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NURSING DELEGATION AND MANAGEMENT
3 3 3 3
OF PATIENT CARE, 3RD EDITION BY KATHL
3 3 3 3 3 3
EEN MOTACKI TEST BANK
3 3 3
,Chapter301:3Leadership3and3Management
MULTIPLE3CHOICE
1. Nurses3can3be3leaders3without3being3managers.3Which3nursing3actions3demonstrat
e3leadership?
a. Assisting3a3new3nurse3with3enteral3tube3feedings
b. Counseling3a3new3nurse3regarding3attendance
c. Adjusting3assignments3after3a3staff3member3calls3in3sick
d. Calling3a3physician3for3new3order3clarification
ANS:3 A
Leaders3act3as3role3models3and3mentor3new3staff.3The3other3options3are3incorrect3because3they
3are3management 3responsibilities3and3not3leadership3roles.
DIF: Cognitive3Level:3Application REF:3 page36
2. Which3nursing3actions3demonstrate3the3role3of3management3in3nursing?
a. Encouraging3autonomous3decision3making
b. Observing3the3documentation3of3appropriate3charges3to3patients
c. Assisting3in3a3code
d. Asking3the3patient/family3about3advance3directives
ANS:3 B
Managers3are3responsible3for3the3budget3of3their3units.3The3other3options3are3incorrect3becaus
e3those3are3leadership3or3mentoN ngRrS
riU olI
esN. 3GT B.COM
DIF: Cognitive3Level:3Application REF:3 page36
3. Much3like3a3politician,3a3nurse3manager3must3exhibit3leadership3that3inspires3and3motivates.3I
n3which3instance3is3a3nurse3demonstrating3leadership3qualities?
a. A3staff3nurse3becomes3aware3of3increased3infection3rates3following3cardiac3surger
y.3The3nurse3takes3it3upon3herself3to3research3the3possible3causes3and3prevention3
measures3and3to3make3suggestions3to3better3protect3patients.
b. A3staff3nurse3acts3quickly3when3a3cardiac3arrest3is3called3on3her3patient.
c. A3staff3nurse3notifies3another3staff3member3that3she3is3being3“pulled”3today.
d. A3new3nurse3volunteers3to3work3when3another3staff3member3must3leave3wor
k3because3her3child3is3ill.
, ANS:3 A
Nurse3leaders3are3interested3in3changing3practice3based3on3evidence.3Options3B3and3D3ar
e3incorrect3because3they3are3actions3taken3by3nurses3as3part3of3the3functional3structure3of3
the3unit.3Option3C3is3incorrect3because3it3is3an3action3taken3by3a3manager.
DIF:3 3 Cognitive3Level:3Analysis REF:3 page36
4. A3nurse3manager3must3exhibit3qualities3of3efficiency3and3organization.3Which3nurse3i
s3demonstrating3the3qualities3necessary3for3a3manager?
a. A3nurse3becomes3aware3of3increased3infection3rates3following3cardiac3surgery.3The
, nurse3takes3it3upon3herself3to3research3the3possible3causes3and3prevention3measures3a
nd3to3make3suggestions3to3better3protect3patients.
b. A3nurse3acts3quickly3when3a3cardiac3arrest3is3called3on3her3patient.
c. A3nurse3notifies3another3staff3member3that3she3is3being3“pulled”3today.
d. A3nurse3volunteers3to3work3when3another3staff3member3must3leave3work3becaus
e3her3child3is3ill.
ANS:3 C
Determining3who3gets3“pulled”3is3a3management3decision.3Option3A3is3incorrect3because3it3i
s3a3role3taken3by3a3nurse3leader.3Option3B3is3incorrect3because3it3is3an3action3taken3by3staff3
as3part3of3the3functional3structure3of3the3unit.3Option3D3is3incorrect3because3it3is3an3action3ta
ken3by3staff3as3part3of3the3functional3structure3of3the3unit.
DIF: Cognitive3Level:3Analysis REF:3 page36
5. A3nurse3has3accepted3a3position3on3a3nursing3unit3where3the3nurse3manager3promotes3auton
omy3and3staff3involvement3in3decision3making.3What3would3the3nurse3expect3to3observe3on3
this3unit?
a. Nurse3manager3mandates3changes.
b. Staff3takes3responsibility3for3assignments.
c. Staff3participates3on3hospital3committees.
d. Nurses3are3recognized3for3excellence3in3practice.
ANS:3 C
Work3environments3that3promote3autonomy3and3decision3making3encourage3participation3on3
hospital3committees3so3that3staff3may3become3involved3in3the3decisions3that3are3made.3Optio
n3A3is3incorrect3because3this3is3not3an3environment3in3which3staff3are3encouraged3to3participa
te
in3decision3making.3Option3BNiU
s3R coI
inS ecG
rrN b eBc a.u C
t 3T s eOi tMs h o u l d 3be3seen3in3all3environments3rega
rdless3of3autonomy.3Option3D3is3incorrect3because3excellence3in3practice3is3not3seen3solely
in3autonomous3environments.
DIF: Cognitive3Level:3Analysis REF:3 page36
6. The3fundamental3element3of3any3patient3care3delivery3combines3work3allocation3with
a. patient3acuity.
b. leadership.
c. clinical3decision3making.
d. delegation.
ANS:3 C
Work3allocation3is3necessary3in3any3patient3care3delivery3system.3The3other3options3ar
e3incorrect3because3it3is3not3necessarily3useful3in3determining3the3appropriate3patient3c
are3delivery3systems3needed.
DIF:3 3 Cognitive3Level:3Analysis REF:3 page310
7. The3student3nurse,3shadowing3on3a3medical-
surgical3unit,3observes3the3charge3nurse.3Which3action3would3the3student3identify3as3a3lead
ership3quality3in3the3nurse’s3actions?
a. Making3patient3care3assignments3distributed3equally3to3staff
b. Sitting3with3a3confused3combative3patient
c. Calling3the3nursing3office3for3extra3staff3when3an3RN3calls3in3sick
NURSING DELEGATION AND MANAGEMENT
3 3 3 3
OF PATIENT CARE, 3RD EDITION BY KATHL
3 3 3 3 3 3
EEN MOTACKI TEST BANK
3 3 3
,Chapter301:3Leadership3and3Management
MULTIPLE3CHOICE
1. Nurses3can3be3leaders3without3being3managers.3Which3nursing3actions3demonstrat
e3leadership?
a. Assisting3a3new3nurse3with3enteral3tube3feedings
b. Counseling3a3new3nurse3regarding3attendance
c. Adjusting3assignments3after3a3staff3member3calls3in3sick
d. Calling3a3physician3for3new3order3clarification
ANS:3 A
Leaders3act3as3role3models3and3mentor3new3staff.3The3other3options3are3incorrect3because3they
3are3management 3responsibilities3and3not3leadership3roles.
DIF: Cognitive3Level:3Application REF:3 page36
2. Which3nursing3actions3demonstrate3the3role3of3management3in3nursing?
a. Encouraging3autonomous3decision3making
b. Observing3the3documentation3of3appropriate3charges3to3patients
c. Assisting3in3a3code
d. Asking3the3patient/family3about3advance3directives
ANS:3 B
Managers3are3responsible3for3the3budget3of3their3units.3The3other3options3are3incorrect3becaus
e3those3are3leadership3or3mentoN ngRrS
riU olI
esN. 3GT B.COM
DIF: Cognitive3Level:3Application REF:3 page36
3. Much3like3a3politician,3a3nurse3manager3must3exhibit3leadership3that3inspires3and3motivates.3I
n3which3instance3is3a3nurse3demonstrating3leadership3qualities?
a. A3staff3nurse3becomes3aware3of3increased3infection3rates3following3cardiac3surger
y.3The3nurse3takes3it3upon3herself3to3research3the3possible3causes3and3prevention3
measures3and3to3make3suggestions3to3better3protect3patients.
b. A3staff3nurse3acts3quickly3when3a3cardiac3arrest3is3called3on3her3patient.
c. A3staff3nurse3notifies3another3staff3member3that3she3is3being3“pulled”3today.
d. A3new3nurse3volunteers3to3work3when3another3staff3member3must3leave3wor
k3because3her3child3is3ill.
, ANS:3 A
Nurse3leaders3are3interested3in3changing3practice3based3on3evidence.3Options3B3and3D3ar
e3incorrect3because3they3are3actions3taken3by3nurses3as3part3of3the3functional3structure3of3
the3unit.3Option3C3is3incorrect3because3it3is3an3action3taken3by3a3manager.
DIF:3 3 Cognitive3Level:3Analysis REF:3 page36
4. A3nurse3manager3must3exhibit3qualities3of3efficiency3and3organization.3Which3nurse3i
s3demonstrating3the3qualities3necessary3for3a3manager?
a. A3nurse3becomes3aware3of3increased3infection3rates3following3cardiac3surgery.3The
, nurse3takes3it3upon3herself3to3research3the3possible3causes3and3prevention3measures3a
nd3to3make3suggestions3to3better3protect3patients.
b. A3nurse3acts3quickly3when3a3cardiac3arrest3is3called3on3her3patient.
c. A3nurse3notifies3another3staff3member3that3she3is3being3“pulled”3today.
d. A3nurse3volunteers3to3work3when3another3staff3member3must3leave3work3becaus
e3her3child3is3ill.
ANS:3 C
Determining3who3gets3“pulled”3is3a3management3decision.3Option3A3is3incorrect3because3it3i
s3a3role3taken3by3a3nurse3leader.3Option3B3is3incorrect3because3it3is3an3action3taken3by3staff3
as3part3of3the3functional3structure3of3the3unit.3Option3D3is3incorrect3because3it3is3an3action3ta
ken3by3staff3as3part3of3the3functional3structure3of3the3unit.
DIF: Cognitive3Level:3Analysis REF:3 page36
5. A3nurse3has3accepted3a3position3on3a3nursing3unit3where3the3nurse3manager3promotes3auton
omy3and3staff3involvement3in3decision3making.3What3would3the3nurse3expect3to3observe3on3
this3unit?
a. Nurse3manager3mandates3changes.
b. Staff3takes3responsibility3for3assignments.
c. Staff3participates3on3hospital3committees.
d. Nurses3are3recognized3for3excellence3in3practice.
ANS:3 C
Work3environments3that3promote3autonomy3and3decision3making3encourage3participation3on3
hospital3committees3so3that3staff3may3become3involved3in3the3decisions3that3are3made.3Optio
n3A3is3incorrect3because3this3is3not3an3environment3in3which3staff3are3encouraged3to3participa
te
in3decision3making.3Option3BNiU
s3R coI
inS ecG
rrN b eBc a.u C
t 3T s eOi tMs h o u l d 3be3seen3in3all3environments3rega
rdless3of3autonomy.3Option3D3is3incorrect3because3excellence3in3practice3is3not3seen3solely
in3autonomous3environments.
DIF: Cognitive3Level:3Analysis REF:3 page36
6. The3fundamental3element3of3any3patient3care3delivery3combines3work3allocation3with
a. patient3acuity.
b. leadership.
c. clinical3decision3making.
d. delegation.
ANS:3 C
Work3allocation3is3necessary3in3any3patient3care3delivery3system.3The3other3options3ar
e3incorrect3because3it3is3not3necessarily3useful3in3determining3the3appropriate3patient3c
are3delivery3systems3needed.
DIF:3 3 Cognitive3Level:3Analysis REF:3 page310
7. The3student3nurse,3shadowing3on3a3medical-
surgical3unit,3observes3the3charge3nurse.3Which3action3would3the3student3identify3as3a3lead
ership3quality3in3the3nurse’s3actions?
a. Making3patient3care3assignments3distributed3equally3to3staff
b. Sitting3with3a3confused3combative3patient
c. Calling3the3nursing3office3for3extra3staff3when3an3RN3calls3in3sick