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