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
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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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MULTIPLElCHOICE
1. Nurseslcanlbelleaderslwithoutlbeinglmanagers.lWhichlnursinglactionsldemonstratellead
ership?
a. Assistinglalnewlnurselwithlenteralltubelfeedings
b. Counselinglalnewlnurselregardinglattendance
c. Adjustinglassignmentslafterlalstafflmemberlcallslinlsick
d. Callinglalphysicianlforlnewlorderlclarification
ANS:l A
Leaderslactlaslrolelmodelslandlmentorlnewlstaff.lThelotherloptionslarelincorrectlbecauseltheylarelma
nagementlresponsibilitieslandlnotlleadershiplroles.
DIF: CognitivelLevel:lApplication REF:l pagel6
2. Whichlnursinglactionsldemonstratelthelroleloflmanagementlinlnursing?
a. Encouraginglautonomousldecisionlmaking
b. Observingltheldocumentationloflappropriatelchargesltolpatients
c. Assistinglinlalcode
d. Askinglthelpatient/familylaboutladvanceldirectives
ANS:l B
Managerslarelresponsiblelforlthelbudgetlofltheirlunits.lThelotherloptionslarelincorrectlbecauselthosel
arelleadershiplorlmentoNriU
ngRrS
oIlesN.lGTB.COM
DIF: CognitivelLevel:lApplication REF:l pagel6
3. Muchllikelalpolitician,lalnurselmanagerlmustlexhibitlleadershiplthatlinspireslandlmotivates.lInlwhichlins
tancelislalnurseldemonstratinglleadershiplqualities?
a. Alstafflnurselbecomeslawareloflincreasedlinfectionlrateslfollowinglcardiaclsurgery.lTheln
urseltakeslitluponlherselfltolresearchlthelpossiblelcauseslandlpreventionlmeasureslandltol
makelsuggestionsltolbetterlprotectlpatients.
b. Alstafflnurselactslquicklylwhenlalcardiaclarrestlislcalledlonlherlpatient.
c. Alstafflnurselnotifieslanotherlstafflmemberlthatlshelislbeingl“pulled”ltoday.
d. Alnewlnurselvolunteersltolworklwhenlanotherlstafflmemberlmustlleavelworklbecaus
elherlchildlislill.
ANS:l A
Nurselleaderslarelinterestedlinlchanginglpracticelbasedlonlevidence.lOptionslBlandlDlarelincorr
ectlbecauseltheylarelactionsltakenlbylnurseslaslpartloflthelfunctionallstructureloflthelunit.lOptionl
Clislincorrectlbecauselitlislanlactionltakenlbylalmanager.
DIF:lll CognitivelLevel:lAnalysis REF:l pagel6
4. Alnurselmanagerlmustlexhibitlqualitiesloflefficiencylandlorganization.lWhichlnurselisldemon
stratinglthelqualitieslnecessarylforlalmanager?
a. Alnurselbecomeslawareloflincreasedlinfectionlrateslfollowinglcardiaclsurgery.lThe
, nurseltakeslitluponlherselfltolresearchlthelpossiblelcauseslandlpreventionlmeasureslandlto
lmakelsuggestions ltolbetterlprotect lpatients.
b. Alnurselactslquicklylwhenlalcardiaclarrestlislcalledlonlherlpatient.
c. Alnurselnotifieslanotherlstafflmemberlthatlshelislbeingl“pulled”ltoday.
d. Alnurselvolunteersltolworklwhenlanotherlstafflmemberlmustlleavelworklbecauselherlchil
dlislill.
ANS:l C
Determininglwholgetsl“pulled”lislalmanagementldecision.lOptionlAlislincorrectlbecauselitlislalroleltak
enlbylalnurselleader.lOptionlBlislincorrectlbecauselitlislanlactionltakenlbylstafflaslpartloflthelfunction
allstructureloflthelunit.lOptionlDlislincorrectlbecauselitlislanlactionltakenlbylstafflaslpartloflthelfunction
allstructureloflthelunit.
DIF: CognitivelLevel:lAnalysis REF:l pagel6
5. Alnurselhaslacceptedlalpositionlonlalnursinglunitlwherelthelnurselmanagerlpromoteslautonomylandlst
afflinvolvementlinldecisionlmaking.lWhatlwouldlthelnurselexpectltolobservelonlthislunit?
a. Nurselmanagerlmandateslchanges.
b. Staffltakeslresponsibilitylforlassignments.
c. Stafflparticipateslonlhospitallcommittees.
d. Nurseslarelrecognizedlforlexcellencelinlpractice.
ANS:l C
Worklenvironmentslthatlpromotelautonomylandldecisionlmakinglencouragelparticipationlonlhospit
allcommitteeslsolthatlstafflmaylbecomelinvolvedlinltheldecisionslthatlarelmade.lOptionlAlislincorrectl
becauselthislislnotlanlenvironmentlinlwhichlstafflarelencouragedltolparticipate
inldecisionlmaking.lOptionlBNiUslR
incSoIrrN
ecG TeBca.uCseOiM
tlb tlshouldlbelseenlinlalllenvironments
regardlessloflautonomy.lOptionlDlislincorrectlbecauselexcellencelinlpracticelislnotlseenlsolely
inlautonomouslenvironments.
DIF: CognitivelLevel:lAnalysis REF:l pagel6
6. Thelfundamentallelementloflanylpatientlcareldeliverylcombineslworklallocationlwith
a. patientlacuity.
b. leadership.
c. clinicalldecisionlmaking.
d. delegation.
ANS:l C
Worklallocationlislnecessarylinlanylpatientlcareldeliverylsystem.lThelotherloptionslarelincorre
ctlbecauselitlislnotlnecessarilylusefullinldetermininglthelappropriatelpatientlcareldeliverylsyst
emslneeded.
DIF:lll CognitivelLevel:lAnalysis REF:l pagel10
7. Thelstudentlnurse,lshadowinglonlalmedical-
surgicallunit,lobserveslthelchargelnurse.lWhichlactionlwouldlthelstudentlidentifylaslalleadershiplqu
alitylinlthelnurse’slactions?
a. Makinglpatientlcarelassignmentsldistributedlequallyltolstaff
b. Sittinglwithlalconfusedlcombativelpatient
c. CallinglthelnursinglofficelforlextralstafflwhenlanlRNlcallslinlsick
, d. Assistinglinlalcode
ANS:l B
Leaderslactlaslrolelmodelslandldolwhatlislrightlforlthelpatient.lThelotherloptionslarelincorrectlbecaus
eltheselactionslarelexpectedlaslpartloflthelfunctioningloflthelunit.
DIF: CognitivelLevel:lAnalysis REF:l pagel5
8. Healthlcarelislseenlandlmanagedlaslalbusinessltoday.lWhichlskillslarelconsideredlessentialltolmana
ginglhealthlcarelaslalbusiness?
a. Abilityltolpressurelstaffltoldolwhatlyoulwant
b. Resourcelutilization
c. Cuttinglcornersltolmakelmoney
d. Providinglbonusesltolstafflmemberslwholhelplthelorganizationltolsavelmoney
ANS:l B
Thelabilityltolmanagelalbudgetlislessentialltolbeinglalmanagerlinlhealthlcareltoday.lThelotherloption
slarelincorrectlbecauseltheylarelonlylalperceptionloflthelpubliclregardinglsuccessfullmanagers.
DIF: CognitivelLevel:lApplication REF:l pagel3l|lpagel7
9. Thelnovicelnurselislspeakinglwithlthelnurselmanagerlaboutltheirlroleslwithinlthelhierarchyloflthelinstitu
tion.lThelnurselmanagerlwouldlmostllikelylidentifylwhichlrolelaslhavinglthelmostlinternallconflict?
a. Coordinatinglinstitutionallgoalslwithlthelimmediateldemandsloflthelclinicallarea
b. Determininglwhichloflthelstafflmemberslshouldlgetlbetterlraiseslthanlother
members .
c. Decidinglwhichlemployeeslshouldlbelrecommendedlforlpromotion
d. DetermininglwhichlstafflmemberslgetlChristmasldayloff
ANS:l A
Manyltimeslthelgoalsloflthelinstitutionlconflictlwithlthelgoalsloflthelindividuallemployeesloflalparticula
rlclinicallarealandlthelnurselmanagerlmustlimplementlinstitutionallchangeslregardlessloflthelnurse’slp
ersonallopinion.lThelotherloptionslarelincorrectlbecauselthoselroleslshouldlnotlprovokelaslmuchlconflic
t.
DIF:lll CognitivelLevel:lApplication REF:l pagesl7-8
10. Nurselmanagerslcanlbestlbeldescribedlaslpeoplelwho
a. developlinstitutionallgoalslbasedlonlstafflsuggestions.
b. developlinstitutionallgoalslbasedlonlalpersonalltheory.
c. motivatelstaffltolmeetlinstitutionallgoalslthroughlpositionallpower.
d. inspirelstaffltolmeetlinstitutionallgoalslthroughlpersonallpower.
ANS:l C
Managerslmotivatelstaffltolmakelchanges.lOptionslAlandlBlarelincorrectlbecauselnurselmana
gerslusuallyldolnotlmakelinstitutionallgoals.lOptionlClislincorrectlbecauselleaderslinspire,lnotl
managers.
DIF:lll CognitivelLevel:lApplication REF:l pagel6