Nursing Delegation and Management of Patient Care (3rd Edition, Kathleen Motacki, 2022) – Complete Test Bank Chapters 1–21 | All Chapters

TEST BANK FOR NURSING DELEGATION AND
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MANAGEMENTOFPATIENTCARE3RDEDITIONBY
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MOTACKI RN MSN, KATHLEEN, BURKE RN PHD,
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KATHLEEN s

,CH01:LeadershipandManagement
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Motacki:NursingDelegationandManagement ofPatient Care,3rdEdition
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MULTIPLECHOICE s




1. Anursing attendantscanbeleaderswithoutbeingmanagers.Which
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nursing actions demonstrate leadership?
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a. Assistinga newnursing attendant withenteraltube feedings s s s s s s s s




b. Counselinganewnursing attendant regarding attendance s s s s s s




c. Adjusting assignments after astaffmembercalls in sick s s s s s s s s




d. Calling aphysician forneworder clarification s s s s s s




ACCURATE ANSWER:-A s




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




because they are management responsibilities and not leadership roles.
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DIFFICULT:CognitiveLevel:Application s s REF: PG 6 s s




2. Whichnursing actionsdemonstratetheroleofmanagement innursing?
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a. Encouragingautonomousdecisionmaking s s s




b. Observingthedocumentationofappropriate chargesto hospital patients s s s s s s s s




c. Assisting inacode s s s




d. Askingthehospital patient/familyaboutadvancedirectives s s s s s s




ACCURATE ANSWER:-B s




Feedback :->>>Managers are responsible for the budget of their units. The other s s s s s s s s s s s




options are wrong because those are leadership or mentoNriUngRrSolIesN
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DIFFICULT: CognitiveLevel:Application s s s REF:PG 6 s




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




Feedback :->>>Nursing attendant leaders are interested in changing practice based on s s s s s s s s s s




evidence. Options B and D are wrong because they are actions taken by nursing attendants as part
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of the functional structure of the unit. Option C is wrong because it is an action taken by a
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manager.
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DIFFICULT: CognitiveLevel: Analysis s s s s REF:PG 6 s




4. Anursing attendantmanager mustexhibitqualitiesofefficiencyandorganization.
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Which nursing attendant is demonstrating the qualities necessary for a manager?
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a. Anursing attendantbecomesawareofincreased infectionratesfollowingcardiac surgery. The
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, nursing attendanttakesit uponherselftoresearchthepossiblecausesand prevention s s s s s s s s s s s s




measures and to make suggestions to better protect hospital patients.
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b. Anursing attendantacts quicklywhenacardiac arrest is called onher hospital patient.
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c. Anursing attendantnotifiesanother staffmember that sheisbeing “pulled” today.
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d. Anursing attendantvolunteerstoworkwhenanotherstaffmember must
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leave work because her child is ill.
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ACCURATE ANSWER:-C s




Feedback :->>> determining who gets “pulled” is a management decision. Option A is wrong
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because it is a role taken by a nursing attendant leader. Option B is wrong because it is an action
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taken bystaff as part of the functional structure of the unit. Option Dis wrong because it is an
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actiontakenbystaffas partofthe functionalstructureofthe unit.
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DIFFICULT: s s CognitiveLevel:Analysis s s REF:PG 6 s




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




b. Stafftakes responsibility forassignments. s s s s




c. Staffparticipates onhealth center committees.s s s s s




d. Nursing attendantsarerecognized forexcellence in practice. s s s s s s s




ACCURATE ANSWER:-C s




Feedback :->>> Work environments that promote autonomy and decision making encourages s s s s s s s s s




participationonhealthcenter committeesso that staffmay become involved inthedecisions that are
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made.
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OptionAiswrong becausethisisnot anenvironment inwhichstaffareencouragedto participate
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in decision making. Option BNi Us Rin S
s coIrr N ecGt T beBca.uCse O iMt should be seen in all
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environments regardless of autonomy. Option D is wrong because excellence in practice is not seen
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solely
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inautonomous environments.
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DIFFICULT: CognitiveLevel: Analysis s s s s REF:PG 6 s




6. Thefundamentalelement ofanyhospital patient care deliverycombines workallocationwith
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a. hospital patientacuity. s s




b. leadership.
c. clinicaldecisionmaking. s s




d. delegation.
ACCURATE ANSWER:-C s




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




7. Thestudent nursing attendant,shadowingonamedical-surgicalunit,observesthecharge
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nursing attendant. Which action would the student identifyas a leadership quality in the
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nursing attendant’s actions?
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a. Makinghospital patient careassignmentsdistributed equallytostaff s s s s s s s s




b. Sittingwithaconfusedcombative hospitalpatient s s s s s s




c. Calling the nursing office forextrastaffwhenanRN calls in sick s s s s s s s s s s s s

, d. Assisting inacode s s s




ACCURATE ANSWER:-B s




Feedback:->>> Leadersact asrolemodelsanddowhat isright forthehospital patient.The
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other options are wrong because these actions are expected as part of the functioning of the
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unit.
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DIFFICULT:CognitiveLevel:Analysis s s REF:PG 5 s




8. Primary healthcare isseenand managed asabusinesstoday. Whichskillsareconsidered
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essential to managing primary health care as a business?
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a. Abilityto pressure staffto do what you want s s s s s s s s




b. Resourceutilization s




c. Cutting cornersto make money s s s s




d. Providingbonusesto staffmemberswho helptheorganizationto savemoney s s s s s s s s s s s




ACCURATE ANSWER:-B s




Feedback :->>> theabilityto manageabudget isessentialtobeingamanager inprimary health
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care today. The other options are wrong because they are only a perception of the public
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regarding successful managers.
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DIFFICULT: CognitiveLevel:Application s s s REF:PG 3 |page7 s s s s




9. Thenovicenursing attendant isspeaking withthenursing attendant managerabouttheirroles
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within the hierarchy of the institution. The nursing attendant manager would most likely identify
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which role as having the most internal conflict?
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a. Coordinating institutionalgoalswiththe immediatedemands oftheclinicalarea s s s s s s s s s s




b. Determiningwhichofthestaffmembersshouldgetbetterraisesthan other s s s s s s s s s s s




members
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c. Decidingwhichemployeesshould berecommendedforpromotion s s s s s s s




d. Determiningwhichstaffmembers getChristmas dayoff s s s s s s s




ACCURATE ANSWER:-A s




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




10. Nursing attendant managerscanbest bedescribed aspeople who
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a. develop institutionalgoals basedonstaffsuggestions. s s s s s s




b. develop institutionalgoals based onapersonaltheory. s s s s s s s




c. motivatestaffto meet institutionalgoalsthroughpositionalpower. s s s s s s s s




d. inspirestafftomeet institutionalgoalsthroughpersonalpower.
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ACCURATE ANSWER:-C s




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