Test Bank for Nursing Delegation and Management of Patient Care, 3rd
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
Edition by Motacki d$ d$
d$ | Verified Chapter's 1 - 21 | Complete Newest Version
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
,Test Bank for Nursing Delegation and Management of Patient Care, 3rd Edition by Motacki
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
Chapter 01: Leadership and Management
d$ d$ d$ d$
Motacki: Nursing Delegation and Management of Patient Care, 3rd Edition
d$ d$ d$ d$ d$ d$ d$ d$ d$
MULTIPLE CHO E d$ D$
1. Nurses can be leaders without being managers. Wh h nursing actions demonst
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
rateleadership? $
d
a. Assisting a new nurse with enteral tube feedings d$ d$ d$ d$ d$ d$ d$
b. Counseling a new nurse regarding attendance d$ d$ d$ d$ d$
c. Adjusting assignments after a staff member calls in s k d$ d$ d$ d$ d$ d$ d$ d$ d$
d. Calling a phys ian for new order clarif ation d$ d$ d$ d$ d$ d$ d$ d$
ANS: A d$
Leaders act as role models and mentor new staff. The other options are incorrect becau
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
se theyare management responsibilities and not leadership roles.
d$ $
d d$ d$ d$ d$ d$ d$
DIF: Cognitive Level: Appl ation d$ d$ d$ REF: page 6 d $ d$
2. Wh h nursing actions demonstrate the role of management in nursing?
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
a. Encouraging autonomous decision making d$ d$ d$
b. Observing the documentation of appropriate charges to patients d$ d$ d$ d$ d$ d$ d$
c. Assisting in a code d$ d$ d$
d. Asking the patient/family about advance directives d$ d$ d$ d$ d$
ANS: B d$
Managers are responsible for the budget of their units. The other options are incorrect b
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
ecausethose are leadership or mentoNriU
$
d ngRrS
oIlesN. GTB.COM d$ d$ d$ d$ d$
DIF: Cognitive Level: Appl ation d$ d$ d$ REF: page 6 d $ d$
3. Much like a polit ian, a nurse manager must exhibit leadership that inspires and motivat
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
es. Inwh h instance is a nurse demonstrating leadership qualities?
d$ $
d d$ d$ d$ d$ d$ d$ d$ d$
a. A staff nurse becomes aware of increased infection rates following cardiac sur
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
gery.The nurse takes it upon herself to research the possible causes and preve
$
d d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
ntion measures and to make suggestions to better protect patients.
d$ d$ d$ d$ d$ d$ d$ d$ d$
b. A staff nurse acts qu kly when a cardiac arrest is called on her patient.
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
c. A staff nurse notifies another staff member that she is being “pulled” today.
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
d. A new nurse volunteers to work when another staff member must leave
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d
workbecause her child is ill.
$ $
d d$ d$ d$ d$
ANS: A d$
Nurse leaders are interested in changing pract e based on evidence. Options B and D
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
are incorrect because they are actions taken by nurses as part of the functional stru
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
cture of theunit. Option C is incorrect because it is an action taken by a manager.
d$ d$ $
d d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
DIF: d$d$d $ Cognitive Level: Analysis d$ d$ REF: page 6 d $ d$
4. A nurse manager must exhibit qualities of eff iency and organization. Wh h nurse
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
,d$ isdemonstrating the qualities necessary for a manager?
$
d d$ d$ d$ d$ d$ d$
a. A nurse becomes aware of increased infection rates following cardiac surgery. The
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
, nurse takes it upon herself to research the possible causes and prevention me
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
asuresand to make suggestions to better protect patients.
$
d d$ d$ d$ d$ d$ d$ d$
b. A nurse acts qu kly when a cardiac arrest is called on her patient.
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
c. A nurse notifies another staff member that she is being “pulled” today.
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
d. A nurse volunteers to work when another staff member must leave work be
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
causeher child is ill. $
d d$ d$ d$
ANS: C d$
Determining who gets “pulled” is a management decision. Option A is incorrect because
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
it isa role taken by a nurse leader. Option B is incorrect because it is an action taken b
d$ d$ $
d d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
y staff as part of the functional structure of the unit. Option D is incorrect because it is
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d
an action taken by staff as part of the functional structure of the unit.
$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
DIF: Cognitive Level: Analysis d$ d$ REF: page 6 d $ d$
5. A nurse has accepted a position on a nursing unit where the nurse manager promotes a
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
utonomy and staff involvement in decision making. What would the nurse expect to obs
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
erveon this unit? $
d d$ d$
a. Nurse manager mandates changes. d$ d$ d$
b. Staff takes responsibility for assignments.
d$ d$ d$ d$
c. Staff part ipates on hospital committees.
d$ d$ d$ d$ d$
d. Nurses are recognized for excellence in pract e. d$ d$ d$ d$ d$ d$ d$
ANS: C d$
Work environments that promote autonomy and decision making encourage part ipation
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
on hospital committees so that staff may become involved in the decisions that are ma
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
de. OptionA is incorrect because this is not an environment in wh h staff are encourage
d$ $
d d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
d to part ipate
d$ d$ d$
in decision making. Option BNiU
d$ sRincSoIrrN
ecG
tbTeBca.uCseOiM
t should be seen in all environments
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
regardless of autonomy. Option D is incorrect because excellence in pract e is not seen solely
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
in autonomous environments.
d$ d$
DIF: Cognitive Level: Analysis d$ d$ REF: page 6 d $ d$
6. The fundamental element of any patient care delivery combines work allocation with
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
a. patient acuity. d$
b. leadership.
c. clin al decision making. d$ d$ d$
d. delegation.
ANS: C d$
Work allocation is necessary in any patient care delivery system. The other option
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
s areincorrect because it is not necessarily useful in determining the appropriate p
d$ $
d d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
atient caredelivery systems needed.
d$ $
d d$ d$
DIF: d$d$d $ Cognitive Level: Analysis d$ d$ REF: page 10 d $ d$
7. The student nurse, shadowing on a med al-
d$ d$ d$ d$ d$ d$ d$
surg al unit, observes the charge nurse. Wh haction would the student identify as a le
d$ d$ d$ d$ d$ d$ d$ d$ $
d d$ d$ d$ d$ d$ d$ d$
adership quality in the nurse’s actions? d$ d$ d$ d$ d$
a. Making patient care assignments distributed equally to staff
d$ d$ d$ d$ d$ d$ d$
b. Sitting with a confused combative patient d$ d$ d$ d$ d$
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
Edition by Motacki d$ d$
d$ | Verified Chapter's 1 - 21 | Complete Newest Version
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
,Test Bank for Nursing Delegation and Management of Patient Care, 3rd Edition by Motacki
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
Chapter 01: Leadership and Management
d$ d$ d$ d$
Motacki: Nursing Delegation and Management of Patient Care, 3rd Edition
d$ d$ d$ d$ d$ d$ d$ d$ d$
MULTIPLE CHO E d$ D$
1. Nurses can be leaders without being managers. Wh h nursing actions demonst
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
rateleadership? $
d
a. Assisting a new nurse with enteral tube feedings d$ d$ d$ d$ d$ d$ d$
b. Counseling a new nurse regarding attendance d$ d$ d$ d$ d$
c. Adjusting assignments after a staff member calls in s k d$ d$ d$ d$ d$ d$ d$ d$ d$
d. Calling a phys ian for new order clarif ation d$ d$ d$ d$ d$ d$ d$ d$
ANS: A d$
Leaders act as role models and mentor new staff. The other options are incorrect becau
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
se theyare management responsibilities and not leadership roles.
d$ $
d d$ d$ d$ d$ d$ d$
DIF: Cognitive Level: Appl ation d$ d$ d$ REF: page 6 d $ d$
2. Wh h nursing actions demonstrate the role of management in nursing?
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
a. Encouraging autonomous decision making d$ d$ d$
b. Observing the documentation of appropriate charges to patients d$ d$ d$ d$ d$ d$ d$
c. Assisting in a code d$ d$ d$
d. Asking the patient/family about advance directives d$ d$ d$ d$ d$
ANS: B d$
Managers are responsible for the budget of their units. The other options are incorrect b
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
ecausethose are leadership or mentoNriU
$
d ngRrS
oIlesN. GTB.COM d$ d$ d$ d$ d$
DIF: Cognitive Level: Appl ation d$ d$ d$ REF: page 6 d $ d$
3. Much like a polit ian, a nurse manager must exhibit leadership that inspires and motivat
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
es. Inwh h instance is a nurse demonstrating leadership qualities?
d$ $
d d$ d$ d$ d$ d$ d$ d$ d$
a. A staff nurse becomes aware of increased infection rates following cardiac sur
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
gery.The nurse takes it upon herself to research the possible causes and preve
$
d d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
ntion measures and to make suggestions to better protect patients.
d$ d$ d$ d$ d$ d$ d$ d$ d$
b. A staff nurse acts qu kly when a cardiac arrest is called on her patient.
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
c. A staff nurse notifies another staff member that she is being “pulled” today.
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
d. A new nurse volunteers to work when another staff member must leave
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d
workbecause her child is ill.
$ $
d d$ d$ d$ d$
ANS: A d$
Nurse leaders are interested in changing pract e based on evidence. Options B and D
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
are incorrect because they are actions taken by nurses as part of the functional stru
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
cture of theunit. Option C is incorrect because it is an action taken by a manager.
d$ d$ $
d d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
DIF: d$d$d $ Cognitive Level: Analysis d$ d$ REF: page 6 d $ d$
4. A nurse manager must exhibit qualities of eff iency and organization. Wh h nurse
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
,d$ isdemonstrating the qualities necessary for a manager?
$
d d$ d$ d$ d$ d$ d$
a. A nurse becomes aware of increased infection rates following cardiac surgery. The
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
, nurse takes it upon herself to research the possible causes and prevention me
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
asuresand to make suggestions to better protect patients.
$
d d$ d$ d$ d$ d$ d$ d$
b. A nurse acts qu kly when a cardiac arrest is called on her patient.
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
c. A nurse notifies another staff member that she is being “pulled” today.
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
d. A nurse volunteers to work when another staff member must leave work be
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
causeher child is ill. $
d d$ d$ d$
ANS: C d$
Determining who gets “pulled” is a management decision. Option A is incorrect because
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
it isa role taken by a nurse leader. Option B is incorrect because it is an action taken b
d$ d$ $
d d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
y staff as part of the functional structure of the unit. Option D is incorrect because it is
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d
an action taken by staff as part of the functional structure of the unit.
$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
DIF: Cognitive Level: Analysis d$ d$ REF: page 6 d $ d$
5. A nurse has accepted a position on a nursing unit where the nurse manager promotes a
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
utonomy and staff involvement in decision making. What would the nurse expect to obs
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
erveon this unit? $
d d$ d$
a. Nurse manager mandates changes. d$ d$ d$
b. Staff takes responsibility for assignments.
d$ d$ d$ d$
c. Staff part ipates on hospital committees.
d$ d$ d$ d$ d$
d. Nurses are recognized for excellence in pract e. d$ d$ d$ d$ d$ d$ d$
ANS: C d$
Work environments that promote autonomy and decision making encourage part ipation
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
on hospital committees so that staff may become involved in the decisions that are ma
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
de. OptionA is incorrect because this is not an environment in wh h staff are encourage
d$ $
d d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
d to part ipate
d$ d$ d$
in decision making. Option BNiU
d$ sRincSoIrrN
ecG
tbTeBca.uCseOiM
t should be seen in all environments
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
regardless of autonomy. Option D is incorrect because excellence in pract e is not seen solely
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
in autonomous environments.
d$ d$
DIF: Cognitive Level: Analysis d$ d$ REF: page 6 d $ d$
6. The fundamental element of any patient care delivery combines work allocation with
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
a. patient acuity. d$
b. leadership.
c. clin al decision making. d$ d$ d$
d. delegation.
ANS: C d$
Work allocation is necessary in any patient care delivery system. The other option
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
s areincorrect because it is not necessarily useful in determining the appropriate p
d$ $
d d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
atient caredelivery systems needed.
d$ $
d d$ d$
DIF: d$d$d $ Cognitive Level: Analysis d$ d$ REF: page 10 d $ d$
7. The student nurse, shadowing on a med al-
d$ d$ d$ d$ d$ d$ d$
surg al unit, observes the charge nurse. Wh haction would the student identify as a le
d$ d$ d$ d$ d$ d$ d$ d$ $
d d$ d$ d$ d$ d$ d$ d$
adership quality in the nurse’s actions? d$ d$ d$ d$ d$
a. Making patient care assignments distributed equally to staff
d$ d$ d$ d$ d$ d$ d$
b. Sitting with a confused combative patient d$ d$ d$ d$ d$
