YODER-WISE RN EDD NEA-BC ANEF FAAN (AUTHOR), SUSAN
SPORTSMAN RN PHD ANEF FAAN (AUTHOR) 8E: ISBN-9780323792066
,Chapter 01: Leading, Managing, and Following Yoder-Wise: Leading and Managing in Nursing, 8th
edition
MULTIPLE CHOICE
1. A nurse manager of a 20-bed medical unit finds that 80% of the
patients are older adults. She is asked to assess and adapt the
unit to better meet the unique needs of the older adult patient.
Using complexity principles, what would be the best approach to
take for implementation of this change?
a. Leverage the hierarchical management position to get unit
staff involved in assessment and planning.
b. Engage involved staff at all levels in the decision-making
process.
c. Focus the assessment on the unit and omit the hospital and
community fnvironment.
d. Hire a geriatric specialist to oversee and control the project.
, Leading and Managing in Nursing 7th fdition Yoder-Wise Test Bank
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CORRECT 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 complexity theory, fvery
voice counts, and therefore, all levels of staff would be involved
in decision making.
TOP: AONE competency: Communication and Relationship-Building
2. A unit manager of a 25-bed medical/surgical area 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 treatment for breast cancer. According toUNM
aRSslo IwN G’s TnB.Ceed h iOMe rarchy theory, 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 nurse may be calling in frequently in the
future.
d. Work with the nurse, staffing office, and other nurses to
arrange his scheduled days off around his wife’s treatments.
CORRECT ANSWER : D
Placing the nurse on unpaid leave may threaten the nurse’s
capacity to meet physiologic needs and demotivate the nurse.
Unsatisfactory coverage of shifts on short notice could affect
patient care and threaten the needs of staff to feel competent.
Arranging the schedule around the wife’s needs meets the needs