Test Bank for Nursing Delegation and Management of Patient Care 3rd Edition by Kathleen Motacki, All Chapters Covered, A+ guide.

TEST BANK FOR NURSING DELEGATION AND
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MANAGEMENT OF PATIENT CARE 3RD EDITION BY
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MOTACKI RN MSN, KATHLEEN, BURKE RN PHD,
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KATHLEEN li

,CH 01: Leadership and Management
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Motacki: Nursing Delegation and Management of Patient Care, 3rd Edition
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MULTIPLE CHOICE li




1. A nursing attendants can be leaders without being managers.
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Which nursing actions demonstrate leadership?
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a. Assisting a new nursing attendant with enteral tube feedings li li li li li li li li


b. Counseling a new nursing attendant regarding attendance li li li li li li


c. Adjusting assignments after a staff member calls in sick li li li li li li li li


d. Calling a physician for new order clarification li li li li li li




ACCURATE ANSWER:-A li


Reasoning:->>>Leaders act as role models and mentor new staff. The other options are li li li li li li li li li li li li


wrong because they are management responsibilities and not leadership roles.
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DIFFICULT:Cognitive Level: Application li li REF: PG 6 li li




2. Which nursing actions demonstrate the role of management in nursing?
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a. Encouraging autonomous decision making li li li


b. Observing the documentation of appropriate charges to hospital patients li li li li li li li li


c. Assisting in a code li li li


d. Asking the hospital patient/family about advance directivesli li li li li li




ACCURATE ANSWER:-B li


Feedback :->>>Managers are responsible for the budget of their units. The
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other options are wrong because those are leadership or mentoNriUngRrSolIesN
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DIFFICULT: Cognitive Level: Application REF:PG 6 li li li li




3. Much like a politician, a nursing attendant manager must exhibit leadership that inspires
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and motivates. In which instance is a nursing attendant demonstrating leadership
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qualities?
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a. A staff nursing attendant becomes aware of increased infection rates
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following cardiac surgery. The nursing attendant takes it upon herself to
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research the possible causes and prevention measures and to make
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suggestions to better protect hospital patients.
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b. A staff nursing attendant acts quickly when a cardiac arrest is called on her hospital patient.
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c. A staff nursing attendant notifies another staff member that she is being ―pulled‖ today.
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d. A new nursing attendant volunteers to work when another staff
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member must leave work because her child is ill.
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ACCURATE ANSWER:-A li


Feedback :->>>Nursing attendant leaders are interested in changing practice based on
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evidence. Options B and D are wrong because they are actions taken by nursing
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attendants as part of the functional structure of the unit. Option C is wrong because it is
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an action taken by a manager.
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DIFFICULT: l i l i Cognitive Level: Analysis REF:PG 6 li li li




4. A nursing attendant manager must exhibit qualities of efficiency and organization.
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Which nursing attendant is demonstrating the qualities necessary for a
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manager?
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a. A nursing attendant becomes aware of increased infection rates following cardiac
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surgery. The li li

, nursing attendant takes it upon herself to research the possible causes and
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prevention measures and to make suggestions to better protect hospital patients.
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b. A nursing attendant acts quickly when a cardiac arrest is called on her hospital patient.
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c. A nursing attendant notifies another staff member that she is being ―pulled‖ today.
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d. A nursing attendant volunteers to work when another staff member must
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leave work because her child is ill.
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ACCURATE ANSWER:-C li


Feedback :->>> determining who gets ―pulled‖ is a management decision. Option A is
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wrong because it is a role taken by a nursing attendant leader. Option B is wrong
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because it is an action taken by staff as part of the functional structure of the unit. Option
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D is wrong because it is an action taken by staff as part of the functional structure of the
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unit.
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DIFFICULT: l i l i Cognitive Level: Analysis REF:PG 6 li li li




5. A nursing attendant has accepted a position on a nursing unit where the nursing
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attendant manager promotes autonomy and staff involvement in decision making.
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What would the nursing attendant expect to observe on this unit?
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a. Nursing attendant manager mandates changes. li li li li


b. Staff takes responsibility for assignments.
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c. Staff participates on health center committees.
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d. Nursing attendants are recognized for excellence in practice. li li li li li li li




ACCURATE ANSWER:-C li


Feedback :->>> Work environments that promote autonomy and decision making encourage
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participation on health center committees so that staff may become involved in the decisions
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that are made.
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Option A is wrong because this is not an environment in which staff are encouraged to
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participate
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in decision making. Option BNiU s RS
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seen in all environments regardless of autonomy. Option D is wrong because excellence in
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practice is not seen solely
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in autonomous environments.
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DIFFICULT: l i l i Cognitive Level: Analysis REF:PG 6 li li li




6. The fundamental element of any hospital patient care delivery combines work allocation with
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a. hospital patient acuity. li li


b. leadership.
c. clinical decision making. li li


d. delegation.
ACCURATE ANSWER:-C li


Feedback :->>> Work allocation is necessary in any hospital patient care delivery
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system. The other options are wrong because it is not necessarily useful in
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determining the appropriate hospital patient care delivery systems needed.
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DIFFICULT: l i l i Cognitive Level: Analysis REF:PG 10 li li li




7. The student nursing attendant, shadowing on a medical-surgical unit, observes the charge
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nursing attendant. Which action would the student identify as a leadership quality in
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the nursing attendant‘s actions?
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a. Making hospital patient care assignments distributed equally to staff
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b. Sitting with a confused combative hospital patient li li li li li li


c. Calling the nursing office for extra staff when an RN calls in sick
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, d. Assisting in a code li li li




ACCURATE ANSWER:-B li


Feedback :->>> Leaders act as role models and do what is right for the hospital
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patient. The other options are wrong because these actions are expected as part of
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the functioning of the unit.
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DIFFICULT:Cognitive Level: Analysis li li REF:PG 5 li




8. Primary health care is seen and managed as a business today. Which skills are considered
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essential to managing primary health care as a business?
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a. Ability to pressure staff to do what you want
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b. Resource utilization li


c. Cutting corners to make money li li li li


d. Providing bonuses to staff members who help the organization to save money
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ACCURATE ANSWER:-B li


Feedback :->>> the ability to manage a budget is essential to being a manager in primary
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health care today. The other options are wrong because they are only a perception of
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the public regarding successful managers.
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DIFFICULT: Cognitive Level: Application REF:PG 3 | page 7 li li li li li li li




9. The novice nursing attendant is speaking with the nursing attendant manager about their
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roles within the hierarchy of the institution. The nursing attendant manager would most
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likely identify which role as having the most internal conflict?
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a. Coordinating institutional goals with the immediate demands of the clinical area li li li li li li li li li li


b. Determining which of the staff members should get better raises than li li li li li li li li li li

other members
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c. Deciding which employees should be recommended for promotion li li li li li li li


d. Determining which staff members get Christmas day off li li li li li li li




ACCURATE ANSWER:-A li


Feedback :->>> Many times the goals of the institution conflict with the goals of the
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individual employees of a particular clinical area and the nursing attendant manager must
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implement institutional changes regardless of the nursing attendant‘s personal opinion. The
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other options are wrong because those roles should not provoke as much conflict.
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DIFFICULT: Cognitive Level: Application REF: pages 7-8 li li li li li




10. Nursing attendant managers can best be described as people who
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a. develop institutional goals based on staff suggestions.
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b. develop institutional goals based on a personal theory.
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c. motivate staff to meet institutional goals through positional power.
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d. inspire staff to meet institutional goals through personal power.
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ACCURATE ANSWER:-C li


Feedback :->>>Managers motivate staff to make changes. Options A and B are
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wrong because nursing attendant managers usually do not make institutional goals.
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Option C is wrong because leaders inspire, not managers.
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DIFFICULT: l i l i Cognitive Level: Application REF:PG 6 li li li