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TEST BANK FOR NURSING DELEGATION AND MANAGEMENT OF PATIENT CARE 3RD EDITION BY MOTACKI

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  • 14 november 2024
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NURSING DELEGATION AND MANAGEMENT
p p p




OF PATIENT CARE, 3RD EDITION BY
p p p p p p




KATHLEEN MOTACKI TEST BANK
p p p p

,Chapter 01: Leadership and Management
p p p p




MULTIPLE CHOICE p




1. Nurses can be leaders without being managers. Which nursing actions demonstrate
p p p p p p p p p p


leadership?
p


a. Assisting a new nurse with enteral tube feedings p p p p p p p


b. Counseling a new nurse regarding attendance p p p p p


c. Adjusting assignments after a staff member calls in sick p p p p p p p p


d. Calling a physician for new order clarification
p p p p p p




ANS: A p


Leaders act as role models and mentor new staff. The other options are incorrect because they
p p p p p p p p p p p p p p p


are management responsibilities and not leadership roles.
p p p p p p p




DIF: Cognitive Level: Application p p REF: page 6 p p




2. Which nursing actions demonstrate the role of management in nursing?
p p p p p p p p p


a. Encouraging autonomous decision making p p p


b. Observing the documentation of appropriate charges to patients
p p p p p p p


c. Assisting in a code p p p


d. Asking the patient/family about advance directives
p p p p p




ANS: B p


Managers are responsible for the budget of their units. The other options are incorrect because
p p p p p p p p p p p p p p



those are leadership or mentoNriU
p p ngRrS
p olI
esN. GTB.COM p p p




DIF: Cognitive Level: Application p p REF: page 6 p p




3. Much like a politician, a nurse manager must exhibit leadership that inspires and motivates. In
p p p p p p p p p p p p p p


which instance is a nurse demonstrating leadership qualities?
p p p p p p p p


a. A staff nurse becomes aware of increased infection rates following cardiac surgery.
p p p p p p p p p p p


The nurse takes it upon herself to research the possible causes and prevention
p p p p p p p p p p p p p


measures and to make suggestions to better protect patients.
p p p p p p p p p


b. A staff nurse acts quickly when a cardiac arrest is called on her patient.
p p p p p p p p p p p p p


c. A staff nurse notifies another staff member that she is being “pulled” today.
p p p p p p p p p p p p


d. A new nurse volunteers to work when another staff member must leave work
p p p p p p p p p p p p


because her child is ill.
p p p p p

, ANS: A p


Nurse leaders are interested in changing practice based on evidence. Options B and D are
p p p p p p p p p p p p p p


incorrect because they are actions taken by nurses as part of the functional structure of
p p p p p p p p p p p p p p p


theunit. Option C is incorrect because it is an action taken by a manager.
p p p p p p p p p p p p p p p




DIF: pp p Cognitive Level: Analysisp p REF: page 6 p p




4. A nurse manager must exhibit qualities of efficiency and organization. Which nurse is
p p p p p p p p p p p p


demonstrating the qualities necessary for a manager?
p p p p p p p


a. A nurse becomes aware of increased infection rates following cardiac surgery. The
p p p p p p p p p p p

, nurse takes it upon herself to research the possible causes and prevention measures
p p p p p p p p p p p p


and to make suggestions to better protect patients.
p p p p p p p p


b. A nurse acts quickly when a cardiac arrest is called on her patient.
p p p p p p p p p p p p


c. A nurse notifies another staff member that she is being “pulled” today.
p p p p p p p p p p p


d. A nurse volunteers to work when another staff member must leave work because
p p p p p p p p p p p p


her child is ill.
p p p p




ANS: C p


Determining who gets “pulled” is a management decision. Option A is incorrect because it is
p p p p p p p p p p p p p p


a role taken by a nurse leader. Option B is incorrect because it is an action taken by staff as
p p p p p p p p p p p p p p p p p p p p


part of the functional structure of the unit. Option D is incorrect because it is an action taken
p p p p p p p p p p p p p p p p p p


by staff as part of the functional structure of the unit.
p p p p p p p p p p p




DIF: Cognitive Level: Analysis p p REF: page 6 p p




5. A nurse has accepted a position on a nursing unit where the nurse manager promotes
p p p p p p p p p p p p p p


autonomy and staff involvement in decision making. What would the nurse expect to
p p p p p p p p p p p p p


observeon this unit?
p p p p


a. Nurse manager mandates changes. p p p


b. Staff takes responsibility for assignments.
p p p p


c. Staff participates on hospital committees.
p p p p


d. Nurses are recognized for excellence in practice. p p p p p p




ANS: C p


Work environments that promote autonomy and decision making encourage participation on
p p p p p p p p p p


phospital committees so that staff may become involved in the decisions that are made.
p p p p p p p p p p p p p


pOptionA is incorrect because this is not an environment in which staff are encouraged to
p p p p p p p p p p p p p p p


pparticipate
in decision making. Option BNiU
p sR coI
inS ecG
rrN beB
tT ca.uC
seOiM
t should be seen in all environments
p p p p p p p p p p p


pregardless of autonomy. Option D is incorrect because excellence in practice is not seen solely
p p p p p p p p p p p p p p


in autonomous environments.
p p




DIF: Cognitive Level: Analysis p p REF: page 6 p p




6. The fundamental element of any patient care delivery combines work allocation with
p p p p p p p p p p p


a. patient acuity. p


b. leadership.
c. clinical decision making. p p


d. delegation.
ANS: C p


Work allocation is necessary in any patient care delivery system. The other options are
p p p p p p p p p p p p p


incorrect because it is not necessarily useful in determining the appropriate patient care
p p p p p p p p p p p p p


delivery systems needed.
p p p




DIF: pp p Cognitive Level: Analysis p p REF: page 10 p p




7. The student nurse, shadowing on a medical-surgical unit, observes the charge nurse. Which
p p p p p p p p p p p p


action would the student identify as a leadership quality in the nurse’s actions?
p p p p p p p p p p p p p


a. Making patient care assignments distributed equally to staff p p p p p p p


b. Sitting with a confused combative patient p p p p p


c. Calling the nursing office for extra staff when an RN calls in sick
p p p p p p p p p p p p

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