Final

Question 1

The nurse manager on the labor and delivery unit evaluates that one of the staff nurses has leadership qualities. Which of the following is a basis for this judgment?
A. The nurse works overtime every week.
B. The nurse stays long after her shift is over to chart.
C. The nurse uses a monthly forum to review current knowledge content.
D. The nurse uses a negative approach when evaluating staff skills. (Motacki 13)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 1

C

Question 2

As a nurse, you are aware that one element that is common to the nursing process and the management process is:
A. Identification of needs
B. Identification of resources
C. Planning
D. Control (Motacki 13)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 2

C

Question 3

One main difference between an ideal leader and an organization-focused manager is that an:
A. Ideal leader maintains the status quo
B. Organization-focused manager is creative
C. Ideal leader is a risk-taker
D. Organization-focused manager is a visionary (Motacki 13)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 3

C

Question 4

Which of the following is NOT the middle-level manager’s responsibility?
A. People within the departments they supervise
B. Liaison between upper management and first-level manager
C. Establishment of organizational goals
D. Activities within the departments they supervise
(Motacki 13-14)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 4

C

Question 5

The middle-level manager:
A. Makes hospital-wide decisions
B. Supervises a number of upper-level managers
C. Is responsible for the people and activities on a 24-hours-a-day/7-days-a-week basis
D. Is responsible for their specific shift only (Motacki 14)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 5

C

Question 6

You are mentoring a new nurse. You know that which of the following is NOT a mentor’s responsibility?
A. Discuss means to correct chronic tardiness
B. Offer criticism on nursing skills
C. Perform a nurse’s probation period review
D. Evaluate the nurse’s exact break and lunch times (Motacki 14)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 6

A

Question 7

The four skill sets needed by good leaders are:
A. Self-awareness, self-management, social awareness, and relationship management
B. Self-awareness, self-management, social control, and relationship management
C. Self-awareness, self-control, social awareness, and relationship management
D. Self-awareness, self-management, social awareness, and relationship performance (Motacki 14)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 7

A

Question 8

defines the “four agreements” that leaders must make with themselves. They are as follows:
A. Be impeccable with your word, take nothing personally, make no assumptions, and always do your best, no more and no less
B. Be impeccable with your actions, take nothing personally, make no assumptions, and always do your best, no more and no less
C. Be impeccable with your word, take nothing personally, make assumptions, and always do your best, no more and no less
D. Be impeccable with your word, take nothing personally, make no assumptions, and be appreciative of your staff (Motacki 14)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 8

A

Question 9

Leader competencies are a necessary aspect of a leader’s role. As a leader, you are aware that the following is needed for this role:
A. A clear vision and owned purpose
B. A pessimistic attitude with colleagues
C. A negative approach with families
D. A membership with more than three committees (Motacki 14)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 9

A

Question 10

The vice president of nursing is responsible for:
A. Establishing organizational goals and strategic plans for nursing
B. Developing and maintaining daily assignments
C. Prioritizing events during disaster plan implementation
D. Overseeing the mission and vision of the organization (Motacki 14)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 10

A

Question 11

A model of care in which the nurse assumes full accountability for care of a group of patients is:
A. Case management
B. Primary nursing
C. Functional nursing
D. Total patient care (Motacki 26)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 11

D

Question 12

A schematic description of a theory, phenomenon, or system that depicts how nurses practice, collaborate, communicate, and develop professionally to provide the highest level of care (American Nurses Credentialing Center, 2013) is:
A. Professional practice model
B. Care delivery system
C. Case management model
D. Functional system (Motacki 26)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 12

A

Question 13

Which type of structure is a hierarchy that follows a chain of command concept and is characterized by top-down decision making?
A. Decentralized
B. Organizational
C. Functional
D. Matrix (Motacki 26)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 13

B

Question 14

A decentralized leadership structure would be one that allows decision making:
A. At senior levels
B. By the board of trustees
C. At the point of care
D. By all involved (Motacki 26)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 14

C

Question 15

Which of the following is a disadvantage of primary nursing?
A. Improved quality and continuity of care
B. Simplified communication
C. Increased nurse satisfaction
D. Increased number of hours of care per day requires greater number of registered nurses (Motacki 26)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 15

D

Question 16

Which of the following structures arranges services and departments according to their function?
A. Organizational
B. Functional
C. Primary
D. Centralized (Motacki 26)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 16

B

Question 17

The type of patient care in which the nurse caring for the patient makes most decisions is:
A. Functional
B. Team
C. Case management
D. Total patient care (Motacki 26)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 17

D

Question 18

Which model of nursing mixes both process and delivery?
A. Modular
B. Case management
C. Primary care
D. Team nursing (Motacki 26)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 18

B

Question 19

Which of the following describes an integrated structure?
A. Providers agree to accept the risk of caring for a particular patient segment or population for a pre-established fee
B. Combines both function and service line
C. Arranges services and departments according to function
D. The nurse is responsible to the nurse manager and vice president of nursing (Motacki 26)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 19

A

Question 20

The reorganization of health care systems were developed to:
A. Provide for care throughout the various transitions of care
B. Change the levels of nursing authority in the institution
C. Provide for care in one facility at a time
D. Prevent partnerships, which would lead to less income (Motacki 26)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 20

A

Question 21

The mission of an organization:
A. Sets the competitive tone
B. States what is done by the organization
C. Measures the performance of a unit
D. Defines the philosophy of an institution
(Motacki 36)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 21

A

Question 22

The vision of an organization is:
A. A statement defining the purpose of the organization
B. A future-oriented statement of where the organization sees itself
C. Philosophy or behaviors determined to be vital to the organization
D. An analysis of the political, demographic, and social environment of the organization (Motacki 36)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 22

B

Question 23

An environmental scan is:
A. An analysis of the political, demographic, social, regulatory, and technological areas of the organization
B. The measurable statements related to the goals of the organization
C. The quantitative tools that allow for measurement of achievement
D. The competitive environment of the organization (Motacki 36)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 23

A

Question 24

A specific action plan should be used for each:
A. Strategy
B. Goal
C. Outcome
D. Performance improvement (Motacki 36)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 24

A

Question 25

Identifying purpose, selecting goals, identifying approaches are all part of:
A. Unit-based planning
B. Hospital-wide planning
C. Organization-wide planning
D. Decentralized planning (Motacki 36)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 25

A

Question 26

6. An annual plan includes:
   A. People, service, budget, community, finance, and growth
   B. People, service, quality, community, finance, and growth
   C. People, service, quality, objectives, finance, and growth
   D. People, service, quality, community, finance, and perseverance (Motacki 36)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 26

B

Question 27

7. _____________________is the process by which the specific goals are matched with each strategic goal.
   A. Action planning
   B. Short-term goal planning
   C. Long-term goal planning
   D. Core-measure planning
   (Motacki 36)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 27

A

Question 28

According to Studer, 2003 most organizations use six pillars for organization and performance measures. The six pillars include:
A. People, satisfaction, quality, community, finance, and growth
B. People, service, quantity, community, finance, and growth
C. People, service, quality, community, finance, and growth
D. People, service, quality, community, diversity, and growth
(Motacki 36)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 28

C

Question 29

Which of the following is not an element of a strategic plan?
A. Mission statement
B. Competitive challenges and strategy
C. Organizational policies
D. Unit-specific goals (Motacki 36)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 29

D

Question 30

Strategic planning does not include:
A. A plan to decide where the organization will go in the next year
B. An organization-wide plan
C. Effects on patient care and patient units
D. A community plan (Motacki 36)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 30

D

Question 31

An example of an indirect cost is:
A. Cost center
B. Information technology
C. Nursing staff
D. Delivery of care (Motacki 54)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care,  2nd Edition. Mosby, 022016. VitalBook file.

Answer 31

A

Question 32

The difference between actual budget and actual spending is referred to as:
A. Budget variance
B. Fixed cost
C. Cash on hand
D. Revenues (Motacki 54)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 32

A

Question 33

3. ____________deliver comprehensive health maintenance and treatment services for a group of enrolled individuals.
   A. Health maintenance organizations (HMOs)
   B. Preferred provider organizations (PPOs)
   C. Independent Practice Associations (IPAs)
   D. Primary Care Providers (PCPs) (Motacki 54)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 33

A

Question 34

An example of an indirect cost would be:

1. Housekeeping staff
2. Ink for a printer on the unit
3. Uniform allowance for licensed practical nurses
4. Registered nurse salary (Motacki 54)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 34

A

Question 35

An example of a direct cost is:
A. Telephone costs for the entire facility
B. Copy paper for a specific unit
C. Room use for a hospital event
D. Housekeeping staff (Motacki 54)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 35

B

Question 36

The operating expense budget does not include:
A. The personnel budget
B. The costs other than personnel
C. The revenue budget
D. Off-site registered nurse continuing education seminars (Motacki 54)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 36

D

Question 37

7. ___________________originated the reimbursement of general health costs in the 1930s.
   A. Blue Cross Blue Shield
   B. United Health Care
   C. Medicare
   D. Medicaid (Motacki 54)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 37

A

Question 38

According to the United States Census Bureau, there were ________________people uninsured in 2012.
A. 30.2 million
B. 48.6 million
C. 50.2 million
D. 52.2 million (Motacki 54)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 38

B

Question 39

Which country spends more on health care per capita than any other industrialized Western nation?
A. United States
B. United Kingdom
C. China
D. Canada (Motacki 54)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 39

A

Question 40

In 2012, the Institute for Healthcare Improvement described an approach to optimizing health system performance. It is their belief that new designs must be developed to simultaneously pursue three dimensions called the “Triple Aim.” This includes:
A. Improving the patient experience of care, improving the economy, and reducing the per capita cost of health care
B. Improving the patient experience of care, improving the health of populations, and reducing the per capita cost of health care
C. Improving the patient experience of care, improving the health of populations, and reducing the per diem cost of health care
D. Improving the patient experience of care, improving the health of certain groups, and reducing the per capita cost of health care (Motacki 54)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 40

B

Question 41

What agency provides national and world leadership to prevent work-related illnesses and injuries and conducts a range of efforts in the areas of research, guidance, information, and service?
A. The Centers for Disease Control and Prevention (CDC)
B. National Institute for Occupational Safety and Health (NIOSH)
C. The Joint Commission (TJC)
D. Centers for Medicare & Medicaid services (CMS) (Motacki 67)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 41

A

Question 42

2. __________________is a health care accreditation agency that integrates the International Organization for Standardization’s ISO 9001 quality management system with the Medicare conditions of participation.
   A. Det Norske Veritas (DNV)
   B. The Joint Commission (TJC)
   C. American Osteopathic Association (AOA)
   D. National Institute for Occupational Safety and Health (NIOSH) (Motacki 67)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 42

A

Question 43

The Joint Commission standards address an organization’s level of performance in key functional areas, such as:
A. Patient rights, patient treatment, high-quality care
B. Patient rights, patient assessment, pain control
C. Infection control, pain control, falls
D. Infection control, safe care, injection safety (Motacki 67)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 43

A

Question 44

The Occupational Safety and Health Administration (OSHA) has provided guidelines for minimizing patient lifting to prevent health care musculoskeletal injuries. Within these guidelines, OSHA recommends that:
A. Patients be allowed to decide whether safe lifting equipment should be used when transferring out of bed
B. Manual lifting of residents be minimized and eliminated when feasible
C. Only specific types of lifting equipment be used, such as a ceiling-mounted patient lift with a sling
D. Institutions should be allowed to decide based on patient population whether safe lifting equipment should be used (Motacki 67)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 44

B

Question 45

One benefit of accreditation by The Joint Commission is that it:
A. Leads to improved patient care and demonstrates the organization’s commitment to safety and quality
B. Allows for increased financial gain through Medicare and Medicaid reimbursement and offers employee assistance programs
C. Influences the improved design of care processes, creating a nonpunitive environment to enhance error reporting and allow participation in error reporting and analysis
D. Offers an educational off-site survey experience (Motacki 67)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 45

A

Question 46

The Joint Commission’s evaluation and accreditation services are provided for the following types of organizations:
A. State department of health and town senior housing services
B. Physicians’ offices and freestanding laboratory service agencies
C. Home hemodialysis and peritoneal dialysis
D. Critical access hospitals, home care organizations, and nursing homes (Motacki 67)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 46

C

Question 47

The U.S. Department of Health and Human Services (USDHHS) is the most important federal actor in health care. What are some of the other federal agencies with major health services roles?
A. Department of Veterans Affairs
B. Department of Treasury and Taxation
C. Department of Corrections and Law
D. Department of Agriculture and Taxation
(Motacki 67)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 47

A

Question 48

The mission of the U.S. Department of Health and Human Services (USDHHS) is:
A. To protect and promote the health and social economic well-being of legal immigrants by helping them and their families develop and maintain productive and independent lives
B. To support legal immigrants both financially and legally
C. To protect and promote the health and social and economic well-being of Americans by helping them and their families develop and maintain productive and independent lives
D. To deport all illegal immigrants to their countries in an effort to maintain alliances with those countries (Motacki 67)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 48

C

Question 49

An example of what the Centers for Disease Control and Prevention (CDC) would evaluate is:
A. A toxic spill on a state highway
B. An outbreak of rubella at a school
C. A flu shot clinic at a pharmaceutical company
D. An outbreak of respiratory syncytial virus in a neonatal intensive care unit (Motacki 68)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 49

B

Question 50

The National Institute for Occupational Safety and Health (NIOSH) is:
A. The agency that works closely with The Joint Commission and hospital accreditation
B. A local agency that coordinates patient care and patient services
C. A state agency that is part of the Centers for Disease Control and Prevention (CDC) in the U.S. Department of Health and Human Services
D. The federal agency responsible for conducting research and making recommendations for the prevention of work-related injury and illness.
(Motacki 68)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 50

D

Question 51

Shared governance is:
A. Decision making based on the principles of partnership, equality, accountability, and ownership at the point of service
B. Decision making based on the principles of partnership, equity, accountability, and ownership at the point of service
C. Decision making based on the principles of partnership, equity, accessibility, and ownership at the point of service
D. Decision making based on the principles of patient care, equity, accountability, and ownership at the point of service (Motacki 78)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 51

B

Question 52

Which council is concerned with the management of resources as defined in the strategic plan and nursing conceptual framework?
A. Nurse Executive Council
B. Unit-Based Council
C. Nursing quality and patient safety council
D. Advanced practice nurse council
(Motacki 78)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 52

A

Question 53

Which council provides the opportunity for APNs, with support from the Chief Nursing Officer (CNO) and the Director of Ambulatory Services, to identify areas of improvement and to share best practices within this diverse group of clinicians?
A. Advanced Practice Nurse Council
B. Nurse Executive Council
C. Unit-Based Council
D. Nursing Informatics and Communication Council (Motacki 78)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 53

A

Question 54

Which council serves as a communication link for geographically remote sites within a multicampus system that uses the same shared governance model?
A. Nurse executive council
B. Entity-based council
C. Unit-based council
D. Advanced practice nurse council (Motacki 78)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 54

B

Question 55

Which council advances the practice of nursing and fosters the nursing role in patient education through staff and development and evidence-based research initiatives?
A. Nursing Staff Development, Education and Research Council
B. Nurse executive council
C. Advanced practice nurse council
D. Nursing informatics and communication council (Motacki 78)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 55

A

Question 56

Who is responsible for answering to the board of trustees in an institution?
A. Chief executive officer (CEO)
B. Chief nursing officer (CNO)
C. Chief financial officer (CFO)
D. Safety officer (Motacki 78)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 56

A

Question 57

Self-governance:
A. Occurs at the point of care
B. Is position based
C. Has high staff input
D. Integrates equity and accountability (Motacki 79)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care,  2nd Edition. Mosby, 022016. VitalBook file.

Answer 57

B

Question 58

Shared governance is:
A. Knowledge based and occurs at the point of care
B. Position based and occurs at the point of care
C. Knowledge based and there is limited staff input
D. Position based with hierarchical communication (Motacki 79)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 58

A

Question 59

9. _____________(2013) states that shared leadership/participative decision making is a model in which nurses are formally organized to make decisions about clinical practice standards, quality improvement, staff and professional development, and research.
   A. American Nurses Association
   B. American Nurses Credentialing Center
   C. National League for Nursing
   D. State boards of nursing (Motacki 79)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 59

B

Question 60

According to Burton (2004) ___________is a formal, guided process for integrating the people, information, and technology of an organization, and serves as a key structural element that allows corporations to maximize value by matching their corporate design to overall strategy.
A. Organizational design
B. Decision making
C. Shared governance
D. Accountability (Motacki 79)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 60

A

Question 61

A political process by an individual or group that aims to influence public policy and resource allocation decisions within political, economic, and social systems and institutions is:
A. Policy change
B. Advocacy
C. Institutional policy
D. Public policy (Motacki 87)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 61

B

Question 62

Nurses represent one of the largest workforces in the nation at 3.1 million. It is estimated that only __________% belong to the American Nurses Association.
A. 5
B. 10
C. 15
D. 20 (Motacki 87)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 62

A

Question 63

Which of the following would be an example of a policy dealing with workplace safety?
A. Safe patient handling
B. Prevention of workplace bullying
C. Staffing ratios
D. All of the above are correct (Motacki 87)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 63

D

Question 64

There are four major areas of political action in nursing. They are:
A. The workplace, the government, professional organizations, and the community
B. The workplace, the educational institutions, professional organizations, and the community
C. The government, professional organizations, and the state regulators
D. The government, the community, and nursing boards
(Motacki 87)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 64

A

Question 65

Which of the following is a policy that pertains to the positions taken by professional organizations such as ANA?
A. Health
B. Organizational
C. Institutional
D. Health (Motacki 87)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 65

B

Question 66

Which of the following is a policy that pertains to the governing of workplaces?
A. Social
B. Health
C. Organizational
D. Institutional (Motacki 87)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 66

D

Question 67

Which of the following is a policy that pertains to the decisions that promote the welfare of the public?
A. Social
B. Health
C. Organizational
D. Public (Motacki 87)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 67

A

Question 68

Which of the following is a policy formed by governmental bodies such as legislation passed by a state legislature?
A. Social
B. Health
C. Organizational
D. Public (Motacki 87)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 68

D

Question 69

Public, private, and governmental health care decision makers at every level should include representation from nursing on:
A. Nursing boards
B. Executive management teams
C. Key leadership positions
D. All of the above are correct (Motacki 87)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 69

D

Question 70

The American Nurses Credentialing Center (ANCC) (2013, p. 35) states that Magnet nurses “support organizational goals, advance the nursing profession, and enhance professional development by:
A. Extending their influence to professional and community groups
B. Increasing the number of nurses obtaining ANCC certification
C. Increasing the number of BSN nurses in their facilities
D. Speaking at professional conferences (Motacki 87)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 70

A

Question 71

What is the transfer of information (along with authority and responsibility) during transitions in care across the continuum, to include an opportunity to ask questions, clarify, and confirm?
A. Communications
B. Change-of-shift report
C. Handoff
D. Physician order entry (Motacki 102)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 71

C

Question 72

When working in team situations, which of the following is the most effective tool to use?
A. Team STEPPS (team strategies and tools to enhance performance and patient safety)
B. STEP (status of the patient, team members, environment, progress toward goal)
C. Huddle
D. Situation monitoring (Motacki 102)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 72

A

Question 73

Your patient is coming into the trauma unit and you are the registered nurse for the patient. Example: Leader: “Airway status?”; Resident: “Airway clear”; Leader: “Breath sounds?”; Resident: “Breath sounds decreased on right.” Leader: “Blood pressure?”; Nurse: “BP is 90/40.” Which strategy is in use?
A. Call-out
B. Check-back
C. SBAR (situation, background, assessment, recommendation)
D. STEPPS (Motacki 102)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 73

A

Question 74

The electronic physician order entry system:
A. Prevents all medication errors
B. Provides many online alerts and warnings for clinical care givers
C. Poses problems when the system is done
D. Is not the most acceptable type of physician’s orders
(Motacki 102)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 74

B

Question 75

Which of the following is on the list of “don’ts” regarding the change-of-shift report?
A. Share significant information about family members
B. Relay to staff significant changes in the way therapies are given
C. Continually review ongoing discharge plan
D. Review all routine care procedures (Motacki 102)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 75

B

Question 76

When calling the physician and following the SBAR process, which of the following items is included under the Situation criteria?
A. Identify the patient’s ethnicity and religious affiliation
B. Briefly state the problem, what it is, when it happened or started, and its severity
C. Inform the physician regarding the patient’s roommates
D. Describe patient’s mental status (Motacki 102)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 76

B

Question 77

In nursing, clear and precise communication is essential in the care of the patient. As a nurse, you are aware that messages can be:
A. Native and foreign
B. Verbal and nonverbal
C. Coded and encoded
D. Clear and unclear (Motacki 102)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 77

B

Question 78

Regarding the SBAR process, pertinent background information related to the situation includes:
A. Socioeconomic status of the family
B. List of current medications allergies, intravenous fluids, and laboratory results
C. Patient’s dietary needs before hospitalization
D. Family history of disease (Motacki 102)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 78

B

Question 79

SBAR stands for:
A. Situation, Background, Assessment, Recommendation
B. Situation, Background, Assessment, Reaction
C. Situation, Background, Assessment, Reply
D. Situation, Background, Action, Recommendation (Motacki 102)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 79

A

Question 80

Which of the following is on the list of “do’s” regarding the change-of-shift report?
A. Provide essential background information about the patient
B. Identify the patient’s discharge plans
C. Share significant information about family friends
D. Discuss every routine order for the patient
(Motacki 102)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 80

A

Question 81

Several laws have been implemented to ensure that there are equal employment opportunities for all individuals regardless of race, color, national origin, religion, sex, age, or disability. Which of the following acts prohibits discrimination against qualified individuals with disabilities who work in the federal government?
A. Title VII
B. Title I
C. Sections 501 and 505
D. Sections 101 and 2012 (Motacki 116)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 81

C

Question 82

The list of strategies for conflict resolution according to Huber includes all of the following except:
A avoiding
B reassuring
C withholding
D commending

Answer 82

B

Question 83

When individuals speak for themselves in a way that the other individual hears, the concern is called:
A confronting
B collaborating
C problem solving
D competing

Answer 83

A

Question 84

Which is an assertive strategy in which one individuals needs are satisfied at another expense?
A compromising 
B accommodating
C competing
D bargaining

Answer 84

C

Question 85

In managing conflict, what is the first step?
A determine the cause of the conflict
B determine who is right and who is wrong
C determine the punishment for the people in conflict
D determine who was the aggressive person

Answer 85

A

Question 86

Which of the following does not maintain behavior that helps diffuse anger?
A do not match threats
D avoid any behavior that may be interpreted as aggressive
C yell louder at the individual who is shouting at you
D do not give orders

Answer 86

C

Question 87

Which of the following is not considered a risk factor for violence in the health care setting?
A isolated work with patients during exams and treatments
B limited public access
C overcrowded waiting rooms
D security guard appointed to walk employee to car

Answer 87

D

Question 88

The age discrimination in employment act of 67 protects  individuals age \_\_\_and older
A 30
B 40
C 50
D 60

Answer 88

B

Question 89

What agency defines workplace violence as violent acts including physical assaults and threats of assaults directed toward persons at work or on duty?
AUS department of justice
B national institute for occupational safety and health
C occupational safety and health admin
American nurses association

Answer 89

B

Question 90

What act provides monetary damages in cases of intentional employment discrimination
A civil rights act of 91
B title I and V of 90
C title VII of the civil rights act of 64
D the equal pay act EPA of 63

Answer 90

A

Question 91

In an institution that encourages clinical ladder programs, the number of ladder positions is usually:
A. three
B. four
C. five
D. six (Motacki 131)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 91

C

Question 92

A bedside registered nurse who has exceptional advanced nursing experience and is recognized for expert professional nursing leadership and knowledge, is the automatic advancement level:
A. II
B. III
C. IV
D. V (Motacki 131)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 92

D

Question 93

A bedside nurse highly skilled in patient care and provides leadership and mentorship abilities is the automatic advancement level:
A. I
B. II
C. III
D. IV (Motacki 131)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 93

C

Question 94

An experienced bedside registered nurse capable of independent patient care is the automatic advancement level:
A. I
B. II
C. III
D. IV (Motacki 131)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 94

B

Question 95

5. _________________are programs that reward nurses for their advancement in nursing. It permits horizontal advancement, allowing excellent clinicians to remain in their role at the bedside.
6. Clinical ladders
7. Self-assessments
8. Annual competencies
9. Performance appraisals (Motacki 132)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 95

A

Question 96

Which two agencies call for the facilitation of the effective transition of nurses and advanced practice nurses into the work environment?

1. American Nurses Credentialing Center (ANCC) and Institute of Medicine(IOM)
2. ANCC and American Nurses Association (ANA)
3. IOM and State Boards of Nursing
4. ANA and State Boards of Nursing (Motacki 132)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 96

A

Question 97

7. _____________states that a hospital must provide the right number of competent staff to meet the needs of the patient.
   A. The Joint Commission
   B. The American Nurses Association
   C. The National League for Nursing
   D. The State Boards of Nursing (Motacki 132)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 97

A

Question 98

Benner states that the nurse who has been on the job in the same or similar situations for 2 to 3 years, when the nurse begins to see his or her actions in terms of long-range goals, or plans of which he or she is consciously aware is the:
A. novice
B. advanced beginner
C. competent
D. expert (Motacki 132)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 98

C

Question 99

Nurses who are those who can demonstrate marginally acceptable performance, those who have coped with enough real situations to note or to have pointed out to them by a mentor, the recurring meaningful situational components, according to Benner are in what stage?
A. Novice
B. Advanced beginner
C. Competent
D. Proficient (Motacki 132)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 99

B

Question 100

Competencies are usually completed by every employee at the institution:
A. annually
B. biannually
C. every 6 months
D. every 18 months (Motacki 132)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 100

A

Question 101

Which of the following is not a principle of delegation?
A. The nursing profession determines the scope and standards of nursing practice.
B. The registered nurse (RN) takes responsibility and accountability for the provision of nursing practice.
C. The RN directs care and determines the appropriate use of resources when providing care.
D. The licensed practical nurse (LPN) can delegate tasks to the nursing assistant. (Motacki 172)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 101

D

Question 102

The _________nurse no longer relies on rules to understand a situation or to act appropriately; focuses quickly on viable solutions; is able to lead a team efficiently; can organize others’ work and supervise them effectively.
A. Novice
B. Expert
C. Competent
D. Proficient (Motacki 172)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 102

D

Question 103

Barriers to delegation can arise for which of the following health care workers?
A. Registered nurse (RN) delegator
B. RN delegate
C. Licensed practical nurse (LPN)
D. All of the above (Motacki 172)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 103

D

Question 104

Some activities may not be delegated. All of the following may be delegated except:
A. Performing an initial patient assessment
B. Updating the patient’s plan of care
C. Providing direct nursing care
D. Giving a registered nurse (RN) a needle and syringe, unlabeled, and telling her to administer the medication even though the RN did not see the medication prepared (Motacki 173)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 104

D

Question 105

Heidenthal and Marthaler (2005) state that what to delegate depends on all of the following factors except:
A. Your state’s nurse practice act
B. Hospital policies and procedures
C. What shift you are working
D. The clinical situation (Motacki 173)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 105

C

Question 106

Who is accountable for ensuring that the registered nurse (RN) has access to documented competency information for staff to whom the RN is delegating tasks?
A. The organization/agency
B. The nurse leader
C. The nurse supervisor
D. The safety office (Motacki 173)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 106

A

Question 107

When accepting a delegated assignment, what does the nurse use per the State of New Jersey Nurse Practice Act, 1999?
A. A nursing matrix
B. A decision-making algorithm
C. Facility policy
D. Facility procedure (Motacki 173)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 107

B

Question 108

When delegating, the requirement of the right _________ means that you must know the competency level, job description, individual level of skill, and education of the individual to whom you are delegating.
A. Direction/communication
B. Person
C. Task
D. Circumstance (Motacki 173)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 108

B

Question 109

Many long-term care facilities assign ________________as charge nurses.
A. Registered nurses (RNs)
B. Licensed practical nurses (LPNs)
C. Nursing supervisors
D. Nurse externs (Motacki 173)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 109

B

Question 110

What are the five rights of delegation per the National Council of State Boards of Nursing (1997)?
A. Right task, right circumstance, right person, right direction/communication, right unit
B. Right task, right circumstance, right medication, right direction/communication, right supervision
C. Right task, right circumstance, right person, right direction/communication, right supervision
D. Right task, right time, right person, right direction/communication, right supervision (Motacki 173)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 110

C

Question 111

You are the nursing supervisor and there is a patient that will be going to the operating room for a kidney transplantation. It is the ultimate responsibility of ______________to check and ensure that the organ donor and recipient are correct.
A. Surgeon
B. Anesthesiologist
C. Registered nurse and surgeon
D. Surgeon and anesthesiologist (Motacki 246)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 111

C

Question 112

Another name is added to the organ donation list every ________minutes
A. 5
B. 6
C. 7
D. 12 (Motacki 246)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 112

D

Question 113

Issues that are commonly addressed by ethics committees are:
A. End-of-life issues, organ donation, futility-of-care issues
B. End-of-life issues, organ donation, change in the durable power of attorney
C. Organ donation, futility-of-care issues, pediatric patient issues
D. Organ donation, do not resuscitate order, Jehovah’s Witness issues (Motacki 246)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 113

A

Question 114

The American Nurses Association approved the revised code of ethics in 2015. There are _________codes.
A. 9
B. 10
C. 12
D. 20 (Motacki 246)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 114

A

Question 115

What is the document that permits an individual to give a surrogate or proxy the authority to make decisions for that person in the event that they become incompetent?
A. Living will
B. Durable power of attorney for health care decisions
C. Advance directive
D. Informed consent (Motacki 246)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 115

B

Question 116

Duty to do good to others; to maintain a balance between benefits and harm; to provide all patients, including terminally ill, with caring attention; and to treat every patient with respect and courtesy. What is the requirement that care providers contribute to the health and welfare of the patient and not merely attempt to avoid harm to the patient or client?
A. Beneficence
B. Nonmaleficence
C. Personal liability
D. Corporate liability (Motacki 246)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 116

A

Question 117

Which of the following sets educational standards, examination requirements, and licensing requirements and regulates the nursing profession in each particular state?
A. The National League for Nursing (NLN)
B. Nurse practice acts
C. State board of nursing
D. The National Council of State Boards of Nursing (Motacki 246)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 117

B

Question 118

Hospitals are legally and ethically obligated to uphold patient rights, which include the right to:
A. Review records; family can also review records
B. Participate in treatment decisions and to provide consent to treatment
C. Be informed of hospital bylaws and hospital attorneys’ names and telephone numbers
D. Expect reasonable care after hospitalization (Motacki 246)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 118

B

Question 119

The Organ Procurement and Transplantation Network (OPTN) is a(n)________network.
A. State
B. Local
C. National
D. International (Motacki 246)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 119

C

Question 120

The difference between bioethics and ethics is:
A. Bioethics is specific to health care; ethics deals with the principles of right and wrong.
B. Bioethics is specific to health care; ethics deals with the principles of right and wrong, good and bad.
C. Bioethics is specific to health care; ethics deals with the principles of right and wrong, good and bad with no issues of beliefs and values.
D. Bioethics is specific to health care, ethics is the science that deals with the principles of right and wrong and of good and bad, and governs our relationships with others. It is based on personal beliefs and values. (Motacki 246)

Motacki, Kathleen, Kathleen Burke. Nursing Delegation and Management of Patient Care, 2nd Edition. Mosby, 022016. VitalBook file.

Answer 120

D