Test Bank For Leading and Managing in Nursi
km km km km km km kmkm
ng, 8th Edition by Patricia S. Yoder-
km km km km km km
Wise, Susan Sportsman Chapter 1-25
km km km km
,Chapter 01: Leading, Managing, and Following
km km km km km
Yoder-Wise: Leading and Managing in Nursing, 8th Edition
km km km km km km km
MULTIPLE CHOICE km
1. A nurse manager of a 20-
km km km km km
bed medical unit finds that 80% of the patients are older adults. She is asked to assess
km km km km km km km km km km km km km km km km km
and adapt the unit to better meet the unique needs of the older adult patient. Using com
km km km km km km km km km km km km km km km km
plexity principles, what would be the best approach to take for implementation of this
km km km km km km km km km km km km km km
change?
a. Leverage the hierarchical management position to get unit staff involve
km km km km km km km km km
d in assessment and planning.
km km km km
b. Engage involved staff at all levels in the decision-making process.
km km km km km km km km km
c. Focus the assessment on the unit and omit the hospital and commu
km km km km km km km km km km km
nity environment. km
d. Hire a geriatric specialist to oversee and control the project.
km km km km km km km km km
ANS: B k m
Complexity theory suggests that systems interact and adapt and that decision making o
km km km km km km km km km km km km
ccurs throughout the systems, as opposed to being held in a hierarchy. In complexity t
km km km km km km km km km km km km km km
heory, every voice counts, and therefore, all levels of staff would be involved in decisi
km km km km km km km km km km km km km km
on making.km
TOP: AONE competency: Communication and Relationship-Building
km km km km km
2. A unit manager of a 25-
km km km km km
bed medical/surgical area receives a phone call from a nurse whohas called in sick five
km km km km km km km km km km km km km km
times in the past month. He tells the manager that he very much wants to come to w
km km km km km km km km km km km km km km km km km km
ork when scheduled but must often care for his wife, who is undergoing treatment for
km km km km km km km km km km km km km km km
breast cancer. According to Maslow‘s need hierarchy theory, what would be the best a
km km km km km km km km km km km km km
pproach to satisfying the needs of this nurse, other staff, and patients?
km km km km km km km km km km km
a. Line up agency nurses who can be called in to work on short notice.
km km km km km km km km km km km km km
b. Place the nurse on unpaid leave for the remainder of his wife‘s treatment.
km km km km km km km km km km km km
c. Sympathize with the nurse‘s dilemma and let the charge nurse know that this n
km km km km km km km km km km km km km
urse may be calling in frequently in the future.
km km km km km km km k m
d. Work with the nurse, staffing office, and other nurses to arrange hissched
km km km km km km km km km km km
uled days off around his wife‘s treatments.
km km km km km km
ANS: D k m
Placing the nurse on unpaid leave may threaten the nurse‘s capacity to meet physiologic
km km km km km km km km km km km km km km
needs and demotivate the nurse. Unsatisfactory coverage of shifts on short notice could
km km km km km km km km km km km km km
affect patient care and threaten the needs of staff to feel competent. Arranging the sche
km km km km km km km km km km km km km km
dule around the wife‘s needs meets the needs of the staff and of patients while satisfyin
km km km km km km km km km km km km km km km
g the nurse‘s need for affiliation.
km km km km km
TOP: AONE competency: Communication and Relationship-Building
km km km km km
3. A grievance brought by a staff nurse against the unit manager requires mediation. At th
km km km km km km km km km km km km km km
e first mediation session, the staff nurse repeatedly calls the unit manager‘s actions unf
km km km km km km km km km km km km km
air, and the unit manager continues to reiterate the reasons for the actions. What would
km km km km km km km km km km km km km km km
be the best course of action at this time?
km km km km km km km km
a. Send the two disputants away to reach their own resolution.
km km km km km km km km km
b. Involve another staff nurse in the discussion for clarity issues.
km km km km km km km km km
, c. Ask each party to examine their own motives and issues in the conflict.
km km km km km km km km km km km km
d. Continue to listen as the parties repeat their thoughts and feelings abou
km km km km km km km km km km km
t the conflict.
km km
ANS: C km
For resolution of conflict, one should address the interests and involvement of participant
km km km km km km km km km km km km
s in the conflict by examining the real issues of all parties.
km km km km km km km km km km km
TOP: AONE competency: Communication and Relationship-Building
km km km km km
4. At a second negotiation session, the unit manager and staff nurse are unable to re
km km km km km km km km km km km km km km
ach a resolution. What is the appropriate next step?
km km km km km km km k m
a. Arrange another meeting in a week‘s time so as to allow a cooling-off period.
km km km km km km km km km km km km km
b. Elevate the next negation session to the next manager, one level above.
km km km km km km km km km km km
c. Insist that participants continue to talk until a resolution has been reached.
km km km km km km km km km km km
d. Back the unit manager‘s actions and end the dispute.
km km km km km km km km
ANS: B km
Part of leadership is understanding conflict resolution and ability to negotiate and manage
km km km km km km km km km km km km k
mfor resolution of issues and concerns. This situation has failed a second negotiation sess
km km km km km km km km km km km km km
ion, elevation to a manager with additional training to facilitate conflict resolution is im
km km km km km km km km km km km km km
portant at this point. km km km
TOP: AONE competency: Communication and Relationship-Building
km km km km km
5. The manager of a surgical area has a vision for the future that requires the addition of
km km km km km km km km km km km km km km km km k
mRN assistants or unlicensed persons to feed, bathe, and ambulate patients. The RNs on
km km km km km km km km km km km km km k
mthe staff have always practiced in a primary nursing-
km km km km km km km km
delivery system and are very resistant to this idea. What would be the best initial strate
km km km km km km km km km km km km km km km
gy for implementation of this change?
km km km km km
a. Exploring the values and feelings of the RN group in relationship to this change
km km km km km km km km km km km km km
b. Leaving the RNs alone for a time so they can think about the change befor
km km km km km km km km km km km km km km
e it is implemented
km km km
c. Dropping the idea and trying for the change in a year or so when some
km km km km km km km km km km km km km km km
of the present RNs have retired
km km km km km
d. Hiring the assistants and allowing the RNs to see what good additions they are
km km km km km km km km km km km km km
ANS: A km
Influencing others requires emotional intelligence in domains such as empathy, handling
km km km km km km km km km km k
mrelationships, deepening self- km km
awareness in self and others, motivating others, and managing emotions. Motivating oth
km km km km km km km km km km km
ers recognizes that values are powerful forces that influence acceptance of change. Leavi
km km km km km km km km km km km km
ng the RNs alone for a period of time before implementation does not provide opportunit
km km km km km km km km km km km km km km
y to explore different perspectives and values. Avoiding discussion until the team chang
km km km km km km km km km km km km
es may not promote adoption of the change until there is opportunity to explore perspec
km km km km km km km km km km km km km km
tives and values related to the change. Hiring of the assistants demonstrates lack of emp
km km km km km km km km km km km km km km
athy for the perspectives of the RN staff.
km km km km km km km
TOP: AONE competency: Knowledge of the Health Care Environment
km km km km km km km km
, 6. As the RN charge nurse on the night shift in a small long-
km km km km km km km km km km km km
term care facility, you‘ve found that there is little turnover among your LPN and nursin
km km km km km km km km km km km km km km
g assistant (NA) staff members, but they are not very motivated to go beyond their job
km km km km km km km km km km km km km km km
descriptions in their work. Which of the following strategies might motivate the staff
km km km km km km km km km km km km km km
and lead to greater job satisfaction?
km km km km km
a. Ask the director of nursing to offer higher wages and bonuses for extra wor
km km km km km km km km km km km km km
k for the night LPNs and NAs.
km km km km km km
b. Allow the LPNs and NAs greater decision- km km km km km km
making power within the scope of their positions in the institution.
km km km km km km km km km km
c. Hire additional staff so that there are more staff available for enhanced care
km km km km km km km km km km km km
, and individual workloads are lessened.
km km km km km
d. Ask the director of nursing to increase job security for night staff by having
km km km km km km km km km km km km km km
them sign contracts that guarantee work.
km km km km km
ANS: B km
Hygiene factors such as salary, working conditions, and security are consistent with Her
km km km km km km km km km km km km
zberg‘s two- km
factor theory of motivation; meeting these needs avoids job dissatisfaction. Motivator fac
km km km km km km km km km km km
tors such as recognition and satisfaction with work promote a satisfying and enriched w
km km km km km km km km km km km km km
ork environment. Transformational leaders use motivator factors liberally to inspire work
km km km km km km km km km km km
performance and increase job satisfaction. km km km km
TOP: AONE competency: Communication and Relationship-Building
km km km km km
7. The nurse manager wants to increase motivation by providing motivating factors for the
km km km km km km km km km km km km
nurse on the unit. What action would be appropriate to motivate the staff?
km km km km km km km km km km km km
a. Collaborate with the human resource/personnel department to develop on-
km km km km km km km km
site daycare services. km km
b. Provide a hierarchical organizational structure.
km km km km
c. Implement a model of shared governance. km km km km km
d. Promote the development of a flexible benefits package.
km km km km km km km
ANS: C km
Complexity theory suggests that systems interact and adapt and that decision making occu
km km km km km km km km km km km km
rs throughout systems, as opposed to being held in a hierarchy. In complexity theory, e
km km km km km km km km km km km km km km
very voice counts, and therefore all levels of staff would be involved in decision makin
km km km km km km km km km km km km km km
g. This principle is the foundation of shared governance.
km km km km km km km km
TOP: AONE competency: Communication and Relationship-Building
km km km km km
8. The nurse manager has been asked to implement an evidence-
km km km km km km km km km
based approach to teach ostomy patients self-
km km km km km km
management skills postoperatively. The program is to be implemented across the entire f
km km km km km km km km km km km km
acility. What illustrates effective leadership in this situation?
km km km km km km k m
a. The training modules are left in the staff room for times when staff are available.
km km km km km km km km km km km km km km
b. The current approach is continued because it is also evidence-
km km km km km km km km km
based and is more familiar to staff. km km km km km km
c. You decide to implement the approach at a later date because of feedback fro
km km km km km km km km km km km km km
m the RNs that the new approach takes too much time.
km km km km km km km km km km
d. An RN who is already familiar with the new approach of volunteers to tak
km km km km km km km km km km km km km
e the lead in mentoring and teaching others how to implement it.
km km km km km km km km km km k m
ANS: D km
km km km km km km kmkm
ng, 8th Edition by Patricia S. Yoder-
km km km km km km
Wise, Susan Sportsman Chapter 1-25
km km km km
,Chapter 01: Leading, Managing, and Following
km km km km km
Yoder-Wise: Leading and Managing in Nursing, 8th Edition
km km km km km km km
MULTIPLE CHOICE km
1. A nurse manager of a 20-
km km km km km
bed medical unit finds that 80% of the patients are older adults. She is asked to assess
km km km km km km km km km km km km km km km km km
and adapt the unit to better meet the unique needs of the older adult patient. Using com
km km km km km km km km km km km km km km km km
plexity principles, what would be the best approach to take for implementation of this
km km km km km km km km km km km km km km
change?
a. Leverage the hierarchical management position to get unit staff involve
km km km km km km km km km
d in assessment and planning.
km km km km
b. Engage involved staff at all levels in the decision-making process.
km km km km km km km km km
c. Focus the assessment on the unit and omit the hospital and commu
km km km km km km km km km km km
nity environment. km
d. Hire a geriatric specialist to oversee and control the project.
km km km km km km km km km
ANS: B k m
Complexity theory suggests that systems interact and adapt and that decision making o
km km km km km km km km km km km km
ccurs throughout the systems, as opposed to being held in a hierarchy. In complexity t
km km km km km km km km km km km km km km
heory, every voice counts, and therefore, all levels of staff would be involved in decisi
km km km km km km km km km km km km km km
on making.km
TOP: AONE competency: Communication and Relationship-Building
km km km km km
2. A unit manager of a 25-
km km km km km
bed medical/surgical area receives a phone call from a nurse whohas called in sick five
km km km km km km km km km km km km km km
times in the past month. He tells the manager that he very much wants to come to w
km km km km km km km km km km km km km km km km km km
ork when scheduled but must often care for his wife, who is undergoing treatment for
km km km km km km km km km km km km km km km
breast cancer. According to Maslow‘s need hierarchy theory, what would be the best a
km km km km km km km km km km km km km
pproach to satisfying the needs of this nurse, other staff, and patients?
km km km km km km km km km km km
a. Line up agency nurses who can be called in to work on short notice.
km km km km km km km km km km km km km
b. Place the nurse on unpaid leave for the remainder of his wife‘s treatment.
km km km km km km km km km km km km
c. Sympathize with the nurse‘s dilemma and let the charge nurse know that this n
km km km km km km km km km km km km km
urse may be calling in frequently in the future.
km km km km km km km k m
d. Work with the nurse, staffing office, and other nurses to arrange hissched
km km km km km km km km km km km
uled days off around his wife‘s treatments.
km km km km km km
ANS: D k m
Placing the nurse on unpaid leave may threaten the nurse‘s capacity to meet physiologic
km km km km km km km km km km km km km km
needs and demotivate the nurse. Unsatisfactory coverage of shifts on short notice could
km km km km km km km km km km km km km
affect patient care and threaten the needs of staff to feel competent. Arranging the sche
km km km km km km km km km km km km km km
dule around the wife‘s needs meets the needs of the staff and of patients while satisfyin
km km km km km km km km km km km km km km km
g the nurse‘s need for affiliation.
km km km km km
TOP: AONE competency: Communication and Relationship-Building
km km km km km
3. A grievance brought by a staff nurse against the unit manager requires mediation. At th
km km km km km km km km km km km km km km
e first mediation session, the staff nurse repeatedly calls the unit manager‘s actions unf
km km km km km km km km km km km km km
air, and the unit manager continues to reiterate the reasons for the actions. What would
km km km km km km km km km km km km km km km
be the best course of action at this time?
km km km km km km km km
a. Send the two disputants away to reach their own resolution.
km km km km km km km km km
b. Involve another staff nurse in the discussion for clarity issues.
km km km km km km km km km
, c. Ask each party to examine their own motives and issues in the conflict.
km km km km km km km km km km km km
d. Continue to listen as the parties repeat their thoughts and feelings abou
km km km km km km km km km km km
t the conflict.
km km
ANS: C km
For resolution of conflict, one should address the interests and involvement of participant
km km km km km km km km km km km km
s in the conflict by examining the real issues of all parties.
km km km km km km km km km km km
TOP: AONE competency: Communication and Relationship-Building
km km km km km
4. At a second negotiation session, the unit manager and staff nurse are unable to re
km km km km km km km km km km km km km km
ach a resolution. What is the appropriate next step?
km km km km km km km k m
a. Arrange another meeting in a week‘s time so as to allow a cooling-off period.
km km km km km km km km km km km km km
b. Elevate the next negation session to the next manager, one level above.
km km km km km km km km km km km
c. Insist that participants continue to talk until a resolution has been reached.
km km km km km km km km km km km
d. Back the unit manager‘s actions and end the dispute.
km km km km km km km km
ANS: B km
Part of leadership is understanding conflict resolution and ability to negotiate and manage
km km km km km km km km km km km km k
mfor resolution of issues and concerns. This situation has failed a second negotiation sess
km km km km km km km km km km km km km
ion, elevation to a manager with additional training to facilitate conflict resolution is im
km km km km km km km km km km km km km
portant at this point. km km km
TOP: AONE competency: Communication and Relationship-Building
km km km km km
5. The manager of a surgical area has a vision for the future that requires the addition of
km km km km km km km km km km km km km km km km k
mRN assistants or unlicensed persons to feed, bathe, and ambulate patients. The RNs on
km km km km km km km km km km km km km k
mthe staff have always practiced in a primary nursing-
km km km km km km km km
delivery system and are very resistant to this idea. What would be the best initial strate
km km km km km km km km km km km km km km km
gy for implementation of this change?
km km km km km
a. Exploring the values and feelings of the RN group in relationship to this change
km km km km km km km km km km km km km
b. Leaving the RNs alone for a time so they can think about the change befor
km km km km km km km km km km km km km km
e it is implemented
km km km
c. Dropping the idea and trying for the change in a year or so when some
km km km km km km km km km km km km km km km
of the present RNs have retired
km km km km km
d. Hiring the assistants and allowing the RNs to see what good additions they are
km km km km km km km km km km km km km
ANS: A km
Influencing others requires emotional intelligence in domains such as empathy, handling
km km km km km km km km km km k
mrelationships, deepening self- km km
awareness in self and others, motivating others, and managing emotions. Motivating oth
km km km km km km km km km km km
ers recognizes that values are powerful forces that influence acceptance of change. Leavi
km km km km km km km km km km km km
ng the RNs alone for a period of time before implementation does not provide opportunit
km km km km km km km km km km km km km km
y to explore different perspectives and values. Avoiding discussion until the team chang
km km km km km km km km km km km km
es may not promote adoption of the change until there is opportunity to explore perspec
km km km km km km km km km km km km km km
tives and values related to the change. Hiring of the assistants demonstrates lack of emp
km km km km km km km km km km km km km km
athy for the perspectives of the RN staff.
km km km km km km km
TOP: AONE competency: Knowledge of the Health Care Environment
km km km km km km km km
, 6. As the RN charge nurse on the night shift in a small long-
km km km km km km km km km km km km
term care facility, you‘ve found that there is little turnover among your LPN and nursin
km km km km km km km km km km km km km km
g assistant (NA) staff members, but they are not very motivated to go beyond their job
km km km km km km km km km km km km km km km
descriptions in their work. Which of the following strategies might motivate the staff
km km km km km km km km km km km km km km
and lead to greater job satisfaction?
km km km km km
a. Ask the director of nursing to offer higher wages and bonuses for extra wor
km km km km km km km km km km km km km
k for the night LPNs and NAs.
km km km km km km
b. Allow the LPNs and NAs greater decision- km km km km km km
making power within the scope of their positions in the institution.
km km km km km km km km km km
c. Hire additional staff so that there are more staff available for enhanced care
km km km km km km km km km km km km
, and individual workloads are lessened.
km km km km km
d. Ask the director of nursing to increase job security for night staff by having
km km km km km km km km km km km km km km
them sign contracts that guarantee work.
km km km km km
ANS: B km
Hygiene factors such as salary, working conditions, and security are consistent with Her
km km km km km km km km km km km km
zberg‘s two- km
factor theory of motivation; meeting these needs avoids job dissatisfaction. Motivator fac
km km km km km km km km km km km
tors such as recognition and satisfaction with work promote a satisfying and enriched w
km km km km km km km km km km km km km
ork environment. Transformational leaders use motivator factors liberally to inspire work
km km km km km km km km km km km
performance and increase job satisfaction. km km km km
TOP: AONE competency: Communication and Relationship-Building
km km km km km
7. The nurse manager wants to increase motivation by providing motivating factors for the
km km km km km km km km km km km km
nurse on the unit. What action would be appropriate to motivate the staff?
km km km km km km km km km km km km
a. Collaborate with the human resource/personnel department to develop on-
km km km km km km km km
site daycare services. km km
b. Provide a hierarchical organizational structure.
km km km km
c. Implement a model of shared governance. km km km km km
d. Promote the development of a flexible benefits package.
km km km km km km km
ANS: C km
Complexity theory suggests that systems interact and adapt and that decision making occu
km km km km km km km km km km km km
rs throughout systems, as opposed to being held in a hierarchy. In complexity theory, e
km km km km km km km km km km km km km km
very voice counts, and therefore all levels of staff would be involved in decision makin
km km km km km km km km km km km km km km
g. This principle is the foundation of shared governance.
km km km km km km km km
TOP: AONE competency: Communication and Relationship-Building
km km km km km
8. The nurse manager has been asked to implement an evidence-
km km km km km km km km km
based approach to teach ostomy patients self-
km km km km km km
management skills postoperatively. The program is to be implemented across the entire f
km km km km km km km km km km km km
acility. What illustrates effective leadership in this situation?
km km km km km km k m
a. The training modules are left in the staff room for times when staff are available.
km km km km km km km km km km km km km km
b. The current approach is continued because it is also evidence-
km km km km km km km km km
based and is more familiar to staff. km km km km km km
c. You decide to implement the approach at a later date because of feedback fro
km km km km km km km km km km km km km
m the RNs that the new approach takes too much time.
km km km km km km km km km km
d. An RN who is already familiar with the new approach of volunteers to tak
km km km km km km km km km km km km km
e the lead in mentoring and teaching others how to implement it.
km km km km km km km km km km k m
ANS: D km
