Test Bank for Nursing Delegation and Management of Patient Care 3rd Edition by Kathleen Motacki, All Chapters Covered, A+ guide.

TEST BANK FOR NURSING DELEGATION AND
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n7 MANAGEMENT OF PATIENT CARE 3RD EDITION
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BY MOTACKI RN MSN, KATHLEEN, BURKE RN
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PHD, KATHLEENn7 n7

,CH 01: Leadership and Management
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Motacki: Nursing Delegation and Management of Patient
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MULTIPLE CHOICE n7




1. A nursing attendants can be leaders without being managers.
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Which nursing actions demonstrate leadership?
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a. Assisting a new nursing attendant with enteral tube feedings
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b. Counseling a new nursing attendant regarding attendance n7 n7 n7 n7 n7 n7


c. Adjusting assignments after a staff member calls in sick n7 n7 n7 n7 n7 n7 n7 n7


d. Calling a physician for new order clarification
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ACCURATE ANSWER:-A n7


Reasoning:->>>Leaders act as role models and mentor new staff. The other options n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7


are wrong because they are management responsibilities and not leadership roles.
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DIFFICULT:Cognitive Level: Application REF: PG 6 n7 n7 n7 n7




2. Which nursing actions demonstrate the role of management in nursing?
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a. Encouraging autonomous decision making n7 n7 n7


b. Observing the documentation of appropriate charges to hospital patients
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c. Assisting in a code n7 n7 n7


d. Asking the hospital patient/family about advance directives
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ACCURATE ANSWER:-B n7


Feedback :->>>Managers are responsible for the budget of their units.
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The other options are wrong because those are leadership or
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mentoNriUngRrSolIesN
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DIFFICULT: Cognitive Level: Application REF:PG 6 n7 n7 n7 n7




3. Much like a politician, a nursing attendant manager must exhibit leadership that
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inspires and motivates. In which instance is a nursing attendant demonstrating
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leadership qualities?
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a. A staff nursing attendant becomes aware of increased infection rates
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following cardiac surgery. The nursing attendant takes it upon herself
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to research the possible causes and prevention measures and to make
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suggestions to better protect hospital patients.
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b. A staff nursing attendant acts quickly when a cardiac arrest is called on her hospital
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patient.
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c. A staff nursing attendant notifies another staff member that she is being ―pulled‖ today.
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d. A new nursing attendant volunteers to work when another staff
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member must leave work because her child is ill.
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ACCURATE ANSWER:-A n7


Feedback :->>>Nursing attendant leaders are interested in changing practice based
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on evidence. Options B and D are wrong because they are actions taken by nursing
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attendants as part of the functional structure of the unit. Option C is wrong because
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it is an action taken by a manager.
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DIFFICULT: n 7 n 7 Cognitive Level: Analysis n7 n7 REF:PG 6 n7




4. A nursing attendant manager must exhibit qualities of efficiency and
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organization. Which nursing attendant is demonstrating the qualities
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necessary for a manager?
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a. A nursing attendant becomes aware of increased infection rates following cardiac
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surgery. The
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, nursing attendant takes it upon herself to research the possible causes and
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prevention measures and to make suggestions to better protect hospital
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patients. n7


b. A nursing attendant acts quickly when a cardiac arrest is called on her hospital patient.
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c. A nursing attendant notifies another staff member that she is being ―pulled‖ today.
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d. A nursing attendant volunteers to work when another staff member
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must leave work because her child is ill.
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ACCURATE ANSWER:-C n7


Feedback :->>> determining who gets ―pulled‖ is a management decision. Option A
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is wrong because it is a role taken by a nursing attendant leader. Option B is
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wrong because it is an action taken by staff as part of the functional structure of
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the unit. Option D is wrong because it is an action taken by staff as part of the
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functional structure of the unit.
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DIFFICULT: n 7 n 7 Cognitive Level: Analysis REF:PG 6 n7 n7 n7




5. A nursing attendant has accepted a position on a nursing unit where the nursing
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attendant manager promotes autonomy and staff involvement in decision
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making. What would the nursing attendant expect to observe on this unit?
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a. Nursing attendant manager mandates changes. n7 n7 n7 n7


b. Staff takes responsibility for assignments.
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c. Staff participates on health center committees.
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d. Nursing attendants are recognized for excellence in practice.
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ACCURATE ANSWER:-C n7


Feedback :->>> Work environments that promote autonomy and decision making
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encourage participation on health center committees so that staff may become involved
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in the decisions that are made.
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Option A is wrong because this is not an environment in which staff are encouraged
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to participate
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in decision making. Option U
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should be seen in all environments regardless of autonomy. Option D is wrong because
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excellence in practice is not seen solely
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in autonomous environments.
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DIFFICULT: n 7 n 7 Cognitive Level: Analysis n7 n7 REF:PG 6 n7




6. The fundamental element of any hospital patient care delivery combines work allocation with
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a. hospital patient acuity. n7 n7


b. leadership.
c. clinical decision making. n7 n7


d. delegation.
ACCURATE ANSWER:-C n7


Feedback :->>> Work allocation is necessary in any hospital patient care delivery
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system. The other options are wrong because it is not necessarily useful in
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determining the appropriate hospital patient care delivery systems needed.
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DIFFICULT: n 7 n 7 Cognitive Level: Analysis n7 n7 REF:PG 10 n7




7. The student nursing attendant, shadowing on a medical-surgical unit, observes the
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charge nursing attendant. Which action would the student identify as a leadership
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quality in the nursing attendant‘s actions?
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a. Making hospital patient care assignments distributed equally to staff
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b. Sitting with a confused combative hospital patient
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c. Calling the nursing office for extra staff when an RN calls in sick
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, d. Assisting in a code n7 n7 n7




ACCURATE ANSWER:-B n7


Feedback :->>> Leaders act as role models and do what is right for the hospital
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patient. The other options are wrong because these actions are expected as part
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of the functioning of the unit.
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DIFFICULT:Cognitive Level: Analysis n7 n7 REF:PG 5 n7




8. Primary health care is seen and managed as a business today. Which skills are
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considered essential to managing primary health care as a business?
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a. Ability to pressure staff to do what you want
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b. Resource utilization n7


c. Cutting corners to make money n7 n7 n7 n7


d. Providing bonuses to staff members who help the organization to save money
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ACCURATE ANSWER:-B n7


Feedback :->>> the ability to manage a budget is essential to being a manager in
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primary health care today. The other options are wrong because they are only a
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perception of the public regarding successful managers.
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DIFFICULT: Cognitive Level: Application REF:PG 3 | page 7
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9. The novice nursing attendant is speaking with the nursing attendant manager about
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their roles within the hierarchy of the institution. The nursing attendant manager
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would most likely identify which role as having the most internal conflict?
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a. Coordinating institutional goals with the immediate demands of the clinical area
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b. Determining which of the staff members should get better raises
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than other members
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c. Deciding which employees should be recommended for promotion
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d. Determining which staff members get Christmas day off n7 n7 n7 n7 n7 n7 n7




ACCURATE ANSWER:-A n7


Feedback :->>> Many times the goals of the institution conflict with the goals of the
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individual employees of a particular clinical area and the nursing attendant manager
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must implement institutional changes regardless of the nursing attendant‘s personal
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opinion. The other options are wrong because those roles should not provoke as much
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conflict.
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DIFFICULT: Cognitive Level: Application REF: pages 7-8
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10. Nursing attendant managers can best be described as people who
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a. develop institutional goals based on staff suggestions.
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b. develop institutional goals based on a personal theory.
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c. motivate staff to meet institutional goals through positional power.
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d. inspire staff to meet institutional goals through personal power.
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ACCURATE ANSWER:-C n7


Feedback :->>>Managers motivate staff to make changes. Options A and B are
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wrong because nursing attendant managers usually do not make institutional
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goals. Option C is wrong because leaders inspire, not managers.
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DIFFICULT: n 7 n 7 Cognitive Level: Application n7 n7 REF:PG 6 n7