Leading and Managing in Nursing 8th Edition Yoder-Wise Test Bank
qa qa qa qa qa qa qa qa qa
TEST BANK Yoder-
Wise: Leading and Managing in Nursing,8th
Edition 2023/2024 Update
NURSINGTB.COM
, Leading and Managing in Nursing 8th Edition Yoder-Wise Test Bank
qa qa qa qa qa qa qa qa qa
Chapter 01: Leading, Managing, and Following
qa qa qa qa qa
Yoder-Wise: Leading and Managing in Nursing, 8th Edition
qa qa qa qa qa qa qa
MULTIPLE CHOICE qa
1. A nurse manager of a 20-
qa qa qa qa qa
bed medical unit finds that 80% of the patients are older adults. She is asked to assess and a d
qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa
apt the unit to better meet the unique needs of the older adult patient. Using complexity pri nc
qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa
iples, what would be the best approach to take for implementation of this change?
qa qa qa qa qa qa qa qa qa qa qa qa qa
a. Leverage the hierarchical management position to get unit staff involved i qa qa qa qa qa qa qa qa qa qa qa
n assessment and planning.
qa qa qa
b. Engage involved staff at all levels in the decision- making process.
qa qa qa qa qa qa qa qa qa
c. Focus the assessment on the unit and omit the hospital and communit
qa qa qa qa qa qa qa qa qa qa qa qa
y environment. qa
d. Hire a geriatric specialist to oversee and control the project.
qa qa qa qa qa qa qa qa qa
ANS: B q a
Complexity theory suggests that systems interact and adapt and that decision making occur
qa qa qa qa qa qa qa qa qa qa qa qa q a
s throughout the systems, as opposed to being held in a hierarchy. In complexity theory, ev e
qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa
ry voice counts, and therefore, all levels of staff would be involved in decision making.
qa qa qa qa qa qa qa qa qa qa qa qa qa qa
TOP: AONE competency: Communication and Relationship-Building
q a qa qa qa qa
2. A unit manager of a 25-
qa qa qa qa qa
bed medical/surgical area receives a phone call from a nurse who has called in sick five tim e
qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa
s in the past month. He tells the manager that he very much wants to
qa qa qa qa qa qa qa qa qa qa qa qa qa qa
come to work when scheduled but must often care for his wife, who is undergoing treatment f
or breast cancer. According toN
URMIaSG
s lB
o.NC’sTneed hiO
qa qa qa qa aa qa aa qa qa qa qa qa qa qa aa qa
qa w qa e ra rc hy t heory, what would be the best qa qa qa
a
qa qa qa qa qa qa qa qa qa qa aa
approach to satisfying the needs of this nurse, other staff, and patients?
qa qa qa qa qa qa qa qa qa qa qa
a. Line up agency nurses who can be called in to work on short notice.
qa qa qa qa qa qa qa qa qa qa qa qa qa
b. Place the nurse on unpaid leave for the remainder of his wife’s treatment.
qa qa qa qa qa qa qa qa qa qa qa qa
c. Sympathize with the nurse’s dilemma and let the charge nurse know that this nurs qa qa qa qa qa qa qa qa qa qa qa qa qa qa
e may be calling in frequently in the future.
qa qa qa qa qa qa qa qa
d. Work with the nurse, staffing office, and other nurses to arrange his schedule
qa qa qa qa qa qa qa qa qa qa qa qa qa
d days off around his wife’s treatments.
qa qa qa qa qa qa
ANS: D q a
Placing the nurse on unpaid leave may threaten the nurse’s capacity to meet physiologic need
qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa
s and demotivate the nurse. Unsatisfactory coverage of shifts on short notice could affect pa ti
qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa
ent care and threaten the needs of staff to feel competent. Arranging the schedule around t he
qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa q a qa
wife’s needs meets the needs of the staff and of patients while satisfying the nurse’s need for a
qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa
ffiliation.
TOP: AONE competency: Communication and Relationship-Building
q a qa qa qa qa
3. A grievance brought by a staff nurse against the unit manager requires mediation. At the fir
qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa
st mediation session, the staff nurse repeatedly calls the unit manager’s actions unfair, and t
qa qa qa qa qa qa qa qa qa qa qa qa qa qa
he unit manager continues to reiterate the reasons for the actions. What would be the best c o
qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa
urse of action at this time?
qa qa qa qa qa
a. Send the two disputants away to reach their own resolution.
qa qa qa qa qa qa qa qa qa
b. Involve another staff nurse in the discussion for clarity issues.qa qa qa qa qa qa qa qa qa
NURSINGTB.COM
, Leading and Managing in Nursing 8th Edition Yoder-Wise Test Bank
qa qa qa qa qa qa qa qa qa
c. Ask each party to examine their own motives and issues in the conflict.
qa qa qa qa qa qa qa qa qa qa qa qa
d. Continue to listen as the parties repeat their thoughts and feelings about th qa qa qa qa qa qa qa qa qa qa qa qa qa
e conflict.
qa
ANS: C q a
For resolution of conflict, one should address the interests and involvement of participants in
qa qa qa qa qa qa qa qa qa qa qa qa qa aq a
the conflict by examining the real issues of all parties.
qa qa qa qa qa qa qa qa qa
TOP: AONE competency: Communication and Relationship-Building
q a qa qa qa qa
4. At a second negotiation session, the unit manager and staff nurse are unable to reach a
qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa
qa resolution. What is the appropriate next step? qa qa qa qa qa qa
a. Arrange another meeting in a week’s time so as to allow a cooling-off period.
qa qa qa qa qa qa qa qa qa qa qa qa qa
b. Elevate the next negation session to the next manager, one level above.
qa qa qa qa qa qa qa qa qa qa qa
c. Insist that participants continue to talk until a resolution has been reached.
qa qa qa qa qa qa qa qa qa qa qa
d. Back the unit manager’s actions and end the dispute.qa qa qa qa qa qa qa qa
ANS: B q a
Part of leadership is understanding conflict resolution and ability to negotiate and manage for r
qa qa qa qa qa qa qa qa qa qa qa qa qa qa
esolution of issues and concerns. This situation has failed a second negotiation session, ele vat
qa qa qa qa qa qa qa qa qa qa qa qa qa qa
ion to a manager with additional training to facilitate conflict resolution is important at th is p
qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa
oint.
TOP: AONE competency: Communication and Relationship-Building
q a qa qa qa qa
5. The manager of a surgical area has a vision for the future that requires the addition of RN ass
qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa
istants or unlicensed persons to feed, bathe, and ambulate patients. The RNs on the staff have
qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa q
always practiced in a p rNi maRr y nIu r s iGn g-
US N T
a aaqa qa qa qa qa qa qa aa qa qa
Bde.liCv eryMsystem and are very resistant to this idea.
qa qa qa qa q a aa aa qa aa qa aa
What would be the best initial strategy for implementation of this change?
qa qa qa qa qa qa qa qa qa qa qa
a. Exploring the values and feelings of the RN group in relationship to this change qa qa qa qa qa qa qa qa qa qa qa qa qa
b. Leaving the RNs alone for a time so they can think about the change before it i s
qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa
implemented qa
c. Dropping the idea and trying for the change in a year or so when some of th qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa
e present RNs have retired qa qa qa qa
d. Hiring the assistants and allowing the RNs to see what good additions they are
qa qa qa qa qa qa qa qa qa qa qa qa qa
ANS: A q a
Influencing others requires emotional intelligence in domains such as empathy, handling rel ationship
qa qa qa qa qa qa qa qa qa qa qa qa
s, deepening self-
qa qa
awareness in self and others, motivating others, and managing emotions. Motivating others r
qa qa qa qa qa qa qa qa qa qa qa qa qa
ecognizes that values are powerful forces that influence acceptance of change. Leaving the R
qa qa qa qa qa qa qa qa qa qa qa qa qa
Ns alone for a period of time before implementation does not provide opportunity to explor e
qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa
different perspectives and values. Avoiding discussion until the team changes may not pro m
qa qa qa qa qa qa qa qa qa qa qa qa qa
ote adoption of the change until there is opportunity to explore perspectives and values rel ate
qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa
d to the change. Hiring of the assistants demonstrates lack of empathy for the perspective s
qa qa qa qa qa qa qa qa qa qa qa qa qa qa q a qa
of the RN staff.
qa qa qa
TOP: AONE competency: Knowledge of the Health Care Environment
q a qa qa qa qa qa qa qa
NURSINGTB.COM
, Leading and Managing in Nursing 8th Edition Yoder-Wise Test Bank
qa qa qa qa qa qa qa qa qa
6. As the RN charge nurse on the night shift in a small long-
qa qa qa qa qa qa qa qa qa qa qa qa
term care facility, you’ve found that there is little turnover among your LPN and nursing as si
qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa
stant (NA) staff members, but they are not very motivated to go beyond their job descripti ons
qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa
in their work. Which of the following strategies might motivate the staff and lead to gre ater j
qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa
ob satisfaction?
qa
a. Ask the director of nursing to offer higher wages and bonuses for extra work fo r
qa aa qa qa qa qa qa qa qa qa qa qa qa qa qa
the night LPNs and NAs.
qa qa qa qa qa
b. Allow the LPNs and NAs greater decision- qa qa qa qa qa qa
making power within the scope of their positions in the institution.
qa qa qa qa qa qa qa qa qa qa
c. Hire additional staff so that there are more staff available for enhanced care, an
qa qa qa qa qa qa qa qa qa qa qa qa qa qa
d individual workloads are lessened.
qa qa qa qa
d. Ask the director of nursing to increase job security for night staff by having the
qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa
m sign contracts that guarantee work.
qa qa qa qa qa
ANS: B q a
Hygiene factors such as salary, working conditions, and security are consistent with Herzber g
qa qa qa qa qa qa qa qa qa qa qa qa qa
’s two- qa
factor theory of motivation; meeting these needs avoids job dissatisfaction. Motivator factors s
qa qa qa qa qa qa qa qa qa qa qa qa
uch as recognition and satisfaction with work promote a satisfying and enriched work envir on
qa qa qa qa qa qa qa qa qa qa qa qa qa qa
ment. Transformational leaders use motivator factors liberally to inspire work performance an
qa qa qa qa qa qa qa qa qa qa qa
d increase job satisfaction.
qa qa qa
TOP: AONE competency: Communication and Relationship-Building
q a qa qa qa qa
7. The nurse manager wants to increase motivation by providing motivating factors for the nurs
qa qa qa qa qa qa qa qa qa qa qa qa qa qa
e on the unit. What action would be appropriate to motivate the staff?
qa qa qa qa qa qa qa qa qa qa qa qa
a. Collaborate with the human resource/personnel department to develop on- qa qa qa qa qa qa qa qa
site daycare services. qa qa
b. Provide a hierarchical or gNa n iR
z a t iI
o n a lGs t r B
u c.t uCre . M
aqa aqa aqa aqa qa q a
c. Implement a model ofs ha rU
e d gSo ve Nr nanTce. O qa qa qa qa qa qa qa qa qa qa
d. Promote the development of a flexible benefits package. qa qa qa qa qa qa qa
ANS: C q a
Complexity theory suggests that systems interact and adapt and that decision making occurs t
qa qa qa qa qa qa aa qa aa qa qa qa qa qa
hroughout systems, as opposed to being held in a hierarchy. In complexity theory, every voi c
qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa
e counts, and therefore all levels of staff would be involved in decision making. This princi pl
qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa
e is the foundation of shared governance.
qa qa qa qa qa qa
TOP: AONE competency: Communication and Relationship-Building
q a qa qa qa qa
8. A charge nurse on a busy 40-
qa qa qa qa qa qa
bed medical/surgical unit is approached by a family member who begins to complain loudly a
qa qa qa qa qa qa qa qa qa qa qa qa qa qa
bout the quality of care his mother is receiving. His behavior is so disruptive that it is over hea
qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa
rd by staff, physicians, and other visitors. The family member leaves the unit abruptly, an d th
qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa
e nurse is left feeling frustrated. Which behavior by the charge nurse best illustrates refi ned le
qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa
adership skills in an emotionally intelligent practitioner?
qa qa qa qa qa qa
a. Reflect to gain insight into how the situation could be handled differently in th
qa qa qa qa qa qa qa qa qa qa qa qa qa qa
e future. qa
b. Try to catch up with the angry family member to resolve the concern.
qa qa qa qa qa qa qa qa qa qa qa qa
c. Discuss the concern with the patient after the family member has left. qa qa qa qa qa qa qa qa qa qa qa
d. Notify nursing administration of the situation. qa qa qa qa qa
ANS: A q a
NURSINGTB.COM
qa qa qa qa qa qa qa qa qa
TEST BANK Yoder-
Wise: Leading and Managing in Nursing,8th
Edition 2023/2024 Update
NURSINGTB.COM
, Leading and Managing in Nursing 8th Edition Yoder-Wise Test Bank
qa qa qa qa qa qa qa qa qa
Chapter 01: Leading, Managing, and Following
qa qa qa qa qa
Yoder-Wise: Leading and Managing in Nursing, 8th Edition
qa qa qa qa qa qa qa
MULTIPLE CHOICE qa
1. A nurse manager of a 20-
qa qa qa qa qa
bed medical unit finds that 80% of the patients are older adults. She is asked to assess and a d
qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa
apt the unit to better meet the unique needs of the older adult patient. Using complexity pri nc
qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa
iples, what would be the best approach to take for implementation of this change?
qa qa qa qa qa qa qa qa qa qa qa qa qa
a. Leverage the hierarchical management position to get unit staff involved i qa qa qa qa qa qa qa qa qa qa qa
n assessment and planning.
qa qa qa
b. Engage involved staff at all levels in the decision- making process.
qa qa qa qa qa qa qa qa qa
c. Focus the assessment on the unit and omit the hospital and communit
qa qa qa qa qa qa qa qa qa qa qa qa
y environment. qa
d. Hire a geriatric specialist to oversee and control the project.
qa qa qa qa qa qa qa qa qa
ANS: B q a
Complexity theory suggests that systems interact and adapt and that decision making occur
qa qa qa qa qa qa qa qa qa qa qa qa q a
s throughout the systems, as opposed to being held in a hierarchy. In complexity theory, ev e
qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa
ry voice counts, and therefore, all levels of staff would be involved in decision making.
qa qa qa qa qa qa qa qa qa qa qa qa qa qa
TOP: AONE competency: Communication and Relationship-Building
q a qa qa qa qa
2. A unit manager of a 25-
qa qa qa qa qa
bed medical/surgical area receives a phone call from a nurse who has called in sick five tim e
qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa
s in the past month. He tells the manager that he very much wants to
qa qa qa qa qa qa qa qa qa qa qa qa qa qa
come to work when scheduled but must often care for his wife, who is undergoing treatment f
or breast cancer. According toN
URMIaSG
s lB
o.NC’sTneed hiO
qa qa qa qa aa qa aa qa qa qa qa qa qa qa aa qa
qa w qa e ra rc hy t heory, what would be the best qa qa qa
a
qa qa qa qa qa qa qa qa qa qa aa
approach to satisfying the needs of this nurse, other staff, and patients?
qa qa qa qa qa qa qa qa qa qa qa
a. Line up agency nurses who can be called in to work on short notice.
qa qa qa qa qa qa qa qa qa qa qa qa qa
b. Place the nurse on unpaid leave for the remainder of his wife’s treatment.
qa qa qa qa qa qa qa qa qa qa qa qa
c. Sympathize with the nurse’s dilemma and let the charge nurse know that this nurs qa qa qa qa qa qa qa qa qa qa qa qa qa qa
e may be calling in frequently in the future.
qa qa qa qa qa qa qa qa
d. Work with the nurse, staffing office, and other nurses to arrange his schedule
qa qa qa qa qa qa qa qa qa qa qa qa qa
d days off around his wife’s treatments.
qa qa qa qa qa qa
ANS: D q a
Placing the nurse on unpaid leave may threaten the nurse’s capacity to meet physiologic need
qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa
s and demotivate the nurse. Unsatisfactory coverage of shifts on short notice could affect pa ti
qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa
ent care and threaten the needs of staff to feel competent. Arranging the schedule around t he
qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa q a qa
wife’s needs meets the needs of the staff and of patients while satisfying the nurse’s need for a
qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa
ffiliation.
TOP: AONE competency: Communication and Relationship-Building
q a qa qa qa qa
3. A grievance brought by a staff nurse against the unit manager requires mediation. At the fir
qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa
st mediation session, the staff nurse repeatedly calls the unit manager’s actions unfair, and t
qa qa qa qa qa qa qa qa qa qa qa qa qa qa
he unit manager continues to reiterate the reasons for the actions. What would be the best c o
qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa
urse of action at this time?
qa qa qa qa qa
a. Send the two disputants away to reach their own resolution.
qa qa qa qa qa qa qa qa qa
b. Involve another staff nurse in the discussion for clarity issues.qa qa qa qa qa qa qa qa qa
NURSINGTB.COM
, Leading and Managing in Nursing 8th Edition Yoder-Wise Test Bank
qa qa qa qa qa qa qa qa qa
c. Ask each party to examine their own motives and issues in the conflict.
qa qa qa qa qa qa qa qa qa qa qa qa
d. Continue to listen as the parties repeat their thoughts and feelings about th qa qa qa qa qa qa qa qa qa qa qa qa qa
e conflict.
qa
ANS: C q a
For resolution of conflict, one should address the interests and involvement of participants in
qa qa qa qa qa qa qa qa qa qa qa qa qa aq a
the conflict by examining the real issues of all parties.
qa qa qa qa qa qa qa qa qa
TOP: AONE competency: Communication and Relationship-Building
q a qa qa qa qa
4. At a second negotiation session, the unit manager and staff nurse are unable to reach a
qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa
qa resolution. What is the appropriate next step? qa qa qa qa qa qa
a. Arrange another meeting in a week’s time so as to allow a cooling-off period.
qa qa qa qa qa qa qa qa qa qa qa qa qa
b. Elevate the next negation session to the next manager, one level above.
qa qa qa qa qa qa qa qa qa qa qa
c. Insist that participants continue to talk until a resolution has been reached.
qa qa qa qa qa qa qa qa qa qa qa
d. Back the unit manager’s actions and end the dispute.qa qa qa qa qa qa qa qa
ANS: B q a
Part of leadership is understanding conflict resolution and ability to negotiate and manage for r
qa qa qa qa qa qa qa qa qa qa qa qa qa qa
esolution of issues and concerns. This situation has failed a second negotiation session, ele vat
qa qa qa qa qa qa qa qa qa qa qa qa qa qa
ion to a manager with additional training to facilitate conflict resolution is important at th is p
qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa
oint.
TOP: AONE competency: Communication and Relationship-Building
q a qa qa qa qa
5. The manager of a surgical area has a vision for the future that requires the addition of RN ass
qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa
istants or unlicensed persons to feed, bathe, and ambulate patients. The RNs on the staff have
qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa q
always practiced in a p rNi maRr y nIu r s iGn g-
US N T
a aaqa qa qa qa qa qa qa aa qa qa
Bde.liCv eryMsystem and are very resistant to this idea.
qa qa qa qa q a aa aa qa aa qa aa
What would be the best initial strategy for implementation of this change?
qa qa qa qa qa qa qa qa qa qa qa
a. Exploring the values and feelings of the RN group in relationship to this change qa qa qa qa qa qa qa qa qa qa qa qa qa
b. Leaving the RNs alone for a time so they can think about the change before it i s
qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa
implemented qa
c. Dropping the idea and trying for the change in a year or so when some of th qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa
e present RNs have retired qa qa qa qa
d. Hiring the assistants and allowing the RNs to see what good additions they are
qa qa qa qa qa qa qa qa qa qa qa qa qa
ANS: A q a
Influencing others requires emotional intelligence in domains such as empathy, handling rel ationship
qa qa qa qa qa qa qa qa qa qa qa qa
s, deepening self-
qa qa
awareness in self and others, motivating others, and managing emotions. Motivating others r
qa qa qa qa qa qa qa qa qa qa qa qa qa
ecognizes that values are powerful forces that influence acceptance of change. Leaving the R
qa qa qa qa qa qa qa qa qa qa qa qa qa
Ns alone for a period of time before implementation does not provide opportunity to explor e
qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa
different perspectives and values. Avoiding discussion until the team changes may not pro m
qa qa qa qa qa qa qa qa qa qa qa qa qa
ote adoption of the change until there is opportunity to explore perspectives and values rel ate
qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa
d to the change. Hiring of the assistants demonstrates lack of empathy for the perspective s
qa qa qa qa qa qa qa qa qa qa qa qa qa qa q a qa
of the RN staff.
qa qa qa
TOP: AONE competency: Knowledge of the Health Care Environment
q a qa qa qa qa qa qa qa
NURSINGTB.COM
, Leading and Managing in Nursing 8th Edition Yoder-Wise Test Bank
qa qa qa qa qa qa qa qa qa
6. As the RN charge nurse on the night shift in a small long-
qa qa qa qa qa qa qa qa qa qa qa qa
term care facility, you’ve found that there is little turnover among your LPN and nursing as si
qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa
stant (NA) staff members, but they are not very motivated to go beyond their job descripti ons
qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa
in their work. Which of the following strategies might motivate the staff and lead to gre ater j
qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa
ob satisfaction?
qa
a. Ask the director of nursing to offer higher wages and bonuses for extra work fo r
qa aa qa qa qa qa qa qa qa qa qa qa qa qa qa
the night LPNs and NAs.
qa qa qa qa qa
b. Allow the LPNs and NAs greater decision- qa qa qa qa qa qa
making power within the scope of their positions in the institution.
qa qa qa qa qa qa qa qa qa qa
c. Hire additional staff so that there are more staff available for enhanced care, an
qa qa qa qa qa qa qa qa qa qa qa qa qa qa
d individual workloads are lessened.
qa qa qa qa
d. Ask the director of nursing to increase job security for night staff by having the
qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa
m sign contracts that guarantee work.
qa qa qa qa qa
ANS: B q a
Hygiene factors such as salary, working conditions, and security are consistent with Herzber g
qa qa qa qa qa qa qa qa qa qa qa qa qa
’s two- qa
factor theory of motivation; meeting these needs avoids job dissatisfaction. Motivator factors s
qa qa qa qa qa qa qa qa qa qa qa qa
uch as recognition and satisfaction with work promote a satisfying and enriched work envir on
qa qa qa qa qa qa qa qa qa qa qa qa qa qa
ment. Transformational leaders use motivator factors liberally to inspire work performance an
qa qa qa qa qa qa qa qa qa qa qa
d increase job satisfaction.
qa qa qa
TOP: AONE competency: Communication and Relationship-Building
q a qa qa qa qa
7. The nurse manager wants to increase motivation by providing motivating factors for the nurs
qa qa qa qa qa qa qa qa qa qa qa qa qa qa
e on the unit. What action would be appropriate to motivate the staff?
qa qa qa qa qa qa qa qa qa qa qa qa
a. Collaborate with the human resource/personnel department to develop on- qa qa qa qa qa qa qa qa
site daycare services. qa qa
b. Provide a hierarchical or gNa n iR
z a t iI
o n a lGs t r B
u c.t uCre . M
aqa aqa aqa aqa qa q a
c. Implement a model ofs ha rU
e d gSo ve Nr nanTce. O qa qa qa qa qa qa qa qa qa qa
d. Promote the development of a flexible benefits package. qa qa qa qa qa qa qa
ANS: C q a
Complexity theory suggests that systems interact and adapt and that decision making occurs t
qa qa qa qa qa qa aa qa aa qa qa qa qa qa
hroughout systems, as opposed to being held in a hierarchy. In complexity theory, every voi c
qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa
e counts, and therefore all levels of staff would be involved in decision making. This princi pl
qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa
e is the foundation of shared governance.
qa qa qa qa qa qa
TOP: AONE competency: Communication and Relationship-Building
q a qa qa qa qa
8. A charge nurse on a busy 40-
qa qa qa qa qa qa
bed medical/surgical unit is approached by a family member who begins to complain loudly a
qa qa qa qa qa qa qa qa qa qa qa qa qa qa
bout the quality of care his mother is receiving. His behavior is so disruptive that it is over hea
qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa
rd by staff, physicians, and other visitors. The family member leaves the unit abruptly, an d th
qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa
e nurse is left feeling frustrated. Which behavior by the charge nurse best illustrates refi ned le
qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa qa
adership skills in an emotionally intelligent practitioner?
qa qa qa qa qa qa
a. Reflect to gain insight into how the situation could be handled differently in th
qa qa qa qa qa qa qa qa qa qa qa qa qa qa
e future. qa
b. Try to catch up with the angry family member to resolve the concern.
qa qa qa qa qa qa qa qa qa qa qa qa
c. Discuss the concern with the patient after the family member has left. qa qa qa qa qa qa qa qa qa qa qa
d. Notify nursing administration of the situation. qa qa qa qa qa
ANS: A q a
NURSINGTB.COM
