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