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Exam (elaborations)

Leading and Managing in Nursing Test Bank for

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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 environment. d. Hire a geriatric specialist to oversee and control the project. ANS: 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, every 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 treatmentfor breast cancer. According to Maslow‘s need hierarchy 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. ANS: 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 of the staff and of patients while satisfying the nurse‘s need for affiliation. TOP: AONE competency: Communication and Relationship-Building 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 actions unfair, and the unit manager continues to reiterate the reasons for the actions. What would be the best courseof action at this time? a. Send the two disputants away to reach their own resolution. b. Involve another staff nurse in the discussion for clarity issues. c. Ask each party to examine their own motives and issues in the conflict. d. Continue to listen as the parties repeat their thoughts and feelings about the conflict. ANS: C For resolution of conflict, one should address the interests and involvement of participants in the conflict by examining the real issues of all parties. TOP: AONE competency: Communication and Relationship-Building

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Leading And Managing In Nursing
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Institution
Leading and Managing in Nursing
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Leading and Managing in Nursing

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Uploaded on
August 26, 2024
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247
Written in
2024/2025
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Test Bank For Leading and Ma
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naging in Nursing 8th Edition
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By Patricia S. Yoder-
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Wise; Susan Sportsman(
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2024 - 2025 ) /
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Chapter
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1- 25 / Complete Questionsa
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nd Verified Answers A+
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, Chapterki01:kiLeading,kiManaging,kiandkiFollowing
Yoder-Wise:kiLeadingkiandkiManagingkiinkiNursing,ki8thkiEdition


MULTIPLEkiCHOICE

1. Akinursekimanagerkiofkiaki20-
bedkimedicalkiunitkifindskithatki80%kiofkithekipatientskiarekiolderkiadults.kiShekiiskiaskedkitokiassesskiand
kiadaptkithekiunitkitokibetterkimeetkithekiuniquekineedskiofkithekiolderkiadultkipatient.Usingkicomplexityk
iprinciples,kiwhatkiwouldkibekithekibestkiapproachkitokitakekiforkiimplementationkiofkithiskichange?
a. Leveragekithekihierarchicalkimanagementkipositionkitokigetkiunitkistaffkiinvol
vedkiinkiassessmentkiandki planning.
b. Engagekiinvolvedkistaffkiatkiallkilevelskiinkithekidecision-makingki process.
c. Focuskithekiassessmentkionkithekiunitkiandkiomitkithekihospitalkiandkicom
munitykienvironment.
d. Hirekiakigeriatrickispecialistkitokioverseekiandkicontrolkithekiproject.
ANS:k i B
Complexitykitheorykisuggestskithatkisystemskiinteractkiandkiadaptkiandkithatkidecisionkimaking
kioccurskti hroughoutkithekisystems,kiaskiopposedkitokibeingkiheldkiinkiakihierarchy.kiInkicomplex
itykitheory,kieverykivoicekicounts,kiandkitherefore,kiallkilevelskiofkistaffkiwouldkibekiinvolvedkiin
kidecisionkimaking.


TOP:kiAONEkicompetency:kiCommunicationkiandkiRelationship-Building

2. Akiunitkimanagerkiofkiaki25-
bedkimedical/surgicalkiareakireceiveskiakiphonekicallkifromkiakinursekiwhokihaskicalledkiinkisickkifivekiti
meskiinkithekipastkimonth.kiHekitellskithekimanagerkithatkihekiverykimuchkiwantskitokicomekitokiworkkiw
henkischeduledkibutkimustkioftenkicarekiforkihiskiwife,kiwhokiiskiundergoingkitreatmentforkibreastkican
cer.kiAccordingkitokiMaslow‘skineedkihierarchykitheory,kiwhatkiwouldkibekithekibestkiapproachkitokisat
isfyingkithekineedskiofki thiskinurse,kiotherkistaff,kiandki patients?
a. Linekiupkiagencykinurseskiwhokicankibekicalledkiinkitokiworkkionkishortki notice.
b. Placekithekinursekionkiunpaidkileavekiforkithekiremainderkiofkihiskiwife‘skitreatment.
c. Sympathizekiwithkithekinurse‘skidilemmakiandkiletkithekichargekinursekiknowkithatkit
hiskinursekm
i aykibekicallingkiinkifrequentlykiinkithek i future.
d. Workkiwithkithekinurse,kistaffingkioffice,kiandkiotherkinurseskitokiarrangekihiskisc
heduledkidayskioffkiaroundkihiskiwife‘skitreatments.
ANS:k i D
Placingkithekinursekionkiunpaidkileavekimaykithreatenkithekinurse‘skicapacitykitokimeetkiphysiolog
ickineedskai ndkidemotivatekithekinurse.kiUnsatisfactorykicoveragekiofkishiftskionkishortkinoticekic
ouldkiaffectkipatientkicarekiandkithreatenkithekineedskiofkistaffkitokifeelkicompetent.kiArrangingkit
hekischedulekiaroundkithekiwife‘skineedskimeetskithekineedskiofkithekistaffkiandkiofkipatientskiwhi
lekisatisfyingkithekinurse‘skineedkiforkiaffiliation.

TOP:kiAONEkicompetency:kiCommunicationkiandkiRelationship-Building

3. Akigrievancekibroughtkibykiakistaffkinursekiagainstkithekiunitkimanagerkirequireskimediation.kiA
tkithekifirstkimediationkisession,kithekistaffkinursekirepeatedlykicallskithekiunitkimanager‘skiactionskiunfai
r,kiandkithekiunitkimanagerkicontinueskitokireiteratekithekireasonskiforkithekiactions.kiWhatkiwouldkibekit
hekibestkicourseofkiactionkiatkti hiskitime?
a. Sendkithekitwokidisputantskiawaykitokireachkitheirkiownkiresolution.
b. Involvekianotherkistaffkinursekiinkithekidiscussionkiforkiclaritykiissues.

, c. Askkieachkipartykitokiexaminekitheirkiownkimotiveskiandkiissueskiinkithekiconflict.
d. Continuekitokilistenkiaskithekipartieskirepeatkitheirkithoughtskiandkifeelingskia
boutkithekiconflict.
ANS:kiC
Forkiresolutionkiofkiconflict,kionekishouldkiaddresskithekiinterestskiandkiinvolvementkiofkipartici
pantskiinkti hekiconflictkibykiexaminingkithekirealkiissueskiofkiallkiparties.

TOP:kiAONEkicompetency:kiCommunicationkiandkiRelationship-Building

4. Atkiakisecondkinegotiationkisession,kithekiunitkimanagerkiandkistaffkinursekiarekiunablekit
okireachkiakiresolution.kiWhatkiiskithekiappropriatekinextk i step?
a. Arrangekianotherkimeetingkiinkiakiweek‘skitimekisokiaskitokiallowkiakicooling-offkiperiod.
b. Elevatekithekinextkinegationkisessionkitokithekinextkimanager,kionekilevelkiabove.
c. Insistkithatkiparticipantskicontinuekitoki talkkiuntilkiakiresolutionkihaskibeenkireached.
d. Backkithekiunitkimanager‘skiactionskiandkiendkitheki dispute.

ANS:kiB
Partkiofkileadershipkiiskiunderstandingkiconflictkiresolutionkiandkiabilitykitokinegotiatekiandkiman
agekiforkri esolutionkiofkiissueskiandkiconcerns.kiThiskisituationkihaskifailedkiakisecondkinegotiatio
nkisession,kielevationkitokiakimanagerkiwithkiadditionalkitrainingkitokifacilitatekiconflictkiresoluti
onkiiskiimportantkiatkithiskipoint.

TOP:kiAONEkicompetency:kiCommunicationkiandkiRelationship-Building

5. Thekimanagerkiofkiakisurgicalkiareakihaskiakivisionkiforkithekifuturekithatkirequireskithekiaddition
kiofkiRNkiassistantskiorkiunlicensedkipersonskitokifeed,kibathe,kiandkiambulatekipatients.kiThekiRNskion
kithekistaffkihavekialwayskipracticedkiinkiakiprimarykinursing-
deliverykisystemkiandkiarekiverykiresistantkitokithiskiidea.Whatkiwouldkibekithekibestkiinitialkistrategykifor
kiimplementationkiofkithiskichange?
a. ExploringkithekivalueskiandkifeelingskiofkithekiRNkigroupki inkirelationshipkitokithiskichange
b. LeavingkithekiRNskialonekiforkiakitimekisokitheykicankithinkkiaboutkithekichangekib
eforekiitkiiskiimplemented
c. Droppingkithekiideakiandkitryingkiforkithekichangekiinkiakiyearkiorkisokiwhenkiso
mekiofkithekipresentkiRNskihaveki retired
d. HiringkithekiassistantskiandkiallowingkithekiRNskitokiseekiwhatkigoodkiadditionskitheykiare
ANS:kiA
Influencingkiotherskirequireskiemotionalkiintelligencekiinkidomainskisuchkiaskiempathy,kihandli
ngkirelationships,kideepeningkiself-
awarenesskiinkiselfkiandkiothers,kimotivatingkiothers,kiandkimanagingkiemotions.kiMotivatingkio
therskirecognizeskithatkivalueskiarekipowerfulkiforceskithatkiinfluencekiacceptancekiofkichange.ki
LeavingkithekiRNskialonekiforkiakiperiodkiofkitimekibeforekiimplementationkidoeskinotkiprovidekio
pportunitykitokiexplorekidifferentkiperspectiveskiandkivalues.kiAvoidingkidiscussionkiuntilkithekit
eamkichangeskimaykinotkipromotekiadoptionkiofkithekichangekiuntilkitherekiiskiopportunitykitokie
xplorekiperspectiveskiandkivalueskirelatedkitokithekichange.kiHiringkiofkithekiassistantskidemonst
rateskilackkiofkiempathykiforkithekiperspectiveskiofkithekiRNkistaff.

TOP:kiAONEkicompetency:kiKnowledgekiofkithekiHealthkiCarekiEnvironment

, 6. AskithekiRNkichargekinursekionkithekinightkishiftkiinkiakismallkilong-
termkicarekifacility,kiyou‘vekifoundkithatkitherekiiskilittlekiturnoverkiamongkiyourkiLPNkiandkinursingkias
sistantki(NA)kistaffkimembers,kibutkitheykiarekinotkiverykimotivatedkitokigokibeyondkitheirkijobkidescrip
tionskiinkitheirkiwork.kiWhichkiofkithekifollowingkistrategieskimightkimotivatekithekistaffkiandkileadkitoki
greaterkijobki satisfaction?
a. Askkithekidirectorkiofkinursingkitokiofferkihigherkiwageskiandkibonuseskiforkiextraki
workkiforkithekinightkiLPNskiandki NAs.
b. AllowkithekiLPNskiandkiNAskigreaterkidecision-
makingkipowerkiwithinkithekiscopekiofkitheirkipositionskiinkitheki institution.
c. Hirekiadditionalkistaffkisokithatkitherekiarekimorekistaffkiavailablekiforkienhancedki
care,kiandkiindividualkiworkloadskiarekilessened.
d. Askkithekidirectorkiofkinursingkitokiincreasekijobkisecuritykiforkinightkistaffkibykihavi
ngkithemkisignkicontractskithatkiguaranteekiwork.
ANS:kiB
Hygienekifactorskisuchkiaskisalary,kiworkingkiconditions,kiandkisecuritykiarekiconsistentkiwithkiH
erzberg‘skitwo-
factorkitheorykiofkimotivation;kimeetingkithesekineedskiavoidskijobkidissatisfaction.kiMotivatorkif
actorskisuchkiaskirecognitionkiandkisatisfactionkiwithkiworkkipromotekiakisatisfyingkiandkienriche
dkiworkkienvironment.kiTransformationalkileaderskiusekimotivatorkifactorskiliberallykitokiinspireki
workkiperformancekiandkiincreasekijobkisatisfaction.

TOP:kiAONEkicompetency:kiCommunicationkiandkiRelationship-Building

7. Thekinursekimanagerkiwantskitokiincreasekimotivationkibykiprovidingkimotivatingkifactorskiforki
thenursekionkithekiunit.kiWhatkiactionkiwouldkibekiappropriatekitokimotivatekithekistaff?
a. Collaboratekiwithkithekihumankiresource/personnelkidepartmentkitokidevelopkio
n-sitekidaycarekiservices.
b. Providekiakihierarchicalkiorganizationalkistructure.
c. Implementkiakimodelkiofkisharedkigovernance.
d. Promotekithekidevelopmentkiofkiakiflexiblekibenefitskipackage.
ANS:kiC
Complexitykitheorykisuggestskithatkisystemskiinteractkiandkiadaptkiandkithatkidecisionkimakingki
occurskithroughoutkisystems,kiaskiopposedkitokibeingkiheldkiinkiakihierarchy.kiInkicomplexitykith
eory,kieverykivoicekicounts,kiandkithereforekiallkilevelskiofkistaffkiwouldkibekiinvolvedkiinkideci
sionkimaking.kiThiskiprinciplekiiskithekifoundationkiofkisharedkigovernance.

TOP:kiAONEkicompetency:kiCommunicationkiandkiRelationship-Building

8. Thekinursekimanagerkihaskibeenkiaskedkitokiimplementkiankievidence-
basedkiapproachkitokiteachkiostomykipatientskiself-
managementkiskillskipostoperatively.kiThekiprogramkiiskitokibekiimplementedkiacrosskitheentirekifacilit
y.kiWhatkiillustrateskieffectivekileadershipkiinkithisk i situation?
a. Thekitrainingkimoduleskiarekileftkiinkithekistaffkiroomkiforkitimeskiwhenkistaffkiarekiavailable.
b. Thekicurrentkiapproachkiiskicontinuedkibecausekiitkiiskialsokievidence-
basedkiandkiiskimorekfi amiliarkitoki staff.
c. Youkidecidekitokiimplementkithekiapproachkiatkiakilaterkidatekibecausekiofkifeedbackki
fromkithekiRNskithatkithekinewkiapproachkitakeskitookimuchkitime.
d. AnkiRNkiwhokiiskialreadykifamiliarkiwithkithekinewkiapproachkiofkivolunteerskitok
itakekithekileadkiinkimentoringkiandkiteachingkiotherskihowkitokiimplementk i it.

ANS:kiD

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