, Nursing Delegation and Management of Patient Care 3rd Edition Motacki Test Ban
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k
Chapter 01: Leadership and Management
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Motacki: Nursing Delegation and Management of Patient Care, 3rd Edition
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MULTIPLE CHOICE WQ
1. Nurses can be leaders without being managers. Which nursing actions demonstrate
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leadership?
Q
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 W Q
Leaders act as role models and mentor new staff. The other options are incorrect because they
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are management responsibilities and not leadership roles.
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DIF: Cognitive Level: Application WQ WQ REF: page 6 W Q WQ
2. Which nursing actions demonstrate the role of management in nursing?
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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 W Q
Managers are responsible for the budget of their units. The other options are incorrect because t
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hose are leadership or mentoring roles
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 motivates. In
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
WQ which instance is a nurse demonstrating leadership qualities?
WQ WQ WQ WQ WQ WQ WQ
a. A staff nurse becomes aware of increased infection rates following cardiac surgery.
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The nurse takes it upon herself to research the possible causes and prevention me
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
asures and to make suggestions to better protect patients.
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b. A staff nurse acts quickly when a cardiac arrest is called on her patient.
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c. A staff nurse notifies another staff member that she is being “pulled” today.
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d. A new nurse volunteers to work when another staff member must leave work
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because her child is ill.
Q WQ WQ WQ WQ
ANS: A W Q
Nurse leaders are interested in changing practice based on evidence. Options B and D ar
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e incorrect because they are actions taken by nurses as part of the functional structure of t
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he unit. Option C is incorrect because it is an action taken by a manager.
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DIF: 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 nurse is
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demonstrating the qualities necessary for a manager?
Q WQ WQ WQ WQ WQ WQ
,Nursing Delegation and Management of Patient Care 3rd Edition Motacki Test Ban
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
k
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 Ban
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
k
nurse takes it upon herself to research the possible causes and prevention measures an
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d to make suggestions to better protect patients.
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b. A nurse acts quickly when a cardiac arrest is called on her patient.
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c. A nurse notifies another staff member that she is being “pulled” today.
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d. A nurse volunteers to work when another staff member must leave work because
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her child is ill. WQ WQ WQ
ANS: C W Q
Determining who gets “pulled” is a management decision. Option A is incorrect because it is
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a role taken by a nurse leader. Option B is incorrect because it is an action taken by staff as
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part of the functional structure of the unit. Option D is incorrect because it is an action take
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n by staff as part of the functional structure of the unit.
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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 auton
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
omy and staff involvement in decision making. What would the nurse expect to observe on th
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
is unit?
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 W Q
Work environments that promote autonomy and decision making encourage participation on
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hospital committees so that staff may become involved in the decisions that are made. Option
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A is incorrect because this is not an environment in which staff are encouraged to participat
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e in decision making. Option B is incorrect because it should be seen in all environments re
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gardless of autonomy. Option D is incorrect because excellence in practice is not seen solel
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y in autonomous environments.
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
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a. patient acuity. WQ
b. leadership.
c. clinical decision making. WQ WQ
d. delegation.
ANS: C W Q
Work allocation is necessary in any patient care delivery system. The other options ar
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e incorrect because it is not necessarily useful in determining the appropriate patient ca
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
re delivery systems needed.
WQ WQ WQ
DIF: W Q Cognitive Level: Analysis WQ WQ REF: page 10 W Q WQ
7. The student nurse, shadowing on a medical-
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surgical unit, observes the charge nurse. Which action would the student identify as a lead
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
ership quality in the nurse’s actions?
WQ WQ WQ WQ WQ
a. Making patient care assignments distributed equally to staff
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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
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
k
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 demonstrate
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ W
leadership?
Q
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 W Q
Leaders act as role models and mentor new staff. The other options are incorrect because they
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ W
are management responsibilities and not leadership roles.
Q 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 W Q
Managers are responsible for the budget of their units. The other options are incorrect because t
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
hose are leadership or mentoring roles
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 motivates. In
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
WQ which instance is a nurse demonstrating leadership qualities?
WQ WQ WQ WQ WQ WQ WQ
a. A staff nurse becomes aware of increased infection rates following cardiac surgery.
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
The nurse takes it upon herself to research the possible causes and prevention me
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
asures and to make suggestions to better protect patients.
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 work
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ W
because her child is ill.
Q WQ WQ WQ WQ
ANS: A W Q
Nurse leaders are interested in changing practice based on evidence. Options B and D ar
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
e incorrect because they are actions taken by nurses as part of the functional structure of t
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
he 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
DIF: 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 nurse is
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ W
demonstrating the qualities necessary for a manager?
Q WQ WQ WQ WQ WQ WQ
,Nursing Delegation and Management of Patient Care 3rd Edition Motacki Test Ban
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
k
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 Ban
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
k
nurse takes it upon herself to research the possible causes and prevention measures an
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
d to make suggestions to better protect patients.
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 because
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
her child is ill. WQ WQ WQ
ANS: C W Q
Determining who gets “pulled” is a management decision. Option A is incorrect because it is
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
a role taken by a nurse leader. Option B is incorrect because it is an action taken by staff as
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
part of the functional structure of the unit. Option D is incorrect because it is an action take
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
n by staff as part of the functional structure of the unit.
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 auton
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
omy and staff involvement in decision making. What would the nurse expect to observe on th
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
is unit?
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 W Q
Work environments that promote autonomy and decision making encourage participation on
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
hospital committees so that staff may become involved in the decisions that are made. Option
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
A is incorrect because this is not an environment in which staff are encouraged to participat
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
e in decision making. Option B is incorrect because it should be seen in all environments re
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
gardless of autonomy. Option D is incorrect because excellence in practice is not seen solel
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
y in autonomous environments.
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 W Q
Work allocation is necessary in any patient care delivery system. The other options ar
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
e incorrect because it is not necessarily useful in determining the appropriate patient ca
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
re delivery systems needed.
WQ WQ WQ
DIF: 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 lead
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
ership 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