Test Bank Leading and Managing in
Nursing 6th Edition Yoder-Wise
Chapters 26 – 30
Yoder-Wise: Leading and Managing in Nursing, 6th Edition
1. You are a member of a team assigned to care for 15 general medical/surgical clients.
You have all worked well together in the past in this same type of care. If you are
assigned to coordinate this team’s work, your best strategy, based on the Hersey and
Blanchard model, would be to:
a. Have a list of tasks to be accomplished and tell each member of the team what
he or she must do.
b. Encourage people to discuss their frustrations in providing this care.
c. Ignore them—they’ve done it before.
d. Provide minimal direction and let them come to you with questions.
ANS: D
According to the Hersey and Blanchard model, when ability (skills, job knowledge)
and willingness are strong, the role of the delegator is less (“delegating behavior”).
REF: Page 493
TOP: AONE competency: Knowledge of the Health Care Environment
2. The nurse manager is setting up the room assignments for the unit. She has one critical
patient on the unit, who is going to require more care than the others. Before delegating
a task, a nurse manager should:
a. Delegate the admission assessment to the LPN.
b. Review the employee’s performance assessment for the most recent period.
c. Assess the amount of guidance and support needed in a particular situation.
d. Create a task analysis of critical behaviors for the individual.
ANS: C
To delegate effectively, the nurse manager must assess the abilities required in the
situation and the abilities that staff have to anticipate the amount of direction,
monitoring, explanation, and independence that can be assumed.
REF: Page 499
TOP: AONE competency: Knowledge of the Health Care Environment
,3. A key advantage that a nurse manager has in terms of delegating is that:
a. Clients receive less attention because too many staff make it difficult to
coordinate care.
b. Nurses report less pressure to perform necessary tasks themselves.
c. Administration can predict overtime more accurately.
d. Team skills can be used more effectively.
ANS: D
The use of multilevel healthcare providers enables healthcare organizations and
nursing to provide patient-centered care, with a focus on abilities and skills that can
be employed to perform “what is needed now.” As tasks become more complicated,
delegating skills to others enables the nurse to effectively deliver a complex level of
care.
REF: Page 496
TOP: AONE competency: Knowledge of the Health Care Environment
4. The nurse on the 7-7 shift is assigning a component of care to an unlicensed nursing
personnel (UNP) employee. The night nurse should remain:
a. Accountable.
b. Responsible.
c. Authoritative and liable.
d. Responsible and task-oriented.
ANS: A
When a registered nurse delegates care to a UNP, responsibility is transferred;
however, accountability for patient care is not transferred. Thus, “accountability rests
within the decision to delegate while responsibility rests within the performance of the
task” (Anthony and Vidal, 2010, p. 3).
REF: Page 496 TOP: AONE competency: Professionalism
5. The night nurse understands that certain factors need to be considered before delegating
tasks to others. These factors include the:
a. Complexity of the task and the age of the delegatee.
b. Potential for benefit and the complexity of the task.
c. Potential for benefit and the number of staff.
d. Complexity of the task and the potential for harm.
ANS: D
In delegating tasks to others, the nurse considers factors such as stability of the
patient, safety of the situation and of the patient, time and intensity involved, and
level of critical thinking required to achieve desired outcomes.
REF: Page 487 | Page 499
TOP: AONE competency: Knowledge of the Health Care Environment
6. During a fire drill, the nurse manager becomes very assertive and directive in her
communications with staff. This type of situational leadership depends on:
a. Supportive behavior by the leader and immature followers.
, b. The development level of the followers and the type of behavior of the leader.
c. Well-developed followers combined with a strong leader who acts quickly.
d. The leader’s ability to evaluate personnel and communicate that evaluation.
ANS: B
When abilities, relationships, and/or time is limited (as in a crisis situation), the leader
assumes a bigger role in guiding and in making decisions (Hersey and Blanchard and
“telling” behavior).
REF: Page 493 TOP: AONE competency: Leadership
7. The unit manager is working in a large metropolitan facility and is told that two UNPs
are to be assigned to work with her. Delegation begins with:
a. Acknowledging the arrival of the second UNP on the unit.
b. Providing clear directions to both UNPs.
c. Matching tasks with qualified persons.
d. Receiving reports from the prior shift.
ANS: C
In delegating to the UNPs, the nurse must consider what cannot be delegated, as well
as the factors of safety, time, critical thinking, and stability of patients.
REF: Page 487 | Page 499
TOP: AONE competency: Knowledge of the Health Care Environment
8. During staff development programs, staff nurses verbalize their frustration about their
workloads and having to delegate so many tasks to others. One of the main reasons that
delegation has emerged as an issue is because of:
a. The amount of paperwork required to complete care.
b. The complexity of client care.
c. Earlier discharge practices.
d. The numbers of other disciplines present on a given unit.
ANS: B
Complexity of client care, a multilevel nursing model (registered nurses, mixed with
LPNs/LVNs, and UNPs), and community-based care provide many challenges in
determining the care required and outcomes desired and/or mandated, and in matching
needs with various abilities and authority of regulated and unregulated healthcare
providers. The nurse manager should ensure that staff is clinically competent and
trained in their roles in patient safety.
REF: Page 486
TOP: AONE competency: Knowledge of the Health Care Environment
9. The day shift nurse asks an LPN/LVN to complete a component of care for a client.
The day shift nurse is engaging in what function?
a. Delegating
b. Assigning
c. Sharing
d. Authorizing
, ANS: B
Delegation refers to transfer of responsibility for work; the day shift nurse retains
accountability for the outcomes of patient care.
REF: Pages 494-496
TOP: AONE competency: Knowledge of the Health Care Environment
10. You are working in a home health service and have three unlicensed nursing personnel
(UNPs) assigned to your team. You have worked with two of them for 2 years; the
third is new. The two experienced UNPs have patients with complex illnesses for
whom they provide basic care. The third member of the team has been assigned to
patients with less complex illnesses. Your best approach to supervising their care is to:
a. Remain in the office and ask each UNP to check in with you upon arrival at
their first patient care site.
b. Ask another RN to supervise the two experienced assistants so you can be with
the new person full time.
c. Meet the new staff member at the first patient care site and ask the others to call
if anything is unusual.
d. Meet the new staff member at the first patient care site and call the others with
questions to determine whether anything is unusual.
ANS: D
When ability and willingness are strong, the involvement of the delegator is less
(Hersey and Blanchard).
REF: Page 493 | Page 494
TOP: AONE competency: Knowledge of the Health Care Environment
11. With delegation, responsibility and accountability remain with the:
a. Physician.
b. Professional who delegates.
c. Individual who receives the delegation.
d. Individual who previously performed the task.
ANS: B
Even though the delegatee (the one who receives the delegation) receives direction
from the professional who delegates a task and must have the authority to complete it,
the delegator retains accountability for the overall outcome and completion of the
activity. The delegatee has responsibility (obligation to engage in the task) and
authority for the task.
REF: Page 488 TOP: AONE competency: Professionalism
12. Which of the following exemplifies accountability? Karen, the nurse manager on 5E:
a. Consistently submits her budgets on time.
b. Gets along well with her staff and with other managers.
c. Outlines her rationale for reduction of RN coverage on nights to the Nursing
Practice Committee after serious patient injury.
d. Actively solicits ideas regarding scheduling from her staff.
Nursing 6th Edition Yoder-Wise
Chapters 26 – 30
Yoder-Wise: Leading and Managing in Nursing, 6th Edition
1. You are a member of a team assigned to care for 15 general medical/surgical clients.
You have all worked well together in the past in this same type of care. If you are
assigned to coordinate this team’s work, your best strategy, based on the Hersey and
Blanchard model, would be to:
a. Have a list of tasks to be accomplished and tell each member of the team what
he or she must do.
b. Encourage people to discuss their frustrations in providing this care.
c. Ignore them—they’ve done it before.
d. Provide minimal direction and let them come to you with questions.
ANS: D
According to the Hersey and Blanchard model, when ability (skills, job knowledge)
and willingness are strong, the role of the delegator is less (“delegating behavior”).
REF: Page 493
TOP: AONE competency: Knowledge of the Health Care Environment
2. The nurse manager is setting up the room assignments for the unit. She has one critical
patient on the unit, who is going to require more care than the others. Before delegating
a task, a nurse manager should:
a. Delegate the admission assessment to the LPN.
b. Review the employee’s performance assessment for the most recent period.
c. Assess the amount of guidance and support needed in a particular situation.
d. Create a task analysis of critical behaviors for the individual.
ANS: C
To delegate effectively, the nurse manager must assess the abilities required in the
situation and the abilities that staff have to anticipate the amount of direction,
monitoring, explanation, and independence that can be assumed.
REF: Page 499
TOP: AONE competency: Knowledge of the Health Care Environment
,3. A key advantage that a nurse manager has in terms of delegating is that:
a. Clients receive less attention because too many staff make it difficult to
coordinate care.
b. Nurses report less pressure to perform necessary tasks themselves.
c. Administration can predict overtime more accurately.
d. Team skills can be used more effectively.
ANS: D
The use of multilevel healthcare providers enables healthcare organizations and
nursing to provide patient-centered care, with a focus on abilities and skills that can
be employed to perform “what is needed now.” As tasks become more complicated,
delegating skills to others enables the nurse to effectively deliver a complex level of
care.
REF: Page 496
TOP: AONE competency: Knowledge of the Health Care Environment
4. The nurse on the 7-7 shift is assigning a component of care to an unlicensed nursing
personnel (UNP) employee. The night nurse should remain:
a. Accountable.
b. Responsible.
c. Authoritative and liable.
d. Responsible and task-oriented.
ANS: A
When a registered nurse delegates care to a UNP, responsibility is transferred;
however, accountability for patient care is not transferred. Thus, “accountability rests
within the decision to delegate while responsibility rests within the performance of the
task” (Anthony and Vidal, 2010, p. 3).
REF: Page 496 TOP: AONE competency: Professionalism
5. The night nurse understands that certain factors need to be considered before delegating
tasks to others. These factors include the:
a. Complexity of the task and the age of the delegatee.
b. Potential for benefit and the complexity of the task.
c. Potential for benefit and the number of staff.
d. Complexity of the task and the potential for harm.
ANS: D
In delegating tasks to others, the nurse considers factors such as stability of the
patient, safety of the situation and of the patient, time and intensity involved, and
level of critical thinking required to achieve desired outcomes.
REF: Page 487 | Page 499
TOP: AONE competency: Knowledge of the Health Care Environment
6. During a fire drill, the nurse manager becomes very assertive and directive in her
communications with staff. This type of situational leadership depends on:
a. Supportive behavior by the leader and immature followers.
, b. The development level of the followers and the type of behavior of the leader.
c. Well-developed followers combined with a strong leader who acts quickly.
d. The leader’s ability to evaluate personnel and communicate that evaluation.
ANS: B
When abilities, relationships, and/or time is limited (as in a crisis situation), the leader
assumes a bigger role in guiding and in making decisions (Hersey and Blanchard and
“telling” behavior).
REF: Page 493 TOP: AONE competency: Leadership
7. The unit manager is working in a large metropolitan facility and is told that two UNPs
are to be assigned to work with her. Delegation begins with:
a. Acknowledging the arrival of the second UNP on the unit.
b. Providing clear directions to both UNPs.
c. Matching tasks with qualified persons.
d. Receiving reports from the prior shift.
ANS: C
In delegating to the UNPs, the nurse must consider what cannot be delegated, as well
as the factors of safety, time, critical thinking, and stability of patients.
REF: Page 487 | Page 499
TOP: AONE competency: Knowledge of the Health Care Environment
8. During staff development programs, staff nurses verbalize their frustration about their
workloads and having to delegate so many tasks to others. One of the main reasons that
delegation has emerged as an issue is because of:
a. The amount of paperwork required to complete care.
b. The complexity of client care.
c. Earlier discharge practices.
d. The numbers of other disciplines present on a given unit.
ANS: B
Complexity of client care, a multilevel nursing model (registered nurses, mixed with
LPNs/LVNs, and UNPs), and community-based care provide many challenges in
determining the care required and outcomes desired and/or mandated, and in matching
needs with various abilities and authority of regulated and unregulated healthcare
providers. The nurse manager should ensure that staff is clinically competent and
trained in their roles in patient safety.
REF: Page 486
TOP: AONE competency: Knowledge of the Health Care Environment
9. The day shift nurse asks an LPN/LVN to complete a component of care for a client.
The day shift nurse is engaging in what function?
a. Delegating
b. Assigning
c. Sharing
d. Authorizing
, ANS: B
Delegation refers to transfer of responsibility for work; the day shift nurse retains
accountability for the outcomes of patient care.
REF: Pages 494-496
TOP: AONE competency: Knowledge of the Health Care Environment
10. You are working in a home health service and have three unlicensed nursing personnel
(UNPs) assigned to your team. You have worked with two of them for 2 years; the
third is new. The two experienced UNPs have patients with complex illnesses for
whom they provide basic care. The third member of the team has been assigned to
patients with less complex illnesses. Your best approach to supervising their care is to:
a. Remain in the office and ask each UNP to check in with you upon arrival at
their first patient care site.
b. Ask another RN to supervise the two experienced assistants so you can be with
the new person full time.
c. Meet the new staff member at the first patient care site and ask the others to call
if anything is unusual.
d. Meet the new staff member at the first patient care site and call the others with
questions to determine whether anything is unusual.
ANS: D
When ability and willingness are strong, the involvement of the delegator is less
(Hersey and Blanchard).
REF: Page 493 | Page 494
TOP: AONE competency: Knowledge of the Health Care Environment
11. With delegation, responsibility and accountability remain with the:
a. Physician.
b. Professional who delegates.
c. Individual who receives the delegation.
d. Individual who previously performed the task.
ANS: B
Even though the delegatee (the one who receives the delegation) receives direction
from the professional who delegates a task and must have the authority to complete it,
the delegator retains accountability for the overall outcome and completion of the
activity. The delegatee has responsibility (obligation to engage in the task) and
authority for the task.
REF: Page 488 TOP: AONE competency: Professionalism
12. Which of the following exemplifies accountability? Karen, the nurse manager on 5E:
a. Consistently submits her budgets on time.
b. Gets along well with her staff and with other managers.
c. Outlines her rationale for reduction of RN coverage on nights to the Nursing
Practice Committee after serious patient injury.
d. Actively solicits ideas regarding scheduling from her staff.
