l O M oA R c P S D | 172 z zz
2 7 4 17
Leadingz andz Managingz inz Nursingz 7t h E ditionz Yoder-
Wisez Testz Bank
, l O M oA R c P S D | 172 z zz
2 7 4 17
Leadingz andz Managingz inz Nursingz 7t h E ditionz Yoder-
Wisez Testz Bank
Chapterz 01:z Leading,z Managing,z andz Following
Yoder-Wise:z Leadingz andz Managingz inz Nursing,z 7thz Edition
MULTIPLEz CHOICE
1. Az nursez managerz ofz az 20-bedz medicalz unitz findsz thatz 80%z ofz thez patientsz arez
olderz adults.z Shez isz askedz toz assessz andz adaptz thez unitz toz betterz meetz thez uniquez
needsz ofz thez olderz adultz patient.z Usingz complexityz principles,z whatz wouldz bez thez
bestz approachz toz takez forz implementationz ofz thisz change?
a. Leveragez thez hierarchicalz managementz positionz toz getz unitz staffz
involvedz inz assessmentz andz planning.
b. Engagez involvedz staffz atz allz levelsz inz thez decision-makingz process.
c. Focusz thez assessmentz onz thez unitz andz omitz thez
hospitalz andz communityz environment.
d. Hirez az geriatricz specialistz toz overseez andz controlz thez project.
ANS:z B
Complexityz theoryz suggestsz thatz systemsz interactz andz adaptz andz thatz decisionz
makingz occursz throughoutz thez systems,z asz opposedz toz beingz heldz inz az hierarchy.z
Inz complexityz theory,z everyz voicez counts,z andz therefore,z allz levelsz ofz staffz wouldz
bez involvedz inz decisionz making.
TOP:z AONEz competency:z Communicationz andz Relationship-Building
2. Az unitz managerz ofz az 25-bedz medical/surgicalz areaz receivesz az phonez callz fromz az
nursez whoz hasz calledz inz sickz fivez timesz inz thez pastz month.z Hez tellsz thez managerz
thatz hez veryz muchz wantsz toz comez toz workz whenz scheduledz butz mustz oftenz carez
forz hisz wife,z whoz isz undergoingz treatment
forz breastz cancer.z Accordingz toz Maslow’sz needz hierarchyz theory,z whatz
wouldz bez thez bestz approachz toz satisfyingz thez needsz ofz thisz nurse,z otherz
staff,z andz patients?
a. Linez upz agencyz nursesz whoz canz bez calledz inz toz workz onz shortz notice.
b. Placez thez nursez onz unpaidz leavez forz thez remainderz ofz hisz wife’sz treatment.
c. Sympathizez withz thez nurse’sz dilemmaz andz letz thez chargez nursez knowz
thatz thisz nursez mayz bez callingz inz frequentlyz inz thez future.
d. Workz withz thez nurse,z staffingz office,z andz otherz nursesz toz
arrangez hisz scheduledz daysz offz aroundz hisz wife’sz
treatments.
ANS:z D
Placingz thez nursez onz unpaidz leavez mayz threatenz thez nurse’sz capacityz toz meetz
physiologicz needsz andz demotivatez thez nurse.z Unsatisfactoryz coveragez ofz shiftsz onz shortz
noticez couldz affect
patientz carez andz threatenz thez needsz ofz staffz toz feelz competent.z Arrangingz thez schedulez
aroundz thez wife’sz needsz meetsz thez needsz ofz thez staffz andz ofz patientsz whilez
satisfyingz thez nurse’sz needz forz affiliation.
TOP:z AONEz competency:z Communicationz andz Relationship-Building
3. Az grievancez broughtz byz az staffz nursez againstz thez unitz managerz requiresz mediation.z
Atz thez firstz mediationz session,z thez staffz nursez repeatedlyz callsz thez unitz
manager’sz actionsz unfair,z andz thez unitz managerz continuesz toz reiteratez thez
reasonsz forz thez actions.z Whatz wouldz bez thez bestz coursez ofz actionz atz thisz time?
a. Sendz thez twoz disputantsz awayz toz reachz theirz ownz resolution.
b. Involvez anotherz staffz nursez inz thez discussionz forz clarityz issues.
, l O M oA R c P S D | 172 z zz
2 7 4 17
Leadingz andz Managingz inz Nursingz 7t h E ditionz Yoder-
Wisez Testz Bank
c. Askz eachz partyz toz examinez theirz ownz motivesz andz issuesz inz thez conflict.
d. Continuez toz listenz asz thez partiesz repeatz theirz thoughtsz andz
feelingsz aboutz thez conflict.
ANS:z C
Forz resolutionz ofz conflict,z onez shouldz addressz thez interestsz andz involvementz ofz
participantsz inz thez conflictz byz examiningz thez realz issuesz ofz allz parties.
TOP:z AONEz competency:z Communicationz andz Relationship-Building
4. Atz az secondz negotiationz session,z thez unitz managerz andz staffz nursez arez
unablez toz reachz az resolution.z Whatz isz thez appropriatez nextz step?
a. Arrangez anotherz meetingz inz az week’sz timez soz asz toz allowz az cooling-offz period.
b. Elevatez thez nextz negationz sessionz toz thez nextz manager,z onez levelz above.
c. Insistz thatz participantsz continuez toz talkz untilz az resolutionz hasz beenz reached.
d. Backz thez unitz manager’sz actionsz andz endz thez dispute.
ANS:z B
Partz ofz leadershipz isz understandingz conflictz resolutionz andz abilityz toz negotiatez andz
managez forz resolutionz ofz issuesz andz concerns.z Thisz situationz hasz failedz az secondz
negotiationz session,z elevationz toz az managerz withz additionalz trainingz toz facilitatez
conflictz resolutionz isz importantz atz thisz point.
TOP:z AONEz competency:z Communicationz andz Relationship-Building
5. Thez managerz ofz az surgicalz areaz hasz az visionz forz thez futurez thatz requiresz thez additionz
ofz RN
assistantsz orz unlicensedz personsz toz feed,z bathe,z andz ambulatez patients.z Thez RNsz onz thez
staffz havez alwaysz practicedz inz az primaryz nursingz deliveryz systemz andz arez veryz resistantz
toz thisz idea.z Whatz wouldz bez thez bestz initialz strategyz forz implementationz ofz thisz change?
a. Exploringz thez valuesz andz feelingsz ofz thez RNz groupz inz relationshipz toz thisz change
b. Leavingz thez RNsz alonez forz az timez soz theyz canz thinkz aboutz thez
changez beforez itz isz implemented
c. Droppingz thez ideaz andz tryingz forz thez changez inz az yearz orz soz
whenz somez ofz thez presentz RNsz havez retired
d. Hiringz thez assistantsz andz allowingz thez RNsz toz seez whatz goodz additionsz theyz are
ANS:z A
Influencingz othersz requiresz emotionalz intelligencez inz domainsz suchz asz empathy,z
handlingz relationships,z deepeningz self-awarenessz inz selfz andz others,z motivatingz
others,z andz managingz emotions.z Motivatingz othersz recognizesz thatz valuesz arez
powerfulz forcesz thatz influencez acceptancez ofz change.z Leavingz thez RNsz alonez forz az
periodz ofz timez beforez implementationz doesz notz providez opportunityz toz explorez
differentz perspectivesz andz values.z Avoidingz discussionz untilz thez teamz changesz mayz
notz promotez adoptionz ofz thez changez untilz therez isz opportunityz toz explorez
perspectivesz andz valuesz relatedz toz thez change.z Hiringz ofz thez assistantsz demonstratesz
lackz ofz empathyz forz thez perspectivesz ofz thez RNz staff.
TOP:z AONEz competency:z Knowledgez ofz thez Healthz Carez Environment
, l O M oA R c P S D | 172 z zz
2 7 4 17
Leadingz andz Managingz inz Nursingz 7t h E ditionz Yoder-
Wisez Testz Bank
6. Asz thez RNz chargez nursez onz thez nightz shiftz inz az smallz long-termz carez facility,z
you’vez foundz thatz therez isz littlez turnoverz amongz yourz LPNz andz nursingz assistantz
(NA)z staffz members,z butz theyz arez notz veryz motivatedz toz goz beyondz theirz jobz
descriptionsz inz theirz work.z Whichz ofz thez followingz strategiesz mightz motivatez thez
staffz andz leadz toz greaterz jobz satisfaction?
a. Askz thez directorz ofz nursingz toz offerz higherz wagesz andz bonusesz forz
extraz workz forz thez nightz LPNsz andz NAs.
b. Allowz thez LPNsz andz NAsz greaterz decision-makingz powerz withinz thez
scopez ofz theirz positionsz inz thez institution.
c. Hirez additionalz staffz soz thatz therez arez morez staffz availablez forz
enhancedz care,z andz individualz workloadsz arez lessened.
d. Askz thez directorz ofz nursingz toz increasez jobz securityz forz nightz staffz
byz havingz themz signz contractsz thatz guaranteez work.
ANS:z B
Hygienez factorsz suchz asz salary,z workingz conditions,z andz securityz arez consistentz withz
Herzberg’sz two-factorz theoryz ofz motivation;z meetingz thesez needsz avoidsz jobz
dissatisfaction.z Motivatorz factorsz suchz asz recognitionz andz satisfactionz withz workz
promotez az satisfyingz and
enrichedz workz environment.z Transformationalz leadersz usez motivatorz factorsz
liberallyz toz inspirez workz performancez andz increasez jobz satisfaction.
TOP:z AONEz competency:z Communicationz andz Relationship-Building
7. Thez nursez managerz wantsz toz increasez motivationz byz providingz motivatingz factorsz forz
thez nursez onz thez unit.z Whatz actionz wouldz bez appropriatez toz motivatez thez staff?
a. Collaboratez withz thez humanz resource/personnelz departmentz toz developz
on-sitez daycarez services.
b. Providez az hierarchicalz organizationalz structure.
c.
Implementz az modelz ofz sharedz governance.
d. Promotez thez developmentz ofz az flexiblez benefitsz package.
ANS:z C
Complexityz theoryz suggestsz thatz systemsz interactz andz adaptz andz thatz decisionz
makingz occursz throughoutz systems,z asz opposedz toz beingz heldz inz az hierarchy.z Inz
complexityz theory,z everyz voicez counts,z andz thereforez allz levelsz ofz staffz wouldz bez
involvedz inz decisionz making.z Thisz principlez isz thez foundationz ofz sharedz
governance.
TOP:z AONEz competency:z Communicationz andz Relationship-Building
8. Az chargez nursez onz az busyz 40-bedz medical/surgicalz unitz isz approachedz byz az familyz
memberz whoz beginsz toz complainz loudlyz aboutz thez qualityz ofz carez hisz motherz isz
receiving.z Hisz behaviorz isz soz disruptivez thatz itz isz overheardz byz staff,z physicians,z andz
otherz visitors.z Thez familyz memberz leavesz thez unitz abruptly,z andz thez nursez isz leftz
feelingz frustrated.z Whichz behaviorz byz thez chargez nursez bestz illustratesz refinedz
leadershipz skillsz inz anz emotionallyz intelligentz practitioner?
a. Reflectz toz gainz insightz intoz howz thez situationz couldz bez handledz
differentlyz inz thez future.
b. Tryz toz catchz upz withz thez angryz familyz memberz toz resolvez thez concern.
c. Discussz thez concernz withz thez patientz afterz thez familyz memberz hasz left.
d. Notifyz nursingz administrationz ofz thez situation.
ANS:z A
2 7 4 17
Leadingz andz Managingz inz Nursingz 7t h E ditionz Yoder-
Wisez Testz Bank
, l O M oA R c P S D | 172 z zz
2 7 4 17
Leadingz andz Managingz inz Nursingz 7t h E ditionz Yoder-
Wisez Testz Bank
Chapterz 01:z Leading,z Managing,z andz Following
Yoder-Wise:z Leadingz andz Managingz inz Nursing,z 7thz Edition
MULTIPLEz CHOICE
1. Az nursez managerz ofz az 20-bedz medicalz unitz findsz thatz 80%z ofz thez patientsz arez
olderz adults.z Shez isz askedz toz assessz andz adaptz thez unitz toz betterz meetz thez uniquez
needsz ofz thez olderz adultz patient.z Usingz complexityz principles,z whatz wouldz bez thez
bestz approachz toz takez forz implementationz ofz thisz change?
a. Leveragez thez hierarchicalz managementz positionz toz getz unitz staffz
involvedz inz assessmentz andz planning.
b. Engagez involvedz staffz atz allz levelsz inz thez decision-makingz process.
c. Focusz thez assessmentz onz thez unitz andz omitz thez
hospitalz andz communityz environment.
d. Hirez az geriatricz specialistz toz overseez andz controlz thez project.
ANS:z B
Complexityz theoryz suggestsz thatz systemsz interactz andz adaptz andz thatz decisionz
makingz occursz throughoutz thez systems,z asz opposedz toz beingz heldz inz az hierarchy.z
Inz complexityz theory,z everyz voicez counts,z andz therefore,z allz levelsz ofz staffz wouldz
bez involvedz inz decisionz making.
TOP:z AONEz competency:z Communicationz andz Relationship-Building
2. Az unitz managerz ofz az 25-bedz medical/surgicalz areaz receivesz az phonez callz fromz az
nursez whoz hasz calledz inz sickz fivez timesz inz thez pastz month.z Hez tellsz thez managerz
thatz hez veryz muchz wantsz toz comez toz workz whenz scheduledz butz mustz oftenz carez
forz hisz wife,z whoz isz undergoingz treatment
forz breastz cancer.z Accordingz toz Maslow’sz needz hierarchyz theory,z whatz
wouldz bez thez bestz approachz toz satisfyingz thez needsz ofz thisz nurse,z otherz
staff,z andz patients?
a. Linez upz agencyz nursesz whoz canz bez calledz inz toz workz onz shortz notice.
b. Placez thez nursez onz unpaidz leavez forz thez remainderz ofz hisz wife’sz treatment.
c. Sympathizez withz thez nurse’sz dilemmaz andz letz thez chargez nursez knowz
thatz thisz nursez mayz bez callingz inz frequentlyz inz thez future.
d. Workz withz thez nurse,z staffingz office,z andz otherz nursesz toz
arrangez hisz scheduledz daysz offz aroundz hisz wife’sz
treatments.
ANS:z D
Placingz thez nursez onz unpaidz leavez mayz threatenz thez nurse’sz capacityz toz meetz
physiologicz needsz andz demotivatez thez nurse.z Unsatisfactoryz coveragez ofz shiftsz onz shortz
noticez couldz affect
patientz carez andz threatenz thez needsz ofz staffz toz feelz competent.z Arrangingz thez schedulez
aroundz thez wife’sz needsz meetsz thez needsz ofz thez staffz andz ofz patientsz whilez
satisfyingz thez nurse’sz needz forz affiliation.
TOP:z AONEz competency:z Communicationz andz Relationship-Building
3. Az grievancez broughtz byz az staffz nursez againstz thez unitz managerz requiresz mediation.z
Atz thez firstz mediationz session,z thez staffz nursez repeatedlyz callsz thez unitz
manager’sz actionsz unfair,z andz thez unitz managerz continuesz toz reiteratez thez
reasonsz forz thez actions.z Whatz wouldz bez thez bestz coursez ofz actionz atz thisz time?
a. Sendz thez twoz disputantsz awayz toz reachz theirz ownz resolution.
b. Involvez anotherz staffz nursez inz thez discussionz forz clarityz issues.
, l O M oA R c P S D | 172 z zz
2 7 4 17
Leadingz andz Managingz inz Nursingz 7t h E ditionz Yoder-
Wisez Testz Bank
c. Askz eachz partyz toz examinez theirz ownz motivesz andz issuesz inz thez conflict.
d. Continuez toz listenz asz thez partiesz repeatz theirz thoughtsz andz
feelingsz aboutz thez conflict.
ANS:z C
Forz resolutionz ofz conflict,z onez shouldz addressz thez interestsz andz involvementz ofz
participantsz inz thez conflictz byz examiningz thez realz issuesz ofz allz parties.
TOP:z AONEz competency:z Communicationz andz Relationship-Building
4. Atz az secondz negotiationz session,z thez unitz managerz andz staffz nursez arez
unablez toz reachz az resolution.z Whatz isz thez appropriatez nextz step?
a. Arrangez anotherz meetingz inz az week’sz timez soz asz toz allowz az cooling-offz period.
b. Elevatez thez nextz negationz sessionz toz thez nextz manager,z onez levelz above.
c. Insistz thatz participantsz continuez toz talkz untilz az resolutionz hasz beenz reached.
d. Backz thez unitz manager’sz actionsz andz endz thez dispute.
ANS:z B
Partz ofz leadershipz isz understandingz conflictz resolutionz andz abilityz toz negotiatez andz
managez forz resolutionz ofz issuesz andz concerns.z Thisz situationz hasz failedz az secondz
negotiationz session,z elevationz toz az managerz withz additionalz trainingz toz facilitatez
conflictz resolutionz isz importantz atz thisz point.
TOP:z AONEz competency:z Communicationz andz Relationship-Building
5. Thez managerz ofz az surgicalz areaz hasz az visionz forz thez futurez thatz requiresz thez additionz
ofz RN
assistantsz orz unlicensedz personsz toz feed,z bathe,z andz ambulatez patients.z Thez RNsz onz thez
staffz havez alwaysz practicedz inz az primaryz nursingz deliveryz systemz andz arez veryz resistantz
toz thisz idea.z Whatz wouldz bez thez bestz initialz strategyz forz implementationz ofz thisz change?
a. Exploringz thez valuesz andz feelingsz ofz thez RNz groupz inz relationshipz toz thisz change
b. Leavingz thez RNsz alonez forz az timez soz theyz canz thinkz aboutz thez
changez beforez itz isz implemented
c. Droppingz thez ideaz andz tryingz forz thez changez inz az yearz orz soz
whenz somez ofz thez presentz RNsz havez retired
d. Hiringz thez assistantsz andz allowingz thez RNsz toz seez whatz goodz additionsz theyz are
ANS:z A
Influencingz othersz requiresz emotionalz intelligencez inz domainsz suchz asz empathy,z
handlingz relationships,z deepeningz self-awarenessz inz selfz andz others,z motivatingz
others,z andz managingz emotions.z Motivatingz othersz recognizesz thatz valuesz arez
powerfulz forcesz thatz influencez acceptancez ofz change.z Leavingz thez RNsz alonez forz az
periodz ofz timez beforez implementationz doesz notz providez opportunityz toz explorez
differentz perspectivesz andz values.z Avoidingz discussionz untilz thez teamz changesz mayz
notz promotez adoptionz ofz thez changez untilz therez isz opportunityz toz explorez
perspectivesz andz valuesz relatedz toz thez change.z Hiringz ofz thez assistantsz demonstratesz
lackz ofz empathyz forz thez perspectivesz ofz thez RNz staff.
TOP:z AONEz competency:z Knowledgez ofz thez Healthz Carez Environment
, l O M oA R c P S D | 172 z zz
2 7 4 17
Leadingz andz Managingz inz Nursingz 7t h E ditionz Yoder-
Wisez Testz Bank
6. Asz thez RNz chargez nursez onz thez nightz shiftz inz az smallz long-termz carez facility,z
you’vez foundz thatz therez isz littlez turnoverz amongz yourz LPNz andz nursingz assistantz
(NA)z staffz members,z butz theyz arez notz veryz motivatedz toz goz beyondz theirz jobz
descriptionsz inz theirz work.z Whichz ofz thez followingz strategiesz mightz motivatez thez
staffz andz leadz toz greaterz jobz satisfaction?
a. Askz thez directorz ofz nursingz toz offerz higherz wagesz andz bonusesz forz
extraz workz forz thez nightz LPNsz andz NAs.
b. Allowz thez LPNsz andz NAsz greaterz decision-makingz powerz withinz thez
scopez ofz theirz positionsz inz thez institution.
c. Hirez additionalz staffz soz thatz therez arez morez staffz availablez forz
enhancedz care,z andz individualz workloadsz arez lessened.
d. Askz thez directorz ofz nursingz toz increasez jobz securityz forz nightz staffz
byz havingz themz signz contractsz thatz guaranteez work.
ANS:z B
Hygienez factorsz suchz asz salary,z workingz conditions,z andz securityz arez consistentz withz
Herzberg’sz two-factorz theoryz ofz motivation;z meetingz thesez needsz avoidsz jobz
dissatisfaction.z Motivatorz factorsz suchz asz recognitionz andz satisfactionz withz workz
promotez az satisfyingz and
enrichedz workz environment.z Transformationalz leadersz usez motivatorz factorsz
liberallyz toz inspirez workz performancez andz increasez jobz satisfaction.
TOP:z AONEz competency:z Communicationz andz Relationship-Building
7. Thez nursez managerz wantsz toz increasez motivationz byz providingz motivatingz factorsz forz
thez nursez onz thez unit.z Whatz actionz wouldz bez appropriatez toz motivatez thez staff?
a. Collaboratez withz thez humanz resource/personnelz departmentz toz developz
on-sitez daycarez services.
b. Providez az hierarchicalz organizationalz structure.
c.
Implementz az modelz ofz sharedz governance.
d. Promotez thez developmentz ofz az flexiblez benefitsz package.
ANS:z C
Complexityz theoryz suggestsz thatz systemsz interactz andz adaptz andz thatz decisionz
makingz occursz throughoutz systems,z asz opposedz toz beingz heldz inz az hierarchy.z Inz
complexityz theory,z everyz voicez counts,z andz thereforez allz levelsz ofz staffz wouldz bez
involvedz inz decisionz making.z Thisz principlez isz thez foundationz ofz sharedz
governance.
TOP:z AONEz competency:z Communicationz andz Relationship-Building
8. Az chargez nursez onz az busyz 40-bedz medical/surgicalz unitz isz approachedz byz az familyz
memberz whoz beginsz toz complainz loudlyz aboutz thez qualityz ofz carez hisz motherz isz
receiving.z Hisz behaviorz isz soz disruptivez thatz itz isz overheardz byz staff,z physicians,z andz
otherz visitors.z Thez familyz memberz leavesz thez unitz abruptly,z andz thez nursez isz leftz
feelingz frustrated.z Whichz behaviorz byz thez chargez nursez bestz illustratesz refinedz
leadershipz skillsz inz anz emotionallyz intelligentz practitioner?
a. Reflectz toz gainz insightz intoz howz thez situationz couldz bez handledz
differentlyz inz thez future.
b. Tryz toz catchz upz withz thez angryz familyz memberz toz resolvez thez concern.
c. Discussz thez concernz withz thez patientz afterz thez familyz memberz hasz left.
d. Notifyz nursingz administrationz ofz thez situation.
ANS:z A
