Free Nursing Management & Leadership MCQ Question Bank – Directing and Leading

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Subject – NURSING MANAGEMENT AND LEADERSHIP

Topic –Management of Nursing Services-Directing and Leading

Q1. Which function of management involves guiding and overseeing staff to achieve organizational goals? (NORCET 2022)
a) Planning
b) Organizing
c) Directing
d) Controlling

Q2. The most important skill for an effective leader in nursing is:
a) Technical skills
b) Human skills
c) Conceptual skills
d) Financial skills

Q3. Transformational leadership in nursing primarily focuses on:
a) Task completion
b) Inspiring and motivating staff
c) Enforcing rules strictly
d) Maintaining status quo

Q4. Which leadership style involves decision-making concentrated at the top with little staff involvement? (AIIMS 2019)
a) Democratic
b) Laissez-faire
c) Autocratic
d) Participative

Q5. Effective communication in directing involves:
a) Only verbal instructions
b) Listening and feedback
c) Written orders only
d) Ignoring staff concerns

Q6. The process of motivating nursing staff to perform better is part of:
a) Staffing
b) Directing
c) Planning
d) Organizing

Q7. Conflict resolution as a leadership skill requires:
a) Avoiding conflicts altogether
b) Addressing issues openly and constructively
c) Ignoring staff disagreements
d) Letting conflicts escalate

Q8. Which of the following is NOT a component of directing?
a) Supervision
b) Motivation
c) Scheduling
d) Communication

Q9. A nurse leader who encourages staff participation in decision-making demonstrates: (NORCET 2021)
a) Autocratic leadership
b) Democratic leadership
c) Laissez-faire leadership
d) Transactional leadership

Q10. The ability to influence others to achieve goals is called:
a) Power
b) Authority
c) Leadership
d) Control

Q11. Which leadership theory suggests that leadership style should change based on the situation? (NORCET 2020)
a) Trait theory
b) Contingency theory
c) Behavioral theory
d) Transformational theory

Q12. The primary purpose of supervision in nursing is to:
a) Punish staff for mistakes
b) Monitor performance and provide guidance
c) Assign workload
d) Hire new staff

Q13. Which leadership style allows the greatest freedom for staff to make decisions?
a) Autocratic
b) Democratic
c) Laissez-faire
d) Transactional

Q14. Motivational theories applied in nursing leadership include:
a) Maslow’s hierarchy of needs
b) Herzberg’s two-factor theory
c) McGregor’s Theory X and Theory Y
d) All of the above

Q15. Which of the following is an example of intrinsic motivation?
a) Salary increase
b) Recognition from peers
c) Promotion
d) Bonus payment

Q16. The term “span of control” refers to:
a) Number of patients per nurse
b) Number of subordinates a manager supervises
c) Number of shifts in a schedule
d) Number of departments in a hospital

Q17. Which communication barrier most commonly affects nurse leaders?
a) Language differences
b) Noise in the environment
c) Prejudice and stereotyping
d) Use of jargon

Q18. Transactional leadership focuses primarily on:
a) Inspiring change
b) Rewarding performance and correcting mistakes
c) Visionary leadership
d) Team building

Q19. Effective delegation requires:
a) Assigning tasks without instructions
b) Clear communication and trust in staff’s abilities
c) Doing tasks yourself to ensure quality
d) Giving all tasks to one staff member

Q20. Which of the following is an example of downward communication in nursing?
a) Nurse reporting patient status to a doctor
b) Nurse manager giving instructions to staff nurses
c) Staff nurses discussing care plans among themselves
d) Patient giving feedback to nurse

Q21. A leader who uses rewards to motivate staff is practicing:
a) Transformational leadership
b) Transactional leadership
c) Autocratic leadership
d) Servant leadership

Q22. Which style of leadership encourages group discussion and shared decision-making?
a) Autocratic
b) Democratic
c) Laissez-faire
d) Bureaucratic

Q23. Which type of power is based on a leader’s personal charm and ability to influence?
a) Legitimate power
b) Reward power
c) Referent power
d) Coercive power

Q24. Which is NOT a function of directing in nursing management?
a) Supervising staff
b) Motivating personnel
c) Purchasing supplies
d) Communicating instructions

Q25. Effective nurse leaders demonstrate emotional intelligence by:
a) Ignoring staff feelings
b) Managing their own emotions and empathizing with others
c) Showing authority without discussion
d) Avoiding conflicts

Q26. Which of the following is an example of upward communication?
a) Manager assigning tasks to nurses
b) Nurse reporting a medication error to supervisor
c) Nurse educating a patient
d) Staff meeting led by nurse manager

Q27. Which motivational factor relates to achievement, recognition, and responsibility?
a) Hygiene factors
b) Intrinsic factors
c) Extrinsic factors
d) Financial incentives

Q28. The leader who “leads by example” demonstrates:
a) Ethical leadership
b) Autocratic leadership
c) Transactional leadership
d) Laissez-faire leadership

Q29. Which of the following is a barrier to effective communication?
a) Clear message
b) Active listening
c) Language differences
d) Feedback

Q30. Which conflict management style involves collaborating to find a win-win solution?
a) Avoiding
b) Competing
c) Accommodating
d) Collaborating

Q31. Which leadership style is characterized by high task focus and low relationship focus?
a) Delegating
b) Coaching
c) Directing
d) Supporting

Q32. A nurse manager who listens to staff concerns and values their input is demonstrating:
a) Autocratic behavior
b) Democratic leadership
c) Laissez-faire leadership
d) Bureaucratic leadership

Q33. Which communication technique involves restating what the speaker has said to confirm understanding?
a) Reflecting
b) Paraphrasing
c) Summarizing
d) Questioning

Q34. What is the main purpose of motivation in nursing leadership?
a) Punish mistakes
b) Encourage staff to meet organizational goals
c) Avoid work
d) Assign tasks randomly

Q35. Which type of power comes from a leader’s formal position in the organization?
a) Expert power
b) Referent power
c) Legitimate power
d) Reward power

Q36. A nursing leader providing constructive feedback is engaging in:
a) Supervision
b) Delegation
c) Conflict management
d) Decision making

Q37. Which of the following is a characteristic of transformational leaders?
a) Focus on routine tasks
b) Inspire and motivate staff to innovate
c) Use punishment to control staff
d) Avoid change

Q38. What does the term “chain of command” refer to in nursing management?
a) Patient care protocols
b) The hierarchy through which orders flow
c) Staff scheduling system
d) Communication tools

Q39. Which of the following is NOT a function of leadership?
a) Planning
b) Motivating
c) Communicating
d) Controlling

Q40. A leader who allows staff to make decisions but provides guidance when needed practices which leadership style?
a) Delegating
b) Supporting
c) Directing
d) Coaching

Q41. Which is an example of upward communication in nursing?
a) Nurse manager assigning tasks
b) Staff nurse reporting errors to the supervisor
c) Nurse giving instructions to patients
d) Team meeting with manager

Q42. Which conflict resolution strategy is effective when relationships are more important than the issue?
a) Avoiding
b) Competing
c) Accommodating
d) Collaborating

Q43. What is the primary goal of directing as a management function?
a) Setting goals
b) Coordinating resources
c) Guiding and motivating staff
d) Evaluating performance

Q44. A nurse leader who adapts leadership style based on staff readiness is practicing:
a) Situational leadership
b) Autocratic leadership
c) Transformational leadership
d) Transactional leadership

Q45. Which of the following is NOT a barrier to effective leadership?
a) Poor communication
b) Staff resistance to change
c) Clear goals
d) Lack of trust

Q46. Which leadership style is characterized by high relationship and high task focus?
a) Supporting
b) Directing
c) Delegating
d) Coaching

Q47. Effective leaders promote teamwork by:
a) Encouraging competition
b) Ignoring conflicts
c) Building trust and communication
d) Assigning individual tasks only

Q48. Which communication method is best for delivering complex instructions?
a) Written communication
b) Nonverbal communication
c) Listening
d) Silence

Q49. What role does feedback play in directing?
a) Punishing staff
b) Ignoring errors
c) Improving performance
d) Avoiding communication

Q50. The ability to influence and persuade others to work towards common goals is called:
a) Management
b) Leadership
c) Authority
d) Control

Q51. Which type of leadership involves setting clear expectations and rewarding compliance?
a) Transformational
b) Transactional
c) Democratic
d) Laissez-faire

Q52. A nurse leader who encourages innovation and risk-taking demonstrates:
a) Autocratic leadership
b) Transformational leadership
c) Transactional leadership
d) Bureaucratic leadership

Q53. Which of the following is an important aspect of directing?
a) Staffing
b) Planning
c) Controlling
d) Supervision

Q54. When resolving conflicts, which strategy focuses on finding a mutually acceptable solution?
a) Avoiding
b) Competing
c) Collaborating
d) Accommodating

Q55. Which of the following is NOT a leadership trait?
a) Integrity
b) Decisiveness
c) Laziness
d) Empathy

Q56. Which leadership approach is best when staff are highly competent and motivated?
a) Directing
b) Coaching
c) Supporting
d) Delegating

Q57. An effective leader should focus on:
a) Only task completion
b) Only relationships
c) Balancing task and people needs
d) Avoiding decision-making

Q58. Which leadership style can lead to low morale due to lack of guidance?
a) Autocratic
b) Laissez-faire
c) Democratic
d) Transformational

Q59. Which of the following best describes “authority”?
a) Power to punish only
b) Right to make decisions and command obedience
c) Ability to influence peers
d) Friendship with subordinates

Q60. The final step in directing is:
a) Planning
b) Organizing
c) Controlling and feedback
d) Staffing

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