TEST BANK - Nursing Delegation and
Management of Patient Care 2nd Edition
by Kathleen Motacki, Kathleen Burke
CHAPTER 1-21| VERIFIED
SOLUTIONS WITH RATIONALES
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, Table of Contents
Section 1: TRANSFORMATIONAL LEADERSHIP
Chapter 1. Leadership and Management
Chapter 2. Organizational Structure of Health Care
Chapter 3. Strategic Management and Planning
Chapter 4. Financial Management in Health Care
Chapter 5. Health Care Regulatory and Certifying Agencies
Section 2: STRUCTURAL EMPOWERMENT
Chapter 6. Organizational Decision Making and Shared Governance
Chapter 7. Professional Decision Making and Advocacy
Chapter 8. Communication in the Work Environment
Chapter 9. Personnel Policies and Programs in the Workplace
Section 3: EXEMPLARY PROFESSIONAL PRACTICE
Chapter 10. Professional Development
Chapter 11. Professional Practice and Care Delivery Models and Emerging Practice Models
Chapter 12. Staffing and Scheduling
Chapter 13. Delegation of Nursing Tasks
Chapter 14. Providing Competent Staff
Chapter 15. Group Management for Effective Outcomes
Chapter 16. Hospital Information Systems
Chapter 17. Organizational Structure of Health Care
Section 4: NEW KNOWLEDGE, INNOVATIONS, AND IMPROVEMENTS
Chapter 18. Improving Organizational Performance
Chapter 19. Evidence-Based Practice
Chapter 20. Monitoring Outcomes and the Use of Data for Improvement
Section 5: CONGRATULATIONS
Chapter 21. The Immediate Future: Job Interviewing, NCLEX, and Continuing Education
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, Chapter 01: Leadership and Management
MULTIPLE CHOICE
1. Nurses can be leaders without being managers. Which nursing actions demonstrate leadership?
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
<CORRECT ANSWER> A
Leaders act as role models and mentor new staff. The other options are incorrect because they are 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
<CORRECT ANSWER> B
Managers are responsible for the budget of their units. The other options are incorrect because those 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 which
instance is a nurse demonstrating leadership qualities?
a. A staff nurse becomes aware of increased infection rates following cardiac surgery. The nurse takes it upon
herself to research the possible causes and prevention measures 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.
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d. A new nurse volunteers to work when another staff member must leave work because her child is ill.
<CORRECT ANSWER> A
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, Nurse leaders are interested in changing practice based on evidence. Options B and D are incorrect 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 demonstrating the
qualities necessary for a manager?
a. A nurse becomes aware of increased infection rates following cardiac surgery. The nurse takes it upon
herself to research the possible causes and prevention measures and to 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 her child is ill.
<CORRECT ANSWER> C
Determining who gets ―pulled‖ is a management decision. Option A is incorrect because it is a role 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 as 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.
<CORRECT ANSWER> C
Work environments that promote autonomy and decision making encourage participation on hospital
committees so that staff may become involved in the decisions that are made. Option A is incorrect because
this is not an environment in which staff are encouraged to participate in decision making. Option B is
incorrect because it should be seen in all environments regardless of autonomy. Option D is incorrect because
excellence in practice is not seen solely in autonomous environments.
DIF: Cognitive Level: Analysis REF: page 6
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6. The fundamental element of any patient care delivery combines work allocation with
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a. patient acuity.
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Management of Patient Care 2nd Edition
by Kathleen Motacki, Kathleen Burke
CHAPTER 1-21| VERIFIED
SOLUTIONS WITH RATIONALES
St
ud
yS
Page 1 of 161
H
, Table of Contents
Section 1: TRANSFORMATIONAL LEADERSHIP
Chapter 1. Leadership and Management
Chapter 2. Organizational Structure of Health Care
Chapter 3. Strategic Management and Planning
Chapter 4. Financial Management in Health Care
Chapter 5. Health Care Regulatory and Certifying Agencies
Section 2: STRUCTURAL EMPOWERMENT
Chapter 6. Organizational Decision Making and Shared Governance
Chapter 7. Professional Decision Making and Advocacy
Chapter 8. Communication in the Work Environment
Chapter 9. Personnel Policies and Programs in the Workplace
Section 3: EXEMPLARY PROFESSIONAL PRACTICE
Chapter 10. Professional Development
Chapter 11. Professional Practice and Care Delivery Models and Emerging Practice Models
Chapter 12. Staffing and Scheduling
Chapter 13. Delegation of Nursing Tasks
Chapter 14. Providing Competent Staff
Chapter 15. Group Management for Effective Outcomes
Chapter 16. Hospital Information Systems
Chapter 17. Organizational Structure of Health Care
Section 4: NEW KNOWLEDGE, INNOVATIONS, AND IMPROVEMENTS
Chapter 18. Improving Organizational Performance
Chapter 19. Evidence-Based Practice
Chapter 20. Monitoring Outcomes and the Use of Data for Improvement
Section 5: CONGRATULATIONS
Chapter 21. The Immediate Future: Job Interviewing, NCLEX, and Continuing Education
St
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, Chapter 01: Leadership and Management
MULTIPLE CHOICE
1. Nurses can be leaders without being managers. Which nursing actions demonstrate leadership?
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
<CORRECT ANSWER> A
Leaders act as role models and mentor new staff. The other options are incorrect because they are 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
<CORRECT ANSWER> B
Managers are responsible for the budget of their units. The other options are incorrect because those 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 which
instance is a nurse demonstrating leadership qualities?
a. A staff nurse becomes aware of increased infection rates following cardiac surgery. The nurse takes it upon
herself to research the possible causes and prevention measures 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.
St
d. A new nurse volunteers to work when another staff member must leave work because her child is ill.
<CORRECT ANSWER> A
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, Nurse leaders are interested in changing practice based on evidence. Options B and D are incorrect 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 demonstrating the
qualities necessary for a manager?
a. A nurse becomes aware of increased infection rates following cardiac surgery. The nurse takes it upon
herself to research the possible causes and prevention measures and to 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 her child is ill.
<CORRECT ANSWER> C
Determining who gets ―pulled‖ is a management decision. Option A is incorrect because it is a role 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 as 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.
<CORRECT ANSWER> C
Work environments that promote autonomy and decision making encourage participation on hospital
committees so that staff may become involved in the decisions that are made. Option A is incorrect because
this is not an environment in which staff are encouraged to participate in decision making. Option B is
incorrect because it should be seen in all environments regardless of autonomy. Option D is incorrect because
excellence in practice is not seen solely in autonomous environments.
DIF: Cognitive Level: Analysis REF: page 6
St
6. The fundamental element of any patient care delivery combines work allocation with
ud
a. patient acuity.
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H
