Chapter 10 Effective Leadership and Management in Nursing 8th Edition

Chapter 10  Effective Leadership and Management in Nursing 8th Edition

Complete Chapter Questions And Answers
 

Sample Questions

Question 1
Type: MCSA
The nurse manager needs to delegate specific tasks to the charge nurse of the unit. Which action is an appropriate use of delegation?
1. Instructing the charge nurse to assume a client team
2. Asking the charge nurse to discipline a nurse on the unit
3. Having the charge nurse lead a nursing quality assurance task force
4. Evaluating all unlicensed personnel assigned to the unit
Correct Answer: 3
Rationale 1: Since assuming a client assignment is included in the charge nurse’s job description, this is assignment, not delegation.
Rationale 2: Disciplining a nurse on the unit is the responsibility of the manager. Discipline should not be delegated.
Rationale 3: Delegation is the mutual transfer of responsibility and authority that occurs on the basis of competence and trust. The nurse manager can delegate both the responsibility of leading this task force and the authority to make decisions regarding this role. Both must be delegated for the delegation to be successful.
Rationale 4: The process of evaluation is the responsibility of the manager, and this authority cannot be transferred to a delegate.
Global Rationale:

Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 10-1: Describe how delegation involves responsibility, accountability, and authority.

Question 2
Type: MCSA
Which statement made by the nurse manager is an example of the first step of delegation?
1. “I must choose a person with good time management skills to be the delegate for this task.”
2. “I plan to evaluate the outcomes of your work in 6 months.”
3. “I am going to delegate the responsibility of creating the vacation schedule.”
4. “I have some additional information that will help you in this task.”
Correct Answer: 3
Rationale 1: Choosing the person to delegate to can only be accomplished after the task to be delegated is identified and defined.
Rationale 2: Information regarding the task, such as when it will be evaluated, is given to the delegate as part of the delegation process. This cannot be done until the task is defined and the delegate is chosen.
Rationale 3: The first step of the process is to identify and define the task that will be delegated.
Rationale 4: Additional information can only be offered when the delegate has been chosen, and the delegate can be chosen only after the task has been identified.
Global Rationale:

Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 10-3: Discuss how to be an effective delegator.

Question 3
Type: MCSA
The nurse manager gave the unit secretary complete responsibility for the unit’s staffing, including finding replacements for call-ins and disciplining nurses with excessive call-ins. This is an example of which type of delegation?
1. Effective delegation
2. Overdelegation
3. Reverse delegation
4. Underdelegation
Correct Answer: 2
Rationale 1: Effective delegation is the process by which responsibility and authority for performing a task is transferred to another person. It is critical that the task is one that can be delegated.
Rationale 2: Overdelegation occurs when the delegator loses control over a situation by providing the delegate with too much authority or responsibility. Discipline of an employee is a responsibility of the manager that cannot be delegated because of the confidentiality and controversy associated with it.
Rationale 3: Reverse delegation occurs when a person with a lower rank (unit secretary) delegates to someone with authority (nurse manager).
Rationale 4: Underdelegation occurs when full authority and responsibility are not transferred in a situation where delegation would otherwise be appropriate.
Global Rationale:

Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 10-1: Describe how delegation involves responsibility, accountability, and authority.

Question 4
Type: MCSA
The nurse prepares the medication ordered for the client. The nurse asks the nurse assistant to give the medication when the client receives breakfast and to report on the task at its completion. The nurse assistant agrees. Which component of the steps of delegation was violated by this request?
1. Defining the task
2. Deciding on the delegate
3. Determining the task
4. Reaching agreement
Correct Answer: 2
Rationale 1: The task was defined, but is inappropriate.
Rationale 2: The violation occurred at the step of deciding on a delegate. Nurse assistants cannot administer medications.
Rationale 3: The task was determined, but is inappropriate.
Rationale 4: The nurse and nurse assistant reached agreement, but the delegation was inappropriate.
Global Rationale:

Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 10-5: Explain how liability affects delegation.