1. A nurse manager is leading a team of nurses in a busy emergency department. She

notices that some of the nurses are experiencing burnout and compassion fatigue due to

the high-stress environment and the increased workload. What is the most appropriate

leadership style for the nurse manager to adopt in this situation?

a) Autocratic

b) Democratic

c) Laissez-faire

d) Transformational*

Rationale: Transformational leadership is a style that inspires and motivates followers to

achieve a shared vision and goals. It also fosters a positive work environment, encourages

innovation and creativity, and supports the well-being of the followers. This style is

suitable for the nurse manager to address the burnout and compassion fatigue issues

among her team members.

2. A nurse leader is involved in a quality improvement project to reduce the incidence of

hospital-acquired infections (HAIs) in a surgical unit. He collaborates with other health

professionals, such as infection control specialists, pharmacists, and surgeons, to

implement evidence-based interventions. What type of leadership skill is the nurse leader

demonstrating in this scenario?

a) Interpersonal

b) Technical

c) Conceptual

d) Systems*

Rationale: Systems leadership is a skill that enables leaders to understand and influence

complex systems, such as health care organizations. It involves collaborating with

multiple stakeholders, integrating diverse perspectives, and aligning goals and actions to

achieve system-level outcomes. The nurse leader is demonstrating systems leadership by

working with other health professionals to improve the quality and safety of patient care.

3. A nurse educator is teaching a group of nursing students about the principles of ethical

leadership in health care. She explains that ethical leaders should adhere to four core

values: respect, service, justice, and honesty. Which of the following statements best

describes the value of service in ethical leadership?

a) Service means putting the needs and interests of others before one's own.

b) Service means being accountable for one's actions and decisions.

c) Service means treating others with dignity and fairness.

d) Service means being truthful and transparent.*

Rationale: Service is a value that reflects the commitment of ethical leaders to serve others,

especially those who are vulnerable or marginalized. It means putting the needs and

interests of others before one's own, and acting in ways that benefit the common good.

Honesty, on the other hand, is a value that reflects the integrity and trustworthiness of

ethical leaders. It means being truthful and transparent, and avoiding deception or

manipulation.

4. A nurse administrator is responsible for developing a strategic plan for a community

health center. She conducts a SWOT analysis to assess the strengths, weaknesses,

opportunities, and threats of the organization. She identifies that one of the strengths of

the center is its diverse and culturally competent staff, while one of the weaknesses is its

limited financial resources. What is an example of an opportunity that the nurse

administrator could explore based on this SWOT analysis?

a) Applying for grants or donations from external sources.

b) Expanding the scope of services or programs offered by the center.

c) Partnering with other organizations or agencies that share similar goals or values.*

d) Recruiting more volunteers or interns to support the center's operations.

Rationale: An opportunity is an external factor that could enhance or facilitate the