Exam
Testz Bankz Forz Psychiatricz Nursingz 7thz Editionz z
Contemporaryz Practicez byz Maryz Annz Boyd
Exam
Testz Bankz Forz Psychiatricz Nursingz 7thz Editionz Contemporaryz Practicez
byz z Maryz Annz Boyd
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.
Yoder-Wise:z Leadingz andz Managingz inz Nursing,z 7thz Edition
MULTIPLEz CHOICE
1. Az nursez managerz ofz az 20-bedz medicalz unitz findsz thatz 80%z ofz thez patientsz arez
olderz adults.z Shez isz askedz toz assessz andz adaptz thez unitz toz betterz meetz thez
uniquez needsz ofz thez olderz adultz patient.z Usingz complexityz principles,z whatz wouldz
bez thez bestz approachz toz takez forz implementationz ofz thisz change?
a. Leveragez thez hierarchicalz managementz positionz toz getz unitz staffz involvedz inz
assessmentz andz planning.
b. Engagez involvedz staffz atz allz levelsz inz thez decision-makingz process.
c. Focusz thez assessmentz onz thez unitz andz omitz thez hospitalz andz communityz environment.
d. Hirez az geriatricz specialistz toz overseez andz controlz thez project.
ANS:z B
Complexityz theoryz suggestsz thatz systemsz interactz andz adaptz andz thatz decisionz
makingz occursz throughoutz thez systems,z asz opposedz toz beingz heldz inz az hierarchy.z
Inz complexityz theory,z everyz voicez counts,z andz therefore,z allz levelsz ofz staffz wouldz
bez involvedz inz decisionz making.
TOP:z AONEz competency:z Communicationz andz Relationship-Building
2. Az unitz managerz ofz az 25-bedz medical/surgicalz areaz receivesz az phonez callz
fromz az nursez whoz hasz calledz inz sickz fivez timesz inz thez pastz month.z Hez
tellsz thez managerz thatz hez veryz muchz wantsz to
comez toz workz whenz scheduledz butz mustz oftenz carez forz hisz wife,z whoz isz undergoingz
treatment
forz breastz cancer.z Accordingz toz Maslow’sz needz hierarchyz theory,z whatz wouldz bez thez best
NURSINGTB.COMz approachz toz satisfyingz thez needsz ofz thisz nurse,z otherz staff,z and
patients?
a. Linez upz agencyz nursesz whoz canz bez calledz inz toz workz onz shortz notice.
b. Placez thez nursez onz unpaidz leavez forz thez remainderz ofz hisz wife’sz treatment.
c. Sympathizez withz thez nurse’sz dilemmaz andz letz thez chargez nursez knowz
thatz thisz nursez mayz bez callingz inz frequentlyz inz thez future.
d. Workz withz thez nurse,z staffingz office,z andz otherz nursesz toz arrangez hisz
scheduledz daysz offz aroundz hisz wife’sz treatments.
, l O M oA R c P S D | 14447089
Leading and Managing in Nursing 7th Edition Yoder-Wise Test Bank
ANS:z D
Placingz thez nursez onz unpaidz leavez mayz threatenz thez nurse’sz capacityz toz meetz
physiologic
needsz andz demotivatez thez nurse.z Unsatisfactoryz coveragez ofz shiftsz onz shortz noticez
couldz affect
patientz carez andz threatenz thez needsz ofz staffz toz feelz competent.z Arrangingz thez
schedulez around
thez wife’sz needsz meetsz thez needsz ofz thez staffz andz ofz patientsz whilez satisfyingz thez
nurse’sz need
forz affiliation.
TOP:z AONEz competency:z Communicationz andz Relationship-Building
3. Az grievancez broughtz byz az staffz nursez againstz thez unitz managerz requiresz
mediation.z Atz thez firstz mediationz session,z thez staffz nursez repeatedlyz callsz
thez unitz manager’sz actionsz unfair,z andz thez unitz managerz continuesz toz
reiteratez thez reasonsz forz thez actions.z Whatz wouldz bez thez bestz coursez ofz
actionz atz thisz time?
a. Sendz thez twoz disputantsz awayz toz reachz theirz ownz resolution.
b. Involvez anotherz staffz nursez inz thez discussionz forz clarityz issues.
c. Askz eachz partyz toz examinez theirz ownz motivesz andz issuesz inz thez conflict.
d. Continuez toz listenz asz thez partiesz repeatz theirz thoughtsz andz feelingsz
aboutz thez conflict.
ANS:z C
Forz resolutionz ofz conflict,z onez shouldz addressz thez interestsz andz involvementz ofz
participantsz inz thez conflictz byz examiningz thez realz issuesz ofz allz parties.
TOP:z AONEz competency:z Communicationz andz Relationship-Building
4. Atz az secondz negotiationz session,z thez unitz managerz andz staffz nursez arez
unablez toz reachz az resolution.z Whatz isz thez appropriatez nextz step?
a. Arrangez anotherz meetingz inz az week’sz timez soz asz toz allowz az cooling-offz
period.
b. Elevatez thez nextz negationz sessionz toz thez nextz manager,z onez levelz above.
c. Insistz thatz participantsz continuez toz talkz untilz az resolutionz hasz beenz reached.
d. Backz thez unitz manager’sz actionsz andz endz thez dispute.
ANS:z B
Partz ofz leadershipz isz understandingz conflictz resolutionz andz abilityz toz negotiatez andz
managez forz resolutionz ofz issuesz andz concerns.z Thisz situationz hasz failedz az secondz
negotiationz session,z elevationz toz az managerz withz additionalz trainingz toz facilitatez
conflictz resolutionz isz importantz atz thisz point.
TOP:z AONEz competency:z Communicationz andz Relationship-Building
5. Thez managerz ofz az surgicalz areaz hasz az visionz forz thez futurez thatz requiresz
thez additionz ofz RNz assistantsz orz unlicensedz personsz toz feed,z bathe,z andz
ambulatez patients.z Thez RNsz onz thez staff
, l O M oA R c P S D | 14447089
Leading and Managing in Nursing 7th Edition Yoder-Wise Test Bank
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havez alwaysz practicedz inz az primaryz nursing-deliveryz systemz andz arez veryz resistantz toz
thisz idea.
Whatz wouldz bez thez bestz initialz strategyz forz implementationz ofz thisz change?
NURSINGTB.COM
a. Exploringz thez valuesz andz feelingsz ofz thez RNz groupz inz
relationshipz toz thisz change
b. Leavingz thez RNsz alonez forz az timez soz theyz canz thinkz aboutz thez changez
beforez itz isz implemented
c. Droppingz thez ideaz andz tryingz forz thez changez inz az yearz orz soz whenz
somez ofz thez presentz RNsz havez retired
d. Hiringz thez assistantsz andz allowingz thez RNsz toz seez whatz goodz additionsz
theyz are
ANS:z A
Influencingz othersz requiresz emotionalz intelligencez inz domainsz suchz asz empathy,z
handlingz relationships,z deepeningz self-awarenessz inz selfz andz others,z motivatingz
others,z andz managingz emotions.z Motivatingz othersz recognizesz thatz valuesz arez
powerfulz forcesz thatz influencez acceptancez ofz change.z Leavingz thez RNsz alonez forz az
periodz ofz timez beforez implementationz doesz notz providez opportunityz toz explorez
differentz perspectivesz andz values.z Avoidingz discussionz untilz thez teamz changesz mayz
notz promotez adoptionz ofz thez changez untilz therez isz opportunityz toz explorez
perspectivesz andz valuesz relatedz toz thez change.z Hiringz ofz thez assistantsz demonstratesz
lackz ofz empathyz forz thez perspectivesz ofz thez RNz staff.
TOP:z AONEz competency:z Knowledgez ofz thez Healthz Carez Environment