Nursing Delegation and Management of Patient Care 2nd Edition Motacki Test Bank
Chapter 02: Organizational Structure of Health Care
Motacki: Nursing Delegation and Management of Patient Care, 2nd Edition
Q&A
MULTIPLE CHOICE
1. In interviewing for a new position, a nurse may want to inquire about the institution’s views
on autonomy in the workplace for nurses. The nurse concludes that autonomy is valued when
told that the unit has
a. infrequent “floating.”
b. self-scheduling.
c. cover of another nurse’s assignment while she or he is on break.
d. hourly pay differential for the night shift.
ANS: B
In a self-governance working environment, staff are encouraged to be autonomous, which
includes self-scheduling. Option A is incorrect because it does not address autonomy. Option
C is incorrect because they are decisions made by the organization and are practiced
throughout the organization. Option D is incorrect because they are decisions made by the
organization and practiced throughout the organization.
DIF: Cognitive Level: Application REF: page 16
2. The student nurse learns about the advantages and disadvantages of various patient care
delivery models. The student understands that besides an historical perspective of nursing
practice, a patient delivery care model may need to be instituted to adapt to
a. alterations in available staff due to weather emergencies.
NURtheSI
b. the financial environment of NGTB.C
patient OM
population.
c. a wide range of ages among the staff.
d. a limited number of unlicensed staff on the unit.
ANS: A
Patient delivery models are instituted based on various elements including clinical
decision-making and work allocation; thus, changes may need to be made in an emergency
based on availability of staff. The other options do not describe a fundamental element used in
the decision-making process for delivery mode.
DIF: Cognitive Level: Application REF: page 19
3. An agency nurse is assigned to work on a unit that uses the team nursing model of health care
delivery. Which of the following would the nurse expect to experience in this environment?
a. UAP taking vital signs and giving baths
b. RN taking vital signs and giving baths
c. RN delegating patient care delivery to a group of patients
d. Charge nurse delegating care delivery
ANS: C
In a team nursing environment, an RN delegates patient care to a group of patients. Option A
is incorrect because it is practiced in a functional model environment. Option B is incorrect
because it is seen in primary nursing. Option D is incorrect because it may be seen in all types
of health care delivery models.
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, Nursing Delegation and Management of Patient Care 2nd Edition Motacki Test Bank
DIF: Cognitive Level: Application REF: page 20
4. In which health care delivery model would the nurse expect to see “point-of-care” decision
making occur?
a. Primary care nursing
b. Team nursing
c. Functional nursing
d. Modular nursing
ANS: A
Primary nursing allows the nurse to practice autonomously and make most bedside decisions.
The other options are incorrect because they may not allow for the autonomy required for
“point-of-care” decisions.
DIF: Cognitive Level: Application REF: page 21
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
NURmay
hospital committees so that staff
S Ibecome
NGTB.C M in the decisions that are made. Option
involved
O
A is incorrect because this is not an environment in which staff are encouraged to participate
in decision making. Option B is incorrect because it should be seen in all environments
regardless of autonomy. Option D is incorrect because it is not seen solely in autonomous
environments.
DIF: Cognitive Level: Analysis REF: page 16
6. Leadership structures in health care can be centralized or decentralized. The nurse understands
that she is working in a centralized structured environment when which of the following
occurs?
a. All organizational decisions must be approved by the CEO.
b. Changes can be made rapidly based on immediate needs.
c. Nurses must work under a dual-authority structure.
d. Decisions can be made at the “point of care.”
ANS: A
In a centralized leadership structured environment, all decisions are made from the top down,
usually without input from staff. The other options are examples of a decentralized
environment in which decisions can be made more quickly as needed.
DIF: Cognitive Level: Application REF: page 16
7. What should the nurse expect when working in a product-line leadership structured
environment?
This study source was downloaded by 100000832361371 from CourseHero.com on 04-12-2022 23:56:16 GMT -05:00
https://www.coursehero.com/file/53252416/02pdf/ NURSINGTB.COM
Chapter 02: Organizational Structure of Health Care
Motacki: Nursing Delegation and Management of Patient Care, 2nd Edition
Q&A
MULTIPLE CHOICE
1. In interviewing for a new position, a nurse may want to inquire about the institution’s views
on autonomy in the workplace for nurses. The nurse concludes that autonomy is valued when
told that the unit has
a. infrequent “floating.”
b. self-scheduling.
c. cover of another nurse’s assignment while she or he is on break.
d. hourly pay differential for the night shift.
ANS: B
In a self-governance working environment, staff are encouraged to be autonomous, which
includes self-scheduling. Option A is incorrect because it does not address autonomy. Option
C is incorrect because they are decisions made by the organization and are practiced
throughout the organization. Option D is incorrect because they are decisions made by the
organization and practiced throughout the organization.
DIF: Cognitive Level: Application REF: page 16
2. The student nurse learns about the advantages and disadvantages of various patient care
delivery models. The student understands that besides an historical perspective of nursing
practice, a patient delivery care model may need to be instituted to adapt to
a. alterations in available staff due to weather emergencies.
NURtheSI
b. the financial environment of NGTB.C
patient OM
population.
c. a wide range of ages among the staff.
d. a limited number of unlicensed staff on the unit.
ANS: A
Patient delivery models are instituted based on various elements including clinical
decision-making and work allocation; thus, changes may need to be made in an emergency
based on availability of staff. The other options do not describe a fundamental element used in
the decision-making process for delivery mode.
DIF: Cognitive Level: Application REF: page 19
3. An agency nurse is assigned to work on a unit that uses the team nursing model of health care
delivery. Which of the following would the nurse expect to experience in this environment?
a. UAP taking vital signs and giving baths
b. RN taking vital signs and giving baths
c. RN delegating patient care delivery to a group of patients
d. Charge nurse delegating care delivery
ANS: C
In a team nursing environment, an RN delegates patient care to a group of patients. Option A
is incorrect because it is practiced in a functional model environment. Option B is incorrect
because it is seen in primary nursing. Option D is incorrect because it may be seen in all types
of health care delivery models.
This study source was downloaded by 100000832361371 from CourseHero.com on 04-12-2022 23:56:16 GMT -05:00
https://www.coursehero.com/file/53252416/02pdf/ NURSINGTB.COM
, Nursing Delegation and Management of Patient Care 2nd Edition Motacki Test Bank
DIF: Cognitive Level: Application REF: page 20
4. In which health care delivery model would the nurse expect to see “point-of-care” decision
making occur?
a. Primary care nursing
b. Team nursing
c. Functional nursing
d. Modular nursing
ANS: A
Primary nursing allows the nurse to practice autonomously and make most bedside decisions.
The other options are incorrect because they may not allow for the autonomy required for
“point-of-care” decisions.
DIF: Cognitive Level: Application REF: page 21
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
NURmay
hospital committees so that staff
S Ibecome
NGTB.C M in the decisions that are made. Option
involved
O
A is incorrect because this is not an environment in which staff are encouraged to participate
in decision making. Option B is incorrect because it should be seen in all environments
regardless of autonomy. Option D is incorrect because it is not seen solely in autonomous
environments.
DIF: Cognitive Level: Analysis REF: page 16
6. Leadership structures in health care can be centralized or decentralized. The nurse understands
that she is working in a centralized structured environment when which of the following
occurs?
a. All organizational decisions must be approved by the CEO.
b. Changes can be made rapidly based on immediate needs.
c. Nurses must work under a dual-authority structure.
d. Decisions can be made at the “point of care.”
ANS: A
In a centralized leadership structured environment, all decisions are made from the top down,
usually without input from staff. The other options are examples of a decentralized
environment in which decisions can be made more quickly as needed.
DIF: Cognitive Level: Application REF: page 16
7. What should the nurse expect when working in a product-line leadership structured
environment?
This study source was downloaded by 100000832361371 from CourseHero.com on 04-12-2022 23:56:16 GMT -05:00
https://www.coursehero.com/file/53252416/02pdf/ NURSINGTB.COM
