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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 MotackiTest Bank for Nursing Delegation and Management of Patient Care, 3rd Edition by MotackiTest Bank for Nursing Delegation and Management of Patient Care, 3rd Edition by Motacki

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3rd edition by motacki
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test bank for nursing delegation and management
nursing delegation and management

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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
Test Bank for Nursing Delegation and Management of Patient Care, 3rd E
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Motacki: Nursing Delegation and Management of Patient Care, 3rd Edition
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dition by Motacki ai ai

MULTIPLE CHOICE ai

| Verified Chapter's 1 - 21 | Complete Newest Version
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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 ai ai ai ai ai ai ai

b. Counseling a new nurse regarding attendance ai ai ai ai ai

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

d. Calling a physician for new order clarification ai ai ai ai ai ai

ANS: A ai

Leaders act as role models and mentor new staff. The other options are incorrect because t
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heyare management responsibilities and not leadership roles.
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DIF: Cognitive Level: Application ai ai REF: page 6 a i ai

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

b. Observing the documentation of appropriate charges to patients ai ai ai ai ai ai ai

c. Assisting in a code ai ai ai

d. Asking the patient/family about advance directives ai ai ai ai ai

ANS: B ai

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 ai ai ai ai ai

DIF: Cognitive Level: Application ai ai REF: page 6 a i ai

3. Much like a politician, a nurse manager must exhibit leadership that inspires and motivates.
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Inwhich 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. ai ai ai ai ai ai ai ai

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 w
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orkbecause her child is ill. ia ai ai ai ai

ANS: A ai

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
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of theunit. Option C is incorrect because it is an action taken by a manager.
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DIF: aiaia i Cognitive Level: Analysis ai ai REF: page 6 a i ai

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 beca
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useher child is ill. ia ai ai ai

ANS: C ai

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 ai ai REF: page 6 a i ai

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. ai ai ai

b. Staff takes responsibility for assignments. ai ai ai ai

c. Staff participates on hospital committees. ai ai ai ai

d. Nurses are recognized for excellence in practice. ai ai ai ai ai ai

ANS: C ai

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. O
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ptionA is incorrect because this is not an environment in which staff are encouraged to parti
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cipate
in decision making. Option BNiU
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ecGTeBca.uCseOiM
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 ai ai REF: page 6 a i ai

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

b. leadership.
c. clinical decision making. ai ai

d. delegation.
ANS: C ai

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: aiaia i Cognitive Level: Analysis ai ai REF: page 10 a i ai

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 ai ai ai ai ai ai ai

b. Sitting with a confused combative patient ai ai ai ai ai

,c. Calling the nursing office for extra staff when an RN calls in sick
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d. Assisting in a code ai ai ai

ANS: B ai

Leaders act as role models and do what is right for the patient. The other options are incorr
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ectbecause these actions are expected as part of the functioning of the unit.
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DIF: Cognitive Level: Analysis ai ai REF: page 5 a i ai

8. Health care is seen and managed as a business today. Which skills are considered essential
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tomanaging health care as a business?
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a. Ability to pressure staff to do what you want ai ai ai ai ai ai ai ai

b. Resource utilization ai

c. Cutting corners to make money ai ai ai ai

d. Providing bonuses to staff members who help the organization to save money ai ai ai ai ai ai ai ai ai ai ai

ANS: B ai

The ability to manage a budget is essential to being a manager in health care today. The oth
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eroptions are incorrect because they are only a perception of the public regarding successf
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ul managers.
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DIF: Cognitive Level: Application ai ai REF: page 3 | page 7 a i ai ai ai ai

9. The novice nurse is speaking with the nurse manager about their roles within the hierarchy
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ofthe institution. The nurse manager would most likely identify which role as having the mo
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st internal conflict?
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a. Coordinating institutional goals with the immediate demands of the clinical area ai ai ai ai ai ai ai ai ai ai

b. Determining which of the staff members should get better raises than other ai ai ai ai ai ai ai ai ai ai ai

members .
c. Deciding which employees should be recommended for promotion ai ai ai ai ai ai ai

d. Determining which staff members get Christmas day off ai ai ai ai ai ai ai

ANS: A ai

Many times the goals of the institution conflict with the goals of the individual employees of
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aparticular clinical area and the nurse manager must implement institutional changes regar
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dlessof the nurse’s personal opinion. The other options are incorrect because those roles sh
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ould notprovoke as much conflict.
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DIF: aiaia i Cognitive Level: Application ai ai REF: pages 7-8 a i ai

10. Nurse managers can best be described as people who
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a. develop institutional goals based on staff suggestions. ai ai ai ai ai ai

b. develop institutional goals based on a personal theory. ai ai ai ai ai ai ai

c. motivate staff to meet institutional goals through positional power. ai ai ai ai ai ai ai ai

d. inspire staff to meet institutional goals through personal power.
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ANS: C ai

Managers motivate staff to make changes. Options A and B are incorrect because nur
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semanagers usually do not make institutional goals. Option C is incorrect because lea
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dersinspire, not managers.
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DIF: aiaia i Cognitive Level: Application ai ai REF: page 6 a i ai

, 11. There are three levels of management in nursing. Which action by the nurse would indica
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tethe nurse is a first-line nurse manager?
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d. Making daily patient rounds
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a. Responding to a patient complaint ai ai ai ai
ANS: B
ai
b. Deciding to incorporate walking rounds shift report hospitalwide
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c. Reevaluating the nursing policy permitting IV push of certain medications by RNs ai ai ai ai ai ai ai ai ai ai ai

d. Designating assignment of new admissions ai ai ai ai

ANS: A ai

The first- ai

line manager is the nurse manager and would be responsible for responding topatient
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complaints. Option B is incorrect because middle-level managers set short- and
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long-
term goals. Option C is incorrect because reevaluating the nursing policy permitting IV push
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of certain medications by RNs is a responsibility of upper-
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level management to forecasttrends in nursing. Option D is incorrect because designating a
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ssignment of new admissions would be the responsibility of the charge nurse.
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DIF: Cognitive Level: Analysis ai ai REF: page 7 a i ai

12. The management process consists of six functions: planning, staffing, organizing, directing
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,controlling, and decision making. What might be seen in the planning step of the process
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?
a. Identifying the problem of the lack of ICU beds ai ai ai ai ai ai ai ai

b. Organizing a meeting to address the problem ai ai ai ai ai ai

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

d. Assigning experienced staff to implement care of these patients ai ai ai ai ai ai ai ai

ANS: A ai

Establishing objectives should be seen in the planning step following identification of th
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eproblem. Option B is the organizing step. Option C is the directing step. Option D is the
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controlling step. . ai

DIF: Cognitive Level: Application ai ai REF: page 7 a i ai

13. The management process consists of six functions: planning, staffing, organizing, directing
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,controlling, and decision making. What might be seen in the decision-making process?
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a. Organizing a meeting to address the problem ai ai ai ai ai ai

b. Establishing an alternate site within the hospital for these patients ai ai ai ai ai ai ai ai ai

c. Assigning experienced staff to implement care of these patients ai ai ai ai ai ai ai ai

d. Establishing the new area as a step-down unit ai ai ai ai ai ai ai

ANS: D ai

Decision making is a result of the other steps. The other options are different steps in t
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hemanagement process.
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DIF: Cognitive Level: Application ai ai REF: page 7 a i ai

14. First-level managers are responsible for the day-to-
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day activities of the unit. Which activitywould the nurse expect to see only from a first-
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level manager? ai

a. Making daily staffing assignments ai ai ai

b. Managing the unit’s budget ai ai ai

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