Test Bank for Nursing Delegation and Management of Patient Care, 3rd
b b b b b b b b b b
Edition by Motacki
b b b
| Verified Chapter's 1 - 21 | Complete Newest Version
b b b b b b b b b b b
,Test Bank for Nursing Delegation and Management of Patient Care, 3rd Edition by Motacki
b b b b b b b b b b b b b
Chapter 01: Leadership and Management
b b b b
Motacki: Nursing Delegation and Management of Patient Care, 3rd Edition
b b b b b b b b b
MULTIPLE CHOICE b
1. Nurses can be leaders without being managers. Which nursing actions
b b b b b b b b b
demonstrateleadership?
b b
a. Assisting a new nurse with enteral tube feedings b b b b b b b
b. Counseling a new nurse regarding attendance b b b b b
c. Adjusting assignments after a staff member calls in sick b b b b b b b b
d. Calling a physician for new order clarification b b b b b b
ANS: A b
Leaders act as role models and mentor new staff. The other options are incorrect because
b b b b b b b b b b b b b b
theyare management responsibilities and not leadership roles.
b b b b b b b b
DIF: Cognitive Level: Application b b REF: page 6 b b
2. Which nursing actions demonstrate the role of management in nursing?
b b b b b b b b b
a. Encouraging autonomous decision making b b b
b. Observing the documentation of appropriate charges to patients b b b b b b b
c. Assisting in a code b b b
d. Asking the patient/family about advance directives b b b b b
ANS: B b
Managers are responsible for the budget of their units. The other options are incorrect
b b b b b b b b b b b b b
becausethose are leadership or mentoNriU
b ngRrS
oIlesN.GTB.COM b b b b b b
DIF: Cognitive Level: Application b b REF: page 6 b b
3. Much like a politician, a nurse manager must exhibit leadership that inspires and motivates.
b b b b b b b b b b b b b
b Inwhich instance is a nurse demonstrating leadership qualities?
b b b b b b b b
a. A staff nurse becomes aware of increased infection rates following cardiac
b b b b b b b b b b
surgery.The nurse takes it upon herself to research the possible causes and
b b b b b b b b b b b b b
prevention measures and to make suggestions to better protect patients.
b b b b b b b b b b
b. A staff nurse acts quickly when a cardiac arrest is called on her patient.
b b b b b b b b b b b b b
c. A staff nurse notifies another staff member that she is being “pulled” today.
b b b b b b b b b b b b
d. A new nurse volunteers to work when another staff member must leave
b b b b b b b b b b b
workbecause her child is ill.
b b b b b b
ANS: A b
Nurse leaders are interested in changing practice based on evidence. Options B and D are
b b b b b b b b b b b b b b
incorrect because they are actions taken by nurses as part of the functional structure of
b b b b b b b b b b b b b b b
theunit. Option C is incorrect because it is an action taken by a manager.
b b b b b b b b b b b b b b b
DIF: Cognitive Level: Analysis
bb b b b REF: page 6 b b
4. A nurse manager must exhibit qualities of efficiency and organization. Which nurse
b b b b b b b b b b b
,b isdemonstrating the qualities necessary for a manager?
b b b b b b b
a. A nurse becomes aware of increased infection rates following cardiac surgery. The
b b b b b b b b b b b
, nurse takes it upon herself to research the possible causes and prevention
b b b b b b b b b b b
measuresand to make suggestions to better protect patients.
b b b b b b b b b
b. A nurse acts quickly when a cardiac arrest is called on her patient.
b b b b b b b b b b b b
c. A nurse notifies another staff member that she is being “pulled” today.
b b b b b b b b b b b
d. A nurse volunteers to work when another staff member must leave work
b b b b b b b b b b b
becauseher child is ill.
b b b b b
ANS: C b
Determining who gets “pulled” is a management decision. Option A is incorrect because it isa b b b b b b b b b b b b b b b
role taken by a nurse leader. Option B is incorrect because it is an action taken by staff as part of
b b b b b b b b b b b b b b b b b b b b b
the functional structure of the unit. Option D is incorrect because it is an action taken by staff
b b b b b b b b b b b b b b b b b b
as part of the functional structure of the unit.
b b b b b b b b b
DIF: Cognitive Level: Analysis b b REF: page 6 b b
5. A nurse has accepted a position on a nursing unit where the nurse manager promotes
b b b b b b b b b b b b b b
autonomy and staff involvement in decision making. What would the nurse expect to
b b b b b b b b b b b b b
observeon this unit?
b b b b
a. Nurse manager mandates changes. b b b
b. Staff takes responsibility for assignments. b b b b
c. Staff participates on hospital committees. b b b b
d. Nurses are recognized for excellence in practice. b b b b b b
ANS: C b
Work environments that promote autonomy and decision making encourage participation on
b b b b b b b b b b
hospital committees so that staff may become involved in the decisions that are made.
b b b b b b b b b b b b b b
OptionA is incorrect because this is not an environment in which staff are encouraged to
b b b b b b b b b b b b b b b b
participate
b
in decision making. Option BNiU
b sR
incSoIrrN
ecGTeBca.uCseOiM
tb t should be seen in all environments
b b b b b b b b b b b
regardless of autonomy. Option D is incorrect because excellence in practice is not seen solely
b b b b b b b b b b b b b b
in autonomous environments.
b b
DIF: Cognitive Level: Analysis b b REF: page 6 b b
6. The fundamental element of any patient care delivery combines work allocation with
b b b b b b b b b b b
a. patient acuity. b
b. leadership.
c. clinical decision making. b b
d. delegation.
ANS: C b
Work allocation is necessary in any patient care delivery system. The other options
b b b b b b b b b b b b
are incorrect because it is not necessarily useful in determining the appropriate patient
b b b b b b b b b b b b b
caredelivery systems needed.
b b b b
DIF: Cognitive Level: Analysis
bb b b b REF: page 10 b b
7. The student nurse, shadowing on a medical-surgical unit, observes the charge nurse.
b b b b b b b b b b b
b Whichaction would the student identify as a leadership quality in the nurse’s actions?
b b b b b b b b b b b b b
a. Making patient care assignments distributed equally to staff b b b b b b b
b. Sitting with a confused combative patient b b b b b
c. Calling the nursing office for extra staff when an RN calls in sick b b b b b b b b b b b b
b b b b b b b b b b
Edition by Motacki
b b b
| Verified Chapter's 1 - 21 | Complete Newest Version
b b b b b b b b b b b
,Test Bank for Nursing Delegation and Management of Patient Care, 3rd Edition by Motacki
b b b b b b b b b b b b b
Chapter 01: Leadership and Management
b b b b
Motacki: Nursing Delegation and Management of Patient Care, 3rd Edition
b b b b b b b b b
MULTIPLE CHOICE b
1. Nurses can be leaders without being managers. Which nursing actions
b b b b b b b b b
demonstrateleadership?
b b
a. Assisting a new nurse with enteral tube feedings b b b b b b b
b. Counseling a new nurse regarding attendance b b b b b
c. Adjusting assignments after a staff member calls in sick b b b b b b b b
d. Calling a physician for new order clarification b b b b b b
ANS: A b
Leaders act as role models and mentor new staff. The other options are incorrect because
b b b b b b b b b b b b b b
theyare management responsibilities and not leadership roles.
b b b b b b b b
DIF: Cognitive Level: Application b b REF: page 6 b b
2. Which nursing actions demonstrate the role of management in nursing?
b b b b b b b b b
a. Encouraging autonomous decision making b b b
b. Observing the documentation of appropriate charges to patients b b b b b b b
c. Assisting in a code b b b
d. Asking the patient/family about advance directives b b b b b
ANS: B b
Managers are responsible for the budget of their units. The other options are incorrect
b b b b b b b b b b b b b
becausethose are leadership or mentoNriU
b ngRrS
oIlesN.GTB.COM b b b b b b
DIF: Cognitive Level: Application b b REF: page 6 b b
3. Much like a politician, a nurse manager must exhibit leadership that inspires and motivates.
b b b b b b b b b b b b b
b Inwhich instance is a nurse demonstrating leadership qualities?
b b b b b b b b
a. A staff nurse becomes aware of increased infection rates following cardiac
b b b b b b b b b b
surgery.The nurse takes it upon herself to research the possible causes and
b b b b b b b b b b b b b
prevention measures and to make suggestions to better protect patients.
b b b b b b b b b b
b. A staff nurse acts quickly when a cardiac arrest is called on her patient.
b b b b b b b b b b b b b
c. A staff nurse notifies another staff member that she is being “pulled” today.
b b b b b b b b b b b b
d. A new nurse volunteers to work when another staff member must leave
b b b b b b b b b b b
workbecause her child is ill.
b b b b b b
ANS: A b
Nurse leaders are interested in changing practice based on evidence. Options B and D are
b b b b b b b b b b b b b b
incorrect because they are actions taken by nurses as part of the functional structure of
b b b b b b b b b b b b b b b
theunit. Option C is incorrect because it is an action taken by a manager.
b b b b b b b b b b b b b b b
DIF: Cognitive Level: Analysis
bb b b b REF: page 6 b b
4. A nurse manager must exhibit qualities of efficiency and organization. Which nurse
b b b b b b b b b b b
,b isdemonstrating the qualities necessary for a manager?
b b b b b b b
a. A nurse becomes aware of increased infection rates following cardiac surgery. The
b b b b b b b b b b b
, nurse takes it upon herself to research the possible causes and prevention
b b b b b b b b b b b
measuresand to make suggestions to better protect patients.
b b b b b b b b b
b. A nurse acts quickly when a cardiac arrest is called on her patient.
b b b b b b b b b b b b
c. A nurse notifies another staff member that she is being “pulled” today.
b b b b b b b b b b b
d. A nurse volunteers to work when another staff member must leave work
b b b b b b b b b b b
becauseher child is ill.
b b b b b
ANS: C b
Determining who gets “pulled” is a management decision. Option A is incorrect because it isa b b b b b b b b b b b b b b b
role taken by a nurse leader. Option B is incorrect because it is an action taken by staff as part of
b b b b b b b b b b b b b b b b b b b b b
the functional structure of the unit. Option D is incorrect because it is an action taken by staff
b b b b b b b b b b b b b b b b b b
as part of the functional structure of the unit.
b b b b b b b b b
DIF: Cognitive Level: Analysis b b REF: page 6 b b
5. A nurse has accepted a position on a nursing unit where the nurse manager promotes
b b b b b b b b b b b b b b
autonomy and staff involvement in decision making. What would the nurse expect to
b b b b b b b b b b b b b
observeon this unit?
b b b b
a. Nurse manager mandates changes. b b b
b. Staff takes responsibility for assignments. b b b b
c. Staff participates on hospital committees. b b b b
d. Nurses are recognized for excellence in practice. b b b b b b
ANS: C b
Work environments that promote autonomy and decision making encourage participation on
b b b b b b b b b b
hospital committees so that staff may become involved in the decisions that are made.
b b b b b b b b b b b b b b
OptionA is incorrect because this is not an environment in which staff are encouraged to
b b b b b b b b b b b b b b b b
participate
b
in decision making. Option BNiU
b sR
incSoIrrN
ecGTeBca.uCseOiM
tb t should be seen in all environments
b b b b b b b b b b b
regardless of autonomy. Option D is incorrect because excellence in practice is not seen solely
b b b b b b b b b b b b b b
in autonomous environments.
b b
DIF: Cognitive Level: Analysis b b REF: page 6 b b
6. The fundamental element of any patient care delivery combines work allocation with
b b b b b b b b b b b
a. patient acuity. b
b. leadership.
c. clinical decision making. b b
d. delegation.
ANS: C b
Work allocation is necessary in any patient care delivery system. The other options
b b b b b b b b b b b b
are incorrect because it is not necessarily useful in determining the appropriate patient
b b b b b b b b b b b b b
caredelivery systems needed.
b b b b
DIF: Cognitive Level: Analysis
bb b b b REF: page 10 b b
7. The student nurse, shadowing on a medical-surgical unit, observes the charge nurse.
b b b b b b b b b b b
b Whichaction would the student identify as a leadership quality in the nurse’s actions?
b b b b b b b b b b b b b
a. Making patient care assignments distributed equally to staff b b b b b b b
b. Sitting with a confused combative patient b b b b b
c. Calling the nursing office for extra staff when an RN calls in sick b b b b b b b b b b b b
