Complete Test Bank for Nursing Delegation and Management of
Patient Care, 3rd Edition by Motacki
| Verified Chapter's 1 - 21 | Complete Newest Version 2025
,Test Bank for Nursing Delegation and Management of Patient Care, 3rd Edition by Motacki
Chapter 01: Leadership and Management
Motacki: Nursing Delegation and Management of Patient Care, 3rd Edition
MULTIPLE CHOICE
1. Nurses can be leaders without being managers. Which nursing actions
demonstrateleadership?
a. Assisting a new nurse with enteral tube feedings
b. Counseling a new nurse regarding attendance
c. Adjusting assignments after a staff member calls in sick
d. Calling a physician for new order clarification
ANS: A
Leaders act as role models and mentor new staff. The other options are incorrect because
theyare management responsibilities and not leadership roles.
DIF: Cognitive Level: Application REF: page 6
2. Which nursing actions demonstrate the role of management in nursing?
a. Encouraging autonomous decision making
b. Observing the documentation of appropriate charges to patients
c. Assisting in a code
d. Asking the patient/family about advance directives
ANS: B
Managers are responsible for the budget of their units. The other options are incorrect
becausethose are leadership or mentoNriU
ngRrS
oIlesN. GTB.COM
DIF: Cognitive Level: Application REF: page 6
3. Much like a politician, a nurse manager must exhibit leadership that inspires and motivates.
Inwhich instance is a nurse demonstrating leadership qualities?
a. A staff nurse becomes aware of increased infection rates following cardiac
surgery.The nurse takes it upon herself to research the possible causes and
prevention measures and to make suggestions to better protect patients.
b. A staff nurse acts quickly when a cardiac arrest is called on her patient.
c. A staff nurse notifies another staff member that she is being “pulled” today.
d. A new nurse volunteers to work when another staff member must leave
workbecause her child is ill.
ANS: A
Nurse leaders are interested in changing practice based on evidence. Options B and D
are incorrect because they are actions taken by nurses as part of the functional
structure of theunit. Option C is incorrect because it is an action taken by a manager.
DIF: Cognitive Level: Analysis REF: page 6
4. A nurse manager must exhibit qualities of efficiency and organization. Which nurse
,isdemonstrating the qualities necessary for a manager?
a. A nurse becomes aware of increased infection rates following cardiac surgery. The
, nurse takes it upon herself to research the possible causes and prevention
measuresand to make suggestions to better protect patients.
b. A nurse acts quickly when a cardiac arrest is called on her patient.
c. A nurse notifies another staff member that she is being “pulled” today.
d. A nurse volunteers to work when another staff member must leave work
becauseher child is ill.
ANS: C
Determining who gets “pulled” is a management decision. Option A is incorrect because it
isa role taken by a nurse leader. Option B is incorrect because it is an action taken by staff
as part of the functional structure of the unit. Option D is incorrect because it is an action
taken by staff as part of the functional structure of the unit.
DIF: Cognitive Level: Analysis REF: page 6
5. A nurse has accepted a position on a nursing unit where the nurse manager promotes
autonomy and staff involvement in decision making. What would the nurse expect to
observeon this unit?
a. Nurse manager mandates changes.
b. Staff takes responsibility for assignments.
c. Staff participates on hospital committees.
d. Nurses are recognized for excellence in practice.
ANS: C
Work environments that promote autonomy and decision making encourage participation
on hospital committees so that staff may become involved in the decisions that are made.
OptionA is incorrect because this is not an environment in which staff are encouraged to
participate
in decision making. Option BNiU
sR
incSoIrrN
ecGTeBca.uCseOiM
tb t should be seen in all environments
regardless of autonomy. Option D is incorrect because excellence in practice is not seen solely
in autonomous environments.
DIF: Cognitive Level: Analysis REF: page 6
6. The fundamental element of any patient care delivery combines work allocation with
a. patient acuity.
b. leadership.
c. clinical decision making.
d. delegation.
ANS: C
Work allocation is necessary in any patient care delivery system. The other options
are incorrect because it is not necessarily useful in determining the appropriate
patient caredelivery systems needed.
DIF: Cognitive Level: Analysis REF: page 10
7. The student nurse, shadowing on a medical-surgical unit, observes the charge nurse.
Whichaction would the student identify as a leadership quality in the nurse’s actions?
a. Making patient care assignments distributed equally to staff
b. Sitting with a confused combative patient
c. Calling the nursing office for extra staff when an RN calls in sick
, d. Assisting in a code
ANS: B
Leaders act as role models and do what is right for the patient. The other options are
incorrectbecause these actions are expected as part of the functioning of the unit.
DIF: Cognitive Level: Analysis REF: page 5
8. Health care is seen and managed as a business today. Which skills are considered essential
tomanaging health care as a business?
a. Ability to pressure staff to do what you want
b. Resource utilization
c. Cutting corners to make money
d. Providing bonuses to staff members who help the organization to save money
ANS: B
The ability to manage a budget is essential to being a manager in health care today. The
otheroptions are incorrect because they are only a perception of the public regarding
successful managers.
DIF: Cognitive Level: Application REF: page 3 | page 7
9. The novice nurse is speaking with the nurse manager about their roles within the hierarchy
ofthe institution. The nurse manager would most likely identify which role as having the
most internal conflict?
a. Coordinating institutional goals with the immediate demands of the clinical area
b. Determining which of the staff members should get better raises than other
members .
c. Deciding which employees should be recommended for promotion
d. Determining which staff members get Christmas day off
ANS: A
Many times the goals of the institution conflict with the goals of the individual employees of
a particular clinical area and the nurse manager must implement institutional changes
regardless of the nurse’s personal opinion. The other options are incorrect because those
roles should notprovoke as much conflict.
DIF: Cognitive Level: Application REF: pages 7-8
10. Nurse managers can best be described as people who
a. develop institutional goals based on staff suggestions.
b. develop institutional goals based on a personal theory.
c. motivate staff to meet institutional goals through positional power.
d. inspire staff to meet institutional goals through personal power.
ANS: C
Managers motivate staff to make changes. Options A and B are incorrect because
nurse managers usually do not make institutional goals. Option C is incorrect because
leadersinspire, not managers.
DIF: Cognitive Level: Application REF: page 6
, 11. There sare sthree slevels sof smanagement sin snursing. sWhich saction sby sthe snurse swould
indicatesthe snurse sis sa sfirst-line snurse smanager?
s
a. Responding sto sa spatient scomplaint
b. Deciding sto sincorporate swalking srounds sshift sreport shospitalwide
c. Reevaluating sthe snursing spolicy spermitting sIV spush sof scertain smedications sby sRNs
d. Designating sassignment sof snew sadmissions
ANS: s A
The sfirst-line smanager sis sthe snurse smanager sand swould sbe sresponsible sfor sresponding
stospatient scomplaints. sOption sB sis sincorrect sbecause smiddle-level smanagers sset sshort-
sand
long-term sgoals. sOption sC sis sincorrect sbecause sreevaluating sthe snursing spolicy spermitting sIV
spush sof scertain smedications sby sRNs sis sa sresponsibility sof supper-level smanagement sto
sforecaststrends sin snursing. sOption sD sis sincorrect sbecause sdesignating sassignment sof snew
sadmissions swould sbe sthe sresponsibility sof sthe scharge snurse.
DIF: Cognitive sLevel: sAnalysis REF: s page s7
12. The smanagement sprocess sconsists sof ssix sfunctions: splanning, sstaffing, sorganizing,
sdirecting,scontrolling, sand sdecision smaking. sWhat smight sbe sseen sin sthe splanning sstep sof
sthe sprocess?
a. Identifying sthe sproblem sof sthe slack sof sICU sbeds
b. Organizing sa smeeting sto saddress sthe sproblem
c. Establishing san salternate ssite swithin sthe shospital sfor sthese spatients
d. Assigning sexperienced sstaff sto simplement scare sof sthese spatients
ANS: s A
Establishing sobjectives sshould sbe sseen sin sthe splanning sstep sfollowing sidentification sof
sthesproblem. sOption sB sis sthe sorganizing sstep. sOption sC sis sthe sdirecting sstep. sOption sD sis
sthe
controlling .
sstep.
DIF: Cognitive sLevel: sApplication REF: s page s7
13. The smanagement sprocess sconsists sof ssix sfunctions: splanning, sstaffing, sorganizing,
sdirecting,scontrolling, sand sdecision smaking. sWhat smight sbe sseen sin sthe sdecision-making
sprocess?
a. Organizing sa smeeting sto saddress sthe sproblem
b. Establishing san salternate ssite swithin sthe shospital sfor sthese spatients
c. Assigning sexperienced sstaff sto simplement scare sof sthese spatients
d. Establishing sthe snew sarea sas sa sstep-down sunit
ANS: s D
Decision smaking sis sa sresult sof sthe sother ssteps. sThe sother soptions sare sdifferent ssteps sin
sthesmanagement sprocess.
DIF: Cognitive sLevel: sApplication REF: s page s7
14. First-level smanagers sare sresponsible sfor sthe sday-to-day sactivities sof sthe sunit. sWhich
activityswould sthe snurse sexpect sto ssee sonly sfrom sa sfirst-level smanager?
s
a. Making sdaily sstaffing sassignments
Patient Care, 3rd Edition by Motacki
| Verified Chapter's 1 - 21 | Complete Newest Version 2025
,Test Bank for Nursing Delegation and Management of Patient Care, 3rd Edition by Motacki
Chapter 01: Leadership and Management
Motacki: Nursing Delegation and Management of Patient Care, 3rd Edition
MULTIPLE CHOICE
1. Nurses can be leaders without being managers. Which nursing actions
demonstrateleadership?
a. Assisting a new nurse with enteral tube feedings
b. Counseling a new nurse regarding attendance
c. Adjusting assignments after a staff member calls in sick
d. Calling a physician for new order clarification
ANS: A
Leaders act as role models and mentor new staff. The other options are incorrect because
theyare management responsibilities and not leadership roles.
DIF: Cognitive Level: Application REF: page 6
2. Which nursing actions demonstrate the role of management in nursing?
a. Encouraging autonomous decision making
b. Observing the documentation of appropriate charges to patients
c. Assisting in a code
d. Asking the patient/family about advance directives
ANS: B
Managers are responsible for the budget of their units. The other options are incorrect
becausethose are leadership or mentoNriU
ngRrS
oIlesN. GTB.COM
DIF: Cognitive Level: Application REF: page 6
3. Much like a politician, a nurse manager must exhibit leadership that inspires and motivates.
Inwhich instance is a nurse demonstrating leadership qualities?
a. A staff nurse becomes aware of increased infection rates following cardiac
surgery.The nurse takes it upon herself to research the possible causes and
prevention measures and to make suggestions to better protect patients.
b. A staff nurse acts quickly when a cardiac arrest is called on her patient.
c. A staff nurse notifies another staff member that she is being “pulled” today.
d. A new nurse volunteers to work when another staff member must leave
workbecause her child is ill.
ANS: A
Nurse leaders are interested in changing practice based on evidence. Options B and D
are incorrect because they are actions taken by nurses as part of the functional
structure of theunit. Option C is incorrect because it is an action taken by a manager.
DIF: Cognitive Level: Analysis REF: page 6
4. A nurse manager must exhibit qualities of efficiency and organization. Which nurse
,isdemonstrating the qualities necessary for a manager?
a. A nurse becomes aware of increased infection rates following cardiac surgery. The
, nurse takes it upon herself to research the possible causes and prevention
measuresand to make suggestions to better protect patients.
b. A nurse acts quickly when a cardiac arrest is called on her patient.
c. A nurse notifies another staff member that she is being “pulled” today.
d. A nurse volunteers to work when another staff member must leave work
becauseher child is ill.
ANS: C
Determining who gets “pulled” is a management decision. Option A is incorrect because it
isa role taken by a nurse leader. Option B is incorrect because it is an action taken by staff
as part of the functional structure of the unit. Option D is incorrect because it is an action
taken by staff as part of the functional structure of the unit.
DIF: Cognitive Level: Analysis REF: page 6
5. A nurse has accepted a position on a nursing unit where the nurse manager promotes
autonomy and staff involvement in decision making. What would the nurse expect to
observeon this unit?
a. Nurse manager mandates changes.
b. Staff takes responsibility for assignments.
c. Staff participates on hospital committees.
d. Nurses are recognized for excellence in practice.
ANS: C
Work environments that promote autonomy and decision making encourage participation
on hospital committees so that staff may become involved in the decisions that are made.
OptionA is incorrect because this is not an environment in which staff are encouraged to
participate
in decision making. Option BNiU
sR
incSoIrrN
ecGTeBca.uCseOiM
tb t should be seen in all environments
regardless of autonomy. Option D is incorrect because excellence in practice is not seen solely
in autonomous environments.
DIF: Cognitive Level: Analysis REF: page 6
6. The fundamental element of any patient care delivery combines work allocation with
a. patient acuity.
b. leadership.
c. clinical decision making.
d. delegation.
ANS: C
Work allocation is necessary in any patient care delivery system. The other options
are incorrect because it is not necessarily useful in determining the appropriate
patient caredelivery systems needed.
DIF: Cognitive Level: Analysis REF: page 10
7. The student nurse, shadowing on a medical-surgical unit, observes the charge nurse.
Whichaction would the student identify as a leadership quality in the nurse’s actions?
a. Making patient care assignments distributed equally to staff
b. Sitting with a confused combative patient
c. Calling the nursing office for extra staff when an RN calls in sick
, d. Assisting in a code
ANS: B
Leaders act as role models and do what is right for the patient. The other options are
incorrectbecause these actions are expected as part of the functioning of the unit.
DIF: Cognitive Level: Analysis REF: page 5
8. Health care is seen and managed as a business today. Which skills are considered essential
tomanaging health care as a business?
a. Ability to pressure staff to do what you want
b. Resource utilization
c. Cutting corners to make money
d. Providing bonuses to staff members who help the organization to save money
ANS: B
The ability to manage a budget is essential to being a manager in health care today. The
otheroptions are incorrect because they are only a perception of the public regarding
successful managers.
DIF: Cognitive Level: Application REF: page 3 | page 7
9. The novice nurse is speaking with the nurse manager about their roles within the hierarchy
ofthe institution. The nurse manager would most likely identify which role as having the
most internal conflict?
a. Coordinating institutional goals with the immediate demands of the clinical area
b. Determining which of the staff members should get better raises than other
members .
c. Deciding which employees should be recommended for promotion
d. Determining which staff members get Christmas day off
ANS: A
Many times the goals of the institution conflict with the goals of the individual employees of
a particular clinical area and the nurse manager must implement institutional changes
regardless of the nurse’s personal opinion. The other options are incorrect because those
roles should notprovoke as much conflict.
DIF: Cognitive Level: Application REF: pages 7-8
10. Nurse managers can best be described as people who
a. develop institutional goals based on staff suggestions.
b. develop institutional goals based on a personal theory.
c. motivate staff to meet institutional goals through positional power.
d. inspire staff to meet institutional goals through personal power.
ANS: C
Managers motivate staff to make changes. Options A and B are incorrect because
nurse managers usually do not make institutional goals. Option C is incorrect because
leadersinspire, not managers.
DIF: Cognitive Level: Application REF: page 6
, 11. There sare sthree slevels sof smanagement sin snursing. sWhich saction sby sthe snurse swould
indicatesthe snurse sis sa sfirst-line snurse smanager?
s
a. Responding sto sa spatient scomplaint
b. Deciding sto sincorporate swalking srounds sshift sreport shospitalwide
c. Reevaluating sthe snursing spolicy spermitting sIV spush sof scertain smedications sby sRNs
d. Designating sassignment sof snew sadmissions
ANS: s A
The sfirst-line smanager sis sthe snurse smanager sand swould sbe sresponsible sfor sresponding
stospatient scomplaints. sOption sB sis sincorrect sbecause smiddle-level smanagers sset sshort-
sand
long-term sgoals. sOption sC sis sincorrect sbecause sreevaluating sthe snursing spolicy spermitting sIV
spush sof scertain smedications sby sRNs sis sa sresponsibility sof supper-level smanagement sto
sforecaststrends sin snursing. sOption sD sis sincorrect sbecause sdesignating sassignment sof snew
sadmissions swould sbe sthe sresponsibility sof sthe scharge snurse.
DIF: Cognitive sLevel: sAnalysis REF: s page s7
12. The smanagement sprocess sconsists sof ssix sfunctions: splanning, sstaffing, sorganizing,
sdirecting,scontrolling, sand sdecision smaking. sWhat smight sbe sseen sin sthe splanning sstep sof
sthe sprocess?
a. Identifying sthe sproblem sof sthe slack sof sICU sbeds
b. Organizing sa smeeting sto saddress sthe sproblem
c. Establishing san salternate ssite swithin sthe shospital sfor sthese spatients
d. Assigning sexperienced sstaff sto simplement scare sof sthese spatients
ANS: s A
Establishing sobjectives sshould sbe sseen sin sthe splanning sstep sfollowing sidentification sof
sthesproblem. sOption sB sis sthe sorganizing sstep. sOption sC sis sthe sdirecting sstep. sOption sD sis
sthe
controlling .
sstep.
DIF: Cognitive sLevel: sApplication REF: s page s7
13. The smanagement sprocess sconsists sof ssix sfunctions: splanning, sstaffing, sorganizing,
sdirecting,scontrolling, sand sdecision smaking. sWhat smight sbe sseen sin sthe sdecision-making
sprocess?
a. Organizing sa smeeting sto saddress sthe sproblem
b. Establishing san salternate ssite swithin sthe shospital sfor sthese spatients
c. Assigning sexperienced sstaff sto simplement scare sof sthese spatients
d. Establishing sthe snew sarea sas sa sstep-down sunit
ANS: s D
Decision smaking sis sa sresult sof sthe sother ssteps. sThe sother soptions sare sdifferent ssteps sin
sthesmanagement sprocess.
DIF: Cognitive sLevel: sApplication REF: s page s7
14. First-level smanagers sare sresponsible sfor sthe sday-to-day sactivities sof sthe sunit. sWhich
activityswould sthe snurse sexpect sto ssee sonly sfrom sa sfirst-level smanager?
s
a. Making sdaily sstaffing sassignments
