Test Bank For Yoder-Wise’s Leading And Managing In
Canadian Nursing, 2nd Edition,
Patricia S. Yoder-Wise, Chapters 1 - 32
,Chapter 01: Leading, Managing, and Following
Waddell/Walton: Yoder-Wise’s Leading and Managing in Canadian Nursing, Second
Edition
MULTIPLE CHOICE
1. A nurse manager of a 20-bed medical unit finds that 80% of the patients are older
adults. Sheis asked to assess and adapt the unit to better meet the unique needs
of older adult patients. According to complexity principles, what would be the best
approach to take in making this change?
a. Leverage the hierarchical management position to get unit staff
involved in assessment and planning.
Qg
b. Engage involved staff at all levels in the decision-making process.
c. Focus the assessment on the unit, and omit the hospital and
communityenvironment.
d. Hire a geriatric specialist to oversee and control the project.
ANSWER: B
Complexity theory suggests that systems interact and adapt and that decision
making occurs throughout the systems, as opposed to being held in a hierarchy. In
Qg
complexity theory, everybody’s opinion counts; therefore, all levels of staff would
be involved in decision making.
DIF: Cognitive Level: Apply REF: Page
14 TOP: Nursing Process: Implementation
Qg
.
2. A unit manager of a 25-bed U S N T area
medical/surgical O receives a phone call from a nurse
who has
called in sick five times in the past month. He tells the manager that he very much
wants to come to work when scheduled, but must often care for his wife, who is
undergoing treatmentfor breast cancer. In the practice of a strengths-based nursing
leader, what would be the best approach to satisfying the needs of this nurse,
other staff, and patients?
a. Line up agency nurses who can be called in to work on short notice.
b. Place the nurse on unpaid leave for the remainder of his wife’s treatment.
c. Sympathize with the nurse’s dilemma and let the charge nurse know that
this nursemay be calling in frequently in the future.
d. Work with the nurse, staffing office, and other nurses to arrange his
scheduleddays off around his wife’s treatments.
ANSWER: D
Placing the nurse on unpaid leave may threaten physiologic needs and demotivate
the nurse. Unsatisfactory coverage of shifts on short notice could affect patient care
Qg
and threaten staff members’ sense of competence. Strengths-based nurse leaders
honour the uniqueness of individuals, teams, systems, and organizations; therefore
arranging the schedule around the wife’s needs would result in a win-win
situation, also creating a work environment that promotes the health of all the
nurses and facilitates their development.
DIF: Cognitive Level: Analyze REF: Page
6 TOP: Nursing Process: Implementation
Qg
,3. A grievance brought by a staff nurse against the unit manager requires mediation.
At the first mediation session, the staff nurse repeatedly calls the unit manager’s
Qg
actions unfair, and the unit manager continues to reiterate the reasons for the
actions. What would be the best course of action at this time?
Qg
a. Send the two disputants away to reach their own resolution.
b. Involve another staff nurse in the discussion so as to clarify issues.
c. Ask each party to examine her own motives and issues in the conflict.
d. Continue to listen as the parties repeat their thoughts and feelings
about the conflict.
Qg
ANSWER: C
Nurses and leaders must assess each situation as unique, determining appropriate
actions accordingly. Leaders must adapt their styles to complement specific issues
being faced, such as conflict. Examining motives and issues for the conflict in
Qg
perceptions promotes equal representation of each point of view.
DIF: Cognitive Level: Apply REF: Pages 11–
13 TOP:Nursing Process: Implementation
Qg
4. Shortly after being informed of fetal death, a labouring woman asks why she is not
able to hear her baby’s heartbeat on the monitor anymore. Although the monitor
volume had been turned off so that the patient would be able to sleep between
contractions, the nurse respondedthat there was no heartbeat to hear because the
baby had died in utero; then the nurse asked whether the patient would like to talk
about how she was feeling. This response demonstrates:
a. Lack of empathy.
b. Ethical leadership.
c. Complexity science. .
d. A coercive
relationship.
ANSWER: B
Ethical leadership is based on a willingness to identify and act on complex problems
in an ethical manner. Leadership can be misused when coercive relationships form,
and informationand true goals are withheld.
DIF: Cognitive Level: Analyze REF: Page
7TOP: Nursing Process: Implementation
5. The manager of a surgical area envisions a future that requires the addition of
registered nurse (RN) assistants or unlicensed persons to feed, bathe, and walk
Qg
patients. The RNs on the staff have always practiced in a primary nursing-delivery
system and are very resistant to this idea. The best initial strategy in this situation
Qg
would include:
a. Exploring the values of the RNs in relation to this change.
b. Leaving the RNs alone for a time so they can think about the change
before theyare approached again.
c. Dropping the idea and trying for the change in another year or so.
d. Hiring the assistants and allowing the RNs to see what good additions they are.
ANSWER: A
Leadership involves engaged decision making around a vision that is based on
, evidence and tacit knowledge. Influencing others requires emotional intelligence in
Qg
domains such as empathy and handling relationships.
DIF: Cognitive Level: Apply REF: Page
5 TOP: Nursing Process: Implementation
Qg
6. As the charge nurse on the night shift in a small long-term care facility, you have
found that there is little turnover among your licensed practical nurse and nursing
assistant (NA) staff members, but they are not very motivated to work beyond their
job descriptions. Which of the following strategies might motivate the staff and lead
Qg
to greater job satisfaction?
a. Ask the director of nursing to offer higher wages and bonuses for extra
work forthe night licensed practical nurses and NAs.
b. Allow the licensed practical nurses and NAs greater decision-making power
within the scope of their positions in the institution.
Qg
c. Help the licensed practical nurses and NAs with their work, whenever possible.
d. Ask the director of nursing to increase job security for night staff by
having themsign contracts that guarantee work.
ANSWER: B
A nurse leader should provide an environment conducive to opinion sharing that
involves staffin decision making at all levels. This approach is shown to increase job
satisfaction. Decision making and the corresponding actions taken are core tasks
performed in engagement with coworkers.
DIF: Cognitive Level: Apply REF: Page 7
TOP: Nursing Process: ImplemNentR
a tio In
7.
8. As the nurse manager, you want to increase motivation by providing motivating
factors.Which action would you select?
a. Collaborate with the human resources/personnel department to develop
on-site daycare services.
Qg
b. Provide a hierarchical organizational structure.
c. Implement a model of shared governance.
d. Promote the development of a flexible benefits package.
ANSWER: C
Complexity theory suggests that systems interact and adapt and that decision
making occurs throughout systems, as opposed to being made unilaterally by
Qg
different levels of the organizational hierarchy. In complexity theory, every person’s
opinion counts, and therefore all levels of staff would be involved in decision
Qg
making. This principle underlies shared governance. Shared governance is an
example of nurse decision making in which nurses at different organizational levels
engage in shaping policy and practices.
DIF: Cognitive Level: Apply REF: Page
5 TOP: Nursing Process: Implementation
Qg
9. A charge nurse on a busy 40-bed medical/surgical unit is approached by a patient’s
son, who begins to complain loudly about the quality of care his mother is
Qg
receiving. His behaviour is so disruptive that it is overheard by staff, physicians,
and other visitors. The family member rejects any attempt to intervene
therapeutically to resolve the issue. He leaves the unit abruptly, and the nurse is
Canadian Nursing, 2nd Edition,
Patricia S. Yoder-Wise, Chapters 1 - 32
,Chapter 01: Leading, Managing, and Following
Waddell/Walton: Yoder-Wise’s Leading and Managing in Canadian Nursing, Second
Edition
MULTIPLE CHOICE
1. A nurse manager of a 20-bed medical unit finds that 80% of the patients are older
adults. Sheis asked to assess and adapt the unit to better meet the unique needs
of older adult patients. According to complexity principles, what would be the best
approach to take in making this change?
a. Leverage the hierarchical management position to get unit staff
involved in assessment and planning.
Qg
b. Engage involved staff at all levels in the decision-making process.
c. Focus the assessment on the unit, and omit the hospital and
communityenvironment.
d. Hire a geriatric specialist to oversee and control the project.
ANSWER: B
Complexity theory suggests that systems interact and adapt and that decision
making occurs throughout the systems, as opposed to being held in a hierarchy. In
Qg
complexity theory, everybody’s opinion counts; therefore, all levels of staff would
be involved in decision making.
DIF: Cognitive Level: Apply REF: Page
14 TOP: Nursing Process: Implementation
Qg
.
2. A unit manager of a 25-bed U S N T area
medical/surgical O receives a phone call from a nurse
who has
called in sick five times in the past month. He tells the manager that he very much
wants to come to work when scheduled, but must often care for his wife, who is
undergoing treatmentfor breast cancer. In the practice of a strengths-based nursing
leader, what would be the best approach to satisfying the needs of this nurse,
other staff, and patients?
a. Line up agency nurses who can be called in to work on short notice.
b. Place the nurse on unpaid leave for the remainder of his wife’s treatment.
c. Sympathize with the nurse’s dilemma and let the charge nurse know that
this nursemay be calling in frequently in the future.
d. Work with the nurse, staffing office, and other nurses to arrange his
scheduleddays off around his wife’s treatments.
ANSWER: D
Placing the nurse on unpaid leave may threaten physiologic needs and demotivate
the nurse. Unsatisfactory coverage of shifts on short notice could affect patient care
Qg
and threaten staff members’ sense of competence. Strengths-based nurse leaders
honour the uniqueness of individuals, teams, systems, and organizations; therefore
arranging the schedule around the wife’s needs would result in a win-win
situation, also creating a work environment that promotes the health of all the
nurses and facilitates their development.
DIF: Cognitive Level: Analyze REF: Page
6 TOP: Nursing Process: Implementation
Qg
,3. A grievance brought by a staff nurse against the unit manager requires mediation.
At the first mediation session, the staff nurse repeatedly calls the unit manager’s
Qg
actions unfair, and the unit manager continues to reiterate the reasons for the
actions. What would be the best course of action at this time?
Qg
a. Send the two disputants away to reach their own resolution.
b. Involve another staff nurse in the discussion so as to clarify issues.
c. Ask each party to examine her own motives and issues in the conflict.
d. Continue to listen as the parties repeat their thoughts and feelings
about the conflict.
Qg
ANSWER: C
Nurses and leaders must assess each situation as unique, determining appropriate
actions accordingly. Leaders must adapt their styles to complement specific issues
being faced, such as conflict. Examining motives and issues for the conflict in
Qg
perceptions promotes equal representation of each point of view.
DIF: Cognitive Level: Apply REF: Pages 11–
13 TOP:Nursing Process: Implementation
Qg
4. Shortly after being informed of fetal death, a labouring woman asks why she is not
able to hear her baby’s heartbeat on the monitor anymore. Although the monitor
volume had been turned off so that the patient would be able to sleep between
contractions, the nurse respondedthat there was no heartbeat to hear because the
baby had died in utero; then the nurse asked whether the patient would like to talk
about how she was feeling. This response demonstrates:
a. Lack of empathy.
b. Ethical leadership.
c. Complexity science. .
d. A coercive
relationship.
ANSWER: B
Ethical leadership is based on a willingness to identify and act on complex problems
in an ethical manner. Leadership can be misused when coercive relationships form,
and informationand true goals are withheld.
DIF: Cognitive Level: Analyze REF: Page
7TOP: Nursing Process: Implementation
5. The manager of a surgical area envisions a future that requires the addition of
registered nurse (RN) assistants or unlicensed persons to feed, bathe, and walk
Qg
patients. The RNs on the staff have always practiced in a primary nursing-delivery
system and are very resistant to this idea. The best initial strategy in this situation
Qg
would include:
a. Exploring the values of the RNs in relation to this change.
b. Leaving the RNs alone for a time so they can think about the change
before theyare approached again.
c. Dropping the idea and trying for the change in another year or so.
d. Hiring the assistants and allowing the RNs to see what good additions they are.
ANSWER: A
Leadership involves engaged decision making around a vision that is based on
, evidence and tacit knowledge. Influencing others requires emotional intelligence in
Qg
domains such as empathy and handling relationships.
DIF: Cognitive Level: Apply REF: Page
5 TOP: Nursing Process: Implementation
Qg
6. As the charge nurse on the night shift in a small long-term care facility, you have
found that there is little turnover among your licensed practical nurse and nursing
assistant (NA) staff members, but they are not very motivated to work beyond their
job descriptions. Which of the following strategies might motivate the staff and lead
Qg
to greater job satisfaction?
a. Ask the director of nursing to offer higher wages and bonuses for extra
work forthe night licensed practical nurses and NAs.
b. Allow the licensed practical nurses and NAs greater decision-making power
within the scope of their positions in the institution.
Qg
c. Help the licensed practical nurses and NAs with their work, whenever possible.
d. Ask the director of nursing to increase job security for night staff by
having themsign contracts that guarantee work.
ANSWER: B
A nurse leader should provide an environment conducive to opinion sharing that
involves staffin decision making at all levels. This approach is shown to increase job
satisfaction. Decision making and the corresponding actions taken are core tasks
performed in engagement with coworkers.
DIF: Cognitive Level: Apply REF: Page 7
TOP: Nursing Process: ImplemNentR
a tio In
7.
8. As the nurse manager, you want to increase motivation by providing motivating
factors.Which action would you select?
a. Collaborate with the human resources/personnel department to develop
on-site daycare services.
Qg
b. Provide a hierarchical organizational structure.
c. Implement a model of shared governance.
d. Promote the development of a flexible benefits package.
ANSWER: C
Complexity theory suggests that systems interact and adapt and that decision
making occurs throughout systems, as opposed to being made unilaterally by
Qg
different levels of the organizational hierarchy. In complexity theory, every person’s
opinion counts, and therefore all levels of staff would be involved in decision
Qg
making. This principle underlies shared governance. Shared governance is an
example of nurse decision making in which nurses at different organizational levels
engage in shaping policy and practices.
DIF: Cognitive Level: Apply REF: Page
5 TOP: Nursing Process: Implementation
Qg
9. A charge nurse on a busy 40-bed medical/surgical unit is approached by a patient’s
son, who begins to complain loudly about the quality of care his mother is
Qg
receiving. His behaviour is so disruptive that it is overheard by staff, physicians,
and other visitors. The family member rejects any attempt to intervene
therapeutically to resolve the issue. He leaves the unit abruptly, and the nurse is
