TEST BANK For Nursing Delegation and Management of Patient Care, 3rd Edition by Motacki | Verified Chapters 1 - 21 | Complete Newest Version

Test Bank for Nursing Delegation and Management of Patient Care, 3rd
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Edition by Motacki
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| Verified Chapter's 1 - 21 | Complete Newest Version
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,Test Bank for Nursing Delegation and Management of Patient Care, 3rd Edition by Motacki
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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 b




1. Nurses can be leaders without being managers. Which nursing actions demonstrate
b b b b b b b b b b




leadership?
b




a. Assisting a new nurse with enteral tube feedings b b b b b b b




b. Counseling a new nurse regarding attendance b b b b b




c. Adjusting assignments after a staff member calls in sick b b b b b b b b




d. Calling a physician for new order clarification b b b b b b




ANS: A b




Leaders act as role models and mentor new staff. The other options are incorrect because they
b b b b b b b b b b b b b b b




are management responsibilities and not leadership roles.
b b b b b b b




DIF: Cognitive Level: Application b b REF: page 6 b b




2. Which nursing actions demonstrate the role of management in nursing?
b b b b b b b b b




a. Encouraging autonomous decision making b b b




b. Observing the documentation of appropriate charges to patients b b b b b b b




c. Assisting in a code b b b




d. Asking the patient/family about advance directives b b b b b




ANS: B b




Managers are responsible for the budget of their units. The other options are incorrect because
b b b b b b b b b b b b b b




those are leadership or mentoNriU
b b ngRrS
oIlesN.GTB.COM b b b b




DIF: Cognitive Level: Application b b REF: page 6 b b




3. Much like a politician, a nurse manager must exhibit leadership that inspires and motivates. In
b b b b b b b b b b b b b b




which instance is a nurse demonstrating leadership qualities?
b b b b b b b b




a. A staff nurse becomes aware of increased infection rates following cardiac surgery.
b b b b b b b b b b b




The nurse takes it upon herself to research the possible causes and prevention
b b b b b b b b b b b b b




measures and to make suggestions to better protect patients.
b b b b b b b b b




b. A staff nurse acts quickly when a cardiac arrest is called on her patient.
b b b b b b b b b b b b b




c. A staff nurse notifies another staff member that she is being “pulled” today.
b b b b b b b b b b b b




d. A new nurse volunteers to work when another staff member must leave work
b b b b b b b b b b b b




because her child is ill.
b b b b b




ANS: A b




Nurse leaders are interested in changing practice based on evidence. Options B and D are
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incorrect because they are actions taken by nurses as part of the functional structure of the
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unit. Option C is incorrect because it is an action taken by a manager.
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DIF: Cognitive Level: Analysis
bb b b b REF: page 6 b b




4. A nurse manager must exhibit qualities of efficiency and organization. Which nurse is
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,demonstrating the qualities necessary for a manager?
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a. A nurse becomes aware of increased infection rates following cardiac surgery. The
b b b b b b b b b b b

, nurse takes it upon herself to research the possible causes and prevention measures
b b b b b b b b b b b b




and to make suggestions to better protect patients.
b b b b b b b b




b. A nurse acts quickly when a cardiac arrest is called on her patient.
b b b b b b b b b b b b




c. A nurse notifies another staff member that she is being “pulled” today.
b b b b b b b b b b b




d. A nurse volunteers to work when another staff member must leave work because
b b b b b b b b b b b b




her child is ill. b b b b




ANS: C b




Determining who gets “pulled” is a management decision. Option A is incorrect because it isa b b b b b b b b b b b b b b b




role taken by a nurse leader. Option B is incorrect because it is an action taken by staff as part of
b b b b b b b b b b b b b b b b b b b b b




the functional structure of the unit. Option D is incorrect because it is an action taken by staff
b b b b b b b b b b b b b b b b b b




as part of the functional structure of the unit.
b b b b b b b b b




DIF: Cognitive Level: Analysis b b REF: page 6 b b




5. A nurse has accepted a position on a nursing unit where the nurse manager promotes
b b b b b b b b b b b b b b




autonomy and staff involvement in decision making. What would the nurse expect to observe
b b b b b b b b b b b b b b




on this unit?
b b b




a. Nurse manager mandates changes. b b b




b. Staff takes responsibility for assignments. b b b b




c. Staff participates on hospital committees. b b b b




d. Nurses are recognized for excellence in practice. b b b b b b




ANS: C b




Work environments that promote autonomy and decision making encourage participation on
b b b b b b b b b b




hospital committees so that staff may become involved in the decisions that are made. Option
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A is incorrect because this is not an environment in which staff are encouraged to participate
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in decision making. Option BNiU
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tb t should be seen in all environments b b b b b b b b b b b




regardless of autonomy. Option D is incorrect because excellence in practice is not seen solely
b b b b b b b b b b b b b b




in autonomous environments.
b b




DIF: Cognitive Level: Analysis b b REF: page 6 b b




6. The fundamental element of any patient care delivery combines work allocation with
b b b b b b b b b b b




a. patient acuity. b




b. leadership.
c. clinical decision making. b b




d. delegation.

ANS: C b




Work allocation is necessary in any patient care delivery system. The other options are
b b b b b b b b b b b b b




incorrect because it is not necessarily useful in determining the appropriate patient care
b b b b b b b b b b b b b




delivery systems needed.
b b b




DIF: Cognitive Level: Analysis
bb b b b REF: page 10 b b




7. The student nurse, shadowing on a medical-surgical unit, observes the charge nurse. Which
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action would the student identify as a leadership quality in the nurse’s actions?
b b b b b b b b b b b b b




a. Making patient care assignments distributed equally to staff b b b b b b b




b. Sitting with a confused combative patient b b b b b




c. Calling the nursing office for extra staff when an RN calls in sick b b b b b b b b b b b b