Nursing Delegation and Management of Patient Care, 3rd Edition by Motacki | Verified Chapter's 1 - 21 | Complete Newest Version

Test Bank for Nursing Delegation and Management of Patient Care, 3rd
Edition by Motacki
| Verified Chapter's 1 - 21 | Complete Newest Version

,Test Bank for Nursing Delegation and Management of Patient Care, 3rd Edition by Motacki



Chapter 01: Leadership and Management
Motacki: Nursing Delegation and Management of Patient Care, 3rd Edition


MULTIPLE CHOICE

1. Nurses can be leaders without being managers. Which nursing actions demonstrate
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leadership?
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a. Assisting a new nurse with enteral tube feedings R R R R R R R




b. Counseling a new nurse regarding attendance R R R R R




c. Adjusting assignments after a staff member calls in sick R R R R R R R R




d. Calling a physician for new order clarification R R R R R R




ANS: A R




Leaders act as role models and mentor new staff. The other options are incorrect because theyare
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management responsibilities and not leadership roles.
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DIF: Cognitive Level: Application R R REF: page 6 R R




2. Which nursing actions demonstrate the role of management in nursing?
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a. Encouraging autonomous decision making R R R




b. Observing the documentation of appropriate charges to patients R R R R R R R




c. Assisting in a code R R R




d. Asking the patient/family about advance directives R R R R R




ANS: B R




Managers are responsible for the budget of their units. The other options are incorrect because
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those are leadership or mentoNriU
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oIlesN.GTB.COM R R R R




DIF: Cognitive Level: Application R R REF: page 6 R R




3. Much like a politician, a nurse manager must exhibit leadership that inspires and motivates. In
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which instance is a nurse demonstrating leadership qualities?
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a. A staff nurse becomes aware of increased infection rates following cardiac surgery.
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The nurse takes it upon herself to research the possible causes and prevention
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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 leave work
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because her child is ill.
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ANS: A R




Nurse leaders are interested in changing practice based on evidence. Options B and D are
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incorrect because they are actions taken by nurses as part of the functional structure of the
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unit. Option C is incorrect because it is an action taken by a manager.
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DIF: Cognitive Level: Analysis
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4. A nurse manager must exhibit qualities of efficiency and organization. Which nurse is
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,demonstrating 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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, nursetakes it upon herself to research the possible causes and prevention measuresR R R R R R R R R R R R




and to make suggestions to better protect patients.
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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 because
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her child is ill.
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ANS: C R




Determining who gets “pulled” is a management decision. Option A is incorrect because it isa role R R R R R R R R R R R R R R R R




taken by a nurse leader. Option B is incorrect because it is an action taken by staff as part of the
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functional structure of the unit. Option D is incorrect because it is an action taken by staff as part
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of the functional structure of the unit.
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DIF: Cognitive Level: Analysis R R REF: page 6 R R




5. A nurse has accepted a position on a nursing unit where the nurse manager promotes autonomy
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and staff involvement in decision making. What would the nurse expect to observeon this unit?
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a. Nurse manager mandates changes. R R R




b. Staff takes responsibilityforassignments. R R R R




c. Staff participates on hospital committees. R R R R




d. Nurses are recognized for excellence in practice. R R R R R R




ANS: C R




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. OptionA is
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incorrect because this is not an environment in which staff are encouraged to participate
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in decision making. Option BNiU
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tb t should be seen in all environments R R R R R R R R R R R




regardless of autonomy. Option D is incorrect because excellence in practice is not seen solely R R R R R R R R R R R R R R




in autonomous environments.
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DIF: Cognitive Level: Analysis R R REF: page 6 R R




6. The fundamental element of any patient care delivery combines work allocation with
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a. patient acuity. R




b. leadership.
c. clinical decision making. R R




d. delegation.

ANS: C R




Work allocation is necessary in any patient care delivery system. The other options are
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incorrect because it is not necessarily useful in determining the appropriate patient care
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delivery systems needed.
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DIF: Cognitive Level: Analysis
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7. The student nurse, shadowing on a medical-surgical unit, observes the charge nurse. Which
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action would the student identify as a leadership quality in the nurse’s actions?
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a. Making patient care assignments distributed equally to staff R R R R R R R




b. Sitting with a confused combative patient R R R R R




c. Calling the nursing office for extra staff when an RN calls in sick R R R R R R R R R R R R