Test Bank
Nursing Delegation and Management of Patient Care
by Kathleen Motacki and Kathleen Burke.
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,Section 1: TRANSFORMATIONAL LEADERSHIP
1. Leadership and Management
2. Organizational Structure of Health Care
3. Strategic Management and Planning
4. Financial Management in Health Care
5. Health Care Regulatory and Certifying Agencies
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Section 2: STRUCTURAL EMPOWERMENT
6. Organizational Decision Making and Shared Governance
7. Professional Decision Making and Advocacy
8. Communication in the Work Environment
9. Personnel Policies and Programs in the Workplace
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Section 3: EXEMPLARY PROFESSIONAL PRACTICE
10. Professional Development
11. Professional Practice and Care Delivery Models and Emerging Practice Models
12. Staffing and Scheduling
13. Delegation of Nursing Tasks
14. Providing Competent Staff
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15. Group Management for Effective Outcomes
16. Hospital Information Systems
17. Organizational Structure of Health Care
Section 4: NEW KNOWLEDGE, INNOVATIONS, AND IMPROVEMENTS
18. Improving Organizational Performance
19. Evidence-Based Practice
20. Monitoring Outcomes and the Use of Data for Improvement
Section 5: CONGRATULATIONS
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,Chapter 01: Leadership and Management
Motacki: Nursing Delegation and Management of Patient Care, 2nd Edition
MULTIPLE CHOICE
1. Nurses can be leaders without being managers. Which nursing actions
demonstrate leadership?
a. Assisting a new nurse with enteral tube feedings
b. Counseling a new nurse regarding attendance
c. Adjusting assignments after a staff member calls in sick
d. Calling a physician for new order clarification
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ANS: A
Leaders act as role models and mentor new staff. The other options are incorrect because they
are management responsibilities and not leadership roles.
DIF: Cognitive Level: Application REF: page 6
2. Which nursing actions demonstrate the role of management in nursing?
a. Encouraging autonomous decision making
b. Observing the documentation of appropriate charges to patients
c. Assisting in a code
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d. Asking the patient/family about advance directives
ANS: B
Managers are responsible for the budget of their units. The other options are incorrect because
those are leadership or mentoring role.
DIF: Cognitive Level: Application REF: page 6
3. Much like a politician, a nurse manager must exhibit leadership that inspires and motivates. In
which instance is a nurse demonstrating leadership qualities?
a. A staff nurse becomes aware of increased infection rates following cardiac surgery.
of
The nurse takes it upon herself to research the possible causes and prevention
measures and to make suggestions to better protect patients.
b. A staff nurse acts quickly when a cardiac arrest is called on her patient.
c. A staff nurse notifies another staff member that she is being “pulled” today.
d. A new nurse volunteers to work when another staff member must leave work
because her child is ill.
ANS: A
Nurse leaders are interested in changing practice based on evidence. Options B and D are
incorrect because they are actions taken by nurses as part of the functional structure of
the unit. Option C is incorrect because it is an action taken by a manager.
DIF: Cognitive Level: Analysis REF: page 6
4. A nurse manager must exhibit qualities of efficiency and organization. Which nurse is
demonstrating the qualities necessary for a manager?
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 measures
and to make suggestions to better protect patients.
b. A nurse acts quickly when a cardiac arrest is called on her patient.
c. A nurse notifies another staff member that she is being “pulled” today.
d. A nurse volunteers to work when another staff member must leave work because
her child is ill.
ANS: C
Determining who gets “pulled” is a management decision. Option A is incorrect because it is a
role taken by a nurse leader. Option B is incorrect because it is an action taken by staff as
part of the functional structure of the unit. Option D is incorrect because it is an action taken
by staff as part of the functional structure of the unit.
DIF: Cognitive Level: Analysis REF: page 6
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5. A nurse has accepted a position on a nursing unit where the nurse manager promotes
autonomy and staff involvement in decision making. What would the nurse expect to observe
on this unit?
a. Nurse manager mandates changes.
b. Staff takes responsibility for assignments.
c. Staff participates on hospital committees.
d. Nurses are recognized for excellence in practice.
ANS: C
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. Option
A is incorrect because this is not an environment in which staff are encouraged to participate
in decision making. Option BNiUs R coIrrN
inS ecG
t Tb eBc a.u Cs eOi tM s h o u l d be seen in all environments
regardless of autonomy. Option D is incorrect because excellence in practice is not seen solely
in autonomous environments.
DIF: Cognitive Level: Analysis REF: page 6
6. The fundamental element of any patient care delivery combines work allocation with
a. patient acuity.
of
b. leadership.
c. clinical decision making.
d. delegation.
ANS: C
Work allocation is necessary in any patient care delivery system. The other options are
incorrect because it is not necessarily useful in determining the appropriate patient
care deliverysystems needed.
DIF: Cognitive Level: Analysis REF: page 10
7. The student nurse, shadowing on a medical-surgical unit, observes the charge nurse. Which
action would the student identify as a leadership quality in the nurse’s actions?
a. Making patient care assignments distributed equally to staff
b. Sitting with a confused combative patient
c. Calling the nursing office for extra staff when an RN calls in sick
wiseprof
Nursing Delegation and Management of Patient Care
by Kathleen Motacki and Kathleen Burke.
wis
epr
of
wiseprof
,Section 1: TRANSFORMATIONAL LEADERSHIP
1. Leadership and Management
2. Organizational Structure of Health Care
3. Strategic Management and Planning
4. Financial Management in Health Care
5. Health Care Regulatory and Certifying Agencies
wis
Section 2: STRUCTURAL EMPOWERMENT
6. Organizational Decision Making and Shared Governance
7. Professional Decision Making and Advocacy
8. Communication in the Work Environment
9. Personnel Policies and Programs in the Workplace
epr
Section 3: EXEMPLARY PROFESSIONAL PRACTICE
10. Professional Development
11. Professional Practice and Care Delivery Models and Emerging Practice Models
12. Staffing and Scheduling
13. Delegation of Nursing Tasks
14. Providing Competent Staff
of
15. Group Management for Effective Outcomes
16. Hospital Information Systems
17. Organizational Structure of Health Care
Section 4: NEW KNOWLEDGE, INNOVATIONS, AND IMPROVEMENTS
18. Improving Organizational Performance
19. Evidence-Based Practice
20. Monitoring Outcomes and the Use of Data for Improvement
Section 5: CONGRATULATIONS
wiseprof
,Chapter 01: Leadership and Management
Motacki: Nursing Delegation and Management of Patient Care, 2nd Edition
MULTIPLE CHOICE
1. Nurses can be leaders without being managers. Which nursing actions
demonstrate leadership?
a. Assisting a new nurse with enteral tube feedings
b. Counseling a new nurse regarding attendance
c. Adjusting assignments after a staff member calls in sick
d. Calling a physician for new order clarification
wis
ANS: A
Leaders act as role models and mentor new staff. The other options are incorrect because they
are management responsibilities and not leadership roles.
DIF: Cognitive Level: Application REF: page 6
2. Which nursing actions demonstrate the role of management in nursing?
a. Encouraging autonomous decision making
b. Observing the documentation of appropriate charges to patients
c. Assisting in a code
epr
d. Asking the patient/family about advance directives
ANS: B
Managers are responsible for the budget of their units. The other options are incorrect because
those are leadership or mentoring role.
DIF: Cognitive Level: Application REF: page 6
3. Much like a politician, a nurse manager must exhibit leadership that inspires and motivates. In
which instance is a nurse demonstrating leadership qualities?
a. A staff nurse becomes aware of increased infection rates following cardiac surgery.
of
The nurse takes it upon herself to research the possible causes and prevention
measures and to make suggestions to better protect patients.
b. A staff nurse acts quickly when a cardiac arrest is called on her patient.
c. A staff nurse notifies another staff member that she is being “pulled” today.
d. A new nurse volunteers to work when another staff member must leave work
because her child is ill.
ANS: A
Nurse leaders are interested in changing practice based on evidence. Options B and D are
incorrect because they are actions taken by nurses as part of the functional structure of
the unit. Option C is incorrect because it is an action taken by a manager.
DIF: Cognitive Level: Analysis REF: page 6
4. A nurse manager must exhibit qualities of efficiency and organization. Which nurse is
demonstrating the qualities necessary for a manager?
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 measures
and to make suggestions to better protect patients.
b. A nurse acts quickly when a cardiac arrest is called on her patient.
c. A nurse notifies another staff member that she is being “pulled” today.
d. A nurse volunteers to work when another staff member must leave work because
her child is ill.
ANS: C
Determining who gets “pulled” is a management decision. Option A is incorrect because it is a
role taken by a nurse leader. Option B is incorrect because it is an action taken by staff as
part of the functional structure of the unit. Option D is incorrect because it is an action taken
by staff as part of the functional structure of the unit.
DIF: Cognitive Level: Analysis REF: page 6
wis
5. A nurse has accepted a position on a nursing unit where the nurse manager promotes
autonomy and staff involvement in decision making. What would the nurse expect to observe
on this unit?
a. Nurse manager mandates changes.
b. Staff takes responsibility for assignments.
c. Staff participates on hospital committees.
d. Nurses are recognized for excellence in practice.
ANS: C
Work environments that promote autonomy and decision making encourage participation on
epr
hospital committees so that staff may become involved in the decisions that are made. Option
A is incorrect because this is not an environment in which staff are encouraged to participate
in decision making. Option BNiUs R coIrrN
inS ecG
t Tb eBc a.u Cs eOi tM s h o u l d be seen in all environments
regardless of autonomy. Option D is incorrect because excellence in practice is not seen solely
in autonomous environments.
DIF: Cognitive Level: Analysis REF: page 6
6. The fundamental element of any patient care delivery combines work allocation with
a. patient acuity.
of
b. leadership.
c. clinical decision making.
d. delegation.
ANS: C
Work allocation is necessary in any patient care delivery system. The other options are
incorrect because it is not necessarily useful in determining the appropriate patient
care deliverysystems needed.
DIF: Cognitive Level: Analysis REF: page 10
7. The student nurse, shadowing on a medical-surgical unit, observes the charge nurse. Which
action would the student identify as a leadership quality in the nurse’s actions?
a. Making patient care assignments distributed equally to staff
b. Sitting with a confused combative patient
c. Calling the nursing office for extra staff when an RN calls in sick
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