Updated/Latest 2026–2027 Test Bank For Nursing Delegation And Management Of Patient Care 3rd Edition By Kathleen Motacki And Kathleen Burke Complete Questions And Answers Comprehensive Leadership Management Delegation Prioritization NCLEX Review Evidence

, Nursing Delegation and Managemen of Patien Care 3rd Edition Motacki Tes Bank J J J




Chapter 01: Leadership and Management
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MULTIPLE CHOICE

1. Nurses can beleaders without beingmanagers. Which nursingactions demonstrate
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leadership?
a. Assisting a new nurse with enteral tube feedings J J J J J J J




b. Counseling a new nurse regarding attendance J J J J J




c. Adjusting assignments after a staff member calls in sick J J J J J J J J




d. Calling a physician for new order clarification J J J J J J




ANS: A J




Leaders act as rolemodels and mentornew staff. Theotheroptions areincorrect because they are
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management responsibilities and not leadership roles. J J J J J




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2. Which nursing actions demonstrate the role of management in nursing?
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a. Encouraging autonomous decision making J J J




b. Observingthe documentation of appropriate charges to patients J J J J J J J




c. Assisting in a code J J J




d. Asking the patient/family about advance directives J J J J J




ANS: B J




Managers areresponsible forthebudget oftheir units. Theotheroptions areincorrect because those
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are leadership or mentoring roles
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3. Much likea politician, a nursemanager must exhibit leadership that inspires and motivates. In
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which instance is a nurse demonstrating leadership qualities?
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a. A staffnursebecomes awareofincreased infection rates followingcardiac surgery. The
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nurse takes it upon herself to research the possible causes and prevention measures and
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to make suggestions to better protect patients.
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b. A staff nurse acts quickly when a cardiac arrest is called on her patient.
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c. Astaff nurse notifies another staff member that she is being “pulled” today.
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d. A new nursevolunteers to work when anotherstaff membermust leave work
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because her child is ill. J J J J




ANS: A J




Nurse leaders are interested in changing practice based on evidence. Options B and D are
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incorrect because they are actions taken by nurses as part of the functional structure of the unit.
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Option C is incorrect because it is an action taken by a manager.
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4. A nursemanager must exhibit qualities ofefficiencyand organization. Which nurseis
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demonstrating the qualities necessary for a manager? J J J J J J

, Nursing Delegation and Managemen of Patien Care 3rd Edition Motacki Tes Bank J J J




a. A nurse becomes aware of increased infection rates following cardiac surgery. The
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nursetakes it upon herselftoresearch thepossible causes and prevention measures and to
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make suggestions to better protect patients. J J J J J




b. A nurse acts quickly when a cardiac arrest is called on her patient.
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c. Anurse notifies another staff member that she is being “pulled” today.
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d. A nursevolunteers to work when anotherstaffmembermust leavework because her
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child is ill. J J




ANS: C J




Determining who gets “pulled”is a management decision. OptionAis incorrect becauseit is a roleJ J J J J J J J J J J J J J J J J




taken by a nurse leader. Option B is incorrect because it is an action taken by staff as part of the
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functional structure of the unit. Option D is incorrect because it is an action taken by staff as part of
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the functional structure of the unit.
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5. A nurse has accepted a position on a nursing unit where the nurse manager promotes autonomy
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and staff involvement in decision making. What would thenurseexpect to observe on this unit?
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a. Nurse manager mandates changes. J J J




b. Staff takes responsibilityfor assignments. J J J J




c. Staff participates on hospital committees. J J J J




d. Nurses are recognized for excellence in practice. J J J J J J




ANS: C J




Work environments that promote autonomy and decision making encourage participation on
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hospital committees sothat staffmaybecome involved in thedecisions that aremade. Option A is
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incorrect because this is not an environment in which staff are encouraged to participate in
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decision making. Option B is incorrect because it should be seen in all environments regardless of
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autonomy. Option D is incorrect because excellence in practice is not seen solely in autonomous
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environments.

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6. Thefundamental element of anypatient care delivery combines work allocation with
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a. patient acuity. J




b. leadership.
c. clinical decision making. J J




d. delegation.
ANS: C J




Work allocation is necessary in any patient care delivery system. The other options are
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incorrect because it is not necessarily useful in determining the appropriate patient care
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delivery systems needed. J J




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7. Thestudent nurse, shadowingon amedical-surgical unit, observes the charge nurse. Which
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action would the student identify as a leadership quality in the nurse’s actions?
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a. Making patient care assignments distributed equally to staff J J J J J J J




b. Sitting with a confused combative patient J J J J J




c. Calling the nursing office for extra staff when an RN calls in sick J J J J J J J J J J J J

, Nursing Delegation and Managemen of Patien Care 3rd Edition Motacki Tes Bank J J J




d. Assisting in a code J J J




ANS: B J




Leaders act as role models and do what is right forthe patient. Theotheroptions areincorrect because
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these actions are expected as part of the functioning of the unit.
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8. Health careis seen and managed as abusiness today. Which skills areconsidered essential to
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managing health care as a business? J J J J J




a. Abilityto pressure staff to do what you want J J J J J J J J




b. Resourceutilization J




c. Cutting corners to make money J J J J




d. Providing bonuses to staff members who help the organization to save money J J J J J J J J J J J




ANS: B J




Theabilityto manage a budget is essential to being a manager in health care today. Theother options
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are incorrect because they are only a perception of the public regarding successful managers.
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9. Thenovicenurse is speaking with the nursemanager about their roles within the hierarchyof the
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institution. The nurse manager would most likely identify which role as having the most internal
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conflict?
a. Coordinatinginstitutional goals with the immediate demands of the clinical area J J J J J J J J J J




b. Determiningwhich ofthe staffmembers should get better raises than other J J J J J J J J J J J J




members
c. Deciding which employees should be recommended for promotion J J J J J J J




d. Determining which staff members get Christmas dayoff J J J J J J J




ANS: A J




Many times the goals of the institution conflict with the goals of the individual employees of a
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particular clinical area and the nurse manager must implement institutional changes regardless of
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the nurse’s personal opinion. The other options are incorrect because those roles should not
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provoke as much conflict. J J J




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10. Nursemanagers can best be described as people who
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a. develop institutional goals based on staff suggestions. J J J J J J




b. develop institutional goals based on a personal theory. J J J J J J J




c. motivatestaff to meet institutional goals through positional power. J J J J J J J J




d. inspirestaff to meet institutional goals through personal power.
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ANS: C J




Managers motivate staff to make changes. Options A and B are incorrect because nurse
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managers usually do not make institutional goals. Option C is incorrect because leaders
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inspire, not managers. J J




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