Edition by Motacki
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,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 CHO E
1. Nurses can be leaders without being managers. Wh h nursing actions demonstrate
leadership?
a. Assisting a new nurse with enteral tube feedings
b. Counseling a new nurse regarding attendance
c. Adjusting assignments after a staff member calls in s k
d. Calling a phys ian for new order clarif ation
ANS: A
Leaders act as role models and mentor new staff. The other options are incorrect because theyare
management responsibilities and not leadership roles.
DIF: Cognitive Level: Appl ation REF: page 6
2. Wh h nursing actions demonstrate the role of management in nursing?
a. Encouraging autonomous decision making
b. Observing the documentation of appropriate charges to patients
c. Assisting in a code
d. Asking the patient/family about advance directives
ANS: B
Managers are responsible for the budget of their units. The other options are incorrect because
those are leadership or mentoNriU
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DIF: Cognitive Level: Appl ation REF: page 6
3. Much like a polit ian, a nurse manager must exhibit leadership that inspires and motivates. Inwh h
instance is a nurse demonstrating leadership qualities?
a. A staff nurse becomes aware of increased infection rates following cardiac surgery.The
nurse takes it upon herself to research the possible causes and prevention measures
and to make suggestions to better protect patients.
b. A staff nurse acts qu kly when a cardiac arrest is called on her patient.
c. A staff nurse notifies another staff member that she is being “pulled” today.
d. A new nurse volunteers to work when another staff member must leave work
because her child is ill.
ANS: A
Nurse leaders are interested in changing pract e based on evidence. Options B and D are
incorrect because they are actions taken by nurses as part of the functional structure of the
unit. Option C is incorrect because it is an action taken by a manager.
DIF: Cognitive Level: Analysis REF: page 6
4. A nurse manager must exhibit qualities of eff iency and organization. Wh h nurse is
,demonstrating the qualities necessary for a manager?
a. A nurse becomes aware of increased infection rates following cardiac surgery. The
, nurse takes it upon herself to research the possible causes and prevention measures
and to make suggestions to better protect patients.
b. A nurse acts qu kly when a cardiac arrest is called on her patient.
c. A nurse notifies another staff member that she is being “pulled” today.
d. A nurse volunteers to work when another staff member must leave work because
her child is ill.
ANS: C
Determining who gets “pulled” is a management decision. Option A is incorrect because it isa role
taken by a nurse leader. Option B is incorrect because it is an action taken by staff as part of the
functional structure of the unit. Option D is incorrect because it is an action taken by staff as part of
the functional structure of the unit.
DIF: Cognitive Level: Analysis REF: page 6
5. A nurse has accepted a position on a nursing unit where the nurse manager promotes autonomy
and staff involvement in decision making. What would the nurse expect to observeon this unit?
a. Nurse manager mandates changes.
b. Staff takes responsibility for assignments.
c. Staff part ipates on hospital committees.
d. Nurses are recognized for excellence in pract e.
ANS: C
Work environments that promote autonomy and decision making encourage part ipation on
hospital committees so that staff may become involved in the decisions that are made. OptionA is
incorrect because this is not an environment in wh h staff are encouraged to part ipate
in decision making. Option BNiUsR coIrrN
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t should be seen in all environments
regardless of autonomy. Option D is incorrect because excellence in pract e is not seen solely
in autonomous environments.
DIF: Cognitive Level: Analysis REF: page 6
6. The fundamental element of any patient care delivery combines work allocation with
a. patient acuity.
b. leadership.
c. clin al decision making.
d. delegation.
ANS: C
Work allocation is necessary in any patient care delivery system. The other options are
incorrect because it is not necessarily useful in determining the appropriate patient care
delivery systems needed.
DIF: Cognitive Level: Analysis REF: page 10
7. The student nurse, shadowing on a med al-surg al unit, observes the charge nurse. Wh haction
would the student identify as a leadership quality in the nurse’s actions?
a. Making patient care assignments distributed equally to staff
b. Sitting with a confused combative patient
c. Calling the nursing off e for extra staff when an RN calls in s k