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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 v
1. Nurses can be leaders without being managers. Which nursing actions demonstrate
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leadership?
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a. Assisting a new nurse with enteral tube feedings v v v v v v v
b. Counseling a new nurse regarding attendance v v v v v
c. Adjusting assignments after a staff member calls in sick v v v v v v v v
d. Calling a physician for new order clarification v v v v v v
ANS: A v
Leaders act as role models and mentor new staff. The other options are incorrect because they
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are management responsibilities and not leadership roles.
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DIF: Cognitive Level: Application v v REF: page 6 v v
2. Which nursing actions demonstrate the role of management in nursing?
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a. Encouraging autonomous decision making v v v
b. Observing the documentation of appropriate charges to patients v v v v v v v
c. Assisting in a code v v v
d. Asking the patient/family about advance directives v v v v v
ANS: B v
Managers are responsible for the budget of their units. The other options are incorrect because
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those are leadership or mentoNriU
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oIlesN.GTB.COM v v v v
DIF: Cognitive Level: Application v v REF: page 6 v v
3. Much like a politician, a nurse manager must exhibit leadership that inspires and motivates. In
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which instance is a nurse demonstrating leadership qualities?
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a. A staff nurse becomes aware of increased infection rates following cardiac surgery.
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The nurse takes it upon herself to research the possible causes and prevention
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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 work
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because her child is ill.
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ANS: A v
Nurse leaders are interested in changing practice based on evidence. Options B and D are
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incorrect because they are actions taken by nurses as part of the functional structure of the
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unit. Option C is incorrect because it is an action taken by a manager.
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DIF: Cognitive Level: Analysis
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4. A nurse manager must exhibit qualities of efficiency and organization. Which nurse is
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,demonstrating 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 measures
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and 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 because
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her child is ill.
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ANS: C v
Determining who gets “pulled” is a management decision. Option A is incorrect because it isa v v v v v v v v v v v v v v v
role taken by a nurse leader. Option B is incorrect because it is an action taken by staff as part of
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the functional structure of the unit. Option D is incorrect because it is an action taken by staff as
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part of the functional structure of the unit.
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DIF: Cognitive Level: Analysis v v REF: page 6 v v
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 observe
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on this unit?
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a. Nurse manager mandates changes. v v v
b. Staff takes responsibility for assignments. v v v v
c. Staff participates on hospital committees. v v v v
d. Nurses are recognized for excellence in practice. v v v v v v
ANS: C v
Work environments that promote autonomy and decision making encourage participation on
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hospital committees so that staff may become involved in the decisions that are made. OptionA
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is incorrect because this is not an environment in which staff are encouraged to participate
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in decision making. Option BNiU
v sRincSoIrrN
ecGTeBca.uCseOiM
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 v v REF: page 6 v v
6. The fundamental element of any patient care delivery combines work allocation with
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a. patient acuity. v
b. leadership.
c. clinical decision making. v v
d. delegation.
ANS: C v
Work allocation is necessary in any patient care delivery system. The other options are
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incorrect because it is not necessarily useful in determining the appropriate patient care
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delivery systems needed.
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DIF: Cognitive Level: Analysis
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7. The student nurse, shadowing on a medical-surgical unit, observes the charge nurse. Which
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action 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 v v v v v v v
b. Sitting with a confused combative patient v v v v v
c. Calling the nursing office for extra staff when an RN calls in sick v v v v v v v v v v v v