Test Bank for Nursing Delegation and Management of Patient Care, 3rd
Edition by Motacki
| Verified Chapter's 1 - 21 | Complete Newest Version
,Test Bank for Nursing Delegation and Management of Patient Care, 3rd Edition by Motacki
Chapter 01: Leadership and Management
Motacki: Nursing Delegation and Management of Patient Care, 3rd Edition
MULTIPLE CHOICE
1. Nurses can be leaders without being managers. Which nursing actions
demonstrateleadership?
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
ANS: A
Leaders act as role models and mentor new staff. The other options are incorrect because
theyare 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
ANS: B
Managers are responsible for the budget of their units. The other options are incorrect
becausethose are leadership or mentoNriU
ngRrS
oIlesN. GTB.COM
DIF: Cognitive Level: Application REF: page 6
3. Much like a politician, a nurse manager must exhibit leadership that inspires and motivates.
Inwhich 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
workbecause her child is ill.
ANS: 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 theunit. 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
, isdemonstrating 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
measuresand 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
becauseher child is ill.
ANS: C
Determining who gets “pulled” is a management decision. Option A is incorrect because it
isa 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
observeon 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.
ANS: C
Work environments that promote autonomy and decision making encourage participation
on hospital committees so that staff may become involved in the decisions that are made.
OptionA is incorrect because this is not an environment in which staff are encouraged to
participate
in decision making. Option BNiU
sR
incSoIrrN
ecGTeBca.uCseOiM
tb t should be seen in all environments
regardless of autonomy. Option D is incorrect because excellence in practice is not seen solely
in autonomous environments.
DIF: Cognitive Level: Analysis REF: page 6
6. The fundamental element of any patient care delivery combines work allocation with
a. patient acuity.
b. leadership.
c. clinical decision making.
d. delegation.
ANS: C
Work allocation is necessary in any patient care delivery system. The other options
are incorrect because it is not necessarily useful in determining the appropriate
patient caredelivery systems needed.
DIF: Cognitive Level: Analysis REF: page 10
7. The student nurse, shadowing on a medical-surgical unit, observes the charge nurse.
Whichaction would the student identify as a leadership quality in the nurse’s actions?
a. Making patient care assignments distributed equally to staff
, b. Sitting with a confused combative patient
c. Calling the nursing office for extra staff when an RN calls in sick
d. Assisting in a code
ANS: B
Leaders act as role models and do what is right for the patient. The other options are
incorrectbecause these actions are expected as part of the functioning of the unit.
DIF: Cognitive Level: Analysis REF: page 5
8. Health care is seen and managed as a business today. Which skills are considered essential
tomanaging health care as a business?
a. Ability to pressure staff to do what you want
b. Resource utilization
c. Cutting corners to make money
d. Providing bonuses to staff members who help the organization to save money
ANS: B
The ability to manage a budget is essential to being a manager in health care today. The
otheroptions are incorrect because they are only a perception of the public regarding
successful managers.
DIF: Cognitive Level: Application REF: page 3 | page 7
9. The anovice anurse ais aspeaking awith athe anurse amanager aabout atheir aroles awithin athe
ahierarchy aofathe ainstitution. aThe anurse amanager awould amost alikely aidentify awhich arole
aas ahaving athe amost ainternal aconflict?
a. Coordinating ainstitutional agoals awith athe aimmediate ademands aof athe aclinical aarea
b. Determining awhich aof athe astaff amembers ashould aget abetter araises athan aother
members .
c. Deciding awhich aemployees ashould abe arecommended afor apromotion
d. Determining awhich astaff amembers aget aChristmas aday aoff
ANS: a A
Many atimes athe agoals aof athe ainstitution aconflict awith athe agoals aof athe aindividual
aemployees aof aa aparticular aclinical aarea aand athe anurse amanager amust aimplement
ainstitutional achanges aregardless aof athe anurse’s apersonal aopinion. aThe aother aoptions aare
aincorrect abecause athose aroles ashould anotaprovoke aas amuch aconflict.
DIF: a a a Cognitive aLevel: aApplication REF: a pages a7-8
10. Nurse amanagers acan abest abe adescribed aas apeople awho
a. develop ainstitutional agoals abased aon astaff asuggestions.
b. develop ainstitutional agoals abased aon aa apersonal atheory.
c. motivate astaff ato ameet ainstitutional agoals athrough apositional apower.
d. inspire astaff ato ameet ainstitutional agoals athrough apersonal apower.
ANS: a C
Managers amotivate astaff ato amake achanges. aOptions aA aand aB aare aincorrect
abecause anurse amanagers ausually ado anot amake ainstitutional agoals. aOption aC ais
aincorrect abecause aleadersainspire, anot amanagers.
Edition by Motacki
| Verified Chapter's 1 - 21 | Complete Newest Version
,Test Bank for Nursing Delegation and Management of Patient Care, 3rd Edition by Motacki
Chapter 01: Leadership and Management
Motacki: Nursing Delegation and Management of Patient Care, 3rd Edition
MULTIPLE CHOICE
1. Nurses can be leaders without being managers. Which nursing actions
demonstrateleadership?
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
ANS: A
Leaders act as role models and mentor new staff. The other options are incorrect because
theyare 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
ANS: B
Managers are responsible for the budget of their units. The other options are incorrect
becausethose are leadership or mentoNriU
ngRrS
oIlesN. GTB.COM
DIF: Cognitive Level: Application REF: page 6
3. Much like a politician, a nurse manager must exhibit leadership that inspires and motivates.
Inwhich 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
workbecause her child is ill.
ANS: 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 theunit. 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
, isdemonstrating 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
measuresand 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
becauseher child is ill.
ANS: C
Determining who gets “pulled” is a management decision. Option A is incorrect because it
isa 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
observeon 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.
ANS: C
Work environments that promote autonomy and decision making encourage participation
on hospital committees so that staff may become involved in the decisions that are made.
OptionA is incorrect because this is not an environment in which staff are encouraged to
participate
in decision making. Option BNiU
sR
incSoIrrN
ecGTeBca.uCseOiM
tb t should be seen in all environments
regardless of autonomy. Option D is incorrect because excellence in practice is not seen solely
in autonomous environments.
DIF: Cognitive Level: Analysis REF: page 6
6. The fundamental element of any patient care delivery combines work allocation with
a. patient acuity.
b. leadership.
c. clinical decision making.
d. delegation.
ANS: C
Work allocation is necessary in any patient care delivery system. The other options
are incorrect because it is not necessarily useful in determining the appropriate
patient caredelivery systems needed.
DIF: Cognitive Level: Analysis REF: page 10
7. The student nurse, shadowing on a medical-surgical unit, observes the charge nurse.
Whichaction would the student identify as a leadership quality in the nurse’s actions?
a. Making patient care assignments distributed equally to staff
, b. Sitting with a confused combative patient
c. Calling the nursing office for extra staff when an RN calls in sick
d. Assisting in a code
ANS: B
Leaders act as role models and do what is right for the patient. The other options are
incorrectbecause these actions are expected as part of the functioning of the unit.
DIF: Cognitive Level: Analysis REF: page 5
8. Health care is seen and managed as a business today. Which skills are considered essential
tomanaging health care as a business?
a. Ability to pressure staff to do what you want
b. Resource utilization
c. Cutting corners to make money
d. Providing bonuses to staff members who help the organization to save money
ANS: B
The ability to manage a budget is essential to being a manager in health care today. The
otheroptions are incorrect because they are only a perception of the public regarding
successful managers.
DIF: Cognitive Level: Application REF: page 3 | page 7
9. The anovice anurse ais aspeaking awith athe anurse amanager aabout atheir aroles awithin athe
ahierarchy aofathe ainstitution. aThe anurse amanager awould amost alikely aidentify awhich arole
aas ahaving athe amost ainternal aconflict?
a. Coordinating ainstitutional agoals awith athe aimmediate ademands aof athe aclinical aarea
b. Determining awhich aof athe astaff amembers ashould aget abetter araises athan aother
members .
c. Deciding awhich aemployees ashould abe arecommended afor apromotion
d. Determining awhich astaff amembers aget aChristmas aday aoff
ANS: a A
Many atimes athe agoals aof athe ainstitution aconflict awith athe agoals aof athe aindividual
aemployees aof aa aparticular aclinical aarea aand athe anurse amanager amust aimplement
ainstitutional achanges aregardless aof athe anurse’s apersonal aopinion. aThe aother aoptions aare
aincorrect abecause athose aroles ashould anotaprovoke aas amuch aconflict.
DIF: a a a Cognitive aLevel: aApplication REF: a pages a7-8
10. Nurse amanagers acan abest abe adescribed aas apeople awho
a. develop ainstitutional agoals abased aon astaff asuggestions.
b. develop ainstitutional agoals abased aon aa apersonal atheory.
c. motivate astaff ato ameet ainstitutional agoals athrough apositional apower.
d. inspire astaff ato ameet ainstitutional agoals athrough apersonal apower.
ANS: a C
Managers amotivate astaff ato amake achanges. aOptions aA aand aB aare aincorrect
abecause anurse amanagers ausually ado anot amake ainstitutional agoals. aOption aC ais
aincorrect abecause aleadersainspire, anot amanagers.
