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TEST BANK FOR NURSING DELEGATION AND
MANAGEMENT OF PATIENT CARE 3RD EDITION BY
MOTACKI RN MSN, KATHLEEN, BURKE RN PHD,
KATHLEEN
,CH 01: Leadership and Management
Motacki: Nursing Delegation and Management of Patient Care, 3rd Edition
MULTIPLE CHOICE
1. A registered nurses can be leaders without being managers. Which
nursing actions demonstrate leadership?
a. Assisting a new registered nurse with enteral tube feedings
b. Counseling a new registered nurse regarding attendance
c. Adjusting assignments after a staff member calls in sick
d. Calling a physician for new order clarification
CORRECT CHOICE:- A
Feedback :->>>Leaders act as role models and mentor new staff. The other options are
incorrect because they are 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 clients
c. Assisting in a code
d. Asking the client/family about advance directives
CORRECT CHOICE:- B
Feedback :->>>Managers are responsible for the budget of their units. The other
options are incorrect because those are leadership or mento NriUngRrSolIesN
DIF: Cognitive Level: Application REF: page 6
3. Much like a politician, a registered nurse manager must exhibit leadership that inspires and
motivates. In which instance is a registered nurse demonstrating leadership qualities?
a. A staff registered nurse becomes aware of increased infection rates
following cardiac surgery. The registered nurse takes it upon herself to
research the possible causes and prevention measures and to make
suggestions to better protect clients.
b. A staff registered nurse acts quickly when a cardiac arrest is called on her client.
c. A staff registered nurse notifies another staff member that she is being “pulled” today.
d. A new registered nurse volunteers to work when another staff member
must leave work because her child is ill.
CORRECT CHOICE:- A
Feedback :->>>Registered nurse leaders are interested in changing practice based on
evidence. Options B and D are incorrect because they are actions taken by registered
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 6
4. A registered nurse manager must exhibit qualities of efficiency and organization.
Which registered nurse is demonstrating the qualities necessary for a manager?
a. A registered nurse becomes aware of increased infection rates following cardiac surgery.
The
, registered nurse takes it upon herself to research the possible causes and
prevention measures and to make suggestions to better protect clients.
b. A registered nurse acts quickly when a cardiac arrest is called on her client.
c. A registered nurse notifies another staff member that she is being “pulled” today.
d. A registered nurse volunteers to work when another staff member must
leave work because her child is ill.
CORRECT CHOICE:- C
Feedback :->>>Determining who gets “pulled” is a management decision. Option A is
incorrect because it is a role taken by a registered 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 registered nurse has accepted a position on a nursing unit where the registered
nurse manager promotes autonomy and staff involvement in decision making. What
would the registered nurse expect to observe on this unit?
a. Registered nurse manager mandates changes.
b. Staff takes responsibility for assignments.
c. Staff participates on health center committees.
d. Registered nurses are recognized for excellence in practice.
CORRECT CHOICE:- C
Feedback :->>>Work environments that promote autonomy and decision making encourage
participation on health center committees so that staff may become involved in the decisions
that are made.
Option A is incorrect because this is not an environment in which staff are encouraged to
participate
in decision making. Option BNiU s RinS coIrrNecGt TbeBca.uCse OiMt 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 client care delivery combines work allocation with
a. client acuity.
b. leadership.
c. clinical decision making.
d. delegation.
CORRECT CHOICE:- C
Feedback :->>>Work allocation is necessary in any client care delivery system. The
other options are incorrect because it is not necessarily useful in determining the
appropriate client care delivery systems needed.
DIF: Cognitive Level: Analysis REF: page 10
7. The student registered nurse, shadowing on a medical-surgical unit, observes the charge
registered nurse. Which action would the student identify as a leadership quality in the
registered nurse’s actions?
a. Making client care assignments distributed equally to staff
b. Sitting with a confused combative client
c. Calling the nursing office for extra staff when an RN calls in sick
, d. Assisting in a code
CORRECT CHOICE:- B
Feedback :->>>Leaders act as role models and do what is right for the client. The
other options are incorrect because these actions are expected as part of the
functioning of the unit.
DIF: Cognitive Level: Analysis REF: page 5
8. Primary health care is seen and managed as a business today. Which skills are considered
essential to managing primary health care as a business?
a. Ability to pressure staff to do what you want
b. Resource utilization
c. Cutting corners to make money
d. Providing bonuses to staff members who help the organization to save money
CORRECT CHOICE:- B
Feedback :->>>The ability to manage a budget is essential to being a manager in primary
health care today. The other options are incorrect because they are only a perception of
the public regarding successful managers.
9. The novice registered nurse is speaking with the registered nurse manager about their roles
within the hierarchy of the institution. The registered 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
CORRECT CHOICE:- A
Feedback :->>>Many times the goals of the institution conflict with the goals of the
individual employees of a particular clinical area and the registered nurse manager must
implement institutional changes regardless of the registered nurse’s personal opinion. The
other options are incorrect because those roles should not provoke as much conflict.
DIF: Cognitive Level: Application REF: pages 7-8
10. Registered 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.
CORRECT CHOICE:- C
Feedback :->>>Managers motivate staff to make changes. Options A and B are
incorrect because registered nurse managers usually do not make institutional goals.
Option C is incorrect because leaders inspire, not managers.
DIF: Cognitive Level: Application REF: page 6
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