TEST BANK FOR NURSING DELEGATION AND MANAGEMENT OF PATIENT CARE 2ND EDITION BY Motacki RN MSN, Kathleen, Burke RN PhD, Kathleen

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TEST BANK l




FOR NURSING
l l




DELEGATION l




AND MANAG l




EMEN

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T OF PATIENT
l l l




CARE 2ND EDI l l




TION BY MOTA l l




CKI



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MotackilTestlBank


Chapter 01: Leadership and Management
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Motacki: Nursing Delegation and Management of Patient Care, 2nd Edition
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MULTIPLElCHOICE

1. Nurseslcanlbelleaderslwithoutlbeinglmanagers.lWhichlnursinglactionsldemonstratellea
dership?
a. Assistinglalnewlnurselwithlenteralltubelfeedings
b. Counselinglalnewlnurselregardinglattendance
c. Adjustinglassignmentslafterlalstafflmemberlcallslinlsick
d. Callinglalphysicianlforlnewlorderlclarification
ANS:l A
Leaderslactlaslrolelmodelslandlmentorlnewlstaff.lThelotherloptionslarelincorrectlbecauseltheylarel
managementlresponsibilitieslandlnotlleadershiplroles.

DIF: CognitivelLevel:lApplication REF:l pagel6

2. Whichlnursinglactionsldemonstratelthelroleloflmanagementlinlnursing?
a. Encouraginglautonomousldecisionlmaking
b. Observingltheldocumentationloflappropriatelchargesltolpatients
c. Assistinglinlalcode
d. Askinglthelpatient/familylaboutladvanceldirectives
ANS:l B
Managerslarelresponsiblelforlthelbudgetlofltheirlunits.lThelotherloptionslarelincorrectlbecauselthos
elarelleadershiplorlmentoNriU
ngRrS
oI
lesN.lGTB.COM
DIF: CognitivelLevel:lApplication REF:l pagel6

3. Muchllikelalpolitician,lalnurselmanagerlmustlexhibitlleadershiplthatlinspireslandlmotivates.lInlwhi
chlinstancelislalnurseldemonstratinglleadershiplqualities?
a. Alstafflnurselbecomeslawareloflincreasedlinfectionlrateslfollowinglcardiaclsurgery.lTh
elnurseltakeslitluponlherselfltolresearchlthelpossiblelcauseslandlpreventionlmeasureslan
dltolmakelsuggestionsltolbetterlprotectlpatients.
b. Alstafflnurselactslquicklylwhenlalcardiaclarrestlislcalledlonlherlpatient.
c. Alstafflnurselnotifieslanotherlstafflmemberlthatlshelislbeingl“pulled”ltoday.
d. Alnewlnurselvolunteersltolworklwhenlanotherlstafflmemberlmustlleavelworklbec
auselherlchildlislill.
ANS:l A
Nurselleaderslarelinterestedlinlchanginglpracticelbasedlonlevidence.lOptionslBlandlDlarelincor
rectlbecauseltheylarelactionsltakenlbylnurseslaslpartloflthelfunctionallstructureloflthelunit.lOpti
onlClislincorrectlbecauselitlislanlactionltakenlbylalmanager.

DIF:lll CognitivelLevel:lAnalysis REF:l pagel6

4. Alnurselmanagerlmustlexhibitlqualitiesloflefficiencylandlorganization.lWhichlnurselislde
monstratinglthelqualitieslnecessarylforlalmanager?
a. Alnurselbecomeslawareloflincreasedlinfectionlrateslfollowinglcardiaclsurgery.lThe



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NursinglDelegation landlManagementloflPatientlCarel2ndlEditionlMotackilTestlBank
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nurseltakeslitluponlherselfltolresearchlthelpossiblelcauseslandlpreventionlmeasureslandl
tolmakelsuggestionsltolbetterlprotectlpatients.
b. Alnurselactslquicklylwhenlalcardiaclarrestlislcalledlonlherlpatient.
c. Alnurselnotifieslanotherlstafflmemberlthatlshelislbeingl“pulled”ltoday.
d. Alnurselvolunteersltolworklwhenlanotherlstafflmemberlmustlleavelworklbecauselherl
childlislill.
ANS:l C
Determininglwholgetsl“pulled”lislalmanagementldecision.lOptionlAlislincorrectlbecauselitlislalrol
eltakenlbylalnurselleader.lOptionlBlislincorrectlbecauselitlislanlactionltakenlbylstafflaslpartloflthelfu
nctionallstructureloflthelunit.lOptionlDlislincorrectlbecauselitlislanlactionltakenlbylstafflaslpartloflt
helfunctionallstructureloflthelunit.

DIF: CognitivelLevel:lAnalysis REF:l pagel6

5. Alnurselhaslacceptedlalpositionlonlalnursinglunitlwherelthelnurselmanagerlpromoteslautonomylan
dlstafflinvolvementlinldecisionlmaking.lWhatlwouldlthelnurselexpectltolobservelonlthislunit?
a. Nurselmanagerlmandateslchanges.
b. Staffltakeslresponsibilitylforlassignments.
c. Stafflparticipateslonlhospitallcommittees.
d. Nurseslarelrecognizedlforlexcellencelinlpractice.
ANS:l C
Worklenvironmentslthatlpromotelautonomylandldecisionlmakinglencouragelparticipationlonlhos
pitallcommitteeslsolthatlstafflmaylbecomelinvolvedlinltheldecisionslthatlarelmade.lOptionlAlislinco
rrectlbecauselthislislnotlanlenvironmentlinlwhichlstafflarelencouragedltolparticipate
inldecisionlmaking.lOptionlBNiU slR coI
inS ecG
rrN beB
tlT ca.uC
seOiM
tlshouldlbelseenlinlalllenvironments
regardlessloflautonomy.lOptionlDlislincorrectlbecauselexcellencelinlpracticelislnotlseenlsolely
inlautonomouslenvironments.

DIF: CognitivelLevel:lAnalysis REF:l pagel6

6. Thelfundamentallelementloflanylpatientlcareldeliverylcombineslworklallocationlwith
a. patientlacuity.
b. leadership.
c. clinicalldecisionlmaking.
d. delegation.
ANS:l C
Worklallocationlislnecessarylinlanylpatientlcareldeliverylsystem.lThelotherloptionslarelinco
rrectlbecauselitlislnotlnecessarilylusefullinldetermininglthelappropriatelpatientlcareldelivery
lsystemslneeded.




DIF:lll CognitivelLevel:lAnalysis REF:l pagel10

7. Thelstudentlnurse,lshadowinglonlalmedical-
surgicallunit,lobserveslthelchargelnurse.lWhichlactionlwouldlthelstudentlidentifylaslalleadershipl
qualitylinlthelnurse’slactions?
a. Makinglpatientlcarelassignmentsldistributedlequallyltolstaff
b. Sittinglwithlalconfusedlcombativelpatient
c. CallinglthelnursinglofficelforlextralstafflwhenlanlRNlcallslinlsick



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