Leadership/ Management/ Delegation/ Prioritizing Exam
Questions With Complete Solutions
184. The nursing instructor is conducting a teaching session on
nursing care plans. Which statement, if made by a student,
indicates a need for further instruction?
1. "A nursing care plan is a written guideline and
communication tool."
2. "A nursing care plan involves members of the health care
team only."
3. "A nursing care plan identifies the client's pertinent
assessment data."
4. "A nursing care plan enhances continuity of care by
identifying specific nursing actions." Correct Answers 184.
Answer: 2 Rationale: A nursing care plan involves members of
the health care team as well as the client and family, and short-
and long-term goals are developed. A nursing care plan is a
written guideline and communication tool that identifies the
client's pertinent assessment data, problems and nursing
diagnoses, goals, interventions, and expected outcomes. Care
plans enhance continuity of care by identifying specific nursing
actions necessary to achieve the goals of care. • Test-Taking
Strategy: Note the strategic words "need for further instruction."
These words indicate a negative event query and the need to
select the incorrect statement as the answer. In addition, noting
the closed-ended word "only" will assist in directing you to the
correct option. • Review: nursing care plans.
185. The case manager is responsible for which aspect( s) of
client care? Select all that apply.
1. Coordinating consultations and referrals
,2. Delivering competent bedside client care
3. Establishing a plan of care with the client
4. Addressing client concerns and facilitating discharge
5. Supervising care provided by unlicensed assistive personnel
(UAP) Correct Answers 185. Answer: 1, 3, 4 Rationale: A case
manager is a professional nurse who assumes responsibility for
coordinating the client's care at admission and after discharge.
Responsibilities of the case manager include coordinating
consultations and referrals; establishing a plan of care with the
client; and addressing client concerns and facilitating discharge.
Delivering competent bedside care and supervising care
provided by a UAP are responsibilities of the primary nurse. •
Test-Taking Strategy: Note the subject, responsibilities of the
case manager. Recalling that the case manager does not typically
provide bedside care will assist you in eliminating the incorrect
options. • Review: responsibilities of the case manager.
186. The new nursing graduate understands that nursing care
plans enhance continuity of client care by serving as a written
guideline and ensuring communication by identifying which
item?
1. Short-term goals delineated for the hospital stay only
2. Nursing actions necessary to achieve the goals of care
3. The similarity between nursing actions and medical actions
4. The mode of communication between interdisciplinary care
teams Correct Answers 186. Answer: 2 Rationale: A nursing
care plan is a written guideline and communication tool that
identifies the client's pertinent assessment data, problems and
nursing diagnoses, interventions, and expected outcomes. The
plan enhances continuity of client care by identifying the
nursing actions necessary to achieve the goals of care. Short-
,term and long-term goals are identified as the client and family
are involved in developing the plan of care. Nursing care plans
do not identify the similarity between nursing and medical
actions involved in client care. This tool does not serve as a
mode of communication between interdisciplinary care teams,
although it can be used as a reference at care plan coordination
meetings. • Test-Taking Strategy: Note the subject, the purpose
of the nursing care plan. Begin by eliminating option 1, noting
the closed-ended word "only." Next, eliminate options 3 and 4
because they are comparable or alike and identify integration
between nursing and other health care disciplines. • Review:
nursing care plans.
187. The nurse newly employed in the acute care setting
understands that relationship-based nursing is focused on which
specific purpose?
1. Keeping the nurse at the bedside
2. Accountability for specific tasks
3. Caring for clients close by geographically
4. Delegated tasks rather than the total client Correct Answers
187. Answer: 1 Rationale: Relationship-based nursing focuses
on keeping the nurse at the bedside, actively involved in client
care, while planning goal-directed, individualized client care.
Team nursing is focused on accountability for specific tasks.
Modular nursing is focused on caring for clients who are close
by geographically. Functional nursing and team nursing focus
on delegated tasks rather than the total client. • Test-Taking
Strategy: Focus on the subject, relationship-based nursing. Note
the similarity between the word "relationship" and the correct
option. • Review: relationship-based nursing.
, 188. The newly-employed nurse is attending orientation and is
learning about accountability. Which description is accurate
with regard to this professional responsibility?
1. The individual ensures that mistakes are never associated with
care provided.
2. The individual has an obligation to the client and is
answerable for his or her actions.
3. The individual does not admit to fault and focuses on
avoidance of malpractice suits.
4. The individual assumes responsibilities within and outside of
his or her scope of practice. Correct Answers 188. Answer: 2
Rationale: Accountability is the process in which individuals
have an obligation (or duty) to act and are answerable for their
actions. The individual admits to mistakes rather than blaming
others and evaluates the outcomes of one's own actions. The
individual assumes responsibilities within his or her scope of
practice (not outside) and does not assume responsibility for
which competence has not been achieved. • Test-Taking
Strategy: Note the subject, the professional responsibility of
accountability. Eliminate options 1 and 3 because they are
comparable or alike. Eliminate option 4 because of the word
"outside." • Review: accountability.
189. The charge nurse on a medical-surgical unit is using the
concepts of leadership and management to ensure functionality
of the unit. The nurse understands that, as a leader or manager
(as opposed to a follower), it is necessary to have which primary
ability?
1. Influence others
2. Follow guidelines
3. Use the chain of command
Questions With Complete Solutions
184. The nursing instructor is conducting a teaching session on
nursing care plans. Which statement, if made by a student,
indicates a need for further instruction?
1. "A nursing care plan is a written guideline and
communication tool."
2. "A nursing care plan involves members of the health care
team only."
3. "A nursing care plan identifies the client's pertinent
assessment data."
4. "A nursing care plan enhances continuity of care by
identifying specific nursing actions." Correct Answers 184.
Answer: 2 Rationale: A nursing care plan involves members of
the health care team as well as the client and family, and short-
and long-term goals are developed. A nursing care plan is a
written guideline and communication tool that identifies the
client's pertinent assessment data, problems and nursing
diagnoses, goals, interventions, and expected outcomes. Care
plans enhance continuity of care by identifying specific nursing
actions necessary to achieve the goals of care. • Test-Taking
Strategy: Note the strategic words "need for further instruction."
These words indicate a negative event query and the need to
select the incorrect statement as the answer. In addition, noting
the closed-ended word "only" will assist in directing you to the
correct option. • Review: nursing care plans.
185. The case manager is responsible for which aspect( s) of
client care? Select all that apply.
1. Coordinating consultations and referrals
,2. Delivering competent bedside client care
3. Establishing a plan of care with the client
4. Addressing client concerns and facilitating discharge
5. Supervising care provided by unlicensed assistive personnel
(UAP) Correct Answers 185. Answer: 1, 3, 4 Rationale: A case
manager is a professional nurse who assumes responsibility for
coordinating the client's care at admission and after discharge.
Responsibilities of the case manager include coordinating
consultations and referrals; establishing a plan of care with the
client; and addressing client concerns and facilitating discharge.
Delivering competent bedside care and supervising care
provided by a UAP are responsibilities of the primary nurse. •
Test-Taking Strategy: Note the subject, responsibilities of the
case manager. Recalling that the case manager does not typically
provide bedside care will assist you in eliminating the incorrect
options. • Review: responsibilities of the case manager.
186. The new nursing graduate understands that nursing care
plans enhance continuity of client care by serving as a written
guideline and ensuring communication by identifying which
item?
1. Short-term goals delineated for the hospital stay only
2. Nursing actions necessary to achieve the goals of care
3. The similarity between nursing actions and medical actions
4. The mode of communication between interdisciplinary care
teams Correct Answers 186. Answer: 2 Rationale: A nursing
care plan is a written guideline and communication tool that
identifies the client's pertinent assessment data, problems and
nursing diagnoses, interventions, and expected outcomes. The
plan enhances continuity of client care by identifying the
nursing actions necessary to achieve the goals of care. Short-
,term and long-term goals are identified as the client and family
are involved in developing the plan of care. Nursing care plans
do not identify the similarity between nursing and medical
actions involved in client care. This tool does not serve as a
mode of communication between interdisciplinary care teams,
although it can be used as a reference at care plan coordination
meetings. • Test-Taking Strategy: Note the subject, the purpose
of the nursing care plan. Begin by eliminating option 1, noting
the closed-ended word "only." Next, eliminate options 3 and 4
because they are comparable or alike and identify integration
between nursing and other health care disciplines. • Review:
nursing care plans.
187. The nurse newly employed in the acute care setting
understands that relationship-based nursing is focused on which
specific purpose?
1. Keeping the nurse at the bedside
2. Accountability for specific tasks
3. Caring for clients close by geographically
4. Delegated tasks rather than the total client Correct Answers
187. Answer: 1 Rationale: Relationship-based nursing focuses
on keeping the nurse at the bedside, actively involved in client
care, while planning goal-directed, individualized client care.
Team nursing is focused on accountability for specific tasks.
Modular nursing is focused on caring for clients who are close
by geographically. Functional nursing and team nursing focus
on delegated tasks rather than the total client. • Test-Taking
Strategy: Focus on the subject, relationship-based nursing. Note
the similarity between the word "relationship" and the correct
option. • Review: relationship-based nursing.
, 188. The newly-employed nurse is attending orientation and is
learning about accountability. Which description is accurate
with regard to this professional responsibility?
1. The individual ensures that mistakes are never associated with
care provided.
2. The individual has an obligation to the client and is
answerable for his or her actions.
3. The individual does not admit to fault and focuses on
avoidance of malpractice suits.
4. The individual assumes responsibilities within and outside of
his or her scope of practice. Correct Answers 188. Answer: 2
Rationale: Accountability is the process in which individuals
have an obligation (or duty) to act and are answerable for their
actions. The individual admits to mistakes rather than blaming
others and evaluates the outcomes of one's own actions. The
individual assumes responsibilities within his or her scope of
practice (not outside) and does not assume responsibility for
which competence has not been achieved. • Test-Taking
Strategy: Note the subject, the professional responsibility of
accountability. Eliminate options 1 and 3 because they are
comparable or alike. Eliminate option 4 because of the word
"outside." • Review: accountability.
189. The charge nurse on a medical-surgical unit is using the
concepts of leadership and management to ensure functionality
of the unit. The nurse understands that, as a leader or manager
(as opposed to a follower), it is necessary to have which primary
ability?
1. Influence others
2. Follow guidelines
3. Use the chain of command
