Test Bank Leading and Managing in Nursing, 7th Edition by YoderWise - Chapters 1-31, 9780323449137 Rationals Included

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1. Agnursegmanagergofgag20-
bedgmedicalgunitgfindsgthatg80%gofgthegpatientsgaregoldergadults.gShegisgaskedgtogassessgandga
daptgthegunitgtogbettergmeetgtheguniquegneedsgofgthegoldergadultgpatient.gUsinggcomplexitygpri
nciples,gwhatgwouldgbegthegbestgapproachgtogtakegforgimplementationgofgthisgchange?
a. Leveragegtheghierarchicalgmanagementgpositiongtoggetgunitgstaffginvolvedgi
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b. Engageginvolvedgstaffgatgallglevelsgingthegdecision-makinggprocess.
c. Focusgthegassessmentgongthegunitgandgomitgtheghospitalgandgcommunit
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d. Hiregaggeriatricgspecialistgtogoverseegandgcontrolgthegproject.
ANS:g B
Complexitygtheorygsuggestsgthatgsystemsginteractgandgadaptgandgthatgdecisiongmakinggoccur
sgthroughoutgthegsystems,gasgopposedgtogbeinggheldgingaghierarchy.gIngcomplexitygtheory,gev
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TOP:g AONEgcompetency:gCommunicationgandgRelationship-Building

2. Agunitgmanagergofgag25-
bedgmedical/surgicalgareagreceivesgagphonegcallgfromgagnursegwhoghasgcalledgingsickgfivegtim
esgingthegpastgmonth.gHegtellsgthegmanagergthatghegverygmuchgwantsgtogcomegtogworkgwheng
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b. Placegthegnursegongunpaidgleavegforgthegremaindergofghisgwife’sgtreatment.
c. Sympathizegwithgthegnurse’sgdilemmagandgletgthegchargegnursegknowgthatgthisgnurse
maygbegcallinggingfrequentlygingthegfuture.
d. Workgwithgthegnurse,gstaffinggoffice,gandgothergnursesgtogarrangeghisgscheduled
daysgoffgaroundghisgwife’sgtreatments.
ANS:g D
Placinggthegnursegongunpaidgleavegmaygthreatengthegnurse’sgcapacitygtogmeetgphysiologicgnee
dsgandgdemotivategthegnurse.gUnsatisfactorygcoveragegofgshiftsgongshortgnoticegcouldgaffectg p
atientgcaregandgthreatengthegneedsgofgstaffgtogfeelgcompetent.gArranginggthegschedulegaround
thegwife’sgneedsgmeetsgthegneedsgofgthegstaffgandgofgpatientsgwhilegsatisfyinggthegnurse’sgneed
forgaffiliation.

TOP:g AONEgcompetency:gCommunicationgandgRelationship-Building

3. Aggrievancegbroughtgbygagstaffgnursegagainstgthegunitgmanagergrequiresgmediation.gAtgthegfir
stgmediationgsession,gthegstaffgnursegrepeatedlygcallsgthegunitgmanager’sgactionsgunfair,gandgt
hegunitgmanagergcontinuesgtogreiterategthegreasonsgforgthegactions.gWhatgwouldgbegthegbestgco
ursegofgactiongatgthisgtime?
a. Sendgthegtwogdisputantsgawaygtogreachgtheirgowngresolution.
b. Involveganothergstaffgnursegingthegdiscussiongforgclaritygissues.




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