Chapter 10, Leading Managing and Delegating
Test Bank, Chapter Assignments, Discussions Plus Case Studies and Answers
Fundamentals of Nursing: The Art and Science of Person-Centered Care (10th Edition Taylor)
1. Which nursing care task is acceptable for a registered nurse to delegate to the
unlicensed assistive personnel (UAP)?
A. assisting a client with ambulation
B. evaluating nursing care delivered to a client
C. performing initial and ongoing assessments
D. developing a client teaching plan
Answer: A
Rationale: Tasks that should be performed by a registered nurse include initial and
ongoing assessments, determining nursing concerns, creating the plan of care, evaluating
client progress, evaluating the nursing care delivered to the client, supervising and
educating nursing personnel, and educating the client. Tasks such as assisting with
ambulation, assisting with meals and hygiene, and obtaining vital signs are acceptable
tasks for the unlicensed assistive personnel (UAP) to perform.
Question format: Multiple Choice
Chapter 10: Leading, Managing and Delegating
Cognitive Level: Understand
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Reference: p. 260
2. Nurses with varying levels of experience possess leadership skills. A registered nurse
walks out of the nurse manager's office after a meeting. The nurse reflects on the positive
and negative feedback received from the manager regarding the nurse's three months of
working on the unit. What nursing leadership skill is best illustrated by the nurse in this
scenario?
A. Self-evaluation
B. Communication
C. Problem solving
D. Management
Answer: A
Rationale: Self-evaluation skills include the ability to assess honestly one's effectiveness, to
accept both praise and criticism, and to direct personal professional growth.
Communication skills include the ability to establish trusting interpersonal relationships
with clients, peers, subordinates, and superiors to maximize goal achievement. Problem-
solving skills include the ability to analyze all sides of a problem, to suspend judgment, to
explore multiple options, and to work toward a creative solution. Management skills
include the ability to direct others toward goal achievement.
,Question format: Multiple Choice
Chapter 10: Leading, Managing and Delegating
Cognitive Level: Apply
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Teaching/Learning
Reference: p. 246
3. The nurse is having an exceptionally busy shift on an obstetrical unit. Which task is the
nurse justified in delegating to the unlicensed assistive personnel (UAP)?
A. emptying a client's Foley catheter bag and reporting the volume to the nurse
B. helping a first-time parent achieve a good latch when breastfeeding the infant
C. assessing the size and quantity of clots that are in a client's bedpan and informing the
nurse
D. giving an anti-inflammatory medication to a client who is 8 hours postbirth
Answer: A
Rationale: Emptying a Foley catheter bag and reporting the volume is within the scope
of the unlicensed assistive personnel (UAP). Assistance with breastfeeding, assessments,
and medication administration are not tasks that should be delegated to anyone but an
RN, as all of these interventions require follow-up evaluation and documentation.
Question format: Multiple Choice
Chapter 10: Leading, Managing and Delegating
Cognitive Level: Apply
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Reference: p. 259
4. The nurse has just graduated with a Bachelor of Science in Nursing and is eager to find
a mentor at this early stage in the nurse's career. Which individual is most likely to be an
appropriate mentor for the nurse?
A. An experienced nurse who was a preceptor in a previous clinical placement
B. The nurse educator on the hospital unit where the novice nurse has been hired
C. A colleague who graduated with honors at the same time as the novice nurse
D. The unit manager, who is a personal friend of the novice nurse
Answer: A
Rationale: A person who demonstrates positive qualities and possesses substantial
experience is often a good choice to be a nurse's mentor. A person in formal authority or
oversight, such as the unit educator or manager, is a less ideal choice, and a peer is not
normally an ideal choice of mentor.
Question format: Multiple Choice
Chapter 10: Leading, Managing and Delegating
Cognitive Level: Apply
,Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Teaching/Learning
Reference: p. 261
5. A charge nurse has what type of power in this position?
A. Explicit power
B. Assumed power
C. Absolute power
D. Implied power
Answer: A
Rationale: Leadership is the ability to direct or motivate others to achieve set goals.
Someone who occupies a formal leadership position, such as a charge nurse, has explicit
power. Someone who has the ability to lead based on the force of personality without
holding an official leadership position has implied power. Assumed power is that which
someone takes or seizes. Absolute power is that which is unlimited or unchecked, such as
that wielded by a dictator.
Question format: Multiple Choice
Chapter 10: Leading, Managing and Delegating
Cognitive Level: Remember
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Reference: p. 243
6. Which quality is essential to being a nurse leader?
A. Physical stamina
B. Vulnerability
C. Flexibility
D. Independence
Answer: C
Rationale: Flexibility is a must for all nurse leaders. The needs of clients, families, and the
nursing team can change from minute to minute. Leaders of nursing organizations must
also demonstrate the characteristics of a nurse leader. Physical stamina is one of several
components used to evaluate health and fitness. A nurse leader does not need to have
physical stamina for leadership. Vulnerability refers to the inability to withstand the
effects of a hostile environment. A nurse leader would be ineffective if vulnerable. An
independent leader makes decisions without consulting with others, which would not be
effective for a nurse leader.
Question format: Multiple Choice
Chapter 10: Leading, Managing and Delegating
Cognitive Level: Understand
Client Needs: Safe, Effective Care Environment: Management of Care
, Integrated Process: Nursing Process
Reference: p. 245
7. Which type of skills is not needed for nursing leadership?
A. Communication skills
B. Technical skills
C. Problem-solving skills
D. Self-evaluation skills
Answer: B
Rationale: Nurse leaders need to communicate well with team members and efficiently
delegate tasks. Empathy and compassion are a must, since they work directly with clients.
Effective nurse leaders also need to have strong problem-solving and critical thinking
skills.
Question format: Multiple Choice
Chapter 10: Leading, Managing and Delegating
Cognitive Level: Remember
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Reference: p. 251
8. A nurse strives to establish trusting interpersonal relationships with clients, peers,
subordinates, and superiors to facilitate goal achievement and personal growth of all
participants. Which type of skill is this nurse demonstrating?
A. Communication
B. Problem solving
C. Management
D. Self-evaluation
Answer: A
Rationale: Communication skills involve the ability to establish trusting interpersonal
relationships with clients, peers, subordinates, and superiors to maximize goal
achievement and enhance the personal growth. Problem-solving skills refer to the ability
to analyze all sides of a problem, to suspend judgment, to explore multiple options, and
to work toward a creative solution. Management skills pertain to the ability to direct
others toward goal achievement. Self-evaluation skills involve the ability to assess
honestly one's effectiveness, to accept both praise and criticism, and to direct personal
professional growth and development.
Question format: Multiple Choice
Chapter 10: Leading, Managing and Delegating
Cognitive Level: Remember
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Communication and Documentation
Test Bank, Chapter Assignments, Discussions Plus Case Studies and Answers
Fundamentals of Nursing: The Art and Science of Person-Centered Care (10th Edition Taylor)
1. Which nursing care task is acceptable for a registered nurse to delegate to the
unlicensed assistive personnel (UAP)?
A. assisting a client with ambulation
B. evaluating nursing care delivered to a client
C. performing initial and ongoing assessments
D. developing a client teaching plan
Answer: A
Rationale: Tasks that should be performed by a registered nurse include initial and
ongoing assessments, determining nursing concerns, creating the plan of care, evaluating
client progress, evaluating the nursing care delivered to the client, supervising and
educating nursing personnel, and educating the client. Tasks such as assisting with
ambulation, assisting with meals and hygiene, and obtaining vital signs are acceptable
tasks for the unlicensed assistive personnel (UAP) to perform.
Question format: Multiple Choice
Chapter 10: Leading, Managing and Delegating
Cognitive Level: Understand
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Reference: p. 260
2. Nurses with varying levels of experience possess leadership skills. A registered nurse
walks out of the nurse manager's office after a meeting. The nurse reflects on the positive
and negative feedback received from the manager regarding the nurse's three months of
working on the unit. What nursing leadership skill is best illustrated by the nurse in this
scenario?
A. Self-evaluation
B. Communication
C. Problem solving
D. Management
Answer: A
Rationale: Self-evaluation skills include the ability to assess honestly one's effectiveness, to
accept both praise and criticism, and to direct personal professional growth.
Communication skills include the ability to establish trusting interpersonal relationships
with clients, peers, subordinates, and superiors to maximize goal achievement. Problem-
solving skills include the ability to analyze all sides of a problem, to suspend judgment, to
explore multiple options, and to work toward a creative solution. Management skills
include the ability to direct others toward goal achievement.
,Question format: Multiple Choice
Chapter 10: Leading, Managing and Delegating
Cognitive Level: Apply
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Teaching/Learning
Reference: p. 246
3. The nurse is having an exceptionally busy shift on an obstetrical unit. Which task is the
nurse justified in delegating to the unlicensed assistive personnel (UAP)?
A. emptying a client's Foley catheter bag and reporting the volume to the nurse
B. helping a first-time parent achieve a good latch when breastfeeding the infant
C. assessing the size and quantity of clots that are in a client's bedpan and informing the
nurse
D. giving an anti-inflammatory medication to a client who is 8 hours postbirth
Answer: A
Rationale: Emptying a Foley catheter bag and reporting the volume is within the scope
of the unlicensed assistive personnel (UAP). Assistance with breastfeeding, assessments,
and medication administration are not tasks that should be delegated to anyone but an
RN, as all of these interventions require follow-up evaluation and documentation.
Question format: Multiple Choice
Chapter 10: Leading, Managing and Delegating
Cognitive Level: Apply
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Reference: p. 259
4. The nurse has just graduated with a Bachelor of Science in Nursing and is eager to find
a mentor at this early stage in the nurse's career. Which individual is most likely to be an
appropriate mentor for the nurse?
A. An experienced nurse who was a preceptor in a previous clinical placement
B. The nurse educator on the hospital unit where the novice nurse has been hired
C. A colleague who graduated with honors at the same time as the novice nurse
D. The unit manager, who is a personal friend of the novice nurse
Answer: A
Rationale: A person who demonstrates positive qualities and possesses substantial
experience is often a good choice to be a nurse's mentor. A person in formal authority or
oversight, such as the unit educator or manager, is a less ideal choice, and a peer is not
normally an ideal choice of mentor.
Question format: Multiple Choice
Chapter 10: Leading, Managing and Delegating
Cognitive Level: Apply
,Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Teaching/Learning
Reference: p. 261
5. A charge nurse has what type of power in this position?
A. Explicit power
B. Assumed power
C. Absolute power
D. Implied power
Answer: A
Rationale: Leadership is the ability to direct or motivate others to achieve set goals.
Someone who occupies a formal leadership position, such as a charge nurse, has explicit
power. Someone who has the ability to lead based on the force of personality without
holding an official leadership position has implied power. Assumed power is that which
someone takes or seizes. Absolute power is that which is unlimited or unchecked, such as
that wielded by a dictator.
Question format: Multiple Choice
Chapter 10: Leading, Managing and Delegating
Cognitive Level: Remember
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Reference: p. 243
6. Which quality is essential to being a nurse leader?
A. Physical stamina
B. Vulnerability
C. Flexibility
D. Independence
Answer: C
Rationale: Flexibility is a must for all nurse leaders. The needs of clients, families, and the
nursing team can change from minute to minute. Leaders of nursing organizations must
also demonstrate the characteristics of a nurse leader. Physical stamina is one of several
components used to evaluate health and fitness. A nurse leader does not need to have
physical stamina for leadership. Vulnerability refers to the inability to withstand the
effects of a hostile environment. A nurse leader would be ineffective if vulnerable. An
independent leader makes decisions without consulting with others, which would not be
effective for a nurse leader.
Question format: Multiple Choice
Chapter 10: Leading, Managing and Delegating
Cognitive Level: Understand
Client Needs: Safe, Effective Care Environment: Management of Care
, Integrated Process: Nursing Process
Reference: p. 245
7. Which type of skills is not needed for nursing leadership?
A. Communication skills
B. Technical skills
C. Problem-solving skills
D. Self-evaluation skills
Answer: B
Rationale: Nurse leaders need to communicate well with team members and efficiently
delegate tasks. Empathy and compassion are a must, since they work directly with clients.
Effective nurse leaders also need to have strong problem-solving and critical thinking
skills.
Question format: Multiple Choice
Chapter 10: Leading, Managing and Delegating
Cognitive Level: Remember
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Reference: p. 251
8. A nurse strives to establish trusting interpersonal relationships with clients, peers,
subordinates, and superiors to facilitate goal achievement and personal growth of all
participants. Which type of skill is this nurse demonstrating?
A. Communication
B. Problem solving
C. Management
D. Self-evaluation
Answer: A
Rationale: Communication skills involve the ability to establish trusting interpersonal
relationships with clients, peers, subordinates, and superiors to maximize goal
achievement and enhance the personal growth. Problem-solving skills refer to the ability
to analyze all sides of a problem, to suspend judgment, to explore multiple options, and
to work toward a creative solution. Management skills pertain to the ability to direct
others toward goal achievement. Self-evaluation skills involve the ability to assess
honestly one's effectiveness, to accept both praise and criticism, and to direct personal
professional growth and development.
Question format: Multiple Choice
Chapter 10: Leading, Managing and Delegating
Cognitive Level: Remember
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Communication and Documentation
