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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 nursing attendants can be leaders without being managers.
Which nursing actions demonstrate leadership?
a. Assisting a new nursing attendant with enteral tube feedings
b. Counseling a new nursing attendant regarding attendance
c. Adjusting assignments after a staff member calls in sick
d. Calling a physician for new order clarification
ACCURATE ANSWER:-A
Reasoning:->>>Leaders act as role models and mentor new staff. The other options are
wrong because they are management responsibilities and not leadership roles.

DIFFICULT:Cognitive Level: Application REF: PG 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 hospital patients
c. Assisting in a code
d. Asking the hospital patient/family about advance directives
ACCURATE ANSWER:-B
Feedback :->>>Managers are responsible for the budget of their units. The other
options are wrong because those are leadership or mento NriUngRrSolIesN
DIFFICULT: Cognitive Level: Application REF:PG 6

3. Much like a politician, a nursing attendant manager must exhibit leadership that inspires
and motivates. In which instance is a nursing attendant demonstrating leadership qualities?
a. A staff nursing attendant becomes aware of increased infection rates
following cardiac surgery. The nursing attendant takes it upon herself to
research the possible causes and prevention measures and to make
suggestions to better protect hospital patients.
b. A staff nursing attendant acts quickly when a cardiac arrest is called on her hospital patient.
c. A staff nursing attendant notifies another staff member that she is being “pulled” today.
d. A new nursing attendant volunteers to work when another staff
member must leave work because her child is ill.
ACCURATE ANSWER:-A
Feedback :->>>Nursing attendant leaders are interested in changing practice based on
evidence. Options B and D are wrong because they are actions taken by nursing
attendants as part of the functional structure of the unit. Option C is wrong because it is
an action taken by a manager.

DIFFICULT: Cognitive Level: Analysis REF:PG 6

4. A nursing attendant manager must exhibit qualities of efficiency and
organization. Which nursing attendant is demonstrating the qualities necessary
for a manager?
a. A nursing attendant becomes aware of increased infection rates following cardiac
surgery. The

, nursing attendant takes it upon herself to research the possible causes and
prevention measures and to make suggestions to better protect hospital patients.
b. A nursing attendant acts quickly when a cardiac arrest is called on her hospital patient.
c. A nursing attendant notifies another staff member that she is being “pulled” today.
d. A nursing attendant volunteers to work when another staff member
must leave work because her child is ill.
ACCURATE ANSWER:-C
Feedback :->>> determining who gets “pulled” is a management decision. Option A is
wrong because it is a role taken by a nursing attendant leader. Option B is wrong because
it is an action taken by staff as part of the functional structure of the unit. Option D is
wrong because it is an action taken by staff as part of the functional structure of the unit.

DIFFICULT: Cognitive Level: Analysis REF:PG 6

5. A nursing attendant has accepted a position on a nursing unit where the nursing
attendant manager promotes autonomy and staff involvement in decision making.
What would the nursing attendant expect to observe on this unit?
a. Nursing attendant manager mandates changes.
b. Staff takes responsibility for assignments.
c. Staff participates on health center committees.
d. Nursing attendants are recognized for excellence in practice.
ACCURATE ANSWER:-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 wrong because this is not an environment in which staff are encouraged to
participate
in decision making. Option BNU i s RinS coIrrNecGt TbeBca.uCse OiMt should be seen in
all environments regardless of autonomy. Option D is wrong because excellence in practice is
not seen solely
in autonomous environments.

DIFFICULT: Cognitive Level: Analysis REF:PG 6

6. The fundamental element of any hospital patient care delivery combines work allocation with
a. hospital patient acuity.
b. leadership.
c. clinical decision making.
d. delegation.
ACCURATE ANSWER:-C
Feedback :->>> Work allocation is necessary in any hospital patient care delivery
system. The other options are wrong because it is not necessarily useful in determining
the appropriate hospital patient care delivery systems needed.

DIFFICULT: Cognitive Level: Analysis REF:PG 10

7. The student nursing attendant, shadowing on a medical-surgical unit, observes the
charge nursing attendant. Which action would the student identify as a leadership
quality in the nursing attendant’s actions?
a. Making hospital patient care assignments distributed equally to staff
b. Sitting with a confused combative hospital patient
c. Calling the nursing office for extra staff when an RN calls in sick

, d. Assisting in a code
ACCURATE ANSWER:-B
Feedback :->>> Leaders act as role models and do what is right for the hospital
patient. The other options are wrong because these actions are expected as part of the
functioning of the unit.

DIFFICULT:Cognitive Level: Analysis REF:PG 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
ACCURATE ANSWER:-B
Feedback :->>> the ability to manage a budget is essential to being a manager in primary
health care today. The other options are wrong because they are only a perception of the
public regarding successful managers.

DIFFICULT: Cognitive Level: Application REF:PG 3 | page 7

9. The novice nursing attendant is speaking with the nursing attendant manager about their
roles within the hierarchy of the institution. The nursing attendant 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
ACCURATE ANSWER:-A
Feedback :->>> Many times the goals of the institution conflict with the goals of the
individual employees of a particular clinical area and the nursing attendant manager must
implement institutional changes regardless of the nursing attendant’s personal opinion. The
other options are wrong because those roles should not provoke as much conflict.

DIFFICULT: Cognitive Level: Application REF: pages 7-8

10. Nursing attendant 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.
ACCURATE ANSWER:-C
Feedback :->>>Managers motivate staff to make changes. Options A and B are wrong
because nursing attendant managers usually do not make institutional goals. Option C
is wrong because leaders inspire, not managers.

DIFFICULT: Cognitive Level: Application REF:PG 6

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