Test Bank for Nursing Delegation and Management of Patient Care, 3rd
ff ff ff ff ff ff ff ff ff ff
ff Edition by Motacki ff ff
ff | Verified Chapter's 1 - 21 | Complete Newest Version
ff ff ff ff ff ff ff ff ff ff
,Test Bank for Nursing Delegation and Management of Patient Care, 3rd Edition by Motacki
ff ff ff ff ff ff ff ff ff ff ff ff ff
Chapter 01: Leadership and Management
ff ff ff ff
Motacki: Nursing Delegation and Management of Patient Care, 3rd Edition
ff ff ff ff ff ff ff ff ff
MULTIPLE CHOICE ff
1. Nurses can be leaders without being managers. Which nursing actions
ff ff ff ff ff ff ff ff ff
demonstrateleadership?
ff f
a. Assisting a new nurse with enteral tube feedings ff ff ff ff ff ff ff
b. Counseling a new nurse regarding attendance ff ff ff ff ff
c. Adjusting assignments after a staff member calls in sick ff ff ff ff ff ff ff ff
d. Calling a physician for new order clarification ff ff ff ff ff ff
ANS: A ff
Leaders act as role models and mentor new staff. The other options are incorrect because
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
theyare management responsibilities and not leadership roles.
ff f ff ff ff ff ff ff
DIF: Cognitive Level: Application ff ff REF: f f page 6 ff
2. Which nursing actions demonstrate the role of management in nursing?
ff ff ff ff ff ff ff ff ff
a. Encouraging autonomous decision making ff ff ff
b. Observing the documentation of appropriate charges to patients ff ff ff ff ff ff ff
c. Assisting in a code ff ff ff
d. Asking the patient/family about advance directives ff ff ff ff ff
ANS: B ff
Managers are responsible for the budget of their units. The other options are incorrect
ff ff ff ff ff ff ff ff ff ff ff ff ff
becausethose are leadership or mentoNriU
ff ngRrS
oIlesN.GTB.COM f ff ff ff ff f
DIF: Cognitive Level: Application ff ff REF: f f page 6 ff
3. Much like a politician, a nurse manager must exhibit leadership that inspires and motivates.
ff ff ff ff ff ff ff ff ff ff ff ff ff
ff Inwhich instance is a nurse demonstrating leadership qualities?
f ff ff ff ff ff ff ff
a. A staff nurse becomes aware of increased infection rates following cardiac
ff ff ff ff ff ff ff ff ff ff
surgery.The nurse takes it upon herself to research the possible causes and
ff f ff ff ff ff ff ff ff ff ff ff ff
prevention measures and to make suggestions to better protect patients.
ff ff ff ff ff ff ff ff ff ff
b. A staff nurse acts quickly when a cardiac arrest is called on her patient.
ff ff ff ff ff ff ff ff ff ff ff ff ff
c. A staff nurse notifies another staff member that she is being “pulled” today.
ff ff ff ff ff ff ff ff ff ff ff ff
d. A new nurse volunteers to work when another staff member must leave
ff ff ff ff ff ff ff ff ff ff ff
workbecause her child is ill.
ff f ff ff ff ff
ANS: A ff
Nurse leaders are interested in changing practice based on evidence. Options B and D
ff ff ff ff ff ff ff ff ff ff ff ff ff
are incorrect because they are actions taken by nurses as part of the functional structure
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
of theunit. Option C is incorrect because it is an action taken by a manager.
ff ff f ff ff ff ff ff ff ff ff ff ff ff ff ff
DIF: ff ff f f Cognitive Level: Analysis ff ff REF: f f page 6 ff
4. A nurse manager must exhibit qualities of efficiency and organization. Which nurse
ff ff ff ff ff ff ff ff ff ff ff
,ff isdemonstrating the qualities necessary for a manager?
f ff ff ff ff ff ff
a. A nurse becomes aware of increased infection rates following cardiac surgery. The
ff ff ff ff ff ff ff ff ff ff ff
, nurse takes it upon herself to research the possible causes and prevention
ff ff ff ff ff ff ff ff ff ff ff
measuresand to make suggestions to better protect patients.
ff f ff ff ff ff ff ff ff
b. A nurse acts quickly when a cardiac arrest is called on her patient.
ff ff ff ff ff ff ff ff ff ff ff ff
c. A nurse notifies another staff member that she is being “pulled” today.
ff ff ff ff ff ff ff ff ff ff ff
d. A nurse volunteers to work when another staff member must leave work
ff ff ff ff ff ff ff ff ff ff ff
becauseher child is ill.
ff f ff ff ff
ANS: C ff
Determining who gets “pulled” is a management decision. Option A is incorrect because it ff ff ff ff ff ff ff ff ff ff ff ff ff
isa role taken by a nurse leader. Option B is incorrect because it is an action taken by staff
ff f ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
as part of the functional structure of the unit. Option D is incorrect because it is an action
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
taken by staff as part of the functional structure of the unit.
ff ff ff ff ff ff ff ff ff ff ff ff
DIF: Cognitive Level: Analysis ff ff REF: f f page 6 ff
5. A nurse has accepted a position on a nursing unit where the nurse manager promotes
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
autonomy and staff involvement in decision making. What would the nurse expect to
ff ff ff ff ff ff ff ff ff ff ff ff ff
observeon this unit?
ff f ff ff
a. Nurse manager mandates changes. ff ff ff
b. Staff takes responsibility for assignments. ff ff ff ff
c. Staff participates on hospital committees. ff ff ff ff
d. Nurses are recognized for excellence in practice. ff ff ff ff ff ff
ANS: C ff
Work environments that promote autonomy and decision making encourage participation
ff ff ff ff ff ff ff ff ff
on hospital committees so that staff may become involved in the decisions that are made.
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
OptionA is incorrect because this is not an environment in which staff are encouraged to
ff f ff ff ff ff ff ff ff ff ff ff ff ff ff ff
participate
ff
in decision making. Option BNiU
ff sRincSoIrrN
ecGTeBca.uCseOiM
tb t should be seen in all environments
ff ff ff ff f ff ff ff ff ff ff
regardless of autonomy. Option D is incorrect because excellence in practice is not seen solely
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
in autonomous environments.
ff ff
DIF: Cognitive Level: Analysis ff ff REF: f f page 6 ff
6. The fundamental element of any patient care delivery combines work allocation with
ff ff ff ff ff ff ff ff ff ff ff
a. patient acuity. ff
b. leadership.
c. clinical decision making. ff ff
d. delegation.
ANS: C ff
Work allocation is necessary in any patient care delivery system. The other options
ff ff ff ff ff ff ff ff ff ff ff ff
are incorrect because it is not necessarily useful in determining the appropriate
ff f ff ff ff ff ff ff ff ff ff ff
patient caredelivery systems needed.
ff ff f ff ff
DIF: ff ff f f Cognitive Level: Analysis ff ff REF: f f page 10 ff
7. The student nurse, shadowing on a medical-surgical unit, observes the charge nurse.
ff ff ff ff ff ff ff ff ff ff ff
ff Whichaction would the student identify as a leadership quality in the nurse’s actions?
f ff ff ff ff ff ff ff ff ff ff ff ff
a. Making patient care assignments distributed equally to staff ff ff ff ff ff ff ff
b. Sitting with a confused combative patient ff ff ff ff ff
c. Calling the nursing office for extra staff when an RN calls in sick ff ff ff ff ff ff ff ff ff ff ff ff
ff ff ff ff ff ff ff ff ff ff
ff Edition by Motacki ff ff
ff | Verified Chapter's 1 - 21 | Complete Newest Version
ff ff ff ff ff ff ff ff ff ff
,Test Bank for Nursing Delegation and Management of Patient Care, 3rd Edition by Motacki
ff ff ff ff ff ff ff ff ff ff ff ff ff
Chapter 01: Leadership and Management
ff ff ff ff
Motacki: Nursing Delegation and Management of Patient Care, 3rd Edition
ff ff ff ff ff ff ff ff ff
MULTIPLE CHOICE ff
1. Nurses can be leaders without being managers. Which nursing actions
ff ff ff ff ff ff ff ff ff
demonstrateleadership?
ff f
a. Assisting a new nurse with enteral tube feedings ff ff ff ff ff ff ff
b. Counseling a new nurse regarding attendance ff ff ff ff ff
c. Adjusting assignments after a staff member calls in sick ff ff ff ff ff ff ff ff
d. Calling a physician for new order clarification ff ff ff ff ff ff
ANS: A ff
Leaders act as role models and mentor new staff. The other options are incorrect because
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
theyare management responsibilities and not leadership roles.
ff f ff ff ff ff ff ff
DIF: Cognitive Level: Application ff ff REF: f f page 6 ff
2. Which nursing actions demonstrate the role of management in nursing?
ff ff ff ff ff ff ff ff ff
a. Encouraging autonomous decision making ff ff ff
b. Observing the documentation of appropriate charges to patients ff ff ff ff ff ff ff
c. Assisting in a code ff ff ff
d. Asking the patient/family about advance directives ff ff ff ff ff
ANS: B ff
Managers are responsible for the budget of their units. The other options are incorrect
ff ff ff ff ff ff ff ff ff ff ff ff ff
becausethose are leadership or mentoNriU
ff ngRrS
oIlesN.GTB.COM f ff ff ff ff f
DIF: Cognitive Level: Application ff ff REF: f f page 6 ff
3. Much like a politician, a nurse manager must exhibit leadership that inspires and motivates.
ff ff ff ff ff ff ff ff ff ff ff ff ff
ff Inwhich instance is a nurse demonstrating leadership qualities?
f ff ff ff ff ff ff ff
a. A staff nurse becomes aware of increased infection rates following cardiac
ff ff ff ff ff ff ff ff ff ff
surgery.The nurse takes it upon herself to research the possible causes and
ff f ff ff ff ff ff ff ff ff ff ff ff
prevention measures and to make suggestions to better protect patients.
ff ff ff ff ff ff ff ff ff ff
b. A staff nurse acts quickly when a cardiac arrest is called on her patient.
ff ff ff ff ff ff ff ff ff ff ff ff ff
c. A staff nurse notifies another staff member that she is being “pulled” today.
ff ff ff ff ff ff ff ff ff ff ff ff
d. A new nurse volunteers to work when another staff member must leave
ff ff ff ff ff ff ff ff ff ff ff
workbecause her child is ill.
ff f ff ff ff ff
ANS: A ff
Nurse leaders are interested in changing practice based on evidence. Options B and D
ff ff ff ff ff ff ff ff ff ff ff ff ff
are incorrect because they are actions taken by nurses as part of the functional structure
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
of theunit. Option C is incorrect because it is an action taken by a manager.
ff ff f ff ff ff ff ff ff ff ff ff ff ff ff ff
DIF: ff ff f f Cognitive Level: Analysis ff ff REF: f f page 6 ff
4. A nurse manager must exhibit qualities of efficiency and organization. Which nurse
ff ff ff ff ff ff ff ff ff ff ff
,ff isdemonstrating the qualities necessary for a manager?
f ff ff ff ff ff ff
a. A nurse becomes aware of increased infection rates following cardiac surgery. The
ff ff ff ff ff ff ff ff ff ff ff
, nurse takes it upon herself to research the possible causes and prevention
ff ff ff ff ff ff ff ff ff ff ff
measuresand to make suggestions to better protect patients.
ff f ff ff ff ff ff ff ff
b. A nurse acts quickly when a cardiac arrest is called on her patient.
ff ff ff ff ff ff ff ff ff ff ff ff
c. A nurse notifies another staff member that she is being “pulled” today.
ff ff ff ff ff ff ff ff ff ff ff
d. A nurse volunteers to work when another staff member must leave work
ff ff ff ff ff ff ff ff ff ff ff
becauseher child is ill.
ff f ff ff ff
ANS: C ff
Determining who gets “pulled” is a management decision. Option A is incorrect because it ff ff ff ff ff ff ff ff ff ff ff ff ff
isa role taken by a nurse leader. Option B is incorrect because it is an action taken by staff
ff f ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
as part of the functional structure of the unit. Option D is incorrect because it is an action
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
taken by staff as part of the functional structure of the unit.
ff ff ff ff ff ff ff ff ff ff ff ff
DIF: Cognitive Level: Analysis ff ff REF: f f page 6 ff
5. A nurse has accepted a position on a nursing unit where the nurse manager promotes
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
autonomy and staff involvement in decision making. What would the nurse expect to
ff ff ff ff ff ff ff ff ff ff ff ff ff
observeon this unit?
ff f ff ff
a. Nurse manager mandates changes. ff ff ff
b. Staff takes responsibility for assignments. ff ff ff ff
c. Staff participates on hospital committees. ff ff ff ff
d. Nurses are recognized for excellence in practice. ff ff ff ff ff ff
ANS: C ff
Work environments that promote autonomy and decision making encourage participation
ff ff ff ff ff ff ff ff ff
on hospital committees so that staff may become involved in the decisions that are made.
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
OptionA is incorrect because this is not an environment in which staff are encouraged to
ff f ff ff ff ff ff ff ff ff ff ff ff ff ff ff
participate
ff
in decision making. Option BNiU
ff sRincSoIrrN
ecGTeBca.uCseOiM
tb t should be seen in all environments
ff ff ff ff f ff ff ff ff ff ff
regardless of autonomy. Option D is incorrect because excellence in practice is not seen solely
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
in autonomous environments.
ff ff
DIF: Cognitive Level: Analysis ff ff REF: f f page 6 ff
6. The fundamental element of any patient care delivery combines work allocation with
ff ff ff ff ff ff ff ff ff ff ff
a. patient acuity. ff
b. leadership.
c. clinical decision making. ff ff
d. delegation.
ANS: C ff
Work allocation is necessary in any patient care delivery system. The other options
ff ff ff ff ff ff ff ff ff ff ff ff
are incorrect because it is not necessarily useful in determining the appropriate
ff f ff ff ff ff ff ff ff ff ff ff
patient caredelivery systems needed.
ff ff f ff ff
DIF: ff ff f f Cognitive Level: Analysis ff ff REF: f f page 10 ff
7. The student nurse, shadowing on a medical-surgical unit, observes the charge nurse.
ff ff ff ff ff ff ff ff ff ff ff
ff Whichaction would the student identify as a leadership quality in the nurse’s actions?
f ff ff ff ff ff ff ff ff ff ff ff ff
a. Making patient care assignments distributed equally to staff ff ff ff ff ff ff ff
b. Sitting with a confused combative patient ff ff ff ff ff
c. Calling the nursing office for extra staff when an RN calls in sick ff ff ff ff ff ff ff ff ff ff ff ff