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,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 m e n t oNr iUn gRrSo lIe sN. GTB.COM
DIF: Cognitive Level: Application REF: page 6
3. Much xlike xa xpolitician, xa xnurse xmanager xmust xexhibit xleadership xthat xinspires xand
xmotivates. xInxwhich xinstance xis xa xnurse xdemonstrating xleadership xqualities?
a. A xstaff xnurse xbecomes xaware xof xincreased xinfection xrates xfollowing xcardiac
xsurgery.xThe xnurse xtakes xit xupon xherself xto xresearch xthe xpossible xcauses xand
xprevention xmeasures xand xto xmake xsuggestions xto xbetter xprotect xpatients.
b. A xstaff xnurse xacts xquickly xwhen xa xcardiac xarrest xis xcalled xon xher xpatient.
c. A xstaff xnurse xnotifies xanother xstaff xmember xthat xshe xis xbeing x“pulled” xtoday.
d. A xnew xnurse xvolunteers xto xwork xwhen xanother xstaff xmember xmust
xleave xworkxbecause xher xchild xis xill.
ANS: x A
Nurse xleaders xare xinterested xin xchanging xpractice xbased xon xevidence. xOptions xB
xand xD xare xincorrect xbecause xthey xare xactions xtaken xby xnurses xas xpart xof xthe
xfunctional xstructure xof xthexunit. xOption xC xis xincorrect xbecause xit xis xan xaction xtaken
xby xa xmanager.
DIF: x x x Cognitive xLevel: xAnalysis REF: x page x6
,4. A xnurse xmanager xmust xexhibit xqualities xof xefficiency xand xorganization. xWhich
xnurse xisxdemonstrating xthe xqualities xnecessary xfor xa xmanager?
a. A xnurse xbecomes xaware xof xincreased xinfection xrates xfollowing xcardiac xsurgery. xThe
, nurse xtakes xit xupon xherself xto xresearch xthe xpossible xcauses xand xprevention
xmeasuresxand xto xmake xsuggestions xto xbetter xprotect xpatients.
b. A xnurse xacts xquickly xwhen xa xcardiac xarrest xis xcalled xon xher xpatient.
c. A xnurse xnotifies xanother xstaff xmember xthat xshe xis xbeing x“pulled” xtoday.
d. A xnurse xvolunteers xto xwork xwhen xanother xstaff xmember xmust xleave xwork
xbecausexher xchild xis xill.
ANS: x C
Determining xwho xgets x“pulled” xis xa xmanagement xdecision. xOption xA xis xincorrect
xbecause xit xisxa xrole xtaken xby xa xnurse xleader. xOption xB xis xincorrect xbecause xit xis xan
xaction xtaken xby xstaff xas xpart xof xthe xfunctional xstructure xof xthe xunit. xOption xD xis
xincorrect xbecause xit xis xan xaction xtaken xby xstaff xas xpart xof xthe xfunctional xstructure xof
xthe xunit.
DIF: Cognitive xLevel: xAnalysis REF: x page x6
5. A xnurse xhas xaccepted xa xposition xon xa xnursing xunit xwhere xthe xnurse xmanager
xpromotes xautonomy xand xstaff xinvolvement xin xdecision xmaking. xWhat xwould xthe xnurse
xexpect xto xobservexon xthis xunit?
a. Nurse xmanager xmandates xchanges.
b. Staff xtakes xresponsibility xfor xassignments.
c. Staff xparticipates xon xhospital xcommittees.
d. Nurses xare xrecognized xfor xexcellence xin xpractice.
ANS: x C
Work xenvironments xthat xpromote xautonomy xand xdecision xmaking xencourage
xparticipation xon xhospital xcommittees xso xthat xstaff xmay xbecome xinvolved xin xthe
xdecisions xthat xare xmade. xOptionxA xis xincorrect xbecause xthis xis xnot xan xenvironment xin
xwhich xstaff xare xencouraged xto xparticipate
in xdecision xmaking. xOption xBNiUs xR
incSoIrrN
ecGt xbTeB
ca.uC
seOiM
t xshould xbe xseen xin xall xenvironments
regardless xof xautonomy. xOption xD xis xincorrect xbecause xexcellence xin xpractice xis xnot xseen
xsolely
in xautonomous xenvironments.
DIF: Cognitive xLevel: xAnalysis REF: x page x6
6. The xfundamental xelement xof xany xpatient xcare xdelivery xcombines xwork xallocation xwith
a. patient xacuity.
b. leadership.
c. clinical xdecision xmaking.
d. delegation.
ANS: x C
Work xallocation xis xnecessary xin xany xpatient xcare xdelivery xsystem. xThe xother
xoptions xare xincorrect xbecause xit xis xnot xnecessarily xuseful xin xdetermining xthe
xappropriate xpatient xcarexdelivery xsystems xneeded.
DIF: x x x Cognitive xLevel: xAnalysis REF: x page x10
7. The xstudent xnurse, xshadowing xon xa xmedical-surgical xunit, xobserves xthe xcharge
xnurse. xWhichxaction xwould xthe xstudent xidentify xas xa xleadership xquality xin xthe
xnurse’s xactions?