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,Test Bank for Nursing Delegation and Management of Patient Care, 3rd Edition by 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
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?
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a. Encouraging autonomous decision making gk gk gk
b. Observing the documentation of appropriate charges to patients
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c. Assisting in a code gk gk gk
d. Asking the patient/family about advance directives
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ANS: B gk
Managers are responsible for the budget of their units. The other options are incorrect be
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causethose are leadership or mentoNriU
gk ngRrS
oIlesN. GTB.COM
gk gk gk gk gk
DIF: Cognitive Level: Application gk gk REF: page 6 g k gk
3. Much like a politician, a nurse manager must exhibit leadership that inspires and motivate
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s. Inwhich instance is a nurse demonstrating leadership qualities?
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a. A staff nurse becomes aware of increased infection rates following cardiac surg
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ery.The nurse takes it upon herself to research the possible causes and preventi
gk gk gk gk gk gk gk gk gk gk gk gk gk
on measures and to make suggestions to better protect patients.
gk gk gk gk gk gk gk gk gk
b. A staff nurse acts quickly when a cardiac arrest is called on her patient.
gk gk gk gk gk gk gk gk gk gk gk gk gk
c. A staff nurse notifies another staff member that she is being “pulled” today.
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d. A new nurse volunteers to work when another staff member must leave
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workbecause her child is ill. gk gk gk gk gk
ANS: A gk
Nurse leaders are interested in changing practice based on evidence. Options B and D
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are incorrect because they are actions taken by nurses as part of the functional struct
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ure of theunit. Option C is incorrect because it is an action taken by a manager.
gk gk gk gk gk gk gk gk gk gk gk gk gk gk gk gk
DIF: gkgkg k Cognitive Level: Analysis gk gk REF: page 6 g k gk
4. A nurse manager must exhibit qualities of efficiency and organization. Which nurs
gk gk gk gk gk gk gk gk gk gk gk
,e isdemonstrating the qualities necessary for a manager?
gk gk gk gk gk gk gk gk
a. A nurse becomes aware of increased infection rates following cardiac surgery. The
gk gk gk gk gk gk gk gk gk gk gk
, nurse takes it upon herself to research the possible causes and prevention mea
gk gk gk gk gk gk gk gk gk gk gk gk
suresand to make suggestions to better protect patients.
gk gk gk gk gk gk gk gk
b. A nurse acts quickly when a cardiac arrest is called on her patient.
gk gk gk gk gk gk gk gk gk gk gk gk
c. A nurse notifies another staff member that she is being “pulled” today.
gk gk gk gk gk gk gk gk gk gk gk
d. A nurse volunteers to work when another staff member must leave work bec
gk gk gk gk gk gk gk gk gk gk gk gk
auseher child is ill. gk gk gk gk
ANS: C gk
Determining who gets “pulled” is a management decision. Option A is incorrect because i
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t isa role taken by a nurse leader. Option B is incorrect because it is an action taken by s
gk gk gk gk gk gk gk gk gk gk gk gk gk gk gk gk gk gk gk gk
taff as part of the functional structure of the unit. Option D is incorrect because it is an
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action taken by staff as part of the functional structure of the unit.
gk gk gk gk gk gk gk gk gk gk gk gk
DIF: Cognitive Level: Analysis gk gk REF: page 6 g k gk
5. A nurse has accepted a position on a nursing unit where the nurse manager promotes au
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tonomy and staff involvement in decision making. What would the nurse expect to obser
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veon this unit?
gk gk gk
a. Nurse manager mandates changes. gk gk gk
b. Staff takes responsibility for assignments.
gk gk gk gk
c. Staff participates on hospital committees.
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d. Nurses are recognized for excellence in practice. gk gk gk gk gk gk
ANS: C gk
Work environments that promote autonomy and decision making encourage participation
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on hospital committees so that staff may become involved in the decisions that are mad
gk gk gk gk gk gk gk gk gk gk gk gk gk gk gk
e. OptionA is incorrect because this is not an environment in which staff are encouraged
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to participate
gk
in decision making. Option BNiU
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ecG
tbTeBca.uCseOiM
t should be seen in all environments
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regardless of autonomy. Option D is incorrect because excellence in practice is not seen solely
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in autonomous environments.
gk gk
DIF: Cognitive Level: Analysis gk gk REF: page 6 g k gk
6. The fundamental element of any patient care delivery combines work allocation with
gk gk gk gk gk gk gk gk gk gk gk
a. patient acuity. gk
b. leadership.
c. clinical decision making. gk gk
d. delegation.
ANS: C gk
Work allocation is necessary in any patient care delivery system. The other options
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areincorrect because it is not necessarily useful in determining the appropriate pati
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ent caredelivery systems needed.
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DIF: gkgkg k Cognitive Level: Analysis gk gk REF: page 10 g k gk
7. The student nurse, shadowing on a medical-
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surgical unit, observes the charge nurse. Whichaction would the student identify as a le
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adership quality in the nurse’s actions? gk gk gk gk gk
a. Making patient care assignments distributed equally to staff gk gk gk gk gk gk gk
b. Sitting with a confused combative patient gk gk gk gk gk