Leadership
b. Management
c. Nursing
d. Power
69. The type of leader that trusts neither followers not self to make decisions and therefore relies on organizational
policies and rules.
a. Autocratic
b. Democratic
c. Laissez-faire
d. Bureaucratic
70. Which of the following is not true on the techniques in supervision?
a. Observation of the worker while making rounds.
b. Spot checking of charts through nursing audits.
c. Asking one patient about the care they receive.
d. Looking into the general condition of units.
71. A legal wrong, committed against a person or property independent of a contract which renders the person who
commits it liable for damages in a civil action.
a. Crime
b. Tort
c. Malpractice
d. Negligence
72. The following are the four-stage process of planning, except?
a. Establish subjective (goals).
b. Evaluate the present situation & predict future trends & events.
c. Formulate a planning statement (means).
d. Convert the plan into an action statement.
73. Which of the following is a potential obstacle on the delegator?
a. Management styles
b. Lack of trust
c. Fear of failure and reprisal
d. Fear of failure and reprisal
74. Leaders should use what type of leadership style with followers who are able but unwilling or lacking in confidence in
performing the task?
a. S1
b. S2
c. S3
d. S4
75. In decreasing order of importance, arrange the 3 situational factors of leadership: I. Manager-follower relationship II.
Manager power III. Task structure.
a. I,II, III
b. III,II, I
c. I,III,II
d. II,III,I
76. Which of the following is not an example of negligence?
a. Failure to report observations to attending physicians.
b. Mistaken identity.
c. Errors due to family assistance.
d. Requiring the patient to submit for an MRI
77. Which of the following is not included among the 4 dimensions of system 4 management?
a. Autocratic leaders
b. Bureaucratic leaders
c. Consultative leaders
d. Participative leaders
78. The following are potential environmental obstacles to delegation, except.
a. Standards
b. Job descriptions
c. Delegator's Competence
d. Norms
79. Lack of education is not mitigating in which of the following crimes?
a. Cyberbullying
b. Theft
c. Rape
d. Drunk driving
80. The Republic Act that refers to the Magna Carta of Public Health Workers:
A. R.A. 2382
B. R.A. 2644
C. R.A. 7305
D. R.A. 6425
81. Republic Act -7164 knows as the “Nursing Act of 1991” embodies the Regulation of Practice of Nursing in the
Philippines. A member of the board of Nursing must be:
A. Citizens of the Philippines
B. RN and holder of Master Degree
C. 10 years of continuous practice of the profession
D. All of the above
82. A nurse gives a wrong medication to a client. Another nurses employed by the hospitals, as a risk manager will
expect to receive which following communications?
A. Incident Report
B. Oral report from the nurse
C. Copy of medication Kardex
D. Jurisprudence Nursing
83. Performing a procedure on a client in the absence of informed consent can lead to which of the following charges?
A. Fraud
B. Harassment
C. Assault and battery
D. Breach of confidentiality
84. A nurse is witnessing consent from a client before a cardiac catheterization. Which of the following factors is a
component of informed consent?
A. Freedom from coercion
B. Durable power of attorney
C. Private insurance coverage
D. Disclosure of previous answers given by the client
85. Under the PRC Board of Nursing Resolution No. 08, nurses can be allowed to insert intravenous solution after duly
accredited by:
A. Department of health
B. Philippine Regulation Commission
C. Association of Nursing Service Administration of the Philippines (ANSAP)
D. Philippine Nursing Act 1991 (RA 7164)
86. Which of the following is the amendment of R.A. 6111 that provides medicare benefits to all government employees
regardless of status and appointment:
A. R.A. 2382
B. R.A. 1612
C. P.D. 1519
D. R.A. 1082
87. It provides for compulsory basic immunization for infants and children below 8 years of age.
A. Presidential Decree No. 539
B. Nursing Jurisprudence Decree
C. Presidential Decree No. 996
D. Presidential Decree No. 148
88. Which of the following is NOT a source of a pronounced law?
A. The Philippine Constitution
B. Letter of Instruction
C. Presidential Decrees
D. None of the above
89. Which of the following is the Rural Health Act which provides for more employment of physicians, nurses, midwives
and sanitary inspectors who will live in the rural areas to help raise health condition of the barrio people?
A. R.A. 2382
B. R.A. 1612
C. R.A. 6111
D. R.A. 1082
90. 25. You are a public health nurse and there are cases of dengue fever in your town. You should report this according
to what law?
a. R.A. 7610
b. R.A. 1082
c. R.A. 3573
d. R.A. 1811
91. In order to pass the licensure examination, what is the general weighted average to be reached by the test taker?
a. 75%
b. 60%
c. 65%
d. 70%
92. As a nurse manager, one of your staff asked you about incident report. What are you going to include in your
explanation?
a. It is utilized to document any common nursing duties.
b. It is written in the nurse’s notes.
c. It is not a means of punishment.
d. It does not protect the person involved.
93. According to the preamble of the code of ethics for registered nurses, what are the fundamental aspects of nursing?
a. Restoration of health
b. Alleviation of suffering
c. Only answer A
d. A & B
94. It refers to the act of adopting a foreigner and clothing him with the privileges of a native citizen?
a. Alienation
b. Naturalization
c. Expatriation
d. Repatriation
95. Alex is to appear and testify in the court as a witness. What should she receive prior to that?
a. Subpoena duces tecum
b. Subpoena testificandum
c. Subpoena ut des
d. None of the above
96. Who among the individuals below cannot make a will?
a. NN who is 19 years old and has Leukemia.
b. RR, who is married and has prostate cancer.
c. GG who is 28 years old married, and is suffering postpartum psychosis.
d. JJ who is 18 years old and has acute renal failure.
97. Louie is an experienced registered nurse and wants to be a clinical instructor. What qualification does he need to be
one?
a. Have at least 2 years of experience in general nursing administration
b. Have 9 units in management and administration courses at the graduate level
c. Have at least 5 years in teaching and supervising
d. Have a good standing in an accredited professional organization of nurses
98. You are one of the vaccinators in the Measles- Rubella Campaign. One mother hesitated since she verbalized that it
would hurt her son. As a well-versed nurse about ethical considerations,you explained to the mother that it might cause
discomfort, but it will protect her son from acquiring the said diseases. What principle did you utilize?
a. Nonmaleficence
b. Justice
c. Beneficence
d. Autonomy
99. The Unang Yakap Campaign advocates the interrupted mother and child bonding through Rooming –in and early
breastfeeding. What law governs Rooming-in and Breastfeeding?
a. P.D. 148
b. R.A. 7600
c. R.A. 7432
d. R.A. 7877
100. Board of Nursing Resolution No. 110 s. 1998 is also known as:
a. Adoption of Nursing Specialty Certification Program
b. Adoption to a guide to evaluate compliance with Standards for Safe Nursing Practice
c. Specialty training on intravenous injections for registered nurses
d. Promulgation of standards of safe nursing practice
