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Test Bank for Nursing Delegation and Management of Patient Care 2nd Edition Motacki

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T OF PATIENT
TEST BANK CARE 2ND
FOR NURSING EDITION BY
DELEGATION MOTACKI
AND
MANAGEMEN
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Motacki Test Bank Nursing Delegation and Management of Patient Care 2nd Edition Motacki Test Bank
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Chapter 01: Leadership and Management nurse takes it upon herself to research the possible causes and prevention measures
Motacki: Nursing Delegation and Management of Patient Care, 2nd Edition 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.
MULTIPLE CHOICE d. A nurse volunteers to work when another staff member must leave work because
her child is ill.
1. Nurses can be leaders without being managers. Which nursing actions demonstrate
ANS: C
leadership?
a. Assisting a new nurse with enteral tube feedings Determining who gets “pulled” is a management decision. Option A is incorrect because it is
b. Counseling a new nurse regarding attendance a role taken by a nurse leader. Option B is incorrect because it is an action taken by staff as
c. Adjusting assignments after a staff member calls in sick part of the functional structure of the unit. Option D is incorrect because it is an action taken
d. Calling a physician for new order clarification by staff as part of the functional structure of the unit.

ANS: A DIF: Cognitive Level: Analysis REF: page 6
Leaders act as role models and mentor new staff. The other options are incorrect because they
are management responsibilities and not leadership roles. 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
DIF: Cognitive Level: Application REF: page 6 on this unit?
a. Nurse manager mandates changes.

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2. Which nursing actions demonstrate the role of management in nursing? b. Staff takes responsibility for assignments.

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a. Encouraging autonomous decision making c. Staff participates on hospital committees.

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b. Observing the documentation of appropriate charges to patients d. Nurses are recognized for excellence in practice.

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c. Assisting in a code
ANS: C

o.

o.
d. Asking the patient/family about advance directives
rs e

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Work environments that promote autonomy and decision making encourage participation on
ANS: B hospital committees so that staff may become involved in the decisions that are made. Option
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Managers are responsible for the budget of their units. The other options are incorrect because A is incorrect because this is not an environment in which staff are encouraged to participate
NURroles.
those are leadership or mentoring SINGTB.COM in decision making. Option BNis UR SINGT
incorrect B.COitMshould be seen in all environments
because
regardless of autonomy. Option D is incorrect because excellence in practice is not seen solely
DIF: Cognitive Level: Application REF: page 6 in autonomous environments.
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3. Much like a politician, a nurse manager must exhibit leadership that inspires and motivates. In DIF: Cognitive Level: Analysis REF: page 6
which instance is a nurse demonstrating leadership qualities?
a. A staff nurse becomes aware of increased infection rates following cardiac surgery. 6. The fundamental element of any patient care delivery combines work allocation with
The nurse takes it upon herself to research the possible causes and prevention a. patient acuity.
ed d

ed d
measures and to make suggestions to better protect patients. b. leadership.
ar stu

ar stu
b. A staff nurse acts quickly when a cardiac arrest is called on her patient. c. clinical decision making.
c. A staff nurse notifies another staff member that she is being “pulled” today. d. delegation.
d. A new nurse volunteers to work when another staff member must leave work
ANS: C
sh is

sh is
because her child is ill.
Work allocation is necessary in any patient care delivery system. The other options are
Th

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ANS: A incorrect because it is not necessarily useful in determining the appropriate patient care
Nurse leaders are interested in changing practice based on evidence. Options B and D are delivery systems needed.
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 10

DIF: Cognitive Level: Analysis REF: page 6 7. The student nurse, shadowing on a medical-surgical unit, observes the charge nurse. Which
action would the student identify as a leadership quality in the nurse’s actions?
4. A nurse manager must exhibit qualities of efficiency and organization. Which nurse is a. Making patient care assignments distributed equally to staff
demonstrating the qualities necessary for a manager? b. Sitting with a confused combative patient
a. A nurse becomes aware of increased infection rates following cardiac surgery. The c. Calling the nursing office for extra staff when an RN calls in sick

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d. Assisting in a code 11. There are three levels of management in nursing. Which action by the nurse would indicate
the nurse is a first-line nurse manager?
ANS: B
a. Responding to a patient complaint
Leaders act as role models and do what is right for the patient. The other options are incorrect b. Deciding to incorporate walking rounds shift report hospitalwide
because these actions are expected as part of the functioning of the unit. c. Reevaluating the nursing policy permitting IV push of certain medications by RNs
d. Designating assignment of new admissions
DIF: Cognitive Level: Analysis REF: page 5
ANS: A
8. Health care is seen and managed as a business today. Which skills are considered essential to The first-line manager is the nurse manager and would be responsible for responding to
managing health care as a business? patient complaints. Option B is incorrect because middle-level managers set short- and
a. Ability to pressure staff to do what you want long-term goals. Option C is incorrect because reevaluating the nursing policy permitting IV
b. Resource utilization push of certain medications by RNs is a responsibility of upper-level management to forecast
c. Cutting corners to make money trends in nursing. Option D is incorrect because designating assignment of new admissions
d. Providing bonuses to staff members who help the organization to save money would be the responsibility of the charge nurse.
ANS: B
DIF: Cognitive Level: Analysis REF: page 7
The ability to manage a budget is essential to being a manager in health care today. The other
options are incorrect because they are only a perception of the public regarding successful
12. The management process consists of six functions: planning, staffing, organizing, directing,
managers.
controlling, and decision making. What might be seen in the planning step of the process?

m

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a. Identifying the problem of the lack of ICU beds

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DIF: Cognitive Level: Application REF: page 3 | page 7
b. Organizing a meeting to address the problem

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c. Establishing an alternate site within the hospital for these patients

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9. The novice nurse is speaking with the nurse manager about their roles within the hierarchy of
the institution. The nurse manager would most likely identify which role as having the most d. Assigning experienced staff to implement care of these patients

o.

o.
internal conflict?
rs e

rs e
ANS: A
a. Coordinating institutional goals with the immediate demands of the clinical area Establishing objectives should be seen in the planning step following identification of the
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b. Determining which of the staff members should get better raises than other problem. Option B is the organizing step. Option C is the directing step. Option D is the
members NURSINGTB.COM controlling step. NURSINGTB.COM
c. Deciding which employees should be recommended for promotion
d. Determining which staff members get Christmas day off DIF: Cognitive Level: Application REF: page 7
aC s

aC s
vi y re

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ANS: A
13. The management process consists of six functions: planning, staffing, organizing, directing,
Many times the goals of the institution conflict with the goals of the individual employees of a
controlling, and decision making. What might be seen in the decision-making process?
particular clinical area and the nurse manager must implement institutional changes regardless a. Organizing a meeting to address the problem
of the nurse’s personal opinion. The other options are incorrect because those roles should not b. Establishing an alternate site within the hospital for these patients
ed d

ed d
provoke as much conflict. c. Assigning experienced staff to implement care of these patients
ar stu

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d. Establishing the new area as a step-down unit
DIF: Cognitive Level: Application REF: pages 7-8
ANS: D
10. Nurse managers can best be described as people who Decision making is a result of the other steps. The other options are different steps in the
sh is

sh is
a. develop institutional goals based on staff suggestions. management process.
b. develop institutional goals based on a personal theory.
Th

Th
c. motivate staff to meet institutional goals through positional power. DIF: Cognitive Level: Application REF: page 7
d. inspire staff to meet institutional goals through personal power.
14. First-level managers are responsible for the day-to-day activities of the unit. Which activity
ANS: C
would the nurse expect to see only from a first-level manager?
Managers motivate staff to make changes. Options A and B are incorrect because nurse a. Making daily staffing assignments
managers usually do not make institutional goals. Option C is incorrect because leaders b. Managing the unit’s budget
inspire, not managers. c. Maintaining currency in profession
d. Making daily patient rounds
DIF: Cognitive Level: Application REF: page 6
ANS: B

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Managing the unit budget is the sole responsibility of the nurse manager and first-level a. Asking for overtime
manager. The other activities are not specific to first-level managers. b. Asking for certain patient assignments
c. Personal and professional accountability
DIF: Cognitive Level: Application REF: page 7 d. Acquiring advanced degrees
e. Personal discipline
15. Middle-level managers are responsible for planning for changes of the unit. What activity
would the nurse expect to see only from a middle-level manager? ANS: C, D, E
a. Maintaining currency in profession Options C, D, and E are competencies identified in the text for developing leadership in
b. Planning for changes within the service line in the organization oneself. Although they may be associated with a good work ethic, the other options do not
c. Being responsible for activities on the unit 24/7 apply to the development of leadership competencies.
d. Supervising patient care delivery
DIF: Cognitive Level: Analysis REF: page 11
ANS: B
The middle-level manager is solely responsible for planning changes and presenting them to 2. The patient care delivery system used by an institution should be based on which fundamental
upper-level managers. The other activities are not the exclusive responsibility of the elements? (Select all that apply.)
middle-level manager. a. Work allocation
b. Accountability
DIF: Cognitive Level: Application REF: pages 8-9 c. Allocation of resources
d. Mission statement

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m
16. Upper-level managers are responsible for the management of the nursing organization of the e. Leadership style

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institution. What activity would the nurse expect to see only from an upper-level manager? f. Cultural diversity of patients

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a. Supervising patient care delivery

eH w

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b. Establishing strategic goals for nursing ANS: A, B, D
Options A, B, and D are correct because the text lists these as fundamental elements of any

o.

o.
c. Maintaining currency in profession
rs e

rs e
d. Being responsible for activities on the unit 24/7 patient care delivery system. Options C, E, and F are not fundamental elements of a patient
care delivery system.
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ANS: B
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Upper-level managers are responsible B.COstrategic
forming M plans. The other activities are NURSINGREF:
DIF: Cognitive Level: Application TB.C OM7
page
responsibilities shared by all levels.
3. A nurse manager encourages the nursing staff using a transformational leadership
aC s

aC s
DIF: Cognitive Level: Application REF: page 9 environment. The nurse manager interprets that a successful transformational environment is
vi y re

vi y re
one in which (Select all that apply.)
17. The nurses are complaining about how busy they are this shift. The charge nurse must do a. a staff nurse provides advice and guidance to new nurses.
which of the following to ensure the safety of the patients and staff for this and future shifts? b. a clinical ladder is used for advancement.
a. Take responsibility for a team of patients. c. a staff nurse researches an increase in surgical wound infections and makes
ed d

ed d
b. Delegate care to the UAPs. recommendations to prevent them.
ar stu

ar stu
c. Assist the RNs to prioritize their patients and their responsibilities. d. annual performance appraisals are provided with competitive raises.
d. Call the supervisor for more staff. e. decisions are made from the top down.
ANS: C ANS: A, B, C
sh is

sh is
As a leader, the charge nurse should assist the RNs to prioritize their patient care Options A, B, and C are correct because a transformational leadership environment
responsibilities to allow for safer care to be provided. The other actions may correct the
Th

Th
encourages consultation and collaboration, empowering and motivating staff. The other
immediate problem that day but will not change the care provided over a length of time if RNs options are examples of transactional leadership.
are lacking prioritization skills.
DIF: Cognitive Level: Analysis REF: page 5
DIF: Cognitive Level: Application REF: page 9
4. A nurse leader, according to the American Organization of Nurse Executives (AONE), is
MULTIPLE RESPONSE competent in the areas of (Select all that apply.)
a. knowledge of the health care environment.
1. To become a leader, one must develop certain personal aspects. Which of the following can be b. communication.
identified as competencies expected in creating leadership in oneself? (Select all that apply.) c. business management.

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