,Yoder-Wise's Leading and Managing in Canadian Nursing 2nd Edition Yoder-
m7 m7 m7 m7 m7 m7 m7 m7 m7
Wise Test Bank
NURSINGTB.COM
,Yoder-Wise's Leading and Managing in Canadian Nursing 2nd Edition Yoder-
m7 m7 m7 m7 m7 m7 m7 m7 m7
Wise Test Bank
Chapter 01: Leading, Managing, and Following
m7 m7 m7 m7 m7
Waddell/Walton: Yoder- m7
Wise’s Leading and Managing in Canadian Nursing, Third Edition
m7 m7 m7 m7 m7 m7 m7 m7
MULTIPLE CHOICE m7
1. A nurse manager of a 20-
m7 m7 m7 m7 m7
bed medical unit finds that 80% of the patients are older adults. She is asked to assess
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
and adapt the unit to better meet the unique needs of older adult patients. According t
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
o complexity principles, what would be the best approach to take in making this chang
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
e?
a. Leverage the hierarchical management position to get unit staff involve
m7 m7 m7 m7 m7 m7 m7 m7 m7
d in assessment and planning.
m7 m7 m7 m7
b. Engage involved staff at all levels in the decision-making process.
m7 m7 m7 m7 m7 m7 m7 m7 m7
c. Focus the assessment on the unit, and omit the hospital and comm
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
unity environment. m7
d. Hire a geriatric specialist to oversee and control the project.
m7 m7 m7 m7 m7 m7 m7 m7 m7
ANS: m 7 B
Complexity theory suggests that systems interact and adapt and that decision making oc
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
curs throughout the systems, as opposed to being held in a hierarchy. In complexity th
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
eory, everybody‘s opinion counts; therefore, all levels of staff would be involved in de
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
cision making. m7
DIF: Cognitive Level: Apply m7 m7
REF: Page 14 TOP: Nursing Process: Impleme
m7 m7 m7 m 7 m7 m7
ntation
2. A unit manager of a 25-
m7 m7 m7 m7 m7
UNSRNITG B.C MO
m7
m7
m7
m7
m7
m7 m7 m7
bed medical/surgical area receives a phone call from a nurse who has
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
called in sick five times in the past month. He tells the manager that he very much w
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
ants to come to work when scheduled, but must often care for his wife, who is undergo
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
ing treatment for breast cancer. In the practice of a strengths-
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
based nursing leader, what would be the best approach to satisfying the needs of this n
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
urse, other staff, and patients?
m7 m7 m7 m7
a. Line up agency nurses who can be called in to work on short notice.
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
b. Place the nurse on unpaid leave for the remainder of his wife‘s treatment.
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
c. Sympathize with the nurse‘s dilemma and let the charge nurse know that this
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
nurse may be calling in frequently in the future.
m7 m7 m7 m7 m7 m7 m7 m7
d. Work with the nurse, staffing office, and other nurses to arrange his sched
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
uled days off around his wife‘s treatments.
m7 m7 m7 m7 m7 m7
ANS: D m7
Placing the nurse on unpaid leave may threaten physiologic needs and demotivate the n
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
urse. Unsatisfactory coverage of shifts on short notice could affect patient care and thre
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
aten staff members‘ sense of competence. Strengths-
m7 m7 m7 m7 m7 m7
based nurse leaders honour the uniqueness of individuals, teams, systems, and organizat
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
ions; therefore arranging the schedule around the wife‘s needs would result in a win-
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
win situation, also creating a work environment that promotes the health of all the nurs
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
es and facilitates their development.
m7 m7 m7 m7
DIF: Cognitive Level: Analyze m7 m7
REF: Page 6 TOP: Nursing Process: Impleme
m7 m7 m7 m 7 m7 m7
ntation
NURSINGTB.COM
, Yoder-Wise's Leading and Managing in Canadian Nursing 2nd Edition Yoder-
m7 m7 m7 m7 m7 m7 m7 m7 m7
Wise Test Bank
3. A grievance brought by a staff nurse against the unit manager requires mediation. At th
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
e first mediation session, the staff nurse repeatedly calls the unit manager‘s actions unf
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
air, and the unit manager continues to reiterate the reasons for the actions. What would
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
be the best course of action at this time?
m7 m7 m7 m7 m7 m7 m7 m7
a. Send the two disputants away to reach their own resolution.
m7 m7 m7 m7 m7 m7 m7 m7 m7
b. Involve another staff nurse in the discussion so as to clarify issues.
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
c. Ask each party to examine her own motives and issues in the conflict.
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
d. Continue to listen as the parties repeat their thoughts and feelings abou
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
t the conflict.m7 m7
ANS: C m7
Nurses and leaders must assess each situation as unique, determining appropriate action
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
s accordingly. Leaders must adapt their styles to complement specific issues being faced
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
, such as conflict. Examining motives and issues for the conflict in perceptions promot
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
es equal representation of each point of view.
m7 m7 m7 m7 m7 m7 m7
DIF: Cognitive Level: Apply REF: Pages 11– m7 m7 m7 m7
13 TOP: Nursing Process: Implementation
m7 m 7 m7 m7
4. Shortly after being informed of fetal death, a labouring woman asks why she is not able
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
to hear her baby‘s heartbeat on the monitor anymore. Although the monitor volume ha
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
d been turned off so that the patient would be able to sleep between contractions, the nu
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
rse responded that there was no heartbeat to hear because the baby had died in utero; th
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
en the nurse asked whether the patient would like to talk about how she was feeling. Th
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
is response demonstrates:
m7 m7
a. Lack of empathy. m7 m7
b. Ethical leadership. m7
c. Complexity science. NURSINGTB.COM m7
d. A coercive relationship
m7 m7
.
ANS: B m7
Ethical leadership is based on a willingness to identify and act on complex problems in
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
an ethical manner. Leadership can be misused when coercive relationships form, and info
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
rmation and true goals are withheld.
m7 m7 m7 m7 m7
DIF: Cognitive Level: Analyze m7 m7
REF: Page 7 TOP: Nursing Process: Impleme
m7 m7 m7 m 7 m7 m7
ntation
5. The manager of a surgical area envisions a future that requires the addition of registered
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m
nurse (RN) assistants or unlicensed persons to feed, bathe, and walk patients. The RNs
7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
on the staff have always practiced in a primary nursing-
m7 m7 m7 m7 m7 m7 m7 m7 m7
delivery system and are very resistant to this idea. The best initial strategy in this situati
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
on would include:
m7 m7
a. Exploring the values of the RNs in relation to this change.
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
b. Leaving the RNs alone for a time so they can think about the change befor
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
e they are approached again.
m7 m7 m7 m7
c. Dropping the idea and trying for the change in another year or so.
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
d. Hiring the assistants and allowing the RNs to see what good additions they are.
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
ANS: A m7
NURSINGTB.COM
m7 m7 m7 m7 m7 m7 m7 m7 m7
Wise Test Bank
NURSINGTB.COM
,Yoder-Wise's Leading and Managing in Canadian Nursing 2nd Edition Yoder-
m7 m7 m7 m7 m7 m7 m7 m7 m7
Wise Test Bank
Chapter 01: Leading, Managing, and Following
m7 m7 m7 m7 m7
Waddell/Walton: Yoder- m7
Wise’s Leading and Managing in Canadian Nursing, Third Edition
m7 m7 m7 m7 m7 m7 m7 m7
MULTIPLE CHOICE m7
1. A nurse manager of a 20-
m7 m7 m7 m7 m7
bed medical unit finds that 80% of the patients are older adults. She is asked to assess
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
and adapt the unit to better meet the unique needs of older adult patients. According t
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
o complexity principles, what would be the best approach to take in making this chang
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
e?
a. Leverage the hierarchical management position to get unit staff involve
m7 m7 m7 m7 m7 m7 m7 m7 m7
d in assessment and planning.
m7 m7 m7 m7
b. Engage involved staff at all levels in the decision-making process.
m7 m7 m7 m7 m7 m7 m7 m7 m7
c. Focus the assessment on the unit, and omit the hospital and comm
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
unity environment. m7
d. Hire a geriatric specialist to oversee and control the project.
m7 m7 m7 m7 m7 m7 m7 m7 m7
ANS: m 7 B
Complexity theory suggests that systems interact and adapt and that decision making oc
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
curs throughout the systems, as opposed to being held in a hierarchy. In complexity th
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
eory, everybody‘s opinion counts; therefore, all levels of staff would be involved in de
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
cision making. m7
DIF: Cognitive Level: Apply m7 m7
REF: Page 14 TOP: Nursing Process: Impleme
m7 m7 m7 m 7 m7 m7
ntation
2. A unit manager of a 25-
m7 m7 m7 m7 m7
UNSRNITG B.C MO
m7
m7
m7
m7
m7
m7 m7 m7
bed medical/surgical area receives a phone call from a nurse who has
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
called in sick five times in the past month. He tells the manager that he very much w
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
ants to come to work when scheduled, but must often care for his wife, who is undergo
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
ing treatment for breast cancer. In the practice of a strengths-
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
based nursing leader, what would be the best approach to satisfying the needs of this n
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
urse, other staff, and patients?
m7 m7 m7 m7
a. Line up agency nurses who can be called in to work on short notice.
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
b. Place the nurse on unpaid leave for the remainder of his wife‘s treatment.
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
c. Sympathize with the nurse‘s dilemma and let the charge nurse know that this
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
nurse may be calling in frequently in the future.
m7 m7 m7 m7 m7 m7 m7 m7
d. Work with the nurse, staffing office, and other nurses to arrange his sched
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
uled days off around his wife‘s treatments.
m7 m7 m7 m7 m7 m7
ANS: D m7
Placing the nurse on unpaid leave may threaten physiologic needs and demotivate the n
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
urse. Unsatisfactory coverage of shifts on short notice could affect patient care and thre
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
aten staff members‘ sense of competence. Strengths-
m7 m7 m7 m7 m7 m7
based nurse leaders honour the uniqueness of individuals, teams, systems, and organizat
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
ions; therefore arranging the schedule around the wife‘s needs would result in a win-
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
win situation, also creating a work environment that promotes the health of all the nurs
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
es and facilitates their development.
m7 m7 m7 m7
DIF: Cognitive Level: Analyze m7 m7
REF: Page 6 TOP: Nursing Process: Impleme
m7 m7 m7 m 7 m7 m7
ntation
NURSINGTB.COM
, Yoder-Wise's Leading and Managing in Canadian Nursing 2nd Edition Yoder-
m7 m7 m7 m7 m7 m7 m7 m7 m7
Wise Test Bank
3. A grievance brought by a staff nurse against the unit manager requires mediation. At th
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
e first mediation session, the staff nurse repeatedly calls the unit manager‘s actions unf
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
air, and the unit manager continues to reiterate the reasons for the actions. What would
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
be the best course of action at this time?
m7 m7 m7 m7 m7 m7 m7 m7
a. Send the two disputants away to reach their own resolution.
m7 m7 m7 m7 m7 m7 m7 m7 m7
b. Involve another staff nurse in the discussion so as to clarify issues.
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
c. Ask each party to examine her own motives and issues in the conflict.
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
d. Continue to listen as the parties repeat their thoughts and feelings abou
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
t the conflict.m7 m7
ANS: C m7
Nurses and leaders must assess each situation as unique, determining appropriate action
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
s accordingly. Leaders must adapt their styles to complement specific issues being faced
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
, such as conflict. Examining motives and issues for the conflict in perceptions promot
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
es equal representation of each point of view.
m7 m7 m7 m7 m7 m7 m7
DIF: Cognitive Level: Apply REF: Pages 11– m7 m7 m7 m7
13 TOP: Nursing Process: Implementation
m7 m 7 m7 m7
4. Shortly after being informed of fetal death, a labouring woman asks why she is not able
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
to hear her baby‘s heartbeat on the monitor anymore. Although the monitor volume ha
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
d been turned off so that the patient would be able to sleep between contractions, the nu
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
rse responded that there was no heartbeat to hear because the baby had died in utero; th
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
en the nurse asked whether the patient would like to talk about how she was feeling. Th
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
is response demonstrates:
m7 m7
a. Lack of empathy. m7 m7
b. Ethical leadership. m7
c. Complexity science. NURSINGTB.COM m7
d. A coercive relationship
m7 m7
.
ANS: B m7
Ethical leadership is based on a willingness to identify and act on complex problems in
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
an ethical manner. Leadership can be misused when coercive relationships form, and info
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
rmation and true goals are withheld.
m7 m7 m7 m7 m7
DIF: Cognitive Level: Analyze m7 m7
REF: Page 7 TOP: Nursing Process: Impleme
m7 m7 m7 m 7 m7 m7
ntation
5. The manager of a surgical area envisions a future that requires the addition of registered
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m
nurse (RN) assistants or unlicensed persons to feed, bathe, and walk patients. The RNs
7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
on the staff have always practiced in a primary nursing-
m7 m7 m7 m7 m7 m7 m7 m7 m7
delivery system and are very resistant to this idea. The best initial strategy in this situati
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
on would include:
m7 m7
a. Exploring the values of the RNs in relation to this change.
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
b. Leaving the RNs alone for a time so they can think about the change befor
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
e they are approached again.
m7 m7 m7 m7
c. Dropping the idea and trying for the change in another year or so.
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
d. Hiring the assistants and allowing the RNs to see what good additions they are.
m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7 m7
ANS: A m7
NURSINGTB.COM
