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s s s s s s s s Managing s s s s in s s s s Nursing s s s s 7th s s s s Edition
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s s s s s s s s Managing s s s s in s s s s Nursing s s s s 7th s s s s Edition
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Chapter ss01: Leading, Managing, and Following
ss ss ss ss ss
MULTIPLE s s s s CHOICE
1. A
nurse manager of a 20-bed medical unit finds that
s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s
80% of the patients are olderadults. She is asked to
s s s s s s s s s s s s s s s s s s s s ssss s s s s s s s s s s s s s s s s
assess and adapt the unit to better meet the unique
s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s ssss
needs ofthe older adult patient. Using complexity
s s s s s s s s s s s s s s s s s s s s s s s s s s s s
principles, what would be the best approach to take for
s s s s s s s s ssss s s s s s s s s s s s s s s s s s s s s s s s s s s s s
implementation of this change?
s s s s s s s s s s s s s s s s
a. Leverage the hierarchical management position to get
ssss s s s s s s s s s s s s s s s s s s s s
unit staff involved inassessment and planning.
s s s s s s s s ssss s s s s s s s s s s s s
b. Engage involved staff at all levels in the decision-making process.
s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s
c. Focus the assessment on the unit and omit the hospital and
s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s
community environment.
s s s s s s ss
d. Hire a geriatric specialist to oversee and control the project.
s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s
ANS: s s s s B
Complexity theory suggests that systems interact and adapt and that
ssss s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s
decision making occurs throughout the systems, as opposed to being held in a
s s s s s s s s ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss
hierarchy. In complexity theory,
ssss every voice counts, and
ssss therefore, all
ssss ssss s s s s ssss s s s s s s s s s s s s s s s s
levels of staff would be involved in decision making.
s s s s s s s s s s s s s s s s s s s s s s s s s s s s ssss s s s s
TOP: s s s s AONE s s s s competency: s s s s Communication and ssss s s s s Relationship-Building
2. A unit manager of a 25-bed
ssss s s s s s s s s s s s s s s s s s s s s medical/surgical area receives a s s s s s s s s s s s s
phone call from a nurse who
ssss s s s s s s s s s s s s ssss s s s s s s s s has called in sick five times
s s s s s s s s s s s s s s s s s s s s
in the
s s s spast month. He s s s s s s s s s s s s s s s s s s s s tells the manager that he
s s s s s s s s s s s s s s s s
verymuch wants to
s s s s s s s s s s s s
come s s s s to s s s s work s s s s when s s s s scheduled s s s s but s s s s must s s s s often s s s s care s s s s for s s s s his
s s s s wife, s s s s who s s s s is s s s s undergoing treforbreast ssss s s s s cancer. s s s s According s s s s to
s s s s Maslow‘s s s s s need s s s s hierarchy theory, ssss s s s s what s s s s would s s s s be the bestssss ssss
NURSINGTB.COM atment d s s s s approach s s s s to s s s s satisfying the ssss s s s s needs s s s s of s s s s this s s s s nurse,
s s s s other s s s s staff,
and s s s s patients?
a. Line up agency nurses who can be called in to work on short
s s s s s s s s ssss s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s
notice. s s s s
b. Place the nurse on unpaid leave for the remainder of his wife‘s
s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s
treatment.
s s s s
c. Sympathize with the nurse‘s dilemma and let the charge s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s
nurse know that this nursemay be calling in frequently in
s s s s s s s s s s s s s s s s ssss ssss s s s s s s s s s s s s ssss
the future.
s s s s s s s s
d. Work with the nurse, staffing office, and other nurses to
s s s s s s s s s s s s s s s s ssss s s s s s s s s s s s s s s s s
arrange his scheduled days offaround his wife‘s treatments.
s s s s s s s s s s s s ssss s s s s s s s s s s s s s s s s
NURSINGTB.COM
, Leading and
s s s s s s s s Managing s s s s in s s s s Nursing s s s s 7th s s s s Edition
Yoder-Wise Test
ANS: s s s s D
Placing the nurse on unpaid leave may threaten the nurse‘s capacity
s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s
to meet physiologic needs and demotivate the nurse. Unsatisfactory
s s s s s s s s s s s s ssss s s s s s s s s s s s s s s s s s s s s
coverage of shifts on short notice could affect patient care and
s s s s s s s s s s s s s s s s s s s s s s s s s s s s ssss dd s s s s s s s s
threaten the needs of staff to feel competent. Arranging the
s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s
schedule around the wife‘s needs meets the needs of the staff
ssss s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s
and of patients while satisfying the nurse‘s need for affiliation.
s s s s s s s s s s s s s s s s ssss s s s s s s s s s s s s s s s s s s s s
TOP: s s s s AONE s s s s competency: s s s s Communication and ssss s s s s Relationship-Building
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s s s s s s s s Managing s s s s in s s s s Nursing s s s s 7th s s s s Edition
Yoder-Wise Test
NURSINGTB.COM
,Leading and
s s s s s s s s Managing s s s s in s s s s Nursing s s s s 7th s s s s Edition
Yoder-Wise Test
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, Leading and s s s s s s s s Managing s s s s in s s s s Nursing s s s s 7th s s s s Edition
Yoder-Wise Test
Yoder-Wise: s s s s Leading s s s s and s s s s Managing s s s s in s s s s Nursing, 3rd s s s s s s s s Edition
Chapter ss01: Leading, Managing, and Following
ss ss ss ss ss
MULTIPLE s s s s CHOICE
1. A
nurse manager of a 20-bed medical unit finds that
s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s
80% of the patients are olderadults. She is asked to
s s s s s s s s s s s s s s s s s s s s ssss s s s s s s s s s s s s s s s s
assess and adapt the unit to better meet the unique
s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s ssss
needs ofthe older adult patient. Using complexity
s s s s s s s s s s s s s s s s s s s s s s s s s s s s
principles, what would be the best approach to take for
s s s s s s s s ssss s s s s s s s s s s s s s s s s s s s s s s s s s s s s
implementation of this change?
s s s s s s s s s s s s s s s s
a. Leverage the hierarchical management position to get
ssss s s s s s s s s s s s s s s s s s s s s
unit staff involved inassessment and planning.
s s s s s s s s ssss s s s s s s s s s s s s
b. Engage involved staff at all levels in the decision-making process.
s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s
c. Focus the assessment on the unit and omit the hospital and
s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s
community environment.
s s s s s s ss
d. Hire a geriatric specialist to oversee and control the project.
s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s
ANS: s s s s B
Complexity theory suggests that systems interact and adapt and that
ssss s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s
decision making occurs throughout the systems, as opposed to being held in a
s s s s s s s s ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss
hierarchy. In complexity theory,
ssss every voice counts, and
ssss therefore, all
ssss ssss s s s s ssss s s s s s s s s s s s s s s s s
levels of staff would be involved in decision making.
s s s s s s s s s s s s s s s s s s s s s s s s s s s s ssss s s s s
TOP: s s s s AONE s s s s competency: s s s s Communication and ssss s s s s Relationship-Building
2. A unit manager of a 25-bed
ssss s s s s s s s s s s s s s s s s s s s s medical/surgical area receives a s s s s s s s s s s s s
phone call from a nurse who
ssss s s s s s s s s s s s s ssss s s s s s s s s has called in sick five times
s s s s s s s s s s s s s s s s s s s s
in the
s s s spast month. He s s s s s s s s s s s s s s s s s s s s tells the manager that he
s s s s s s s s s s s s s s s s
verymuch wants to
s s s s s s s s s s s s
come s s s s to s s s s work s s s s when s s s s scheduled s s s s but s s s s must s s s s often s s s s care s s s s for s s s s his
s s s s wife, s s s s who s s s s is s s s s undergoing treforbreast ssss s s s s cancer. s s s s According s s s s to
s s s s Maslow‘s s s s s need s s s s hierarchy theory, ssss s s s s what s s s s would s s s s be the bestssss ssss
NURSINGTB.COM atment d s s s s approach s s s s to s s s s satisfying the ssss s s s s needs s s s s of s s s s this s s s s nurse,
s s s s other s s s s staff,
and s s s s patients?
a. Line up agency nurses who can be called in to work on short
s s s s s s s s ssss s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s
notice. s s s s
b. Place the nurse on unpaid leave for the remainder of his wife‘s
s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s
treatment.
s s s s
c. Sympathize with the nurse‘s dilemma and let the charge s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s
nurse know that this nursemay be calling in frequently in
s s s s s s s s s s s s s s s s ssss ssss s s s s s s s s s s s s ssss
the future.
s s s s s s s s
d. Work with the nurse, staffing office, and other nurses to
s s s s s s s s s s s s s s s s ssss s s s s s s s s s s s s s s s s
arrange his scheduled days offaround his wife‘s treatments.
s s s s s s s s s s s s ssss s s s s s s s s s s s s s s s s
NURSINGTB.COM
, Leading and
s s s s s s s s Managing s s s s in s s s s Nursing s s s s 7th s s s s Edition
Yoder-Wise Test
ANS: s s s s D
Placing the nurse on unpaid leave may threaten the nurse‘s capacity
s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s
to meet physiologic needs and demotivate the nurse. Unsatisfactory
s s s s s s s s s s s s ssss s s s s s s s s s s s s s s s s s s s s
coverage of shifts on short notice could affect patient care and
s s s s s s s s s s s s s s s s s s s s s s s s s s s s ssss dd s s s s s s s s
threaten the needs of staff to feel competent. Arranging the
s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s
schedule around the wife‘s needs meets the needs of the staff
ssss s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s
and of patients while satisfying the nurse‘s need for affiliation.
s s s s s s s s s s s s s s s s ssss s s s s s s s s s s s s s s s s s s s s
TOP: s s s s AONE s s s s competency: s s s s Communication and ssss s s s s Relationship-Building
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