TESTBANKFORNURSINGDELEGATIONAND
j j j j j
MANAGEMENT OF PATIENT CARE 3RD EDITION BY
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MOTACKIRNMSN,KATHLEEN,BURKERNPHD,
j j j j j j j
KATHLEEN j
,CH 01: LEADERSHIP AND MANAGEMENT
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MOTACKI: NURSING DELEGATION AND MANAGEMENT OF PATIENT CARE, 3RD
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jEDITION
MULTIPLECHOICE j
1. Anursing attendantscanbeleaderswithoutbeing managers.Whichn
s s j j
ursingactionsdemonstrateleadership?
j
a. Assisting anewnursingattendant withenteraltube feedings s s j
b. Counseling anewnursing attendantregarding attendance s s j
c. Adjustingassignmentsafterastaffmembercalls insick j j s
d. Callingaphysician forneworder clarification j j
ACCURATEANSWER:-A j
Reasoning:-
>>>Leadersactasrolemodelsandmentornewstaff.Theotheroptionsarewrongbecauseth
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eyaremanagementresponsibilities and notleadershiproles.
j j s s j j
DIFFICULT:CognitiveLevel:Application j j REF:PG6 j j
2. Whichnursingactionsdemonstratetheroleofmanagement innursing? j j
a. Encouragingautonomousdecisionmaking
b. Observingthedocumentationofappropriate chargestohospitalpatients j j
c. Assisting inacode s j
d. Asking thehospitalpatient/familyaboutadvancedirectives s
ACCURATEANSWER:-B j
Feedback s
:-
>>>Managers
j are responsible for the budget of their units. The otheroptions arewrongbe s j j s j j j j j j j j j s
causethoseare leadership ormentoNriUngRrSolIesN
j j j s j
DIFFICULT:CognitiveLevel:Application j j j REF:PG6 j
3. Much likea politician, anursingattendant manager must exhibit leadership that inspiresand m
s j j j j j s j j j
j otivates. In which instanceis anursing attendant demonstrating leadership qualities?
j j j j j s j s j
a. Astaff nursingattendant becomes aware of increasedinfection rates followin
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gcardiac surgery. The nursingattendant takes it uponherself to research the p
j j j j j j s j j j j
ossiblecauses and prevention measures and to make suggestions tobetter prot ect
j j j j j j j j j j j
hospitalpatients.
j
b. Astaffnursingattendant actsquicklywhen acardiac arrest iscalledonher hospitalpatient. s s j j j j j j
c. Astaffnursing attendant notifiesanother staffmemberthat sheisbeing―pulled‖ today. s j j j j
d. Anew nursing attendant volunteers to work when anotherstaff member m ust
j s j j s j j j j j
leaveworkbecause herchildis ill.
j j j j j j j
ACCURATEANSWER:-A j
Feedback :- s
>>>Nursing attendant leaders are interested in changingpractice based on evidence. Options
j s j j s j s s j j
Band D are wrong becausetheyare actions taken bynursingattendants as part ofthe function al
j s j j s j j s j j s j j
structureoftheunit. OptionC is wrongbecauseit isan actiontakenb ya manager.
j j j j j j j j j j j j
DIFFICULT: CognitiveLevel:Analysis j j j j j j REF:PG6 j
4. Anursingattendantmanagermustexhibitqualitiesofefficiencyandorganization.
j
j Whichnursingattendant is demonstratingthe qualities necessaryfor amanager? j s j j j j
a. Anursingattendantbecomesawareofincreased infectionratesfollowing cardiac surgery. T s s s j j
,he
, nursingattendanttakesituponherselfto researchthepossiblecausesandprevention j s j
measures and tomake suggestions tobetterprotect hospitalpatients.
j j j j j j j j j
b. Anursing attendantactsquicklywhen acardiacarrest is called onher hospital patient.
s s j j j j j
c. Anursingattendantnotifiesanother staffmemberthatsheisbeing ―pulled‖ today. j j j
d. Anursingattendantvolunteerstoworkwhenanotherstaffmembermustl j
eaveworkbecause herchildis ill.
j j j s j j s
ACCURATEANSWER:-C j
Feedback :- s
>>> determiningwho gets―pulled‖ is a management decision. Option A is wrongbecause it i sa
s j j j j j j j j j j j j
role takenbya nursing attendant leader. Option Bis wrongbecause it is an action takenbys taff as
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partof the functional structure of the unit. Option Dis wrongbecause it is an actiontake nbystaff as
j j j j j j j j j j j s j j j j
partofthefunctionalstructureoftheunit.
j j j
DIFFICULT: CognitiveLevel:Analysis j j j j j REF:PG6 j
5. Anursing attendant has accepted a position on a nursing unit where the nursing attendant
j j j j j j j j j j j j j
manager promotes autonomyand staff involvement in decision making. Whatwould th
j j j s j j j j j j
enursing attendant expect to observeon thisunit?
j s j j j j s j
a. Nursing attendantmanagermandateschanges. s
b. Stafftakesresponsibilityforassignments.
c. Staffparticipatesonhealthcenter committees. j
d. Nursing attendantsarerecognized forexcellencein practice. j s j
ACCURATEANSWER:-C j
Feedback :- s
>>> Workenvironmentsthatpromoteautonomyanddecisionmaking encourageparticipationo
s s j
nhealthcenter committeessothatstaffmaybecome involved inthedecisionsthat aremade.
j j j s j
OptionAiswrongbecausethisisnotanenvironmentinwhichstaffareencouragedto partici pate
j j j j j j
indecisionmaking. Option BNi s U
Rin coSIrr ecG
Nt beBTca.uCse iMt sOhould be seen in allenv j j j j j j j j j j j j j
ironmentsregardlessofautonomy.Option Diswrongbecauseexcellenceinpracticeisnot seenso lely
j j j s j j j j j s j j
inautonomousenvironments.
DIFFICULT: CognitiveLevel:Analysis j j j j j j REF:PG6 j
6. Thefundamentalelement ofanyhospitalpatientcaredeliverycombineswork allocationwith j j s
a. hospitalpatientacuity.
b. leadership.
c. clinicaldecisionmaking.
d. delegation.
ACCURATEANSWER:-C j
Feedback :- s
>>> Work allocation is necessaryin anyhospital patient care deliverysystem. Theother o
s j j j j j s j j j
ptionsare wrong becauseitisnot necessarilyuseful in determiningthe appropriate hospita
j j s j j s j s
lpatientcaredeliverysystemsneeded.
j j j
DIFFICULT: CognitiveLevel:Analysis j j j j j j REF:PG10 j
7. Thestudentnursing attendant, shadowing onamedical- s j s
surgicalunit,observesthe charge nursingattendant.Which actionwouldthestudent identif yas
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aleadershipqualityin thenursing attendant‘s actions?
j j j j s j
a. Makinghospitalpatient careassignmentsdistributed equallytostaff j s s
b. Sittingwithaconfusedcombativehospitalpatient
c. Callingthenursingoffice forextrastaffwhenanRN calls in sick j j j j j j
j j j j j
MANAGEMENT OF PATIENT CARE 3RD EDITION BY
j j j j j j j
MOTACKIRNMSN,KATHLEEN,BURKERNPHD,
j j j j j j j
KATHLEEN j
,CH 01: LEADERSHIP AND MANAGEMENT
j j j j
MOTACKI: NURSING DELEGATION AND MANAGEMENT OF PATIENT CARE, 3RD
j j j j j j j j
jEDITION
MULTIPLECHOICE j
1. Anursing attendantscanbeleaderswithoutbeing managers.Whichn
s s j j
ursingactionsdemonstrateleadership?
j
a. Assisting anewnursingattendant withenteraltube feedings s s j
b. Counseling anewnursing attendantregarding attendance s s j
c. Adjustingassignmentsafterastaffmembercalls insick j j s
d. Callingaphysician forneworder clarification j j
ACCURATEANSWER:-A j
Reasoning:-
>>>Leadersactasrolemodelsandmentornewstaff.Theotheroptionsarewrongbecauseth
j j j j j j j j j j j j
eyaremanagementresponsibilities and notleadershiproles.
j j s s j j
DIFFICULT:CognitiveLevel:Application j j REF:PG6 j j
2. Whichnursingactionsdemonstratetheroleofmanagement innursing? j j
a. Encouragingautonomousdecisionmaking
b. Observingthedocumentationofappropriate chargestohospitalpatients j j
c. Assisting inacode s j
d. Asking thehospitalpatient/familyaboutadvancedirectives s
ACCURATEANSWER:-B j
Feedback s
:-
>>>Managers
j are responsible for the budget of their units. The otheroptions arewrongbe s j j s j j j j j j j j j s
causethoseare leadership ormentoNriUngRrSolIesN
j j j s j
DIFFICULT:CognitiveLevel:Application j j j REF:PG6 j
3. Much likea politician, anursingattendant manager must exhibit leadership that inspiresand m
s j j j j j s j j j
j otivates. In which instanceis anursing attendant demonstrating leadership qualities?
j j j j j s j s j
a. Astaff nursingattendant becomes aware of increasedinfection rates followin
j j j j j j j
gcardiac surgery. The nursingattendant takes it uponherself to research the p
j j j j j j s j j j j
ossiblecauses and prevention measures and to make suggestions tobetter prot ect
j j j j j j j j j j j
hospitalpatients.
j
b. Astaffnursingattendant actsquicklywhen acardiac arrest iscalledonher hospitalpatient. s s j j j j j j
c. Astaffnursing attendant notifiesanother staffmemberthat sheisbeing―pulled‖ today. s j j j j
d. Anew nursing attendant volunteers to work when anotherstaff member m ust
j s j j s j j j j j
leaveworkbecause herchildis ill.
j j j j j j j
ACCURATEANSWER:-A j
Feedback :- s
>>>Nursing attendant leaders are interested in changingpractice based on evidence. Options
j s j j s j s s j j
Band D are wrong becausetheyare actions taken bynursingattendants as part ofthe function al
j s j j s j j s j j s j j
structureoftheunit. OptionC is wrongbecauseit isan actiontakenb ya manager.
j j j j j j j j j j j j
DIFFICULT: CognitiveLevel:Analysis j j j j j j REF:PG6 j
4. Anursingattendantmanagermustexhibitqualitiesofefficiencyandorganization.
j
j Whichnursingattendant is demonstratingthe qualities necessaryfor amanager? j s j j j j
a. Anursingattendantbecomesawareofincreased infectionratesfollowing cardiac surgery. T s s s j j
,he
, nursingattendanttakesituponherselfto researchthepossiblecausesandprevention j s j
measures and tomake suggestions tobetterprotect hospitalpatients.
j j j j j j j j j
b. Anursing attendantactsquicklywhen acardiacarrest is called onher hospital patient.
s s j j j j j
c. Anursingattendantnotifiesanother staffmemberthatsheisbeing ―pulled‖ today. j j j
d. Anursingattendantvolunteerstoworkwhenanotherstaffmembermustl j
eaveworkbecause herchildis ill.
j j j s j j s
ACCURATEANSWER:-C j
Feedback :- s
>>> determiningwho gets―pulled‖ is a management decision. Option A is wrongbecause it i sa
s j j j j j j j j j j j j
role takenbya nursing attendant leader. Option Bis wrongbecause it is an action takenbys taff as
j s j j s j j j j s j j j j j
partof the functional structure of the unit. Option Dis wrongbecause it is an actiontake nbystaff as
j j j j j j j j j j j s j j j j
partofthefunctionalstructureoftheunit.
j j j
DIFFICULT: CognitiveLevel:Analysis j j j j j REF:PG6 j
5. Anursing attendant has accepted a position on a nursing unit where the nursing attendant
j j j j j j j j j j j j j
manager promotes autonomyand staff involvement in decision making. Whatwould th
j j j s j j j j j j
enursing attendant expect to observeon thisunit?
j s j j j j s j
a. Nursing attendantmanagermandateschanges. s
b. Stafftakesresponsibilityforassignments.
c. Staffparticipatesonhealthcenter committees. j
d. Nursing attendantsarerecognized forexcellencein practice. j s j
ACCURATEANSWER:-C j
Feedback :- s
>>> Workenvironmentsthatpromoteautonomyanddecisionmaking encourageparticipationo
s s j
nhealthcenter committeessothatstaffmaybecome involved inthedecisionsthat aremade.
j j j s j
OptionAiswrongbecausethisisnotanenvironmentinwhichstaffareencouragedto partici pate
j j j j j j
indecisionmaking. Option BNi s U
Rin coSIrr ecG
Nt beBTca.uCse iMt sOhould be seen in allenv j j j j j j j j j j j j j
ironmentsregardlessofautonomy.Option Diswrongbecauseexcellenceinpracticeisnot seenso lely
j j j s j j j j j s j j
inautonomousenvironments.
DIFFICULT: CognitiveLevel:Analysis j j j j j j REF:PG6 j
6. Thefundamentalelement ofanyhospitalpatientcaredeliverycombineswork allocationwith j j s
a. hospitalpatientacuity.
b. leadership.
c. clinicaldecisionmaking.
d. delegation.
ACCURATEANSWER:-C j
Feedback :- s
>>> Work allocation is necessaryin anyhospital patient care deliverysystem. Theother o
s j j j j j s j j j
ptionsare wrong becauseitisnot necessarilyuseful in determiningthe appropriate hospita
j j s j j s j s
lpatientcaredeliverysystemsneeded.
j j j
DIFFICULT: CognitiveLevel:Analysis j j j j j j REF:PG10 j
7. Thestudentnursing attendant, shadowing onamedical- s j s
surgicalunit,observesthe charge nursingattendant.Which actionwouldthestudent identif yas
j s s j j s j j j s j
aleadershipqualityin thenursing attendant‘s actions?
j j j j s j
a. Makinghospitalpatient careassignmentsdistributed equallytostaff j s s
b. Sittingwithaconfusedcombativehospitalpatient
c. Callingthenursingoffice forextrastaffwhenanRN calls in sick j j j j j j
