Leading and Managing in Nursing 7th Edition by Yoder Wise Test Bank | Q&A Explained (Graded A+) | Latest 2023

MULTIPLECHOICE 1. Anursemanagerofa20-bedmedicalunitfindsthat80%ofthepatientsareolderadults. 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. Leveragethehierarchicalmanagementpositiontogetunitstaffinvolvedinassessment and planning. b. Engageinvolvedstaffatall levelsinthedecision-makingprocess. c. Focustheassessment onthe unit and omitthe hospital and communityenvironment. d. Hirea geriatricspecialistto oversee andcontroltheproject. ANS:B Complexitytheorysuggests that systems interact and adapt and that decision makingoccurs throughoutthesystems,asopposedtobeingheldinahierarchy.Incomplexitytheory,every voice counts, and therefore, all levels of staff would be involved in decision making. TOP:AONEcompetency:CommunicationandRelationship-Building 2. A unit manager of a 25-bed medical/surgical area receives a phone call from a nurse whohascalledinsickfivetimesinthepastmonth.Hetellsthemanagerthathevery much wants to cometowork whenscheduledbut mustoftencare forhiswife, whoisundergoingtreatment forbreast cancer. AccordingtoMaslow’sneed hierarchytheory,what would be thebest approachtosatisfyingtheneedsofthisnurse, otherstaff,and patients? a. Lineupagencynurses whocan be called into workonshort notice. b. Placethenurseonunpaidleavefortheremainder ofhiswife’streatment. c. Sympathizewiththenurse’sdilemmaandletthechargenurseknowthatthis nurse may be calling in frequently in the future. d. Workwiththenurse,staffingoffice,andothernursestoarrangehisscheduled days off around his wife’s treatments. ANS:D Placing the nurse on unpaid leave may threaten the nurse’s capacity to meet physiologic needsanddemotivatethenurse.Unsatisfactorycoverageofshiftsonshortnoticecouldaffect patient care and threaten the needs of staff to feel competent. Arranging the schedule around the wife’s needs meets the needs of the staff and of patients while satisfyingthe nurse’s need for affiliation. TOP:AONEcompetency:CommunicationandRelationship-Building 3. Agrievancebroughtbyastaffnurseagainsttheunitmanagerrequiresmediation.At thefirstmediationsession,thestaffnurserepeatedlycallstheunitmanager’sactions 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. Sendthe two disputants awayto reach theirownresolution. b. Involveanotherstaffnursein thediscussionfor clarityissues. c. Askeach partyto examinetheirown motives and issues in the conflict. d. Continuetolistenasthepartiesrepeattheirthoughtsandfeelingsaboutthe conflict. ANS:C Forresolutionofconflict,oneshouldaddresstheinterestsandinvolvementofparticipantsin the conflict by examining the real issues of all parties. TOP:AONEcompetency:CommunicationandRelationship-Building 4. Atasecondnegotiationsession,theunitmanagerandstaffnurseareunabletoreach a resolution. What is the appropriate next step? a. Arrangeanothermeeting inaweek’stimeso astoallowacooling-off period. b. Elevatethenextnegationsessiontothenext manager,onelevel above. c. Insistthatparticipantscontinuetotalkuntilaresolutionhasbeenreached. d. Backtheunitmanager’s actionsandendthedispute. ANS:B Partofleadershipisunderstandingconflictresolutionandabilitytonegotiateandmanagefor resolution of issues and concerns. This situation has failed a second negotiation session, elevation to a manager with additional trainingto facilitate conflict resolution is important at this point. TOP:AONEcompetency:CommunicationandRelationship-Building 5. Themanagerofasurgicalareahasavisionforthefuturethatrequirestheaddition of RN assistants or unlicensed persons to feed, bathe, and ambulate patients. The RNs on the staff havealways practiced inaprimarynursing-deliverysystem andareveryresistant to this idea. Whatwould be thebest initial strategyforimplementation ofthis change? a. ExploringthevaluesandfeelingsoftheRNgroupinrelationshiptothis change b. LeavingtheRNsaloneforatimesotheycanthinkaboutthechangebeforeitis implemented c. Droppingtheideaandtryingforthechangeina yearorso whensomeofthe present RNs have retired d. Hiringthe assistants andallowingthe RNsto see whatgoodadditionstheyare ANS:A Influencing others requires emotional intelligence in domains such as empathy, handling relationships, deepening self-awareness in self and others, motivatingothers, 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 opportunitytoexploreperspectivesandvaluesrelatedtothechange.Hiringoftheassistants demonstrates lack of empathy for the perspectives of the RN staff.