Test Bank for Nursing Delegation and Management of Patient Care, 3rd Edit
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ion by Motacki r r
r | Verified Chapter's 1 - 21 | Complete Newest Version
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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 r
1. Nurses can be leaders without being managers. Which nursing actions demonstratel
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eadership?
a. Assisting a new nurse with enteral tube feedings r r r r r r r
b. Counseling a new nurse regarding attendance r r r r r
c. Adjusting assignments after a staff member calls in sick r r r r r r r r
d. Calling a physician for new order clarification r r r r r r
ANS: A r
Leaders act as role models and mentor new staff. The other options are incorrect because theya
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re management responsibilities and not leadership roles.
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DIF: Cognitive Level: Application r r REF: page 6 r r
2. Which nursing actions demonstrate the role of management in nursing?
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a. Encouraging autonomous decision making r r r
b. Observing the documentation of appropriate charges to patients r r r r r r r
c. Assisting in a code r r r
d. Asking the patient/family about advance directives r r r r r
ANS: B r
Managers are responsible for the budget of their units. The other options are incorrect becauset
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hose are leadership or mentoNriU
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oIlesN.GTB.COM r r r r
DIF: Cognitive Level: Application r r REF: page 6 r r
3. Much like a politician, a nurse manager must exhibit leadership that inspires and motivates. Inw
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hich instance is a nurse demonstrating leadership qualities?
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a. A staff nurse becomes aware of increased infection rates following cardiac surgery.T
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he nurse takes it upon herself to research the possible causes and prevention measur
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es and to make suggestions to better protect patients.
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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 workb
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ecause her child is ill. r r r r
ANS: A r
Nurse leaders are interested in changing practice based on evidence. Options B and D are in
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correct because they are actions taken by nurses as part of the functional structure of theuni
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t. Option C is incorrect because it is an action taken by a manager.
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DIF: Cognitive Level: Analysis
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4. A nurse manager must exhibit qualities of efficiency and organization. Which nurse isde
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,monstrating 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 measures
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and 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 because
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her child is ill. r r r
ANS: C r
Determining who gets “pulled” is a management decision. Option A is incorrect because it isa r
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ole taken by a nurse leader. Option B is incorrect because it is an action taken by staff as part of t
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he functional structure of the unit. Option D is incorrect because it is an action taken by staff as
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part of the functional structure of the unit.
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DIF: Cognitive Level: Analysis r r REF: page 6 r r
5. A nurse has accepted a position on a nursing unit where the nurse manager promotes autonom
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y and staff involvement in decision making. What would the nurse expect to observeon this unit
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?
a. Nurse manager mandates changes. r r r
b. Staff takes responsibility for assignments. r r r r
c. Staff participates on hospital committees. r r r r
d. Nurses are recognized for excellence in practice. r r r r r r
ANS: C r
Work environments that promote autonomy and decision making encourage participation on h
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ospital committees so that staff may become involved in the decisions that are made. OptionA i
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s incorrect because this is not an environment in which staff are encouraged to participate
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in decision making. Option BNiU
r sR
incSoIrrN
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 r r REF: page 6 r r
6. The fundamental element of any patient care delivery combines work allocation with
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a. patient acuity. r
b. leadership.
c. clinical decision making. r r
d. delegation.
ANS: C r
Work allocation is necessary in any patient care delivery system. The other options areinc
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orrect because it is not necessarily useful in determining the appropriate patient caredeli
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very systems needed. r r
DIF: Cognitive Level: Analysis
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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 leaders
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hip quality in the nurse’s actions?
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a. Making patient care assignments distributed equally to staff r r r r r r r
b. Sitting with a confused combative patient r r r r r
c. Calling the nursing office for extra staff when an RN calls in sick
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