,Table of Contents
Section 1: TRANSFORMATIONAL LEADERSHIP
1. Leadership and Management
2. Organizational Structure of Health Care
3. Strategic Management and Planning
4. Financial Management in Health Care
5. Health Care Regulatory and Certifying Agencies
Section 2: STRUCTURAL EMPOWERMENT
6. Organizational Decision Making and Shared Governance
7. Professional Decision Making and Advocacy
8. Communication in the Work Environment
9. Personnel Policies and Programs in the Workplace
Section 3: EXEMPLARY PROFESSIONAL PRACTICE
10. Professional Development
11. Professional Practice and Care Delivery Models and Emerging Practice Models
12. Staffing and Scheduling
,13. Delegation of Nursing Tasks
14. Providing Competent Staff
15. Group Management for Effective Outcomes
16. Hospital Information Systems
17. Organizational Structure of Health Care
Section 4: NEW KNOWLEDGE, INNOVATIONS, AND IMPROVEMENTS
18. Improving Organizational Performance
19. Evidence-Based Practice
20. Monitoring Outcomes and the Use of Data for Improvement
Section 5: CONGRATULATIONS
21. The Immediate Future: Job Interviewing, NCLEX, and Continuing Education
, Chapter 01: Leadership and Management
Motacki: Nursing Delegation and Management of Client Care, 3rd Edition
MULTIPLE CHOICE
1. Nurses can be leaders without being managers. Which nursing actions demonstrate
leadership?
a. Assisting a new registered nurse with enteral tube feedings
b. Counseling a new registered nurse regarding attendance
c. Adjusting assignments after a staff member calls in sick
d. Calling a physician for new order clarification
CORRECT ANSWER ✅✅ A
Leaders act as role models and mentor new staff. The other options are incorrect because they
are management responsibilities and not leadership roles.
DIF: Cognitive Level: Application REF: page 6
2. Which nursing actions demonstrate the role of management in nursing?
a. Encouraging autonomous decision making
b. Observing the documentation of appropriate charges to patients
c. Assisting in a code
d. Asking the patient/family about advance directives
CORRECT ANSWER ✅✅ B
Managers are responsible for the budget of their units. The other options are incorrect because
those are leadership or mentoring roles.
DIF: Cognitive Level: Application REF: page 6
3. Much like a politician, a registered nurse manager must exhibit leadership that inspires and
motivates. In which instance is a registered nurse demonstrating leadership qualities?
a. A staff registered nurse becomes aware of increased infection rates following
cardiac surgery. The registered nurse takes it upon herself to research the possible
causes and prevention measures and to make suggestions to better protect patients.
b. A staff registered nurse acts quickly when a cardiac arrest is called on her patient.
c. A staff registered nurse notifies another staff member that she is being “pulled” today.
d. A new registered nurse volunteers to work when another staff member must
leave work because her child is ill.
CORRECT ANSWER ✅✅ A
Registered nurse leaders are interested in changing practice based on evidence. Options B
and D are incorrect because they are actions taken by nurses as part of the functional
structure of the unit. Option C is incorrect because it is an action taken by a manager.
DIF: Cognitive Level: Analysis REF: page 6
4. A registered nurse manager must exhibit qualities of efficiency and organization.
Which registered nurse is demonstrating the qualities necessary for a manager?
a. A registered nurse becomes aware of increased infection rates following cardiac surgery. The
Section 1: TRANSFORMATIONAL LEADERSHIP
1. Leadership and Management
2. Organizational Structure of Health Care
3. Strategic Management and Planning
4. Financial Management in Health Care
5. Health Care Regulatory and Certifying Agencies
Section 2: STRUCTURAL EMPOWERMENT
6. Organizational Decision Making and Shared Governance
7. Professional Decision Making and Advocacy
8. Communication in the Work Environment
9. Personnel Policies and Programs in the Workplace
Section 3: EXEMPLARY PROFESSIONAL PRACTICE
10. Professional Development
11. Professional Practice and Care Delivery Models and Emerging Practice Models
12. Staffing and Scheduling
,13. Delegation of Nursing Tasks
14. Providing Competent Staff
15. Group Management for Effective Outcomes
16. Hospital Information Systems
17. Organizational Structure of Health Care
Section 4: NEW KNOWLEDGE, INNOVATIONS, AND IMPROVEMENTS
18. Improving Organizational Performance
19. Evidence-Based Practice
20. Monitoring Outcomes and the Use of Data for Improvement
Section 5: CONGRATULATIONS
21. The Immediate Future: Job Interviewing, NCLEX, and Continuing Education
, Chapter 01: Leadership and Management
Motacki: Nursing Delegation and Management of Client Care, 3rd Edition
MULTIPLE CHOICE
1. Nurses can be leaders without being managers. Which nursing actions demonstrate
leadership?
a. Assisting a new registered nurse with enteral tube feedings
b. Counseling a new registered nurse regarding attendance
c. Adjusting assignments after a staff member calls in sick
d. Calling a physician for new order clarification
CORRECT ANSWER ✅✅ A
Leaders act as role models and mentor new staff. The other options are incorrect because they
are management responsibilities and not leadership roles.
DIF: Cognitive Level: Application REF: page 6
2. Which nursing actions demonstrate the role of management in nursing?
a. Encouraging autonomous decision making
b. Observing the documentation of appropriate charges to patients
c. Assisting in a code
d. Asking the patient/family about advance directives
CORRECT ANSWER ✅✅ B
Managers are responsible for the budget of their units. The other options are incorrect because
those are leadership or mentoring roles.
DIF: Cognitive Level: Application REF: page 6
3. Much like a politician, a registered nurse manager must exhibit leadership that inspires and
motivates. In which instance is a registered nurse demonstrating leadership qualities?
a. A staff registered nurse becomes aware of increased infection rates following
cardiac surgery. The registered nurse takes it upon herself to research the possible
causes and prevention measures and to make suggestions to better protect patients.
b. A staff registered nurse acts quickly when a cardiac arrest is called on her patient.
c. A staff registered nurse notifies another staff member that she is being “pulled” today.
d. A new registered nurse volunteers to work when another staff member must
leave work because her child is ill.
CORRECT ANSWER ✅✅ A
Registered nurse leaders are interested in changing practice based on evidence. Options B
and D are incorrect because they are actions taken by nurses as part of the functional
structure of the unit. Option C is incorrect because it is an action taken by a manager.
DIF: Cognitive Level: Analysis REF: page 6
4. A registered nurse manager must exhibit qualities of efficiency and organization.
Which registered nurse is demonstrating the qualities necessary for a manager?
a. A registered nurse becomes aware of increased infection rates following cardiac surgery. The
