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Edition by Motacki
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| Verified Chapter's 1 - 21 | Complete Newest Version
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,Test Bank for Nursing Delegation and Management of Patient Care, 3rd Edition by Motacki
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Chapter 01: Leadership and Management
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Motacki: Nursing Delegation and Management of Patient Care, 3rd Edition
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MULTIPLE CHOICE hn
1. Nurses can be leaders without being managers. Which nursing actions
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demonstrateleadership?
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a. Assisting a new nurse with enteral tube feedings hn hn hn hn hn hn hn
b. Counseling a new nurse regarding attendance hn hn hn hn hn
c. Adjusting assignments after a staff member calls in sick hn hn hn hn hn hn hn hn
d. Calling a physician for new order clarification hn hn hn hn hn hn
ANS: A hn
Leaders act as role models and mentor new staff. The other options are incorrect
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because theyare management responsibilities and not leadership roles.
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DIF: Cognitive Level: Application hn hn REF: h n page 6 hn
2. Which nursing actions demonstrate the role of management in nursing?
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a. Encouraging autonomous decision making hn hn hn
b. Observing the documentation of appropriate charges to patients hn hn hn hn hn hn hn
c. Assisting in a code hn hn hn
d. Asking the patient/family about advance directives hn hn hn hn hn
ANS: B hn
Managers are responsible for the budget of their units. The other options are incorrect
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becausethose are leadership or mentoNriU
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DIF: Cognitive Level: Application hn hn REF: h n page 6 hn
3. Much like a politician, a nurse manager must exhibit leadership that inspires and
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hn motivates. Inwhich instance is a nurse demonstrating leadership qualities?
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a. A staff nurse becomes aware of increased infection rates following cardiac
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surgery.The nurse takes it upon herself to research the possible causes and
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prevention measures and to make suggestions to better protect patients.
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b. A staff nurse acts quickly when a cardiac arrest is called on her patient.
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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.
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ANS: A hn
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
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structure of theunit. Option C is incorrect because it is an action taken by a manager.
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DIF: hn hn h n Cognitive Level: Analysis hn hn REF: h n page 6 hn
4. A nurse manager must exhibit qualities of efficiency and organization. Which
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, nurse isdemonstrating the qualities necessary for a manager?
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a. A nurse becomes aware of increased infection rates following cardiac surgery. The
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, nurse takes it upon herself to research the possible causes and prevention
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measuresand to make suggestions to better protect patients.
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b. A nurse acts quickly when a cardiac arrest is called on her patient.
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c. A nurse notifies another staff member that she is being “pulled” today.
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d. A nurse volunteers to work when another staff member must leave work
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becauseher child is ill.
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ANS: C hn
Determining who gets “pulled” is a management decision. Option A is incorrect because
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it isa role taken by a nurse leader. Option B is incorrect because it is an action taken by
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staff as part of the functional structure of the unit. Option D is incorrect because it is
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an action taken by staff as part of the functional structure of the unit.
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DIF: Cognitive Level: Analysis hn hn REF: h n page 6 hn
5. A nurse has accepted a position on a nursing unit where the nurse manager promotes
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autonomy and staff involvement in decision making. What would the nurse expect to
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observeon this unit?
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a. Nurse manager mandates changes. hn hn hn
b. Staff takes responsibility for assignments.
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c. Staff participates on hospital committees.
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d. Nurses are recognized for excellence in practice.
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ANS: C hn
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
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made. OptionA is incorrect because this is not an environment in which staff are
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encouraged to participate
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in decision making. Option BNiU
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tb 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.
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DIF: Cognitive Level: Analysis hn hn REF: h n page 6 hn
6. The fundamental element of any patient care delivery combines work allocation with
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a. patient acuity. hn
b. leadership.
c. clinical decision making. hn hn
d. delegation.
ANS: C hn
Work allocation is necessary in any patient care delivery system. The other options
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are incorrect because it is not necessarily useful in determining the appropriate
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patient caredelivery systems needed.
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DIF: hn hn h n Cognitive Level: Analysis hn hn REF: h n page 10 hn
7. The student nurse, shadowing on a medical-surgical unit, observes the charge nurse.
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Whichaction would the student identify as a leadership quality in the nurse’s actions?
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a. Making patient care assignments distributed equally to staff
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b. Sitting with a confused combative patient hn hn hn hn hn
c. Calling the nursing office for extra staff when an RN calls in sick
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