Test Bank For Yoder-Wise’s Leading And Managing In Canadian Nursing, 7TH Edition, Patricia S. Yoder-Wise, Janice Waddell, Nancy Walton Questions and Answers Updated

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TEST BANK
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FOR YODER -WISE’S
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LEADING AND , ,




MANAGING ING , ,




CANADIAN NURSING , ,


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7th EDITION BY , ,


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YODER-WISE

, Leading,and,Managing,in,Nursing,7th,Edition,Yoder-Wise,Test,Bank



Chapter,01:,Leading,,Managing,,and,Following,Yoder-
Wise:,Leading,and,Managing,in,Nursing,,7th,Edition,

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MULTIPLE,CHOICE,
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, 1.,A,nurse,manager,of,a,20-
bed,medical,unit,finds,that,80%,of,the,patients,are,older,adults.,She,is,asked,to,assess,and,adapt,th
e,unit,to,better,meet,the,unique,needs,of,the,older,adult,patient.,Using,complexity,principles,,wha
t,would,be,the,best,approach,to,take,for,implementation,of,this,change?,
a. Leverage,the,hierarchical,management,position,to,get,unit,staff,involved,in,assessment,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,community,environment.,
d. Hire,a,geriatric,specialist,to,oversee,and,control,the,project.,
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ANS:,B,
Complexity,theory,suggests,that,systems,interact,and,adapt,and,that,decision,making,occurs,thro
ughout,the,systems,,as,opposed,to,being,held,in,a,hierarchy.,In,complexity,theory,,every,voice,co
unts,,and,therefore,,all,levels,of,staff,would,be,involved,in,decision,making.,
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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,called,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,tre
for,breast,canc


er.,According,to,Maslow’s,need,hierarchy,theory,,what,would,be,the,best,NURSINGTB.C

OM atment,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,c
alling,in,frequently,in,the,future.,
d. Work,with,the,nurse,,staffing,office,,and,other,nurses,to,arrange,his,scheduled,days,off,arou
nd,his,wife’s,treatments.,
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ANS:,D,
Placing,the,nurse,on,unpaid,leave,may,threaten,the,nurse’s,capacity,to,meet,physiologic,needs,an
d,demotivate,the,nurse.,Unsatisfactory,coverage,of,shifts,on,short,notice,could,affect,patient,care


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, Leading,and,Managing,in,Nursing,7th,Edition,Yoder-Wise,Test,Bank



,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.,
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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,medi
ation,session,,the,staff,nurse,repeatedly,calls,the,unit,manager’s,actions,unfair,,and,the,unit,manag
er,continues,to,reiterate,the,reasons,for,the,actions.,What,would,be,the,best,course,of,action,at,this,t
ime?,
a. Send,the,two,disputants,away,to,reach,their,own,resolution.,
b. Involve,another,staff,nurse,in,the,discussion,for,clarity,issues.,
c. Ask,each,party,to,examine,their,own,motives,and,issues,in,the,conflict.,
d. Continue,to,listen,as,the,parties,repeat,their,thoughts,and,feelings,about,the,conflict.,
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ANS:,C,
For,resolution,of,conflict,,one,should,address,the,interests,and,involvement,of,participants,in,the,
conflict,by,examining,the,real,issues,of,all,parties.,
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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,resolution.,
What,is,the,appropriate,next,step?,
a. Arrange,another,meeting,in,a,week’s,time,so,as,to,allow,a,cooling-off,period.,
b. Elevate,the,next,negation,session,to,the,next,manager,,one,level,above.,
c. Insist,that,participants,continue,to,talk,until,a,resolution,has,been,reached.,
d. Back,the,unit,manager’s,actions,and,end,the,dispute.,
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ANS:,B,
Part,of,leadership,is,understanding,conflict,resolution,and,ability,to,negotiate,and,manage,for,res
olution,of,issues,and,concerns.,This,situation,has,failed,a,second,negotiation,session,,elevation,to
,a,manager,with,additional,training,to,facilitate,conflict,resolution,is,important,at,this,point.,
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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,assistants,
or,unlicensed,persons,to,feed,,bathe,,and,ambulate,patients.,The,RNs,on,the,staff,have,always,pract
iced,in,a,primary,nursingNURSINGT-
Bdelivery,system,and,are,very,resistant,to,this,idea.,.COM,What,would,be,the,best,initial,strateg
y,for,implementation,of,this,change?,
a. Exploring,the,values,and,feelings,of,the,RN,group,in,relationship,to,this,change,
b. Leaving,the,RNs,alone,for,a,time,so,they,can,think,about,the,change,before,it,is,implemented,
c. Dropping,the,idea,and,trying,for,the,change,in,a,year,or,so,when,some,of,the,present,RNs,hav
e,retired,
d. Hiring,the,assistants,and,allowing,the,RNs,to,see,what,good,additions,they,are,
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NURSINGTB.COM

, Leading,and,Managing,in,Nursing,7th,Edition,Yoder-Wise,Test,Bank


ANS:,A,
Influencing,others,requires,emotional,intelligence,in,domains,such,as,empathy,,handling,relation
ships,,deepening,self-
awareness,in,self,and,others,,motivating,others,,and,managing,emotions.,Motivating,others,reco
gnizes,that,values,are,powerful,forces,that,influence,acceptance,of,change.,Leaving,the,RNs,alon
e,for,a,period,of,time,before,implementation,does,not,provide,opportunity,to,explore,different,pe
rspectives,and,values.,Avoiding,discussion,until,the,team,changes,may,not,promote,adoption,of,t
he,change,until,there,is,opportunity,to,explore,perspectives,and,values,related,to,the,change.,Hiri
ng,of,the,assistants,demonstrates,lack,of,empathy,for,the,perspectives,of,the,RN,staff.,
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TOP:,AONE,competency:,Knowledge,of,the,Health,Care,Environment,,
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6. As,the,RN,charge,nurse,on,the,night,shift,in,a,small,long-
term,care,facility,,you’ve,found,that,there,is,little,turnover,among,your,LPN,and,nursing,assistant,(
NA),staff,members,,but,they,are,not,very,motivated,to,go,beyond,their,job,descriptions,in,their,wor
k.,Which,of,the,following,strategies,might,motivate,the,staff,and,lead,to,greater,job,satisfaction?,
a. Ask,the,director,of,nursing,to,offer,higher,wages,and,bonuses,for,extra,work,for,the,night,L
PNs,and,NAs.,
b. Allow,the,LPNs,and,NAs,greater,decision-
making,power,within,the,scope,of,their,positions,in,the,institution.,
c. Hire,additional,staff,so,that,there,are,more,staff,available,for,enhanced,care,,and,individual
,workloads,are,lessened.,
d. Ask,the,director,of,nursing,to,increase,job,security,for,night,staff,by,having,them,sign,contr
acts,that,guarantee,work.,
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ANS:,B,
Hygiene,factors,such,as,salary,,working,conditions,,and,security,are,consistent,with,
Herzberg’s,two-
factor,theory,of,motivation;,meeting,these,needs,avoids,job,dissatisfaction.,Motivator,factors,suc
h,as,recognition,and,satisfaction,with,work,promote,a,satisfying,and,enriched,work,environment.
,Transformational,leaders,use,motivator,factors,liberally,to,inspire,work,performance,and,increa
se,job,satisfaction.,
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TOP:,AONE,competency:,Communication,and,Relationship-Building, ,
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7. The,nurse,manager,wants,to,increase,motivation,by,providing,motivating,factors,for,the,nurse,on,t
he,unit.,What,action,would,be,appropriate,to,motivate,the,staff?,
a.,Collaborate,with,the,human,resource/personnel,department,to,develop,on-
site,daycare,services.,

b.c.,,Provide,a,hierarchical,organizational,structure.Implement,a,model,of,shared,governance.N
URSINGTB.,CO,M
d.,Promote,the,development,of,a,flexible,benefits,package.,
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