Test Bank Nursing Delegation and Management of Patient Care 3rd Edition Kathleen Motacki Kathleen Burke Exam Questions Answers Study Resource

TEST BANK FOR NURSING DELEGATION AND
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g MANAGEMENT OF PATIENT CARE 3RD EDITION BY
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MOTACKI RN MSN, KATHLEEN, BURKE RN PHD,
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KATHLEEN g

,CH 01: Leadership and Management
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Motacki: Nursing Delegation and Management of Patient Care, 3rd Edition
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MULTIPLE CHOICE g




1. A nursing attendants can be leaders without being managers. Which
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nursing actions demonstrate leadership?
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a. Assisting a new nursing attendant with enteral tube feedings g g g g g g g g



b. Counseling a new nursing attendant regarding attendance g g g g g g



c. Adjusting assignments after a staff member calls in sick g g g g g g g g



d. Calling a physician for new order clarification g g g g g g




ACCURATE ANSWER:-A g



Reasoning:->>>Leaders act as role models and mentor new staff. The other options are g g g g g g g g g g g g



wrong because they are management responsibilities and not leadership roles.
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DIFFICULT:Cognitive Level: Application g g REF: PG 6 g g




2. Which nursing actions demonstrate the role of management in nursing?
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a. Encouraging autonomous decision making g g g



b. Observing the documentation of appropriate charges to hospital patients g g g g g g g g



c. Assisting in a code g g g



d. Asking the hospital patient/family about advance directives g g g g g g




ACCURATE ANSWER:-B g



Feedback :->>>Managers are responsible for the budget of their units. The other
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options are wrong because those are leadership or mentoNriUngRrSolIesN
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DIFFICULT: Cognitive Level: Application REF:PG 6 g g g g




3. Much like a politician, a nursing attendant manager must exhibit leadership that inspires and
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motivates. In which instance is a nursing attendant demonstrating leadership qualities?
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a. A staff nursing attendant becomes aware of increased infection rates
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following cardiac surgery. The nursing attendant takes it upon herself to
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research the possible causes and prevention measures and to make
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suggestions to better protect hospital patients.
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b. A staff nursing attendant acts quickly when a cardiac arrest is called on her hospital patient.
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c. A staff nursing attendant notifies another staff member that she is being ―pulled‖ today.
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d. A new nursing attendant volunteers to work when another staff member
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must leave work because her child is ill.
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ACCURATE ANSWER:-A g



Feedback :->>>Nursing attendant leaders are interested in changing practice based on
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evidence. Options B and D are wrong because they are actions taken by nursing attendants
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as part of the functional structure of the unit. Option C is wrong because it is an action taken
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by a manager.
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DIFFICULT: g g Cognitive Level: Analysis g g REF:PG 6 g




4. A nursing attendant manager must exhibit qualities of efficiency and organization.
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Which nursing attendant is demonstrating the qualities necessary for a manager?
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a. A nursing attendant becomes aware of increased infection rates following cardiac surgery.
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The
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, nursing attendant takes it upon herself to research the possible causes and prevention
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measures and to make suggestions to better protect hospital patients.
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b. A nursing attendant acts quickly when a cardiac arrest is called on her hospital patient.
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c. A nursing attendant notifies another staff member that she is being ―pulled‖ today.
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d. A nursing attendant volunteers to work when another staff member must
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leave work because her child is ill.
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ACCURATE ANSWER:-C g



Feedback :->>> determining who gets ―pulled‖ is a management decision. Option A is
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wrong because it is a role taken by a nursing attendant leader. Option B is wrong because it
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is an action taken by staff as part of the functional structure of the unit. Option D is wrong
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because it is an action taken by staff as part of the functional structure of the unit.
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DIFFICULT: g g Cognitive Level: Analysis REF:PG 6 g g g




5. A nursing attendant has accepted a position on a nursing unit where the nursing
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attendant manager promotes autonomy and staff involvement in decision making.
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What would the nursing attendant expect to observe on this unit?
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a. Nursing attendant manager mandates changes. g g g g



b. Staff takes responsibility for assignments. g g g g



c. Staff participates on health center committees.
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d. Nursing attendants are recognized for excellence in practice. g g g g g g g




ACCURATE ANSWER:-C g



Feedback :->>> Work environments that promote autonomy and decision making encourage
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participation on health center committees so that staff may become involved in the decisions
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that are made.
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Option A is wrong because this is not an environment in which staff are encouraged to
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participate
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in decision making. Option BNi Us Rin ScoIrr N ecGt TbeBca.uCseO iMt should be seen in
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all environments regardless of autonomy. Option D is wrong because excellence in practice is
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not seen solely
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in autonomous environments.
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DIFFICULT: g g Cognitive Level: Analysis REF:PG 6 g g g




6. The fundamental element of any hospital patient care delivery combines work allocation with
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a. hospital patient acuity. g g



b. leadership.
c. clinical decision making. g g



d. delegation.
ACCURATE ANSWER:-C g



Feedback :->>> Work allocation is necessary in any hospital patient care delivery
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system. The other options are wrong because it is not necessarily useful in determining
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the appropriate hospital patient care delivery systems needed.
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DIFFICULT: g g Cognitive Level: Analysis g g REF:PG 10 g




7. The student nursing attendant, shadowing on a medical-surgical unit, observes the charge
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nursing attendant. Which action would the student identify as a leadership quality in the
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nursing attendant‘s actions?
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a. Making hospital patient care assignments distributed equally to staff
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b. Sitting with a confused combative hospital patient g g g g g g



c. Calling the nursing office for extra staff when an RN calls in sick
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, d. Assisting in a code g g g




ACCURATE ANSWER:-B g



Feedback :->>> Leaders act as role models and do what is right for the hospital patient.
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The other options are wrong because these actions are expected as part of the
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functioning of the unit.
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DIFFICULT:Cognitive Level: Analysis g g REF:PG 5 g




8. Primary health care is seen and managed as a business today. Which skills are considered
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essential to managing primary health care as a business?
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a. Ability to pressure staff to do what you want
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b. Resource utilization g



c. Cutting corners to make money g g g g



d. Providing bonuses to staff members who help the organization to save money
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ACCURATE ANSWER:-B g



Feedback :->>> the ability to manage a budget is essential to being a manager in primary
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health care today. The other options are wrong because they are only a perception of the
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public regarding successful managers.
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DIFFICULT: Cognitive Level: Application REF:PG 3 | page 7
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9. The novice nursing attendant is speaking with the nursing attendant manager about their roles
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within the hierarchy of the institution. The nursing attendant manager would most likely
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identify which role as having the most internal conflict?
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a. Coordinating institutional goals with the immediate demands of the clinical area
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b. Determining which of the staff members should get better raises than g g g g g g g g g g


other members
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c. Deciding which employees should be recommended for promotion
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d. Determining which staff members get Christmas day off g g g g g g g




ACCURATE ANSWER:-A g



Feedback :->>> Many times the goals of the institution conflict with the goals of the individual
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employees of a particular clinical area and the nursing attendant manager must implement
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institutional changes regardless of the nursing attendant‘s personal opinion. The other options
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are wrong because those roles should not provoke as much conflict.
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DIFFICULT: Cognitive Level: Application g g g REF: pages 7-8 g g




10. Nursing attendant managers can best be described as people who
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a. develop institutional goals based on staff suggestions.
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b. develop institutional goals based on a personal theory.
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c. motivate staff to meet institutional goals through positional power.
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d. inspire staff to meet institutional goals through personal power.
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ACCURATE ANSWER:-C g



Feedback :->>>Managers motivate staff to make changes. Options A and B are wrong
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because nursing attendant managers usually do not make institutional goals. Option C is
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wrong because leaders inspire, not managers.
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DIFFICULT: g g Cognitive Level: Application g g REF:PG 6 g