C HAPTER 10: D ELEGATION , L EADERSHIP , AND
M ANAGEMENT
Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th
Edition
MULTIPLE CHOICE
1. Nursing documentation that would best assist with reimbursement to a
facilit y would be:
a. Patient was up in chair for 2 hours after breakfast.
b. Patient was ambulated in the hall three times t his shift.
c. Patient was assisted to a recliner chair to use the oxygen
concentrator.
d. Patient received bath in shower room.
ANS: C
Nurses should document care delivered and equipment used in order to
get appropriate reimbursement.
DIF: Cognitive Level: Ap plication REF: p. 131 OBJ:
Clinical Practice #6 TOP: Leadership KEY: Nursing
Process Step: N/A MSC: NCLEX: N/A
2. The behavior least likel y seen in an autocratic leader would be a person
who:
a. provides close supervision of work by staff members.
, b. often consults staff when making decisions.
c. quickl y points out mistakes made by staff members.
d. frequentl y gives out new directives.
ANS: B
The autocratic leader never consults staff relative to decision making.
The autocratic leader tightl y controls team mem bers. This t ype of
leadership st yle has been described as “my way or the highway.” The
leader closel y supervises the work of each staff member. When
mistakes are made, they are quickl y pointed out.
DIF: Cognitive Level: Comprehension REF: p. 124
OBJ: Theory #1 TOP: Leadership KEY: Nursing
Process Step: N/A MSC: NCLEX: N/A
3. The nurse recognizes that the use of the democratic approach in leadership
will:
a. cause team members to feel that their feelings are secondary to the
accomplishment of the goal.
b. cause mistakes to be discovered and pointed out.
c. take more time to accomplish goals.
d. use the leader’s skills and knowledge.
ANS: C
The democratic process will take more time to accomplish the goal
because the leader frequentl y consults with staff members and seeks
staff participation in decision making. The skills and knowledge of the
team members are readil y used to ensure that the team functions
, efficientl y. Team members are respected as individuals, and there is an
open and trusting attitude overall. T he democratic leader is part of the
team, not sitting above it, and accepts responsibilit y for the actions of
the team.
DIF: Cognitive Level: Comprehension REF: p. 124
OBJ: Theory #1 TOP: Leadership KEY: Nursing
Process Step: N/A MSC: NCLEX: N/A
4. An inappropriate delegation to an unlicensed assistive personnel (UAP)
would be:
a. appl ying a condom catheter.
b. assessing a patient’s pain.
c. giving a sitz bath.
d. giving an enema.
ANS: B
Assessment or aspects of the anal ysis, planning, or evaluation phases
of the nursing process must be performed by the registered nurse.
These functions cannot be delegated to UAPs.
DIF: Cognitive Level: Application REF: p. 124 OBJ:
Theory #4 TOP: Leadership KEY: Nursing Process Step:
N/A MSC: NCLEX: N/A
5. The nurse is aware that assignment of an unlicensed assistive personnel
(UAP) differs from delegation in that in delegation, the:
a. nurse has transferred the authorit y to perform the task.
M ANAGEMENT
Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th
Edition
MULTIPLE CHOICE
1. Nursing documentation that would best assist with reimbursement to a
facilit y would be:
a. Patient was up in chair for 2 hours after breakfast.
b. Patient was ambulated in the hall three times t his shift.
c. Patient was assisted to a recliner chair to use the oxygen
concentrator.
d. Patient received bath in shower room.
ANS: C
Nurses should document care delivered and equipment used in order to
get appropriate reimbursement.
DIF: Cognitive Level: Ap plication REF: p. 131 OBJ:
Clinical Practice #6 TOP: Leadership KEY: Nursing
Process Step: N/A MSC: NCLEX: N/A
2. The behavior least likel y seen in an autocratic leader would be a person
who:
a. provides close supervision of work by staff members.
, b. often consults staff when making decisions.
c. quickl y points out mistakes made by staff members.
d. frequentl y gives out new directives.
ANS: B
The autocratic leader never consults staff relative to decision making.
The autocratic leader tightl y controls team mem bers. This t ype of
leadership st yle has been described as “my way or the highway.” The
leader closel y supervises the work of each staff member. When
mistakes are made, they are quickl y pointed out.
DIF: Cognitive Level: Comprehension REF: p. 124
OBJ: Theory #1 TOP: Leadership KEY: Nursing
Process Step: N/A MSC: NCLEX: N/A
3. The nurse recognizes that the use of the democratic approach in leadership
will:
a. cause team members to feel that their feelings are secondary to the
accomplishment of the goal.
b. cause mistakes to be discovered and pointed out.
c. take more time to accomplish goals.
d. use the leader’s skills and knowledge.
ANS: C
The democratic process will take more time to accomplish the goal
because the leader frequentl y consults with staff members and seeks
staff participation in decision making. The skills and knowledge of the
team members are readil y used to ensure that the team functions
, efficientl y. Team members are respected as individuals, and there is an
open and trusting attitude overall. T he democratic leader is part of the
team, not sitting above it, and accepts responsibilit y for the actions of
the team.
DIF: Cognitive Level: Comprehension REF: p. 124
OBJ: Theory #1 TOP: Leadership KEY: Nursing
Process Step: N/A MSC: NCLEX: N/A
4. An inappropriate delegation to an unlicensed assistive personnel (UAP)
would be:
a. appl ying a condom catheter.
b. assessing a patient’s pain.
c. giving a sitz bath.
d. giving an enema.
ANS: B
Assessment or aspects of the anal ysis, planning, or evaluation phases
of the nursing process must be performed by the registered nurse.
These functions cannot be delegated to UAPs.
DIF: Cognitive Level: Application REF: p. 124 OBJ:
Theory #4 TOP: Leadership KEY: Nursing Process Step:
N/A MSC: NCLEX: N/A
5. The nurse is aware that assignment of an unlicensed assistive personnel
(UAP) differs from delegation in that in delegation, the:
a. nurse has transferred the authorit y to perform the task.
