Test Bank For Leading and Managing in Nursing, 8th Edition by Patricia S. Yoder-Wise, Susan Sportsman Chapter 1-25 |All Chapters with correct Answers |ultimate guide A+

,Chapter 01: Leading, Managing, and Following
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,Yoder-Wise: Leading and Managing in Nursing, 8th Edition ki ki ki ki ki ki ki




MULTIPLE CHOICE ki




1. A nurse manager of a 20-bed medical unit finds that 80% of the patients are older adults. She
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isasked to assess and adapt the unit to better meet the unique needs of the older adult patient.
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Using complexity 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 in assessment
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andplanning.
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b. Engage involved staff at all levels in the decision-making process. ki ki ki ki ki ki ki ki ki



c. Focus the assessment on the unit, and omit the hospital and community environment.ki ki ki ki ki ki ki ki ki ki ki ki



d. Hire a geriatric specialist to oversee and control the project. ki ki ki ki ki ki ki ki ki




ANS: B ki




Complexity theory suggests that systems interact and adapt and that decision making ki ki ki ki ki ki ki ki ki ki ki



occurs throughout the systems, as opposed to being held in a hierarchy. In complexity
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theory, every voice counts, and therefore, all levels of staff would be involved in decision
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making.
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REF: Page 8 ki ki TOP: AONE competency: Communication and Relationship-Building
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2. A unit manager of a 25-bed medical/surgical area receives a phone call from a nurse who has
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called in sick five times in the past month. He tells the manager that he very much wants to
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cometo work when scheduled but must often care for his wife, who is undergoing treatment
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for breast cancer. According to Maslow‘s need hierarchy theory, what would be the best
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approach to ki




the needs of this nurse, other staff, and patients? ki ki ki ki ki ki ki ki

satisfying
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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 nurse may ki ki ki ki ki ki ki ki ki ki ki ki ki ki



becalling in frequently in the future.
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d. Work with the nurse, staffing office, and other nurses to arrange his scheduled days
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offaround his wife‘s treatments.
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ANS: D ki




Placing the nurse on unpaid leave may threaten the nurse‘s capacity to meet physiologic
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needsand demotivate the nurse. Unsatisfactory coverage of shifts on short notice could affect
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patient care and threaten the needs of staff to feel competent. Arranging the schedule around
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the wife‘s needs meets the needs of the staff and of patients while satisfying the nurse‘s
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needfor affiliation.
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REF: Page 10 ki ki TOP: AONE competency: Communication and Relationship-Building
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, 3. A grievance brought by a staff nurse against the unit manager requires mediation. At the first
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ki mediation session, the staff nurse repeatedly calls the unit manager‘s actions unfair, and the
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ki unitmanager continues to reiterate the reasons for her actions. What would be the best course
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ki 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. ki ki ki ki ki ki ki ki ki ki ki



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 the conflict. ki ki ki ki ki ki ki ki ki ki ki ki ki




ANS: C ki



Ury, Brett, and Goldberg outline steps to restoring unity, the first of which is to address
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theinterests and involvement of participants in the conflict by examining the real issues of
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all parties.
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REF: Page 16 ki ki TOP: AONE competency: Communication and Relationship-Building
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4. At a second negotiation session, the unit manager and staff nurse are unable to reach a
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resolution.It would now be best to:
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a. Arrange another meeting in a week‘s time so as to allow a cooling-off period. ki ki ki ki ki ki ki ki ki ki ki ki ki



b. Turn the dispute over to the director of nursing. ki ki ki ki ki ki ki ki



c. Insist that participants continue to talk until a resolution has been reached.
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d. Back the unit manager‘s actions and end the dispute. ki ki ki ki ki ki ki ki




ANS: B ki




According to the principles outlined by Ury, Brett, and Goldberg, a ―cooling-off‖ period is
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recommended if resolution fails.
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REF: Page 16 ki ki TOP: AONE competency: Communication and Relationship-Building
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5. The manager of a surgical area has a vision for the future that requires the addition of RN
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assistants or unlicensed persons to feed, bathe, and walk patients. The RNs on the staff have
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always practiced in a primary nursing–delivery system and are very resistant to this idea.
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Thebest initial strategy in this situation would include:
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a. Exploring the values and feelings of the RN group in relationship to this change. ki ki ki ki ki ki ki ki ki ki ki ki ki



b. Leaving the RNs alone for a time so they can think about the change before it ki ki ki ki ki ki ki ki ki ki ki ki ki ki ki



isimplemented. ki ki



c. Dropping the idea and trying for the change in a year or so when some of the present ki ki ki ki ki ki ki ki ki ki ki ki ki ki ki ki ki



RNshave retired. ki ki ki



d. Hiring the assistants and allowing the RNs to see what good additions they are.
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