Test Bank for Leading and Managing inNursing 7th Edition by Yoder Wise (chapters 1-30) complete.

Test Bank for Leading and Managing inNursing 7th Edition by Yoder Wise (chapters 1-30) complete. Test Bank for Leading and Managing inNursing 7th Edition by Yoder Wise (chapters 1-30) complete. N R I G B.C M Chapter 01: Leading, Managing, and Following Yoder-Wise: Leading and Managing in Nursing, 7th Edition  A nurse manager of a 20-bed medical unit finds that 80% of the patients are older adults. Sheis 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. Leverage the hierarchical management position to get unit staff involved inassessment 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 communityenvironment. d. Hire a geriatric specialist to oversee and control the project. ANS: B 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, everyvoice counts, and therefore, all levels of staff would be involved in decision making. TOP: AONE competency: Communication and Relationship-Building  A unit manager of a 25-bed medical/surgical area receives a phone call from a nurse who hascalled 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 toUM sloN’s need hierarchy theory, what would be the best 1lOMoARcPSD| Test Bank for Leading and Managing inNursing 7th Edition by Yoder Wise (chapters 1-30) complete. Test Bank for Leading and Managing inNursing 7th Edition by Yoder Wise (chapters 1-30) complete. 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. d. Work with the nurse, staffing office, and other nurses to arrange his scheduled days off around his wife’s treatments. ANS: D Placing the nurse on unpaid leave may threaten the nurse’s capacity to meet physiologic needsand demotivate the nurse. Unsatisfactory coverage of shifts on short notice could affect 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 satisfying the nurse’s need for affiliation. TOP: AONE competency: Communication and Relationship-Building  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 thatMr. 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? 2lOMoARcPSD| Test Bank for Leading and Managing inNursing 7th Edition by Yoder Wise (chapters 1-30) complete. Test Bank for Leading and Managing inNursing 7th Edition by Yoder Wise (chapters 1-30) complete. a. Lack of empathy and undNerstRandIingGfor B M.isCs JoMnes b. Concern with placating MrU . SmSithN T O c. Leadership behavior d. Management behavior ANS: C The situation between Mr. Smith and Miss Jones is a complex situation involving unrelievedpatient symptoms and aggressiveness toward a staff member. Providing engaged, collaborative guidance and decision making in a complex situation where there is no standardized solution reflects leadership. TOP: AONE competency: Leadership  After assessing an older adult patient in long-term care who has been slowly deteriorating forweeks, 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