Chaptert01:tLeadershiptandtManagement
Motacki:tNursingtDelegationtandtManagementtoftPatienttCare,t3rdtEdition
MULTIPLEtCHOICE
1. Nursestcantbetleaderstwithouttbeingtmanagers.tWhichtnursingtactionstdemonstratetl
eadership?
a. Assistingtatnewtnursetwithtenteralttubetfeedings
b. Counselingtatnewtnursetregardingtattendance
c. Adjustingtassignmentstaftertatstafftmembertcallstintsick
d. Callingtatphysiciantfortnewtordertclarification
ANS:t A
Leaderstacttastroletmodelstandtmentortnewtstaff.tThetothertoptionstaretincorrecttbecausettheytar
etmanagementtresponsibilitiestandtnottleadershiptroles.
DIF: CognitivetLevel:tApplication REF:t paget6
2. Whichtnursingtactionstdemonstratetthetroletoftmanagementtintnursing?
a. Encouragingtautonomoustdecisiontmaking
b. Observingtthetdocumentationtoftappropriatetchargesttotpatients
c. Assistingtintatcode
d. Askingtthetpatient/familytabouttadvancetdirectives
ANS:t B
Managerstaretresponsibletfortthetbudgettofttheirtunits.tThetothertoptionstaretincorrecttbecausetthos
etaretleadershiptortmentoringtroles
DIF: CognitivetLevel:tApplication REF:t paget6
3. Muchtliketatpolitician,tatnursetmanagertmusttexhibittleadershiptthattinspirestandtmotivates.tIntw
hichtinstancetistatnursetdemonstratingtleadershiptqualities?
a. Atstafftnursetbecomestawaretoftincreasedtinfectiontratestfollowingtcardiactsurgery.tT
hetnursettakestittupontherselfttotresearchtthetpossibletcausestandtpreventiontmeasure
standttotmaketsuggestionsttotbettertprotecttpatients.
b. Atstafftnursetactstquicklytwhentatcardiactarresttistcalledtonthertpatient.
c. Atstafftnursetnotifiestanothertstafftmembertthattshetistbeingt“pulled”ttoday.
d. Atnewtnursetvolunteersttotworktwhentanothertstafftmembertmusttleavetworktb
ecausethertchildtistill.
ANS:t A
Nursetleaderstaretinterestedtintchangingtpracticetbasedtontevidence.tOptionstBtandtDtaretin
correcttbecausettheytaretactionsttakentbytnursestastparttoftthetfunctionaltstructuretoftthetunit
.tOptiontCtistincorrecttbecausetittistantactionttakentbytatmanager.
DIF:t t CognitivetLevel:tAnalysis REF:t paget6
4. Atnursetmanagertmusttexhibittqualitiestoftefficiencytandtorganization.tWhichtnursetistd
emonstratingtthetqualitiestnecessarytfortatmanager?
,NursingtDelegationtandtManagementtoftPatienttCaret3rdtEditiontMotackitTesttBank
a. Atnursetbecomestawaretoftincreasedtinfectiontratestfollowingtcardiactsurgery.tThe
, NursingtDelegationtandtManagementtoftPatienttCaret3rdtEditiontMotackitTesttBank
nursettakestittupontherselfttotresearchtthetpossibletcausestandtpreventiontmeasurestandtt
otmaketsuggestionsttotbettertprotecttpatients.
b. Atnursetactstquicklytwhentatcardiactarresttistcalledtonthertpatient.
c. Atnursetnotifiestanothertstafftmembertthattshetistbeingt“pulled”ttoday.
d. Atnursetvolunteersttotworktwhentanothertstafftmembertmusttleavetworktbecauseth
ertchildtistill.
ANS:t C
Determiningtwhotgetst“pulled”tistatmanagementtdecision.tOptiontAtistincorrecttbecausetittistatr
olettakentbytatnursetleader.tOptiontBtistincorrecttbecausetittistantactionttakentbytstafftastparttof
tthetfunctionaltstructuretoftthetunit.tOptiontDtistincorrecttbecausetittistantactionttakentbytstaffta
stparttoftthetfunctionaltstructuretoftthetunit.
DIF: CognitivetLevel:tAnalysis REF:t paget6
5. Atnursethastacceptedtatpositiontontatnursingtunittwheretthetnursetmanagertpromotestautonomy
tandtstafftinvolvementtintdecisiontmaking.tWhattwouldtthetnursetexpectttotobservetontthistunit?
a. Nursetmanagertmandatestchanges.
b. Staffttakestresponsibilitytfortassignments.
c. Stafftparticipatestonthospitaltcommittees.
d. Nursestaretrecognizedtfortexcellencetintpractice.
ANS:t C
Worktenvironmentstthattpromotetautonomytandtdecisiontmakingtencouragetparticipationtonth
ospitaltcommitteestsotthattstafftmaytbecometinvolvedtintthetdecisionstthattaretmade.tOptiontAti
stincorrecttbecausetthististnottantenvironmenttintwhichtstafftaretencouragedttotparticipatetintde
cisiontmaking.tOptiontBtistincorrecttbecausetittshouldtbetseentintalltenvironmentstregardlessto
ftautonomy.tOptiontDtistincorrecttbecausetexcellencetintpracticetistnottseentsolelytintautonom
oustenvironments.
DIF: CognitivetLevel:tAnalysis REF:t paget6
6. Thetfundamentaltelementtoftanytpatienttcaretdeliverytcombinestworktallocationtwith
a. patienttacuity.
b. leadership.
c. clinicaltdecisiontmaking.
d. delegation.
ANS:t C
Worktallocationtistnecessarytintanytpatienttcaretdeliverytsystem.tThetothertoptionstaretin
correcttbecausetittistnottnecessarilytusefultintdeterminingtthetappropriatetpatienttcaretdeli
verytsystemstneeded.
DIF:t t CognitivetLevel:tAnalysis REF:t paget10
7. Thetstudenttnurse,tshadowingtontatmedical-
surgicaltunit,tobservestthetchargetnurse.tWhichtactiontwouldtthetstudenttidentifytastatleaders
hiptqualitytintthetnurse’stactions?
a. Makingtpatienttcaretassignmentstdistributedtequallyttotstaff
b. Sittingtwithtatconfusedtcombativetpatient
c. CallingtthetnursingtofficetfortextratstafftwhentantRNtcallstintsick