NCLEX Questions For Leadership, Management, Bioethics And Research Exam

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

Formal

Informal

Staff

Line

This is usually not published and oftentimes concealed.

Explanation

This is usually not published and oftentimes concealed.

2. 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?

Proactive and caring with one another

Competitive and perfectionist

Powerful and oppositional

Obedient and uncomplaining

The behavior of being proactive and caring with one another indicates that a positive organizational culture is being promoted in the group. This behavior suggests that the members of the group are taking initiative, being proactive in their actions, and showing care and support towards each other. This promotes a sense of collaboration, teamwork, and a positive work environment where individuals feel valued and supported.

Explanation

The behavior of being proactive and caring with one another indicates that a positive organizational culture is being promoted in the group. This behavior suggests that the members of the group are taking initiative, being proactive in their actions, and showing care and support towards each other. This promotes a sense of collaboration, teamwork, and a positive work environment where individuals feel valued and supported.

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?

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

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

Uses visioning as the core of his leadership

Matches his leadership style to the situation at hand.

Charismatic leaders make the followers feel at ease in their presence. They feel that they are in good hands whenever the leader is around.

Explanation

Charismatic leaders make the followers feel at ease in their presence. They feel that they are in good hands whenever the leader is around.

4. 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?

Organizational structure

Policy

Job description

Manual of procedures

Organizational structure provides information on the channel of authority, i.e., who reports to whom and with what authority; the number of people who directly reports to the various levels of hierarchy and the lines of communication whether line or staff.

Explanation

Organizational structure provides information on the channel of authority, i.e., who reports to whom and with what authority; the number of people who directly reports to the various levels of hierarchy and the lines of communication whether line or staff.

5. 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?

Each patient as listed on the worksheet

Patients who needs least care

Medications and treatments required for all patients

Patients who need the most care

In setting priorities for a group of patients, those who need the most care should be number-one priority to ensure that their critical needs are met adequately. The needs of other patients who need less care ca be attended to later or even delegated to assistive personnel according to rules on delegation.

Explanation

In setting priorities for a group of patients, those who need the most care should be number-one priority to ensure that their critical needs are met adequately. The needs of other patients who need less care ca be attended to later or even delegated to assistive personnel according to rules on delegation.

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

Written nursing care plan

Holistic approach

Prescribed standards

Staff preferences

Staff preferences should be the least priority in formulating objectives of nursing care. Individual preferences should be subordinate to the interest of the patients.

Explanation

Staff preferences should be the least priority in formulating objectives of nursing care. Individual preferences should be subordinate to the interest of the patients.

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

Memo from the CEO to cut down on electrical consumption

Demands of the labor sector to increase wages

Low morale of staff in her unit

Exacting regulatory and accreditation standards

Low morale of staff is an internal factor that affects only the unit. All the rest of the options emanate from the top executive or from outside the institution.

Explanation

Low morale of staff is an internal factor that affects only the unit. All the rest of the options emanate from the top executive or from outside the institution.

8. This option follows the framework of the nursing process at the same time applies the management process of planning, organizing, directing and controlling

Checking with the relative of the patient

Preparing a nursing care plan in collaboration with the patient

Consulting with the physician

Coordinating with other members of the team

The best source of information about the priority needs of the patient is the patient himself. Hence using a nursing care plan based on his expressed priority needs would ensure meeting his needs effectively.

Explanation

The best source of information about the priority needs of the patient is the patient himself. Hence using a nursing care plan based on his expressed priority needs would ensure meeting his needs effectively.

9. 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?

Span of control

Unity of direction

Unity of command

Command responsibility

Unity of direction means having one goal or one objective for the team to pursue; hence all members of the organization should put their efforts together towards the attainment of their common goal or objective.

Explanation

Unity of direction means having one goal or one objective for the team to pursue; hence all members of the organization should put their efforts together towards the attainment of their common goal or objective.

10. 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

Transformational leader

Transactional leader

Servant leader

Charismatic leader

Servant leaders are open-minded, listen deeply, try to fully understand others and not being judgmental

Explanation

Servant leaders are open-minded, listen deeply, try to fully understand others and not being judgmental

11. 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?

Scalar chain

Discipline

Unity of command

Order

The principle of unity of command means that employees should receive orders coming from only one manager and not from two managers. This averts the possibility of sowing confusion among the members of the organization

Explanation

The principle of unity of command means that employees should receive orders coming from only one manager and not from two managers. This averts the possibility of sowing confusion among the members of the organization

12. 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?

Wonders why things are not what it used to be

Finds solutions to the problems

Integrate the solutions to his day-to-day activities

Selects the best change strategy

Integrate the solutions to his day-to-day activities is expected to happen during the third stage of change when the change agent incorporate the selected solutions to his system and begins to create a change.

Explanation

Integrate the solutions to his day-to-day activities is expected to happen during the third stage of change when the change agent incorporate the selected solutions to his system and begins to create a change.

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

Increase the patient satisfaction rate

Eliminate the incidence of delayed administration of medications

Establish rapport with patients.

Reduce response time to two minutes.

Goal is a desired result towards which efforts are directed. Options AB, C and D are all objectives which are aimed at specific end.

Explanation

Goal is a desired result towards which efforts are directed. Options AB, C and D are all objectives which are aimed at specific end.

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

Job description

System used to deliver care

Manual of procedure

Rules to be followed

A system used to deliver care. In the 70’s it was termed as methods of patient assignment; in the early 80’s it was called modalities of patient care then patterns of nursing care in the 90’s until recently authors called it nursing care systems.

Explanation

A system used to deliver care. In the 70’s it was termed as methods of patient assignment; in the early 80’s it was called modalities of patient care then patterns of nursing care in the 90’s until recently authors called it nursing care systems.

15. 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?

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

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

The principle of ‘esprit d’ corps’ refers to promoting harmony in the workplace, which is essential in maintaining a climate conducive to work.

Explanation

The principle of ‘esprit d’ corps’ refers to promoting harmony in the workplace, which is essential in maintaining a climate conducive to work.

16. 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?

Democratic

Authoritarian

Laissez faire

Bureaucratic

Laissez faire leadership is preferred when the followers know what to do and are experts in the field. This leadership style is relationship-oriented rather than task-centered.

Explanation

Laissez faire leadership is preferred when the followers know what to do and are experts in the field. This leadership style is relationship-oriented rather than task-centered.

17. 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?

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

Seek help from her manager.

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

Ignore the issues since these will be resolved naturally.

This will allow for the participation of every staff in the unit. If they contribute to the solutions of the problem, they will own the solutions; hence the chance for compliance would be greater.

Explanation

This will allow for the participation of every staff in the unit. If they contribute to the solutions of the problem, they will own the solutions; hence the chance for compliance would be greater.

18. 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?

Collaboration

Majority rule

Dominance

Compromise

Majority rule involves dividing the house and the highest vote wins.1/2 + 1 is a majority.

Explanation

Majority rule involves dividing the house and the highest vote wins.1/2 + 1 is a majority.

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

Trait

Charismatic

Great Man

Situational

Leaders become leaders because of their birth right. This is also called Genetic theory or the Aristotelian theory

Explanation

Leaders become leaders because of their birth right. This is also called Genetic theory or the Aristotelian theory

20. 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?

Country club management

Organization man management

Team management

Authority-obedience management

Team management has a high concern for services and high concern for staff.

Explanation

Team management has a high concern for services and high concern for staff.

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

Concentrates on tasks and activities

Emphasizes use of group collaboration

One-to-one nurse-patient ratio

Provides continuous, coordinated and comprehensive nursing services

Functional nursing is focused on tasks and activities and not on the holistic care of the patients

Explanation

Functional nursing is focused on tasks and activities and not on the holistic care of the patients

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

Assessing nursing needs and problems

Giving instructions on how nursing care needs are to be met

Controlling and evaluating the delivery of nursing care

Assigning safe nurse: patient ratio

This option follows the framework of the nursing process at the same time applies the management process of planning, organizing, directing and controlling

Explanation

This option follows the framework of the nursing process at the same time applies the management process of planning, organizing, directing and controlling

23. 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?

Organizational chart

Cultural network

Organizational structure

Organizational culture

An organizational culture refers to the way the members of the organization think together and do things around them together. It’s their way of life in that organization

Explanation

An organizational culture refers to the way the members of the organization think together and do things around them together. It’s their way of life in that organization

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

Flat organization

Participatory approach

Shared governance

Tall organization

Tall organizations are highly centralized organizations where decision making is centered on one authority level.

Explanation

Tall organizations are highly centralized organizations where decision making is centered on one authority level.

25. 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?

Meet the needs of patients

Provide a pair of hands to other units as needed

Cover all time periods adequately.

Allow for growth and development of nursing staff.

Providing a pair of hands for other units is not a purpose in doing an effective staffing process. This is a function of a staffing coordinator at a centralized model.

Explanation

Providing a pair of hands for other units is not a purpose in doing an effective staffing process. This is a function of a staffing coordinator at a centralized model.

26. She reads about Path Goal theory. Which of the following behaviors is manifested by the leader who uses this theory?

Recognizes staff for going beyond expectations by giving them citations

Challenges the staff to take individual accountability for their own practice

Admonishes staff for being laggards.

Reminds staff about the sanctions for non performance.

Path Goal theory according to House and associates rewards good performance so that others would do the same

Explanation

Path Goal theory according to House and associates rewards good performance so that others would do the same

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

Uses visioning as the essence of leadership.

Serves the followers rather than being served.

Maintains full trust and confidence in the subordinates

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

Transformational leadership relies heavily on visioning as the core of leadership.

Explanation

Transformational leadership relies heavily on visioning as the core of leadership.

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

Span of control

Hierarchy

Esprit d’ corps

Unity of direction

Hierarchy refers to the pattern of reporting or the formal line of authority in an organizational structure.

Explanation

Hierarchy refers to the pattern of reporting or the formal line of authority in an organizational structure.

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

Psychological and sociological needs are emphasized.

Great control of work activities.

Most economical way of delivering nursing services.

Workers feel secure in dependent role

When the functional method is used, the psychological and sociological needs of the patients are neglected; the patients are regarded as ‘tasks to be done

Explanation

When the functional method is used, the psychological and sociological needs of the patients are neglected; the patients are regarded as ‘tasks to be done

30. 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 planningworkshop, which of the following is NOT a characteristic of this activity?

Long-term goal-setting

Extends to 3-5 years in the future

Focuses on routine tasks

Determines directions of the organization

Strategic planning involves options A, B and D except C which is attributed to operational planning

Explanation

Strategic planning involves options A, B and D except C which is attributed to operational planning

31. 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?

Organization Man

Impoverished Management

Country Club Management

Team Management

Country club management style puts concern for the staff as number one priority at the expense of the delivery of services. He/she runs the department just like a country club where every one is happy including the manager.

Explanation

Country club management style puts concern for the staff as number one priority at the expense of the delivery of services. He/she runs the department just like a country club where every one is happy including the manager.

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

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

All the nurses shall undergo continuing competency training program.

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

A vision refers to what the institution wants to become within a particular period of time.

Explanation

A vision refers to what the institution wants to become within a particular period of time.

33. 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?

Box

Solid line

Broken line

Dotted line

This is a staff relationship hence it is depicted by a broken line in the organizational structure

Explanation

This is a staff relationship hence it is depicted by a broken line in the organizational structure

34. 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?

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

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

Leaders rely heavily on visioning and inspire members to achieve results

Leadership is shared at the point of care.

Shared governance allows the staff nurses to have the authority, responsibility and accountability for their own practice

Explanation

Shared governance allows the staff nurses to have the authority, responsibility and accountability for their own practice

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

Focuses on management tasks

Is a caretaker

Uses trade-offs to meet goals

Inspires others with vision

Inspires others with a vision is characteristic of a transformational leader. He is focused more on the day-to-day operations of the department/unit.

Explanation

Inspires others with a vision is characteristic of a transformational leader. He is focused more on the day-to-day operations of the department/unit.

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

Have condescending trust and confidence in their subordinates

Gives economic or ego awards

Communicates downward to the staff

Allows decision making among subordinates

Benevolent-authoritative managers pretentiously show their trust and confidence to their followers

Explanation

Benevolent-authoritative managers pretentiously show their trust and confidence to their followers

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

Vision

Goal

Philosophy

Mission

The statement, "The Good Shepherd Medical Center aims to provide patient-centered care in a total healing environment" refers to the goal of the organization. A goal is a desired outcome or result that an organization aims to achieve. In this case, the goal of the Medical Center is to provide patient-centered care in a total healing environment. This implies that the organization has set this as a target or objective to work towards, indicating their intention and focus in delivering healthcare services.

Explanation

The statement, "The Good Shepherd Medical Center aims to provide patient-centered care in a total healing environment" refers to the goal of the organization. A goal is a desired outcome or result that an organization aims to achieve. In this case, the goal of the Medical Center is to provide patient-centered care in a total healing environment. This implies that the organization has set this as a target or objective to work towards, indicating their intention and focus in delivering healthcare services.

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

Having responsibility to direct others

Being accountable to the organization

Having legitimate right to act

Telling others what to do

Authority is a legitimate or official right to give command. This is an officially sanctioned responsibility

Explanation

Authority is a legitimate or official right to give command. This is an officially sanctioned responsibility

39. 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.

1 & 2

2 & 4

2, 3& 4

1, 2, & 4

Centralized organizations are needs only a few managers hence they are less expensive and easier to manage

Explanation

Centralized organizations are needs only a few managers hence they are less expensive and easier to manage

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

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

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

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

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

It is not conclusive that certain qualities of a person would make him become a good manager. It can only predict a manager’s potential of becoming a good one.

Explanation

It is not conclusive that certain qualities of a person would make him become a good manager. It can only predict a manager’s potential of becoming a good one.