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Nursing Delegation and Management of Patient Care
BY: Kathleen Motacki, Kathleen Burke
3RD EDITION
,TABLE OF CONTENT
SECTION 1 Transformational Leadership
Chapter 1 Leadership and Management
Chapter 2 Organizational Structure of Health Care
Chapter 3 Strategic Management and Planning
Chapter 4 Financial Management in Health Care
Chapter 5 Health Care Regulatory and Certifying Agencies
SECTION 2 Structural Empowerment
Chapter 6 Organizational Decision Making and Shared Governance
Chapter 7 Professional Decision Making and Advocacy
Chapter 8 Communication in the Work Environment
Chapter 9 Personnel Policies and Programs in the Workplace
SECTION 3 Exemplary Professional Practice
Chapter 10 Professional Development
Chapter 11 Professional Practice and Care Delivery Models and Emerging Practice Models
Chapter 12 Staffing and Scheduling
Chapter 13 Delegation of Nursing Tasks
Chapter 14 Providing Competent Staff
Chapter 15 Group Management for Effective
OutcomesChapter 16 Ethical and Legal Issues in
Patient Care
SECTION 4 New Knowledge, Innovations and Improvements
Chapter 17 Improving Organizational
PerformanceChapter 18 Evidence-Based Practice
Chapter 19 Monitoring Outcomes and the Use of Data for Improvement
SECTION 5 Congratulations
Chapter 20 New Graduates: The Immediate Future: Job Interviewing, NCLEX®, and Continuing Education
,Chapter 01: Leadership and Management
Motacki: Nursing Delegation and Management of Patient Care, 3rd Edition
MULTIPLE CHOICE
1. NURSE 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
CORRECT:A
Leaders act as role models and mentor new staff. The other options are incorrect because
theyare management responsibilities and not leadership roles.
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
CORRECT:B
Managers are responsible for the budget of their units. The other options are incorrect because
those are leadership or mentoNriU
ngRrS
olI
esN.
DIFFERENCE: 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.
CORRECT:A
NURSE leaders are interested in changing practice based on evidence. Options B and D
are incorrect because they are actions taken by NURSE as part of the functional structure
of theunit. Option C is incorrect because it is an action taken by a manager.
DIFFERENCE:Cognitive Level: Analysis REF: page 6
4. A NURSE manager must exhibit qualities of efficiency and organization. Which
NURSE isdemonstrating 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.
CORRECT:C
Determining who gets “pulled” is a management decision. Option A is incorrect because it
isa 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 takenby 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. NURSE are recognized for excellence in practice.
CORRECT: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 BNiUsR coI
inS ecG
rrN tTbeB
ca.uC
seOiM
t 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.
CORRECT: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
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