All Free Nursing Management and Ethics MCQs with Answers
Every Nursing Management and Ethics question in the bank, across all chapters, each with the correct answer and a written explanation. Free and unlimited, with no account needed.
396 questions · page 2 of 20
- A. Planning nursing services and staffing needs
- B. Directing nurses during the current shift
- C. Controlling completed nursing activities
- D. Evaluating staff performance records
Explanation: Planning involves deciding in advance what resources and staff are needed to achieve service goals.
Correct answer: Planning nursing services and staffing needs- A. Transformational leadership
- B. Transactional leadership
- C. Autocratic leadership
- D. Laissez-faire leadership
Explanation: Transformational leaders motivate staff through a shared vision and encourage improvement beyond routine duties.
Correct answer: Transformational leadership- A. The assistant accepts responsibility for performing the task
- B. The registered nurse remains accountable for the overall nursing care
- C. The assistant may change the care plan without consultation
- D. The registered nurse transfers all legal responsibility to the assistant
Explanation: Delegation transfers the duty to perform an activity, but the registered nurse remains accountable for appropriate delegation and patient…
Correct answer: The registered nurse remains accountable for the overall nursing care- A. The duty to perform an assigned role or task
- B. The legal power to direct another employee
- C. The answerability for the final outcome
- D. The ability to influence staff decisions
Explanation: Responsibility is the obligation to carry out an assigned duty or task.
Correct answer: The duty to perform an assigned role or task- A. Use a structured format such as SBAR
- B. Give the report only through written notes
- C. Wait until the next shift discovers the problem
- D. Include every detail from the patient's admission
Explanation: SBAR organizes communication into situation, background, assessment, and recommendation, helping the receiving nurse identify priorities…
Correct answer: Use a structured format such as SBAR- A. Collaboration to reach a mutually acceptable solution
- B. Avoidance until one nurse changes the request
- C. Competition so one nurse obtains the leave
- D. Accommodation by ignoring one nurse's concern
Explanation: Collaboration addresses the concerns of both parties and seeks a solution that is acceptable to everyone.
Correct answer: Collaboration to reach a mutually acceptable solution- A. Match assignments with patient acuity and nurse competence
- B. Give every nurse the same number of patients
- C. Assign patients according to length of employment
- D. Keep the original assignment despite changes in condition
Explanation: Safe staffing considers patient acuity, complexity, workload, and the competence of available nurses rather than patient numbers alone.
Correct answer: Match assignments with patient acuity and nurse competence- A. Discuss the observation privately and clarify the correct standard
- B. Publicly criticize the nurse during the next handover
- C. Ignore the practice if the patient appears stable
- D. Immediately recommend dismissal without further assessment
Explanation: Private, specific feedback allows the supervisor to clarify the standard, explore the reason for the behaviour, and plan correction.
Correct answer: Discuss the observation privately and clarify the correct standard- A. Recognize specific achievements and provide meaningful feedback
- B. Threaten disciplinary action if workload complaints continue
- C. Give the same praise to staff regardless of performance
- D. Remove opportunities for staff to make decisions
Explanation: Specific recognition links the desired behaviour with a positive response and can strengthen motivation.
Correct answer: Recognize specific achievements and provide meaningful feedback- A. Explain the patient-safety reason and involve staff in implementation
- B. Issue the procedure without explanation and monitor complaints
- C. Allow each nurse to choose whether to follow the procedure
- D. Delay the change until every nurse agrees with it
Explanation: Explaining the rationale and involving staff in practical implementation supports understanding, commitment, and problem solving.
Correct answer: Explain the patient-safety reason and involve staff in implementation- A. Planning
- B. Organising
- C. Directing
- D. Controlling
Explanation: Planning involves setting goals and deciding in advance how they will be achieved.
Correct answer: Planning- A. Unity of command
- B. Span of control
- C. Scalar chain
- D. Equity
Explanation: The scalar chain is the formal line of authority from the highest level to the lowest level.
Correct answer: Scalar chain- A. The nurse's personal friendship with the team
- B. The nurse's competence for the assigned responsibility
- C. The nurse's preference for a shorter break
- D. The nurse's willingness to avoid documentation
Explanation: Delegation must match the task and responsibility with the delegatee's education, competence, and scope of practice.
Correct answer: The nurse's competence for the assigned responsibility- A. Effective staffing
- B. Patient advocacy
- C. Therapeutic communication
- D. Professional socialisation
Explanation: Effective staffing ensures that enough appropriately qualified nurses are available for the patient workload.
Correct answer: Effective staffing- A. Complete the entire assessment without involving the nurse
- B. Explain the assessment steps, observe performance, and give feedback
- C. Tell the nurse to study the policy after the shift
- D. Transfer the patient permanently to another nurse
Explanation: Coaching develops a staff member by guiding performance, observing practice, and providing timely feedback.
Correct answer: Explain the assessment steps, observe performance, and give feedback- A. Announce the final roster without discussion
- B. Ask staff for practical suggestions before finalising the roster
- C. Allow each nurse to choose any weekend independently
- D. Threaten disciplinary action for all objections
Explanation: Participative leadership involves staff in discussion and uses their ideas while the leader remains responsible for the final decision.
Correct answer: Ask staff for practical suggestions before finalising the roster- A. Correct the record secretly to prevent embarrassment
- B. Discuss the error privately and encourage accurate correction
- C. Mention the error to other staff during the break
- D. Ignore it because the patient was not harmed
Explanation: Private, respectful feedback promotes correction and protects professional relationships and patient safety.
Correct answer: Discuss the error privately and encourage accurate correction- A. Interrupt the discussion and close the meeting
- B. Listen actively, clarify the concerns, and summarise the issues
- C. Choose the most senior nurse's opinion immediately
- D. Ask staff to submit complaints without any discussion
Explanation: Active listening and clarification help identify the real problem before solutions are selected.
Correct answer: Listen actively, clarify the concerns, and summarise the issues- A. Evidence-based decision-making
- B. Passive supervision
- C. Personal loyalty
- D. Avoidance of responsibility
Explanation: Evidence-based decision-making uses reliable information to compare alternatives and select the safest reasonable option.
Correct answer: Evidence-based decision-making- A. The number of staff who request the nurse
- B. The acuity and immediate safety needs of each unit
- C. The unit with the newest furniture
- D. The order in which staff submitted leave forms
Explanation: Staff deployment should be based first on patient acuity and immediate safety needs.
Correct answer: The acuity and immediate safety needs of each unit