Answer and Rationale- NCLEX Sample Questions for LEADERSHIP, MANAGEMENT, BIOETHICS AND RESEARCH

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1. 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. He/she runs the department just like a country club where every one is happy including the manager.

2. Answer: (C) Servant leader
Servant leaders are open-minded, listen deeply, try to fully understand others and not being judgmental

3. 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. They feel that they are in good hands whenever the leader is around.

4. Answer: (C) Assessment of personal traits is a reliable tool for predicting a manager’s potential.
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.

5. 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. Answer: (C) Great Man
Leaders become leaders because of their birth right. This is also called Genetic theory or the Aristotelian theory

7. Answer: (C) Laissez faire
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.

8. Answer: (D) 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.

9. Answer: (D) 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.

10. Answer: (A) Have condescending trust and confidence in their subordinates
Benevolent-authoritative managers pretentiously show their trust and confidence to their followers

11. Answer: (A) Call for a staff meeting and take this up in the agenda.
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.

12. Answer: (C) Low morale of staff in her unit
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.

13. Answer: (B) Majority rule
Majority rule involves dividing the house and the highest vote wins.1/2 + 1 is a majority.

14. Answer: (B) system used to deliver care
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. 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. Answer: (A) Psychological and sociological needs are emphasized.
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 ‘

17. 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, organizing, directing and controlling

18. 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. Hence using a nursing care plan based on his expressed priority needs would ensure meeting his needs effectively.

19. Answer: (D) 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.

20. 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.

21. Answer: (C) Focuses on routine tasks
Strategic planning involves options A, B and D except C which is attributed to operational planning

22. 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.

23. Answer: (B) Goal
B

24. Answer: (C) Broken line
This is a staff relationship hence it is depicted by a broken line in the organizational structure

25. 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. This averts the possibility of sowing confusion among the members of the organization

26. Answer: (B) Hierarchy
Hierarchy refers to the pattern of reporting or the formal line of authority in an organizational structure.

27. Answer: (B) Unity of direction
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.

28. Answer: (A) “Let’s work together in harmony; we need to be supportive of one another”
The principle of ‘esprit d’ corps’ refers to promoting harmony in the workplace, which is essential in maintaining a climate conducive to work.

29. Answer: (A) Increase the patient satisfaction rate
Goal is a desired result towards which efforts are directed. Options AB, C and D are all objectives which are aimed at specific end.

30. Answer: (D) 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

31. 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?

32. Answer: (A) Organizational structure
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.

33. Answer: (B) Informal
This is usually not published and oftentimes concealed.

34. Answer: (D) Tall organization
Tall organizations are highly centralized organizations where decision making is centered on one authority level.

35. Answer: (A) 1 & 2
Centralized organizations are needs only a few managers hence they are less expensive and easier to manage

36. Answer: (C) having legitimate right to act
Authority is a legitimate or official right to give command. This is an officially sanctioned responsibility

37. 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. This is a function of a staffing coordinator at a centralized model.

38. Answer: (D) 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.

39. Answer: (A) Uses visioning as the essence of leadership.
Transformational leadership relies heavily on visioning as the core of leadership.

40. Answer: (C) Team management
Team management has a high concern for services and high concern for staff.


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