MANAGEMENT FUNCTIONS IN NURSING
THEORY AND APPLICATIONS 11TH EDITION
BY BESSIE L MARQUIS, CAROL HUSTON|
CHAPTER 1-25|COMPLETE GUIDE (A+)
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Chapter 1 Decision Making, Problem Solving, Critical Thinking, and Clinical
A nurse manager who makes decisions based on what will benefit the majority of the nurses in his or
her charge is using the intuitionism ethical framework for decision making.
B. False
Using an ethical framework of utilitarianism encourages decision making based on what provides the
greatest good for the greatest number of people. The intuitionist framework allows the decision maker to
review each ethical problem or issue on a case-by-case basis, comparing the relative weights of goals,
duties, and rights
Which is not an element of ethical decision making?
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A) Beneficence
B) Paternalism
C) Utility
D) Pragmatism
D. Pragmatism
Rationale: The principles of ethical decision making include autonomy, beneficence, paternalism,
utility, justice, truth telling (veracity), fidelity, and confidentiality
Tell whether the following statement is true or false:
Nurse practice acts are examples of statutes.
A. True
Rationale: The 51 Nurse Practice Acts representing the 50 states and the District of Columbia are
examples of statutes. These Nurse Practice Acts define and limit the practice of nursing, thereby stating
what constitutes authorized practice as well as what exceeds the scope of authority
A nurse is charged with administering a fatal dose of morphine to a patient on hospice. In which type of
court would this nurse be charged?
A) Civil
B) Criminal
C) Administrative
D) None of the above
B. Criminal
Rationale: Nurses found guilty of intentionally administering fatal doses of drugs to patients would be
charged in a criminal court. In civil cases, one individual sues another for money to compensate for a
perceived loss. In administrative cases, an individual is sued by a state or federal governmental agency
assigned the responsibility of implementing governmental programs
Which of the following accurately describes why nurses are at increased liability for malpractice suits?
A) Their realm of responsibility has decreased
B) Fewer nurses have liability insurance
C) Nurses are making more money
D) Nurses currently have less independence in decision making
C. Nurses are making more money
Rationale: Higher salaries have corresponded to increased liability in the nursing profession
Tell whether the following statement is True or False:
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Following a physician's order is a valid excuse in a malpractice case.
B. False
Rationale: Nurses have a responsibility to safeguard their patients, independent of physician's orders
What aspect of business should managers emphasize?
A) Decision making
B) Analysis
C) Results
D) Control
E) All of the above
E. All of the above
Rationale: Control, decision making, analysis, and results are all crucial elements of successful
management
Which is a characteristic of a leader?
A) Always assigned a position of authority
B) Usually part of a formal organization
C) Focus on group process, information gathering, and feedback
D) Focus on decision making and results
C. Focus on group process, information gathering, and feedback
Rationale: While managers are more often part of a formal organization and focus more on result-
oriented tasks, leaders tend to focus more on things such as group process
Which was the focus of Weber's management theory?
A) Bureaucratic functions
B) Management functions
C) Scientific management
D) Activities of management
A. Bureaucratic functions
Rationale: Weber developed the theory of bureaucratic organizations. Management functions theory was
developed by Fayol. Taylor developed scientific management theory and Gulick developed activities of
management theory
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Tell whether the following statement is True or False:
A characteristic of leadership management is to use trade-offs to meet goals.
True
Rationale: Trade-offs can be a useful tool to achieve goals
A nurse witnesses another nurse providing care without proper hand hygiene and reports this to the
charge nurse. The charge nurse is friends with the other nurse and refuses to take action. This is an
example of:
A) Moral indifference
B) Moral conflict
C) Moral distress
D) Ethical dilemma
C. Moral distress
Rationale: Moral distress occurs when the individual knows the right thing to do but organizational
constraints make it difficult to take the right course of action. With moral uncertainty or conflict, an
individual is unsure which moral principles or values apply. An ethical dilemma occurs when an
individual is being forced to choose between two or more undesirable alternatives
Tell whether the following statement is True or False:
Which is not an intentional tort?
A) False imprisonment
B) Defamation of character
C) Invasion of privacy
D) Negligence
D. Negligence
Rationale: An intentional tort requires that the act be committed with the awareness of the perpetrator
Tell whether the following statement is True or False:
One way nurses can act as advocates is by directly intervening on behalf of others.
A. True
Rationale: Sometimes it is advisable for nurses to advocate for patients by directly intervening on their
behalf
Tell whether the following statement is True or False:
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