,Yoder-Wise's Leading and Managing in Canadian Nursing 3rd Edition Yoder-
Chapter 01: Leading, Managing, and Following Wad
pn pn pn pn pn pn
dell/Walton: Yoder- pn
Wise’s Leading and Managing in Canadian Nursing, Third Edition
pn pn pn pn pn pn pn pn
MULTIPLE CHOICE pn
1. A nurse manager of a 20-
pn pn pn p n pn
bed medical unit finds that 80% of the patients are older adults. She is asked to assess
pn pn pn pn pn pn pn pn pn p n pn pn p n p n p n p n
an d adapt the unit to better meet the unique needs of older adult patients. Accordi
p n pn p n p n p n p n p n p n p n p n p n p n p n p n p n p n
ng to co mplexity principles, what would be the best approach to take in making t
p n p n pn p n p n p n p n p n p n p n p n p n p n p n p n
his change? p n
a. Leverage the hierarchical management position to get unit staff involveds pn pn pn pn pn pn pn pn pn p n
in assessment and planning. pn pn pn
b. Engage involved staff at all levels in the decision-making process. pn p n p n p n p n pn p n pn pn
c. Focus the assessment on the unit, and omit the hospital and commun i
pn pn pn pn pn pn pn pn pn pn pn p n
ty environment. pn
d. Hire a geriatric specialist to oversee and control the project.
pn pn pn p n p n pn p n p n pn
ANS: B
Complexity theory suggests that systems interact and adapt and that decision making oc
pn pn p n pn p n p n pn pn p n pn pn pn
cu rs throughout the systems, as opposed to being held in a hierarchy. In complexity t
pn p n p n p n p n p n p n p n p n p n pn p n p n p n pn
heory, everybody‘s opinion counts; therefore, all levels of staff would be involved i
pn p n p n p n p n p n p n p n p n p n pn p n
n decision making.
p n pn
DIF: Cognitive Level: Apply p n p n
REF: Page 14 TOP: Nursing Process: Implemen
pn pn p n p n p n p n p n
tation
2. A unit manager of a 25-
pn p n pn p n pn
UNSRNITGB.CMO s3 s3 s3 n
p n
p
bed medical/surgical area receives a phone call from a nurse who has called in sick five ti
p n p n p n p n pn p n p n p n pn pn pn pn p n p n p n p n
mes in the past month. He tells the manager that he very much want
p n p n p n p n p n p n p n p n p n p n p n p n p n
s to come to work when scheduled, but must often care for his wife, who is undergoing t rea
p n p n pn pn pn pn pn pn pn pn pn pn pn p n pn pn pn pn
tment for breast cancer. In the practice of a strengths-
p n p n p n p n p n p n p n p n p n
based nursing leader, what would be the best approach to satisfying the needs of this
p n p n p n p n p n p n p n p n p n p n p n p n p n p n p
nnur se, other staff, and patients?
pn pn pn pn pn
a. Line up agency nurses who can be called in to work on short notice.
pn p n pn p n p n p n p n p n p n p n p n p n p n
b. Place the nurse on unpaid leave for the remainder of his wife‘s treatment.
pn pn pn p n p n pn pn p n p n p n p n p n
c. Sympathize with the nurse‘s dilemma and let the charge nurse know that this nu r pn pn pn pn pn pn pn pn pn pn pn pn pn p n
se may be calling in frequently in the future.
p n p n p n p n p n p n p n p n
d. Work with the nurse, staffing office, and other nurses to arrange his schedu l
pn pn pn pn pn pn pn pn pn pn pn pn p n
ed days off around his wife‘s treatments.
pn pn pn pn pn pn
ANS: D p n
Placing the nurse on unpaid leave may threaten physiologic needs and demotivate the nur se
pn pn pn pn pn pn pn pn pn pn pn pn pn pn
. Unsatisfactory coverage of shifts on short notice could affect patient care and threa
p n p n p n p n p n p n p n p n p n p n p n p n p n
te n staff members‘ sense of competence. Strengths-
pn pn pn pn pn pn pn
based nurse leaders honour the uniqueness of individuals, teams, systems, and organizati
pn pn pn pn pn pn pn pn pn pn pn p n
ons; therefore arranging the schedule around the wife‘s needs would result in a w
p n p n p n p n p n p n p n p n p n p n p n p n p n
in-
win situation, also creating a work environment that promotes the health of all the n
pn p n p n p n p n p n p n p n p n p n p n p n p n p n p n
urse s and facilitates their development.
pn pn pn pn pn
DIF: Cognitive Level: Analyze p n p n
NURSINGTB.COM
,Yoder-Wise's Leading and Managing in Canadian Nursing 3rd Edition Yoder-
REF: Page 6 TOP:
pn pn p n p n p n Nursing Process: Implemen
p n p n
tation
NURSINGTB.COM
, Yoder-Wise's Leading and Managing in Canadian Nursing 3rd Edition Yoder-
3. A grievance brought by a staff nurse against the unit manager requires mediation. At
p n p n p n pn p n p n p n p n p n p n p n p n p n p
nthe first mediation session, the staff nurse repeatedly calls the unit manager‘s action
pn p n p n p n p n p n p n p n p n p n p n p n
s unfair, and the unit manager continues to reiterate the reasons for the actions. What w
p n pn p n p n pn pn pn pn pn pn pn pn pn pn pn
ould be the best course of action at this time?
pn pn pn pn pn pn pn pn pn
a. Send the two disputants away to reach their own resolution.
p n pn p n p n pn p n p n pn p n
b. Involve another staff nurse in the discussion so as to clarify issues.
p n p n pn p n p n pn p n p n p n p n pn
c. Ask each party to examine her own motives and issues in the conflict.
pn p n pn p n pn p n p n p n p n p n p n pn
d. Continue to listen as the parties repeat their thoughts and feelings about t pn pn pn pn pn pn pn pn pn pn pn pn
he conflict. pn
ANS: C p n
Nurses and leaders must assess each situation as unique, determining appropriate actions
pn pn pn pn pn pn pn p n pn pn pn p n
accordingly. Leaders must adapt their styles to complement specific issues being faced, su
pn pn pn pn pn pn pn pn pn pn pn pn p n
ch as conflict. Examining motives and issues for the conflict in perceptions promote
p n p n p n p n p n p n p n p n p n p n p n p n
s eq ual representation of each point of view.
p n pn pn pn pn pn pn pn
DIF: Cognitive Level: Apply REF: Pages 11– p n p n pn pn
13 TOP: Nursing Process: Implementation
pn p n p n p n p n
4. Shortly after being informed of fetal death, a labouring woman asks why she is not a
pn p n p n p n p n p n p n p n p n p n p n p n p n p n p n
ble t o hear her baby‘s heartbeat on the monitor anymore. Although the monitor volu
p n pn p n p n p n p n p n p n p n p n p n p n p n p n
me had b een turned off so that the patient would be able to sleep between contractions,
p n p n pn p n pn pn pn pn pn pn pn pn pn pn pn p n p
nthe nurse re sponded that there was no heartbeat to hear because the baby had died i
pn pn pn p n p n p n p n p n p n p n p n p n p n p n p n p n
n utero; then the nurse asked whether the patient would like to talk about how she was
p n p n p n pn p n p n pn pn p n pn pn pn pn pn pn pn p
nfeeling. This respon se demonstrates: pn p n pn pn
a. Lack of empathy. pn p n
b. Ethical leadership. pn
c. Complexity science. NURSINGTB.COM pn
d. A coercive relationship pn pn
.
ANS: B p n
Ethical leadership is based on a willingness to identify and act on complex problems
p n p n p n p n p n p n p n p n p n p n p n p n p n p n
in a n ethical manner. Leadership can be misused when coercive relationships form, and info
p n pn pn pn pn pn pn pn pn pn pn pn pn pn
rm ation and true goals are withheld.
pn pn pn pn pn pn
DIF: p n p n Cognitive Level: Analyze p n p n
REF: Page 7 TOP: Nursing Process: Implemen
pn pn p n p n p n p n p n
tation
5. The manager of a surgical area envisions a future that requires the addition of registered n ur
pn pn pn pn pn pn pn pn pn pn pn pn pn pn pn pn
se (RN) assistants or unlicensed persons to feed, bathe, and walk patients. The RNs
p n p n p n p n p n p n p n p n p n p n p n p n p n p n
on the staff have always practiced in a primary nursing-
pn p n p n pn pn p n p n pn pn
delivery system and are very resistant to this idea. The best initial strategy in this situ
pn pn p n pn pn pn pn pn p n p n p n p n p n p n p n
atio n would include:
pn pn pn
a. Exploring the values of the RNs in relation to this change. pn p n p n pn pn p n p n p n p n pn
b. Leaving the RNs alone for a time so they can think about the change befor
pn pn pn p n pn pn pn pn pn p n pn pn pn pn
e t hey are approached again.
pn pn pn pn pn
c. Dropping the idea and trying for the change in another year or so. pn pn p n p n pn p n p n p n p n p n p n pn
d. Hiring the assistants and allowing the RNs to see what good additions they are.
pn pn p n p n pn p n p n p n pn p n p n p n pn
ANS: A p n
NURSINGTB.COM
Chapter 01: Leading, Managing, and Following Wad
pn pn pn pn pn pn
dell/Walton: Yoder- pn
Wise’s Leading and Managing in Canadian Nursing, Third Edition
pn pn pn pn pn pn pn pn
MULTIPLE CHOICE pn
1. A nurse manager of a 20-
pn pn pn p n pn
bed medical unit finds that 80% of the patients are older adults. She is asked to assess
pn pn pn pn pn pn pn pn pn p n pn pn p n p n p n p n
an d adapt the unit to better meet the unique needs of older adult patients. Accordi
p n pn p n p n p n p n p n p n p n p n p n p n p n p n p n p n
ng to co mplexity principles, what would be the best approach to take in making t
p n p n pn p n p n p n p n p n p n p n p n p n p n p n p n
his change? p n
a. Leverage the hierarchical management position to get unit staff involveds pn pn pn pn pn pn pn pn pn p n
in assessment and planning. pn pn pn
b. Engage involved staff at all levels in the decision-making process. pn p n p n p n p n pn p n pn pn
c. Focus the assessment on the unit, and omit the hospital and commun i
pn pn pn pn pn pn pn pn pn pn pn p n
ty environment. pn
d. Hire a geriatric specialist to oversee and control the project.
pn pn pn p n p n pn p n p n pn
ANS: B
Complexity theory suggests that systems interact and adapt and that decision making oc
pn pn p n pn p n p n pn pn p n pn pn pn
cu rs throughout the systems, as opposed to being held in a hierarchy. In complexity t
pn p n p n p n p n p n p n p n p n p n pn p n p n p n pn
heory, everybody‘s opinion counts; therefore, all levels of staff would be involved i
pn p n p n p n p n p n p n p n p n p n pn p n
n decision making.
p n pn
DIF: Cognitive Level: Apply p n p n
REF: Page 14 TOP: Nursing Process: Implemen
pn pn p n p n p n p n p n
tation
2. A unit manager of a 25-
pn p n pn p n pn
UNSRNITGB.CMO s3 s3 s3 n
p n
p
bed medical/surgical area receives a phone call from a nurse who has called in sick five ti
p n p n p n p n pn p n p n p n pn pn pn pn p n p n p n p n
mes in the past month. He tells the manager that he very much want
p n p n p n p n p n p n p n p n p n p n p n p n p n
s to come to work when scheduled, but must often care for his wife, who is undergoing t rea
p n p n pn pn pn pn pn pn pn pn pn pn pn p n pn pn pn pn
tment for breast cancer. In the practice of a strengths-
p n p n p n p n p n p n p n p n p n
based nursing leader, what would be the best approach to satisfying the needs of this
p n p n p n p n p n p n p n p n p n p n p n p n p n p n p
nnur se, other staff, and patients?
pn pn pn pn pn
a. Line up agency nurses who can be called in to work on short notice.
pn p n pn p n p n p n p n p n p n p n p n p n p n
b. Place the nurse on unpaid leave for the remainder of his wife‘s treatment.
pn pn pn p n p n pn pn p n p n p n p n p n
c. Sympathize with the nurse‘s dilemma and let the charge nurse know that this nu r pn pn pn pn pn pn pn pn pn pn pn pn pn p n
se may be calling in frequently in the future.
p n p n p n p n p n p n p n p n
d. Work with the nurse, staffing office, and other nurses to arrange his schedu l
pn pn pn pn pn pn pn pn pn pn pn pn p n
ed days off around his wife‘s treatments.
pn pn pn pn pn pn
ANS: D p n
Placing the nurse on unpaid leave may threaten physiologic needs and demotivate the nur se
pn pn pn pn pn pn pn pn pn pn pn pn pn pn
. Unsatisfactory coverage of shifts on short notice could affect patient care and threa
p n p n p n p n p n p n p n p n p n p n p n p n p n
te n staff members‘ sense of competence. Strengths-
pn pn pn pn pn pn pn
based nurse leaders honour the uniqueness of individuals, teams, systems, and organizati
pn pn pn pn pn pn pn pn pn pn pn p n
ons; therefore arranging the schedule around the wife‘s needs would result in a w
p n p n p n p n p n p n p n p n p n p n p n p n p n
in-
win situation, also creating a work environment that promotes the health of all the n
pn p n p n p n p n p n p n p n p n p n p n p n p n p n p n
urse s and facilitates their development.
pn pn pn pn pn
DIF: Cognitive Level: Analyze p n p n
NURSINGTB.COM
,Yoder-Wise's Leading and Managing in Canadian Nursing 3rd Edition Yoder-
REF: Page 6 TOP:
pn pn p n p n p n Nursing Process: Implemen
p n p n
tation
NURSINGTB.COM
, Yoder-Wise's Leading and Managing in Canadian Nursing 3rd Edition Yoder-
3. A grievance brought by a staff nurse against the unit manager requires mediation. At
p n p n p n pn p n p n p n p n p n p n p n p n p n p
nthe first mediation session, the staff nurse repeatedly calls the unit manager‘s action
pn p n p n p n p n p n p n p n p n p n p n p n
s unfair, and the unit manager continues to reiterate the reasons for the actions. What w
p n pn p n p n pn pn pn pn pn pn pn pn pn pn pn
ould be the best course of action at this time?
pn pn pn pn pn pn pn pn pn
a. Send the two disputants away to reach their own resolution.
p n pn p n p n pn p n p n pn p n
b. Involve another staff nurse in the discussion so as to clarify issues.
p n p n pn p n p n pn p n p n p n p n pn
c. Ask each party to examine her own motives and issues in the conflict.
pn p n pn p n pn p n p n p n p n p n p n pn
d. Continue to listen as the parties repeat their thoughts and feelings about t pn pn pn pn pn pn pn pn pn pn pn pn
he conflict. pn
ANS: C p n
Nurses and leaders must assess each situation as unique, determining appropriate actions
pn pn pn pn pn pn pn p n pn pn pn p n
accordingly. Leaders must adapt their styles to complement specific issues being faced, su
pn pn pn pn pn pn pn pn pn pn pn pn p n
ch as conflict. Examining motives and issues for the conflict in perceptions promote
p n p n p n p n p n p n p n p n p n p n p n p n
s eq ual representation of each point of view.
p n pn pn pn pn pn pn pn
DIF: Cognitive Level: Apply REF: Pages 11– p n p n pn pn
13 TOP: Nursing Process: Implementation
pn p n p n p n p n
4. Shortly after being informed of fetal death, a labouring woman asks why she is not a
pn p n p n p n p n p n p n p n p n p n p n p n p n p n p n
ble t o hear her baby‘s heartbeat on the monitor anymore. Although the monitor volu
p n pn p n p n p n p n p n p n p n p n p n p n p n p n
me had b een turned off so that the patient would be able to sleep between contractions,
p n p n pn p n pn pn pn pn pn pn pn pn pn pn pn p n p
nthe nurse re sponded that there was no heartbeat to hear because the baby had died i
pn pn pn p n p n p n p n p n p n p n p n p n p n p n p n p n
n utero; then the nurse asked whether the patient would like to talk about how she was
p n p n p n pn p n p n pn pn p n pn pn pn pn pn pn pn p
nfeeling. This respon se demonstrates: pn p n pn pn
a. Lack of empathy. pn p n
b. Ethical leadership. pn
c. Complexity science. NURSINGTB.COM pn
d. A coercive relationship pn pn
.
ANS: B p n
Ethical leadership is based on a willingness to identify and act on complex problems
p n p n p n p n p n p n p n p n p n p n p n p n p n p n
in a n ethical manner. Leadership can be misused when coercive relationships form, and info
p n pn pn pn pn pn pn pn pn pn pn pn pn pn
rm ation and true goals are withheld.
pn pn pn pn pn pn
DIF: p n p n Cognitive Level: Analyze p n p n
REF: Page 7 TOP: Nursing Process: Implemen
pn pn p n p n p n p n p n
tation
5. The manager of a surgical area envisions a future that requires the addition of registered n ur
pn pn pn pn pn pn pn pn pn pn pn pn pn pn pn pn
se (RN) assistants or unlicensed persons to feed, bathe, and walk patients. The RNs
p n p n p n p n p n p n p n p n p n p n p n p n p n p n
on the staff have always practiced in a primary nursing-
pn p n p n pn pn p n p n pn pn
delivery system and are very resistant to this idea. The best initial strategy in this situ
pn pn p n pn pn pn pn pn p n p n p n p n p n p n p n
atio n would include:
pn pn pn
a. Exploring the values of the RNs in relation to this change. pn p n p n pn pn p n p n p n p n pn
b. Leaving the RNs alone for a time so they can think about the change befor
pn pn pn p n pn pn pn pn pn p n pn pn pn pn
e t hey are approached again.
pn pn pn pn pn
c. Dropping the idea and trying for the change in another year or so. pn pn p n p n pn p n p n p n p n p n p n pn
d. Hiring the assistants and allowing the RNs to see what good additions they are.
pn pn p n p n pn p n p n p n pn p n p n p n pn
ANS: A p n
NURSINGTB.COM
