, Nursing Delegation and Management of Patient Care 3rd Edition Motacki Test Bank
Chapter 01: Leadership and Management
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Motacki: Nursing Delegation and Management of Patient Care, 3rd Edition
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MULTIPLE CHOICE ww
1. Nurses can be leaders without being managers. Which nursing actions demonstra
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te leadership?
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a. Assisting a new nurse with enteral tube feedings ww ww ww ww ww ww ww
b. Counseling a new nurse regarding attendance ww ww ww ww ww
c. Adjusting assignments after a staff member calls in sick ww ww ww ww ww ww ww ww
d. Calling a physician for new order clarificationww ww ww ww ww ww
ANS: A ww
Leaders act as role models and mentor new staff. The other options are incorrect because t
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hey are management responsibilities and not leadership roles.
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DIF: Cognitive Level: Application ww ww REF: page 6 w w ww
2. Which nursing actions demonstrate the role of management in nursing?
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a. Encouraging autonomous decision making ww ww ww
b. Observing the documentation of appropriate charges to patientsww ww ww ww ww ww ww
c. Assisting in a code ww ww ww
d. Asking the patient/family about advance directives
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ANS: B ww
Managers are responsible for the budget of their units. The other options are incorrect becaus
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e those are leadership or mentoring roles
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DIF: Cognitive Level: Application ww ww REF: page 6 w w ww
3. Much like a politician, a nurse manager must exhibit leadership that inspires and motivates.
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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
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y. The nurse takes it upon herself to research the possible causes and preventio
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n measures and to make suggestions to better protect patients.
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b. A staff nurse acts quickly when a cardiac arrest is called on her patient.
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c. A staff nurse notifies another staff member that she is being ―pulled‖ today.
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d. A new nurse volunteers to work when another staff member must leave wo
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rk because her child is ill.
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ANS: A ww
Nurse leaders are interested in changing practice based on evidence. Options B and D
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are incorrect because they are actions taken by nurses as part of the functional structur
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e of the unit. Option C is incorrect because it is an action taken by a manager.
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DIF: w w w w Cognitive Level: Analysis ww ww REF: page 6 w w ww
4. A nurse manager must exhibit qualities of efficiency and organization. Which nurse
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is demonstrating the qualities necessary for a manager?
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,Nursing Delegation and Management of Patient Care 3rd Edition Motacki Test Bank
a. A nurse becomes aware of increased infection rates following cardiac surgery. The
ww ww ww ww ww ww ww ww ww ww ww
, Nursing Delegation and Management of Patient Care 3rd Edition Motacki Test Bank
nurse takes it upon herself to research the possible causes and prevention measures
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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.
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c. A nurse notifies another staff member that she is being ―pulled‖ today.
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d. A nurse volunteers to work when another staff member must leave work becau
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se her child is ill.
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ANS: C ww
Determining who gets ―pulled‖ is a management decision. Option A is incorrect because it
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is a role taken by a nurse leader. Option B is incorrect because it is an action taken by
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staff as part of the functional structure of the unit. Option D is incorrect because it is an
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action taken by staff as part of the functional structure of the unit.
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DIF: Cognitive Level: Analysis ww ww REF: page 6 w w ww
5. A nurse has accepted a position on a nursing unit where the nurse manager promotes aut
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onomy and staff involvement in decision making. What would the nurse expect to observe
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on this unit?
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a. Nurse manager mandates changes. ww ww ww
b. Staff takes responsibility for assignments.
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c. Staff participates on hospital committees.
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d. Nurses are recognized for excellence in practice.
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ANS: C ww
Work environments that promote autonomy and decision making encourage participation
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on hospital committees so that staff may become involved in the decisions that are made.
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Option A is incorrect because this is not an environment in which staff are encouraged to
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wparticipate in decision making. Option B is incorrect because it should be seen in all env
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ironments regardless of autonomy. Option D is incorrect because excellence in practice is
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not seen solely in autonomous environments.
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DIF: Cognitive Level: Analysis ww ww REF: page 6 w w ww
6. The fundamental element of any patient care delivery combines work allocation with
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a. patient acuity. ww
b. leadership.
c. clinical decision making. ww ww
d. delegation.
ANS: C ww
Work allocation is necessary in any patient care delivery system. The other options
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are incorrect because it is not necessarily useful in determining the appropriate patie
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nt care delivery systems needed.
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DIF: w w w w Cognitive Level: Analysis ww ww REF: page 10 w w ww
7. The student nurse, shadowing on a medical-
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surgical unit, observes the charge nurse. Which action would the student identify as a le
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adership quality in the nurse‘s actions?
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a. Making patient care assignments distributed equally to staff
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b. Sitting with a confused combative patient
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c. Calling the nursing office for extra staff when an RN calls in sick
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Chapter 01: Leadership and Management
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Motacki: Nursing Delegation and Management of Patient Care, 3rd Edition
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MULTIPLE CHOICE ww
1. Nurses can be leaders without being managers. Which nursing actions demonstra
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te leadership?
ww
a. Assisting a new nurse with enteral tube feedings ww ww ww ww ww ww ww
b. Counseling a new nurse regarding attendance ww ww ww ww ww
c. Adjusting assignments after a staff member calls in sick ww ww ww ww ww ww ww ww
d. Calling a physician for new order clarificationww ww ww ww ww ww
ANS: A ww
Leaders act as role models and mentor new staff. The other options are incorrect because t
ww ww ww ww ww ww ww ww ww ww ww ww ww ww ww
hey are management responsibilities and not leadership roles.
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DIF: Cognitive Level: Application ww ww REF: page 6 w w ww
2. Which nursing actions demonstrate the role of management in nursing?
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a. Encouraging autonomous decision making ww ww ww
b. Observing the documentation of appropriate charges to patientsww ww ww ww ww ww ww
c. Assisting in a code ww ww ww
d. Asking the patient/family about advance directives
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ANS: B ww
Managers are responsible for the budget of their units. The other options are incorrect becaus
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e those are leadership or mentoring roles
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DIF: Cognitive Level: Application ww ww REF: page 6 w w ww
3. Much like a politician, a nurse manager must exhibit leadership that inspires and motivates.
ww ww ww ww ww ww ww ww ww ww ww ww ww
In which instance is a nurse demonstrating leadership qualities?
ww ww ww ww ww ww ww ww ww
a. A staff nurse becomes aware of increased infection rates following cardiac surger
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y. The nurse takes it upon herself to research the possible causes and preventio
ww ww ww ww ww ww ww ww ww ww ww ww ww
n measures and to make suggestions to better protect patients.
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b. A staff nurse acts quickly when a cardiac arrest is called on her patient.
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c. A staff nurse notifies another staff member that she is being ―pulled‖ today.
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d. A new nurse volunteers to work when another staff member must leave wo
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rk because her child is ill.
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ANS: A ww
Nurse leaders are interested in changing practice based on evidence. Options B and D
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are incorrect because they are actions taken by nurses as part of the functional structur
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e of the unit. Option C is incorrect because it is an action taken by a manager.
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DIF: w w w w Cognitive Level: Analysis ww ww REF: page 6 w w ww
4. A nurse manager must exhibit qualities of efficiency and organization. Which nurse
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is demonstrating the qualities necessary for a manager?
w ww ww ww ww ww ww ww
,Nursing Delegation and Management of Patient Care 3rd Edition Motacki Test Bank
a. A nurse becomes aware of increased infection rates following cardiac surgery. The
ww ww ww ww ww ww ww ww ww ww ww
, Nursing Delegation and Management of Patient Care 3rd Edition Motacki Test Bank
nurse takes it upon herself to research the possible causes and prevention measures
ww ww ww ww ww ww ww ww ww ww ww ww ww
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.
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c. A nurse notifies another staff member that she is being ―pulled‖ today.
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d. A nurse volunteers to work when another staff member must leave work becau
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se her child is ill.
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ANS: C ww
Determining who gets ―pulled‖ is a management decision. Option A is incorrect because it
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is a role taken by a nurse leader. Option B is incorrect because it is an action taken by
w ww ww ww ww ww ww ww ww ww ww ww ww ww ww ww ww ww ww ww
staff as part of the functional structure of the unit. Option D is incorrect because it is an
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action taken by staff as part of the functional structure of the unit.
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DIF: Cognitive Level: Analysis ww ww REF: page 6 w w ww
5. A nurse has accepted a position on a nursing unit where the nurse manager promotes aut
ww ww ww ww ww ww ww ww ww ww ww ww ww ww ww
onomy and staff involvement in decision making. What would the nurse expect to observe
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on this unit?
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a. Nurse manager mandates changes. ww ww ww
b. Staff takes responsibility for assignments.
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c. Staff participates on hospital committees.
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d. Nurses are recognized for excellence in practice.
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ANS: C ww
Work environments that promote autonomy and decision making encourage participation
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on hospital committees so that staff may become involved in the decisions that are made.
ww ww ww ww ww ww ww ww ww ww ww ww ww ww ww
Option A is incorrect because this is not an environment in which staff are encouraged to
ww ww ww ww ww ww ww ww ww ww ww ww ww ww ww w
wparticipate in decision making. Option B is incorrect because it should be seen in all env
ww ww ww ww ww ww ww ww ww ww ww ww ww ww ww
ironments regardless of autonomy. Option D is incorrect because excellence in practice is
ww ww ww ww ww ww ww ww ww ww ww ww
not seen solely in autonomous environments.
ww ww ww ww ww ww
DIF: Cognitive Level: Analysis ww ww REF: page 6 w w ww
6. The fundamental element of any patient care delivery combines work allocation with
ww ww ww ww ww ww ww ww ww ww ww
a. patient acuity. ww
b. leadership.
c. clinical decision making. ww ww
d. delegation.
ANS: C ww
Work allocation is necessary in any patient care delivery system. The other options
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are incorrect because it is not necessarily useful in determining the appropriate patie
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nt care delivery systems needed.
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DIF: w w w w Cognitive Level: Analysis ww ww REF: page 10 w w ww
7. The student nurse, shadowing on a medical-
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surgical unit, observes the charge nurse. Which action would the student identify as a le
ww ww ww ww ww ww ww ww ww ww ww ww ww ww
adership quality in the nurse‘s actions?
ww ww ww ww ww
a. Making patient care assignments distributed equally to staff
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b. Sitting with a confused combative patient
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c. Calling the nursing office for extra staff when an RN calls in sick
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