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LEADING AND MANAGING IN NURSING (7TH EDITION,
YODER-WISE) EXAM COMPLETE REVIEW WITH VERIFIED
QUESTIONS DETAILED RATIONALES GRADED A+
Leading and Managing in Nursing (7th Edition, Yoder-Wise)
Chapter 1: Leading, Managing, and Following (Questions 1–20)
1. A nurse manager of a 20-bed medical unit finds that 80% of the patients are older adults.
Using complexity principles, what would be the best approach to assess and adapt the unit to
better meet the unique needs of the older adult patient?
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
Answer: B
Rationale: 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 .
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
treatment for breast cancer. According to Maslow's need hierarchy theory, what would be the
best approach to satisfying the needs 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 wife's treatment
C) Sympathize with the nurse's dilemma and let the charge nurse know that this nurse 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 scheduled days off
around his wife's treatments
Answer: D
Rationale: Placing the nurse on unpaid leave may threaten the nurse's capacity to meet
physiologic needs and demotivate the nurse. Arranging the schedule around the wife's needs
meets the needs of the staff and of patients while satisfying the nurse's need for affiliation .
3. A grievance brought by a staff nurse against the unit manager requires mediation. At the
first mediation session, the staff nurse repeatedly calls the unit manager's actions unfair, and
the unit manager continues to reiterate the reasons for the actions. What would be the best
course of 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
C) Ask each party to examine their own motives and issues in the conflict
D) Continue to allow each party to express their feelings
Answer: C
Rationale: In mediation, it is important to guide parties to examine their own motives and issues
rather than repeating the same arguments. This promotes deeper understanding and resolution
.
4. The charge nurse walks into Mr. Smith's room and finds him yelling at the LPN. He is
obviously 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 charge nurse acknowledges the LPN's feelings and concerns and then suggests that
Mr. Smith's behavior was 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 the LPN
B) Concern with placating Mr. Smith
C) Leadership behavior
D) Management behavior
Answer: C
Rationale: The situation between Mr. Smith and the LPN is a complex situation involving
unrelieved patient symptoms and aggressiveness toward a staff member. Providing engaged,
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collaborative guidance and decision making in a complex situation where there is no
standardized solution reflects leadership .
5. 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 is the most likely basis for the nurse manager's request?
A) An established clinical pathway
B) Confirmatory scientific evidence
C) Unit protocol
D) Experience
Answer: D
Rationale: The nurse manager's ability to recognize the signs of dying often comes from clinical
experience rather than a specific protocol or pathway .
6. A nurse manager is using a participative management style. Which of the following actions
is consistent with this style?
A) Making all decisions without staff input
B) Consulting staff before implementing changes
C) Allowing staff to make all decisions independently
D) Assigning tasks without explanation
Answer: B
Rationale: Participative management involves seeking input from staff before making decisions,
fostering ownership and collaboration .
7. A nurse manager is evaluating whether unit goals have been met. Which management
function is being performed?
A) Planning
B) Organizing
C) Directing
D) Controlling
Answer: D
Rationale: Controlling involves evaluating outcomes against goals and taking corrective action if
needed .
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8. A nurse manager chooses the first acceptable solution rather than the optimal solution due
to time constraints. This is an example of:
A) Satisficing
B) Optimizing
C) Brainstorming
D) Delphi technique
Answer: A
Rationale: Satisficing involves selecting the first option that meets minimal criteria rather than
searching for the optimal solution .
9. A nurse manager uses a decision-making tool that involves writing down ideas without
criticism and then evaluating them. This is called:
A) Nominal group technique
B) Brainstorming
C) Delphi technique
D) SWOT analysis
Answer: B
Rationale: Brainstorming encourages free flow of ideas without immediate evaluation. Nominal
group technique structures the process with voting .
10. Which of the following is a potential disadvantage of group decision-making?
A) More ideas are generated
B) Groupthink may occur
C) Solutions are more accepted
D) Diverse perspectives are considered
Answer: B
Rationale: Groupthink is a phenomenon where group members suppress dissenting opinions to
maintain harmony, leading to poor decisions .
11. A nurse manager is working in a shared governance organization. Which of the following
describes this model?
A) Nurses have no input into unit decisions
LEADING AND MANAGING IN NURSING (7TH EDITION,
YODER-WISE) EXAM COMPLETE REVIEW WITH VERIFIED
QUESTIONS DETAILED RATIONALES GRADED A+
Leading and Managing in Nursing (7th Edition, Yoder-Wise)
Chapter 1: Leading, Managing, and Following (Questions 1–20)
1. A nurse manager of a 20-bed medical unit finds that 80% of the patients are older adults.
Using complexity principles, what would be the best approach to assess and adapt the unit to
better meet the unique needs of the older adult patient?
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
Answer: B
Rationale: 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 .
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
treatment for breast cancer. According to Maslow's need hierarchy theory, what would be the
best approach to satisfying the needs 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 wife's treatment
C) Sympathize with the nurse's dilemma and let the charge nurse know that this nurse 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 scheduled days off
around his wife's treatments
Answer: D
Rationale: Placing the nurse on unpaid leave may threaten the nurse's capacity to meet
physiologic needs and demotivate the nurse. Arranging the schedule around the wife's needs
meets the needs of the staff and of patients while satisfying the nurse's need for affiliation .
3. A grievance brought by a staff nurse against the unit manager requires mediation. At the
first mediation session, the staff nurse repeatedly calls the unit manager's actions unfair, and
the unit manager continues to reiterate the reasons for the actions. What would be the best
course of 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
C) Ask each party to examine their own motives and issues in the conflict
D) Continue to allow each party to express their feelings
Answer: C
Rationale: In mediation, it is important to guide parties to examine their own motives and issues
rather than repeating the same arguments. This promotes deeper understanding and resolution
.
4. The charge nurse walks into Mr. Smith's room and finds him yelling at the LPN. He is
obviously 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 charge nurse acknowledges the LPN's feelings and concerns and then suggests that
Mr. Smith's behavior was 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 the LPN
B) Concern with placating Mr. Smith
C) Leadership behavior
D) Management behavior
Answer: C
Rationale: The situation between Mr. Smith and the LPN is a complex situation involving
unrelieved patient symptoms and aggressiveness toward a staff member. Providing engaged,
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collaborative guidance and decision making in a complex situation where there is no
standardized solution reflects leadership .
5. 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 is the most likely basis for the nurse manager's request?
A) An established clinical pathway
B) Confirmatory scientific evidence
C) Unit protocol
D) Experience
Answer: D
Rationale: The nurse manager's ability to recognize the signs of dying often comes from clinical
experience rather than a specific protocol or pathway .
6. A nurse manager is using a participative management style. Which of the following actions
is consistent with this style?
A) Making all decisions without staff input
B) Consulting staff before implementing changes
C) Allowing staff to make all decisions independently
D) Assigning tasks without explanation
Answer: B
Rationale: Participative management involves seeking input from staff before making decisions,
fostering ownership and collaboration .
7. A nurse manager is evaluating whether unit goals have been met. Which management
function is being performed?
A) Planning
B) Organizing
C) Directing
D) Controlling
Answer: D
Rationale: Controlling involves evaluating outcomes against goals and taking corrective action if
needed .
, Page 4 of 74
8. A nurse manager chooses the first acceptable solution rather than the optimal solution due
to time constraints. This is an example of:
A) Satisficing
B) Optimizing
C) Brainstorming
D) Delphi technique
Answer: A
Rationale: Satisficing involves selecting the first option that meets minimal criteria rather than
searching for the optimal solution .
9. A nurse manager uses a decision-making tool that involves writing down ideas without
criticism and then evaluating them. This is called:
A) Nominal group technique
B) Brainstorming
C) Delphi technique
D) SWOT analysis
Answer: B
Rationale: Brainstorming encourages free flow of ideas without immediate evaluation. Nominal
group technique structures the process with voting .
10. Which of the following is a potential disadvantage of group decision-making?
A) More ideas are generated
B) Groupthink may occur
C) Solutions are more accepted
D) Diverse perspectives are considered
Answer: B
Rationale: Groupthink is a phenomenon where group members suppress dissenting opinions to
maintain harmony, leading to poor decisions .
11. A nurse manager is working in a shared governance organization. Which of the following
describes this model?
A) Nurses have no input into unit decisions
