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/demonstrate/l
eadership?
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/they/ar
e/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/because/thos
e/are/leadership/or/mentoring/roles
DIF: Cognitive/Level:/Application REF:/ page/6
3. Much/like/a/politician,/a/nurse/manager/must/exhibit/leadership/that/inspires/and/motivates./In/w
hich/instance/is/a/nurse/demonstrating/leadership/qualities?
a. A/staff/nurse/becomes/aware/of/increased/infection/rates/following/cardiac/surgery./T
he/nurse/takes/it/upon/herself/to/research/the/possible/causes/and/prevention/measure
s/and/to/make/suggestions/to/better/protect/patients.
b. A/staff/nurse/acts/quickly/when/a/cardiac/arrest/is/called/on/her/patient.
c. A/staff/nurse/notifies/another/staff/member/that/she/is/being/“pulled”/today.
d. A/new/nurse/volunteers/to/work/when/another/staff/member/must/leave/work/b
ecause/her/child/is/ill.
ANS:/ A
Nurse/leaders/are/interested/in/changing/practice/based/on/evidence./Options/B/and/D/are/in
correct/because/they/are/actions/taken/by/nurses/as/part/of/the/functional/structure/of/the/unit
./Option/C/is/incorrect/because/it/is/an/action/taken/by/a/manager.
DIF:/ / Cognitive/Level:/Analysis REF:/ page/6
4. A/nurse/manager/must/exhibit/qualities/of/efficiency/and/organization./Which/nurse/is/d
emonstrating/the/qualities/necessary/for/a/manager?
,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
, Nursing/Delegation/and/Management/of/Patient/Care/3rd/Edition/Motacki/Test/Bank
nurse/takes/it/upon/herself/to/research/the/possible/causes/and/prevention/measures/and/t
o/make/suggestions/to/better/protect/patients.
b. A/nurse/acts/quickly/when/a/cardiac/arrest/is/called/on/her/patient.
c. A/nurse/notifies/another/staff/member/that/she/is/being/“pulled”/today.
d. A/nurse/volunteers/to/work/when/another/staff/member/must/leave/work/because/h
er/child/is/ill.
ANS:/ C
Determining/who/gets/“pulled”/is/a/management/decision./Option/A/is/incorrect/because/it/is/a/r
ole/taken/by/a/nurse/leader./Option/B/is/incorrect/because/it/is/an/action/taken/by/staff/as/part/of
/the/functional/structure/of/the/unit./Option/D/is/incorrect/because/it/is/an/action/taken/by/staff/a
s/part/of/the/functional/structure/of/the/unit.
DIF: Cognitive/Level:/Analysis REF:/ page/6
5. A/nurse/has/accepted/a/position/on/a/nursing/unit/where/the/nurse/manager/promotes/autonomy
/and/staff/involvement/in/decision/making./What/would/the/nurse/expect/to/observe/on/this/unit?
a. Nurse/manager/mandates/changes.
b. Staff/takes/responsibility/for/assignments.
c. Staff/participates/on/hospital/committees.
d. Nurses/are/recognized/for/excellence/in/practice.
ANS:/ C
Work/environments/that/promote/autonomy/and/decision/making/encourage/participation/on/h
ospital/committees/so/that/staff/may/become/involved/in/the/decisions/that/are/made./Option/A/i
s/incorrect/because/this/is/not/an/environment/in/which/staff/are/encouraged/to/participate/in/de
cision/making./Option/B/is/incorrect/because/it/should/be/seen/in/all/environments/regardless/o
f/autonomy./Option/D/is/incorrect/because/excellence/in/practice/is/not/seen/solely/in/autonom
ous/environments.
DIF: Cognitive/Level:/Analysis REF:/ page/6
6. The/fundamental/element/of/any/patient/care/delivery/combines/work/allocation/with
a. patient/acuity.
b. leadership.
c. clinical/decision/making.
d. delegation.
ANS:/ C
Work/allocation/is/necessary/in/any/patient/care/delivery/system./The/other/options/are/in
correct/because/it/is/not/necessarily/useful/in/determining/the/appropriate/patient/care/deli
very/systems/needed.
DIF:/ / Cognitive/Level:/Analysis REF:/ page/10
7. The/student/nurse,/shadowing/on/a/medical-
surgical/unit,/observes/the/charge/nurse./Which/action/would/the/student/identify/as/a/leaders
hip/quality/in/the/nurse’s/actions?
a. Making/patient/care/assignments/distributed/equally/to/staff
b. Sitting/with/a/confused/combative/patient
c. Calling/the/nursing/office/for/extra/staff/when/an/RN/calls/in/sick