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-
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Wise Test Bank
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Chapter 01: Leading, Managing, and Following
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Waddell/Walton: Yoder- ma



Wise’s Leading and Managing in Canadian Nursing, Third Edition
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MULTIPLE CHOICE ma




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
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adapt the unit to better meet the unique needs of older adult patients. According to comple
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xity principles, 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 i
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n assessment and planning.
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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 communit
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y environment. ma



d. Hire a geriatric specialist to oversee and control the project.
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ANS: B m a



Complexity theory suggests that systems interact and adapt and that decision making occurs
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throughout the systems, as opposed to being held in a hierarchy. In complexity theory, eve
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rybody’s opinion counts; therefore, all levels of staff would be involved in decision makin
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g.

DIF: Cognitive Level: Apply ma ma



REF: Page 14 TOP: Nursing Process: Implement
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ation
USNT NRI G B.CM
areaOreceives a phone call from a nurse who has
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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 t
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o come to work when scheduled, but must often care for his wife, who is undergoing treatm
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ent for 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
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, other 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 nurs ma ma ma ma ma ma ma ma ma ma ma ma ma



e may be calling in frequently in the future.
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d. Work with the nurse, staffing office, and other nurses to arrange his schedule
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d days off around his wife’s treatments.
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ANS: D ma



Placing the nurse on unpaid leave may threaten physiologic needs and demotivate the nurse.
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Unsatisfactory coverage of shifts on short notice could affect patient care and threaten staf
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f members’ sense of competence. Strengths-
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based nurse leaders honour the uniqueness of individuals, teams, systems, and organization
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s; 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 a
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nd facilitates their development.
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DIF: Cognitive Level: Analyze ma ma



REF: Page 6 TOP: Nursing Process: Implement
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ation


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,Yoder-Wise's Leading and Managing in Canadian Nursing 3rd Edition Yoder-
ma ma ma ma ma ma ma ma ma



Wise Test Bank
ma ma




3. A grievance brought by a staff nurse against the unit manager requires mediation. At the fir
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st mediation session, the staff nurse repeatedly calls the unit manager’s actions unfair, and
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the unit manager continues to reiterate the reasons for the actions. What would be the best c
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ourse of 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.
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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 th
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e conflict. ma




ANS: C ma



Nurses and leaders must assess each situation as unique, determining appropriate actions a
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ccordingly. Leaders must adapt their styles to complement specific issues being faced, such
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as conflict. Examining motives and issues for the conflict in perceptions promotes equal re
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presentation of each point of view. ma ma ma ma ma




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



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
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hear her baby’s heartbeat on the monitor anymore. Although the monitor volume had been t
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urned off so that the patient would be able to sleep between contractions, the nurse responde
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d that there was no heartbeat to hear because the baby had died in utero; then the nurse ask
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ed whether the patient would like to talk about how she was feeling. This response demonstr
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ates:
a. Lack of empathy. ma ma



b. Ethical leadership. ma



c. Complexity science. NURSINGTB.COM ma



d. A coercive relationship.
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ANS: B ma



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



REF: Page 7 TOP: Nursing Process: Implement
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ation

5. The manager of a surgical area envisions a future that requires the addition of registered nurs
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e (RN) assistants or unlicensed persons to feed, bathe, and walk patients. The RNs on the st
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aff have 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
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would include: ma



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



b. Leaving the RNs alone for a time so they can think about the change before the
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y are approached again.
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c. Dropping the idea and trying for the change in another year or so.
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d. Hiring the assistants and allowing the RNs to see what good additions they are.
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ANS: A ma




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, Yoder-Wise's Leading and Managing in Canadian Nursing 3rd Edition Yoder-
ma ma ma ma ma ma ma ma ma



Wise Test Bank
ma ma




Leadership involves engaged decision making around a vision that is based on evidence and
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tacit knowledge. Influencing others requires emotional intelligence in domains such as em
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pathy and handling relationships.
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DIF: Cognitive Level: Apply ma ma



REF: Page 5 TOP: Nursing Process: Implement
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ation

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
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nurse and nursing assistant (NA) staff members, but they are not very motivated to work be
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yond their job descriptions. Which of the following strategies might motivate the staff and l
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ead to greater job satisfaction?
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a. Ask the director of nursing to offer higher wages and bonuses for extra work f
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or the 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 the
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m sign contracts that guarantee work.
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ANS: B ma



A nurse leader should provide an environment conducive to opinion sharing that involves staf
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f in decision making at all levels. This approach is shown to increase job satisfaction. Decisi
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on making and the corresponding actions taken are core tasks performed in engagement wit
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h coworkers.
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DIF: Cognitive Level: Apply
REF: Page 7 TOP: Nursing Process:GImpl
B.CemMNent
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Rati onI
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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- ma ma ma ma ma ma ma ma



site daycare services. ma ma



b. Provide a hierarchical organizational structure. ma ma ma ma



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



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




ANS: C ma



Complexity theory suggests that systems interact and adapt and that decision making occur
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s throughout systems, as opposed to being made unilaterally by different levels of the orga
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nizational hierarchy. In complexity theory, every person’s opinion counts, and therefore all
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levels of staff would be involved in decision making. This principle underlies shared gover
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nance. Shared governance is an example of nurse decision making in which nurses at diffe
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rent organizational levels engage in shaping policy and practices.
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DIF: Cognitive Level: Apply ma ma



REF: Page 5 TOP: Nursing Process: Implement
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ation





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