TEST BANK FOR NURSING DELEGATIONAND MANAGEMENT OF PATIENT CARE 2ND EDITION BY MOTACKI

Table of Contents

Section 1: TRANSFORMATIONAL LEADERSHIP

• Leadership and Management
• Organizational Structure of Health Care
• Strategic Management and Planning
• Financial Management in Health Care
• Health Care Regulatory and Certifying Agencies

Section 2: STRUCTURAL EMPOWERMENT

• Organizational Decision Making and Shared Governance
• Professional Decision Making and Advocacy
• Communication in the Work Environment
• Personnel Policies and Programs in the Workplace

Section 3: EXEMPLARY PROFESSIONAL PRACTICE

• Professional Development
• Professional Practice and Care Delivery Models and Emerging Practice Models
• Staffing and Scheduling
• Delegation of Nursing Tasks
• Providing Competent Staff
• Group Management for Effective Outcomes
• Hospital Information Systems
• Organizational Structure of Health Care

Section 4: NEW KNOWLEDGE, INNOVATIONS, AND IMPROVEMENTS

• Improving Organizational Performance
• Evidence-Based Practice
• Monitoring Outcomes and the Use of Data for Improvement

Section 5: CONGRATULATIONS

21. The Immediate Future: Job Interviewing, NCLEX, and Continuing

Chapter 01: Leadership and Management

Motacki: Nursing Delegation and Management of Patient Care, 2nd Edition

MULTIPLE CHOICE

• Nurses can be leaders without being managers. Which nursing actions demonstrate

leadership?

• Assisting a new nurse with enteral tube feedings
• Counseling a new nurse regarding attendance
• Adjusting assignments after a staff member calls in sick
• Calling a physician for new order clarification

ANS: A

Leaders act as role models and mentor new staff. The other options are incorrect because they are management responsibilities and not leadership roles.

DIF: Cognitive Level: Application REF: page 6

• Which nursing actions demonstrate the role of management in nursing?
• Encouraging autonomous decision making
• Observing the documentation of appropriate charges to patients
• Assisting in a code
• 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 mentoring roles.

DIF: Cognitive Level: Application REF: page 6

• Much like a politician, a nurse manager must exhibit leadership that inspires and motivates. In

which instance is a nurse demonstrating leadership qualities?

• 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.

• A staff nurse acts quickly when a cardiac arrest is called on her patient.
• A staff nurse notifies another staff member that she is being “pulled” today.
• 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 practice 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

• A nurse manager must exhibit qualities of efficiency and organization. Which nurse is

demonstrating the qualities necessary for a manager?

• 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.

• A nurse acts quickly when a cardiac arrest is called on her patient.
• A nurse notifies another staff member that she is being “pulled” today.
• 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 is a 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

• 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 observe on this unit?

• Nurse manager mandates changes.
• Staff takes responsibility for assignments.
• Staff participates on hospital committees.
• Nurses are recognized for excellence in practice.

ANS: C

Work environments that promote autonomy and decision making encourage participation on hospital committees so that staff may become involved in the decisions that are made. Option A is incorrect because this is not an environment in which staff are encouraged to participate in decision making. Option B is incorrect because it should be seen in all environments regardless of autonomy. Option D is incorrect because excellence in practice is not seen solely in autonomous environments.

DIF: Cognitive Level: Analysis REF: page 6

• The fundamental element of any patient care delivery combines work allocation with
• patient acuity.
• leadership.
• clinical decision making.
• 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

• The student nurse, shadowing on a medical-surgical unit, observes the charge nurse. Which

action would the student identify as a leadership quality in the nurse’s actions?

• Making patient care assignments distributed equally to staff
• Sitting with a confused combative patient
• Calling the nursing office for extra staff when an RN calls in sick