Patient Care, 3rd Edition by Motacki
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,Test Bank for Nursing Delegation and Management of Patient Care, 3rd Edition by Motacki
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Chapter 01: Leadership and Management
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Motacki: Nursing Delegation and Management of Patient Care, 3rd Edition
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MULTIPLE CHOICE F4
1. Nurses can be leaders without being managers. Which nursing actions dem
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onstrateleadership? F4
a. Assisting a new nurse with enteral tube feedings F4 F4 F4 F4 F4 F4 F4
b. Counseling a new nurse regarding attendance F4 F4 F4 F4 F4
c. Adjusting assignments after a staff member calls in sick F4 F4 F4 F4 F4 F4 F4 F4
d. Calling a physician for new order clarification F4 F4 F4 F4 F4 F4
ANS: A F 4
Leaders act as role models and mentor new staff. The other options are incorrect beca
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use theyare management responsibilities and not leadership roles.
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DIF: Cognitive Level: Application F4 F4 REF: page 6 F 4 F4
2. Which nursing actions demonstrate the role of management in nursing?
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a. Encouraging autonomous decision making F4 F4 F4
b. Observing the documentation of appropriate charges to patients F4 F4 F4 F4 F4 F4 F4
c. Assisting in a code F4 F4 F4
d. Asking the patient/family about advance directives F4 F4 F4 F4 F4
ANS: B F 4
Managers are responsible for the budget of their units. The other options are incorrect
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becausethose are leadership or mentoNriU
ngRrS
oIlesN.GTB.COM
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DIF: Cognitive Level: Application F4 F4 REF: page 6 F 4 F4
3. Much like a politician, a nurse manager must exhibit leadership that inspires and motiv
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ates. Inwhich instance is a nurse demonstrating leadership qualities?
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a. A staff nurse becomes aware of increased infection rates following cardiac su
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rgery.The nurse takes it upon herself to research the possible causes and pre
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vention measures and to make suggestions to better protect patients.
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b. A staff nurse acts quickly when a cardiac arrest is called on her patient.
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c. A staff nurse notifies another staff member that she is being “pulled” today.
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, d. A new nurse volunteers to work when another staff member must leav
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e workbecause her child is ill.
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ANS: A F 4
Nurse leaders are interested in changing practice based on evidence. Options B an
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d D are incorrect because they are actions taken by nurses as part of the functional
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structure of theunit. Option C is incorrect because it is an action taken by a manage
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r.
DIF: Cognitive Level: Analysis
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4. A nurse manager must exhibit qualities of efficiency and organization. Which n
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urse isdemonstrating the qualities necessary for a manager?
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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 m
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easuresand to make suggestions to better protect patients. F4 F4 F4 F4 F4 F4 F4 F4
b. A nurse acts quickly when a cardiac arrest is called on her patient.
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c. A nurse notifies another staff member that she is being “pulled” today.
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d. A nurse volunteers to work when another staff member must leave work b
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ecauseher child is ill. F4 F4 F4 F4
ANS: C F 4
Determining who gets “pulled” is a management decision. Option A is incorrect beca F4 F4 F4 F4 F4 F4 F4 F4 F4 F4 F4 F4
use it isa role taken by a nurse leader. Option B is incorrect because it is an action take
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n by staff as part of the functional structure of the unit. Option D is incorrect because i
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t is an action taken by staff as part of the functional structure of the unit.
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DIF: Cognitive Level: Analysis F4 F4 REF: page 6 F 4 F4
5. A nurse has accepted a position on a nursing unit where the nurse manager promotes
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autonomy and staff involvement in decision making. What would the nurse expect to F4 F4 F4 F4 F4 F4 F4 F4 F4 F4 F4 F4 F4
observeon this unit? F4 F4 F4
a. Nurse manager mandates changes. F4 F4 F4
b. Staff takes responsibility for assignments. F4 F4 F4 F4
c. Staff participates on hospital committees. F4 F4 F4 F4
d. Nurses are recognized for excellence in practice. F4 F4 F4 F4 F4 F4
ANS: C F 4
Work environments that promote autonomy and decision making encourage particip
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ation on hospital committees so that staff may become involved in the decisions that
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are made. OptionA is incorrect because this is not an environment in which staff are en
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couraged to participate F4 F4
in decision making. Option BNiU
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incSoIrrN
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tb seOiM
t should be seen in all environments
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regardless of autonomy. Option D is incorrect because excellence in practice is not seen solely
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in autonomous environments.
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DIF: Cognitive Level: Analysis F4 F4 REF: page 6 F 4 F4
6. The fundamental element of any patient care delivery combines work allocation with
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a. patient acuity. F4
b. leadership.
c. clinical decision making. F4 F4
d. delegation.
ANS: C F 4