g g g g g g g g g g
g Edition by Motackig g
g | Verified Chapter's 1 - 21 | Complete Newest Version
g g g g g g g g g g
,Test Bank for Nursing Delegation and Management of Patient Care, 3rd Edition by Motacki
g g g g g g g g g g g g g
Chapter 01: Leadership and Management
g g g g
Motacki: Nursing Delegation and Management of Patient Care, 3rd Edition
g g g g g g g g g
MULTIPLE CHOICE g
1. Nurses can be leaders without being managers. Which nursing actions
g g g g g g g g g
demonstrateleadership?
g g
a. Assisting a new nurse with enteral tube feedings g g g g g g g
b. Counseling a new nurse regarding attendance g g g g g
c. Adjusting assignments after a staff member calls in sick g g g g g g g g
d. Calling a physician for new order clarification g g g g g g
ANS: A g
Leaders act as role models and mentor new staff. The other options are incorrect because
g g g g g g g g g g g g g g
theyare management responsibilities and not leadership roles.
g g g g g g g g
DIF: Cognitive Level: Application g g REF: page 6 g g
2. Which nursing actions demonstrate the role of management in nursing?
g g g g g g g g g
a. Encouraging autonomous decision making g g g
b. Observing the documentation of appropriate charges to patients g g g g g g g
c. Assisting in a code g g g
d. Asking the patient/family about advance directives g g g g g
ANS: B g
Managers are responsible for the budget of their units. The other options are incorrect
g g g g g g g g g g g g g
becausethose are leadership or mentoNriU
g ngRrS
oIlesN.GTB.COM g g g g g g
DIF: Cognitive Level: Application g g REF: page 6 g g
3. Much like a politician, a nurse manager must exhibit leadership that inspires and motivates.
g g g g g g g g g g g g g
g Inwhich instance is a nurse demonstrating leadership qualities?
g g g g g g g g
a. A staff nurse becomes aware of increased infection rates following cardiac
g g g g g g g g g g
surgery.The nurse takes it upon herself to research the possible causes and
g g g g g g g g g g g g g
prevention measures and to make suggestions to better protect patients.
g g g g g g g g g g
b. A staff nurse acts quickly when a cardiac arrest is called on her patient.
g g g g g g g g g g g g g
c. A staff nurse notifies another staff member that she is being “pulled” today.
g g g g g g g g g g g g
d. A new nurse volunteers to work when another staff member must leave
g g g g g g g g g g g
workbecause her child is ill.
g g g g g g
ANS: A g
Nurse leaders are interested in changing practice based on evidence. Options B and D are
g g g g g g g g g g g g g g
incorrect because they are actions taken by nurses as part of the functional structure of
g g g g g g g g g g g g g g g
theunit. Option C is incorrect because it is an action taken by a manager.
g g g g g g g g g g g g g g g
DIF: gg g Cognitive Level: Analysis g g REF: page 6 g g
4. A nurse manager must exhibit qualities of efficiency and organization. Which nurse
g g g g g g g g g g g
,g isdemonstrating the qualities necessary for a manager?
g g g g g g g
a. A nurse becomes aware of increased infection rates following cardiac surgery. The
g g g g g g g g g g g
, nurse takes it upon herself to research the possible causes and prevention
g g g g g g g g g g g
measuresand to make suggestions to better protect patients.
g g g g g g g g g
b. A nurse acts quickly when a cardiac arrest is called on her patient.
g g g g g g g g g g g g
c. A nurse notifies another staff member that she is being “pulled” today.
g g g g g g g g g g g
d. A nurse volunteers to work when another staff member must leave work
g g g g g g g g g g g
becauseher child is ill.
g g g g g
ANS: C g
Determining who gets “pulled” is a management decision. Option A is incorrect because it isa
g g g g g g g g g g g g g g g
role taken by a nurse leader. Option B is incorrect because it is an action taken by staff as part
g g g g g g g g g g g g g g g g g g g g
of the functional structure of the unit. Option D is incorrect because it is an action taken by
g g g g g g g g g g g g g g g g g g
staff as part of the functional structure of the unit.
g g g g g g g g g g
DIF: Cognitive Level: Analysis g g REF: page 6 g g
5. A nurse has accepted a position on a nursing unit where the nurse manager promotes
g g g g g g g g g g g g g g
autonomy and staff involvement in decision making. What would the nurse expect to
g g g g g g g g g g g g g
observeon this unit?
g g g g
a. Nurse manager mandates changes. g g g
b. Staff takes responsibility for assignments. g g g g
c. Staff participates on hospital committees. g g g g
d. Nurses are recognized for excellence in practice. g g g g g g
ANS: C g
Work environments that promote autonomy and decision making encourage participation on
g g g g g g g g g g
ghospital committees so that staff may become involved in the decisions that are made.
g g g g g g g g g g g g g
gOptionA is incorrect because this is not an environment in which staff are encouraged to
g g g g g g g g g g g g g g g
gparticipate
in decision making. Option BNiU
g sRincSoIrrN
ecGTeBca.uCseOiM
tb t should be seen in all environments
g g g g g g g g g g g
regardless of autonomy. Option D is incorrect because excellence in practice is not seen solely
g g g g g g g g g g g g g g
in autonomous environments.
g g
DIF: Cognitive Level: Analysis g g REF: page 6 g g
6. The fundamental element of any patient care delivery combines work allocation with
g g g g g g g g g g g
a. patient acuity. g
b. leadership.
c. clinical decision making. g g
d. delegation.
ANS: C g
Work allocation is necessary in any patient care delivery system. The other options
g g g g g g g g g g g g
areincorrect because it is not necessarily useful in determining the appropriate patient
g g g g g g g g g g g g g
caredelivery systems needed.
g g g g
DIF: gg g Cognitive Level: Analysis g g REF: page 10 g g
7. The student nurse, shadowing on a medical-surgical unit, observes the charge nurse.
g g g g g g g g g g g
g Whichaction would the student identify as a leadership quality in the nurse’s actions?
g g g g g g g g g g g g g
a. Making patient care assignments distributed equally to staff g g g g g g g
b. Sitting with a confused combative patient g g g g g
c. Calling the nursing office for extra staff when an RN calls in sickg g g g g g g g g g g g