EXELLENCEHUB
Test Bank - Nursing Delegation and Management
of Patient Care 3rd Edition,(Kathleen Motacki, )
,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 feeding
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 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 because those are leadership or
mentoN URrSolIesN
ring . GTB.COM
DIF: Cognitive Level: Application REF: page 6
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 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 REF: page 6
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 today.
d. A nurse volunteers to work when another staff member must leave work because her child is ill.
ANS: C
Determining who gets 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 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 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 BNiU
s iRS IrrN
nco ecG
t bT eBc a.uC
s eOi tMs h o u l d 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 care delivery systems needed.
DIF: Cognitive Level: Analysis REF: page 10
7. The student nurse, shadowing on a medical-surgical unit, observes the charge nurse. Which action would the student
identify as a leadership quality
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 REF: page 5
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 REF: page 3 | page 7
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
NURSINGTB.COM
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 personal opinion. The other options
are incorrect because those roles should not provoke 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.
DIF: Cognitive Level: Application REF: page 6
Test Bank - Nursing Delegation and Management
of Patient Care 3rd Edition,(Kathleen Motacki, )
,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 feeding
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 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 because those are leadership or
mentoN URrSolIesN
ring . GTB.COM
DIF: Cognitive Level: Application REF: page 6
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 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 REF: page 6
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 today.
d. A nurse volunteers to work when another staff member must leave work because her child is ill.
ANS: C
Determining who gets 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 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 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 BNiU
s iRS IrrN
nco ecG
t bT eBc a.uC
s eOi tMs h o u l d 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 care delivery systems needed.
DIF: Cognitive Level: Analysis REF: page 10
7. The student nurse, shadowing on a medical-surgical unit, observes the charge nurse. Which action would the student
identify as a leadership quality
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 REF: page 5
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 REF: page 3 | page 7
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
NURSINGTB.COM
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 personal opinion. The other options
are incorrect because those roles should not provoke 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.
DIF: Cognitive Level: Application REF: page 6
