Leadership and Management in Nursing Challenge Examination

This exam focuses on the leadership and management skills needed by professional nurses. It assesses the knowledge of the theories and concepts essential to the role of the nurse as leader and manager in a variety of community and healthcare settings. (3 s.h.)

This is a 2 hour exam with 100 multiple-choice questions worth 1 point each. A passing score is 73 out of 100 points.

Here are the topics covered and their approximate importance on the test:

1. Core Concepts (30%)

  1. 1.1   Leading, managing, following
  2. 1.2   Patient safety
  3. 1.3   Developing the role of leader
  4. 1.4   Developing the role of manager
  5. 1.5   Legal and ethical issues
  6. 1.6   Making decisions; solving problems
  7. 1.7   Healthcare organizations
  8. 1.8   Understanding/designing organizational structures
  9. 1.9   Cultural diversity in health care
  10. 1.10   Power, politics, influence

2. Managing Resources (20%)

  1. 2.1 Caring, communicating, and managing with technology
  2. 2.2   Managing costs and budgets
  3. 2.3   Care delivery strategies
  4. 2.4   Staffing and scheduling
  5. 2.5   Selecting, developing, and evaluating staff

3. Changing the Status Quo (20%)

  1. 3.1 Strategic planning, goal-setting, and marketing
  2. 3.2   Leading change
  3. 3.3   Building teams through communication and partnerships
  4. 3.4   Collective action
  5. 3.5   Managing quality and risk
  6. 3.6   Translating research into practice

4. Interpersonal and Personal Skills (30%)

  1. 4.1 Consumer relationships
  2. 4.2   Conflict: the cutting edge of change
  3. 4.3   Managing personal/personnel problems
  4. 4.4   Workplace violence and incivility
  5. 4.5   Delegation: an art of professional practice
  6. 4.6   Role transition
  7. 4.7   Self-management: stress and time
  8. 4.8   Managing your career
  9. 4.9   Thriving for the future

This Leadership and Management Challenge examination assesses mastery of the following outcomes.

  • Differentiating between core concepts of leadership and management
  • Applying skills essential for managing resources in a healthcare setting
  • Applying skills essential for identifying, planning, implementing, and evaluating change
  • Evaluating the effect leadership and management has on quality assurance and safety in healthcare
  • Evaluating the effect of interpersonal and personal skills on leadership and management
  • Understanding the ethical principles key to the nursing professional

Textbook to help you prepare:

Leading and Managing in Nursing Leading and Managing in Nursing
Patricia S. Yoder-Wise
Current edition. St. Louis, MO: Elsevier/Mosby


Sample questions

Question 1:
A young woman enters the reception area of a hospital emergency department, walks up to a nurse, and demands immediate attention. The nurse senses that the woman's aggressive behavior may escalate. Which of the following actions by the nurse will most likely de-escalate the situation?

  1. Ensuring that she raises her voice to the level of the young woman
  2. Assuring the woman that she is doing the best she can but the emergency room is particularly busy at the moment
  3. Staying calm, empathizing with the woman and respecting cues to maintain distance
  4. Calmly but firmly asking the woman to please wait her turn or leave, or security will be called

Question 2:
A nurse is using the 'PICOT' framework to investigate a clinical question. The sample for the study will be women with breast cancer. Which part of the PICOT framework is the nursing using?

  1. Population
  2. Intervention
  3. Outcome
  4. Time

Question 3:
In complex change management situations, which strategy can a change agent use to promote ongoing visioning among the staff members?

  1. Uncovering embedded values
  2. Allowing for individual autonomy
  3. Cooperative activity
  4. Alternating between order and disorder

Question 4:
The quality control team for the Department of Nursing at a suburban hospital function according to the basic rules established by Mears in 1997. For the team to be synergistic, all members should maintain flexibility, remain committed to a resolution, and which of the following?

  1. Be professional, establish a clear purpose, and use active listening
  2. Be compassionate, establish a process, and use active listening
  3. Be compassionate, establish a clear purpose, and use active listening
  4. Be compassionate, establish a clear purpose, and use passive listening

Question 5:
In preparing for a complex change, a manager and change management team develop several acceptable goals/outcomes to accommodate the interaction in an uncertain environment. Which approach to change management are they using?

  1. Nonlinear
  2. Unfreezing
  3. Cybernetics
  4. Linear

Question 6:
Which theory illustrates a universe that is unpredictable and constantly changing?

  1. Systems theory
  2. Change theory
  3. Organizational theory
  4. Chaos Theory