b
3rdcEditioncbycMotacki
c
|cVerifiedfcChapter'sc1fc-fc21fc|cCompletefcNewestfcVersion
c
,Test Bank for Nursing Delegation and Management of Patient Care, 3rd Edition
b b b b b b b b b b b
bby Motacki
b
Chapter 01: Leadership and Management
b b b b
Motacki: Nursing Delegation and Management of Patient Care, 3rd Edition
b b b b b b b b b
MULTIPLE CHOICE b b
1. Nurses can be leaders without being managers. Which nursing actions
b b b b b b b b b
bdemonstrateleadership?
a. Assisting a new nurse with enteral tube feedings b b b b b b b b b b b b b b
b. Counseling a new nurse regarding attendance b b b b b b b b b b
c. Adjusting assignments after a staff member calls in sick b b b b b b b b b b b b b b b b
d. Calling a physician for new order clarification b b b b b b b b b b b b
ANS: A b b
Leaders act as role models and mentor new staff. The other options are incorrect because
b b b b b b b b b b b b b b
theyare management responsibilities and not leadership roles.
b b b b b b b
DIF: Cognitive Level: Application b b 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 b b b b b b b b b
a. Encouraging autonomous decision making b b b b b b
b. Observing the documentation of appropriate charges to patients b b b b b b b b b b b b b
c. Assisting in a code b b b b b b
d. Asking the patient/family about advance directives b b b b b b b b b b
ANS: B b b
Managers are responsible for the budget of their units. The other options are b b b b b b b b b b b b
incorrect becausethose are leadership or m e nt oNriU
b n gRrSo lIe sN. cG T B.C O Mb b b b b
DIF: Cognitive Level: Application b b b b REF: page 6 b b
3. Much like a politician, a nurse manager must exhibit leadership
b b b b b b b b b
b that inspires andmotivates. Inwhich instance is a nurse
b b b b b b b
b demonstrating leadership qualities? b b
a. A staff nurse becomes aware of increased infection rates following cardiac
b b b b b b b b b b
surgery.The nurse takes it upon herself to research the possible
b b b b b b b b b b
causes andprevention measures and to make suggestions to better
b b b b b b b b b
protect patients.
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 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 b b b b b b b b b b b b
d. A new nurse volunteers to work when another
b b b b b b b
staff member mustleave workbecause her child is
b b b b b b b
ill. b
ANS: A b b
Nurse leaders are interested in changing practice based on evidence.
b b b b b b b b b b b b b b b b b b
Options B and D are incorrect because they are actions taken by nurses
b b b b b b b b b b b b b
as part of the functional structure of theunit. Option C is incorrect because
b b b b b b b b b b b b b b b b b b b
it is an action taken by a manager.
b b b b b b b b
DIF: Cognitive Level: Analysis b b b b REF: page 6 b b
,4. A nurse manager must exhibit qualities of efficiency and organization.
b b b b b b b b b
bWhichnurse isdemonstrating the qualities necessary for a manager?
b b b b b b b
a. A nurse becomes aware of increased infection rates following cardiac surgery. The
b b b b b b b b b b b b b b b b b b b b b b
, nurse takes it upon herself to research the possible causes and prevention b b b b b b b b b b b
measuresand 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 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 b b b b b b b b b b b
d. A nurse volunteers to work when another staff member
b b b b b b b b
must leave workbecauseher child is ill. b b b b b b
ANS: C b b
Determining who gets “pulled” is a management decision. Option A is incorrect b b b b b b b b b b b
because it isa role taken by a nurse leader. Option B is incorrect because it
b b b b b b b b b b b b b b b b b b b b b b
is an action taken by staff as part of the functional structure of the unit.
b b b b b b b b b b b b b b
Option D is incorrect because it is an action taken by staff as part
b b b b b b b b b b b b b b b b
of the functional structure ofthe unit.
b b b b b b
DIF: Cognitive Level: Analysis b b b b REF: page 6 b
5. A nurse has accepted a position on a nursing unit where the nurse
b b b b b b b b b b b b b b b b b b b b b b b b
manager promotes autonomy and staff involvement in decision making. What
b b b b b b b b b b
would the nurseexpect to observeon this unit?
b b b b b b b
a. Nurse manager mandates changes. b b b b b
b. Staff takes responsibility for assignments. b b b b b b
c. Staff participates on hospital committees. b b b b b b b b
d. Nurses are recognized for excellence in practice. b b b b b b b b b b b b
ANS: C b b
Work environments that promote autonomy and decision making encourage
b b b b b b b b
participation on hospital committees so that staff may become involved in the
b b b b b b b b b b b b
decisions that are made. OptionA is incorrect because this is not an
b b b b b b b b b b b b
environment inwhich staff are encouraged to participate
b b b b b b b
in decision making. Option BNiU
b s fciR
ncSoIrrN
ecG
t bT eBc a.uCs eOi M
t f c s h o u l d be seen in all environments b b b b b b b b b
regardless of autonomy. Option D is incorrect because excellence in practice is b b b b b b b b b b b
b not seen solely b
in autonomous environments.
b b b b
DIF: Cognitive Level: Analysis b b b b REF: page 6 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 b b b b b b b b b b
a. patient acuity. b b
b. leadership.
c. clinical decision making. b b b b
d. delegation.
ANS: C b b
Work allocation is necessary in any patient care delivery system. The
b b b b b b b b b b b b b b b b b
other options are incorrect because it is not necessarily useful in determining
b b b b b b b b b b b b
the appropriate patient caredelivery systems needed.
b b b b b b
DIF: Cognitive Level: Analysis b b b b REF: page 10 b b
7. The student nurse, shadowing on a medical-surgical unit, observes the
b b b b b b b b b b b b b b b b b b
charge nurse.Whichaction would the student identify as a leadership quality
b b b b b b b b b b
in the nurse’s actions?
b b b b
a. Making patient care assignments distributed equally to staff b b b b b b b b b b b b b b