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