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