Test Bank for Nursing Delegation and Management of Patient Care, 3rd Edition by Motacki | Verified Chapter's 1 - 21 | Complete Newest Version

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 demonstrateleadership? 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 theyare management responsibilities and not leadership roles. DIF: Cognitive Level: Application REF: page 6 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 becausethose are leadership or mentoNriUngRrSoIlesN.GT B.COM DIF: Cognitive Level: Application REF: page 6 3. Much like a politician, a nurse manager must exhibit leadership that inspires and motivates. Inwhich 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 workbecause 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 theunit. Option C is incorrect because it is an action taken by a manager. DIF: Cognitive Level: Analysis REF: page 6 4. A nurse manager must exhibit qualities of efficiency and organization. Which nurse isdemonstrating 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 measuresand 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 becauseher child is ill. ANS: C Determining who gets “pulled” is a management decision. Option A is incorrect because it isa 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 REF: page 6 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 observeon 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. OptionA is incorrect because this is not an environment in which staff are encouraged to participate in decision making. Option BNiUs RinScoIrrNecGtTbeBca.uCseOiMt 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 REF: page 6 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 caredelivery systems needed. DIF: Cognitive Level: Analysis REF: page 10 7. The student nurse, shadowing on a medical-surgical unit, observes the charge nurse. Whichaction 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 incorrectbecause these actions are expected as part of the functioning of the unit. DIF: Cognitive Level: Analysis REF: page 5 8. Health care is seen and managed as a business today. Which skills are considered essential tomanaging 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 otheroptions are incorrect because they are only a perception of the public regarding successful managers. DIF: Cognitive Level: Application REF: page 3 | page 7 9. The novice nurse is speaking with the nurse manager about their roles within the hierarchy ofthe 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 notprovoke as much conflict. DIF: Cognitive Level: Application REF: pages 7-8 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.