Test Bank for Nursing Delegation and Management of Patient Care, 3rd
Edition by Motacki
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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 yi
1. Nurses can be leaders without being managers. Which nursing actions demonstra
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teleadership?
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a. Assisting a new nurse with enteral tube feedings yi yi yi yi yi yi yi
b. Counseling a new nurse regarding attendance yi yi yi yi yi
c. Adjusting assignments after a staff member calls in sick yi yi yi yi yi yi yi yi
d. Calling a physician for new order clarification yi yi yi yi yi yi
ANS: A yi
Leaders act as role models and mentor new staff. The other options are incorrect because th
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eyare management responsibilities and not leadership roles.
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DIF: Cognitive Level: Application yi yi REF: page 6 y i yi
2. Which nursing actions demonstrate the role of management in nursing?
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a. Encouraging autonomous decision making yi yi yi
b. Observing the documentation of appropriate charges to patients yi yi yi yi yi yi yi
c. Assisting in a code yi yi yi
d. Asking the patient/family about advance directives yi yi yi yi yi
ANS: B yi
Managers are responsible for the budget of their units. The other options are incorrect beca
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usethose are leadership or mentoNriU
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oIlesN. GTB.COM
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DIF: Cognitive Level: Application yi yi REF: page 6 y i yi
3. Much like a politician, a nurse manager must exhibit leadership that inspires and motivates. I
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nwhich instance is a nurse demonstrating leadership qualities?
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a. A staff nurse becomes aware of increased infection rates following cardiac surger
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y.The nurse takes it upon herself to research the possible causes and prevention
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measures and to make suggestions to better protect patients. yi yi yi yi yi yi yi yi
b. A staff nurse acts quickly when a cardiac arrest is called on her patient.
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c. A staff nurse notifies another staff member that she is being “pulled” today.
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d. A new nurse volunteers to work when another staff member must leave wo
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rkbecause her child is ill. yi yi yi yi yi
ANS: A yi
Nurse leaders are interested in changing practice based on evidence. Options B and D ar
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e incorrect because they are actions taken by nurses as part of the functional structure o
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f theunit. Option C is incorrect because it is an action taken by a manager.
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DIF: yiyiy i Cognitive Level: Analysis yi yi REF: page 6 y i yi
4. A nurse manager must exhibit qualities of efficiency and organization. Which nurse i
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,sdemonstrating the qualities necessary for a manager?
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a. A nurse becomes aware of increased infection rates following cardiac surgery. The
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, nurse takes it upon herself to research the possible causes and prevention measu
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resand to make suggestions to better protect patients.
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b. A nurse acts quickly when a cardiac arrest is called on her patient.
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c. A nurse notifies another staff member that she is being “pulled” today.
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d. A nurse volunteers to work when another staff member must leave work becau
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seher child is ill. yi yi yi yi
ANS: C yi
Determining who gets “pulled” is a management decision. Option A is incorrect because it i
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sa role taken by a nurse leader. Option B is incorrect because it is an action taken by staff a
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s part of the functional structure of the unit. Option D is incorrect because it is an action ta
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ken by staff as part of the functional structure of the unit.
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DIF: Cognitive Level: Analysis yi yi REF: page 6 y i yi
5. A nurse has accepted a position on a nursing unit where the nurse manager promotes auto
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nomy and staff involvement in decision making. What would the nurse expect to observeon
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this unit?
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a. Nurse manager mandates changes. yi yi yi
b. Staff takes responsibility for assignments. yi yi yi yi
c. Staff participates on hospital committees. yi yi yi yi
d. Nurses are recognized for excellence in practice. yi yi yi yi yi yi
ANS: C yi
Work environments that promote autonomy and decision making encourage participation o
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n hospital committees so that staff may become involved in the decisions that are made. Op
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tionA is incorrect because this is not an environment in which staff are encouraged to partici
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pate
in decision making. Option BNiU
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tb t should be seen in all environments
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regardless of autonomy. Option D is incorrect because excellence in practice is not seen solely
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in autonomous environments.
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DIF: Cognitive Level: Analysis yi yi REF: page 6 y i yi
6. The fundamental element of any patient care delivery combines work allocation with
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a. patient acuity. yi
b. leadership.
c. clinical decision making. yi yi
d. delegation.
ANS: C yi
Work allocation is necessary in any patient care delivery system. The other options ar
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eincorrect because it is not necessarily useful in determining the appropriate patient
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caredelivery systems needed.
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DIF: yiyiy i Cognitive Level: Analysis yi yi REF: page 10 y i yi
7. The student nurse, shadowing on a medical-
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surgical unit, observes the charge nurse. Whichaction would the student identify as a lead
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ership quality in the nurse’s actions?
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a. Making patient care assignments distributed equally to staff yi yi yi yi yi yi yi
b. Sitting with a confused combative patient yi yi yi yi yi
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