THIQD
EŒTIOñI
Oelegation and
Øai1agemenł
o/Potient Coæ
Test Bank
Student Rœources on Evolve
,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 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
ANS: 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
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
those are leadership or mentoring roles.
DIF: Cognitive Level: Application
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.
d.
A new nurse volunteers to work when another staff member must leave
work because her child is ill.
ANS: A
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
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.
ANS: 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
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
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
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
incorrect because it is not necessarily useful in determining the appropriate patient care
delivery systems needed.
DIF: Cognitive Level: Analysis
7. The student nurse, shadowing on a medical-surgical unit, observes the charge nurse. Which
action would the student identify as a leadership 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
, d.
Assisting in a code
ANS: B
Leaders act as role models and do what is right for the patient. The other options are incorrect
because these actions are expected as part of the functioning of the unit.
DIF: Cognitive Level: Analysis
8. Health care is seen and managed as a business today. Which skills are considered essential
to managing health care as a business?
a.
Ability to pressure staff to do what you want
b.
Resource utilization
c.
Cutting corners to make money
d.
Providing bonuses to staff members who help the organization to save money
ANS: B
The ability to manage a budget is essential to being a manager in health care today. The other
options are incorrect because they are only a perception of the public regarding successful
managers.
DIF: Cognitive Level: Application
9. The novice nurse is speaking with the nurse manager about their roles within the hierarchy
of the institution. The nurse manager would most likely identify which role as having the
most internal conflict?
a.
Coordinating institutional goals with the immediate demands of the clinical area
b.
Determining which of the staff members should get better raises than
other members
c.
Deciding which employees should be recommended for promotion
d.
Determining which staff members get Christmas day off
ANS: A
Many times the goals of the institution conflict with the goals of the individual employees of a
particular clinical area and the nurse manager must implement institutional changes regardless
of the nurse’s personal opinion. The other options are incorrect because those roles should not
provoke as much conflict.
DIF: Cognitive Level: Application
10. Nurse managers can best be described as people who
a.
develop institutional goals based on staff suggestions.
b.
develop institutional goals based on a personal theory.
c.
motivate staff to meet institutional goals through positional power.
d.
inspire staff to meet institutional goals through personal power.
ANS: C
Managers motivate staff to make changes. Options A and B are incorrect because nurse
managers usually do not make institutional goals. Option C is incorrect because leaders
inspire, not managers.
DIF: Cognitive Level: Application
EŒTIOñI
Oelegation and
Øai1agemenł
o/Potient Coæ
Test Bank
Student Rœources on Evolve
,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 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
ANS: 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
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
those are leadership or mentoring roles.
DIF: Cognitive Level: Application
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.
d.
A new nurse volunteers to work when another staff member must leave
work because her child is ill.
ANS: A
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
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.
ANS: 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
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
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
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
incorrect because it is not necessarily useful in determining the appropriate patient care
delivery systems needed.
DIF: Cognitive Level: Analysis
7. The student nurse, shadowing on a medical-surgical unit, observes the charge nurse. Which
action would the student identify as a leadership 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
, d.
Assisting in a code
ANS: B
Leaders act as role models and do what is right for the patient. The other options are incorrect
because these actions are expected as part of the functioning of the unit.
DIF: Cognitive Level: Analysis
8. Health care is seen and managed as a business today. Which skills are considered essential
to managing health care as a business?
a.
Ability to pressure staff to do what you want
b.
Resource utilization
c.
Cutting corners to make money
d.
Providing bonuses to staff members who help the organization to save money
ANS: B
The ability to manage a budget is essential to being a manager in health care today. The other
options are incorrect because they are only a perception of the public regarding successful
managers.
DIF: Cognitive Level: Application
9. The novice nurse is speaking with the nurse manager about their roles within the hierarchy
of the institution. The nurse manager would most likely identify which role as having the
most internal conflict?
a.
Coordinating institutional goals with the immediate demands of the clinical area
b.
Determining which of the staff members should get better raises than
other members
c.
Deciding which employees should be recommended for promotion
d.
Determining which staff members get Christmas day off
ANS: A
Many times the goals of the institution conflict with the goals of the individual employees of a
particular clinical area and the nurse manager must implement institutional changes regardless
of the nurse’s personal opinion. The other options are incorrect because those roles should not
provoke as much conflict.
DIF: Cognitive Level: Application
10. Nurse managers can best be described as people who
a.
develop institutional goals based on staff suggestions.
b.
develop institutional goals based on a personal theory.
c.
motivate staff to meet institutional goals through positional power.
d.
inspire staff to meet institutional goals through personal power.
ANS: C
Managers motivate staff to make changes. Options A and B are incorrect because nurse
managers usually do not make institutional goals. Option C is incorrect because leaders
inspire, not managers.
DIF: Cognitive Level: Application
