m m m m m m
AGEMENT OF PATIENT CARE 3RD EDITION BY MO
m m m m m m m
TACKI RN MSN, KATHLEEN, BURKE RN PHD, KATH
m m m m m m m
LEEN
,CHm01:mLeadershipmandmManagement
Motacki:mNursingmDelegationmandmManagementmofmPatientm Care,m3rdmEdition
MULTIPLEmCHOICE
1. Amnursingmattendantsmcanmbemleadersmwithoutmbeingmmanagers.mW
hichmnursingmactionsmdemonstratemleadership?
a. Assistingmamnewmnursingmattendantmwithmenteralmtubemfeedings
b. Counselingmamnewmnursingmattendantmregardingmattendance
c. Adjustingmassignmentsmaftermamstaffmmembermcallsminmsick
d. Callingmamphysicianmformnewmordermclarification
ACCURATEmANSWER:-A
Reasoning:-
>>>Leadersmactmasmrolemmodelsmandmmentormnewmstaff.mThemothermoptionsmaremwrongmb
ecausemtheymaremmanagementmresponsibilitiesmandmnotmleadershipmroles.
DIFFICULT:CognitivemLevel:mApplication REF:mPGm6
2. Whichmnursingmactionsmdemonstratemthemrolemofmmanagementminmnursing?
a. Encouragingmautonomousmdecisionmmaking
b. Observingmthemdocumentationmofmappropriatemchargesmtomhospitalmpatients
c. Assistingminmamcode
d. Askingmthemhospitalmpatient/familymaboutmadvancemdirectives
ACCURATEmANSWER:-B
Feedbackm :-
>>>Managersm arem responsiblem form them budgetm ofm theirm units.m Them othermoptionsmarem
wrongmbecausemthosemaremleadershipmormmentoNriUngRrSolIesN
DIFFICULT:mCognitivemLevel:mApplication REF:PGm6
3. Muchmlikemampolitician,mamnursingmattendantmmanagermmustmexhibitmleadershipmthatminspire
smandmmotivates.mInmwhichminstancemismamnursingmattendantmdemonstratingmleadershipmqual
ities?
a. Amstaffmnursingmattendantmbecomesmawaremofmincreasedminfectionmratesmfo
llowingmcardiacmsurgery.mThemnursingmattendantmtakesmitmuponmherselfmtom
researchmthempossiblemcausesmandmpreventionmmeasuresmandmtommakemsug
gestionsmtombettermprotectmhospitalmpatients.
b. Amstaffmnursingmattendantmactsmquicklymwhenmamcardiacmarrestmismcalledmonmhermhospitalmpati
ent.
c. Amstaffmnursingmattendantmnotifiesmanothermstaffmmembermthatmshemismbeingm“pulled”mtoday.
d. Amnewmnursingmattendantmvolunteersmtomworkmwhenmanothermstaffmme
mbermmustmleavemworkmbecausemhermchildmismill.
ACCURATEmANSWER:-A
Feedbackm:-
>>>Nursingmattendantmleadersmareminterestedminmchangingmpracticembasedmonmevidence.m
OptionsmBmandmDmaremwrongmbecausemtheymaremactionsmtakenmbymnursingmattendantsmasm
partmofmthemfunctionalmstructuremofmthemunit.mOptionmCmismwrongmbecausemitmismanmactionm
takenmbymammanager.
DIFFICULT:m m CognitivemLevel:mAnalysis REF:PGm6
4. Amnursingmattendantmmanagermmustmexhibitmqualitiesmofmefficiencymandmorganiza
tion.mWhichmnursingmattendantmismdemonstratingmthemqualitiesmnecessarymformam
manager?
,a. Amnursingmattendantmbecomesmawaremofmincreasedminfectionmratesmfollowingmcardiacmsur
gery.mThe
, nursingmattendantmtakesmitmuponmherselfmtomresearchmthempossiblemcausesmandmpre
ventionmmeasuresmandmtommakemsuggestionsmtombettermprotectmhospitalmpatients.
b. Amnursingmattendantmactsmquicklymwhenmamcardiacmarrestmismcalledmonmhermhospitalmpatient.
c. Amnursingmattendantmnotifiesmanothermstaffmmembermthatmshemismbeingm“pulled”mtoday.
d. Amnursingmattendantmvolunteersmtomworkmwhenmanothermstaffmmemberm
mustmleavemworkmbecausemhermchildmismill.
ACCURATEmANSWER:-C
Feedbackm:-
>>>mdeterminingmwhomgetsm“pulled”mismammanagementmdecision.mOptionmAmismwrongmbe
causemitmismamrolemtakenmbymamnursingmattendantmleader.mOptionmBmismwrongmbecausemitmis
manmactionmtakenmbymstaffmasmpartmofmthemfunctionalmstructuremofmthemunit.mOptionmDmismw
rongmbecausemitmismanmactionmtakenmbymstaffmasmpartmofmthemfunctionalmstructuremofmthemun
it.
DIFFICULT:m m CognitivemLevel:mAnalysis REF:PGm6
5. Amnursingmattendantmhasmacceptedmampositionmonmamnursingmunitmwheremthemnursingm
attendantmmanagermpromotesmautonomymandmstaffminvolvementminmdecisionmmaking.
mWhatmwouldmthemnursingmattendantmexpectmtomobservemonmthismunit?
a. Nursingmattendantmmanagermmandatesmchanges.
b. Staffmtakesmresponsibilitymformassignments.
c. Staffmparticipatesmonmhealthmcentermcommittees.
d. Nursingmattendantsmaremrecognizedmformexcellenceminmpractice.
ACCURATEmANSWER:-C
Feedbackm:-
>>>mWorkmenvironmentsmthatmpromotemautonomymandmdecisionmmakingmencouragemparticip
ationmonmhealthmcentermcommitteesmsomthatmstaffmmaymbecomeminvolvedminmthemdecisionsmth
atmaremmade.
OptionmAmismwrongmbecausemthismismnotmanmenvironmentminmwhichmstaffmaremencouraged
mtomparticipate
inmdecisionmmaking.mOptionmBNU im smRin
Sm coIrrNm ecGtTm beBca.uCseOm iMtmshouldmbemseen
minmallmenvironments mregardlessmofmautonomy.mOptionmD mismwrongmbecausemexcellenceminmpr
acticemismnotmseenmsolely
inmautonomousmenvironments.
DIFFICULT:m m CognitivemLevel:mAnalysis REF:PGm6
6. Themfundamentalmelementmofmanymhospitalmpatientmcaremdeliverymcombinesmworkmallocationmwit
h
a. hospitalmpatientmacuity.
b. leadership.
c. clinicalmdecisionmmaking.
d. delegation.
ACCURATEmANSWER:-C
Feedbackm:-
>>>mWorkmallocationmismnecessaryminmanymhospitalmpatientmcaremdeliverymsystem.mThe
mothermoptionsmaremwrongmbecausemitmismnotmnecessarilymusefulminmdeterminingmthemap
propriatemhospitalmpatientmcaremdeliverymsystemsmneeded.
DIFFICULT:m m CognitivemLevel:mAnalysis REF:PGm10
7. Themstudentmnursingmattendant,mshadowingmonmammedical-
surgicalmunit,mobservesmthemchargemnursingmattendant.mWhichmactionmwouldmthemstuden
tmidentifymasmamleadershipmqualityminmthemnursingmattendant’smactions?
a. Makingmhospitalmpatientmcaremassignmentsmdistributedmequallymtomstaff