REVISED NCM 119 TOS RLE Prelim Exam Paper S1 21-22

COLLEGE OF OUR LADY OF MT.
CARMEL (PAMPANGA)
Compassionate, Assertive, Resilient, Moral, Excellent, Lifelong-Learner
Km.78. Mc.Arthur Highway, Brgy. Saguin, City of San Fernando, Pampanga
Contact Nos: (045) 435-8744 8/ (045) 455-2082 Email add: colmcpamp_2005@yahoo.com.ph
COLLEGE OF ALLIED HEALTH PROFESSIONS

COLLEGE OF ARTS AND SCIENCES
First Semester S.Y 2021-2022
NURSING LEADERSHIP AND MANAGEMENT (NCM 119-RLE)
PRELIM
TOPICS INCLUDED IN THE EXAMINATION NO. OF QUESTIONS

A. Leadership theories 30
B. Management theories 20
C. Delivering nursing care 20
D. Legal aspects in nursing 20
TOTAL 100
REFERENCE:
Sullivan, E. (2018). Effective leadership and management in nursing
Bessie L. Marquis, Carol J. Husto. (2017). Leadership Roles and Management Functions in Nursing:
Theory and Application
PREPARED BY:
Evelyn E. Feliciano, RN, PhD, DScN(c)

Faculty
APPROVED BY:
Josephine V. Padilla RN, MAN

Program Head
Angelyn T. Salunga, RMT, DrPh(c)

Academic Head
NOTED BY:
Dr. Ma. Carmela B. Briones-Diaz, RN, MAEd(c)

Vice President for Academic Affairs
COLLEGE OF OUR LADY OF MT. CARMEL (PAMPANGA)
COLLEGE OF ALLIED HEALTH PROFESSIONS

COLLEGE OF ARTS AND SCIENCES
First Semester S.Y 2021-2022
NURSING LEADERSHIP AND MANAGEMENT (NCM 119-RLE)

PRELIM EXAMINATION
STUDENT NAME: EXAM DATE: October 08, 2021

_____________________________________
COLLEGE ID: INSTRUCTOR: Dr. Evelyn E.
_________________________________________ Feliciano
MULTIPLE CHOICE QUESTIONS GENERAL INSTRUCTIONS: Answer all the questions with only one
answer for each question.
The 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?
*Introduce the change gradually
Confront the individuals involved in the change process
Use coercion to implement the change
Manipulate the participants in the change process
Former President Joseph Estrada is known by people with the charisma and sociability to lead as being
influenced by his fame as a movie actor in his time. He therefore influenced by the __________.
*Great Man Theory
Behavioral Theory
Contingency Theory
Quantum Theory
A nurse notes that a postoperative client has not been obtaining relief from pain with the prescribed
opioid analgesics when a particular licensed practical nurse (LPN) is assigned to the client. The
appropriate action for the nurse to take is to:
Reassign the LPN to the care of clients not receiving opioids
Notify the physician that the client needs an increase in opioid dosage
*Review the client’s medication administration record immediately and discuss the observations with
the nursing supervisor
Confront the LPN with the information about the client having pain control problems and ask if the LPN
is using the opioids personally
A nurse informs the employer that she is a licensed intravenous therapist that is incorrect information
to obtain a better position or job, it implies an intentional tort of _______.
*Fraud
Malpractice
False imprisonment
Battery
President Duterte believes that he has the leadership traits which were taught by experience. You
know that this assumption is under _________.
*Behavioral Theory
Trait Theory
Great Man Theory
Contingency Theory
The nurse working in an acute care environment would utilize which strategies to reduce the risk of
malpractice litigation?
*Maintain expertise in practice
Never report unsafe staffing levels
None of the choices
Do nothing to be safe
When a leader is believed to be born and not made, then he is under the _________.
*Great Man Theory
Behavioral Theory
Contingency Theory
Quantum Theory
On a busy med-surg unit, a winter storm has prevented most of the staff members from getting to
work. One RN, two LPNs, and three UAPs have been able to get to work. What nursing care delivery
system should be implemented in this situation?
Team nursing
Primary nursing
*Functional nursing
Case management
Which of the following theories attempt to explain the appropriate leadership style based on the
leader, follower, and situation?
*Contingency Theory
Chaos Theory
Quantum Theory
Trait Theory
Which is an example of a staff nurse functioning in the role of a leader?

Verifying adequate staff coverage for a shift
Filling out a discipline form on a nursing assistant
*Encouraging a peer to join a committee
Attending a hospital-wide policy meeting
In this theory, the manager becomes more influential with a facilitative role rather than one of
control.
*Quantum Theory
Transactional Theory
Transformational Theory
Behavioral Theory
Which is the best instructional guidance for the nurse-manager to include for the staff nurses when
delegating the responsibility to revise the unit’s educational policies?
Let me know if you need anything so we can discuss in the next meeting
*Complete the tasks in six weeks this is the most important to accomplish
Give your suggestions and later we may compromise
Tell me what you think after looking at everything and then let’s see
When a leader inspires many people to give their best in every task done in an organization, what
leadership style is adopted?
*Transformational leadership
Transactional leadership
Shared leadership
Servant leadership
What statement is true regarding leadership?

It is an analysis of the situation
It is closely related to evaluation
*It involves choosing between courses of action
It is dependent upon finding the cause of the problem
It involves personal and social competence. This leadership style is known as ___________.
*Emotional leadership
Shared governance
Followership
Servant leadership
You are a leader that influences multiple team members in the healthcare organization you are
working at. What leadership have you adapted?
*Shared leadership
Servant leadership
Chaos leadership
Contingency leadership
You always expect everyone in the organization to meet a standard and best at delivering defined
results. You are considered a ____________.
*Transactional leader
Transformational leader
Emotional leader
Servant leader
All EXCEPT one are considered under the umbrella of Contemporary leadership theories.
*Contingency theory
Quantum leadership
Servant leadership
Chaos Theory
Which of the following theories that Quantum Theory is based on the reality is constantly shifting, and
the level of complexity are constantly shifting?
*Chaos Theory
Contingency Theory
Emotional Theory
Transactional Theory
All the following are involved in shared leadership in nursing, EXCEPT:

Self-directed work teams
Shared governance
Co-leadership
*Transformation
You are a nurse that desires to serve patients with the course of serving, you may be called to lead.
Therefore, you are considered a/an _____________.
*Servant leader
Emotional leader
Transactional leader
All EXCEPT one the following characteristics of a servant leader.

*Co-parenting
Empathy
Awareness
Persuasion
You are a nurse leader that has the chance to work together with another nurse leader to execute a
leadership role. You are both performing ________.
*Co-leadership
Co-parenting
Shared governance
A type of leadership that mutually influences team member interactions related to providing
direction, motivation, and support.
*Shared leadership
Servant leadership
Chaos leadership
Contingency leadership
You are trying your best as a leader at delivering innovation in your group. You are a ___________.
*Transformational leader
Servant leader
Shared leader
In this theory, we expect a change in which leaders should have a different way of thinking about
work and leadership.
*Quantum Theory
Emotional Theory
Conventional Theory
Contingency Theory
If you, as a leader, influence claiming and granting exchanges in an organization, what leadership do
you adapt?
*Shared leadership
Chaos leadership
Servant leadership
Emotional leadership
You are a nurse manager that is formally given to you to lead staff nurses and that reflects your
position at an organizational level to make decisions. Therefore, you do perform:
*Shared governance
Co-leadership
Self-awareness competence
As an employee, you become directly involved in decision-making as an equitable and accountable

partner in an organization. Therefore, it identifies that you work under __________.
*Quantum Theory
Contingency Theory
Behavioral Theory
Trait Theory
Which theory proposes specific behaviors that a leader must possess which differentiate them from
non-leaders?
*Behavioral Theory
Emotional Theory
Quantum Theory
Chaos Theory
A nursing model of care that is designed to meet the needs of the patients and use nurses effectively.
*Traditional
Integrated
Evolving
Partnership
To help hospitals achieve affordable and lasting improvements of care, which models of care are
developed?
*Evolving
Traditional
Integrated
Pathways
You are a nurse that very much aware of your responsibilities towards all aspects of the care of one or
more of the assigned patients. Which type of care model do you use?
*Total patient care
Functional nursing
Team nursing
Primary nursing
With an LPN and two less experienced RNs with you in the morning shift, you agree to work together.
You do __________.
*Practice partnership
Functional nursing
Primary nursing
Patient-centered care
You are assigned for identifying, coordinating, and monitoring the implementation of services to
achieve desired patient care outcomes within a specified period. You are performing ______.
*Case management
Practice partnership
Functional nursing
Team nursing
What model is for delivering primary care to ensure that adequate and appropriate care is provided to
a population of patients?
*Patient-centered medical home
Primary care nursing
Functional nursing
Synergy model of care
It refers to expected outcomes and care strategies developed by the collaborative practice team.
*Critical pathways
Patient-centered medical home
Case management
Which delivery care nursing can be used to assure continuity of patient care?
*Total patient care
Primary nursing
Functional nursing
Team nursing
Due to understaffing of nurses, you assigned nurses based on the needs of a group of patients
separated into tasks. Which type of delivering nursing care is utilized?
*Functional nursing
Team nursing
Critical pathways
In the ICU, you are solely assigned to a patient to implement all necessary nursing care management
and are accountable for the duration of the patient’s stay on the unit. You are adapting the
___________.
*Primary nursing
Team nursing
Case management
Functional nursing
In team nursing, you avoid duplication of work, overriding distributed assignments. What skill is
reflected and is required?
*Delegating
Communicating
Problem-solving
Decision-making
What delivery care nursing involves an efficient way of using the skills of a mix of professional and
non-professional staff with differing levels of expertise?
*Practice partnership
Functional nursing
Team nursing
When nurse leaders work together, they do:

*Co-leadership
Co-parenting
Shared governance
Which delivery care nursing is very efficient and effective for staff nurses in performing their regularly
assigned tasks yet may have problems with continuity of patient care?
*Functional nursing
Team nursing
Case management
Which delivery care nursing is used to practice decentralized decision-making by the staff nurses with
the responsibility and authority for nursing care?
*Primary nursing
Team nursing
Functional nursing
To decrease the waiting time in providing patient care services through the promotion of efficiency,
quality, and cost control, which of the following should be utilized?
*Patient-centered care
Case management
Critical pathways
A leader inspires many people to give their best in every task done in an organization. He or she is a
______________ leader.
*Transformational
Transactional
Shared
Servant
A nurse serves patients with the course of serving, may be called to lead. Therefore, you are
considered a/an _____________.
*Servant leader
Emotional leader
The framework of contingency leadership includes:

*Followers, leaders, situation
Followers, shared governance, empathy
Awareness, social competence, situation
Personal traits, environment, persuasion
Which of the following skills is required especially in team nursing?

*Delegating
Communicating
Problem-solving
Decision-making
When delivering primary care to a population of patients, which model is presented to ensure that
adequate and appropriate care is provided?
*Patient-centered medical home
Functional nursing
Which type of delivering nursing care is utilized when assigned nurses based on the needs of a group
of patients separated into tasks?
*Functional nursing

Team nursing
Critical pathways
One of the disadvantages of total patient care include _________.

*The nurse spends more time doing tasks and is expensive.
Difficulties with follow-ups.
Lack of understanding of the total patient.
Problems with continuity of patient care.
Which of the following is not included skills required in team nursing?

Delegating
Communicating
Problem-solving
*Synergizing
A nurse intentionally touching without consent, contact is harmful & causes an injury, merely
offensive to patient’s dignity is known for ________.
*Battery
Assault
Negligence
Malpractice
A rule of conduct pronounced by controlling authority may be enforced.

*Law
Ethics
Good governance
Nursing standards of care
It comprises all legal rules and principles affecting the practice of nursing.
*Nursing jurisprudence
Professional regulation commission
Code of good governance
Negligence and malpractice
One of the functions of law in nursing delineates the nurse's responsibilities from those of other
professionals.
*True
False
Partially true
Partially false
It is concerned with the punishment of those who commit crimes is known as:
Civil law
*Criminal law
Crime of passion
Civil service law
When there is a better hospital environment for nurses, it is most likely associated with a lower
mortality rate and nurse satisfaction.
*True
False
Partially true
Partially false
Which of the following statements correctly describes an authority?

*This is the legitimate rights of a position that requires others to obey; the right to command as granted
by the organization.
This is permissive or nondirective.
This is the capacity an individual has that enables him/her to get others to do something.
None of the choices.
A nurse performs a negligent action towards care of the patient, the nurse can be sued for _________.
*Unintentional tort
Intentional tort
Malpractice
Infidelity
It is concerned with the punishment of those who commit crimes.

Unintentional tort
*Intentional tort
Malpractice
Infidelity
Written policies and procedures of an employing institution that defines the standards of care for
nurses.
Law
Ethics
Good governance
*Nursing standards of care
A nurse’s conduct falls below the standard of care.

*Negligence
Ethics
Infidelity
Veracity
A nurse unskillfully performs a nursing procedure on an older adult patient, the nurse can be charged
with _____.
*Malpractice
Battery
Assault
Fraud
A patient who was put in confinement in a locked room without proper consent is an example of ___.
*False imprisonment
Fraud
Battery
Assault
A law that deals with behavior that constitutes an injury to a person or other private party and seeks
to achieve a remedy such as compensation for the injured is called ________.
*Civil law
Criminal law
Crime of passion
Civil service law
When patient characteristics and nurses’ competencies are matched, what delivery care nursing can
be used?
*Synergy model of care
Patient-centered medical home
Case management
It is occasionally used in long-term care facilities yet lacks understanding of total patient care.
*Functional nursing
Team nursing
Case management
Critical pathways
To better integrate disparate nursing care delivery, which models of care can be adopted?
*Integrated models of care
Evolving models of care
Traditional models of care
Total patient care models
All the following are integrated models of care, EXCEPT:

Case management
Critical pathways
*Synergy model of care
Which of the following can be a disadvantage of total patient care?

*The nurse spends more time doing tasks and is expensive.
Difficulties with follow-ups.
Lack of understanding of the total patient.
Problems with continuity of patient care.
One of the legal issues related to nursing refers to a legal document stating the wishes of persons
regarding healthcare in institutions in which they are no longer capable of giving personal informed
consent.
*Advance directive
Confidentiality
Authority
Autonomy
Threatening a patient to give an injection or even restrain a patient for an x-ray procedure which
he/she refused despite a consent is signed is an example of:
*Assault
Battery
False imprisonment
Fraud
A key aspect of team nursing can be _____________.

*Nursing care conference
Work partnership
Synergy
Progressive of care
What is the role of the nurse is expected in patient-centered care nursing delivery?
*Broadened to coordinate a team of multifunctional unit-based caregivers
Provision of direction for managing the care of an individual patient during a stipulated time
Decentralized decision-making by the staff nurses
The direction made by the team leader
All the following are the skills required in team nursing, EXCEPT:
Delegating
Communicating
Problem-solving
*Synergizing
Which of the following statements is the purpose of the nursing care delivery system?
*To optimize nurses’ knowledge and skills for letting patients receive appropriate care.
To increase patient mortality rates and nurse satisfaction.
To increase nurses’ satisfaction towards monetary compensation.
To ensure the quantity of care rather than its quality.
Which of the following laws Filipino nurses can use as their best guide for it defines the scope of
nursing practice?
*Philippine Nursing Act of 2002
Republic Act No. 9172
Magna Carta of Public Health Workers
Which law is enacted to ensure that health workers are properly compensated, thereby helping to
promote better delivery of quality health care service?
Philippine Nursing Act of 2002
Magna Carta of Healthcare Nurses
*Republic Act No. 7305
Intentional touching without consent, contact is harmful & causes an injury, merely offensive to
patient’s dignity is known for ________.
*Battery
Assault
Negligence
Malpractice
What is a rule of conduct pronounced by controlling authority which may be enforced?

*Law
Ethics
Good governance
The authority or the right to declare the rule never exists when the source can be identified.
*False
True
Partially true
Partially false
Which department of law comprises all legal rules and principles affecting the practice of nursing?
*Nursing jurisprudence
Professional regulation commission
Code of good governance
Negligence and malpractice
A system of law concerned with the punishment of those who commit crimes is known as:
Civil law
*Criminal law
Crime of passion
Civil service law
A civil wrong or injury for which the court provides a remedy in the form of money damages is known:
*Tort
Ethics
Code
Truth
When on the part of the nurse is a negligent action towards care of the patient, the nurse can be sued
for _________.
*Unintentional tort
Intentional tort
Malpractice
Infidelity
These are written policies and procedures of an employing institution that defines the standards of
care for nurses.
Law
Ethics
Good governance
*Nursing standards of care
A system of law is concerned with the punishment of those who commit crimes.
Unintentional tort
*Intentional tort
Malpractice
Infidelity
When giving incorrect information to obtain a better position or job, it implies an intentional tort of
_______.
*Fraud
Malpractice
False imprisonment
Battery
Conduct that falls below the standard of care.

*Negligence
Ethics
Infidelity
Veracity
Acting or non-acting is the proximate cause of injury to another person or his property.
*Professional negligence
Professional competence
Magna Carta of Public Health Workers
When a nurse improperly or unskillfully cares for a patient, the nurse can be charged with _____.
*Malpractice
Battery
Assault
Fraud
Restraining or confining a patient to a locked room without proper consent is an example of ___.
*False imprisonment
Fraud
Battery
Assault
Which of the following statements is considered an element of professional negligence?

*Foreseeability of harm resulting from failure to meet the standard
Deals with behavior that constitutes an injury to a person or other private party
Intentional touching without consent, contact is harmful
Willful & purposeful misrepresentation that could cause or cause harm
An obligation one has incurred or might incur through any act or failure to act is called _____.
*Liability
Accountability
Responsibility
Competency
The execution of duties associated with a nurse's particular role is known as:
Liability
Accountability
*Responsibility
Competency
The ability to answer for one's actions for oneself, patient, profession, work institution, and society is
called _____.
Liability
*Accountability
Responsibility
Competency
When a person desires medical treatment despite non-informed consent. This is known as:
*Living wills
A durable power of attorney
Confidentiality
Veracity

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COLLEGE OF OUR LADY OF MT.

COLLEGE OF ALLIED HEALTH PROFESSIONS

NURSING LEADERSHIP AND MANAGEMENT (NCM 119-RLE)

TOPICS INCLUDED IN THE EXAMINATION NO. OF QUESTIONS

Evelyn E. Feliciano, RN, PhD, DScN(c)

Josephine V. Padilla RN, MAN

Angelyn T. Salunga, RMT, DrPh(c)

Dr. Ma. Carmela B. Briones-Diaz, RN, MAEd(c)

COLLEGE OF ALLIED HEALTH PROFESSIONS

NURSING LEADERSHIP AND MANAGEMENT (NCM 119-RLE)

STUDENT NAME: EXAM DATE: October 08, 2021

Which is an example of a staff nurse functioning in the role of a leader?

What statement is true regarding leadership?

All the following are involved in shared leadership in nursing, EXCEPT:

All EXCEPT one the following characteristics of a servant leader.

As an employee, you become directly involved in decision-making as an equitable and accountable

When nurse leaders work together, they do:

The framework of contingency leadership includes:

Which of the following skills is required especially in team nursing?

Primary care nursing

One of the disadvantages of total patient care include _________.

Which of the following is not included skills required in team nursing?

A rule of conduct pronounced by controlling authority may be enforced.

Civil service law

Which of the following statements correctly describes an authority?

It is concerned with the punishment of those who commit crimes.

A nurse’s conduct falls below the standard of care.

All the following are integrated models of care, EXCEPT:

Which of the following can be a disadvantage of total patient care?

A key aspect of team nursing can be _____________.

What is a rule of conduct pronounced by controlling authority which may be enforced?

Conduct that falls below the standard of care.

Which of the following statements is considered an element of professional negligence?

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