,Chapterg501:g5Leading,g5Managing,g5andg5Following
Yoder-Wise:g5Leadingg5andg5Managingg5ing5Nursing,g58thg5Edition
MULTIPLEg5CHOICE
1. Ag 5 nurseg 5 managerg 5 ofg 5 ag 5 20-
bedg 5 medicalg 5 unitg 5 findsg 5 thatg 5 80%g 5 ofg 5 theg 5 patientsg 5 areg 5 olderg 5 adults.g 5 Sheg 5 isg 5
askedg 5 tog 5 assessg 5 andg 5 adaptg 5 theg 5 unitg 5 tog 5 betterg 5 meetg 5 theg 5 uniqueg 5 needsg 5 ofg
5 theg 5 olderg 5 adultg5patient.g5Usingg5complexityg5principles,g5whatg5wouldg5beg5theg5bestg5app
roachg5tog5takeg5forg 5 implementationg5ofg5thisg5change?
a. Leverageg5theg5hierarchicalg5managementg5positiong5tog5getg5unitg5staffg5in
volvedg 5 ing5assessmentg5andg5planning.
b. Engageg 5 involvedg 5 staffg5 atg 5 allg 5 levelsg 5 ing5 theg 5 decision-makingg 5 process.
c. Focusg5theg5assessmentg5ong5theg5unitg5andg5omitg5theg5hospitalg5andg
5 communityg5environment.
d. Hireg 5 ag 5 geriatricg5 specialistg 5 tog 5 overseeg 5 andg 5 controlg 5 theg 5 project.
ANS:g 5 B
Complexityg5theoryg5suggestsg5thatg5systemsg5interactg5andg5adaptg5andg5thatg5decisiong5mak
ingg 5 occursg5throughoutg5theg5systems,g5asg5opposedg5tog5beingg5heldg5ing5ag5hierarchy.g5Ing
5complexityg 5 theory,g5everyg5voiceg5counts,g5andg5therefore,g5allg5levelsg5ofg5staffg5wouldg5b
eg5involvedg5ing5decisiong 5 making.
TOP:g 5 AONEg 5 competency:g 5 Communicationg 5 andg 5 Relationship-Building
2. Ag5unitg5managerg5ofg5ag 5 25-
bedg 5 medical/surgicalg5areag 5 receivesg5ag5phoneg 5 callg5fromg 5 ag5nurseg 5 whohasg5call
edg 5 ing5sickg 5 fiveg 5 timesg5ing5theg 5 pastg5month.g5Heg 5 tellsg5theg 5 managerg5thatg5heg 5 ve
ryg 5 muchg5wantsg5tog 5 comeg 5 tog5workg5wheng5scheduledg 5 butg5mustg5ofteng5careg 5 forg5
hisg 5 wife,g5whog5isg 5 undergoingg5treatmentg5forg5breastg5cancer.g5Accordingg5tog 5 Maslo
w‘sg5needg5hierarchyg5theory,g 5 whatg5wouldg5beg5theg5bestg5approachg5tog5satisfyingg5the
g5needsg5ofg5thisg 5 nurse,g5otherg5staff,g5andg 5 patients?
a. Lineg 5 upg 5 agencyg5 nursesg 5 whog 5 cang 5 beg 5 calledg 5 ing5 tog 5 workg5 ong 5 shortg 5 notice.
b. Placeg 5 theg 5 nurseg 5 ong 5 unpaidg 5 leaveg 5 forg 5 theg 5 remainderg 5 ofg 5 hisg 5 wife‘sg 5 treatment.
c. Sympathizeg5withg5theg5nurse‘sg5dilemmag5andg5letg5theg5chargeg5nurseg5knowg
5thatg5thisg 5 nurseg5mayg5beg5callingg5ing5frequentlyg5ing5theg 5 future.
d. Workg5 withg 5 theg 5 nurse,g 5 staffingg 5 office,g 5 andg 5 otherg5 nursesg 5 tog 5 arrange
hisscheduledg 5 daysg 5 offg 5 aroundg 5 hisg 5 wife‘sg 5 treatments.
ANS:g 5 D
Placingg5theg5nurseg5ong5unpaidg5leaveg5mayg5threateng5theg5nurse‘sg5capacityg5tog5meetg5p
hysiologicg 5 needsg5andg5demotivateg5theg5nurse.g5Unsatisfactoryg5coverageg5ofg5shiftsg5on
g5shortg5noticeg 5 couldg 5 affectg5patientg5careg5andg5threateng5theg5needsg5ofg5staffg5tog5feelg5
competent.g5Arrangingg5theg 5 scheduleg 5 aroundg5theg5wife‘sg5needsg5meetsg5theg5needsg5o
fg5theg5staffg5andg5ofg5patientsg5whileg 5 satisfyingg5theg5nurse‘sg5needg5forg5affiliation.
TOP:g 5 AONEg 5 competency:g 5 Communicationg 5 andg 5 Relationship-Building
3. Ag5grievanceg 5 broughtg5byg5ag 5 staffg5nurseg5againstg5theg 5 unitg5managerg5requiresg5mediati
on.g5Atg5theg 5 firstg5mediationg5session,g5theg5staffg5nurseg 5 repeatedlyg5callsg5theg5unitg5man
ager‘sg5actionsg5unfair,g 5 andg5theg5unitg5managerg5continuesg5tog5reiterateg5theg5reasonsg5fo
rg5theg5actions.g5Whatg5wouldg5beg5theg 5 bestg5courseg 5 ofg5actiong5atg5thisg 5 time?
a. Sendg 5 theg 5 twog 5 disputantsg 5 awayg 5 tog 5 reachg 5 theirg 5 owng 5 resolution.
b. Involveg 5 anotherg5 staffg 5 nurseg 5 ing5 theg 5 discussiong 5 forg 5 clarityg 5 issues.
, c. Askg5 eachg 5 partyg 5 tog 5 examineg 5 theirg 5 owng 5 motivesg 5 andg 5 issuesg 5 ing5 theg 5 conflict.
d. Continueg5tog5listeng5asg5theg5partiesg5repeatg5theirg5thoughtsg5andg5feelin
gsg5aboutg 5 theg 5 conflict.
ANS:g5 C
Forg5resolutiong5ofg5conflict,g5oneg5shouldg5addressg5theg5interestsg5andg5involvementg5ofg5p
articipantsg 5 ing5theg5conflictg5byg5examiningg5theg5realg5issuesg5ofg5allg5parties.
TOP:g 5 AONEg 5 competency:g 5 Communicationg 5 andg 5 Relationship-Building
4. Atg5ag5secondg5negotiationg5session,g5theg5unitg5managerg5andg5staffg5nurseg5areg
5unableg5tog 5 reachg5ag 5 resolution.g5Whatg5isg5theg5appropriateg5nextg 5 step?
a. Arrangeg 5 anotherg 5 meetingg 5 ing5 ag 5 week‘sg 5 timeg 5 sog 5 asg 5 tog 5 allowg 5 ag 5 cooling-
offg 5 period.
b. Elevateg 5 theg 5 nextg 5 negationg 5 sessiong 5 tog 5 theg 5 nextg 5 manager,g 5 oneg 5 levelg 5 above.
c. Insistg5 thatg 5 participantsg 5 continueg 5 tog 5 talkg 5 untilg 5 ag 5 resolutiong 5 hasg 5 beeng5reached.
d. Backg5 theg 5 unitg 5 manager‘sg 5 actionsg 5 andg 5 endg 5 theg 5 dispute.
ANS:g5 B
Partg5ofg5leadershipg5isg5understandingg5conflictg5resolutiong5andg5abilityg5tog5negotiateg5an
dg5manageg 5 forg5resolutiong5ofg5issuesg5andg 5 concerns.g5Thisg5situationg5hasg5failedg5ag 5 s
econdg5negotiationg 5 session,g5elevationg5tog5ag 5 managerg5withg5additionalg5trainingg 5 tog5f
acilitateg 5 conflictg5resolutiong5isg 5 importantg5atg5thisg5point.
TOP:g 5 AONEg 5 competency:g 5 Communicationg 5 andg 5 Relationship-Building
5. Theg 5 managerg5ofg 5 ag 5 surgicalg 5 areag 5 hasg 5 ag 5 visiong5forg5theg 5 futureg 5 thatg 5 requiresg 5 the
g 5 additiong5ofg 5 RNg 5 assistantsg5org5unlicensedg 5 personsg 5 tog5feed,g5bathe,g5andg 5 ambulate
g 5 patients.g5Theg 5 RNsg5ong5theg 5 staffg5haveg5alwaysg5practicedg 5 ing5ag5primaryg5nursing-
deliveryg5systemg5andg5areg5veryg5resistantg5tog 5 thisg5idea.g 5 Whatg 5 wouldg 5 beg 5 theg 5 bestg
5 initialg 5 strategyg 5 forg 5 implementationg 5 ofg 5 thisg 5 change?
a. Exploringg5 theg 5 valuesg 5 andg 5 feelingsg 5 ofg 5 theg 5 RNg 5 groupg 5 ing5 relationshipg 5 tog 5 thisg5chan
ge
b. Leavingg5theg5RNsg5aloneg 5 forg5ag5timeg5sog5theyg5cang 5 thinkg 5 aboutg5theg5chan
geg5beforeg 5 itg 5 isg5implemented
c. Droppingg5theg5ideag5andg5tryingg5forg5theg5changeg5ing5ag 5 yearg5org5sog5wh
eng5someg5ofg 5 theg5presentg5RNsg5haveg5retired
d. Hiringg 5 theg 5 assistantsg 5 andg 5 allowingg 5 theg 5 RNsg 5 tog 5 seeg 5 whatg 5 goodg 5 additionsg 5 theyg 5 a
re
ANS:g5 A
Influencingg5othersg5requiresg5emotionalg5intelligenceg5ing5domainsg5suchg5asg5empathy,g5
handlingg 5 relationships,g5deepeningg5self-
awarenessg5ing5selfg5andg5others,g5motivatingg5others,g5andg 5 managingg5emotions.g5Motiva
tingg5othersg5recognizesg5thatg5valuesg5areg5powerfulg5forcesg5thatg 5 influenceg5acceptanc
eg5ofg5change.g5Leavingg5theg5RNsg5aloneg5forg5ag5periodg5ofg5timeg5beforeg 5 implementation
g5doesg5notg5provideg5opportunityg5tog5exploreg5differentg5perspectivesg5andg5values.g 5 Avoi
dingg5discussiong5untilg5theg5teamg 5 changesg5mayg5notg5promoteg5adoptiong5ofg5theg5chang
eg5untilg 5 thereg5isg5opportunityg5tog 5 exploreg5perspectivesg5andg5valuesg5relatedg5tog5theg5
change.g5Hiringg5ofg5theg 5 assistantsg5demonstratesg5lackg5ofg 5 empathyg5forg5theg 5 perspe
ctivesg5ofg 5 theg 5 RNg 5 staff.
TOP:g5 AONEg5 competency:g5 Knowledgeg5 ofg5theg5 Healthg5 Careg5 Environment
, 6. Asg 5 theg 5 RNg 5 chargeg 5 nurseg 5 ong 5 theg 5 nightg 5 shiftg 5 ing 5 ag 5 smallg 5 long-
termg 5 careg 5 facility,g 5 you‘veg 5 foundg 5 thatg5thereg5isg5littleg 5 turnoverg5amongg5yourg5LPNg5a
ndg5nursingg5assistantg5(NA)g 5 staffg5members,g5butg 5 theyg5areg5notg5veryg5motivatedg5tog5gog5
beyondg5theirg5jobg5descriptionsg5ing 5 theirg5work.g5Whichg5ofg 5 theg 5 followingg 5 strategiesg5m
ightg5motivateg 5 theg 5 staffg5andg 5 leadg 5 tog5greaterg5jobg5satisfaction?
a. Askg5theg5directorg5ofg5nursingg5tog5offerg5higherg5wagesg5andg5bonusesg5forg5e
xtrag5workg 5 forg5theg5nightg5LPNsg 5 andg5NAs.
b. Allowg5theg5LPNsg5andg5NAsg5greaterg5decision-
makingg5powerg5withing5theg5scopeg 5 ofg 5 theirg5positionsg5ing5theg5institution.
c. Hireg5additionalg5staffg5sog5thatg5thereg5areg5moreg5staffg5availableg5forg5enhan
cedg 5 care,g 5 andg5individualg5workloadsg5areg5lessened.
d. Askg5theg5directorg5ofg5nursingg5tog5increaseg5jobg5securityg5forg5nightg5staffg5
byg5havingg 5 themg 5 signg5contractsg 5 thatg5guaranteeg5work.
ANS:g5 B
Hygieneg5factorsg5suchg5asg5salary,g5workingg5conditions,g 5 andg5securityg5areg5consistentg5
withg 5 Herzberg‘sg5two-
factorg5theoryg5ofg5motivation;g5meetingg5theseg5needsg5avoidsg5jobg5dissatisfaction.g 5 Motiva
torg5factorsg5suchg 5 asg5recognitiong5andg5satisfactiong5withg5workg5promoteg5ag 5 satisfyingg5
andg 5 enrichedg5workg5environment.g5Transformationalg5leadersg5useg5motivatorg5factorsg5li
berallyg5tog 5 inspireg5workg5performanceg5andg5increaseg5jobg5satisfaction.
TOP:g 5 AONEg 5 competency:g 5 Communicationg 5 andg 5 Relationship-Building
7. Theg5nurseg5managerg5wantsg5tog5increaseg 5 motivationg5byg5providingg5motivatingg5fa
ctorsg5forg 5 thenurseg 5 ong 5 theg 5 unit.g 5 Whatg 5 actiong 5 wouldg 5 beg 5 appropriateg 5 tog 5
motivateg 5 theg 5 staff?
a. Collaborateg5withg5theg5humang5resource/personnelg5departmentg5tog5devel
opg5on-g 5 siteg5daycareg5services.
b. Provideg5 ag 5 hierarchicalg 5 organizationalg 5 structure.
c. Implementg 5 ag 5 modelg 5 ofg 5 sharedg 5 governance.
d. Promoteg 5 theg 5 developmentg 5 ofg 5 ag 5 flexibleg 5 benefitsg 5 package.
ANS:g5 C
Complexityg5theoryg5suggestsg5thatg5systemsg5interactg5andg5adaptg5andg5thatg5decisiong5m
akingg 5 occursg 5 throughoutg5systems,g5asg5opposedg5tog5beingg5heldg5ing5ag 5 hierarchy.g5Ing5
complexityg5theory,g 5 everyg5voiceg5counts,g5andg5thereforeg5allg5levelsg5ofg5staffg5wouldg5b
eg5involvedg5ing5decisiong5making.g 5 Thisg5principleg 5 isg5theg5foundationg5ofg5sharedg5gove
rnance.
TOP:g 5 AONEg 5 competency:g 5 Communicationg 5 andg 5 Relationship-Building
8. Theg5nurseg5managerg5hasg5beeng5askedg5tog5implementg5ang5evidence-
basedg5approachg5tog5teachg 5 ostomyg5patientsg5self-
managementg5skillsg5postoperatively.g5Theg5programg5isg5tog5beg5implementedg 5 acrossg5theg 5
entireg 5 facility.g5Whatg5illustratesg5effectiveg 5 leadershipg5ing5thisg 5 situation?
a. Theg 5 trainingg 5 modulesg 5 areg 5 leftg 5 ing5 theg 5 staffg 5 roomg 5 forg 5 timesg 5 wheng 5 staffg 5 areg 5 avai
lable.
b. Theg5currentg5approachg5isg5continuedg5becauseg5itg5isg5alsog5evidence-
basedg5andg5isg 5 moreg5familiarg5tog5staff.
c. Youg5decideg5tog5implementg5theg5approachg5atg5ag5laterg5dateg5becauseg5ofg5feed
backg5fromg 5 theg5RNsg5thatg5theg5newg5approachg5takesg5toog5muchg5time.
d. Ang5RNg5whog5isg5alreadyg5familiarg5withg5theg 5 newg5approachg5ofg5voluntee
rsg5tog5takeg 5 theg 5 leadg 5 ing5mentoringg 5 andg 5 teachingg 5 othersg5howg5tog 5
implementg 5 it.
ANS:g5 D
Yoder-Wise:g5Leadingg5andg5Managingg5ing5Nursing,g58thg5Edition
MULTIPLEg5CHOICE
1. Ag 5 nurseg 5 managerg 5 ofg 5 ag 5 20-
bedg 5 medicalg 5 unitg 5 findsg 5 thatg 5 80%g 5 ofg 5 theg 5 patientsg 5 areg 5 olderg 5 adults.g 5 Sheg 5 isg 5
askedg 5 tog 5 assessg 5 andg 5 adaptg 5 theg 5 unitg 5 tog 5 betterg 5 meetg 5 theg 5 uniqueg 5 needsg 5 ofg
5 theg 5 olderg 5 adultg5patient.g5Usingg5complexityg5principles,g5whatg5wouldg5beg5theg5bestg5app
roachg5tog5takeg5forg 5 implementationg5ofg5thisg5change?
a. Leverageg5theg5hierarchicalg5managementg5positiong5tog5getg5unitg5staffg5in
volvedg 5 ing5assessmentg5andg5planning.
b. Engageg 5 involvedg 5 staffg5 atg 5 allg 5 levelsg 5 ing5 theg 5 decision-makingg 5 process.
c. Focusg5theg5assessmentg5ong5theg5unitg5andg5omitg5theg5hospitalg5andg
5 communityg5environment.
d. Hireg 5 ag 5 geriatricg5 specialistg 5 tog 5 overseeg 5 andg 5 controlg 5 theg 5 project.
ANS:g 5 B
Complexityg5theoryg5suggestsg5thatg5systemsg5interactg5andg5adaptg5andg5thatg5decisiong5mak
ingg 5 occursg5throughoutg5theg5systems,g5asg5opposedg5tog5beingg5heldg5ing5ag5hierarchy.g5Ing
5complexityg 5 theory,g5everyg5voiceg5counts,g5andg5therefore,g5allg5levelsg5ofg5staffg5wouldg5b
eg5involvedg5ing5decisiong 5 making.
TOP:g 5 AONEg 5 competency:g 5 Communicationg 5 andg 5 Relationship-Building
2. Ag5unitg5managerg5ofg5ag 5 25-
bedg 5 medical/surgicalg5areag 5 receivesg5ag5phoneg 5 callg5fromg 5 ag5nurseg 5 whohasg5call
edg 5 ing5sickg 5 fiveg 5 timesg5ing5theg 5 pastg5month.g5Heg 5 tellsg5theg 5 managerg5thatg5heg 5 ve
ryg 5 muchg5wantsg5tog 5 comeg 5 tog5workg5wheng5scheduledg 5 butg5mustg5ofteng5careg 5 forg5
hisg 5 wife,g5whog5isg 5 undergoingg5treatmentg5forg5breastg5cancer.g5Accordingg5tog 5 Maslo
w‘sg5needg5hierarchyg5theory,g 5 whatg5wouldg5beg5theg5bestg5approachg5tog5satisfyingg5the
g5needsg5ofg5thisg 5 nurse,g5otherg5staff,g5andg 5 patients?
a. Lineg 5 upg 5 agencyg5 nursesg 5 whog 5 cang 5 beg 5 calledg 5 ing5 tog 5 workg5 ong 5 shortg 5 notice.
b. Placeg 5 theg 5 nurseg 5 ong 5 unpaidg 5 leaveg 5 forg 5 theg 5 remainderg 5 ofg 5 hisg 5 wife‘sg 5 treatment.
c. Sympathizeg5withg5theg5nurse‘sg5dilemmag5andg5letg5theg5chargeg5nurseg5knowg
5thatg5thisg 5 nurseg5mayg5beg5callingg5ing5frequentlyg5ing5theg 5 future.
d. Workg5 withg 5 theg 5 nurse,g 5 staffingg 5 office,g 5 andg 5 otherg5 nursesg 5 tog 5 arrange
hisscheduledg 5 daysg 5 offg 5 aroundg 5 hisg 5 wife‘sg 5 treatments.
ANS:g 5 D
Placingg5theg5nurseg5ong5unpaidg5leaveg5mayg5threateng5theg5nurse‘sg5capacityg5tog5meetg5p
hysiologicg 5 needsg5andg5demotivateg5theg5nurse.g5Unsatisfactoryg5coverageg5ofg5shiftsg5on
g5shortg5noticeg 5 couldg 5 affectg5patientg5careg5andg5threateng5theg5needsg5ofg5staffg5tog5feelg5
competent.g5Arrangingg5theg 5 scheduleg 5 aroundg5theg5wife‘sg5needsg5meetsg5theg5needsg5o
fg5theg5staffg5andg5ofg5patientsg5whileg 5 satisfyingg5theg5nurse‘sg5needg5forg5affiliation.
TOP:g 5 AONEg 5 competency:g 5 Communicationg 5 andg 5 Relationship-Building
3. Ag5grievanceg 5 broughtg5byg5ag 5 staffg5nurseg5againstg5theg 5 unitg5managerg5requiresg5mediati
on.g5Atg5theg 5 firstg5mediationg5session,g5theg5staffg5nurseg 5 repeatedlyg5callsg5theg5unitg5man
ager‘sg5actionsg5unfair,g 5 andg5theg5unitg5managerg5continuesg5tog5reiterateg5theg5reasonsg5fo
rg5theg5actions.g5Whatg5wouldg5beg5theg 5 bestg5courseg 5 ofg5actiong5atg5thisg 5 time?
a. Sendg 5 theg 5 twog 5 disputantsg 5 awayg 5 tog 5 reachg 5 theirg 5 owng 5 resolution.
b. Involveg 5 anotherg5 staffg 5 nurseg 5 ing5 theg 5 discussiong 5 forg 5 clarityg 5 issues.
, c. Askg5 eachg 5 partyg 5 tog 5 examineg 5 theirg 5 owng 5 motivesg 5 andg 5 issuesg 5 ing5 theg 5 conflict.
d. Continueg5tog5listeng5asg5theg5partiesg5repeatg5theirg5thoughtsg5andg5feelin
gsg5aboutg 5 theg 5 conflict.
ANS:g5 C
Forg5resolutiong5ofg5conflict,g5oneg5shouldg5addressg5theg5interestsg5andg5involvementg5ofg5p
articipantsg 5 ing5theg5conflictg5byg5examiningg5theg5realg5issuesg5ofg5allg5parties.
TOP:g 5 AONEg 5 competency:g 5 Communicationg 5 andg 5 Relationship-Building
4. Atg5ag5secondg5negotiationg5session,g5theg5unitg5managerg5andg5staffg5nurseg5areg
5unableg5tog 5 reachg5ag 5 resolution.g5Whatg5isg5theg5appropriateg5nextg 5 step?
a. Arrangeg 5 anotherg 5 meetingg 5 ing5 ag 5 week‘sg 5 timeg 5 sog 5 asg 5 tog 5 allowg 5 ag 5 cooling-
offg 5 period.
b. Elevateg 5 theg 5 nextg 5 negationg 5 sessiong 5 tog 5 theg 5 nextg 5 manager,g 5 oneg 5 levelg 5 above.
c. Insistg5 thatg 5 participantsg 5 continueg 5 tog 5 talkg 5 untilg 5 ag 5 resolutiong 5 hasg 5 beeng5reached.
d. Backg5 theg 5 unitg 5 manager‘sg 5 actionsg 5 andg 5 endg 5 theg 5 dispute.
ANS:g5 B
Partg5ofg5leadershipg5isg5understandingg5conflictg5resolutiong5andg5abilityg5tog5negotiateg5an
dg5manageg 5 forg5resolutiong5ofg5issuesg5andg 5 concerns.g5Thisg5situationg5hasg5failedg5ag 5 s
econdg5negotiationg 5 session,g5elevationg5tog5ag 5 managerg5withg5additionalg5trainingg 5 tog5f
acilitateg 5 conflictg5resolutiong5isg 5 importantg5atg5thisg5point.
TOP:g 5 AONEg 5 competency:g 5 Communicationg 5 andg 5 Relationship-Building
5. Theg 5 managerg5ofg 5 ag 5 surgicalg 5 areag 5 hasg 5 ag 5 visiong5forg5theg 5 futureg 5 thatg 5 requiresg 5 the
g 5 additiong5ofg 5 RNg 5 assistantsg5org5unlicensedg 5 personsg 5 tog5feed,g5bathe,g5andg 5 ambulate
g 5 patients.g5Theg 5 RNsg5ong5theg 5 staffg5haveg5alwaysg5practicedg 5 ing5ag5primaryg5nursing-
deliveryg5systemg5andg5areg5veryg5resistantg5tog 5 thisg5idea.g 5 Whatg 5 wouldg 5 beg 5 theg 5 bestg
5 initialg 5 strategyg 5 forg 5 implementationg 5 ofg 5 thisg 5 change?
a. Exploringg5 theg 5 valuesg 5 andg 5 feelingsg 5 ofg 5 theg 5 RNg 5 groupg 5 ing5 relationshipg 5 tog 5 thisg5chan
ge
b. Leavingg5theg5RNsg5aloneg 5 forg5ag5timeg5sog5theyg5cang 5 thinkg 5 aboutg5theg5chan
geg5beforeg 5 itg 5 isg5implemented
c. Droppingg5theg5ideag5andg5tryingg5forg5theg5changeg5ing5ag 5 yearg5org5sog5wh
eng5someg5ofg 5 theg5presentg5RNsg5haveg5retired
d. Hiringg 5 theg 5 assistantsg 5 andg 5 allowingg 5 theg 5 RNsg 5 tog 5 seeg 5 whatg 5 goodg 5 additionsg 5 theyg 5 a
re
ANS:g5 A
Influencingg5othersg5requiresg5emotionalg5intelligenceg5ing5domainsg5suchg5asg5empathy,g5
handlingg 5 relationships,g5deepeningg5self-
awarenessg5ing5selfg5andg5others,g5motivatingg5others,g5andg 5 managingg5emotions.g5Motiva
tingg5othersg5recognizesg5thatg5valuesg5areg5powerfulg5forcesg5thatg 5 influenceg5acceptanc
eg5ofg5change.g5Leavingg5theg5RNsg5aloneg5forg5ag5periodg5ofg5timeg5beforeg 5 implementation
g5doesg5notg5provideg5opportunityg5tog5exploreg5differentg5perspectivesg5andg5values.g 5 Avoi
dingg5discussiong5untilg5theg5teamg 5 changesg5mayg5notg5promoteg5adoptiong5ofg5theg5chang
eg5untilg 5 thereg5isg5opportunityg5tog 5 exploreg5perspectivesg5andg5valuesg5relatedg5tog5theg5
change.g5Hiringg5ofg5theg 5 assistantsg5demonstratesg5lackg5ofg 5 empathyg5forg5theg 5 perspe
ctivesg5ofg 5 theg 5 RNg 5 staff.
TOP:g5 AONEg5 competency:g5 Knowledgeg5 ofg5theg5 Healthg5 Careg5 Environment
, 6. Asg 5 theg 5 RNg 5 chargeg 5 nurseg 5 ong 5 theg 5 nightg 5 shiftg 5 ing 5 ag 5 smallg 5 long-
termg 5 careg 5 facility,g 5 you‘veg 5 foundg 5 thatg5thereg5isg5littleg 5 turnoverg5amongg5yourg5LPNg5a
ndg5nursingg5assistantg5(NA)g 5 staffg5members,g5butg 5 theyg5areg5notg5veryg5motivatedg5tog5gog5
beyondg5theirg5jobg5descriptionsg5ing 5 theirg5work.g5Whichg5ofg 5 theg 5 followingg 5 strategiesg5m
ightg5motivateg 5 theg 5 staffg5andg 5 leadg 5 tog5greaterg5jobg5satisfaction?
a. Askg5theg5directorg5ofg5nursingg5tog5offerg5higherg5wagesg5andg5bonusesg5forg5e
xtrag5workg 5 forg5theg5nightg5LPNsg 5 andg5NAs.
b. Allowg5theg5LPNsg5andg5NAsg5greaterg5decision-
makingg5powerg5withing5theg5scopeg 5 ofg 5 theirg5positionsg5ing5theg5institution.
c. Hireg5additionalg5staffg5sog5thatg5thereg5areg5moreg5staffg5availableg5forg5enhan
cedg 5 care,g 5 andg5individualg5workloadsg5areg5lessened.
d. Askg5theg5directorg5ofg5nursingg5tog5increaseg5jobg5securityg5forg5nightg5staffg5
byg5havingg 5 themg 5 signg5contractsg 5 thatg5guaranteeg5work.
ANS:g5 B
Hygieneg5factorsg5suchg5asg5salary,g5workingg5conditions,g 5 andg5securityg5areg5consistentg5
withg 5 Herzberg‘sg5two-
factorg5theoryg5ofg5motivation;g5meetingg5theseg5needsg5avoidsg5jobg5dissatisfaction.g 5 Motiva
torg5factorsg5suchg 5 asg5recognitiong5andg5satisfactiong5withg5workg5promoteg5ag 5 satisfyingg5
andg 5 enrichedg5workg5environment.g5Transformationalg5leadersg5useg5motivatorg5factorsg5li
berallyg5tog 5 inspireg5workg5performanceg5andg5increaseg5jobg5satisfaction.
TOP:g 5 AONEg 5 competency:g 5 Communicationg 5 andg 5 Relationship-Building
7. Theg5nurseg5managerg5wantsg5tog5increaseg 5 motivationg5byg5providingg5motivatingg5fa
ctorsg5forg 5 thenurseg 5 ong 5 theg 5 unit.g 5 Whatg 5 actiong 5 wouldg 5 beg 5 appropriateg 5 tog 5
motivateg 5 theg 5 staff?
a. Collaborateg5withg5theg5humang5resource/personnelg5departmentg5tog5devel
opg5on-g 5 siteg5daycareg5services.
b. Provideg5 ag 5 hierarchicalg 5 organizationalg 5 structure.
c. Implementg 5 ag 5 modelg 5 ofg 5 sharedg 5 governance.
d. Promoteg 5 theg 5 developmentg 5 ofg 5 ag 5 flexibleg 5 benefitsg 5 package.
ANS:g5 C
Complexityg5theoryg5suggestsg5thatg5systemsg5interactg5andg5adaptg5andg5thatg5decisiong5m
akingg 5 occursg 5 throughoutg5systems,g5asg5opposedg5tog5beingg5heldg5ing5ag 5 hierarchy.g5Ing5
complexityg5theory,g 5 everyg5voiceg5counts,g5andg5thereforeg5allg5levelsg5ofg5staffg5wouldg5b
eg5involvedg5ing5decisiong5making.g 5 Thisg5principleg 5 isg5theg5foundationg5ofg5sharedg5gove
rnance.
TOP:g 5 AONEg 5 competency:g 5 Communicationg 5 andg 5 Relationship-Building
8. Theg5nurseg5managerg5hasg5beeng5askedg5tog5implementg5ang5evidence-
basedg5approachg5tog5teachg 5 ostomyg5patientsg5self-
managementg5skillsg5postoperatively.g5Theg5programg5isg5tog5beg5implementedg 5 acrossg5theg 5
entireg 5 facility.g5Whatg5illustratesg5effectiveg 5 leadershipg5ing5thisg 5 situation?
a. Theg 5 trainingg 5 modulesg 5 areg 5 leftg 5 ing5 theg 5 staffg 5 roomg 5 forg 5 timesg 5 wheng 5 staffg 5 areg 5 avai
lable.
b. Theg5currentg5approachg5isg5continuedg5becauseg5itg5isg5alsog5evidence-
basedg5andg5isg 5 moreg5familiarg5tog5staff.
c. Youg5decideg5tog5implementg5theg5approachg5atg5ag5laterg5dateg5becauseg5ofg5feed
backg5fromg 5 theg5RNsg5thatg5theg5newg5approachg5takesg5toog5muchg5time.
d. Ang5RNg5whog5isg5alreadyg5familiarg5withg5theg 5 newg5approachg5ofg5voluntee
rsg5tog5takeg 5 theg 5 leadg 5 ing5mentoringg 5 andg 5 teachingg 5 othersg5howg5tog 5
implementg 5 it.
ANS:g5 D
