TEST BANK FOR Yoder-Wise's Leading and Managing in Canadian Nursing, 3rd Edition by Nancy Walton and Janice Waddell ISBN: 9780323872843 COMPLETE GUIDE ALL CHAPTERS COVERED 100% VERIFIED A+ GRADE ASSURED!!!!NEW LATEST UPDATE!!!!!

, Yoder-Wise's Leading and Managing in Canadian Nursing 3rd Edition Yoder-Wise Test Bank
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Chapter 01: Leading, Managing, and Following
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Waddell/Walton: Yoder- cn



Wise’s Leading and Managing in Canadian Nursing, 3rd Edition
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MULTIPLE CHOICE cn




1. A nurse manager of a 20-
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bed medical unit finds that 80% of the patients are older adults. She is asked to assess and ada
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pt the unit to better meet the unique needs of older adult patients. According to complexity pr
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inciples, what would be the best approach to take in making this change?
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a. Leverage the hierarchical management position to get unit staff involved in cn cn cn cn cn cn cn cn cn cn cn



assessment and planning. cn cn



b. Engage involved staff at all levels in the decision-making process.
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c. Focus the assessment on the unit, and omit the hospital and community
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environment.
d. Hire a geriatric specialist to oversee and control the project.
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ANS: B c n



Complexity theory suggests that systems interact and adapt and that decision making occurs th
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roughout the systems, as opposed to being held in a hierarchy. In complexity theory, everybo
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dy’s opinion counts; therefore, all levels of staff would be involved in decision making.
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DIF: Cognitive Level: Apply cn cn



REF: Page 14 TOP: Nursing Process: Implementat
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ion
USNT NRI G B.CM
area O
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2. A unit manager of a 25-bed medical/surgical
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called in sick five times in the past month. He tells the manager that he very much wants to c
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ome to work when scheduled, but must often care for his wife, who is undergoing treatment fo
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r breast cancer. In the practice of a strengths-
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based nursing leader, what would be the best approach to satisfying the needs of this nurse, o
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ther staff, and patients?
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a. Line up agency nurses who can be called in to work on short notice.
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b. Place the nurse on unpaid leave for the remainder of his wife’s treatment.
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c. Sympathize with the nurse’s dilemma and let the charge nurse know that this nurse cn cn cn cn cn cn cn cn cn cn cn cn cn cn



may be calling in frequently in the future. cn cn cn cn cn cn cn



d. Work with the nurse, staffing office, and other nurses to arrange his scheduled
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days off around his wife’s treatments. cn cn cn cn cn




ANS: D cn



Placing the nurse on unpaid leave may threaten physiologic needs and demotivate the nurse. U
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nsatisfactory coverage of shifts on short notice could affect patient care and threaten staff me
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mbers’ sense of competence. Strengths- cn cn cn cn



based nurse leaders honour the uniqueness of individuals, teams, systems, and organizations;
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therefore arranging the schedule around the wife’s needs would result in a win-
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win situation, also creating a work environment that promotes the health of all the nurses and
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facilitates their development.
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DIF: Cognitive Level: Analyze cn cn



REF: Page 6 TOP: Nursing Process: Implementat
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ion



NURSINGTB.COM

,Yoder-Wise's Leading and Managing in Canadian Nursing 3rd Edition Yoder-Wise Test Bank
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3. A grievance brought by a staff nurse against the unit manager requires mediation. At the first
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mediation session, the staff nurse repeatedly calls the unit manager’s actions unfair, and the u
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nit manager continues to reiterate the reasons for the actions. What would be the best course of
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action at this time?
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a. Send the two disputants away to reach their own resolution.
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b. Involve another staff nurse in the discussion so as to clarify issues. cn cn cn cn cn cn cn cn cn cn cn



c. Ask each party to examine her own motives and issues in the conflict.
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d. Continue to listen as the parties repeat their thoughts and feelings about the cn cn cn cn cn cn cn cn cn cn cn cn cn



conflict.
ANS: C cn



Nurses and leaders must assess each situation as unique, determining appropriate actions acc
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ordingly. Leaders must adapt their styles to complement specific issues being faced, such as c
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onflict. Examining motives and issues for the conflict in perceptions promotes equal represen
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tation of each point of view. cn cn cn cn cn




DIF: Cognitive Level: Apply REF: Pages 11– cn cn cn cn



13 TOP: Nursing Process: Implementation
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4. Shortly after being informed of fetal death, a labouring woman asks why she is not able to hea
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r her baby’s heartbeat on the monitor anymore. Although the monitor volume had been turned
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off so that the patient would be able to sleep between contractions, the nurse responded that the
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re was no heartbeat to hear because the baby had died in utero; then the nurse asked whether t
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he patient would like to talk about how she was feeling. This response demonstrates:
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a. Lack of empathy. cn cn



b. Ethical leadership. cn



c. Complexity science. NURSINGTB.COM cn



d. A coercive relationship. cn cn




ANS: B cn



Ethical leadership is based on a willingness to identify and act on complex problems in an ethi
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cal manner. Leadership can be misused when coercive relationships form, and information and
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true goals are withheld.
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DIF: Cognitive Level: Analyze cn cn



REF: Page 7 TOP: Nursing Process: Implementat
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ion

5. The manager of a surgical area envisions a future that requires the addition of registered nurse (
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RN) assistants or unlicensed persons to feed, bathe, and walk patients. The RNs on the staff h
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ave always practiced in a primary nursing-
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delivery system and are very resistant to this idea. The best initial strategy in this situation wo
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uld include: cn



a. Exploring the values of the RNs in relation to this change. cn cn cn cn cn cn cn cn cn cn



b. Leaving the RNs alone for a time so they can think about the change before they cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn



are approached again. cn cn



c. Dropping the idea and trying for the change in another year or so. cn cn cn cn cn cn cn cn cn cn cn cn



d. Hiring the assistants and allowing the RNs to see what good additions they are.
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ANS: A cn




NURSINGTB.COM

, Yoder-Wise's Leading and Managing in Canadian Nursing 3rd Edition Yoder-Wise Test Bank
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Leadership involves engaged decision making around a vision that is based on evidence and ta
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cit knowledge. Influencing others requires emotional intelligence in domains such as empath
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y and handling relationships.
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DIF: Cognitive Level: Apply cn cn



REF: Page 5 TOP: Nursing Process: Implementat
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ion

6. As the charge nurse on the night shift in a small long-
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term care facility, you have found that there is little turnover among your licensed practical nu
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rse and nursing assistant (NA) staff members, but they are not very motivated to work beyond
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their job descriptions. Which of the following strategies might motivate the staff and lead to gr
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eater job satisfaction?
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a. Ask the director of nursing to offer higher wages and bonuses for extra work for t
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he night licensed practical nurses and NAs.
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b. Allow the licensed practical nurses and NAs greater decision-
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making power within the scope of their positions in the institution.
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c. Help the licensed practical nurses and NAs with their work, whenever possible.
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d. Ask the director of nursing to increase job security for night staff by having them
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sign contracts that guarantee work.
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ANS: B cn



A nurse leader should provide an environment conducive to opinion sharing that involves staff i
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n decision making at all levels. This approach is shown to increase job satisfaction. Decision
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making and the corresponding actions taken are core tasks performed in engagement with cow
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orkers.

DIF: Cognitive Level: Apply
REF: Page 7 TOP: Nursing Process:G B.C MentR
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Impl
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c n
c


ati onI
USNT cn cn cn O
7. As the nurse manager, you want to increase motivation by providing motivating factors.
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Which action would you select?
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a. Collaborate with the human resources/personnel department to develop on- cn cn cn cn cn cn cn cn



site daycare services. cn cn



b. Provide a hierarchical organizational structure. cn cn cn cn



c. Implement a model of shared governance. cn cn cn cn cn



d. Promote the development of a flexible benefits package. cn cn cn cn cn cn cn




ANS: C cn



Complexity theory suggests that systems interact and adapt and that decision making occurs t
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hroughout systems, as opposed to being made unilaterally by different levels of the organizat
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ional hierarchy. In complexity theory, every person’s opinion counts, and therefore all levels
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of staff would be involved in decision making. This principle underlies shared governance. S
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hared governance is an example of nurse decision making in which nurses at different organi
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zational levels engage in shaping policy and practices.
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DIF: Cognitive Level: Apply cn cn



REF: Page 5 TOP: Nursing Process: Implementat
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ion




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