Test Bank for Nursing Delegation and Management of Patient Care,
b7 b7 b7 b7 b7 b7 b7 b7 b7
b7 3rd Edition by Motacki
b7 b7 b7
b7 | Verified Chapter's 1 - 21 | Complete Newest Version
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
,Test Bank for Nursing Delegation and Management of Patient Care, 3rd Edition by Motacki
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
Chapter 01: Leadership and Management
b7 b7 b7 b7
Motacki: Nursing Delegation and Management of Patient Care, 3rd Edition
b7 b7 b7 b7 b7 b7 b7 b7 b7
MULTIPLE CHOICE b7
1. Nurses can be leaders without being managers. Which nursing actions
b7 b7 b7 b7 b7 b7 b7 b7 b7
demonstrateleadership?
b7 7
b
a. Assisting a new nurse with enteral tube feedings
b7 b7 b7 b7 b7 b7 b7
b. Counseling a new nurse regarding attendance b7 b7 b7 b7 b7
c. Adjusting assignments after a staff member calls in sick
b7 b7 b7 b7 b7 b7 b7 b7
d. Calling a physician for new order clarification
b7 b7 b7 b7 b7 b7
ANS: A b7
Leaders act as role models and mentor new staff. The other options are incorrect
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
because theyare management responsibilities and not leadership roles.
b7 b7 7
b b7 b7 b7 b7 b7 b7
DIF: Cognitive Level: Application b7 b7 REF: b 7 page 6 b7
2. Which nursing actions demonstrate the role of management in nursing?
b7 b7 b7 b7 b7 b7 b7 b7 b7
a. Encouraging autonomous decision making b7 b7 b7
b. Observing the documentation of appropriate charges to patients
b7 b7 b7 b7 b7 b7 b7
c. Assisting in a code b7 b7 b7
d. Asking the patient/family about advance directives
b7 b7 b7 b7 b7
ANS: B b7
Managers are responsible for the budget of their units. The other options are incorrect
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
becausethose are leadership or mentoNriU
b7 7
b ngRrS
oIlesN. GTB.COMb7 b7 b7 b7 b7
DIF: Cognitive Level: Application b7 b7 REF: b 7 page 6 b7
3. Much like a politician, a nurse manager must exhibit leadership that inspires and
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
b7 motivates. Inwhich instance is a nurse demonstrating leadership qualities?
b7 7
b b7 b7 b7 b7 b7 b7 b7
a. A staff nurse becomes aware of increased infection rates following cardiac
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
surgery.The nurse takes it upon herself to research the possible causes and
b7 7
b b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
prevention measures and to make suggestions to better protect patients.
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
b. A staff nurse acts quickly when a cardiac arrest is called on her patient.
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
c. A staff nurse notifies another staff member that she is being “pulled” today.
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
d. A new nurse volunteers to work when another staff member must
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
leave workbecause her child is ill.
b7 b7 7
b b7 b7 b7 b7
ANS: A b7
Nurse leaders are interested in changing practice based on evidence. Options B
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
and D are incorrect because they are actions taken by nurses as part of the
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
functional structure of theunit. Option C is incorrect because it is an action taken
b7 b7 b7 b7 7
b b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
by a manager.
b7 b7 b7
DIF: b7 b7 b 7 Cognitive Level: Analysis b7 b7 REF: b 7 page 6 b7
,4. A nurse manager must exhibit qualities of efficiency and organization. Which
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
nurse isdemonstrating the qualities necessary for a manager?
b7 b7 7
b b7 b7 b7 b7 b7 b7
a. A nurse becomes aware of increased infection rates following cardiac surgery. The
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
, nurse takes it upon herself to research the possible causes and prevention
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
measuresand to make suggestions to better protect patients.
b7 7
b b7 b7 b7 b7 b7 b7 b7
b. A nurse acts quickly when a cardiac arrest is called on her patient.
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
c. A nurse notifies another staff member that she is being “pulled” today.
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
d. A nurse volunteers to work when another staff member must leave work
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
becauseher child is ill.
b7 7
b b7 b7 b7
ANS: C b7
Determining who gets “pulled” is a management decision. Option A is incorrect
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
because it isa role taken by a nurse leader. Option B is incorrect because it is an
b7 b7 b7 7
b b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
action taken by staff as part of the functional structure of the unit. Option D is
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
incorrect because it is an action taken by staff as part of the functional structure of
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
the unit.
b7 b7
DIF: Cognitive Level: Analysis b7 b7 REF: b 7 page 6 b7
5. A nurse has accepted a position on a nursing unit where the nurse manager
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
promotes autonomy and staff involvement in decision making. What would the nurse
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
expect to observeon this unit?
b7 b7 b7 7
b b7 b7
a. Nurse manager mandates changes. b7 b7 b7
b. Staff takes responsibility for assignments.
b7 b7 b7 b7
c. Staff participates on hospital committees.
b7 b7 b7 b7
d. Nurses are recognized for excellence in practice.
b7 b7 b7 b7 b7 b7
ANS: C b7
Work environments that promote autonomy and decision making encourage
b7 b7 b7 b7 b7 b7 b7 b7
participation on hospital committees so that staff may become involved in the
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
decisions that are made. OptionA is incorrect because this is not an environment in
b7 b7 b7 b7 b7 7
b b7 b7 b7 b7 b7 b7 b7 b7 b7
which staff are encouraged to participate
b7 b7 b7 b7 b7 b7
in decision making. Option BNiU
b7 sR coIrrN
inS ecG
tTbeB
ca.uC
b7seOiM
t should be seen in all environments b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
regardless of autonomy. Option D is incorrect because excellence in practice is not seen solely
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
in autonomous environments.
b7 b7
DIF: Cognitive Level: Analysis b7 b7 REF: b 7 page 6 b7
6. The fundamental element of any patient care delivery combines work allocation with
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
a. patient acuity. b7
b. leadership.
c. clinical decision making. b7 b7
d. delegation.
ANS: C b7
Work allocation is necessary in any patient care delivery system. The other
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
options are incorrect because it is not necessarily useful in determining the
b7 b7 7
b b7 b7 b7 b7 b7 b7 b7 b7 b7
appropriate patient caredelivery systems needed.
b7 b7 b7 7
b b7 b7
DIF: b7 b7 b 7 Cognitive Level: Analysis b7 b7 REF: b 7 page 10 b7
7. The student nurse, shadowing on a medical-surgical unit, observes the charge nurse.
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
Whichaction would the student identify as a leadership quality in the nurse’s
b7 7
b b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
actions?
b7
a. Making patient care assignments distributed equally to staff
b7 b7 b7 b7 b7 b7 b7
b7 b7 b7 b7 b7 b7 b7 b7 b7
b7 3rd Edition by Motacki
b7 b7 b7
b7 | Verified Chapter's 1 - 21 | Complete Newest Version
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
,Test Bank for Nursing Delegation and Management of Patient Care, 3rd Edition by Motacki
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
Chapter 01: Leadership and Management
b7 b7 b7 b7
Motacki: Nursing Delegation and Management of Patient Care, 3rd Edition
b7 b7 b7 b7 b7 b7 b7 b7 b7
MULTIPLE CHOICE b7
1. Nurses can be leaders without being managers. Which nursing actions
b7 b7 b7 b7 b7 b7 b7 b7 b7
demonstrateleadership?
b7 7
b
a. Assisting a new nurse with enteral tube feedings
b7 b7 b7 b7 b7 b7 b7
b. Counseling a new nurse regarding attendance b7 b7 b7 b7 b7
c. Adjusting assignments after a staff member calls in sick
b7 b7 b7 b7 b7 b7 b7 b7
d. Calling a physician for new order clarification
b7 b7 b7 b7 b7 b7
ANS: A b7
Leaders act as role models and mentor new staff. The other options are incorrect
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
because theyare management responsibilities and not leadership roles.
b7 b7 7
b b7 b7 b7 b7 b7 b7
DIF: Cognitive Level: Application b7 b7 REF: b 7 page 6 b7
2. Which nursing actions demonstrate the role of management in nursing?
b7 b7 b7 b7 b7 b7 b7 b7 b7
a. Encouraging autonomous decision making b7 b7 b7
b. Observing the documentation of appropriate charges to patients
b7 b7 b7 b7 b7 b7 b7
c. Assisting in a code b7 b7 b7
d. Asking the patient/family about advance directives
b7 b7 b7 b7 b7
ANS: B b7
Managers are responsible for the budget of their units. The other options are incorrect
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
becausethose are leadership or mentoNriU
b7 7
b ngRrS
oIlesN. GTB.COMb7 b7 b7 b7 b7
DIF: Cognitive Level: Application b7 b7 REF: b 7 page 6 b7
3. Much like a politician, a nurse manager must exhibit leadership that inspires and
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
b7 motivates. Inwhich instance is a nurse demonstrating leadership qualities?
b7 7
b b7 b7 b7 b7 b7 b7 b7
a. A staff nurse becomes aware of increased infection rates following cardiac
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
surgery.The nurse takes it upon herself to research the possible causes and
b7 7
b b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
prevention measures and to make suggestions to better protect patients.
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
b. A staff nurse acts quickly when a cardiac arrest is called on her patient.
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
c. A staff nurse notifies another staff member that she is being “pulled” today.
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
d. A new nurse volunteers to work when another staff member must
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
leave workbecause her child is ill.
b7 b7 7
b b7 b7 b7 b7
ANS: A b7
Nurse leaders are interested in changing practice based on evidence. Options B
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
and D are incorrect because they are actions taken by nurses as part of the
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
functional structure of theunit. Option C is incorrect because it is an action taken
b7 b7 b7 b7 7
b b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
by a manager.
b7 b7 b7
DIF: b7 b7 b 7 Cognitive Level: Analysis b7 b7 REF: b 7 page 6 b7
,4. A nurse manager must exhibit qualities of efficiency and organization. Which
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
nurse isdemonstrating the qualities necessary for a manager?
b7 b7 7
b b7 b7 b7 b7 b7 b7
a. A nurse becomes aware of increased infection rates following cardiac surgery. The
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
, nurse takes it upon herself to research the possible causes and prevention
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
measuresand to make suggestions to better protect patients.
b7 7
b b7 b7 b7 b7 b7 b7 b7
b. A nurse acts quickly when a cardiac arrest is called on her patient.
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
c. A nurse notifies another staff member that she is being “pulled” today.
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
d. A nurse volunteers to work when another staff member must leave work
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
becauseher child is ill.
b7 7
b b7 b7 b7
ANS: C b7
Determining who gets “pulled” is a management decision. Option A is incorrect
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
because it isa role taken by a nurse leader. Option B is incorrect because it is an
b7 b7 b7 7
b b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
action taken by staff as part of the functional structure of the unit. Option D is
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
incorrect because it is an action taken by staff as part of the functional structure of
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
the unit.
b7 b7
DIF: Cognitive Level: Analysis b7 b7 REF: b 7 page 6 b7
5. A nurse has accepted a position on a nursing unit where the nurse manager
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
promotes autonomy and staff involvement in decision making. What would the nurse
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
expect to observeon this unit?
b7 b7 b7 7
b b7 b7
a. Nurse manager mandates changes. b7 b7 b7
b. Staff takes responsibility for assignments.
b7 b7 b7 b7
c. Staff participates on hospital committees.
b7 b7 b7 b7
d. Nurses are recognized for excellence in practice.
b7 b7 b7 b7 b7 b7
ANS: C b7
Work environments that promote autonomy and decision making encourage
b7 b7 b7 b7 b7 b7 b7 b7
participation on hospital committees so that staff may become involved in the
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
decisions that are made. OptionA is incorrect because this is not an environment in
b7 b7 b7 b7 b7 7
b b7 b7 b7 b7 b7 b7 b7 b7 b7
which staff are encouraged to participate
b7 b7 b7 b7 b7 b7
in decision making. Option BNiU
b7 sR coIrrN
inS ecG
tTbeB
ca.uC
b7seOiM
t should be seen in all environments b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
regardless of autonomy. Option D is incorrect because excellence in practice is not seen solely
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
in autonomous environments.
b7 b7
DIF: Cognitive Level: Analysis b7 b7 REF: b 7 page 6 b7
6. The fundamental element of any patient care delivery combines work allocation with
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
a. patient acuity. b7
b. leadership.
c. clinical decision making. b7 b7
d. delegation.
ANS: C b7
Work allocation is necessary in any patient care delivery system. The other
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
options are incorrect because it is not necessarily useful in determining the
b7 b7 7
b b7 b7 b7 b7 b7 b7 b7 b7 b7
appropriate patient caredelivery systems needed.
b7 b7 b7 7
b b7 b7
DIF: b7 b7 b 7 Cognitive Level: Analysis b7 b7 REF: b 7 page 10 b7
7. The student nurse, shadowing on a medical-surgical unit, observes the charge nurse.
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
Whichaction would the student identify as a leadership quality in the nurse’s
b7 7
b b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
actions?
b7
a. Making patient care assignments distributed equally to staff
b7 b7 b7 b7 b7 b7 b7
