lOM oAR gc P S D |g118 816 37
CHAPTERg01:gLEADING,gMANAGING,gANDgFOLLOWING
YODER-
WISE:gLEADINGgANDgMANAGINGgINgNURSING,g7THgEDITIONg2024gLATES
TgUPDATEDgANDgGRADEDgA+
MULTIPLEgCHOICE
1. Agnursegmanagergofgag20-
bedgmedicalgunitgfindsgthatg80%gofgthegpatientsgaregoldergadults.gShegisgaskedgtogasse
ssgandgadaptgthegunitgtogbettergmeetgtheguniquegneedsgofgthegoldergadultgpatient.gUsin
ggcomplexitygprinciples,gwhatgwouldgbegthegbestgapproachgtogtakegforgimplementation
gofgthisgchange?
a. Leveragegtheghierarchicalgmanagementgpositiongtoggetgunitgstaffginvol
vedgingassessmentgandgplanning.
b. Engageginvolvedgstaffgatgallglevelsgingthegdecision-makinggprocess.
c. Focusgthegassessmentgongthegunitgandgomitgtheghospitalgandgcom
munitygenvironment.
d. Hiregaggeriatricgspecialistgtogoverseegandgcontrolgthegproject.
SOLUTION:gB
Complexitygtheorygsuggestsgthatgsystemsginteractgandgadaptgandgthatgdecisiongmaking
goccursgthroughoutgthegsystems,gasgopposedgtogbeinggheldgingaghierarchy.gIngcomplex
itygtheory,geverygvoicegcounts,gandgtherefore,gallglevelsgofgstaffgwouldgbeginvolvedgin
gdecisiongmaking.
TOP:g AONEgcompetency:gCommunicationgandgRelationship-Building
2. Agunitgmanagergofgag25-
bedgmedical/surgicalgareagreceivesgagphonegcallgfromgagnursegwhoghasgcalledgingsickg
fivegtimesgingthegpastgmonth.gHegtellsgthegmanagergthatghegverygmuchgwantsgtogcom
NgRgIgGgB.C
egtogworkgwhengscheduledgbutgmustgoftengcaregforghisgwife,gwhogisgundergoinggtreat
ment
forgbreastgcancer.gAccordinggtoUMaS N’sgTneedghiO
slow erarchygtheory,gwhatgwouldgbegthegbest
approachgtogsatisfyinggthegneedsgofgthisgnurse,gothergstaff,gandgpatients?
a. Linegupgagencygnursesgwhogcangbegcalledgingtogworkgongshortgnotice.
b. Placegthegnursegongunpaidgleavegforgthegremaindergofghisgwife’sgtreatment.
c. Sympathizegwithgthegnurse’sgdilemmagandgletgthegchargegnursegknowgthatgth
isgnursegmaygbegcallinggingfrequentlygingthegfuture.
d. Workgwithgthegnurse,gstaffinggoffice,gandgothergnursesgtogarrangeghisgsc
heduledgdaysgoffgaroundghisgwife’sgtreatments.
SOLUTION:gD
Placinggthegnursegongunpaidgleavegmaygthreatengthegnurse’sgcapacitygtogmeetgphysiolog
icgneedsgandgdemotivategthegnurse.gUnsatisfactorygcoveragegofgshiftsgongshortgnoticegco
uldgaffectgpatientgcaregandgthreatengthegneedsgofgstaffgtogfeelgcompetent.gArranginggthe
gschedulegaroundgthegwife’sgneedsgmeetsgthegneedsgofgthegstaffgandgofgpatientsgwhileg
satisfyinggthegnurse’sgneedgforgaffiliation.
TOP:g AONEgcompetency:gCommunicationgandgRelationship-Building
3. Aggrievancegbroughtgbygagstaffgnursegagainstgthegunitgmanagergrequiresgmediation.gAt
gthegfirstgmediationgsession,gthegstaffgnursegrepeatedlygcallsgthegunitgmanager’sgactions
gunfair,gandgthegunitgmanagergcontinuesgtogreiterategthegreasonsgforgthegactions.gWhat
gwouldgbegthegbestgcoursegofgactiongatgthisgtime?
a. Sendgthegtwogdisputantsgawaygtogreachgtheirgowngresolution.
b. Involveganothergstaffgnursegingthegdiscussiongforgclaritygissues.
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, lOM oAR gc P S D |g118 816 37
c. Askgeachgpartygtogexaminegtheirgowngmotivesgandgissuesgingthegconflict.
d. Continuegtoglistengasgthegpartiesgrepeatgtheirgthoughtsgandgfeelingsgab
outgthegconflict.
SOLUTION:gC
Forgresolutiongofgconflict,gonegshouldgaddressgtheginterestsgandginvolvementgofgpartici
pantsgingthegconflictgbygexamininggthegrealgissuesgofgallgparties.
TOP:g AONEgcompetency:gCommunicationgandgRelationship-Building
4. Atgagsecondgnegotiationgsession,gthegunitgmanagergandgstaffgnursegaregunablegt
ogreachgagresolution.gWhatgisgthegappropriategnextgstep?
a. Arrangeganothergmeetinggingagweek’sgtimegsogasgtogallowgagcooling-offgperiod.
b. Elevategthegnextgnegationgsessiongtogthegnextgmanager,goneglevelgabove.
c. Insistgthatgparticipantsgcontinuegtogtalkguntilgagresolutionghasgbeengreached.
d. Backgthegunitgmanager’sgactionsgandgendgthegdispute.
SOLUTION:gB
Partgofgleadershipgisgunderstandinggconflictgresolutiongandgabilitygtognegotiategandgma
nagegforgresolutiongofgissuesgandgconcerns.gThisgsituationghasgfailedgagsecondgnegotiati
ongsession,gelevationgtogagmanagergwithgadditionalgtraininggtogfacilitategconflictgresolut
iongisgimportantgatgthisgpoint.
TOP:g AONEgcompetency:gCommunicationgandgRelationship-Building
5. Thegmanagergofgagsurgicalgareaghasgagvisiongforgthegfuturegthatgrequiresgthegadditio
ngofgRNgassistantsgorgunlicensedgpersonsgtogfeed,gbathe,gandgambulategpatients.gThe
gRNsgongthegstaff
havegalwaysgpracticedgingagprNimaR
rygnIursiG
ng-
B
de.
liC
UgSgNgT
veryMsystemgandgaregverygresistantgtogthisgidea.gWhatgwouldgbegthegbestginitialgstrate
gygforgimplementationgofgthisgchange?
a. ExploringgthegvaluesgandgfeelingsgofgthegRNggroupgingrelationshipgtogthisgchange
b. LeavinggthegRNsgalonegforgagtimegsogtheygcangthinkgaboutgthegchangegb
eforegitgisgimplemented
c. Droppinggthegideagandgtryinggforgthegchangegingagyeargorgsogwhengso
megofgthegpresentgRNsghavegretired
d. HiringgthegassistantsgandgallowinggthegRNsgtogseegwhatggoodgadditionsgtheygare
SOLUTION:gA
Influencinggothersgrequiresgemotionalgintelligencegingdomainsgsuchgasgempathy,ghandlin
ggrelationships,gdeepeninggself-
awarenessgingselfgandgothers,gmotivatinggothers,gandgmanaginggemotions.gMotivatinggot
hersgrecognizesgthatgvaluesgaregpowerfulgforcesgthatginfluencegacceptancegofgchange.gL
eavinggthegRNsgalonegforgagperiodgofgtimegbeforegimplementationgdoesgnotgprovidegop
portunitygtogexploregdifferentgperspectivesgandgvalues.gAvoidinggdiscussionguntilgthegte
amgchangesgmaygnotgpromotegadoptiongofgthegchangeguntilgtheregisgopportunitygtogexp
loregperspectivesgandgvaluesgrelatedgtogthegchange.gHiringgofgthegassistantsgdemonstrate
sglackgofgempathygforgthegperspectivesgofgthegRNgstaff.
TOP:g AONEgcompetency:gKnowledgegofgthegHealthgCaregEnvironment
.COM
, lOM oAR gc P S D |g118 816 37
y: yc:t s |g | sk y tt .
CHAPTERg01:gLEADING,gMANAGING,gANDgFOLLOWING
YODER-
WISE:gLEADINGgANDgMANAGINGgINgNURSING,g7THgEDITIONg2024gLATES
TgUPDATEDgANDgGRADEDgA+
MULTIPLEgCHOICE
1. Agnursegmanagergofgag20-
bedgmedicalgunitgfindsgthatg80%gofgthegpatientsgaregoldergadults.gShegisgaskedgtogasse
ssgandgadaptgthegunitgtogbettergmeetgtheguniquegneedsgofgthegoldergadultgpatient.gUsin
ggcomplexitygprinciples,gwhatgwouldgbegthegbestgapproachgtogtakegforgimplementation
gofgthisgchange?
a. Leveragegtheghierarchicalgmanagementgpositiongtoggetgunitgstaffginvol
vedgingassessmentgandgplanning.
b. Engageginvolvedgstaffgatgallglevelsgingthegdecision-makinggprocess.
c. Focusgthegassessmentgongthegunitgandgomitgtheghospitalgandgcom
munitygenvironment.
d. Hiregaggeriatricgspecialistgtogoverseegandgcontrolgthegproject.
SOLUTION:gB
Complexitygtheorygsuggestsgthatgsystemsginteractgandgadaptgandgthatgdecisiongmaking
goccursgthroughoutgthegsystems,gasgopposedgtogbeinggheldgingaghierarchy.gIngcomplex
itygtheory,geverygvoicegcounts,gandgtherefore,gallglevelsgofgstaffgwouldgbeginvolvedgin
gdecisiongmaking.
TOP:g AONEgcompetency:gCommunicationgandgRelationship-Building
2. Agunitgmanagergofgag25-
bedgmedical/surgicalgareagreceivesgagphonegcallgfromgagnursegwhoghasgcalledgingsickg
fivegtimesgingthegpastgmonth.gHegtellsgthegmanagergthatghegverygmuchgwantsgtogcom
NgRgIgGgB.C
egtogworkgwhengscheduledgbutgmustgoftengcaregforghisgwife,gwhogisgundergoinggtreat
ment
forgbreastgcancer.gAccordinggtoUMaS N’sgTneedghiO
slow erarchygtheory,gwhatgwouldgbegthegbest
approachgtogsatisfyinggthegneedsgofgthisgnurse,gothergstaff,gandgpatients?
a. Linegupgagencygnursesgwhogcangbegcalledgingtogworkgongshortgnotice.
b. Placegthegnursegongunpaidgleavegforgthegremaindergofghisgwife’sgtreatment.
c. Sympathizegwithgthegnurse’sgdilemmagandgletgthegchargegnursegknowgthatgth
isgnursegmaygbegcallinggingfrequentlygingthegfuture.
d. Workgwithgthegnurse,gstaffinggoffice,gandgothergnursesgtogarrangeghisgsc
heduledgdaysgoffgaroundghisgwife’sgtreatments.
SOLUTION:gD
Placinggthegnursegongunpaidgleavegmaygthreatengthegnurse’sgcapacitygtogmeetgphysiolog
icgneedsgandgdemotivategthegnurse.gUnsatisfactorygcoveragegofgshiftsgongshortgnoticegco
uldgaffectgpatientgcaregandgthreatengthegneedsgofgstaffgtogfeelgcompetent.gArranginggthe
gschedulegaroundgthegwife’sgneedsgmeetsgthegneedsgofgthegstaffgandgofgpatientsgwhileg
satisfyinggthegnurse’sgneedgforgaffiliation.
TOP:g AONEgcompetency:gCommunicationgandgRelationship-Building
3. Aggrievancegbroughtgbygagstaffgnursegagainstgthegunitgmanagergrequiresgmediation.gAt
gthegfirstgmediationgsession,gthegstaffgnursegrepeatedlygcallsgthegunitgmanager’sgactions
gunfair,gandgthegunitgmanagergcontinuesgtogreiterategthegreasonsgforgthegactions.gWhat
gwouldgbegthegbestgcoursegofgactiongatgthisgtime?
a. Sendgthegtwogdisputantsgawaygtogreachgtheirgowngresolution.
b. Involveganothergstaffgnursegingthegdiscussiongforgclaritygissues.
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, lOM oAR gc P S D |g118 816 37
c. Askgeachgpartygtogexaminegtheirgowngmotivesgandgissuesgingthegconflict.
d. Continuegtoglistengasgthegpartiesgrepeatgtheirgthoughtsgandgfeelingsgab
outgthegconflict.
SOLUTION:gC
Forgresolutiongofgconflict,gonegshouldgaddressgtheginterestsgandginvolvementgofgpartici
pantsgingthegconflictgbygexamininggthegrealgissuesgofgallgparties.
TOP:g AONEgcompetency:gCommunicationgandgRelationship-Building
4. Atgagsecondgnegotiationgsession,gthegunitgmanagergandgstaffgnursegaregunablegt
ogreachgagresolution.gWhatgisgthegappropriategnextgstep?
a. Arrangeganothergmeetinggingagweek’sgtimegsogasgtogallowgagcooling-offgperiod.
b. Elevategthegnextgnegationgsessiongtogthegnextgmanager,goneglevelgabove.
c. Insistgthatgparticipantsgcontinuegtogtalkguntilgagresolutionghasgbeengreached.
d. Backgthegunitgmanager’sgactionsgandgendgthegdispute.
SOLUTION:gB
Partgofgleadershipgisgunderstandinggconflictgresolutiongandgabilitygtognegotiategandgma
nagegforgresolutiongofgissuesgandgconcerns.gThisgsituationghasgfailedgagsecondgnegotiati
ongsession,gelevationgtogagmanagergwithgadditionalgtraininggtogfacilitategconflictgresolut
iongisgimportantgatgthisgpoint.
TOP:g AONEgcompetency:gCommunicationgandgRelationship-Building
5. Thegmanagergofgagsurgicalgareaghasgagvisiongforgthegfuturegthatgrequiresgthegadditio
ngofgRNgassistantsgorgunlicensedgpersonsgtogfeed,gbathe,gandgambulategpatients.gThe
gRNsgongthegstaff
havegalwaysgpracticedgingagprNimaR
rygnIursiG
ng-
B
de.
liC
UgSgNgT
veryMsystemgandgaregverygresistantgtogthisgidea.gWhatgwouldgbegthegbestginitialgstrate
gygforgimplementationgofgthisgchange?
a. ExploringgthegvaluesgandgfeelingsgofgthegRNggroupgingrelationshipgtogthisgchange
b. LeavinggthegRNsgalonegforgagtimegsogtheygcangthinkgaboutgthegchangegb
eforegitgisgimplemented
c. Droppinggthegideagandgtryinggforgthegchangegingagyeargorgsogwhengso
megofgthegpresentgRNsghavegretired
d. HiringgthegassistantsgandgallowinggthegRNsgtogseegwhatggoodgadditionsgtheygare
SOLUTION:gA
Influencinggothersgrequiresgemotionalgintelligencegingdomainsgsuchgasgempathy,ghandlin
ggrelationships,gdeepeninggself-
awarenessgingselfgandgothers,gmotivatinggothers,gandgmanaginggemotions.gMotivatinggot
hersgrecognizesgthatgvaluesgaregpowerfulgforcesgthatginfluencegacceptancegofgchange.gL
eavinggthegRNsgalonegforgagperiodgofgtimegbeforegimplementationgdoesgnotgprovidegop
portunitygtogexploregdifferentgperspectivesgandgvalues.gAvoidinggdiscussionguntilgthegte
amgchangesgmaygnotgpromotegadoptiongofgthegchangeguntilgtheregisgopportunitygtogexp
loregperspectivesgandgvaluesgrelatedgtogthegchange.gHiringgofgthegassistantsgdemonstrate
sglackgofgempathygforgthegperspectivesgofgthegRNgstaff.
TOP:g AONEgcompetency:gKnowledgegofgthegHealthgCaregEnvironment
.COM
, lOM oAR gc P S D |g118 816 37
y: yc:t s |g | sk y tt .
