Test Bank - Nursing Delegation and Management of Patient Care, 3rd Ed.
By Kathleen Motacki, Kathleen Burke
(All Chapters 1-21, Updated Edition, Verified Answers with Rationales)
, TABLE OF CONTENTS
SECTION 1 — Transformational Leadership
1. Leadership and Management — 2
2. Organizational Structure of Health Care — 17
3. Strategic Management and Planning — 29
4. Financial Management in Health Care — 40
5. Health Care Regulatory and Certifying Agencies — 59
SECTION 2 — Structural Empowerment
6. Organizational Decision Making and Shared Governance — 76
7. Professional Decision Making and Advocacy — 87
8. Communication in the Work Environment — 95
9. Personnel Policies and Programs in the Workplace — 111
SECTION 3 — Exemplary Professional Practice
10. Professional Development — 128
11. Professional Practice and Care Delivery Models and Emerging Practice Models — 143
12. Staffing and Scheduling — 154
13. Delegation of Nursing Tasks — 169
14. Providing Competent Staff — 183
15. Group Management for Effective Outcomes — 199
16. Ethical and Legal Issues in Patient Care — 212
17. SECTION 4 — New Knowledge, Innovations, and Improvements
18. Improving Organizational Performance — 248
19. Evidence-Based Practice — 264
20. Monitoring Outcomes and the Use of Data for Improvement — 278
SECTION 5 — Congratulations
21. New Graduates: The Immediate Future: Job Interviewing, NCLEX®, and Continuing Education — 302
,Chapter 01: Leadership and Management
MULTIPLE CHOICE
1. Nurses can be leaders without being managers. Which nursing actions demonstrate leadership?
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
Answer: A
Leaders act as role models and mentor new staff. The other options are incorrect because they are 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
Answer: B
Managers are responsible for the budget of their units. The other options are incorrect because those are
leadership or mentoring roles
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?
a. A staff nurse becomes aware of increased infection rates following cardiac surgery. The nurse takes it
upon herself to research the possible causes and prevention 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 work because her child is ill.
Answer: A
Nurse leaders are interested in changing practice based on evidence. Options B and D are 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.
DIF: Cognitive Level: Analysis REF: page 6
4. A nurse manager must exhibit qualities of efficiency and organization. Which nurse is demonstrating the
qualities necessary for a manager?
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 measures and to make suggestions to better protect
patients.
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 because her child is ill.
Answer: C
Determining who gets “pulled” is a management decision. Option A is incorrect because it is a role taken by a
nurse leader. Option B is incorrect because it is an action taken by staff as part of the functional structure of the
unit. Option D is incorrect because it is an action taken 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 autonomy and staff
involvement in decision making. What would the nurse expect to observe on 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.
By Kathleen Motacki, Kathleen Burke
(All Chapters 1-21, Updated Edition, Verified Answers with Rationales)
, TABLE OF CONTENTS
SECTION 1 — Transformational Leadership
1. Leadership and Management — 2
2. Organizational Structure of Health Care — 17
3. Strategic Management and Planning — 29
4. Financial Management in Health Care — 40
5. Health Care Regulatory and Certifying Agencies — 59
SECTION 2 — Structural Empowerment
6. Organizational Decision Making and Shared Governance — 76
7. Professional Decision Making and Advocacy — 87
8. Communication in the Work Environment — 95
9. Personnel Policies and Programs in the Workplace — 111
SECTION 3 — Exemplary Professional Practice
10. Professional Development — 128
11. Professional Practice and Care Delivery Models and Emerging Practice Models — 143
12. Staffing and Scheduling — 154
13. Delegation of Nursing Tasks — 169
14. Providing Competent Staff — 183
15. Group Management for Effective Outcomes — 199
16. Ethical and Legal Issues in Patient Care — 212
17. SECTION 4 — New Knowledge, Innovations, and Improvements
18. Improving Organizational Performance — 248
19. Evidence-Based Practice — 264
20. Monitoring Outcomes and the Use of Data for Improvement — 278
SECTION 5 — Congratulations
21. New Graduates: The Immediate Future: Job Interviewing, NCLEX®, and Continuing Education — 302
,Chapter 01: Leadership and Management
MULTIPLE CHOICE
1. Nurses can be leaders without being managers. Which nursing actions demonstrate leadership?
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
Answer: A
Leaders act as role models and mentor new staff. The other options are incorrect because they are 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
Answer: B
Managers are responsible for the budget of their units. The other options are incorrect because those are
leadership or mentoring roles
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?
a. A staff nurse becomes aware of increased infection rates following cardiac surgery. The nurse takes it
upon herself to research the possible causes and prevention 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 work because her child is ill.
Answer: A
Nurse leaders are interested in changing practice based on evidence. Options B and D are 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.
DIF: Cognitive Level: Analysis REF: page 6
4. A nurse manager must exhibit qualities of efficiency and organization. Which nurse is demonstrating the
qualities necessary for a manager?
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 measures and to make suggestions to better protect
patients.
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 because her child is ill.
Answer: C
Determining who gets “pulled” is a management decision. Option A is incorrect because it is a role taken by a
nurse leader. Option B is incorrect because it is an action taken by staff as part of the functional structure of the
unit. Option D is incorrect because it is an action taken 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 autonomy and staff
involvement in decision making. What would the nurse expect to observe on 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.
