Test Bank For Leading and Managing in Nursing, 2e Edition by Patricia S. Yoder-Wise,
xc xc xc xc xc xc xcxc xc xcxc xc xc xc xc xc
Susan Sportsman Chapter 1-25
xc xc xc
,Chapter 01: Leading, Managing, and Following
xc xc xc xc xc
Yoder-Wise: Leading and Managing in Nursing, 2eEdition
xc xc xc xc xc xc
MULTIPLE CHOICE xc
1. A nurse manager of a 20-
xc xc xc xc xc
bed medical unit finds that 80% of the patients are older adults. She is asked to assess and
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
adapt the unit to better meet the unique needs of the older adult patient. Using complexity p
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
rinciples, what would be the best approach to take for implementation of this change?
xc xc xc xc xc xc xc xc xc xc xc xc xc
a. Leverage the hierarchical management position to get unit staff involved i
xc xc xc xc xc xc xc xc xc xc
n assessment and planning.
xc xc xc
b. Engage involved staff at all levels in the decision-making process.
xc xc xc xc xc xc xc xc xc
c. Focus the assessment on the unit and omit the hospital and communit
xc xc xc xc xc xc xc xc xc xc xc
y environment. xc
d. Hire a geriatric specialist to oversee and control the project.
xc xc xc xc xc xc xc xc xc
ANS: B x c
Complexity theory suggests that systems interact and adapt and that decision making occu
xc xc xc xc xc xc xc xc xc xc xc xc
rs throughout the systems, as opposed to being held in a hierarchy. In complexity theory, e
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
very voice counts, and therefore, all levels of staff would be involved in decision making.
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
TOP: AONE competency: Communication and Relationship-Building
xc xc xc xc xc
2. A unit manager of a 25-
xc xc xc xc xc
bed medical/surgical area receives a phone call from a nurse whohas called in sick five ti
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
mes in the past month. He tells the manager that he very much wants to come to work wh
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
en scheduled but must often care for his wife, who is undergoing treatment for breast canc
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
er. According to Maslow‘s need hierarchy theory, what would be the best approach to sati
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
sfying the needs of this nurse, other staff, and patients?
xc xc xc xc xc xc xc xc xc
a. Line up agency nurses who can be called in to work on short notice.
xc xc xc xc xc xc xc xc xc xc xc xc xc
b. Place the nurse on unpaid leave for the remainder of his wife‘s treatment.
xc xc xc xc xc xc xc xc xc xc xc xc
c. Sympathize with the nurse‘s dilemma and let the charge nurse know that this nurs xc xc xc xc xc xc xc xc xc xc xc xc xc
e may be calling in frequently in the future.
xc xc xc xc xc xc xc x c
d. Work with the nurse, staffing office, and other nurses to arrange hisschedule
xc xc xc xc xc xc xc xc xc xc xc
d days off around his wife‘s treatments.
xc xc xc xc xc xc
ANS: D x c
Placing the nurse on unpaid leave may threaten the nurse‘s capacity to meet physiologic need
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
s and demotivate the nurse. Unsatisfactory coverage of shifts on short notice could affect p
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
atient care and threaten the needs of staff to feel competent. Arranging the schedule around
xc xc xc xc xc xc xc xc xc xc xc xc xc xc x
the wife‘s needs meets the needs of the staff and of patients while satisfying the nurse‘s ne
c xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
ed for affiliation.
xc xc
TOP: AONE competency: Communication and Relationship-Building
xc xc xc xc xc
3. A grievance brought by a staff nurse against the unit manager requires mediation. At the fir
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
st mediation session, the staff nurse repeatedly calls the unit manager‘s actions unfair, and
xc xc xc xc xc xc xc xc xc xc xc xc xc x
the unit manager continues to reiterate the reasons for the actions. What would be the best c
c xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
ourse of action at this time?xc xc xc xc xc
a. Send the two disputants away to reach their own resolution.
xc xc xc xc xc xc xc xc xc
b. Involve another staff nurse in the discussion for clarity issues.
xc xc xc xc xc xc xc xc xc
, c. Ask each party to examine their own motives and issues in the conflict.
xc xc xc xc xc xc xc xc xc xc xc xc
d. Continue to listen as the parties repeat their thoughts and feelings about th
xc xc xc xc xc xc xc xc xc xc xc xc
e conflict.
xc
ANS: C xc
For resolution of conflict, one should address the interests and involvement of participants in
xc xc xc xc xc xc xc xc xc xc xc xc xc x
the conflict by examining the real issues of all parties.
c xc xc xc xc xc xc xc xc xc
TOP: AONE competency: Communication and Relationship-Building
xc xc xc xc xc
4. At a second negotiation session, the unit manager and staff nurse are unable to reach
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
a resolution. What is the appropriate next step?
xc xc xc xc xc xc x c
a. Arrange another meeting in a week‘s time so as to allow a cooling-off period.
xc xc xc xc xc xc xc xc xc xc xc xc xc
b. Elevate the next negation session to the next manager, one level above.
xc xc xc xc xc xc xc xc xc xc xc
c. Insist that participants continue to talk until a resolution has been reached.
xc xc xc xc xc xc xc xc xc xc xc
d. Back the unit manager‘s actions and end the dispute.
xc xc xc xc xc xc xc xc
ANS: B xc
Part of leadership is understanding conflict resolution and ability to negotiate and manage for
xc xc xc xc xc xc xc xc xc xc xc xc xc
resolution of issues and concerns. This situation has failed a second negotiation session, el
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
evation to a manager with additional training to facilitate conflict resolution is important at
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
this point. xc
TOP: AONE competency: Communication and Relationship-Building
xc xc xc xc xc
5. The manager of a surgical area has a vision for the future that requires the addition of RN
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
assistants or unlicensed persons to feed, bathe, and ambulate patients. The RNs on the staff
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
have always practiced in a primary nursing-
xc xc xc xc xc xc xc
delivery system and are very resistant to this idea. What would be the best initial strategy f
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
or implementation of this change?
xc xc xc xc
a. Exploring the values and feelings of the RN group in relationship to this change
xc xc xc xc xc xc xc xc xc xc xc xc xc
b. Leaving the RNs alone for a time so they can think about the change before it
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
is implemented xc
c. Dropping the idea and trying for the change in a year or so when some of th
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
e present RNs have retired
xc xc xc xc
d. Hiring the assistants and allowing the RNs to see what good additions they are
xc xc xc xc xc xc xc xc xc xc xc xc xc
ANS: A xc
Influencing others requires emotional intelligence in domains such as empathy, handling rel
xc xc xc xc xc xc xc xc xc xc xc
ationships, deepening self- xc xc
awareness in self and others, motivating others, and managing emotions. Motivating others
xc xc xc xc xc xc xc xc xc xc xc xc
recognizes that values are powerful forces that influence acceptance of change. Leaving the
xc xc xc xc xc xc xc xc xc xc xc xc xc
RNs alone for a period of time before implementation does not provide opportunity to explo
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
re different perspectives and values. Avoiding discussion until the team changes may not pr
xc xc xc xc xc xc xc xc xc xc xc xc xc
omote adoption of the change until there is opportunity to explore perspectives and values r
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
elated to the change. Hiring of the assistants demonstrates lack of empathy for the perspecti
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
ves of the RN staff.
xc xc xc xc
TOP: AONE competency: Knowledge of the Health Care Environment
xc xc xc xc xc xc xc xc
, 6. As the RN charge nurse on the night shift in a small long-
xc xc xc xc xc xc xc xc xc xc xc xc
term care facility, you‘ve found that there is little turnover among your LPN and nursing a
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
ssistant (NA) staff members, but they are not very motivated to go beyond their job descri
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
ptions in their work. Which of the following strategies might motivate the staff and lead to
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
greater job satisfaction?
xc xc xc
a. Ask the director of nursing to offer higher wages and bonuses for extra work fo
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
r the night LPNs and NAs.
xc xc xc xc xc
b. Allow the LPNs and NAs greater decision- xc xc xc xc xc xc
making power within the scope of their positions in the institution.
xc xc xc xc xc xc xc xc xc xc
c. Hire additional staff so that there are more staff available for enhanced care,an
xc xc xc xc xc xc xc xc xc xc xc xc c
x
d individual workloads are lessened.
xc xc xc xc
d. Ask the director of nursing to increase job security for night staff by having the
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
m sign contracts that guarantee work.
xc xc xc xc xc
ANS: B xc
Hygiene factors such as salary, working conditions, and security are consistent with Herzbe
xc xc xc xc xc xc xc xc xc xc xc xc
rg‘s two- xc
factor theory of motivation; meeting these needs avoids job dissatisfaction. Motivator factor
xc xc xc xc xc xc xc xc xc xc xc
s such as recognition and satisfaction with work promote a satisfying and enriched work en
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
vironment. Transformational leaders use motivator factors liberally to inspire work performa
xc xc xc xc xc xc xc xc xc xc
nce and increase job satisfaction.
xc xc xc xc
TOP: AONE competency: Communication and Relationship-Building
xc xc xc xc xc
7. The nurse manager wants to increase motivation by providing motivating factors for thenurs
xc xc xc xc xc xc xc xc xc xc xc xc
e on the unit. What action would be appropriate to motivate the staff?
xc xc xc xc xc xc xc xc xc xc xc xc
a. Collaborate with the human resource/personnel department to develop on- xc xc xc xc xc xc xc xc
site daycare services. xc xc
b. Provide a hierarchical organizational structure. xc xc xc xc
c. Implement a model of shared governance. xc xc xc xc xc
d. Promote the development of a flexible benefits package. xc xc xc xc xc xc xc
ANS: C xc
Complexity theory suggests that systems interact and adapt and that decision making occurs t
xc xc xc xc xc xc xc xc xc xc xc xc xc
hroughout systems, as opposed to being held in a hierarchy. In complexity theory, every vo
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
ice counts, and therefore all levels of staff would be involved in decision making. This prin
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
ciple is the foundation of shared governance.
xc xc xc xc xc xc
TOP: AONE competency: Communication and Relationship-Building
xc xc xc xc xc
8. The nurse manager has been asked to implement an evidence-
xc xc xc xc xc xc xc xc xc
based approach to teach ostomy patients self-
xc xc xc xc xc xc
management skills postoperatively. The program is to be implemented across the entire facil
xc xc xc xc xc xc xc xc xc xc xc xc
ity. What illustrates effective leadership in this situation?
xc xc xc xc xc xc x c
a. The training modules are left in the staff room for times when staff are available.
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
b. The current approach is continued because it is also evidence-
xc xc xc xc xc xc xc xc xc
based and is more familiar to staff. xc xc xc xc xc xc
c. You decide to implement the approach at a later date because of feedback from th
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
e RNs that the new approach takes too much time.
xc xc xc xc xc xc xc xc xc
d. An RN who is already familiar with the new approach of volunteers to take th
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
e lead in mentoring and teaching others how to implement it.
xc xc xc xc xc xc xc xc xc x c
ANS: D xc
xc xc xc xc xc xc xcxc xc xcxc xc xc xc xc xc
Susan Sportsman Chapter 1-25
xc xc xc
,Chapter 01: Leading, Managing, and Following
xc xc xc xc xc
Yoder-Wise: Leading and Managing in Nursing, 2eEdition
xc xc xc xc xc xc
MULTIPLE CHOICE xc
1. A nurse manager of a 20-
xc xc xc xc xc
bed medical unit finds that 80% of the patients are older adults. She is asked to assess and
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
adapt the unit to better meet the unique needs of the older adult patient. Using complexity p
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
rinciples, what would be the best approach to take for implementation of this change?
xc xc xc xc xc xc xc xc xc xc xc xc xc
a. Leverage the hierarchical management position to get unit staff involved i
xc xc xc xc xc xc xc xc xc xc
n assessment and planning.
xc xc xc
b. Engage involved staff at all levels in the decision-making process.
xc xc xc xc xc xc xc xc xc
c. Focus the assessment on the unit and omit the hospital and communit
xc xc xc xc xc xc xc xc xc xc xc
y environment. xc
d. Hire a geriatric specialist to oversee and control the project.
xc xc xc xc xc xc xc xc xc
ANS: B x c
Complexity theory suggests that systems interact and adapt and that decision making occu
xc xc xc xc xc xc xc xc xc xc xc xc
rs throughout the systems, as opposed to being held in a hierarchy. In complexity theory, e
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
very voice counts, and therefore, all levels of staff would be involved in decision making.
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
TOP: AONE competency: Communication and Relationship-Building
xc xc xc xc xc
2. A unit manager of a 25-
xc xc xc xc xc
bed medical/surgical area receives a phone call from a nurse whohas called in sick five ti
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
mes in the past month. He tells the manager that he very much wants to come to work wh
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
en scheduled but must often care for his wife, who is undergoing treatment for breast canc
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
er. According to Maslow‘s need hierarchy theory, what would be the best approach to sati
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
sfying the needs of this nurse, other staff, and patients?
xc xc xc xc xc xc xc xc xc
a. Line up agency nurses who can be called in to work on short notice.
xc xc xc xc xc xc xc xc xc xc xc xc xc
b. Place the nurse on unpaid leave for the remainder of his wife‘s treatment.
xc xc xc xc xc xc xc xc xc xc xc xc
c. Sympathize with the nurse‘s dilemma and let the charge nurse know that this nurs xc xc xc xc xc xc xc xc xc xc xc xc xc
e may be calling in frequently in the future.
xc xc xc xc xc xc xc x c
d. Work with the nurse, staffing office, and other nurses to arrange hisschedule
xc xc xc xc xc xc xc xc xc xc xc
d days off around his wife‘s treatments.
xc xc xc xc xc xc
ANS: D x c
Placing the nurse on unpaid leave may threaten the nurse‘s capacity to meet physiologic need
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
s and demotivate the nurse. Unsatisfactory coverage of shifts on short notice could affect p
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
atient care and threaten the needs of staff to feel competent. Arranging the schedule around
xc xc xc xc xc xc xc xc xc xc xc xc xc xc x
the wife‘s needs meets the needs of the staff and of patients while satisfying the nurse‘s ne
c xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
ed for affiliation.
xc xc
TOP: AONE competency: Communication and Relationship-Building
xc xc xc xc xc
3. A grievance brought by a staff nurse against the unit manager requires mediation. At the fir
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
st mediation session, the staff nurse repeatedly calls the unit manager‘s actions unfair, and
xc xc xc xc xc xc xc xc xc xc xc xc xc x
the unit manager continues to reiterate the reasons for the actions. What would be the best c
c xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
ourse of action at this time?xc xc xc xc xc
a. Send the two disputants away to reach their own resolution.
xc xc xc xc xc xc xc xc xc
b. Involve another staff nurse in the discussion for clarity issues.
xc xc xc xc xc xc xc xc xc
, c. Ask each party to examine their own motives and issues in the conflict.
xc xc xc xc xc xc xc xc xc xc xc xc
d. Continue to listen as the parties repeat their thoughts and feelings about th
xc xc xc xc xc xc xc xc xc xc xc xc
e conflict.
xc
ANS: C xc
For resolution of conflict, one should address the interests and involvement of participants in
xc xc xc xc xc xc xc xc xc xc xc xc xc x
the conflict by examining the real issues of all parties.
c xc xc xc xc xc xc xc xc xc
TOP: AONE competency: Communication and Relationship-Building
xc xc xc xc xc
4. At a second negotiation session, the unit manager and staff nurse are unable to reach
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
a resolution. What is the appropriate next step?
xc xc xc xc xc xc x c
a. Arrange another meeting in a week‘s time so as to allow a cooling-off period.
xc xc xc xc xc xc xc xc xc xc xc xc xc
b. Elevate the next negation session to the next manager, one level above.
xc xc xc xc xc xc xc xc xc xc xc
c. Insist that participants continue to talk until a resolution has been reached.
xc xc xc xc xc xc xc xc xc xc xc
d. Back the unit manager‘s actions and end the dispute.
xc xc xc xc xc xc xc xc
ANS: B xc
Part of leadership is understanding conflict resolution and ability to negotiate and manage for
xc xc xc xc xc xc xc xc xc xc xc xc xc
resolution of issues and concerns. This situation has failed a second negotiation session, el
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
evation to a manager with additional training to facilitate conflict resolution is important at
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
this point. xc
TOP: AONE competency: Communication and Relationship-Building
xc xc xc xc xc
5. The manager of a surgical area has a vision for the future that requires the addition of RN
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
assistants or unlicensed persons to feed, bathe, and ambulate patients. The RNs on the staff
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
have always practiced in a primary nursing-
xc xc xc xc xc xc xc
delivery system and are very resistant to this idea. What would be the best initial strategy f
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
or implementation of this change?
xc xc xc xc
a. Exploring the values and feelings of the RN group in relationship to this change
xc xc xc xc xc xc xc xc xc xc xc xc xc
b. Leaving the RNs alone for a time so they can think about the change before it
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
is implemented xc
c. Dropping the idea and trying for the change in a year or so when some of th
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
e present RNs have retired
xc xc xc xc
d. Hiring the assistants and allowing the RNs to see what good additions they are
xc xc xc xc xc xc xc xc xc xc xc xc xc
ANS: A xc
Influencing others requires emotional intelligence in domains such as empathy, handling rel
xc xc xc xc xc xc xc xc xc xc xc
ationships, deepening self- xc xc
awareness in self and others, motivating others, and managing emotions. Motivating others
xc xc xc xc xc xc xc xc xc xc xc xc
recognizes that values are powerful forces that influence acceptance of change. Leaving the
xc xc xc xc xc xc xc xc xc xc xc xc xc
RNs alone for a period of time before implementation does not provide opportunity to explo
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
re different perspectives and values. Avoiding discussion until the team changes may not pr
xc xc xc xc xc xc xc xc xc xc xc xc xc
omote adoption of the change until there is opportunity to explore perspectives and values r
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
elated to the change. Hiring of the assistants demonstrates lack of empathy for the perspecti
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
ves of the RN staff.
xc xc xc xc
TOP: AONE competency: Knowledge of the Health Care Environment
xc xc xc xc xc xc xc xc
, 6. As the RN charge nurse on the night shift in a small long-
xc xc xc xc xc xc xc xc xc xc xc xc
term care facility, you‘ve found that there is little turnover among your LPN and nursing a
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
ssistant (NA) staff members, but they are not very motivated to go beyond their job descri
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
ptions in their work. Which of the following strategies might motivate the staff and lead to
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
greater job satisfaction?
xc xc xc
a. Ask the director of nursing to offer higher wages and bonuses for extra work fo
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
r the night LPNs and NAs.
xc xc xc xc xc
b. Allow the LPNs and NAs greater decision- xc xc xc xc xc xc
making power within the scope of their positions in the institution.
xc xc xc xc xc xc xc xc xc xc
c. Hire additional staff so that there are more staff available for enhanced care,an
xc xc xc xc xc xc xc xc xc xc xc xc c
x
d individual workloads are lessened.
xc xc xc xc
d. Ask the director of nursing to increase job security for night staff by having the
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
m sign contracts that guarantee work.
xc xc xc xc xc
ANS: B xc
Hygiene factors such as salary, working conditions, and security are consistent with Herzbe
xc xc xc xc xc xc xc xc xc xc xc xc
rg‘s two- xc
factor theory of motivation; meeting these needs avoids job dissatisfaction. Motivator factor
xc xc xc xc xc xc xc xc xc xc xc
s such as recognition and satisfaction with work promote a satisfying and enriched work en
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
vironment. Transformational leaders use motivator factors liberally to inspire work performa
xc xc xc xc xc xc xc xc xc xc
nce and increase job satisfaction.
xc xc xc xc
TOP: AONE competency: Communication and Relationship-Building
xc xc xc xc xc
7. The nurse manager wants to increase motivation by providing motivating factors for thenurs
xc xc xc xc xc xc xc xc xc xc xc xc
e on the unit. What action would be appropriate to motivate the staff?
xc xc xc xc xc xc xc xc xc xc xc xc
a. Collaborate with the human resource/personnel department to develop on- xc xc xc xc xc xc xc xc
site daycare services. xc xc
b. Provide a hierarchical organizational structure. xc xc xc xc
c. Implement a model of shared governance. xc xc xc xc xc
d. Promote the development of a flexible benefits package. xc xc xc xc xc xc xc
ANS: C xc
Complexity theory suggests that systems interact and adapt and that decision making occurs t
xc xc xc xc xc xc xc xc xc xc xc xc xc
hroughout systems, as opposed to being held in a hierarchy. In complexity theory, every vo
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
ice counts, and therefore all levels of staff would be involved in decision making. This prin
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
ciple is the foundation of shared governance.
xc xc xc xc xc xc
TOP: AONE competency: Communication and Relationship-Building
xc xc xc xc xc
8. The nurse manager has been asked to implement an evidence-
xc xc xc xc xc xc xc xc xc
based approach to teach ostomy patients self-
xc xc xc xc xc xc
management skills postoperatively. The program is to be implemented across the entire facil
xc xc xc xc xc xc xc xc xc xc xc xc
ity. What illustrates effective leadership in this situation?
xc xc xc xc xc xc x c
a. The training modules are left in the staff room for times when staff are available.
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
b. The current approach is continued because it is also evidence-
xc xc xc xc xc xc xc xc xc
based and is more familiar to staff. xc xc xc xc xc xc
c. You decide to implement the approach at a later date because of feedback from th
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
e RNs that the new approach takes too much time.
xc xc xc xc xc xc xc xc xc
d. An RN who is already familiar with the new approach of volunteers to take th
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
e lead in mentoring and teaching others how to implement it.
xc xc xc xc xc xc xc xc xc x c
ANS: D xc
