Leading And Managing In
Canadian Nursing, 2nd
Edition, Patricia S. Yoder-
Wise,Chapters 1 – 32
Chapter 01: Leading, Managing, and Following
Waddell/Walton: Yoder-Wise’s Leading and Managing in Canadian Nursing, Second
Edition
MULTIPLE CHOICE
1. A care provider manager of a 20-bed medical unit finds that 80% of the clients are older
adults. She is asked to assess and adapt the unit to better meet the unique needs of older
adult clients. According to complexity principles, what would be the best approach to take in
making 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.
CORR 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,
Everybody’s opinion counts; therefore, all levels of staff would be involved in decision
making.
2. A unit manager of a 25-bed medical/surgical area receives a phone call from a care provider
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. In the practice of a strengths-based nursing leader, what would
be the best approach to satisfying the needs of this care provider, other staff, and clients?
a. Line up agency care providers who can be called in to work on short notice.
b. Place the care provider on unpaid leave for the remainder of his wife’s treatment.
c. Sympathize with the care provider’s dilemma and let the charge care provider
know that this care provider may be calling in frequently in the future.
d. Work with the care provider, staffing office, and other care providers to
arrange his scheduled days off around his wife’s treatments.
CORR ANSWER: D
Placing the care provider on unpaid leave may threaten physiologic needs and demotivate the
care provider. Unsatisfactory coverage of shifts on short notice could affect client care and
threaten staff members’ sense of competence. Strengths-based care provider leaders honour
the uniqueness of individuals, teams, systems, and organizations; therefore arranging the
schedule around the wife’s needs would result in a win-win situation, also creating a work
environment that promotes the health of all the care providers and facilitates their
development.
DIF: Cognitive Level: Analyze REF: Page 6
TOP: Nursing Process: Implementation