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, NursingwDelegationwandwManagementwofwPatientwCarew2ndwEditionwMotackiwTestwBan
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Chapter 01: Leadership and Management
w w w w
Motacki: Nursing Delegation and Management of Patient Care, 2nd Edition
w w w w w w w w w
MULTIPLEwCHOICE
1. Nurseswcanwbewleaderswwithoutwbeingwmanagers.wWhichwnursingwactionswdemonstrat
ewleadership?
a. Assistingwawnewwnursewwithwenteralwtubewfeedings
b. Counselingwawnewwnursewregardingwattendance
c. Adjustingwassignmentswafterwawstaffwmemberwcallswinwsick
d. Callingwawphysicianwforwnewworderwclarification
ANS:w A
Leaderswactwaswrolewmodelswandwmentorwnewwstaff.wThewotherwoptionswarewincorrectwbecausewthe
ywarewmanagementwresponsibilitieswandwnotwleadershipwroles.
DIF: CognitivewLevel:wApplication REF:w w pagew6
2. Whichwnursingwactionswdemonstratewthewrolewofwmanagementwinwnursing?
a. Encouragingwautonomouswdecisionwmaking
b. Observingwthewdocumentationwofwappropriatewchargeswtowpatients
c. Assistingwinwawcode
d. Askingwthewpatient/familywaboutwadvancewdirectives
ANS:w B
Managerswarewresponsiblewforwthewbudgetwofwtheirwunits.wThewotherwoptionswarewincorrectwbecaus
ewthosewarewleadershipworwmentoNriU
ngRrS
olI
esN.wGTB.COM
DIF: CognitivewLevel:wApplication REF:w w pagew6
3. Muchwlikewawpolitician,wawnursewmanagerwmustwexhibitwleadershipwthatwinspireswandwmotivates.w
Inwwhichwinstancewiswawnursewdemonstratingwleadershipwqualities?
a. Awstaffwnursewbecomeswawarewofwincreasedwinfectionwrateswfollowingwcardiacwsurger
y.wThewnursewtakeswitwuponwherselfwtowresearchwthewpossiblewcauseswandwpreventionw
measureswandwtowmakewsuggestionswtowbetterwprotectwpatients.
b. Awstaffwnursewactswquicklywwhenwawcardiacwarrestwiswcalledwonwherwpatient.
c. Awstaffwnursewnotifieswanotherwstaffwmemberwthatwshewiswbeingw“pulled”wtoday.
d. Awnewwnursewvolunteerswtowworkwwhenwanotherwstaffwmemberwmustwleavewwor
kwbecausewherwchildwiswill.
ANS:w A
Nursewleaderswarewinterestedwinwchangingwpracticewbasedwonwevidence.wOptionswBwandwDwar
ewincorrectwbecausewtheywarewactionswtakenwbywnurseswaswpartwofwthewfunctionalwstructurewof
wthewunit.wOptionwCwiswincorrect wbecausewitwiswanwactionwtakenwbywawmanager.
DIF:w w CognitivewLevel:wAnalysis REF:w w pagew6
4. Awnursewmanagerwmustwexhibitwqualitieswofwefficiencywandworganization.wWhichwnursew
iswdemonstratingwthewqualitieswnecessarywforwawmanager?
a. Awnursewbecomeswawarewofwincreasedwinfectionwrateswfollowingwcardiacwsurgery.wThe
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, NursingwDelegationwandwManagementwofwPatientwCarew2ndwEditionwMotackiwTestwBan
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nursewtakeswitwuponwherselfwtowresearchwthewpossiblewcauseswandwpreventionwmeasureswa
ndwtowmakewsuggestionswtowbetterwprotectwpatients.
b. Awnursewactswquicklywwhenwawcardiacwarrestwiswcalledwonwherwpatient.
c. Awnursewnotifieswanotherwstaffwmemberwthatwshewiswbeingw“pulled”wtoday.
d. Awnursewvolunteerswtowworkwwhenwanotherwstaffwmemberwmustwleavewworkwbecaus
ewherwchildwiswill.
ANS:w C
Determiningwwhowgetsw“pulled”wiswawmanagementwdecision.wOptionwAwiswincorrectwbecausewitwi
swawrolewtakenwbywawnursewleader.wOptionwBwiswincorrectwbecausewitwiswanwactionwtakenwbywstaffw
aswpartwofwthewfunctionalwstructurewofwthewunit.wOptionwDwiswincorrectwbecausewitwiswanwactionwt
akenwbywstaffwaswpartwofwthewfunctionalwstructurewofwthewunit.
DIF: CognitivewLevel:wAnalysis REF:w w pagew6
5. Awnursewhaswacceptedwawpositionwonwawnursingwunitwwherewthewnursewmanagerwpromoteswauton
omywandwstaffwinvolvementwinwdecisionwmaking.wWhatwwouldwthewnursewexpectwtowobservewonw
thiswunit?
a. Nursewmanagerwmandateswchanges.
b. Staffwtakeswresponsibilitywforwassignments.
c. Staffwparticipateswonwhospitalwcommittees.
d. Nurseswarewrecognizedwforwexcellencewinwpractice.
ANS:w C
Workwenvironmentswthatwpromotewautonomywandwdecisionwmakingwencouragewparticipationwonw
hospitalwcommitteeswsowthatwstaffwmaywbecomewinvolvedwinwthewdecisionswthatwarewmade.wOptio
nwAwiswincorrectwbecausewthiswiswnotwanwenvironmentwinwwhichwstaffwarewencouragedwtowparticip
ate
inwdecisionw making.w Optionw BNiU
sw R coI
inS ecG
rrN b eBc a.uC
twT s eOi tMs h o u l d w bewseenw inw allw environments
regardlesswofwautonomy.wOptionwDwiswincorrectwbecausewexcellencewinwpracticewiswnotwseenwsolely
inwautonomouswenvironments.
DIF: CognitivewLevel:wAnalysis REF:w w pagew6
6. Thewfundamentalwelementwofwanywpatientwcarewdeliverywcombineswworkwallocationwwith
a. patientwacuity.
b. leadership.
c. clinicalwdecisionwmaking.
d. delegation.
ANS:w C
Workwallocationwiswnecessarywinwanywpatientwcarewdeliverywsystem.wThewotherwoptionswa
rewincorrectwbecausewitwiswnotwnecessarilywusefulwinwdeterminingwthewappropriatewpatientw
carewdeliverywsystemswneeded.
DIF:w w CognitivewLevel:wAnalysis REF:w w pagew10
7. Thewstudentwnurse,wshadowingwonwawmedical-
surgicalwunit,wobserveswthewchargewnurse.wWhichwactionwwouldwthewstudentwidentifywaswawlea
dershipwqualitywinwthewnurse’swactions?
a. Makingwpatientwcarewassignmentswdistributedwequallywtowstaff
b. Sittingwwithwawconfusedwcombativewpatient
c. CallingwthewnursingwofficewforwextrawstaffwwhenwanwRNwcallswinwsick
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, NursingwDelegationwandwManagementwofwPatientwCarew2ndwEditionwMotackiwTestwBan
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d. Assistingwinwawcode
ANS:w B
Leaderswactwaswrolewmodelswandwdowwhatwiswrightwforwthewpatient.wThewotherwoptionswarewincorrec
twbecausewthesewactionswarewexpectedwaswpartwofwthewfunctioningwofwthewunit.
DIF: CognitivewLevel:wAnalysis REF:w w pagew5
8. Healthwcarewiswseenwandwmanagedwaswawbusinesswtoday.wWhichwskillswarewconsideredwessentialw
towmanagingwhealthwcarewaswawbusiness?
a. Abilitywtowpressurewstaffwtowdowwhatwyouwwant
b. Resourcewutilization
c. Cuttingwcornerswtowmakewmoney
d. Providingwbonuseswtowstaffwmemberswwhowhelpwtheworganizationwtowsavewmoney
ANS:w B
Thewabilitywtowmanagewawbudgetwiswessentialwtowbeingwawmanagerwinwhealthwcarewtoday.wThewothe
rwoptionswarewincorrectwbecausewtheywarewonlywawperceptionwofwthewpublicwregardingwsuccessfulw
managers.
DIF: CognitivewLevel:wApplication REF:w w pagew3w|wpagew7
9. Thewnovicewnursewiswspeakingwwithwthewnursewmanagerwaboutwtheirwroleswwithinwthewhierarchyw
ofwthewinstitution.wThewnursewmanagerwwouldwmostwlikelywidentifywwhichwrolewaswhavingwthew
mostwinternalwconflict?
a. Coordinatingwinstitutionalwgoalswwithwthewimmediatewdemandswofwthewclinicalwarea
b. Determiningwwhichwofwthewstaffwmemberswshouldwgetwbetterwraiseswthanwother
members NURSINGTB.COM
c. Decidingwwhichwemployeeswshouldwbewrecommendedwforwpromotion
d. DeterminingwwhichwstaffwmemberswgetwChristmaswdaywoff
ANS:w A
Manywtimeswthewgoalswofwthewinstitutionwconflictwwithwthewgoalswofwthewindividualwemployeeswof
wawparticularwclinical wareawandwthewnursewmanagerwmustwimplementwinstitutionalwchangeswregard
lesswofwthewnurse’swpersonalwopinion.wThewotherwoptionswarewincorrectwbecausewthosewroleswshou
ldwnotwprovokewaswmuchwconflict.
DIF:w w CognitivewLevel:wApplication REF:w w pagesw7-8
10. Nursewmanagerswcanwbestwbewdescribedwaswpeoplewwho
a. developwinstitutionalwgoalswbasedwonwstaffwsuggestions.
b. developwinstitutionalwgoalswbasedwonwawpersonalwtheory.
c. motivatewstaffwtowmeetwinstitutionalwgoalswthroughwpositionalwpower.
d. inspirewstaffwtowmeetwinstitutionalwgoalswthroughwpersonalwpower.
ANS:w C
Managerswmotivatewstaffwtowmakewchanges.wOptionswAwandwBwarewincorrectwbecausewnur
sewmanagerswusuallywdownotwmakewinstitutionalwgoals.wOptionwCwiswincorrectwbecausewlea
derswinspire,wnotwmanagers.
DIF:w w CognitivewLevel:wApplication REF:w w pagew6
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