Test Bank for Leading and Managing in Nursing 7th Edition by Yoder Wise : Complete Solution( Chapters 1:30): Updated A+ Score Guide

Test Bank for Leading and Managing
inNursing 7th Edition by Yoder Wise (
chapters 1-30) complete.



Chapter 01: Leading, Managing, and Following
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,Leading and Managing in Nursing 7th Edition Yoder-Wise
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Yoder-Wise:
Test Leading and Managing in Nursing, 7th Edition
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MULTIPLE CHOICE s s




1. A nurse manager of a 20-bed medical unit finds that 80% of the
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patients are olderadults. She is asked to assess and adapt the unit
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to better meet the unique needs ofthe older adult patient. Using
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complexity principles, what would be the best approach to take for
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implementation of this change?
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a. Leverage the hierarchical management position to get unit
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staff involved inassessment and planning.
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b. Engage involved staff at all levels in the decision-making process.
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c. Focus the assessment on the unit and omit the hospital and community
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environment.
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d. Hire a geriatric specialist to oversee and control the project.
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ANS: B s s



Complexity theory suggests that systems interact and adapt and that decision
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making occurs throughout the systems, as opposed to being held in a hierarchy. In
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complexity theory, every voice counts, and therefore, all levels of staff would
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be involved in decision making.
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TOP: AONE competency: Communication and Relationship-Building
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2. A unit manager of a 25-bed medical/surgical area receives a phone call
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from a nurse who has called in sick five times in the past month.
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He tells the manager that he verymuch wants to
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come to work when scheduled but must often care for his wife, who is
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s s undergoing treforbreast cancer. According to Maslow‘s need hierarchy theory,
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s s what would be the best s s s s ss ss




NURSINGTB.COM atment d s s approach to satisfying the needs of this nurse, other s s s s ss s s s s s s s s s s




s s staff,
and patients? s s




a. Line up agency nurses who can be called in to work on short notice.
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b. Place the nurse on unpaid leave for the remainder of his wife‘s treatment.
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c. Sympathize with the nurse‘s dilemma and let the charge nurse know s s s s s s s s s s s s s s s s s s s s



that this nursemay be calling in frequently in the future.
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d. Work with the nurse, staffing office, and other nurses to arrange his
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scheduled days offaround his wife‘s treatments.
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ANS: D s s



Placing the nurse on unpaid leave may threaten the nurse‘s capacity to meet
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physiologic needs and demotivate the nurse. Unsatisfactory coverage of shifts
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on short notice could affect patient care and threaten the needs of staff to
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feel competent. Arranging the schedule around the wife‘s needs meets the
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needs of the staff and of patients while satisfying the nurse‘s need for
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affiliation.
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,Leading and Managing in Nursing 7th Edition Yoder-Wise
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Test TOP: AONE competency: Communication and Relationship-Building
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3. A grievance brought by a staff nurse against the unit manager
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requires mediation. Atthe first mediation session, the staff nurse
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repeatedly calls the unit manager‘s actions unfair, and the unit
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manager continues to reiterate the reasons for the actions. What
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would be the best course of action at this time?
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a. Send the two disputants away to reach their own resolution.
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b. Involve another staff nurse in the discussion for clarity issues.
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c. Ask each party to examine their own motives and issues in the conflict.
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d. Continue to listen as the parties repeat their thoughts and feelings about the
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conflict.
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ANS: C s s



For resolution of conflict, one should address the interests and involvement
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of participants in the conflict by examining the real issues of all parties.
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TOP: AONE competency: Communication and Relationship-Building
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4. At a second negotiation session, the unit s s s s s s s s s s s s s s manager and staff nurse are s s s s s s s s



unable to reacha resolution. What is the
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a. Arrange another meeting in a week‘s time so s s s s s s s s s s s s s s s s as to allow a cooling-off period.
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b. Elevate the next negation session to the next s s s s s s s s s s s s s s s s manager, one level above. s s s s s s



c. Insist that participants continue to talk until a
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d. Back the unit manager‘s actions and end the
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ANS: B s s



Part of leadership is understanding conflict resolution and ability to negotiate
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and manage forresolution of issues and concerns. This situation has failed a
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second negotiation session, elevation to a manager with additional training to
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facilitate conflict resolution is important at this point.
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TOP: AONE competency: Communication and Relationship-Building
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5. The manager of a surgical area has a vision for the future that
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requires the addition of RN assistants or unlicensed persons to feed,
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bathe, and ambulate patients. The RNs on the staff
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have always practiced in a primary nursingWhat would be the best initial
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strategy for implementation of this change? NURSINGT-Bdelivery system
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s s and are very resistant to this idea.
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a. Exploring the values and feelings of the RN group in relationship to this
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change
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b. Leaving the RNs alone for a time so they can think about s s s s s s s s s s s s s s s s s s s s s s



the change before it is implemented
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c. Dropping the idea and trying for the change in a year or so when s s s s s s s s s s s s s s s s s s s s s s s s s s



some of the present RNs have retired
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d. Hiring the assistants and allowing the RNs to see what good additions they are
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ANS: A s s




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