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
dt dt dt dt dt dt dt dt dt dt dt




Chapter 01: Leading, Managing, and Following
dt dt dt dt dt




Waddell/Walton: Yoder- dt



Wise’s Leading and Managing in Canadian Nursing, 3rd Edition
dt dt dt dt dt dt dt dt




MULTIPLE CHOICE dt




1. A nurse manager of a 20-
dt dt dt dt dt



bed medical unit finds that 80% of the patients are older adults. She is asked to assess and adapt
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt



the unit to better meet the unique needs of older adult patients. According to complexity princi
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt



ples, what would be the best approach to take in making this change?
dt dt dt dt dt dt dt dt dt dt dt dt



a. Leverage the hierarchical management position to get unit staff involved in a dt dt dt dt dt dt dt dt dt dt dt



ssessment and planning. dt dt



b. Engage involved staff at all levels in the decision-making process. dt dt dt dt dt dt dt dt dt



c. Focus the assessment on the unit, and omit the hospital and community e
dt dt dt dt dt dt dt dt dt dt dt dt



nvironment.
d. Hire a geriatric specialist to oversee and control the project.
dt dt dt dt dt dt dt dt dt




ANS: B d t



Complexity theory suggests that systems interact and adapt and that decision making occurs thr
dt dt dt dt dt dt dt dt dt dt dt dt dt



oughout the systems, as opposed to being held in a hierarchy. In complexity theory, everybody
dt dt dt dt dt dt dt dt dt dt dt dt dt dt



’s opinion counts; therefore, all levels of staff would be involved in decision making.
dt dt dt dt dt dt dt dt dt dt dt dt dt




DIF: Cognitive Level: Apply dt dt



REF: Page 14 TOP: Nursing Process: Implementati
dt dt dt d t dt dt



on
USNT O NRI G B.CM d
t d
t d
t d
t d
t



2. A unit manager of a 25-bed medical/surgical
dt dt area receives a phone call from a nurse who has dt dt dt dt
dt dt dt
dt dt dt dt dt dt dt dt dt dt



called in sick five times in the past month. He tells the manager that he very much wants to co
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt



me to work when scheduled, but must often care for his wife, who is undergoing treatment for b
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt



reast cancer. In the practice of a strengths-
dt dt dt dt dt dt dt



based nursing leader, what would be the best approach to satisfying the needs of this nurse, oth
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt



er staff, and patients?
dt dt dt



a. Line up agency nurses who can be called in to work on short notice.
dt dt dt dt dt dt dt dt dt dt dt dt dt



b. Place the nurse on unpaid leave for the remainder of his wife’s treatment.
dt dt dt dt dt dt dt dt dt dt dt dt



c. Sympathize with the nurse’s dilemma and let the charge nurse know that this nurse m dt dt dt dt dt dt dt dt dt dt dt dt dt dt



ay be calling in frequently in the future.
dt dt dt dt dt dt dt



d. Work with the nurse, staffing office, and other nurses to arrange his scheduled d
dt dt dt dt dt dt dt dt dt dt dt dt dt



ays off around his wife’s treatments.
dt dt dt dt dt




ANS: D dt



Placing the nurse on unpaid leave may threaten physiologic needs and demotivate the nurse. Un
dt dt dt dt dt dt dt dt dt dt dt dt dt dt



satisfactory coverage of shifts on short notice could affect patient care and threaten staff memb
dt dt dt dt dt dt dt dt dt dt dt dt dt dt



ers’ sense of competence. Strengths-
dt dt dt dt



based nurse leaders honour the uniqueness of individuals, teams, systems, and organizations; t
dt dt dt dt dt dt dt dt dt dt dt dt



herefore arranging the schedule around the wife’s needs would result in a win-
dt dt dt dt dt dt dt dt dt dt dt dt



win situation, also creating a work environment that promotes the health of all the nurses and f
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt



acilitates their development. dt dt




DIF: Cognitive Level: Analyze dt dt



REF: Page 6 TOP: Nursing Process: Implementati
dt dt dt d t dt dt



on



NURSINGTB.COM

,Yoder-Wise's Leading and Managing in Canadian Nursing 3rd Edition Yoder-Wise Test Bank
dt dt dt dt dt dt dt dt dt dt dt




3. A grievance brought by a staff nurse against the unit manager requires mediation. At the first m
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt



ediation session, the staff nurse repeatedly calls the unit manager’s actions unfair, and the unit
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt



manager continues to reiterate the reasons for the actions. What would be the best course of acti
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt



on at this time? dt dt dt



a. Send the two disputants away to reach their own resolution. dt dt dt dt dt dt dt dt dt



b. Involve another staff nurse in the discussion so as to clarify issues. dt dt dt dt dt dt dt dt dt dt dt



c. Ask each party to examine her own motives and issues in the conflict.
dt dt dt dt dt dt dt dt dt dt dt dt



d. Continue to listen as the parties repeat their thoughts and feelings about the c dt dt dt dt dt dt dt dt dt dt dt dt dt



onflict.
ANS: C dt



Nurses and leaders must assess each situation as unique, determining appropriate actions acco
dt dt dt dt dt dt dt dt dt dt dt dt



rdingly. Leaders must adapt their styles to complement specific issues being faced, such as conf
dt dt dt dt dt dt dt dt dt dt dt dt dt dt



lict. Examining motives and issues for the conflict in perceptions promotes equal representatio
dt dt dt dt dt dt dt dt dt dt dt dt



n of each point of view.
dt dt dt dt dt




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



13 TOP: Nursing Process: Implementation
dt d t dt dt




4. Shortly after being informed of fetal death, a labouring woman asks why she is not able to hear
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt



her baby’s heartbeat on the monitor anymore. Although the monitor volume had been turned off
dt dt dt dt dt dt dt dt dt dt dt dt dt dt



so that the patient would be able to sleep between contractions, the nurse responded that there w
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt



as no heartbeat to hear because the baby had died in utero; then the nurse asked whether the pati
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt



ent would like to talk about how she was feeling. This response demonstrates:
dt dt dt dt dt dt dt dt dt dt dt dt



a. Lack of empathy. dt dt



b. Ethical leadership. dt



c. Complexity science. NURSINGTB.COM dt



d. A coercive relationship. dt dt




ANS: B dt



Ethical leadership is based on a willingness to identify and act on complex problems in an ethica
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt



l manner. Leadership can be misused when coercive relationships form, and information and true
dt dt dt dt dt dt dt dt dt dt dt dt dt



goals are withheld.
dt dt dt




DIF: Cognitive Level: Analyze dt dt



REF: Page 7 TOP: Nursing Process: Implementati
dt dt dt d t dt dt



on

5. The manager of a surgical area envisions a future that requires the addition of registered nurse (R
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt



N) assistants or unlicensed persons to feed, bathe, and walk patients. The RNs on the staff have
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt



always practiced in a primary nursing- dt dt dt dt dt



delivery system and are very resistant to this idea. The best initial strategy in this situation woul
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt



d include:dt



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



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



e approached again. dt dt



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



d. Hiring the assistants and allowing the RNs to see what good additions they are.
dt dt dt dt dt dt dt dt dt dt dt dt dt




ANS: A dt




NURSINGTB.COM

, Yoder-Wise's Leading and Managing in Canadian Nursing 3rd Edition Yoder-Wise Test Bank
dt dt dt dt dt dt dt dt dt dt dt




Leadership involves engaged decision making around a vision that is based on evidence and tac
dt dt dt dt dt dt dt dt dt dt dt dt dt dt



it knowledge. Influencing others requires emotional intelligence in domains such as empathy a
dt dt dt dt dt dt dt dt dt dt dt dt



nd handling relationships.
dt dt




DIF: Cognitive Level: Apply dt dt



REF: Page 5 TOP: Nursing Process: Implementati
dt dt dt d t dt dt



on

6. As the charge nurse on the night shift in a small long-
dt dt dt dt dt dt dt dt dt dt dt



term care facility, you have found that there is little turnover among your licensed practical nurs
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt



e and nursing assistant (NA) staff members, but they are not very motivated to work beyond thei
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt



r job descriptions. Which of the following strategies might motivate the staff and lead to greater
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt



job satisfaction? dt



a. Ask the director of nursing to offer higher wages and bonuses for extra work for th
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt



e night licensed practical nurses and NAs.
dt dt dt dt dt dt



b. Allow the licensed practical nurses and NAs greater decision- dt dt dt dt dt dt dt dt



making power within the scope of their positions in the institution. dt dt dt dt dt dt dt dt dt dt



c. Help the licensed practical nurses and NAs with their work, whenever possible.
dt dt dt dt dt dt dt dt dt dt dt



d. Ask the director of nursing to increase job security for night staff by having them si
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt



gn contracts that guarantee work.
dt dt dt dt




ANS: B dt



A nurse leader should provide an environment conducive to opinion sharing that involves staff in
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt



decision making at all levels. This approach is shown to increase job satisfaction. Decision maki
dt dt dt dt dt dt dt dt dt dt dt dt dt dt



ng and the corresponding actions taken are core tasks performed in engagement with coworkers.
dt dt dt dt dt dt dt dt dt dt dt dt dt




DIF: Cognitive Level: Apply
GB.C e mNM
dt dt

REF: Page 7 TOP: Nursing Process: Impl entR
a
d t dt dt d t dt dt t
d t
d


ti onI
USNT dt dt dt O
7. As the nurse manager, you want to increase motivation by providing motivating factors.
dt dt dt dt dt dt dt dt dt dt dt dt dt



Which action would you select? dt dt dt dt



a. Collaborate with the human resources/personnel department to develop on- dt dt dt dt dt dt dt dt



site daycare services. dt dt



b. Provide a hierarchical organizational structure. dt dt dt dt



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



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




ANS: C dt



Complexity theory suggests that systems interact and adapt and that decision making occurs th
dt dt dt dt dt dt dt dt dt dt dt dt dt



roughout systems, as opposed to being made unilaterally by different levels of the organizatio
dt dt dt dt dt dt dt dt dt dt dt dt dt



nal hierarchy. In complexity theory, every person’s opinion counts, and therefore all levels of st
dt dt dt dt dt dt dt dt dt dt dt dt dt dt



aff would be involved in decision making. This principle underlies shared governance. Shared
dt dt dt dt dt dt dt dt dt dt dt dt dt



governance is an example of nurse decision making in which nurses at different organizational
dt dt dt dt dt dt dt dt dt dt dt dt dt



levels engage in shaping policy and practices.
dt dt dt dt dt dt dt




DIF: Cognitive Level: Apply dt dt



REF: Page 5 TOP: Nursing Process: Implementati
dt dt dt d t dt dt



on




NURSINGTB.COM