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1. Ms. Castro is newly-promoted to a patient care manager position.

She updates her knowledge on the theories in management and leadership in order to become effective in her new role. She learns that some managers have low concern for services and high concern for staff. Which style of management refers to this? a. Organization Man b. Impoverished Management c. Country Club Management d. Team Management

a. Recognizes staff for going beyond expectations by giving them citations b. Challenges the staff to take individual accountability for their own practice c. Admonishes staff for being laggards. d. Reminds staff about the sanctions for non performance.

6. One leadership theory states that ³leaders are born and not made,´ which refers to which of the following theories? a. Trait b. Charismatic c. Great Man d. Situational

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

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

3. On the other hand, Ms. Castro notices that the Chief Nurse Executive has charismatic leadership style. Which of the following behaviors best describes this style? a. Possesses inspirational quality that makes followers gets attracted of him and regards him with reverence b. Acts as he does because he expects that his behavior will yield positive results c. Uses visioning as the core of his leadership d. Matches his leadership style to the situation at hand.

8. She surfs the internet for more information about leadership styles. She reads about shared leadership as a practice in some magnet hospitals. Which of the following describes this style of leadership? a. Leadership behavior is generally determined by the relationship between the leader¶s personality and the specific situation b. Leaders believe that people are basically good and need not be closely controlled c. Leaders rely heavily on visioning and inspire members to achieve results d. Leadership is shared at the point of care.

4. Which of the following conclusions of Ms. Castro about leadership characteristics is TRUE? a. There is a high correlation between the communication skills of a leader and the ability to get the job done. b. A manager is effective when he has the ability to plan well. c. Assessment of personal traits is a reliable tool for predicting a manager¶s potential. d. There is good evidence that certain personal qualities favor success in managerial role.

9. Ms. Castro learns that some leaders are transactional leaders. Which of the following does NOT characterize a transactional leader? a. Focuses on management tasks b. Is a caretaker c. Uses trade-offs to meet goals d. Inspires others with vision 10. She finds out that some managers have benevolent-authoritative style of management. Which of the following behaviors will she exhibit

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

b. Most economical way of delivering nursing services. 16. Memo from the CEO to cut down on electrical consumption b. Concentrates on tasks and activities b. Psychological and sociological needs are emphasized. Patient satisfaction rate is 60% for two consecutive months and staff morale is at its lowest. Collaboration b. job description b. Giving instructions on how nursing care needs are to be met c. She is hopeful that her unit will make a big turnaround in the succeeding months. Preparing a nursing care plan in collaboration with the patient c. Great control of work activities. Communicates downward to the staff d. Have condescending trust and confidence in their subordinates b. He raised the issue on giving priority to patient needs. Medications and treatments required for all patients d. He is not satisfied with the way things are going in his unit. Functional nursing has some advantages. Demands of the labor sector to increase wages c. After discussing the possible effects of the low patient satisfaction rate. Compromise 19. Majority rule c. Call for a staff meeting and take this up in the agenda. She knows that there are external forces that influence changes in his unit. Patients who need the most care 14. Emphasizes use of group collaboration c. One staff suggests that they review the pattern of nursing care that they are using. he and his team need to assess the priority of care for a group of patients. Which of the following offers the best way for setting priority? a. Controlling and evaluating the delivery of nursing care d. Which of the following actions is a priority for Harry? a. Gives economic or ego awards c. He decides to plan and initiate changes that will push for a turnaround in the condition of the unit. Dominance d. Assigning safe nurse: patient ratio 12. which of the following strategies is referred to this? a. Provides continuous. Which of the following is the best guarantee that the patient¶s priority needs are met? a. Low morale of staff in her unit d. rules to be followed 20. Which of the following is TRUE about functional nursing? a. coordinated and comprehensive nursing services 11. which of the following should be a priority? a. Should they decide to vote on the best change strategy. Assessing nursing needs and problems b. Workers feel secure in dependent role 17. Develop a strategic action on how to deal with these concerns. d. Exacting regulatory and accreditation standards 18. Each patient as listed on the worksheet b. Consulting with the physician d. which is described as a: a. Ignore the issues since these will be resolved naturally. Which of the following is NOT an external force? a. c. Checking with the relative of the patient b. Which of the following actions of Harry demonstrates that . Patients who needs least care c. Seek help from her manager. b. When Harry uses team nursing as a care delivery system. the staff started to list down possible strategies to solve the problems head-on. One-to-one nurse-patient ratio d. d. Coordinating with other members of the team 13. Harry is a Unit Manager I the Medical Unit. Allows decision making among subordinates 15. c.most likely? a. manual of procedure d. which one is an EXCEPTION? a. system used to deliver care c.

He thinks of scheduling planning workshop with his staff in order to ensure an effective and efficient management of the department. Unity of direction 22. d. Broken line d. ³In order that we achieve the same results. Unity of direction c. Long-term goal-setting b. ³We need to put our efforts together in order to raise the bar of excellence in the care we provide to all our patients. we must all follow the directives of Julius and not from other managers. which of the following is NOT a characteristic of this activity? a. ³We will ensure that all the resources we need are available when needed. Order 26. The Good Shepherd Medical Center is a trendsetter in tertiary health care in the Philippines in the next five years Goal b. Span of control b. Solid line c. ³Let¶s work together in harmony.´ c. The Good Shepherd Medical Center aims to provide a patient-centered care in a total healing environment. Which of the following remarks of the staff indicates that they understand what he pointed out? a. 27. Julius is a newly-appointed nurse manager of The Good Shepherd Medical Center. Which of the following statements refer to the vision of the hospital? a. Which of the following will likely depict this organizational relationship? 29. Unity of command d. Esprit d¶ corps d. Discipline c. Box b. Integrate the solutions to his day-to-day activities d. Dotted line 21. Scalar chain b. He emphasizes to the team that they need to put their efforts together towards the attainment of the goals of the program. He discusses the goal of the department. Wonders why things are not what it used to be b. He plans to create a new position of a Patient Educator who has a coordinating relationship with the head nurse in the unit. ³The Good Shepherd Medical Center aims to provide patient-centered care in a total healing environment´ refers to which of the following? a. Goal c. a tertiary hospital located within the heart of the metropolis. Finds solutions to the problems c. Julius stresses the importance of promoting µesprit d corps¶ among the members of the unit. Philosophy d. Which of the following principles refer to this? a. Should he decide to conduct a strategic planningworkshop. Selects the best change strategy a. Which of the following principles refers to this? a.he has reached the third stage of change? a. Vision b. Span of control b. Julius orients his staff on the patterns of reporting relationship throughout the organization.´ 24. we need to be supportive of one another´ b. He likewise stresses the need for all the employees to follow orders and instructions from him and not from anyone else. Focuses on routine tasks d. Hierarchy c. All the nurses shall undergo continuing competency training program. Determines directions of the organization 25. Unity of command d. Which of the following principles does he refer to? a. Extends to 3-5 years in the future c. Mission 28. Julius plans to revisit the organizational chart of the department. The officers and staff of The Good Shepherd Medical Center believe in the unique nature of the human person c.´ d. Which of the following statements is a goal? . Command responsibility 23. The statement.

Provide a pair of hands to other units as needed c. Stephanie is often seen interacting with the medical intern during coffee breaks and after duty hours. Centralized organizations have some advantages. Organizational culture 35. Manual of procedures 37. Reduce response time to two minutes. 33. Establish rapport with patients. Written nursing care plan b. Informal c. enough staff must be available at all times to accomplish certain purposes. Stephanie delegates effectively if she has authority to act. 2 & 4 c. Tall organization 30. Which of the following behaviors indicate that this is attained by the group? a. Eliminate the incidence of delayed administration of medications c. Organizational structure b. d. He asserts the importance of promoting a positive organizational culture in their unit. wants to understand the channel of communication. Which of the following guidelines should be least considered in formulating objectives for nursing care? a. She conducts orientation among new staff nurses in her department. Job description d. Increase the patient satisfaction rate b. Competitive and perfectionist c. Serves the followers rather than being served. 2. Which of the following is NOT compatible with this type of model? 39. . Shared governance d. a. Which of the following statements are TRUE? 1. being accountable to the organization c. Flat organization b. Allow for growth and development of nursing staff. Uses visioning as the essence of leadership. Organizational structure d. Which of the following statements best describes this type of leadership? a. Formal b. Cultural network c. 3& 4 d. which is BEST defined as: a. Which of the following will provide this information? a. Participatory approach c. 31. Stephanie is a new Staff Educator of a private tertiary hospital. Staff d. What type of organizational structure is this? a. & 4 36. telling others what to do 32. Meet the needs of patients b. Staff preferences 34. Proactive and caring with one another b. Holistic approach c. She takes pride in saying that the hospital has a decentralized structure.a. Highly cost-effective Makes management easier Reflects the interest of the worker Allows quick decisions or actions. 2. Cover all time periods adequately. He wants to influence the customary way of thinking and behaving that is shared by the members of the department. span of control and lines of communication. Joseph. Stephanie considers shifting to transformational leadership. d. Which of these purposes is NOT included? a. b. Regardless of the size of a work group. 2. 4. Policy c. Organizational chart b. 1 & 2 b. Powerful and oppositional d. having legitimate right to act d. Line 38. Which of the following terms refer to this? a. 1. Prescribed standards d. one of the new staff nurses. Obedient and uncomplaining a. 3. having responsibility to direct others b.

Team management d.c. Organization man management c. Authority-obedience management . 40. Possesses innate charisma that makes others feel good in his presence. As a manager. Which of the following management styles does she adopt? a. Country club management b. Maintains full trust and confidence in the subordinates d. 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.

Answer: (B) Preparing a nursing care plan in collaboration with the patient The best source of information about the priority needs of the patient is the patient himself. Answer: (A) Psychological and sociological needs are emphasized. 12. 10. All the rest of the options emanate from the top executive or from outside the institution. 14. they will own the solutions. He/she runs the department just like a country club where every one is happy including the manager. Answer: (C) Assessment of personal traits is a reliable tool for predicting a manager¶s potential. hence the chance for compliance would be greater. Answer: (A) Concentrates on tasks and activities Functional nursing is focused on tasks and activities and not on the holistic care of the patients 16. directing and controlling 18. Answer: (A) Have condescending trust and confidence in their subordinates Benevolent-authoritative managers pretentiously show their trust and confidence to their followers 11. In the 70¶s it was termed as methods of patient assignment. organizing. If they contribute to the solutions of the problem. 5. 15. Hence using a nursing care plan based on his expressed priority needs would ensure meeting his needs effectively. Answer: (C) Laissez faire Laissez faire leadership is preferred when the followers know what to do and are experts in the field. They feel that they are in good hands whenever the leader is around. This will allow for the participation of every staff in the unit. Answer: (D) Inspires others with vision Inspires others with a vision is characteristic of a transformational leader. Answer: (C) Servant leader Servant leaders are open-minded. Answer: (C) Country Club Management Country club management style puts concern for the staff as number one priority at the expense of the delivery of services. 13. This leadership style is relationship-oriented rather than task-centered. It is not conclusive that certain qualities of a person would make him become a good manager.1. He is focused more on the day-to-day operations of the department/unit. Answer: (A) Call for a staff meeting and take this up in the agenda. 19. 9. Answer: (C) Great Man Leaders become leaders because of their birth right. Shared governance allows the staff nurses to have the authority. 4. Answer: (B) system used to deliver care A system used to deliver care. When the functional method is used. try to fully understand others and not being judgmental 3. Answer: (B) Majority rule Majority rule involves dividing the house and the highest vote wins.1/2 + 1 is a majority. Answer: (D) Patients who need the most care . It can only predict a manager¶s potential of becoming a good one. the psychological and sociological needs of the patients are neglected. 2. Answer: (C) Low morale of staff in her unit Low morale of staff is an internal factor that affects only the unit. the patients are regarded as µtasks to be done µ 17. listen deeply. 8. 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. This is also called Genetic theory or the Aristotelian theory 7. Answer: (A) Assessing nursing needs and problems This option follows the framework of the nursing process at the same time applies the management process of planning. Answer: (D) Leadership is shared at the point of care. Answer: (A) Recognizes staff for going beyond expectations by giving them citations Path Goal theory according to House and associates rewards good performance so that others would do the same 6. responsibility and accountability for their own practice. Answer: (A) Possesses inspirational quality that makes followers gets attracted of him and regards him with reverence Charismatic leaders make the followers feel at ease in their presence.

Answer: (B) Unity of direction Unity of direction means having one goal or one objective for the team to pursue. Which of the following will provide this information? 32. Answer: (C) Unity of command The principle of unity of command means that employees should receive orders coming from only one manager and not from two managers. span of control and lines of communication. 23. i. Answer: (A) 1 & 2 Centralized organizations are needs only a few managers hence they are less expensive and easier to manage 36. Answer: (C) Broken line This is a staff relationship hence it is depicted by a broken line in the organizational structure 25. 30. She conducts orientation among new staff nurses in her department. Answer: (A) The Good Shepherd Medical Center is a trendsetter in tertiary health care in the Philippines in the next five years A vision refers to what the institution wants to become within a particular period of time. those who need the most care should be number-one priority to ensure that their critical needs are met adequately. C and D are all objectives which are aimed at specific end. Answer: (B) Informal This is usually not published and oftentimes concealed. Answer: (D) Organizational culture An organizational culture refers to the way the members of the organization think together and do things around them together. Options AB. This is an officially sanctioned responsibility 37. This averts the possibility of sowing confusion among the members of the organization 26. Stephanie is a new Staff Educator of a private tertiary hospital. 35. Answer: (A) Increase the patient satisfaction rate Goal is a desired result towards which efforts are directed. 34. Joseph.In setting priorities for a group of patients. B and D except C which is attributed to operational planning 22. 28. hence all members of the organization should put their efforts together towards the attainment of their common goal or objective. .. 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. 20. the number of people who directly reports to the various levels of hierarchy and the lines of communication whether line or staff. 29. wants to understand the channel of communication. Answer: (C) Integrate the solutions to his day-to-day activities 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. This is a function of a staffing coordinator at a centralized model. one of the new staff nurses. Answer: (D) Tall organization Tall organizations are highly centralized organizations where decision making is centered on one authority level. 27. which is essential in maintaining a climate conducive to work.e. Answer: (A) ³Let¶s work together in harmony. who reports to whom and with what authority. 33. Answer: (B) Goal B 24. Answer: (B) Provide a pair of hands to other units as needed Providing a pair of hands for other units is not a purpose in doing an effective staffing process. we need to be supportive of one another´ The principle of µesprit d¶ corps¶ refers to promoting harmony in the workplace. 21. Answer: (C) having legitimate right to act Authority is a legitimate or official right to give command. Answer: (A) Organizational structure Organizational structure provides information on the channel of authority. It¶s their way of life in that organization 31. Answer: (C) Focuses on routine tasks Strategic planning involves options A. Answer: (B) Hierarchy Hierarchy refers to the pattern of reporting or the formal line of authority in an organizational structure.

Answer: (D) Staff preferences Staff preferences should be the least priority in formulating objectives of nursing care. Transformational leadership relies heavily on visioning as the core of leadership.38. Answer: (C) Team management Team management has a high concern for services and high concern for staff. Individual preferences should be subordinate to the interest of the patients. Answer: (A) Uses visioning as the essence of leadership. 39. 40. .