n7 n7 n7 n7 n7 Full Test Bank n7 n7
Leading and Managing in Nursing, 8th Edition by Patricia S. Yoder-
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
Wise, Susan Sportsman
n7 n7
,Chapter 01: Leading, Managing, and Following
n7 n7 n7 n7 n7
Yoder-Wise: Leading and Managing in Nursing, 8th Edition n7 n7 n7 n7 n7 n7 n7
MULTIPLE CHOICE n7
1. A RN manager of a 20-bed medical unit finds that 80% of the clients are older adults. She
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n7 is asked to assess and adapt the unit to better meet the unique needs of the older adult
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n7 client. Using complexity principles, what would be the best approach to take in making
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n7 this change?
n7
a. Leverage the hierarchical management position to get unit staff involved in assessment
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n7 and n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 planning.
b. Engage involved staff at all levels in the decision-making process.
n7 n7 n7 n7 n7 n7 n7 n7 n7
c. Focus the assessment on the unit, and omit the hospital and community environment.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
d. Hire a geriatric specialist to oversee and control the project.
n7 n7 n7 n7 n7 n7 n7 n7 n7
CORRECT ANS: B n7 n7
Feedback: Complexity theory suggests that systems interact and adapt and that decision
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
making occurs throughout the systems, as opposed to being held in a hierarchy. In
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
complexity theory, every voice counts, and therefore, all levels of staff would be
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
involved in decision making.
n7 n7 n7 n7
REF: Page 8 n7 n7 TOP: AONE competency: Communication and Relationship-Building
n7 n7 n7 n7 n7
2. A unit manager of a 25-bed medical/surgical area receives a phone call from a RN who
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n7 has called in sick five times in the past month. He tells the manager that he very much
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n7 wants to come to work when scheduled but must often care for his wife, who is
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n7 undergoing treatment n7
for breast cancer. According to Maslow‘s need hierarchy theory, what would be the best
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
approach to n7
the needs of this RN, other staff, and clients?
n7 n7 n7 n7 n7 n7 n7 n7
n7 satisfying n7
a. Line up agency RNs who can be called in to work on short notice.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
b. Place the RN on unpaid leave for the remainder of his wife‘s treatment.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
c. Sympathize with the RN‘s dilemma and let the charge RN know that this RN may be
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
calling in frequently in the future.
n7 n7 n7 n7 n7 n7
d. Work with the RN, staffing office, and other RNs to arrange his scheduled days off
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
around his wife‘s treatments.
n7 n7 n7 n7
CORRECT ANS: D n7 n7
Feedback: Placing the RN on unpaid leave may threaten the RN‘s capacity to meet
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
physiologic needs and demotivate the RN. Unsatisfactory coverage of shifts on short
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
notice could affect client care and threaten the needs of staff to feel competent.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
Arranging the schedule around the wife‘s needs meets the needs of the staff and of
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
clients while satisfying the RN‘s need for affiliation.
n7 n7 n7 n7 n7 n7 n7 n7
REF: Page 10 n7 n7 TOP: AONE competency: Communication and Relationship-Building
n7 n7 n7 n7 n7
,3. A grievance brought by a staff RN against the unit manager requires mediation. At the
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
first mediation session, the staff RN repeatedly calls the unit manager‘s actions unfair, and
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
the unit manager continues to reiterate the reasons for her actions. What would be the
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
best course of action at this time?
n7 n7 n7 n7 n7 n7 n7
a. Send the two disputants away to reach their own resolution.
n7 n7 n7 n7 n7 n7 n7 n7 n7
b. Involve another staff RN in the discussion so as to clarify issues.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
c. Ask each party to examine her own motives and issues in the conflict.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
d. Continue to listen as the parties repeat their thoughts and feelings about the conflict.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
CORRECT ANS: C n7 n7
Feedback: Ury, Brett, and Goldberg outline steps to restoring unity, the first of which
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
is to address the interests and involvement of participants in the conflict by
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
examining the real issues of all parties.
n7 n7 n7 n7 n7 n7 n7
REF: Page 16 n7 n7 TOP: AONE competency: Communication and Relationship-Building
n7 n7 n7 n7 n7
4. At a second negotiation session, the unit manager and staff RN are unable to reach a
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
resolution. It would now be best to:
n7 n7 n7 n7 n7 n7 n7
a. Arrange another meeting in a week‘s time so as to allow a cooling-off period.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
b. Turn the dispute over to the director of nursing.
n7 n7 n7 n7 n7 n7 n7 n7
c. Insist that participants continue to talk until a resolution has been reached.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
d. Back the unit manager‘s actions and end the dispute.
n7 n7 n7 n7 n7 n7 n7 n7
CORRECT ANS: B n7 n7
Feedback: According to the principles outlined by Ury, Brett, and Goldberg, a
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
―cooling-off‖ period is recommended if resolution fails.
n7 n7 n7 n7 n7 n7 n7
REF: Page 16 n7 n7 TOP: AONE competency: Communication and Relationship-Building
n7 n7 n7 n7 n7
5. The manager of a surgical area has a vision for the future that requires the addition of
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n7 RN assistants or unlicensed persons to feed, bathe, and walk clients. The RNs on the
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n7 staff have always practiced in a primary nursing–delivery system and are very resistant
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n7 to this idea. The best initial strategy in this situation would include:
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
a. Exploring the values and feelings of the RN group in relationship to this change.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
b. Leaving the RNs alone for a time so they can think about the change before
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n7 it is implemented.
n7 n7
c. Dropping the idea and trying for the change in a year or so when some of the
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n7 present RNs have retired. n7 n7 n7
d. Hiring the assistants and allowing the RNs to see what good additions they are.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
, CORRECT ANS: A n7 n7
Feedback: Influencing others requires emotional intelligence in domains such as
n7 n7 n7 n7 n7 n7 n7 n7 n7
empathy, handling relationships, deepening self-awareness in self and others, motivating
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
others, and managing emotions. Motivating others recognizes that values are powerful
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
forces that influence acceptance of change. Leaving the RNs alone for a period of time
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
before implementation does not provide opportunity to explore different perspectives and
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
values. Avoiding discussion until the team changes may not promote adoption of the
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
change until there is opportunity to explore perspectives and values related to the
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
change. Hiring of the assistants demonstrates lack of empathy for the perspectives of
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
the RN staff.
n7 n7 n7
REF: Page 7 | Page 15
n7 n7 n7 n7 n7
TOP: AONE competency: Knowledge of the Health Care Environment
n7 n7 n7 n7 n7 n7 n7 n7
6. As the RN charge RN on the night shift in a small long-term care facility, you‘ve found
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n7 that there is little turnover among your LPN and nursing assistant (NA) staff members,
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n7 but they are not very motivated to go beyond their job descriptions in their work. Which
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n7 of the following strategies might motivate the staff and lead to greater job satisfaction?
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
a. Ask the director of nursing to offer higher wages and bonuses for extra work for the
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
night LPNs and NAs.
n7 n7 n7 n7
b. Allow the LPNs and NAs greater decision-making power within the scope of
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
their positions in the institution.
n7 n7 n7 n7 n7
c. Hire additional staff so that there are more staff available for enhanced care and
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
individual workloads are lessened.
n7 n7 n7 n7
d. Ask the director of nursing to increase job security for night staff by having them
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
sign contracts that guarantee work.
n7 n7 n7 n7 n7
CORRECT ANS: B n7 n7
Feedback: Hygiene factors such as salary, working conditions, and security are
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
consistent with Herzberg‘s two-factor theory of motivation; meeting these needs avoids
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
job dissatisfaction. Motivator factors such as recognition and satisfaction with work
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
promote a satisfying and enriched work environment. Transformational leaders use
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
motivator factors liberally to inspire work performance and increase job satisfaction.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
REF: Page 9 | Page 10
n7 n7 n7 n7 n7
TOP: AONE competency: Communication and Relationship-Building
n7 n7 n7 n7 n7
7. As the RN manager who wants to increase motivation by providing motivating factors,
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
which action would you select?
n7 n7 n7 n7 n7
a. Collaborate with the human resource/personnel department to develop on-site
n7 n7 n7 n7 n7 n7 n7 n7
daycare services.
n7 n7
b. Provide a hierarchical organizational structure. n7 n7 n7 n7
c. Implement a model of shared governance. n7 n7 n7 n7 n7
d. Promote the development of a flexible benefits package.n7 n7 n7 n7 n7 n7 n7
Leading and Managing in Nursing, 8th Edition by Patricia S. Yoder-
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
Wise, Susan Sportsman
n7 n7
,Chapter 01: Leading, Managing, and Following
n7 n7 n7 n7 n7
Yoder-Wise: Leading and Managing in Nursing, 8th Edition n7 n7 n7 n7 n7 n7 n7
MULTIPLE CHOICE n7
1. A RN manager of a 20-bed medical unit finds that 80% of the clients are older adults. She
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n7 is asked to assess and adapt the unit to better meet the unique needs of the older adult
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n7 client. Using complexity principles, what would be the best approach to take in making
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n7 this change?
n7
a. Leverage the hierarchical management position to get unit staff involved in assessment
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n7 and n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 planning.
b. Engage involved staff at all levels in the decision-making process.
n7 n7 n7 n7 n7 n7 n7 n7 n7
c. Focus the assessment on the unit, and omit the hospital and community environment.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
d. Hire a geriatric specialist to oversee and control the project.
n7 n7 n7 n7 n7 n7 n7 n7 n7
CORRECT ANS: B n7 n7
Feedback: Complexity theory suggests that systems interact and adapt and that decision
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
making occurs throughout the systems, as opposed to being held in a hierarchy. In
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
complexity theory, every voice counts, and therefore, all levels of staff would be
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
involved in decision making.
n7 n7 n7 n7
REF: Page 8 n7 n7 TOP: AONE competency: Communication and Relationship-Building
n7 n7 n7 n7 n7
2. A unit manager of a 25-bed medical/surgical area receives a phone call from a RN who
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n7 has called in sick five times in the past month. He tells the manager that he very much
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n7 wants to come to work when scheduled but must often care for his wife, who is
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n7 undergoing treatment n7
for breast cancer. According to Maslow‘s need hierarchy theory, what would be the best
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
approach to n7
the needs of this RN, other staff, and clients?
n7 n7 n7 n7 n7 n7 n7 n7
n7 satisfying n7
a. Line up agency RNs who can be called in to work on short notice.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
b. Place the RN on unpaid leave for the remainder of his wife‘s treatment.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
c. Sympathize with the RN‘s dilemma and let the charge RN know that this RN may be
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
calling in frequently in the future.
n7 n7 n7 n7 n7 n7
d. Work with the RN, staffing office, and other RNs to arrange his scheduled days off
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
around his wife‘s treatments.
n7 n7 n7 n7
CORRECT ANS: D n7 n7
Feedback: Placing the RN on unpaid leave may threaten the RN‘s capacity to meet
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
physiologic needs and demotivate the RN. Unsatisfactory coverage of shifts on short
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
notice could affect client care and threaten the needs of staff to feel competent.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
Arranging the schedule around the wife‘s needs meets the needs of the staff and of
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
clients while satisfying the RN‘s need for affiliation.
n7 n7 n7 n7 n7 n7 n7 n7
REF: Page 10 n7 n7 TOP: AONE competency: Communication and Relationship-Building
n7 n7 n7 n7 n7
,3. A grievance brought by a staff RN against the unit manager requires mediation. At the
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
first mediation session, the staff RN repeatedly calls the unit manager‘s actions unfair, and
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
the unit manager continues to reiterate the reasons for her actions. What would be the
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
best course of action at this time?
n7 n7 n7 n7 n7 n7 n7
a. Send the two disputants away to reach their own resolution.
n7 n7 n7 n7 n7 n7 n7 n7 n7
b. Involve another staff RN in the discussion so as to clarify issues.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
c. Ask each party to examine her own motives and issues in the conflict.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
d. Continue to listen as the parties repeat their thoughts and feelings about the conflict.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
CORRECT ANS: C n7 n7
Feedback: Ury, Brett, and Goldberg outline steps to restoring unity, the first of which
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
is to address the interests and involvement of participants in the conflict by
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
examining the real issues of all parties.
n7 n7 n7 n7 n7 n7 n7
REF: Page 16 n7 n7 TOP: AONE competency: Communication and Relationship-Building
n7 n7 n7 n7 n7
4. At a second negotiation session, the unit manager and staff RN are unable to reach a
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
resolution. It would now be best to:
n7 n7 n7 n7 n7 n7 n7
a. Arrange another meeting in a week‘s time so as to allow a cooling-off period.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
b. Turn the dispute over to the director of nursing.
n7 n7 n7 n7 n7 n7 n7 n7
c. Insist that participants continue to talk until a resolution has been reached.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
d. Back the unit manager‘s actions and end the dispute.
n7 n7 n7 n7 n7 n7 n7 n7
CORRECT ANS: B n7 n7
Feedback: According to the principles outlined by Ury, Brett, and Goldberg, a
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
―cooling-off‖ period is recommended if resolution fails.
n7 n7 n7 n7 n7 n7 n7
REF: Page 16 n7 n7 TOP: AONE competency: Communication and Relationship-Building
n7 n7 n7 n7 n7
5. The manager of a surgical area has a vision for the future that requires the addition of
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n7 RN assistants or unlicensed persons to feed, bathe, and walk clients. The RNs on the
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n7 staff have always practiced in a primary nursing–delivery system and are very resistant
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n7 to this idea. The best initial strategy in this situation would include:
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
a. Exploring the values and feelings of the RN group in relationship to this change.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
b. Leaving the RNs alone for a time so they can think about the change before
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n7 it is implemented.
n7 n7
c. Dropping the idea and trying for the change in a year or so when some of the
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n7 present RNs have retired. n7 n7 n7
d. Hiring the assistants and allowing the RNs to see what good additions they are.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
, CORRECT ANS: A n7 n7
Feedback: Influencing others requires emotional intelligence in domains such as
n7 n7 n7 n7 n7 n7 n7 n7 n7
empathy, handling relationships, deepening self-awareness in self and others, motivating
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
others, and managing emotions. Motivating others recognizes that values are powerful
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
forces that influence acceptance of change. Leaving the RNs alone for a period of time
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
before implementation does not provide opportunity to explore different perspectives and
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
values. Avoiding discussion until the team changes may not promote adoption of the
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
change until there is opportunity to explore perspectives and values related to the
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
change. Hiring of the assistants demonstrates lack of empathy for the perspectives of
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
the RN staff.
n7 n7 n7
REF: Page 7 | Page 15
n7 n7 n7 n7 n7
TOP: AONE competency: Knowledge of the Health Care Environment
n7 n7 n7 n7 n7 n7 n7 n7
6. As the RN charge RN on the night shift in a small long-term care facility, you‘ve found
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n7 that there is little turnover among your LPN and nursing assistant (NA) staff members,
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n7 but they are not very motivated to go beyond their job descriptions in their work. Which
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n7 of the following strategies might motivate the staff and lead to greater job satisfaction?
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
a. Ask the director of nursing to offer higher wages and bonuses for extra work for the
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
night LPNs and NAs.
n7 n7 n7 n7
b. Allow the LPNs and NAs greater decision-making power within the scope of
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
their positions in the institution.
n7 n7 n7 n7 n7
c. Hire additional staff so that there are more staff available for enhanced care and
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
individual workloads are lessened.
n7 n7 n7 n7
d. Ask the director of nursing to increase job security for night staff by having them
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
sign contracts that guarantee work.
n7 n7 n7 n7 n7
CORRECT ANS: B n7 n7
Feedback: Hygiene factors such as salary, working conditions, and security are
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
consistent with Herzberg‘s two-factor theory of motivation; meeting these needs avoids
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
job dissatisfaction. Motivator factors such as recognition and satisfaction with work
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
promote a satisfying and enriched work environment. Transformational leaders use
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
motivator factors liberally to inspire work performance and increase job satisfaction.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
REF: Page 9 | Page 10
n7 n7 n7 n7 n7
TOP: AONE competency: Communication and Relationship-Building
n7 n7 n7 n7 n7
7. As the RN manager who wants to increase motivation by providing motivating factors,
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
which action would you select?
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a. Collaborate with the human resource/personnel department to develop on-site
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daycare services.
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b. Provide a hierarchical organizational structure. n7 n7 n7 n7
c. Implement a model of shared governance. n7 n7 n7 n7 n7
d. Promote the development of a flexible benefits package.n7 n7 n7 n7 n7 n7 n7
