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Chapter k 01: k Leading, k Managing, k and k Following
Yoder-Wise: k Leading k and k Managing k in k Nursing, k 7th k Edition


 A k nurse k manager k of k a k 20-bed k medical k unit k finds k that k 80% k of
k the k patientskare k older k adults. k Sheis k asked k to k assess k and k adapt
k the k unit k to k better k meet kthe kunique kneeds kof kthe kolder kadult
k patient.Using k complexity k principles, kwhat kwould kbe kthe kbest kapproach
k to ktake k for k implementation kgof k this kchange?
a. Leverage k the k hierarchical k management kgposition kgto kgget
unit k staff k involved k inassessment kgand k planning.
b. Engageginvolved kgstaff kgat kgall kglevels kgin kgthe kgdecision-making kgprocess.


c. Focus k the k assessment k on k the kgunit k and kgomit kgthe
hospital k and k communitygenvironment.
d. Hire k a k geriatric kgspecialist k tokgoversee kgand k control k the k project.

ANS: k B
Complexity ktheory kgsuggests kgthat ksystems kinteract kand kadapt kand kthat
k decision kmaking koccurs kthroughout kthe ksystems, kas k opposed k to
k being kg held kg in kg a khierarchy. kIn kcomplexity ktheory, kevery kvoice
k counts, kand kgtherefore, kgall kglevels k of k staff k would k be k involved k in
k decision k making.


TOP: k AONE k competency: k Communication k and k Relationship-Building


 A k unit k manager k of k a k 25-bed k medical/surgical k area k receives k a k phone
k call k from


a k knurse k kwho k khascalled k kin k ksick gfive k times kgin gthe k kpast k kmonth. k kHe k
N R I G B. C M
k tells k kthe kmanager kthat khe kvery k much kwants kto kcome kto kwork kwhen
k scheduled kbut kmust k often k care k for k his k wife, k who k is k undergoing

Test Bank for Leading and Managing inNursing 7th
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Test Bank for Leading and Managing inNursing 7th
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for k k kbreast k k kcancer. k k k According k k ktoUMaSslow
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need k k khieOrarchy k k
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Test Bank for Leading and Managing inNursing 7th
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Test Bank for Leading and Managing inNursing 7th
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approach k to k satisfying k the k needs k of k this k nurse, k other k staff, k and
k patients?

a. Line k up k agency k nurses k who k can k be k called k in k to k work k on k short
k notice.

b. Place k the k nurse k on k unpaid k leave k for k the k remainder k of
k his k wife‘sktreatment.
c. Sympathize k with k the k nurse‘s k dilemma k and k let k the k charge
k nurse k knowkthat k this k nurse
may k be k calling k in k frequently k in k the k future.
d. Workgwith kgthe kgnurse, kgstaffing kgoffice, kgand kgothergnurses kgto kgarrange kghis
g scheduled
days kgoffkgaround kghis kgwife‘s kgtreatments.

ANS: k D
Placing k the k nurse k on k unpaid k leave kgmay k threaten k the kgnurse‘s
k capacity k tokmeet kphysiologic kneedsand kgdemotivate kgthe knurse.
kg Unsatisfactory kcoverage k of k shifts k on k short k notice k could kgaffect
k patient kcare kand kthreaten kthe kneeds kof kstaff kgto kfeel kgcompetent.
kArranging kthe kschedule karound
the k wife‘s k needs kgmeets kgthe kgneeds kgof k the k staff k and k of k patients k while
satisfying kgthe k nurse‘s kgneed
k


for k affiliation.


TOP: AONEgcompetency: k Communication k and k Relationship-Building




 The kcharge knurse kwalks k into k Mr. k Smith‘s k room k and k finds k him
k yelling k at kthe k LPN. k He k is k obviously k very k upset. k The k charge
k nurse k determines k that k hekhas k not k slept k for k three k nights k because
k of k unrelieved k pain k levels. k The k LPN kis k very k upset k and k calls k Mr.
k Smith k an k ―ugly, k old
man.‖ k The k charge k nurse k acknowledges k the k LPN‘s k feelings k and
Test Bank for Leading and Managing inNursing 7th
g g g g g g g kg


Edition by Yoder Wise (chapters 1-30) complete.
kg g kg g g g kg