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Chapter 01: Leading, Managing, and Following
Yoder-Wise: Leading and Managing in Nursing, 7th Edition
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MULTIPLEoCHOICE
1. Aonurseomanageroofoao20-
bedomedicalounitofindsothato80%oofotheopatientsoareoolderoadults.oSheoisoaskedotooasse
ssoandoadaptotheounitotoobetteromeetotheouniqueoneedsoofotheoolderoadultopatient.oUsin
gocomplexityoprinciples,owhatowouldobeotheobestoapproachotootakeoforoimplementati
onoofothisochange?
a. Leverageotheohierarchicalomanagementopositionotoogetounitostaffoinvolvedoino
assessmentoandoplanning.
b. Engageoinvolvedostaffoatoallolevelsoinotheodecision-makingoprocess.
c. Focusotheoassessmentoonotheounitoandoomitotheohospitaloandocommunityoenvironment.
d. Hireoaogeriatricospecialistotoooverseeoandocontrolotheoproject.
ANS:oB
Complexityotheoryosuggestsothatosystemsointeractoandoadaptoandothatodecisionomakingooccursot
hroughoutotheosystems,oasoopposedotoobeingoheldoinoaohierarchy.oInocomplexityotheory,oeveryov
oiceocounts,oandotherefore,oallolevelsoofostaffowouldobeoinvolvedoinodecisionomaking.
TOP:oAONEocompetency:oCommunicationoandoRelationship-Building
2. Aounitomanageroofoao25-
bedomedical/surgicaloareaoreceivesoaophoneocallofromoaonurseowhoohasocalledoinosickofiv
eotimesoinotheopastomonth.oHeotellsotheomanagerothatoheoveryomuchowantsoto
comeotooworkowhenoscheduledobutomustooftenocareoforohisowife,owhooisoundergoingotreforobreasto
cancer.oAccordingotooMaslow’soneedohierarchyotheory,owhatowouldobeotheobest
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andopatients?
a. Lineoupoagencyonursesowhoocanobeocalledoinotooworkoonoshortonotice.
b. Placeotheonurseoonounpaidoleaveoforotheoremainderoofohisowife’sotreatment.
c. Sympathizeowithotheonurse’sodilemmaoandoletotheochargeonurseoknowothatothisonurseo
mayobeocallingoinofrequentlyoinotheofuture.
d. Workowithotheonurse,ostaffingooffice,oandootheronursesotooarrangeohisoscheduledodaysooffoa
roundohisowife’sotreatments.
ANS:oD
Placingotheonurseoonounpaidoleaveomayothreatenotheonurse’socapacityotoomeetophysiologiconeedso
andodemotivateotheonurse.oUnsatisfactoryocoverageoofoshiftsoonoshortonoticeocouldoaffectopatiento
careoandothreatenotheoneedsoofostaffotoofeelocompetent.oArrangingotheoscheduleoaroundotheowife’
soneedsomeetsotheoneedsoofotheostaffoandoofopatientsowhileosatisfyingotheonurse’soneedoforoaffiliat
ion.
TOP:oAONEocompetency:oCommunicationoandoRelationship-Building
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Stuvia.como-oTheoMarketplaceotooBuyoandoSelloyouroStudyoMaterial
3. Aogrievanceobroughtobyoaostaffonurseoagainstotheounitomanagerorequiresomediation.oAtot
heofirstomediationosession,otheostaffonurseorepeatedlyocallsotheounitomanager’soactionsou
nfair,oandotheounitomanagerocontinuesotooreiterateotheoreasonsoforotheoactions.oWhatowo
uldobeotheobestocourseoofoactionoatothisotime?
a. Sendotheotwoodisputantsoawayotooreachotheiroownoresolution.
b. Involveoanotherostaffonurseoinotheodiscussionoforoclarityoissues.
c. Askoeachopartyotooexamineotheiroownomotivesoandoissuesoinotheoconflict.
d. Continueotoolistenoasotheopartiesorepeatotheirothoughtsoandofeelingsoaboutotheoconflict.
ANS:oC
Fororesolutionoofoconflict,ooneoshouldoaddressotheointerestsoandoinvolvementoofoparticipantsoinoth
eoconflictobyoexaminingotheorealoissuesoofoalloparties.
TOP:oAONEocompetency:oCommunicationoandoRelationship-Building
4. Atoaosecondonegotiationosession,otheounitomanageroandostaffonurseoareounableotooreachoa
oresolution.oWhatoisotheoappropriateonextostep?
a. Arrangeoanotheromeetingoinoaoweek’sotimeosooasotooallowoaocooling-offoperiod.
b. Elevateotheonextonegationosessionotootheonextomanager,ooneoleveloabove.
c. Insistothatoparticipantsocontinueotootalkountiloaoresolutionohasobeenoreached.
d. Backotheounitomanager’soactionsoandoendotheodispute.
ANS:oB
Partoofoleadershipoisounderstandingoconflictoresolutionoandoabilityotoonegotiateoandomanageoforor
esolutionoofoissuesoandoconcerns.oThisosituationohasofailedoaosecondonegotiationosession,oelevati
onotooaomanagerowithoadditionalotrainingotoofacilitateoconflictoresolutionoisoimportantoatothisopoi
nt.
TOP:oAONEocompetency:oCommunicationoandoRelationship-Building
5. Theomanageroofoaosurgicaloareaohasoaovisionoforotheofutureothatorequiresotheoadditionoo
foRNoassistantsoorounlicensedopersonsotoofeed,obathe,oandoambulateopatients.oTheoRN
soonotheostaff
haveoalwaysopracticedoinoaoprimaryonursingWhatowouldobeotheobestoinitialostrategyoforoimpleme
ntationoofothisochange?oNURSINGT-
Bdelivery system and are very resistant to this idea. .COM
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a. ExploringotheovaluesoandofeelingsoofotheoRNogroupoinorelationshipotoothisochange
b. LeavingotheoRNsoaloneoforoaotimeosootheyocanothinkoaboutotheochangeobeforeoitoisoi
mplemented
c. DroppingotheoideaoandotryingoforotheochangeoinoaoyearoorosoowhenosomeoofotheopresentoRNsoh
aveoretired
d. HiringotheoassistantsoandoallowingotheoRNsotooseeowhatogoodoadditionsotheyoare
ANS:oA
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