test bank for leading and managing in nursing 7th edition by yoder wise chapters 1—30 complete questions with verified A+ solutions

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test bank for leading and managing in nursing 7th editio
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n by yoder wise chapters 1—
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30 complete questions with verified A+ solutions
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Chapter 01: Leading, Managing, and Following
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Yoder-Wise: Leading and Managing in Nursing, 7th Edition jf jf jf jf jf jf jf




• A nurse manager of a 20-
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bed medical unit finds that 80% of the patients are older adults. Sheis asked to assess an
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d adapt the unit to better meet the unique needs of the older adult patient.Using comple
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xity principles, what would be the best approach to take for implementation of this cha
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nge?
a. Leverage the hierarchical management position to get unit staff in
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volved inassessment and planning. jf jf jf jf



b. Engage involved staff at all levels in the decision-making process.
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c. Focus the assessment on the unit and omit the hospital and co
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mmunityenvironment. jf



d. Hire a geriatric specialist to oversee and control the project.
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ANS: B jf



Complexity theory suggests that systems interact and adapt and that decision m
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aking occursthroughout the systems, as opposed to being held in a hierarchy. In
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complexity theory, everyvoice counts, and therefore, all levels of staff would be
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f involved in decision making. jf jf jf




TOP: AONE competency: Communication and Relationship-Building
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• A unit manager of a 25-
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bed medical/surgical area receives a phone call from a nurse who hascalled in sick five
N R I G B.C M
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times in the past month. He tells the manager that he very much wants to come to work
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when scheduled but must often care for his wife, who is undergoing treatment
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for breast cancer. According toUMaSslow
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need hiO
erarchy theory, what would be the
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best
approach to satisfying the needs of this nurse, other staff, and patients?
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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 nur jf jf jf jf jf jf jf jf jf jf jf jf jf



se
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
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days off around his wife’s treatments.
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ANS: D jf



Placing the nurse on unpaid leave may threaten the nurse’s capacity to meet physi
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ologic needsand demotivate the nurse. Unsatisfactory coverage of shifts on short
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notice could affect patient care and threaten the needs of staff to feel competent.
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Arranging the schedule around jf jf jf



the wife’s needs meets the needs of the staff and of patients while satisfying the nur
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se’s need jf



for affiliation.
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TOP: AONE competency: Communication and Relationship-Building
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• The charge nurse walks into Mr. Smith’s room and finds him yelling at the LPN. He i
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s obviously very upset. The charge nurse determines that he has not slept for three ni
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ghts because of unrelieved pain levels. The LPN is very upset and calls Mr. Smith an
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“ugly, old jf



man.” The charge nurse acknowledges the LPN’s feelings and concerns and then
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suggests thatMr. Smith’s behavior was aggressive but was related to lack of sleep
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f and to pain. The charge nurse asks, “Can you, together with Mr. Smith, determin
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e triggers for the pain and effective approaches to controlling his pain?” This situ
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ation is an example of what?
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a. Lack of empathy and undNerstR
andI
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for M
B .isC
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b. Concern with placating MrU
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c. Leadership behavior jf



d. Management behavior jf




ANS: C jf



The situation between Mr. Smith and Miss Jones is a complex situation involvin
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g unrelievedpatient symptoms and aggressiveness toward a staff member. Provi
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ding engaged, collaborative guidance and decision making in a complex situatio
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n where there is no standardized solution reflects leadership.
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TOP: AONE competency: Leadership
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• After assessing an older adult patient in long-
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term care who has been slowly deteriorating forweeks, the nurse manager calls the fam
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ily and asks them to come in, as the patient is dying. What is the most likely basis for th
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e nurse manager’s request?
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a. An established clinical pathway
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b. Confirmatory scientific evidence jf jf



c. Unit protocol jf



d. Experience

ANS: D jf



The nurse manager is employing knowledge and experience in determining that
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the patient isdying, because the course of dying is not standardized and cannot b
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e determined by clinical pathways.
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TOP: AONE competency: Knowledge of the Health Care Environment
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• Chart audits have revealed significant omissions of data that could have legal and finan
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cial guideline ramifications. The unit manager meets with the staff to discuss audit findi
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ngs and tofind approaches that will address the gaps in charting and achieve desired goa
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ls. What is the manager demonstrating?
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a. Leadership
b. Management
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c. Vision

ANS: B jf



The process of guiding others to meet established goals, outcomes, and procedu
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res is management. This can require collaborative decision making to determine
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jf how best to reachpredetermined goals and follow established practices.
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TOP: AONE competency: Knowledge of the Health Care Environment
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• A family is keeping vigil at a critically ill patient’s bedside. Distant family members c
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all theunit continuously asking for updates and expressing concern. The nurse speaks
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with the distant family members and states she is referring them to the hospital social
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worker, whoserole is to work with family in this situation. What role is the nurse assu
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ming through this action?
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a. Manager
b. Leader
c. Follower
d. Laissez-
faire

ANS: A jf



As a manager, you are concerned with managing and coordinating resource
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s to achieveoutcomes in accordance with established clinical processes. Re
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ferral to a social workeralleviates demand on staff time and is consistent wi
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