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