Nursing Delegation and Management of Patient Care 3rd Edition – Motacki – Complete Test Bank Chapters 1–21

Test Bank for Nursing Delegation and Management of Patient Care, 3rd
Edition by Motacki
| Verified Chapter's 1 - 21 | Complete Newest Version

,Test Bank for Nursing Delegation and Management of Patient Care, 3rd Edition by Motacki
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Chapter 01: Leadership and Management
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Motacki: Nursing Delegation and Management of Patient Care, 3rd Edition
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MULTIPLE CHOICE fi




1. Nurses can be leaders without being managers. Which nursing actions demonstrat
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eleadership?
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a. Assisting a new nurse with enteral tube feedings fi fi fi fi fi fi fi


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


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


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




ANS: A fi


Leaders act as role models and mentor new staff. The other options are incorrect because the
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yare management responsibilities and not leadership roles.
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DIF: Cognitive Level: Application fi fi REF: page 6 f i fi




2. Which nursing actions demonstrate the role of management in nursing?
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a. Encouraging autonomous decision making fi fi fi


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


c. Assisting in a code fi fi fi


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




ANS: B fi


Managers are responsible for the budget of their units. The other options are incorrect becaus
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ethose are leadership or mentoNriU
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DIF: Cognitive Level: Application fi fi REF: page 6 f i fi




3. Much like a politician, a nurse manager must exhibit leadership that inspires and motivates. In
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which instance is a nurse demonstrating leadership qualities?
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a. A staff nurse becomes aware of increased infection rates following cardiac surgery.
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The nurse takes it upon herself to research the possible causes and prevention mea
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sures and to make suggestions to better protect patients.
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b. A staff nurse acts quickly when a cardiac arrest is called on her patient.
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c. A staff nurse notifies another staff member that she is being “pulled” today.
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d. A new nurse volunteers to work when another staff member must leave wor
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kbecause her child is ill.
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ANS: A fi


Nurse leaders are interested in changing practice based on evidence. Options B and D are
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incorrect because they are actions taken by nurses as part of the functional structure of th
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eunit. Option C is incorrect because it is an action taken by a manager.
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DIF: fifif i Cognitive Level: Analysis fi fi REF: page 6 f i fi




4. A nurse manager must exhibit qualities of efficiency and organization. Which nurse isd
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,emonstrating the qualities necessary for a manager?
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a. A nurse becomes aware of increased infection rates following cardiac surgery. The
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, nurse takes it upon herself to research the possible causes and prevention measur
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esand to make suggestions to better protect patients.
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b. A nurse acts quickly when a cardiac arrest is called on her patient.
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c. A nurse notifies another staff member that she is being “pulled” today.
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d. A nurse volunteers to work when another staff member must leave work becaus
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eher child is ill. if fi fi fi




ANS: C fi


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


role taken by a nurse leader. Option B is incorrect because it is an action taken by staff as par
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t of the functional structure of the unit. Option D is incorrect because it is an action taken by s
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taff as part of the functional structure of the unit.
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DIF: Cognitive Level: Analysis fi fi REF: page 6 f i fi




5. A nurse has accepted a position on a nursing unit where the nurse manager promotes autono
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my and staff involvement in decision making. What would the nurse expect to observeon this
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unit?
a. Nurse manager mandates changes. fi fi fi


b. Staff takes responsibility for assignments. fi fi fi fi


c. Staff participates on hospital committees. fi fi fi fi


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




ANS: C fi


Work environments that promote autonomy and decision making encourage participation on
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hospital committees so that staff may become involved in the decisions that are made. Optio
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nA is incorrect because this is not an environment in which staff are encouraged to participate
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in decision making. Option BNiU
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incSoIrrN
ecGTeBca.uCseOiM
tb t should be seen in all environments
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regardless of autonomy. Option D is incorrect because excellence in practice is not seen solely
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in autonomous environments.
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DIF: Cognitive Level: Analysis fi fi REF: page 6 f i fi




6. The fundamental element of any patient care delivery combines work allocation with
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a. patient acuity. fi


b. leadership.
c. clinical decision making. fi fi


d. delegation.
ANS: C fi


Work allocation is necessary in any patient care delivery system. The other options arei
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ncorrect because it is not necessarily useful in determining the appropriate patient car
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edelivery systems needed.
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DIF: fifif i Cognitive Level: Analysis fi fi REF: page 10 f i fi




7. The student nurse, shadowing on a medical-
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surgical unit, observes the charge nurse. Whichaction would the student identify as a leade
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rship quality in the nurse’s actions?fi fi fi fi fi


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


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


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