Test Bank for Leading and Managing in Nursing 8th Edition (Mosby, 2022) by Patricia S. Yoder Wise and Susan Sportsman, all 25 Chapters Covered
1|P a g e
, Test Bank for Leading and Managing in Nursing 8th Edition (Mosby, 2022) by Patricia S. Yoder Wise and Susan Sportsman, all 25 Chapters Covered
Chapter 01: Leading, Managing, and Following
Yoder-Wise: Leading and Managing in Nursing, 8th Edition
MULTIPLE CHOICE
1. A nurse manager of a 20-bed medical unit finds that 80% of the patients are older adults. She is asked to assess and adapt the unit to
better meet the unique needs of the older adult patient.Using complexity principles, what would be the best approach to take for
implementation of this change?
a. Leverage the hierarchical management position to get unit staff involved in assessment and planning.
b. Engage involved staff at all levels in the decision-making process.
c. Focus the assessment on the unit and omit the hospital and community environment.
d. Hire a geriatric specialist to oversee and control the project.
ANS: B
Complexity theory suggests that systems interact and adapt and that decision making occurs throughout the systems, as opposed to
being held in a hierarchy. In complexity theory, every voice counts, and therefore, all levels of staff would be involved in decision
making.
TOP: AONE competency: Communication and Relationship-Building
2. A unit manager of a 25-bed medical/surgical area receives a phone call from a nurse who has called in sick five times in the past
month. He tells the manager that he very much wants to come to work when scheduled but must often care for his wife, who is undergoing
eds of this
nurse, other staff, and patients?
a. Line up agency nurses who can be called in to work on short notice.
b. Place the nurse on unpaid leave for the remainder of his treatment.
c. Sympathize with the dilemma and let the charge nurse know that thisnurse may be calling in frequently in the
future.
d. Work with the nurse, staffing office, and other nurses to arrange his
treatments.
ANS: D
Placing the nurse on unpaid leave may threaten the capacity to meet physiologic needs and demotivate the nurse. Unsatisfactory
coverage of shifts on short notice could affect patient care and threaten the needs of staff to feel competent. Arranging the schedule
TOP: AONE competency: Communication and Relationship-Building
3. A grievance brought by a staff nurse against the unit manager requires mediation. At the first mediation session, the staff nurse
to reiterate the reasons for the actions. What would be the
best courseof action at this time?
a. Send the two disputants away to reach their own resolution.
b. Involve another staff nurse in the discussion for clarity issues.
2|P a g e
, Test Bank for Leading and Managing in Nursing 8th Edition (Mosby, 2022) by Patricia S. Yoder Wise and Susan Sportsman, all 25 Chapters Covered
c. Ask each party to examine their own motives and issues in the conflict.
d. Continue to listen as the parties repeat their thoughts and feelings about the conflict.
ANS: C
For resolution of conflict, one should address the interests and involvement of participants in the conflict by examining the real issues
of all parties.
TOP: AONE competency: Communication and Relationship-Building
4. At a second negotiation session, the unit manager and staff nurse are unable to reach a resolution. What is the appropriate
next step?
a. Arrange another meeting in a time so as to allow a cooling-off period.
b. Elevate the next negation session to the next manager, one level above.
c. Insist that participants continue to talk until a resolution has been reached.
d. Back the unit actions and end the dispute.
ANS: B
Part of leadership is understanding conflict resolution and ability to negotiate and manage for resolution of issues and concerns. This
situation has failed a second negotiation session, elevation to a manager with additional training to facilitate conflict resolution is
important at this point.
TOP: AONE competency: Communication and Relationship-Building
5. The manager of a surgical area has a vision for the future that requires the addition of RN assistants or unlicensed persons to feed,
bathe, and ambulate patients. The RNs on the staff have always practiced in a primary nursing-delivery system and are very resistant to this
idea.What would be the best initial strategy for implementation of this change?
a. Exploring the values and feelings of the RN group in relationship to this change
b. Leaving the RNs alone for a time so they can think about the change before it is implemented
c. Dropping the idea and trying for the change in a year or so when some of the present RNs have retired
d. Hiring the assistants and allowing the RNs to see what good additions they are
ANS: A
Influencing others requires emotional intelligence in domains such as empathy, handling relationships, deepening self-awareness in
self and others, motivating others, and managing emotions. Motivating others recognizes that values are powerful forces that influence
acceptance of change. Leaving the RNs alone for a period of time before implementation does not provide opportunity to explore
different perspectives and values. Avoiding discussion until the team changes may not promote adoption of the change until there is
opportunity to explore perspectives and values related to the change. Hiring of the assistants demonstrates lack of empathy for the
perspectives of the RN staff.
TOP: AONE competency: Knowledge of the Health Care Environment
3|P a g e
, Test Bank for Leading and Managing in Nursing 8th Edition (Mosby, 2022) by Patricia S. Yoder Wise and Susan Sportsman, all 25 Chapters Covered
6. As the RN charge nurse on the night shift in a small long-term care facility, found that there is little turnover among your LPN
and nursing assistant (NA) staff members, but they are not very motivated to go beyond their job descriptions in their work. Which of the
following strategies might motivate the staff and lead to greater job satisfaction?
a. Ask the director of nursing to offer higher wages and bonuses for extra work for the night LPNs and NAs.
b. Allow the LPNs and NAs greater decision-making power within the scope of their positions in the institution.
c. Hire additional staff so that there are more staff available for enhanced care,and individual workloads are lessened.
d. Ask the director of nursing to increase job security for night staff by having them sign contracts that guarantee work.
ANS: B
Hygiene factors such as salary, working conditions, and security are consistent with -factor theory of motivation;
meeting these needs avoids job dissatisfaction. Motivator factors such as recognition and satisfaction with work promote a satisfying
and enriched work environment. Transformational leaders use motivator factors liberally to inspire work performance and increase job
satisfaction.
TOP: AONE competency: Communication and Relationship-Building
7. The nurse manager wants to increase motivation by providing motivating factors for thenurse on the unit. What action would be
appropriate to motivate the staff?
a. Collaborate with the human resource/personnel department to develop on-site daycare services.
b. Provide a hierarchical organizational structure.
c. Implement a model of shared governance.
d. Promote the development of a flexible benefits package.
ANS: C
Complexity theory suggests that systems interact and adapt and that decision making occurs throughout systems, as opposed to being
held in a hierarchy. In complexity theory, every voice counts, and therefore all levels of staff would be involved in decision making.
This principle is the foundation of shared governance.
TOP: AONE competency: Communication and Relationship-Building
8. The nurse manager has been asked to implement an evidence-based approach to teach ostomy patients self-management skills
postoperatively. The program is to be implemented across theentire facility. What illustrates effective leadership in this situation?
a. The training modules are left in the staff room for times when staff are available.
b. The current approach is continued because it is also evidence-based and is more familiar to staff.
c. You decide to implement the approach at a later date because of feedback from the RNs that the new approach takes
too much time.
d. An RN who is already familiar with the new approach of volunteers to take the lead in mentoring and teaching
others how to implement it.
ANS: D
4|P a g e
, Test Bank for Leading and Managing in Nursing 8th Edition (Mosby, 2022) by Patricia S. Yoder Wise and Susan Sportsman, all 25 Chapters Covered
Followership occurs when there is acquiescence to a peer who is leading in a setting where a team has gathered to ensure the best
clinical decision making, and actions are taken to achieve clinical or organizational outcomes. Followership promotes good clinical
decisions and use of clinical resources.
TOP: AONE competency: Communication and Relationship-Building
9. very upset. The charge nurse
determines that he has not slept for three nights because of unrelieved pain levels. The LPN is very upset and calls Mr. Smith an ―ugly, old
man.‖ The aggressive but was
related to lack of sleep and to pain. The charge nurse asks, ―Can you, together with Mr. Smith, determine triggers for the pain and effective
approaches to controlling his pain?‖ This situation is an example of what?
a. Lack of empathy and understanding for Miss Jones
b. Concern with placating Mr. Smith
c. Leadership behavior
d. Management behavior
ANS: C
The situation between Mr. Smith and Miss Jones is a complex situation involving unrelieved patient symptoms and aggressiveness
toward a staff member. Providing engaged, collaborative guidance and decision making in a complex situation where there is no
standardized solution reflects leadership.
TOP: AONE competency: Leadership
10. You overhear a new graduate RN telling a nurse colleague that leadership and management belong to the unit manager, not to her. As
a nursing colleague, what do you know to be true inregard to the statement?
a. The statement is correct. Leadership is not the role of the staff nurse.
b. The new graduate would benefit from further understanding of her role as a professional, whose influence
may affect the decision making of patients, colleagues, and other professionals.
c. The new graduate has been influenced by nurse leaders and managers who leave for other positions.
d. The general perception is that nurse leaders and managers are not satisfied in their jobs.
ANS: B
Care coordination that involves the intersection of individual, family, and community-based needs requires that nurses have self-
confidence, knowledge of organizations and health systems, and an inner desire to lead and manage. There is often a view that
leadership is isolated to those holding managerial positions, and that a direct care nurse is subject to following by adhering to the
direction of others. Such views fail to acknowledge that to be a nurse requires each licensed individual to lead, manage, and follow
when practicing at the point-of-care and beyond.
TOP: AONE competency: Leadership
11. After assessing an older adult patient in long-term care who has been slowly deteriorating for weeks, the nurse manager calls the
family and asks them to come in, as the patient is dying. What request?
a. An established clinical pathway
b. Confirmatory scientific evidence
c. Unit protocol
5|P a g e
, Test Bank for Leading and Managing in Nursing 8th Edition (Mosby, 2022) by Patricia S. Yoder Wise and Susan Sportsman, all 25 Chapters Covered
d. Experience
ANS: D
The nurse manager is employing knowledge and experience in determining that the patient is dying, because the course of dying is not
standardized and cannot be determined by clinical pathways.
TOP: AONE competency: Knowledge of the Health Care Environment
12. Chart audits have revealed significant omissions of data that could have legal and financial guideline ramifications. The unit
manager meets with the staff to discuss audit findings and tofind approaches that will address the gaps in charting and achieve desired goals.
What is the manager demonstrating?
a. Leadership
b. Management
c. Decision making
d. Vision
ANS: B
The process of guiding others to meet established goals, outcomes, and procedures is management. This can require collaborative
decision making to determine how best to reach predetermined goals and follow established practices.
TOP: AONE competency: Knowledge of the Health Care Environment
13. A family is keeping vigil at a critically ill bedside. Distant family members call the unit continuously asking for updates and
expressing concern. The nurse speaks with the distant family members and states she is referring them to the hospital social worker, whoserole
is to work with family in this situation. What role is the nurse assuming through this action?
a. Manager
b. Leader
c. Follower
d. Laissez-faire
ANS: A
As a manager, you are concerned with managing and coordinating resources to achieve outcomes in accordance with
established clinical processes. Referral to a social worker alleviates demand on staff time and is consistent with hospital
procedures.
TOP: AONE competency: Communication and Relationship-Building
6|P a g e
1|P a g e
, Test Bank for Leading and Managing in Nursing 8th Edition (Mosby, 2022) by Patricia S. Yoder Wise and Susan Sportsman, all 25 Chapters Covered
Chapter 01: Leading, Managing, and Following
Yoder-Wise: Leading and Managing in Nursing, 8th Edition
MULTIPLE CHOICE
1. A nurse manager of a 20-bed medical unit finds that 80% of the patients are older adults. She is asked to assess and adapt the unit to
better meet the unique needs of the older adult patient.Using complexity principles, what would be the best approach to take for
implementation of this change?
a. Leverage the hierarchical management position to get unit staff involved in assessment and planning.
b. Engage involved staff at all levels in the decision-making process.
c. Focus the assessment on the unit and omit the hospital and community environment.
d. Hire a geriatric specialist to oversee and control the project.
ANS: B
Complexity theory suggests that systems interact and adapt and that decision making occurs throughout the systems, as opposed to
being held in a hierarchy. In complexity theory, every voice counts, and therefore, all levels of staff would be involved in decision
making.
TOP: AONE competency: Communication and Relationship-Building
2. A unit manager of a 25-bed medical/surgical area receives a phone call from a nurse who has called in sick five times in the past
month. He tells the manager that he very much wants to come to work when scheduled but must often care for his wife, who is undergoing
eds of this
nurse, other staff, and patients?
a. Line up agency nurses who can be called in to work on short notice.
b. Place the nurse on unpaid leave for the remainder of his treatment.
c. Sympathize with the dilemma and let the charge nurse know that thisnurse may be calling in frequently in the
future.
d. Work with the nurse, staffing office, and other nurses to arrange his
treatments.
ANS: D
Placing the nurse on unpaid leave may threaten the capacity to meet physiologic needs and demotivate the nurse. Unsatisfactory
coverage of shifts on short notice could affect patient care and threaten the needs of staff to feel competent. Arranging the schedule
TOP: AONE competency: Communication and Relationship-Building
3. A grievance brought by a staff nurse against the unit manager requires mediation. At the first mediation session, the staff nurse
to reiterate the reasons for the actions. What would be the
best courseof action at this time?
a. Send the two disputants away to reach their own resolution.
b. Involve another staff nurse in the discussion for clarity issues.
2|P a g e
, Test Bank for Leading and Managing in Nursing 8th Edition (Mosby, 2022) by Patricia S. Yoder Wise and Susan Sportsman, all 25 Chapters Covered
c. Ask each party to examine their own motives and issues in the conflict.
d. Continue to listen as the parties repeat their thoughts and feelings about the conflict.
ANS: C
For resolution of conflict, one should address the interests and involvement of participants in the conflict by examining the real issues
of all parties.
TOP: AONE competency: Communication and Relationship-Building
4. At a second negotiation session, the unit manager and staff nurse are unable to reach a resolution. What is the appropriate
next step?
a. Arrange another meeting in a time so as to allow a cooling-off period.
b. Elevate the next negation session to the next manager, one level above.
c. Insist that participants continue to talk until a resolution has been reached.
d. Back the unit actions and end the dispute.
ANS: B
Part of leadership is understanding conflict resolution and ability to negotiate and manage for resolution of issues and concerns. This
situation has failed a second negotiation session, elevation to a manager with additional training to facilitate conflict resolution is
important at this point.
TOP: AONE competency: Communication and Relationship-Building
5. The manager of a surgical area has a vision for the future that requires the addition of RN assistants or unlicensed persons to feed,
bathe, and ambulate patients. The RNs on the staff have always practiced in a primary nursing-delivery system and are very resistant to this
idea.What would be the best initial strategy for implementation of this change?
a. Exploring the values and feelings of the RN group in relationship to this change
b. Leaving the RNs alone for a time so they can think about the change before it is implemented
c. Dropping the idea and trying for the change in a year or so when some of the present RNs have retired
d. Hiring the assistants and allowing the RNs to see what good additions they are
ANS: A
Influencing others requires emotional intelligence in domains such as empathy, handling relationships, deepening self-awareness in
self and others, motivating others, and managing emotions. Motivating others recognizes that values are powerful forces that influence
acceptance of change. Leaving the RNs alone for a period of time before implementation does not provide opportunity to explore
different perspectives and values. Avoiding discussion until the team changes may not promote adoption of the change until there is
opportunity to explore perspectives and values related to the change. Hiring of the assistants demonstrates lack of empathy for the
perspectives of the RN staff.
TOP: AONE competency: Knowledge of the Health Care Environment
3|P a g e
, Test Bank for Leading and Managing in Nursing 8th Edition (Mosby, 2022) by Patricia S. Yoder Wise and Susan Sportsman, all 25 Chapters Covered
6. As the RN charge nurse on the night shift in a small long-term care facility, found that there is little turnover among your LPN
and nursing assistant (NA) staff members, but they are not very motivated to go beyond their job descriptions in their work. Which of the
following strategies might motivate the staff and lead to greater job satisfaction?
a. Ask the director of nursing to offer higher wages and bonuses for extra work for the night LPNs and NAs.
b. Allow the LPNs and NAs greater decision-making power within the scope of their positions in the institution.
c. Hire additional staff so that there are more staff available for enhanced care,and individual workloads are lessened.
d. Ask the director of nursing to increase job security for night staff by having them sign contracts that guarantee work.
ANS: B
Hygiene factors such as salary, working conditions, and security are consistent with -factor theory of motivation;
meeting these needs avoids job dissatisfaction. Motivator factors such as recognition and satisfaction with work promote a satisfying
and enriched work environment. Transformational leaders use motivator factors liberally to inspire work performance and increase job
satisfaction.
TOP: AONE competency: Communication and Relationship-Building
7. The nurse manager wants to increase motivation by providing motivating factors for thenurse on the unit. What action would be
appropriate to motivate the staff?
a. Collaborate with the human resource/personnel department to develop on-site daycare services.
b. Provide a hierarchical organizational structure.
c. Implement a model of shared governance.
d. Promote the development of a flexible benefits package.
ANS: C
Complexity theory suggests that systems interact and adapt and that decision making occurs throughout systems, as opposed to being
held in a hierarchy. In complexity theory, every voice counts, and therefore all levels of staff would be involved in decision making.
This principle is the foundation of shared governance.
TOP: AONE competency: Communication and Relationship-Building
8. The nurse manager has been asked to implement an evidence-based approach to teach ostomy patients self-management skills
postoperatively. The program is to be implemented across theentire facility. What illustrates effective leadership in this situation?
a. The training modules are left in the staff room for times when staff are available.
b. The current approach is continued because it is also evidence-based and is more familiar to staff.
c. You decide to implement the approach at a later date because of feedback from the RNs that the new approach takes
too much time.
d. An RN who is already familiar with the new approach of volunteers to take the lead in mentoring and teaching
others how to implement it.
ANS: D
4|P a g e
, Test Bank for Leading and Managing in Nursing 8th Edition (Mosby, 2022) by Patricia S. Yoder Wise and Susan Sportsman, all 25 Chapters Covered
Followership occurs when there is acquiescence to a peer who is leading in a setting where a team has gathered to ensure the best
clinical decision making, and actions are taken to achieve clinical or organizational outcomes. Followership promotes good clinical
decisions and use of clinical resources.
TOP: AONE competency: Communication and Relationship-Building
9. very upset. The charge nurse
determines that he has not slept for three nights because of unrelieved pain levels. The LPN is very upset and calls Mr. Smith an ―ugly, old
man.‖ The aggressive but was
related to lack of sleep and to pain. The charge nurse asks, ―Can you, together with Mr. Smith, determine triggers for the pain and effective
approaches to controlling his pain?‖ This situation is an example of what?
a. Lack of empathy and understanding for Miss Jones
b. Concern with placating Mr. Smith
c. Leadership behavior
d. Management behavior
ANS: C
The situation between Mr. Smith and Miss Jones is a complex situation involving unrelieved patient symptoms and aggressiveness
toward a staff member. Providing engaged, collaborative guidance and decision making in a complex situation where there is no
standardized solution reflects leadership.
TOP: AONE competency: Leadership
10. You overhear a new graduate RN telling a nurse colleague that leadership and management belong to the unit manager, not to her. As
a nursing colleague, what do you know to be true inregard to the statement?
a. The statement is correct. Leadership is not the role of the staff nurse.
b. The new graduate would benefit from further understanding of her role as a professional, whose influence
may affect the decision making of patients, colleagues, and other professionals.
c. The new graduate has been influenced by nurse leaders and managers who leave for other positions.
d. The general perception is that nurse leaders and managers are not satisfied in their jobs.
ANS: B
Care coordination that involves the intersection of individual, family, and community-based needs requires that nurses have self-
confidence, knowledge of organizations and health systems, and an inner desire to lead and manage. There is often a view that
leadership is isolated to those holding managerial positions, and that a direct care nurse is subject to following by adhering to the
direction of others. Such views fail to acknowledge that to be a nurse requires each licensed individual to lead, manage, and follow
when practicing at the point-of-care and beyond.
TOP: AONE competency: Leadership
11. After assessing an older adult patient in long-term care who has been slowly deteriorating for weeks, the nurse manager calls the
family and asks them to come in, as the patient is dying. What request?
a. An established clinical pathway
b. Confirmatory scientific evidence
c. Unit protocol
5|P a g e
, Test Bank for Leading and Managing in Nursing 8th Edition (Mosby, 2022) by Patricia S. Yoder Wise and Susan Sportsman, all 25 Chapters Covered
d. Experience
ANS: D
The nurse manager is employing knowledge and experience in determining that the patient is dying, because the course of dying is not
standardized and cannot be determined by clinical pathways.
TOP: AONE competency: Knowledge of the Health Care Environment
12. Chart audits have revealed significant omissions of data that could have legal and financial guideline ramifications. The unit
manager meets with the staff to discuss audit findings and tofind approaches that will address the gaps in charting and achieve desired goals.
What is the manager demonstrating?
a. Leadership
b. Management
c. Decision making
d. Vision
ANS: B
The process of guiding others to meet established goals, outcomes, and procedures is management. This can require collaborative
decision making to determine how best to reach predetermined goals and follow established practices.
TOP: AONE competency: Knowledge of the Health Care Environment
13. A family is keeping vigil at a critically ill bedside. Distant family members call the unit continuously asking for updates and
expressing concern. The nurse speaks with the distant family members and states she is referring them to the hospital social worker, whoserole
is to work with family in this situation. What role is the nurse assuming through this action?
a. Manager
b. Leader
c. Follower
d. Laissez-faire
ANS: A
As a manager, you are concerned with managing and coordinating resources to achieve outcomes in accordance with
established clinical processes. Referral to a social worker alleviates demand on staff time and is consistent with hospital
procedures.
TOP: AONE competency: Communication and Relationship-Building
6|P a g e
