Test Bank For Yoder-
b b b
Wise’s Leading And Managing In Canadian Nursing, 2nd
b b b b b b b
Edition,
b b
, Patricia S. Yoder-Wise, Chapters 1 -32
b b b b b
TESTbBANKbFORbYODER-
WISE’SbLEADINGbANDbMANAGINGbINbCANADIANbNURSING,b2NDbEDITION,bPATRICIAbS.bYODER-
WISE,bJANICEbWADDELL,bNANCYbWALTON,
ISBN:b9781771721684,
ISBN:b9781771721745,
ISBN:b9781771721677
TablebofbContentsbPartb
I:bCorebConceptsbOverv
iew
1. Leading,bManaging,bandbFollowing
2. DevelopingbthebRolebofbLeader
3. DevelopingbthebRolebofbManager
4. NursingbLeadershipbandbIndigenousbHealth
5. PatientbFocus
Context
6. EthicalbIssues
7. LegalbIssues
8. MakingbDecisionsbandbSolvingbProblems
9. HealthbCarebOrganizations
10. UnderstandingbandbDesigningbOrganizationalbStructures
11. CulturalbDiversitybinbHealthbCare
12. Power,bPolitics,bandbInfluence
PartbII:bManagingbResources
13. Caring,bCommunicating,bandbManagingbwithbTechnology
,14. ManagingbCostsbandbBudgets
15. CarebDeliverybStrategies
16. StaffingbandbSchedulingb(availablebonlybonbEvolve)
17. Selecting,bDeveloping,bandbEvaluatingbStaffb(availablebonlybonbEvolve)
,PartbIII:bChangingbthebStatusbQuo
18. StrategicbPlanning,bGoal-Setting,bandbMarketing
19. NursesbLeadingbChange:bAbRelationalbEmancipatorybFrameworkbforbHealthbandbSocialbAct
ion
20. BuildingbTeamsbThroughbCommunicationbandbPartnerships
21. CollectivebNursingbAdvocacy
22. UnderstandingbQuality,bRisk,bandbSafety
23. TranslatingbResearchbintobPractice
PartbIV:bInterpersonalbandbPersonalbSkills
Interpersonal
24. UnderstandingbandbResolvingbConflict
25. ManagingbPersonal/PersonnelbProblems
26. WorkplacebViolencebandbIncivility
27. InterbandbIntraprofessionalbPracticebandbLeadingbinbProfessionalbPracticebSettings
Personal
28. RolebTransition
29. Self-Management:bStressbandbTime
Future
30. ThrivingbforbthebFuture
31. LeadingbandbManagingbYourbCareer
32. NursingbStudentsbasbLeaders
,Chapter 01: Leading, Managing, and Following
b b b b b
Waddell/Walton: Yoder- b
Wise’s Leading and Managing in Canadian Nursing, SecondEdition
b b b b b b b b
MULTIPLEbCHOICE
1. bAbnursebmanagerbofbab20-
bedbmedicalbunitbfindsbthatb80%bofbthebpatientsbarebolderbadults.bShebisbaskedbtobassessbandbada
ptbthebunitbtobbetterbmeetbthebuniquebneedsbofbolderbadultbpatients.bAccordingbtobcomplexitybpri
nciples,bwhatbwouldbbebthebbestbapproachbtobtakebinbmakingbthisbchange?
a. Leveragebthebhierarchicalbmanagementbpositionbtobgetbunitbstaffbinvolvedbinbas
sessmentbandbplanning.
b. Engagebinvolvedbstaffbatballblevelsbinbthebdecision-makingbprocess.
c. Focusbthebassessmentbonbthebunit,bandbomitbthebhospitalbandbcommunitybenv
ironment.
d. Hirebabgeriatricbspecialistbtoboverseebandbcontrolbthebproject.
ANSWER:b B
Complexitybtheorybsuggestsbthatbsystemsbinteractbandbadaptbandbthatbdecisionbmakingboccursbth
roughoutbthebsystems,basbopposedbtobbeingbheldbinbabhierarchy.bInbcomplexitybtheory,beverybo
dy’sbopinionbcounts;btherefore,ballblevelsbofbstaffbwouldbbebinvolvedbinbdecisionbmaking.
DIF: CognitivebLevel:bApply
REF:bPageb14bTOP:b NursingbProcess:bImplementation
UbSbNbT .O
2. Abunitbmanagerbofbab25-bedbmedical/surgical bareabreceivesbabphonebcallbfrombabnursebwhobhas
calledbinbsickbfivebtimesbinbthebpastbmonth.bHebtellsbthebmanagerbthatbhebverybmuchbwantsbtobcome
btobworkbwhenbscheduled,bbutbmustboftenbcarebforbhisbwife,bwhobisbundergoingbtreatmentb forbbrea
stbcancer.bInbthebpracticebofbabstrengths-
basedbnursingbleader,bwhatbwouldbbebthebbestbapproachbtobsatisfyingbthebneedsbofbthisbnurse,bot
herbstaff,bandbpatients?
a. Linebupbagencybnursesbwhobcanbbebcalledbinbtobworkbonbshortbnotice.
b. Placebthebnursebonbunpaidbleavebforbthebremainderbofbhisbwife’sbtreatment.
c. Sympathizebwithbthebnurse’sbdilemmabandbletbthebchargebnursebknowbthatbthisbnursebma
ybbebcallingbinbfrequentlybinbthebfuture.
d. Workbwithbthebnurse,bstaffingboffice,bandbotherbnursesbtobarrangebhisbscheduledbd
aysboffbaroundbhisbwife’sbtreatments.
ANSWER:b D
Placingbthebnursebonbunpaidbleavebmaybthreatenbphysiologicbneedsbandbdemotivatebthebnurse.bU
nsatisfactorybcoveragebofbshiftsbonbshortbnoticebcouldbaffectbpatientbcarebandbthreatenbstaffbme
mbers’bsensebofbcompetence.bStrengths-
basedbnursebleadersbhonourbthebuniquenessbofbindividuals,bteams,bsystems,bandborganizations;bt
hereforebarrangingbthebschedulebaroundbthebwife’sbneedsbwouldbresultbinbabwin-
winbsituation,balsobcreatingbabworkbenvironmentbthatbpromotesbthebhealthbofballbthebnursesbandbf
acilitatesbtheirbdevelopment.
DIF: CognitivebLevel:bAnalyze
REF:bPageb6bTOP:b NursingbProcess:bImplementation
,3. Abgrievancebbroughtbbybabstaffbnursebagainstbthebunitbmanagerbrequiresbmediation.bAtbthebfirstbm
ediationbsession,bthebstaffbnursebrepeatedlybcallsbthebunitbmanager’sbactionsbunfair,bandbthebunitb
managerbcontinuesbtobreiteratebthebreasonsbforbthebactions.bWhatbwouldbbebthebbestbcoursebofbact
ionbatbthisbtime?
a. Sendbthebtwobdisputantsbawaybtobreachbtheirbownbresolution.
b. Involvebanotherbstaffbnursebinbthebdiscussionbsobasbtobclarifybissues.
c. Askbeachbpartybtobexaminebherbownbmotivesbandbissuesbinbthebconflict.
d. Continuebtoblistenbasbthebpartiesbrepeatbtheirbthoughtsbandbfeelingsbaboutbthebc
onflict.
ANSWER:b C
Nursesbandbleadersbmustbassessbeachbsituationbasbunique,bdeterminingbappropriatebactionsbacco
rdingly.bLeadersbmustbadaptbtheirbstylesbtobcomplementbspecificbissuesbbeingbfaced,bsuchbasbconfl
ict.bExaminingbmotivesbandbissuesbforbthebconflictbinbperceptionsbpromotesbequalbrepresentationb
ofbeachbpointbofbview.
DIF: CognitivebLevel:bApply REF:bPagesb11–
13bTOP:b NursingbProcess:bImplementation
4. Shortlybafterbbeingbinformedbofbfetalbdeath,bablabouringbwomanbasksbwhybshebisbnotbablebtobhear
bherbbaby’sbheartbeatbonbthebmonitorbanymore.bAlthoughbthebmonitorbvolumebhadbbeenbturnedbof
fbsobthatbthebpatientbwouldbbebablebtobsleepbbetweenbcontractions,bthebnursebrespondedbthatbthere
bwasbnobheartbeatbtobhearbbecausebthebbabybhadbdiedbinbutero;bthenbthebnursebaskedbwhetherbth
ebpatientbwouldblikebtobtalkbaboutbhowbshebwasbfeeling.bThisbresponsebdemonstrates:
a. Lackbofbempathy.
b. Ethicalbleadership.
c. Complexitybscience. .
d. Abcoercivebrelationship.
ANSWER:b B
Ethicalbleadershipbisbbasedbonbabwillingnessbtobidentifybandbactbonbcomplexbproblemsbinbanbethica
lbmanner.bLeadershipbcanbbebmisusedbwhenbcoercivebrelationshipsbform,bandbinformationbandbtrueb
goalsbarebwithheld.
DIF: CognitivebLevel:bAnalyze
REF:bPageb7bTOP:b NursingbProcess:bImplementation
5. Thebmanagerbofbabsurgicalbareabenvisionsbabfuturebthatbrequiresbthebadditionbofbregisteredbnurseb(
RN)bassistantsborbunlicensedbpersonsbtobfeed,bbathe,bandbwalkbpatients.bThebRNsbonbthebstaffbhave
balwaysbpracticedbinbabprimarybnursing-
deliverybsystembandbarebverybresistantbtobthisbidea.bThebbestbinitialbstrategybinbthisbsituationbwouldb
include:
a. ExploringbthebvaluesbofbthebRNsbinbrelationbtobthisbchange.
b. LeavingbthebRNsbalonebforbabtimebsobtheybcanbthinkbaboutbthebchangebbeforebtheyba
rebapproachedbagain.
c. Droppingbthebideabandbtryingbforbthebchangebinbanotherbyearborbso.
d. HiringbthebassistantsbandballowingbthebRNsbtobseebwhatbgoodbadditionsbtheybare.
ANSWER:b A
, Leadershipbinvolvesbengagedbdecisionbmakingbaroundbabvisionbthatbisbbasedbonbevidencebandbt
acitbknowledge.bInfluencingbothersbrequiresbemotionalbintelligencebinbdomainsbsuchbasbempathyb
andbhandlingbrelationships.
DIF: CognitivebLevel:bApply
REF:bPageb5bTOP:b NursingbProcess:bImplementation
6. Asbthebchargebnursebonbthebnightbshiftbinbabsmallblong-
termbcarebfacility,byoubhavebfoundbthatbtherebisblittlebturnoverbamongbyourblicensedbpracticalbnurs
ebandbnursingbassistantb(NA)bstaffbmembers,bbutbtheybarebnotbverybmotivatedbtobworkbbeyondbthe
irbjobbdescriptions.bWhichbofbthebfollowingbstrategiesbmightbmotivatebthebstaffbandbleadbtobgreate
rbjobbsatisfaction?
a. Askbthebdirectorbofbnursingbtobofferbhigherbwagesbandbbonusesbforbextrabworkbforbth
ebnightblicensedbpracticalbnursesbandbNAs.
b. AllowbtheblicensedbpracticalbnursesbandbNAsbgreaterbdecision-
makingbpowerbwithinbthebscopebofbtheirbpositionsbinbthebinstitution.
c. HelpbtheblicensedbpracticalbnursesbandbNAsbwithbtheirbwork,bwheneverbpossible.
d. Askbthebdirectorbofbnursingbtobincreasebjobbsecuritybforbnightbstaffbbybhavingbthembsig
nbcontractsbthatbguaranteebwork.
ANSWER:b B
Abnursebleaderbshouldbprovidebanbenvironmentbconducivebtobopinionbsharingbthatbinvolvesbstaffbinbd
ecisionbmakingbatballblevels.bThisbapproachbisbshownbtobincreasebjobbsatisfaction.bDecisionbmakingb
andbthebcorrespondingbactionsbtakenbarebcorebtasksbperformedbinbengagementbwithbcoworkers.
DIF: CognitivebLevel:bApply
Nentation
REF:bPageb7bTOP:bbbNursingbProcess:bImplem R I
7.
8. Asbthebnursebmanager,byoubwantbtobincreasebmotivationbbybprovidingbmotivatingbfactors.bW
hichbactionbwouldbyoubselect?
a. Collaboratebwithbthebhumanbresources/personnelbdepartmentbtobdevelopbon-
sitebdaycarebservices.
b. Providebabhierarchicalborganizationalbstructure.
c. Implementbabmodelbofbsharedbgovernance.
d. Promotebthebdevelopmentbofbabflexiblebbenefitsbpackage.
ANSWER:b C
Complexitybtheorybsuggestsbthatbsystemsbinteractbandbadaptbandbthatbdecisionbmakingboccursbth
roughoutbsystems,basbopposedbtobbeingbmadebunilaterallybbybdifferentblevelsbofbtheborganizati
onalbhierarchy.bInbcomplexitybtheory,beverybperson’sbopinionbcounts,bandbthereforeballblevelsbofbs
taffbwouldbbebinvolvedbinbdecisionbmaking.bThisbprinciplebunderliesbsharedbgovernance.bSharedb
governancebisbanbexamplebofbnursebdecisionbmakingbinbwhichbnursesbatbdifferentborganizational
blevelsbengagebinbshapingb policybandbpractices.
DIF: CognitivebLevel:bApply
REF:bPageb5bTOP:b NursingbProcess:bImplementation
, 9. Abchargebnursebonbabbusyb40-
bedbmedical/surgicalbunitbisbapproachedbbybabpatient’sbson,bwhobbeginsbtobcomplainbloudlybabo
utbthebqualitybofbcarebhisbmotherbisbreceiving.bHisbbehaviourbisbsobdisruptivebthatbitbisboverheardbb
ybstaff,bphysicians,bandbotherbvisitors.bThebfamilybmemberbrejectsbanybattemptbtobintervenebthera
peuticallybtobresolvebthebissue.bHebleavesbthebunitbabruptly,bandbthebnursebisbleftbfeelingbfrustrate
d.bWhichbbehaviourbbybthebchargebnursebbestbillustratesbrefinedbleadershipbskillsbinbanbemotiona
llybintelligentbpractitioner?
a. Reflectionbtobobtainbinsightbintobhowbthebsituationbcouldbbebhandledbdifferentlybinbthe
bfuture
b. Tryingbtobcatchbupbwithbthebangrybfamilybmemberbtobresolvebthebconcern
c. Discussingbthebconcernbwithbthebpatientbafterbthebfamilybmemberbhasbleft
d. Notifyingbnursingbadministrationbofbthebsituation
ANSWER:b A
Emotionalbintelligencebisbcloselybalignedbwithbindividuals’bcapacitybtobknowbthemselvesbandbothe
rs.bReflectingbtobobtainbinsightbandbbeingbablebtob“step”boutsidebthebsituationbtobenvisionbthebcont
extbofbwhatbisbhappeningbisbanbexamplebofbthebactionsbofbanbemotionallybintelligentbpractitione
r.
DIF: CognitivebLevel:bApply
REF:bPageb8bTOP:b NursingbProcess:bImplementation
10. Thebchiefbnursingbofficerbhasbaskedbthebstaffbdevelopmentbcoordinatorbtobfacilitatebthebdevelopm
entbofbabclinicalbcompetencybprogrambforbthebfacility.bWhilebmakingbroundsbonbthebunits,bthebstaffb
developmentbcoordinatorboverhearsbRNbstaffbcomplainingbthatbtheybbelievebitbisbinsultingbtobbebre
quiredbtobparticipatebinbabcompetencybprogram.bWhichbbehaviourbbybthebstaffbdevelopmentbcoor
dinatorbisbmostbappropriatebinbthisbsituation?
a. DisregardbstaffbconcernsbN andR onItinuGebwBith.dCeveMlopmentbofbthebprogram.
UcbS
b. InformbthebnursesbthatbthisbprogrambNbT
bisbabrequirementbforbaccreditationbbybthebJoint
CommissionbonbAccreditationbofbHealthcarebOrganizationsb(JCAHO).
c. Schedulebabmeetingbwithbthebchiefbnursebexecutivebtobapprisebherbofbthebsituation.
d. Facilitatebabmeetingbsobnursesbcanbarticulatebtheirbvaluesbandbconcernsbaboutbabc
ompetencybprogram.
ANSWER:b D
Thebmanagerbrolebinvolvesbguidingbotherbpeoplebthroughbabsetbofbderivedbpracticesbthatbarebevi
dence-informedbandbknownbtobsatisfybpre-
establishedboutcomesbsuchbasbparticipationbinbabcompetencybprogram.bThisbinvolvesbengagement
bofbstaffbthroughbsharingbofbconcernsbandbideas.bThisbtypebofbleaderbcanbinstillbhopebandbtrustbinbf
ollowers,bwhichbinfluencebtheirbbehavioursbandbattitudesb(suchbasbengagementbandbsatisfaction)b
andbcausebworkbenvironmentsbtobbecomebmorebpositive.
DIF: CognitivebLevel:bApply REF:bPagesb11–
13bTOP:b NursingbProcess:bImplementation
11. Whichbcategorybisbuniquebtobleadershipbbutbisbnotbpartbofbmanagement?
a. Initiatingbchange
b. Personalbqualities
c. Developingbpeople
d. Informationbmanagement
, ANSWER:b C
Developingbpeople—coaching,bmentoring,bsuccessionbplanning—
isbabcategorybofbsolelybleadership,bnotbmanagement.bInitiatingbchangebandbpersonalbqualitiesb
arebcategoriesbofbbothbmanagementbandbleadership.bInformationbmanagementbisbabcategoryb
ofbmanagementbonly.
DIF: CognitivebLevel:bUnderstand
REF:bPageb17bTOP:b NursingbProcess:bAssessment
12. YouboverhearbabnewlybgraduatedbRNbtellingbonebofbyourbcolleaguesbthatbleadershipbandbmana
gementbbelongbtobthebunitbmanagerbandbnotbtobher.bBecausebyoubarebabnursingbcolleague,byourbr
esponsebdemonstratesbunderstandingbthatbthebperceptionbofbthebnewbgraduate:
a. Isbaccuratelybreflectedbinbthebnewbgraduate’sbstatement.
b. Wouldbbenefitbfrombfurtherbunderstandingbofbherbrolebasbabprofessionalbinbrelationbt
obdecision-making.
c. Hasbbeenbinfluencedbbybnursebleadersbandbmanagersbwhobleavebforbotherbpositions.
d. Isbrelatedbtobthebgeneralbperceptionbthatbnursebleadersbandbmanagersbarebno
tbsatisfiedbinbtheirbjobs.
ANSWER:b B
Decisionbmakingbandbthebcorrespondingbactionsbtakenbarebthebcorebworkbperformedbinbengage
mentbwithbco-
workers.bThisbcorebworkbrequiresbthatbnursesbbebleaders,bmanagers,bandbfollowersbatbthebpoint-
of-care,bunit,binstitutional,bandbevenbsocietalblevels.
DIF: CognitivebLevel:bUnderstand REF:bbb Pageb7 TOP:b NursingbProcess:bEvaluation
13. Youbwalkbintobabpatient’sbroombandbfindbhimbyellingbatbtheblicensedbpracticalbnurse.bThebpatie
ntbisbobviouslybverybupset,bandbafterbyoubspeakbwithbhimbregardingbhisbbehaviour,byou
determinebthatbhebhasbnotbsleptNUfor
bRbI SbGNbB.C T O
bthre ebnightsbbe causebofbunrelievedbpainblevels.bTheblicensed
practicalbnursebisbverybupsetbwithbhimbandbcallsbhimbanb“ugly,boldbman.”bYoubacknowledgebherbfeeli
ngsbandbconcernsbandbthenbsuggestbthatbthebpatient’sbbehaviourbwasbaggressivebbutbisbrelatedbtobl
ackbofbsleepbandbtobpain.bYoubask,b“Canbbothbyoubandbthebpatientbtogetherbdeterminebtriggersbforb
thebpainbandbeffectivebapproachesbtobcontrollingbhisbpain?”bThisbapproachbdemonstrates:
a. Lackbofbempathybandbunderstandingbforbtheblicensedbpracticalbnurse.
b. Concernbwithbplacatingbthebpatient.
c. Leadershipbbehaviour.
d. Managementbbehaviour.
ANSWER:b C
Thebsituationbbetweenbthebpatientbandbtheblicensedbpracticalbnursebisbcomplex,binvolvingbunrelieve
dbsymptomsbandbaggressivenessbtowardbabstaffbmember.bHealthbcarebisbnowbdeliveredbinbabcollab
orative,bandbmostboften,banbinterdisciplinarybmanner,bwherebybselectbleadership/managementbr
olesb(e.g.,bfirst-
linebnursebleaders)bservebasbconduitsbforbinformationbandbcarebcoordination.bProvidingbengaged,b
collaborativebguidancebandbdecisionbmakingbinbabcomplexbsituationbforbwhichbtherebisbnobstandar
dizedbsolutionbreflectsbleadership.
DIF: CognitivebLevel:bApply
REF:bPageb7bTOP:b NursingbProcess:bImplementation
14. Whichbcategorybisbuniquebtobmanagementbbutbisbnotbpartbofbleadership?
b b b
Wise’s Leading And Managing In Canadian Nursing, 2nd
b b b b b b b
Edition,
b b
, Patricia S. Yoder-Wise, Chapters 1 -32
b b b b b
TESTbBANKbFORbYODER-
WISE’SbLEADINGbANDbMANAGINGbINbCANADIANbNURSING,b2NDbEDITION,bPATRICIAbS.bYODER-
WISE,bJANICEbWADDELL,bNANCYbWALTON,
ISBN:b9781771721684,
ISBN:b9781771721745,
ISBN:b9781771721677
TablebofbContentsbPartb
I:bCorebConceptsbOverv
iew
1. Leading,bManaging,bandbFollowing
2. DevelopingbthebRolebofbLeader
3. DevelopingbthebRolebofbManager
4. NursingbLeadershipbandbIndigenousbHealth
5. PatientbFocus
Context
6. EthicalbIssues
7. LegalbIssues
8. MakingbDecisionsbandbSolvingbProblems
9. HealthbCarebOrganizations
10. UnderstandingbandbDesigningbOrganizationalbStructures
11. CulturalbDiversitybinbHealthbCare
12. Power,bPolitics,bandbInfluence
PartbII:bManagingbResources
13. Caring,bCommunicating,bandbManagingbwithbTechnology
,14. ManagingbCostsbandbBudgets
15. CarebDeliverybStrategies
16. StaffingbandbSchedulingb(availablebonlybonbEvolve)
17. Selecting,bDeveloping,bandbEvaluatingbStaffb(availablebonlybonbEvolve)
,PartbIII:bChangingbthebStatusbQuo
18. StrategicbPlanning,bGoal-Setting,bandbMarketing
19. NursesbLeadingbChange:bAbRelationalbEmancipatorybFrameworkbforbHealthbandbSocialbAct
ion
20. BuildingbTeamsbThroughbCommunicationbandbPartnerships
21. CollectivebNursingbAdvocacy
22. UnderstandingbQuality,bRisk,bandbSafety
23. TranslatingbResearchbintobPractice
PartbIV:bInterpersonalbandbPersonalbSkills
Interpersonal
24. UnderstandingbandbResolvingbConflict
25. ManagingbPersonal/PersonnelbProblems
26. WorkplacebViolencebandbIncivility
27. InterbandbIntraprofessionalbPracticebandbLeadingbinbProfessionalbPracticebSettings
Personal
28. RolebTransition
29. Self-Management:bStressbandbTime
Future
30. ThrivingbforbthebFuture
31. LeadingbandbManagingbYourbCareer
32. NursingbStudentsbasbLeaders
,Chapter 01: Leading, Managing, and Following
b b b b b
Waddell/Walton: Yoder- b
Wise’s Leading and Managing in Canadian Nursing, SecondEdition
b b b b b b b b
MULTIPLEbCHOICE
1. bAbnursebmanagerbofbab20-
bedbmedicalbunitbfindsbthatb80%bofbthebpatientsbarebolderbadults.bShebisbaskedbtobassessbandbada
ptbthebunitbtobbetterbmeetbthebuniquebneedsbofbolderbadultbpatients.bAccordingbtobcomplexitybpri
nciples,bwhatbwouldbbebthebbestbapproachbtobtakebinbmakingbthisbchange?
a. Leveragebthebhierarchicalbmanagementbpositionbtobgetbunitbstaffbinvolvedbinbas
sessmentbandbplanning.
b. Engagebinvolvedbstaffbatballblevelsbinbthebdecision-makingbprocess.
c. Focusbthebassessmentbonbthebunit,bandbomitbthebhospitalbandbcommunitybenv
ironment.
d. Hirebabgeriatricbspecialistbtoboverseebandbcontrolbthebproject.
ANSWER:b B
Complexitybtheorybsuggestsbthatbsystemsbinteractbandbadaptbandbthatbdecisionbmakingboccursbth
roughoutbthebsystems,basbopposedbtobbeingbheldbinbabhierarchy.bInbcomplexitybtheory,beverybo
dy’sbopinionbcounts;btherefore,ballblevelsbofbstaffbwouldbbebinvolvedbinbdecisionbmaking.
DIF: CognitivebLevel:bApply
REF:bPageb14bTOP:b NursingbProcess:bImplementation
UbSbNbT .O
2. Abunitbmanagerbofbab25-bedbmedical/surgical bareabreceivesbabphonebcallbfrombabnursebwhobhas
calledbinbsickbfivebtimesbinbthebpastbmonth.bHebtellsbthebmanagerbthatbhebverybmuchbwantsbtobcome
btobworkbwhenbscheduled,bbutbmustboftenbcarebforbhisbwife,bwhobisbundergoingbtreatmentb forbbrea
stbcancer.bInbthebpracticebofbabstrengths-
basedbnursingbleader,bwhatbwouldbbebthebbestbapproachbtobsatisfyingbthebneedsbofbthisbnurse,bot
herbstaff,bandbpatients?
a. Linebupbagencybnursesbwhobcanbbebcalledbinbtobworkbonbshortbnotice.
b. Placebthebnursebonbunpaidbleavebforbthebremainderbofbhisbwife’sbtreatment.
c. Sympathizebwithbthebnurse’sbdilemmabandbletbthebchargebnursebknowbthatbthisbnursebma
ybbebcallingbinbfrequentlybinbthebfuture.
d. Workbwithbthebnurse,bstaffingboffice,bandbotherbnursesbtobarrangebhisbscheduledbd
aysboffbaroundbhisbwife’sbtreatments.
ANSWER:b D
Placingbthebnursebonbunpaidbleavebmaybthreatenbphysiologicbneedsbandbdemotivatebthebnurse.bU
nsatisfactorybcoveragebofbshiftsbonbshortbnoticebcouldbaffectbpatientbcarebandbthreatenbstaffbme
mbers’bsensebofbcompetence.bStrengths-
basedbnursebleadersbhonourbthebuniquenessbofbindividuals,bteams,bsystems,bandborganizations;bt
hereforebarrangingbthebschedulebaroundbthebwife’sbneedsbwouldbresultbinbabwin-
winbsituation,balsobcreatingbabworkbenvironmentbthatbpromotesbthebhealthbofballbthebnursesbandbf
acilitatesbtheirbdevelopment.
DIF: CognitivebLevel:bAnalyze
REF:bPageb6bTOP:b NursingbProcess:bImplementation
,3. Abgrievancebbroughtbbybabstaffbnursebagainstbthebunitbmanagerbrequiresbmediation.bAtbthebfirstbm
ediationbsession,bthebstaffbnursebrepeatedlybcallsbthebunitbmanager’sbactionsbunfair,bandbthebunitb
managerbcontinuesbtobreiteratebthebreasonsbforbthebactions.bWhatbwouldbbebthebbestbcoursebofbact
ionbatbthisbtime?
a. Sendbthebtwobdisputantsbawaybtobreachbtheirbownbresolution.
b. Involvebanotherbstaffbnursebinbthebdiscussionbsobasbtobclarifybissues.
c. Askbeachbpartybtobexaminebherbownbmotivesbandbissuesbinbthebconflict.
d. Continuebtoblistenbasbthebpartiesbrepeatbtheirbthoughtsbandbfeelingsbaboutbthebc
onflict.
ANSWER:b C
Nursesbandbleadersbmustbassessbeachbsituationbasbunique,bdeterminingbappropriatebactionsbacco
rdingly.bLeadersbmustbadaptbtheirbstylesbtobcomplementbspecificbissuesbbeingbfaced,bsuchbasbconfl
ict.bExaminingbmotivesbandbissuesbforbthebconflictbinbperceptionsbpromotesbequalbrepresentationb
ofbeachbpointbofbview.
DIF: CognitivebLevel:bApply REF:bPagesb11–
13bTOP:b NursingbProcess:bImplementation
4. Shortlybafterbbeingbinformedbofbfetalbdeath,bablabouringbwomanbasksbwhybshebisbnotbablebtobhear
bherbbaby’sbheartbeatbonbthebmonitorbanymore.bAlthoughbthebmonitorbvolumebhadbbeenbturnedbof
fbsobthatbthebpatientbwouldbbebablebtobsleepbbetweenbcontractions,bthebnursebrespondedbthatbthere
bwasbnobheartbeatbtobhearbbecausebthebbabybhadbdiedbinbutero;bthenbthebnursebaskedbwhetherbth
ebpatientbwouldblikebtobtalkbaboutbhowbshebwasbfeeling.bThisbresponsebdemonstrates:
a. Lackbofbempathy.
b. Ethicalbleadership.
c. Complexitybscience. .
d. Abcoercivebrelationship.
ANSWER:b B
Ethicalbleadershipbisbbasedbonbabwillingnessbtobidentifybandbactbonbcomplexbproblemsbinbanbethica
lbmanner.bLeadershipbcanbbebmisusedbwhenbcoercivebrelationshipsbform,bandbinformationbandbtrueb
goalsbarebwithheld.
DIF: CognitivebLevel:bAnalyze
REF:bPageb7bTOP:b NursingbProcess:bImplementation
5. Thebmanagerbofbabsurgicalbareabenvisionsbabfuturebthatbrequiresbthebadditionbofbregisteredbnurseb(
RN)bassistantsborbunlicensedbpersonsbtobfeed,bbathe,bandbwalkbpatients.bThebRNsbonbthebstaffbhave
balwaysbpracticedbinbabprimarybnursing-
deliverybsystembandbarebverybresistantbtobthisbidea.bThebbestbinitialbstrategybinbthisbsituationbwouldb
include:
a. ExploringbthebvaluesbofbthebRNsbinbrelationbtobthisbchange.
b. LeavingbthebRNsbalonebforbabtimebsobtheybcanbthinkbaboutbthebchangebbeforebtheyba
rebapproachedbagain.
c. Droppingbthebideabandbtryingbforbthebchangebinbanotherbyearborbso.
d. HiringbthebassistantsbandballowingbthebRNsbtobseebwhatbgoodbadditionsbtheybare.
ANSWER:b A
, Leadershipbinvolvesbengagedbdecisionbmakingbaroundbabvisionbthatbisbbasedbonbevidencebandbt
acitbknowledge.bInfluencingbothersbrequiresbemotionalbintelligencebinbdomainsbsuchbasbempathyb
andbhandlingbrelationships.
DIF: CognitivebLevel:bApply
REF:bPageb5bTOP:b NursingbProcess:bImplementation
6. Asbthebchargebnursebonbthebnightbshiftbinbabsmallblong-
termbcarebfacility,byoubhavebfoundbthatbtherebisblittlebturnoverbamongbyourblicensedbpracticalbnurs
ebandbnursingbassistantb(NA)bstaffbmembers,bbutbtheybarebnotbverybmotivatedbtobworkbbeyondbthe
irbjobbdescriptions.bWhichbofbthebfollowingbstrategiesbmightbmotivatebthebstaffbandbleadbtobgreate
rbjobbsatisfaction?
a. Askbthebdirectorbofbnursingbtobofferbhigherbwagesbandbbonusesbforbextrabworkbforbth
ebnightblicensedbpracticalbnursesbandbNAs.
b. AllowbtheblicensedbpracticalbnursesbandbNAsbgreaterbdecision-
makingbpowerbwithinbthebscopebofbtheirbpositionsbinbthebinstitution.
c. HelpbtheblicensedbpracticalbnursesbandbNAsbwithbtheirbwork,bwheneverbpossible.
d. Askbthebdirectorbofbnursingbtobincreasebjobbsecuritybforbnightbstaffbbybhavingbthembsig
nbcontractsbthatbguaranteebwork.
ANSWER:b B
Abnursebleaderbshouldbprovidebanbenvironmentbconducivebtobopinionbsharingbthatbinvolvesbstaffbinbd
ecisionbmakingbatballblevels.bThisbapproachbisbshownbtobincreasebjobbsatisfaction.bDecisionbmakingb
andbthebcorrespondingbactionsbtakenbarebcorebtasksbperformedbinbengagementbwithbcoworkers.
DIF: CognitivebLevel:bApply
Nentation
REF:bPageb7bTOP:bbbNursingbProcess:bImplem R I
7.
8. Asbthebnursebmanager,byoubwantbtobincreasebmotivationbbybprovidingbmotivatingbfactors.bW
hichbactionbwouldbyoubselect?
a. Collaboratebwithbthebhumanbresources/personnelbdepartmentbtobdevelopbon-
sitebdaycarebservices.
b. Providebabhierarchicalborganizationalbstructure.
c. Implementbabmodelbofbsharedbgovernance.
d. Promotebthebdevelopmentbofbabflexiblebbenefitsbpackage.
ANSWER:b C
Complexitybtheorybsuggestsbthatbsystemsbinteractbandbadaptbandbthatbdecisionbmakingboccursbth
roughoutbsystems,basbopposedbtobbeingbmadebunilaterallybbybdifferentblevelsbofbtheborganizati
onalbhierarchy.bInbcomplexitybtheory,beverybperson’sbopinionbcounts,bandbthereforeballblevelsbofbs
taffbwouldbbebinvolvedbinbdecisionbmaking.bThisbprinciplebunderliesbsharedbgovernance.bSharedb
governancebisbanbexamplebofbnursebdecisionbmakingbinbwhichbnursesbatbdifferentborganizational
blevelsbengagebinbshapingb policybandbpractices.
DIF: CognitivebLevel:bApply
REF:bPageb5bTOP:b NursingbProcess:bImplementation
, 9. Abchargebnursebonbabbusyb40-
bedbmedical/surgicalbunitbisbapproachedbbybabpatient’sbson,bwhobbeginsbtobcomplainbloudlybabo
utbthebqualitybofbcarebhisbmotherbisbreceiving.bHisbbehaviourbisbsobdisruptivebthatbitbisboverheardbb
ybstaff,bphysicians,bandbotherbvisitors.bThebfamilybmemberbrejectsbanybattemptbtobintervenebthera
peuticallybtobresolvebthebissue.bHebleavesbthebunitbabruptly,bandbthebnursebisbleftbfeelingbfrustrate
d.bWhichbbehaviourbbybthebchargebnursebbestbillustratesbrefinedbleadershipbskillsbinbanbemotiona
llybintelligentbpractitioner?
a. Reflectionbtobobtainbinsightbintobhowbthebsituationbcouldbbebhandledbdifferentlybinbthe
bfuture
b. Tryingbtobcatchbupbwithbthebangrybfamilybmemberbtobresolvebthebconcern
c. Discussingbthebconcernbwithbthebpatientbafterbthebfamilybmemberbhasbleft
d. Notifyingbnursingbadministrationbofbthebsituation
ANSWER:b A
Emotionalbintelligencebisbcloselybalignedbwithbindividuals’bcapacitybtobknowbthemselvesbandbothe
rs.bReflectingbtobobtainbinsightbandbbeingbablebtob“step”boutsidebthebsituationbtobenvisionbthebcont
extbofbwhatbisbhappeningbisbanbexamplebofbthebactionsbofbanbemotionallybintelligentbpractitione
r.
DIF: CognitivebLevel:bApply
REF:bPageb8bTOP:b NursingbProcess:bImplementation
10. Thebchiefbnursingbofficerbhasbaskedbthebstaffbdevelopmentbcoordinatorbtobfacilitatebthebdevelopm
entbofbabclinicalbcompetencybprogrambforbthebfacility.bWhilebmakingbroundsbonbthebunits,bthebstaffb
developmentbcoordinatorboverhearsbRNbstaffbcomplainingbthatbtheybbelievebitbisbinsultingbtobbebre
quiredbtobparticipatebinbabcompetencybprogram.bWhichbbehaviourbbybthebstaffbdevelopmentbcoor
dinatorbisbmostbappropriatebinbthisbsituation?
a. DisregardbstaffbconcernsbN andR onItinuGebwBith.dCeveMlopmentbofbthebprogram.
UcbS
b. InformbthebnursesbthatbthisbprogrambNbT
bisbabrequirementbforbaccreditationbbybthebJoint
CommissionbonbAccreditationbofbHealthcarebOrganizationsb(JCAHO).
c. Schedulebabmeetingbwithbthebchiefbnursebexecutivebtobapprisebherbofbthebsituation.
d. Facilitatebabmeetingbsobnursesbcanbarticulatebtheirbvaluesbandbconcernsbaboutbabc
ompetencybprogram.
ANSWER:b D
Thebmanagerbrolebinvolvesbguidingbotherbpeoplebthroughbabsetbofbderivedbpracticesbthatbarebevi
dence-informedbandbknownbtobsatisfybpre-
establishedboutcomesbsuchbasbparticipationbinbabcompetencybprogram.bThisbinvolvesbengagement
bofbstaffbthroughbsharingbofbconcernsbandbideas.bThisbtypebofbleaderbcanbinstillbhopebandbtrustbinbf
ollowers,bwhichbinfluencebtheirbbehavioursbandbattitudesb(suchbasbengagementbandbsatisfaction)b
andbcausebworkbenvironmentsbtobbecomebmorebpositive.
DIF: CognitivebLevel:bApply REF:bPagesb11–
13bTOP:b NursingbProcess:bImplementation
11. Whichbcategorybisbuniquebtobleadershipbbutbisbnotbpartbofbmanagement?
a. Initiatingbchange
b. Personalbqualities
c. Developingbpeople
d. Informationbmanagement
, ANSWER:b C
Developingbpeople—coaching,bmentoring,bsuccessionbplanning—
isbabcategorybofbsolelybleadership,bnotbmanagement.bInitiatingbchangebandbpersonalbqualitiesb
arebcategoriesbofbbothbmanagementbandbleadership.bInformationbmanagementbisbabcategoryb
ofbmanagementbonly.
DIF: CognitivebLevel:bUnderstand
REF:bPageb17bTOP:b NursingbProcess:bAssessment
12. YouboverhearbabnewlybgraduatedbRNbtellingbonebofbyourbcolleaguesbthatbleadershipbandbmana
gementbbelongbtobthebunitbmanagerbandbnotbtobher.bBecausebyoubarebabnursingbcolleague,byourbr
esponsebdemonstratesbunderstandingbthatbthebperceptionbofbthebnewbgraduate:
a. Isbaccuratelybreflectedbinbthebnewbgraduate’sbstatement.
b. Wouldbbenefitbfrombfurtherbunderstandingbofbherbrolebasbabprofessionalbinbrelationbt
obdecision-making.
c. Hasbbeenbinfluencedbbybnursebleadersbandbmanagersbwhobleavebforbotherbpositions.
d. Isbrelatedbtobthebgeneralbperceptionbthatbnursebleadersbandbmanagersbarebno
tbsatisfiedbinbtheirbjobs.
ANSWER:b B
Decisionbmakingbandbthebcorrespondingbactionsbtakenbarebthebcorebworkbperformedbinbengage
mentbwithbco-
workers.bThisbcorebworkbrequiresbthatbnursesbbebleaders,bmanagers,bandbfollowersbatbthebpoint-
of-care,bunit,binstitutional,bandbevenbsocietalblevels.
DIF: CognitivebLevel:bUnderstand REF:bbb Pageb7 TOP:b NursingbProcess:bEvaluation
13. Youbwalkbintobabpatient’sbroombandbfindbhimbyellingbatbtheblicensedbpracticalbnurse.bThebpatie
ntbisbobviouslybverybupset,bandbafterbyoubspeakbwithbhimbregardingbhisbbehaviour,byou
determinebthatbhebhasbnotbsleptNUfor
bRbI SbGNbB.C T O
bthre ebnightsbbe causebofbunrelievedbpainblevels.bTheblicensed
practicalbnursebisbverybupsetbwithbhimbandbcallsbhimbanb“ugly,boldbman.”bYoubacknowledgebherbfeeli
ngsbandbconcernsbandbthenbsuggestbthatbthebpatient’sbbehaviourbwasbaggressivebbutbisbrelatedbtobl
ackbofbsleepbandbtobpain.bYoubask,b“Canbbothbyoubandbthebpatientbtogetherbdeterminebtriggersbforb
thebpainbandbeffectivebapproachesbtobcontrollingbhisbpain?”bThisbapproachbdemonstrates:
a. Lackbofbempathybandbunderstandingbforbtheblicensedbpracticalbnurse.
b. Concernbwithbplacatingbthebpatient.
c. Leadershipbbehaviour.
d. Managementbbehaviour.
ANSWER:b C
Thebsituationbbetweenbthebpatientbandbtheblicensedbpracticalbnursebisbcomplex,binvolvingbunrelieve
dbsymptomsbandbaggressivenessbtowardbabstaffbmember.bHealthbcarebisbnowbdeliveredbinbabcollab
orative,bandbmostboften,banbinterdisciplinarybmanner,bwherebybselectbleadership/managementbr
olesb(e.g.,bfirst-
linebnursebleaders)bservebasbconduitsbforbinformationbandbcarebcoordination.bProvidingbengaged,b
collaborativebguidancebandbdecisionbmakingbinbabcomplexbsituationbforbwhichbtherebisbnobstandar
dizedbsolutionbreflectsbleadership.
DIF: CognitivebLevel:bApply
REF:bPageb7bTOP:b NursingbProcess:bImplementation
14. Whichbcategorybisbuniquebtobmanagementbbutbisbnotbpartbofbleadership?
