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,Test Bank for Nursing Delegation and Management of Patient Care, 3rd Edition by Motacki
Chapter 01: Leadership and Management
Motacki: Nursing Delegation and Management of Patient Care, 3rd Edition
MULTIPLE CHOICE
1. Nurses can be leaders without being managers. Which nursing actions demonstra
te leadership?
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a. Assisting a new nurse with enteral tube feedings
b. Counseling a new nurse regarding attendance
c. Adjusting assignments after a staff member calls in sick
d. Calling a physician for new order clarification
ANS: A
Leaders act as role models and mentor new staff. The other options are incorrect because t
heyare 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
ANS: B
Managers are responsible for the budget of their units. The other options are incorrect beca
usethose are leadership or mentoNriU
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DIF: Cognitive Level: Application REF: page 6
3. Much like a politician, a nurse manager must exhibit leadership that inspires and motivates.
In which instance is a nurse demonstrating leadership qualities?
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a. A staff nurse becomes aware of increased infection rates following cardiac surger
y. The nurse takes it upon herself to research the possible causes and prevention
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measures and to make suggestions to better protect patients.
b. A staff nurse acts quickly when a cardiac arrest is called on her patient.
c. A staff nurse notifies another staff member that she is being “pulled” today.
d. A new nurse volunteers to work when another staff member must leave w
ork because her child is ill.
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ANS: A
Nurse leaders are interested in changing practice based on evidence. Options B and D ar
e 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.
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DIF: Cognitive Level: Analysis REF: page 6
4. A nurse manager must exhibit qualities of efficiency and organization. Which nurse i
,s demonstrating the qualities necessary for a manager?
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a. A nurse becomes aware of increased infection rates following cardiac surgery. The
, nurse takes it upon herself to research the possible causes and prevention measu
res and to make suggestions to better protect patients.
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b. A nurse acts quickly when a cardiac arrest is called on her patient.
c. A nurse notifies another staff member that she is being “pulled” today.
d. A nurse volunteers to work when another staff member must leave work beca
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use her child is ill.
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ANS: C
Determining who gets “pulled” is a management decision. Option A is incorrect because it i
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s a role taken by a nurse leader. Option B is incorrect because it is an action taken by staff a
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s part of the functional structure of the unit. Option D is incorrect because it is an action ta
ken by staff as part of the functional structure of the unit.
DIF: Cognitive Level: Analysis REF: page 6
5. A nurse has accepted a position on a nursing unit where the nurse manager promotes auto
nomy and staff involvement in decision making. What would the nurse expect to observe on ia
this unit?
a. Nurse manager mandates changes.
b. Staff takes responsibility for assignments.
c. Staff participates on hospital committees.
d. Nurses are recognized for excellence in practice.
ANS: C
Work environments that promote autonomy and decision making encourage participation o
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n hospital committees so that staff may become involved in the decisions that are made. O
ption A is incorrect because this is not an environment in which staff are encouraged to parti
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cipate
in decision making. Option BNiUs iR
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tbai t should be seen in all environments
regardless of autonomy. Option D is incorrect because excellence in practice is not seen solely
in autonomous environments.
DIF: Cognitive Level: Analysis REF: page 6
6. The fundamental element of any patient care delivery combines work allocation with
a. patient acuity.
b. leadership.
c. clinical decision making.
d. delegation.
ANS: C
Work allocation is necessary in any patient care delivery system. The other options ar
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e incorrect because it is not necessarily useful in determining the appropriate patient
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caredelivery systems needed.
DIF: Cognitive Level: Analysis REF: page 10
7. The student nurse, shadowing on a medical-
surgical unit, observes the charge nurse. Which action would the student identify as a lead
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ership quality in the nurse’s actions?
a. Making patient care assignments distributed equally to staff
b. Sitting with a confused combative patient