, Nursing Delegation and Management of Patient Care 3rd Edition Motacki Test Bank
Chapter 01: Leadership and Management
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Motacki: Nursing Delegation and Management of Patient Care, 3rd Edition
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MULTIPLE CHOICE WD
1. Nurses can be leaders without being managers. Which nursing actions demonstrate
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leadership?
D
a. Assisting a new nurse with enteral tube feedings WD WD WD WD WD WD WD
b. Counseling a new nurse regarding attendance WD WD WD WD WD
c. Adjusting assignments after a staff member calls in sick WD WD WD WD WD WD WD WD
d. Calling a physician for new order clarification WD WD WD WD WD WD
ANS: A W D
Leaders act as role models and mentor new staff. The other options are incorrect because they
WD WD WD WD WD WD WD WD WD WD WD WD WD WD WD W
are management responsibilities and not leadership roles.
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DIF: Cognitive Level: Application WD WD REF: page 6 W D WD
2. Which nursing actions demonstrate the role of management in nursing?
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a. Encouraging autonomous decision making WD WD WD
b. Observing the documentation of appropriate charges to patients WD WD WD WD WD WD WD
c. Assisting in a code WD WD WD
d. Asking the patient/family about advance directives WD WD WD WD WD
ANS: B W D
Managers are responsible for the budget of their units. The other options are incorrect because t
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hose are leadership or mentoring roles
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DIF: Cognitive Level: Application WD WD REF: page 6 W D WD
3. Much like a politician, a nurse manager must exhibit leadership that inspires and motivates. In
WD WD WD WD WD WD WD WD WD WD WD WD WD WD
WD which instance is a nurse demonstrating leadership qualities?
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a. A staff nurse becomes aware of increased infection rates following cardiac surgery.
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The nurse takes it upon herself to research the possible causes and prevention me
WD WD WD WD WD WD WD WD WD WD WD WD WD
asures and to make suggestions to better protect patients.
WD WD WD WD WD WD WD WD
b. A staff nurse acts quickly when a cardiac arrest is called on her patient.
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c. A staff nurse notifies another staff member that she is being “pulled” today.
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d. A new nurse volunteers to work when another staff member must leave work
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because her child is ill.
D WD WD WD WD
ANS: A W D
Nurse leaders are interested in changing practice based on evidence. Options B and D ar
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e incorrect because they are actions taken by nurses as part of the functional structure of t
WD WD WD WD WD WD WD WD WD WD WD WD WD WD WD WD
he unit. Option C is incorrect because it is an action taken by a manager.
WD WD WD WD WD WD WD WD WD WD WD WD WD WD
DIF: W D W D Cognitive Level: Analysis WD WD REF: page 6 W D WD
4. A nurse manager must exhibit qualities of efficiency and organization. Which nurse is
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demonstrating the qualities necessary for a manager?
D WD WD WD WD WD WD
,Nursing Delegation and Management of Patient Care 3rd Edition Motacki Test Bank
a. A nurse becomes aware of increased infection rates following cardiac surgery. The
WD WD WD WD WD WD WD WD WD WD WD
, Nursing Delegation and Management of Patient Care 3rd Edition Motacki Test Bank
nurse takes it upon herself to research the possible causes and prevention measures an
WD WD WD WD WD WD WD WD WD WD WD WD WD
d to make suggestions to better protect patients.
WD WD WD WD WD WD WD
b. A nurse acts quickly when a cardiac arrest is called on her patient.
WD WD WD WD WD WD WD WD WD WD WD WD
c. A nurse notifies another staff member that she is being “pulled” today.
WD WD WD WD WD WD WD WD WD WD WD
d. A nurse volunteers to work when another staff member must leave work because
WD WD WD WD WD WD WD WD WD WD WD WD WD
her child is ill. WD WD WD
ANS: C W D
Determining who gets “pulled” is a management decision. Option A is incorrect because it is
WD WD WD WD WD WD WD WD WD WD WD WD WD WD WD
a role taken by a nurse leader. Option B is incorrect because it is an action taken by staff as
WD WD WD WD WD WD WD WD WD WD WD WD WD WD WD WD WD WD WD
part of the functional structure of the unit. Option D is incorrect because it is an action take
WD WD WD WD WD WD WD WD WD WD WD WD WD WD WD WD WD WD
n by staff as part of the functional structure of the unit.
WD WD WD WD WD WD WD WD WD WD WD
DIF: Cognitive Level: Analysis WD WD REF: page 6 W D WD
5. A nurse has accepted a position on a nursing unit where the nurse manager promotes auton
WD WD WD WD WD WD WD WD WD WD WD WD WD WD WD
omy and staff involvement in decision making. What would the nurse expect to observe on th
WD WD WD WD WD WD WD WD WD WD WD WD WD WD WD
is unit?
WD
a. Nurse manager mandates changes. WD WD WD
b. Staff takes responsibility for assignments.WD WD WD WD
c. Staff participates on hospital committees. WD WD WD WD
d. Nurses are recognized for excellence in practice. WD WD WD WD WD WD
ANS: C W D
Work environments that promote autonomy and decision making encourage participation on
WD WD WD WD WD WD WD WD WD WD
hospital committees so that staff may become involved in the decisions that are made. Option
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A is incorrect because this is not an environment in which staff are encouraged to participat
WD WD WD WD WD WD WD WD WD WD WD WD WD WD WD WD
e in decision making. Option B is incorrect because it should be seen in all environments re
WD WD WD WD WD WD WD WD WD WD WD WD WD WD WD WD
gardless of autonomy. Option D is incorrect because excellence in practice is not seen solel
WD WD WD WD WD WD WD WD WD WD WD WD WD WD
y in autonomous environments.
WD WD WD
DIF: Cognitive Level: Analysis WD WD REF: page 6 W D WD
6. The fundamental element of any patient care delivery combines work allocation with
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a. patient acuity. WD
b. leadership.
c. clinical decision making. WD WD
d. delegation.
ANS: C W D
Work allocation is necessary in any patient care delivery system. The other options ar
WD WD WD WD WD WD WD WD WD WD WD WD WD
e incorrect because it is not necessarily useful in determining the appropriate patient ca
WD WD WD WD WD WD WD WD WD WD WD WD WD
re delivery systems needed.
WD WD WD
DIF: W D W D Cognitive Level: Analysis WD WD REF: page 10 W D WD
7. The student nurse, shadowing on a medical-
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surgical unit, observes the charge nurse. Which action would the student identify as a lead
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ership quality in the nurse’s actions?
WD WD WD WD WD
a. Making patient care assignments distributed equally to staff
WD WD WD WD WD WD WD
b. Sitting with a confused combative patient WD WD WD WD WD
c. Calling the nursing office for extra staff when an RN calls in sick
WD WD WD WD WD WD WD WD WD WD WD WD
Chapter 01: Leadership and Management
WD WD WD WD
Motacki: Nursing Delegation and Management of Patient Care, 3rd Edition
WD WD WD WD WD WD WD WD WD
MULTIPLE CHOICE WD
1. Nurses can be leaders without being managers. Which nursing actions demonstrate
WD WD WD WD WD WD WD WD WD WD W
leadership?
D
a. Assisting a new nurse with enteral tube feedings WD WD WD WD WD WD WD
b. Counseling a new nurse regarding attendance WD WD WD WD WD
c. Adjusting assignments after a staff member calls in sick WD WD WD WD WD WD WD WD
d. Calling a physician for new order clarification WD WD WD WD WD WD
ANS: A W D
Leaders act as role models and mentor new staff. The other options are incorrect because they
WD WD WD WD WD WD WD WD WD WD WD WD WD WD WD W
are management responsibilities and not leadership roles.
D WD WD WD WD WD WD
DIF: Cognitive Level: Application WD WD REF: page 6 W D WD
2. Which nursing actions demonstrate the role of management in nursing?
WD WD WD WD WD WD WD WD WD
a. Encouraging autonomous decision making WD WD WD
b. Observing the documentation of appropriate charges to patients WD WD WD WD WD WD WD
c. Assisting in a code WD WD WD
d. Asking the patient/family about advance directives WD WD WD WD WD
ANS: B W D
Managers are responsible for the budget of their units. The other options are incorrect because t
WD WD WD WD WD WD WD WD WD WD WD WD WD WD WD
hose are leadership or mentoring roles
WD WD WD WD WD
DIF: Cognitive Level: Application WD WD REF: page 6 W D WD
3. Much like a politician, a nurse manager must exhibit leadership that inspires and motivates. In
WD WD WD WD WD WD WD WD WD WD WD WD WD WD
WD which instance is a nurse demonstrating leadership qualities?
WD WD WD WD WD WD WD
a. A staff nurse becomes aware of increased infection rates following cardiac surgery.
WD WD WD WD WD WD WD WD WD WD WD WD
The nurse takes it upon herself to research the possible causes and prevention me
WD WD WD WD WD WD WD WD WD WD WD WD WD
asures and to make suggestions to better protect patients.
WD WD WD WD WD WD WD WD
b. A staff nurse acts quickly when a cardiac arrest is called on her patient.
WD WD WD WD WD WD WD WD WD WD WD WD WD
c. A staff nurse notifies another staff member that she is being “pulled” today.
WD WD WD WD WD WD WD WD WD WD WD WD
d. A new nurse volunteers to work when another staff member must leave work
WD WD WD WD WD WD WD WD WD WD WD WD W
because her child is ill.
D WD WD WD WD
ANS: A W D
Nurse leaders are interested in changing practice based on evidence. Options B and D ar
WD WD WD WD WD WD WD WD WD WD WD WD WD WD
e incorrect because they are actions taken by nurses as part of the functional structure of t
WD WD WD WD WD WD WD WD WD WD WD WD WD WD WD WD
he unit. Option C is incorrect because it is an action taken by a manager.
WD WD WD WD WD WD WD WD WD WD WD WD WD WD
DIF: W D W D Cognitive Level: Analysis WD WD REF: page 6 W D WD
4. A nurse manager must exhibit qualities of efficiency and organization. Which nurse is
WD WD WD WD WD WD WD WD WD WD WD WD W
demonstrating the qualities necessary for a manager?
D WD WD WD WD WD WD
,Nursing Delegation and Management of Patient Care 3rd Edition Motacki Test Bank
a. A nurse becomes aware of increased infection rates following cardiac surgery. The
WD WD WD WD WD WD WD WD WD WD WD
, Nursing Delegation and Management of Patient Care 3rd Edition Motacki Test Bank
nurse takes it upon herself to research the possible causes and prevention measures an
WD WD WD WD WD WD WD WD WD WD WD WD WD
d to make suggestions to better protect patients.
WD WD WD WD WD WD WD
b. A nurse acts quickly when a cardiac arrest is called on her patient.
WD WD WD WD WD WD WD WD WD WD WD WD
c. A nurse notifies another staff member that she is being “pulled” today.
WD WD WD WD WD WD WD WD WD WD WD
d. A nurse volunteers to work when another staff member must leave work because
WD WD WD WD WD WD WD WD WD WD WD WD WD
her child is ill. WD WD WD
ANS: C W D
Determining who gets “pulled” is a management decision. Option A is incorrect because it is
WD WD WD WD WD WD WD WD WD WD WD WD WD WD WD
a role taken by a nurse leader. Option B is incorrect because it is an action taken by staff as
WD WD WD WD WD WD WD WD WD WD WD WD WD WD WD WD WD WD WD
part of the functional structure of the unit. Option D is incorrect because it is an action take
WD WD WD WD WD WD WD WD WD WD WD WD WD WD WD WD WD WD
n by staff as part of the functional structure of the unit.
WD WD WD WD WD WD WD WD WD WD WD
DIF: Cognitive Level: Analysis WD WD REF: page 6 W D WD
5. A nurse has accepted a position on a nursing unit where the nurse manager promotes auton
WD WD WD WD WD WD WD WD WD WD WD WD WD WD WD
omy and staff involvement in decision making. What would the nurse expect to observe on th
WD WD WD WD WD WD WD WD WD WD WD WD WD WD WD
is unit?
WD
a. Nurse manager mandates changes. WD WD WD
b. Staff takes responsibility for assignments.WD WD WD WD
c. Staff participates on hospital committees. WD WD WD WD
d. Nurses are recognized for excellence in practice. WD WD WD WD WD WD
ANS: C W D
Work environments that promote autonomy and decision making encourage participation on
WD WD WD WD WD WD WD WD WD WD
hospital committees so that staff may become involved in the decisions that are made. Option
WD WD WD WD WD WD WD WD WD WD WD WD WD WD WD
A is incorrect because this is not an environment in which staff are encouraged to participat
WD WD WD WD WD WD WD WD WD WD WD WD WD WD WD WD
e in decision making. Option B is incorrect because it should be seen in all environments re
WD WD WD WD WD WD WD WD WD WD WD WD WD WD WD WD
gardless of autonomy. Option D is incorrect because excellence in practice is not seen solel
WD WD WD WD WD WD WD WD WD WD WD WD WD WD
y in autonomous environments.
WD WD WD
DIF: Cognitive Level: Analysis WD WD REF: page 6 W D WD
6. The fundamental element of any patient care delivery combines work allocation with
WD WD WD WD WD WD WD WD WD WD WD
a. patient acuity. WD
b. leadership.
c. clinical decision making. WD WD
d. delegation.
ANS: C W D
Work allocation is necessary in any patient care delivery system. The other options ar
WD WD WD WD WD WD WD WD WD WD WD WD WD
e incorrect because it is not necessarily useful in determining the appropriate patient ca
WD WD WD WD WD WD WD WD WD WD WD WD WD
re delivery systems needed.
WD WD WD
DIF: W D W D Cognitive Level: Analysis WD WD REF: page 10 W D WD
7. The student nurse, shadowing on a medical-
WD WD WD WD WD WD
surgical unit, observes the charge nurse. Which action would the student identify as a lead
WD WD WD WD WD WD WD WD WD WD WD WD WD WD
ership quality in the nurse’s actions?
WD WD WD WD WD
a. Making patient care assignments distributed equally to staff
WD WD WD WD WD WD WD
b. Sitting with a confused combative patient WD WD WD WD WD
c. Calling the nursing office for extra staff when an RN calls in sick
WD WD WD WD WD WD WD WD WD WD WD WD