Test Bank of Leadership Roles and Management Functions in Nursing Theory and Application 8th Edition by Marquis

Test Bank of Leadership Roles and Management Functions in Nursing Theory and Application 8th Edition by Marquis

1. Which statement regarding the responsibility of a manager in advocacy is accurate?
A) Advocacy is a management function and not a leadership role
B) Managers advocate only as needed to meet organizational goals
C) Managers should advocate for patients as well as subordinates
D) Professional advocacy is not a primary concern for most managers
Ans: C
Feedback:
Advocacy is helping others to grow and self-actualize. The manager must be an advocate for patients, subordinates, and the nursing profession. The remaining statements are not accurate descriptions of the manager’s role as advocate.

2. How is the action of advocacy described?
A) Informing others of their rights and making certain they have sufficient information to make decisions
B) Learning about the need for a decision and then making a good decision for other people
C) Supporting an individual’s right to make a decision even when they do not have accurate information
D) Protecting the rights of patients in accordance with the law
Ans: A
Feedback:
The advocate informs others of their rights and makes certain they have sufficient information to make decisions. The remaining options are incorrect when describing the action associated with advocacy.

3. Even after a lengthy discussion concerning the ramifications, a patient wants to leave the hospital against medical advice (AMA). What would the nurse do in the role of patient advocate?
A) Encourage the patient to wait until morning to leave the hospital
B) Ask family members to help talk the patient out of the decision
C) Call the security guard to escort the patient off hospital property
D) Make sure the patient has appropriate follow-up appointments
Ans: D
Feedback:
As advocate for this patient, you have made sure he is informed of the ramifications of leaving AMA; however, it is a patient’s right to refuse treatment. The other options fail to recognize the patient’s right to make autonomous choices.

4. Which statement about a national Patient Bill of Rights is accurate?
A) Not yet been enacted by the federal government
B) Became the law of the land
C) Became legally binding in every state
D) Has not been beneficial to patients
Ans: A
Feedback:
Although there has been significant progress in the field of patient rights since 1960, there is still no comprehensive federal legislation directed at the granting and protection of patient rights.

5. Who plays a primary role in ensuring that workers have reasonable, working schedules?
A) Unions
B) Top administrators
C) Managers
D) Federal government
Ans: C
Feedback:
In workplace advocacy, the manager works to see that the work environment is both safe and conducive to professional and personal growth for subordinates. The other options play a role in such situations but the manager has the primary responsibility.

6. Which situation is a reality for whistle-blowers?
A) Retaliation against them is illegal
B) Fellow workers are supportive of them
C) Federal and State law protects them
D) They are often afraid to speak out
Ans: D
Feedback:
Although whistle-blower protection has been advocated for at the federal level and has been passed in some states, many employees are reluctant to report unsafe conditions for fear of retaliation. Nurses should check with their state association to assess the status of whistle-blower protection in their state. Retaliation and resentment still exist against these individuals in many situations.

7. Which statement is true regarding political action committees (PACs)?
A) They attempt to persuade legislators to vote in a particular way
B) They are comprised of volunteers who are interested in politics
C) Their focus is the passage of specific pieces of legislature
D) They appear to have little influence with law makers
Ans: A
Feedback:
PACs of the Congress of Industrial Organizations attempt to persuade legislators to vote in a particular way. Lobbyists of the PAC may be members of a group interested in a particular law or paid agents of the group that wants a specific bill passed or defeated. Currently, PACs appear to have a significant amount of influence on law makers and the legislative process.