Test Bank Nursing Delegation and Management of Patient Care 2nd Edition Motacki
Table of Contents Chapter 01: Leadership and Management .............................................................................................2 Chapter 02: Organizational Structure of Health Care ..................
Test Bank Nursing Delegation and Management of Patient Care 2nd Edition Motacki
Table of Contents
Chapter 01: Leadership and Management.............................................................................................2
Chapter 02: Organizational Structure of Health Care .............................................................................8
Chapter 03: Strategic Management and Planning ...............................................................................12
Chapter 04: Financial Management in Health Care .............................................................................19
Chapter 05: Healthcare Regulatory and Certifying Agencies ...............................................................24
Chapter 06: Organizational Decision Making and Shared Governance ...............................................29
Chapter 07: Professional Decision Making and Advocacy ...................................................................32
Chapter 08: Communication in the Work Environment ........................................................................34
Chapter 09: Personnel Policies and Programs in the Workplace .........................................................41
Chapter 10: Professional Development ...............................................................................................54
Chapter 11: Professional Practice and Care Delivery Models and Emerging PracticeModels ..............56
Chapter 12: Staffing and Scheduling ...................................................................................................59
Chapter 13: Delegation of Nursing Tasks ............................................................................................68
Chapter 14: Providing Competent Staff ...............................................................................................76
Chapter 15: Group Management for Effective Outcomes ....................................................................81
Chapter 16: Hospital Information Systems...........................................................................................87
Chapter 17: Ethical and Legal Issues in Patient Care ..........................................................................94
Chapter 18: Improving Organizational Performance ..........................................................................100
Chapter 19: Evidence-Based Practice ...............................................................................................105
Chapter 20: Monitoring Outcomes and the Use of Data for Improvement ..........................................112
Chapter 21: New Graduates: The Immediate Future: Job Interviewing, NCLEX, andContinuing
Education ..........................................................................................................................................115
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,Chapter 01: Leadership and Management
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 mentoring role
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 is
demonstrating 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.
2|Page
, ANS: C
Determining who gets “pulled” is a management decision. Option A is incorrect because it is
a 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 B is incorrect because it 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
3|Page
, 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.
9. The novice nurse is speaking with the nurse manager about their roles within the hierarchy
ofthe institution. The nurse manager would most likely identify which role as having the
most internal conflict?
a. Coordinating institutional goals with the immediate demands of the clinical area
b. Determining which of the staff members should get better raises than other
members
c. Deciding which employees should be recommended for promotion
d. Determining which staff members get Christmas day off
ANS: A
Many times the goals of the institution conflict with the goals of the individual employees of a
particular clinical area and the nurse manager must implement institutional changes
regardless of the nurse’s personal opinion. The other options are incorrect because those
roles should notprovoke as much conflict.
DIF: Cognitive Level: Application REF: pages 7-8
10. Nurse managers can best be described as people who
a. develop institutional goals based on staff suggestions.
b. develop institutional goals based on a personal theory.
c. motivate staff to meet institutional goals through positional power.
d. inspire staff to meet institutional goals through personal power.
ANS: C
Managers motivate staff to make changes. Options A and B are incorrect because
nurse managers usually do not make institutional goals. Option C is incorrect because
leadersinspire, not managers.
DIF: Cognitive Level: Application REF: page 6
11. There are three levels of management in nursing. Which action by the nurse would
indicatethe nurse is a first-line nurse manager?
a. Responding to a patient complaint
b. Deciding to incorporate walking rounds shift report hospitalwide
c. Reevaluating the nursing policy permitting IV push of certain medications by RNs
d. Designating assignment of new admissions
ANS: A
The first-line manager is the nurse manager and would be responsible for responding
topatient complaints. Option B is incorrect because middle-level managers set short-
and
long-term goals. Option C is incorrect because reevaluating the nursing policy permitting IV
push of certain medications by RNs is a responsibility of upper-level management to
forecasttrends in nursing. Option D is incorrect because designating assignment of new
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