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
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
