Pagev1
TEST BANK FOR LEADING AND MANAGING IN NURSING, 8T
v v v v v v v vv
H EDITION BY PATRICIA S. YODER-WISE, SUSAN
v v v v v v v
SPORTSMAN CHAPTER 1-30. v v
Chapterv01:vLeading,vManaging,vandvFollowing
Yoder-Wise: Leading and Managing in Nursing, 8th Edition
v v v v v v v
MULTIPLEvCHOICE
1. Avnursevmanagervofvav20-
v
bedvmedicalvunitvfindsvthatv80%vofvthevpatientsvarevoldervadults.vSheisvaskedvtovassessvandvad
aptvthevunitvtovbettervmeetvthevuniquevneedsvofvthevoldervadultvpatient.Usingvcomplexityvprin
ciples,vwhatvwouldvbevthevbestvapproachvtovtakevforvimplementationvofvthisvchange?
a. Leveragevthevhierarchicalvmanagementvpositionvtovgetvunitvstaffvinvolvedvi
nassessmentvandvplanning.
b. Engagevinvolvedvstaffvatvallvlevelsvinvthevdecision-makingvprocess.
c. Focusvthevassessmentvonvthevunitvandvomitvthevhospitalvandv
communityenvironment.
d. Hirevavgeriatricvspecialistvtovoverseevandvcontrolvthevproject.
ANS:v B
Complexityvtheoryvsuggestsvthatvsystemsvinteractvandvadaptvandvthatvdecisionvmakingvoccursvt
hroughoutvthevsystems,vasvopposedvtovbeingvheldvinvavhierarchy.vInvcomplexityvtheory,veveryvv
oicevcounts,vandvtherefore,vallvlevelsvofvstaffvwouldvbevinvolvedvinvdecisionvmaking.
TOP:v AONEvcompetency:vCommunicationvandvRelationship-Building
2. Avunitvmanagervofvav25-
bedvmedical/surgicalvareavreceivesvavphonevcallvfromvavnursevwhovhascalledvinvsickvfivevtimesv
invthevpastvmonth.vHevtellsvthevmanagervthatvhevveryvmuchv wantsvtovcomevtovworkvw h e nNs ch
Re d Iu l e dGb uBt m
.uCst often care for his wife, who is undergoing
v v v v v v v v v
treatment
forvbreastvcancer.vAccordingvt oUM aSslo w
N’ s nTe e d vhiO
erarchyvtheory,vwhatv wouldvbevthevbestvappro
achvtovsatisfyingvthevneedsvofvthisvnurse,vothervstaff,vandvpatients?
a. Linevupvagencyvnursesvwhovcanvbevcalledvinvtovworkvonvshortvnotice.
b. Placevthevnursevonvunpaidvleavevforvthevremaindervofvhisvwife’svtreatment.
c. Sympathizevwithvthevnurse’svdilemmavandvletvthevchargevnursevknowvthatvthisvnurse
, Pagev2
mayvbevcallingvinvfrequentlyvinvthevfuture.
d. Workvwithvthevnurse,vstaffingvoffice,vandvothervnursesvtovarrangevhisvscheduledv
daysvoffvaroundvhisvwife’svtreatments.
ANS:v D
Placingvthevnursevonvunpaidvleavevmayvthreatenvthevnurse’svcapacityvtovmeetvphysiologicvneed
sandvdemotivatevthevnurse.vUnsatisfactoryvcoveragevofvshiftsvonvshortvnoticevcouldvaffectvpati
entvcarevandvthreatenvthevneedsvofvstaffvtovfeelvcompetent.vArrangingvthevschedulevaround
thevwife’svneedsvmeetsvthevneedsvofvthevstaffvandvofvpatientsvwhilevsatisfyingvthevnurse’svneedvf
orvaffiliation.
TOP:v AONEvcompetency:vCommunicationvandvRelationship-Building
3. Avgrievancevbroughtvbyvavstaffvnursevagainstvthevunitvmanagervrequiresvmediation.vAtvthevfirst
mediationvsession,vthevstaffvnursevrepeatedlyvcallsvthevunitvmanager’svactionsvunfair,vandvthev
unitvmanagervcontinuesvtovreiteratevthevreasonsvforvthevactions.vWhatvwouldvbevthevbestvcour
seofvactionvatvthisvtime?
a. Sendvthevtwovdisputantsvawayvtovreachvtheirvownvresolution.
b. Involvevanothervstaffvnursevinvthevdiscussionvforvclarityvissues.
NURSINGTB.COM
, LeadingvandvManagingvinvNursingv8thvEditionvYoder-WisevTestvBank
c. Askveachvpartyvtovexaminevtheirvownvmotivesvandvissuesvinvthevconflict.
d. Continuevtovlistenvasvthevpartiesvrepeatvtheirvthoughtsvandvfeelingsvaboutvt
heconflict.
ANS:v C
Forvresolutionvofvconflict,vonevshouldvaddressvthevinterestsvandvinvolvementvofvparticipantsvi
nthevconflictvbyvexaminingvthevrealvissuesvofvallvparties.
TOP:v AONEvcompetency:vCommunicationvandvRelationship-Building
4. Atvavsecondvnegotiationvsession,vthevunitvmanagervandvstaffvnursevarevunablevtovr
eachvaresolution.vWhatvisvthevappropriatevnextvstep?
a. Arrangevanothervmeetingvinvavweek’svtimevsovasvtovallowvavcooling-offvperiod.
b. Elevatevthevnextvnegationvsessionvtovthevnextvmanager,vonevlevelvabove.
c. Insistvthatvparticipantsvcontinuevtovtalkvuntilvavresolutionvhasvbeenvreached.
d. Backvthevunitvmanager’svactionsvandvendvthevdispute.
ANS:v B
Partvofvleadershipvisvunderstandingvconflictvresolutionvandvabilityvtovnegotiatevandvmanagevf
orresolutionvofvissuesvandvconcerns.vThisvsituationvhasvfailedvavsecondvnegotiationvsession,vel
evationvtovavmanagervwithvadditionalvtrainingvtovfacilitatevconflictvresolutionvisvimportantvatv
thisvpoint.
TOP:v AONEvcompetency:vCommunicationvandvRelationship-Building
5. ThevmanagervofvavsurgicalvareavhasvavvisionvforvthevfuturevthatvrequiresvthevadditionvofvRNvassi
stantsvorvunlicensedvpersonsvtovfeed,vbathe,vandvambulatevpatients.vThevRNsvonvthevstaffvhavev
alwaysvpracticedvinvavprNUaRrySnIurNsiGngT-Bd el.iCv e r yMs y s t e m vandvarevveryvresistantvtovthis
im
idea.
Whatvwouldvbevthevbestvinitialvstrategyvforvimplementationvofvthisvchange?
a. ExploringvthevvaluesvandvfeelingsvofvthevRNvgroupvinvrelationshipvtovthisvchange
b. LeavingvthevRNsvalonevforvavtimevsovtheyvcanvthinkvaboutvthevchangevbeforevitvi
simplemented
c. Droppingvthevideavandvtryingvforvthevchangevinvavyearvorvsovwhenvsomevofvt
hepresentvRNsvhavevretired
d. HiringvthevassistantsvandvallowingvthevRNsvtovseevwhatvgoodvadditionsvtheyvare
ANS:v A
Influencingvothersvrequiresvemotionalvintelligencevinvdomainsvsuchvasvempathy,vhandlingvrela
tionships,vdeepeningvself-
awarenessvinvselfvandvothers,vmotivatingvothers,vandvmanagingvemotions.vMotivatingvothersvr
ecognizesvthatvvaluesvarevpowerfulvforcesvthatvinfluencevacceptancevofvchange.vLeavingvthevR
Nsvalonevforvavperiodvofvtimevbeforevimplementationvdoesnotvprovidevopportunityvtovexplorev
differentvperspectivesvandvvalues.vAvoidingvdiscussionvuntilvthevteamvchangesvmayvnotvpromo
tevadoptionvofvthevchangevuntilvtherevisvopportunityvtovexplorevperspectivesvandvvaluesvrelate
dvtovthevchange.vHiringvofvthevassistantsvdemonstratesvlackvofvempathyvforvthevperspectivesvof
vthevRNvstaff.
, LeadingvandvManagingvinvNursingv8thvEditionvYoder-WisevTestvBank
TOP:v AONEvcompetency:vKnowledgevofvthevHealthvCarevEnvironment
NURSINGTB.COM
y:v v yc:t sv|v v | skv v yv tt .
TEST BANK FOR LEADING AND MANAGING IN NURSING, 8T
v v v v v v v vv
H EDITION BY PATRICIA S. YODER-WISE, SUSAN
v v v v v v v
SPORTSMAN CHAPTER 1-30. v v
Chapterv01:vLeading,vManaging,vandvFollowing
Yoder-Wise: Leading and Managing in Nursing, 8th Edition
v v v v v v v
MULTIPLEvCHOICE
1. Avnursevmanagervofvav20-
v
bedvmedicalvunitvfindsvthatv80%vofvthevpatientsvarevoldervadults.vSheisvaskedvtovassessvandvad
aptvthevunitvtovbettervmeetvthevuniquevneedsvofvthevoldervadultvpatient.Usingvcomplexityvprin
ciples,vwhatvwouldvbevthevbestvapproachvtovtakevforvimplementationvofvthisvchange?
a. Leveragevthevhierarchicalvmanagementvpositionvtovgetvunitvstaffvinvolvedvi
nassessmentvandvplanning.
b. Engagevinvolvedvstaffvatvallvlevelsvinvthevdecision-makingvprocess.
c. Focusvthevassessmentvonvthevunitvandvomitvthevhospitalvandv
communityenvironment.
d. Hirevavgeriatricvspecialistvtovoverseevandvcontrolvthevproject.
ANS:v B
Complexityvtheoryvsuggestsvthatvsystemsvinteractvandvadaptvandvthatvdecisionvmakingvoccursvt
hroughoutvthevsystems,vasvopposedvtovbeingvheldvinvavhierarchy.vInvcomplexityvtheory,veveryvv
oicevcounts,vandvtherefore,vallvlevelsvofvstaffvwouldvbevinvolvedvinvdecisionvmaking.
TOP:v AONEvcompetency:vCommunicationvandvRelationship-Building
2. Avunitvmanagervofvav25-
bedvmedical/surgicalvareavreceivesvavphonevcallvfromvavnursevwhovhascalledvinvsickvfivevtimesv
invthevpastvmonth.vHevtellsvthevmanagervthatvhevveryvmuchv wantsvtovcomevtovworkvw h e nNs ch
Re d Iu l e dGb uBt m
.uCst often care for his wife, who is undergoing
v v v v v v v v v
treatment
forvbreastvcancer.vAccordingvt oUM aSslo w
N’ s nTe e d vhiO
erarchyvtheory,vwhatv wouldvbevthevbestvappro
achvtovsatisfyingvthevneedsvofvthisvnurse,vothervstaff,vandvpatients?
a. Linevupvagencyvnursesvwhovcanvbevcalledvinvtovworkvonvshortvnotice.
b. Placevthevnursevonvunpaidvleavevforvthevremaindervofvhisvwife’svtreatment.
c. Sympathizevwithvthevnurse’svdilemmavandvletvthevchargevnursevknowvthatvthisvnurse
, Pagev2
mayvbevcallingvinvfrequentlyvinvthevfuture.
d. Workvwithvthevnurse,vstaffingvoffice,vandvothervnursesvtovarrangevhisvscheduledv
daysvoffvaroundvhisvwife’svtreatments.
ANS:v D
Placingvthevnursevonvunpaidvleavevmayvthreatenvthevnurse’svcapacityvtovmeetvphysiologicvneed
sandvdemotivatevthevnurse.vUnsatisfactoryvcoveragevofvshiftsvonvshortvnoticevcouldvaffectvpati
entvcarevandvthreatenvthevneedsvofvstaffvtovfeelvcompetent.vArrangingvthevschedulevaround
thevwife’svneedsvmeetsvthevneedsvofvthevstaffvandvofvpatientsvwhilevsatisfyingvthevnurse’svneedvf
orvaffiliation.
TOP:v AONEvcompetency:vCommunicationvandvRelationship-Building
3. Avgrievancevbroughtvbyvavstaffvnursevagainstvthevunitvmanagervrequiresvmediation.vAtvthevfirst
mediationvsession,vthevstaffvnursevrepeatedlyvcallsvthevunitvmanager’svactionsvunfair,vandvthev
unitvmanagervcontinuesvtovreiteratevthevreasonsvforvthevactions.vWhatvwouldvbevthevbestvcour
seofvactionvatvthisvtime?
a. Sendvthevtwovdisputantsvawayvtovreachvtheirvownvresolution.
b. Involvevanothervstaffvnursevinvthevdiscussionvforvclarityvissues.
NURSINGTB.COM
, LeadingvandvManagingvinvNursingv8thvEditionvYoder-WisevTestvBank
c. Askveachvpartyvtovexaminevtheirvownvmotivesvandvissuesvinvthevconflict.
d. Continuevtovlistenvasvthevpartiesvrepeatvtheirvthoughtsvandvfeelingsvaboutvt
heconflict.
ANS:v C
Forvresolutionvofvconflict,vonevshouldvaddressvthevinterestsvandvinvolvementvofvparticipantsvi
nthevconflictvbyvexaminingvthevrealvissuesvofvallvparties.
TOP:v AONEvcompetency:vCommunicationvandvRelationship-Building
4. Atvavsecondvnegotiationvsession,vthevunitvmanagervandvstaffvnursevarevunablevtovr
eachvaresolution.vWhatvisvthevappropriatevnextvstep?
a. Arrangevanothervmeetingvinvavweek’svtimevsovasvtovallowvavcooling-offvperiod.
b. Elevatevthevnextvnegationvsessionvtovthevnextvmanager,vonevlevelvabove.
c. Insistvthatvparticipantsvcontinuevtovtalkvuntilvavresolutionvhasvbeenvreached.
d. Backvthevunitvmanager’svactionsvandvendvthevdispute.
ANS:v B
Partvofvleadershipvisvunderstandingvconflictvresolutionvandvabilityvtovnegotiatevandvmanagevf
orresolutionvofvissuesvandvconcerns.vThisvsituationvhasvfailedvavsecondvnegotiationvsession,vel
evationvtovavmanagervwithvadditionalvtrainingvtovfacilitatevconflictvresolutionvisvimportantvatv
thisvpoint.
TOP:v AONEvcompetency:vCommunicationvandvRelationship-Building
5. ThevmanagervofvavsurgicalvareavhasvavvisionvforvthevfuturevthatvrequiresvthevadditionvofvRNvassi
stantsvorvunlicensedvpersonsvtovfeed,vbathe,vandvambulatevpatients.vThevRNsvonvthevstaffvhavev
alwaysvpracticedvinvavprNUaRrySnIurNsiGngT-Bd el.iCv e r yMs y s t e m vandvarevveryvresistantvtovthis
im
idea.
Whatvwouldvbevthevbestvinitialvstrategyvforvimplementationvofvthisvchange?
a. ExploringvthevvaluesvandvfeelingsvofvthevRNvgroupvinvrelationshipvtovthisvchange
b. LeavingvthevRNsvalonevforvavtimevsovtheyvcanvthinkvaboutvthevchangevbeforevitvi
simplemented
c. Droppingvthevideavandvtryingvforvthevchangevinvavyearvorvsovwhenvsomevofvt
hepresentvRNsvhavevretired
d. HiringvthevassistantsvandvallowingvthevRNsvtovseevwhatvgoodvadditionsvtheyvare
ANS:v A
Influencingvothersvrequiresvemotionalvintelligencevinvdomainsvsuchvasvempathy,vhandlingvrela
tionships,vdeepeningvself-
awarenessvinvselfvandvothers,vmotivatingvothers,vandvmanagingvemotions.vMotivatingvothersvr
ecognizesvthatvvaluesvarevpowerfulvforcesvthatvinfluencevacceptancevofvchange.vLeavingvthevR
Nsvalonevforvavperiodvofvtimevbeforevimplementationvdoesnotvprovidevopportunityvtovexplorev
differentvperspectivesvandvvalues.vAvoidingvdiscussionvuntilvthevteamvchangesvmayvnotvpromo
tevadoptionvofvthevchangevuntilvtherevisvopportunityvtovexplorevperspectivesvandvvaluesvrelate
dvtovthevchange.vHiringvofvthevassistantsvdemonstratesvlackvofvempathyvforvthevperspectivesvof
vthevRNvstaff.
, LeadingvandvManagingvinvNursingv8thvEditionvYoder-WisevTestvBank
TOP:v AONEvcompetency:vKnowledgevofvthevHealthvCarevEnvironment
NURSINGTB.COM
y:v v yc:t sv|v v | skv v yv tt .
