Test Bank for Leading and Managing in Nursing
8th Edition Author:Yoder Wise All Chapters 1-
30 Covered 100% Complete A+ Study Guide
Latest Version
FULL TEST BANK!!!
1|Page
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1. A Nurse Manager Of A 20-Bed Medical Unit Finds That 80% Of The Patients
Are Older Adults. She Is Asked To Assess And Adapt The Unit To Better Meet
The Unique Needs Of The Older Adult Patient. Using Complexity Principles, What
Would Be The Best Approach To Take For Implementation Of This Change?
a. Leverage The Hierarchical Management Position To Get
Unit Staff Involved In Assessment And Planning.
b. Engage Involved Staff At All Levels In The Decision-Making Process.
c. Focus The Assessment On The Unit And Omit The
Hospital And Community Environment.
d. Hire A Geriatric Specialist To Oversee And Control The Project.
ANS: B
Complexity Theory Suggests That Systems Interact And Adapt And That
Decision Making Occurs Throughout The Systems, As Opposed To Being Held
In A Hierarchy. In Complexity Theory, Every Voice Counts, And Therefore, All
Levels Of Staff Would Be Involved In Decision Making.
TOP: AONE Competency: Communication And Relationship-Building
2. A Unit Manager Of A 25-Bed Medical/Surgical Area Receives A Phone Call
From A Nurse Who Has Called In Sick Five Times In The Past Month. He Tells
The Manager That He Very Much Wants To Come To Work When Scheduled
But Must Often Care For His Wife, Who Is Undergoing Treatment For Breast
Cancer. According To Maslow’s Need Hierarchy Theory, What Would Be The
Best
Approach To Satisfying The Needs Of This Nurse, Other Staff, And Patients?
a. Line Up Agency Nurses Who Can Be Called In To Work On Short Notice.
b. Place The Nurse On Unpaid Leave For The Remainder Of His Wife’s Treatment.
c. Sympathize With The Nurse’s Dilemma And Let The Charge Nurse
Know That This Nurse May Be Calling In Frequently In The Future.
d. Work With The Nurse, Staffing Office, And Other Nurses To
Arrange His Scheduled Days Off Around His Wife’s
Treatments.
ANS: D
Placing The Nurse On Unpaid Leave May Threaten The Nurse’s Capacity To
Meet Physiologic Needs And Demotivate The Nurse. Unsatisfactory Coverage Of
Shifts On Short Notice Could Affect Patient Care And Threaten The Needs Of
Staff To Feel Competent.
Arranging The Schedule Around The Wife’s Needs Meets The Needs Of The
Staff And Of Patients While Satisfying The Nurse’s Need For Affiliation.
TOP: AONE Competency: Communication And Relationship-Building
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3. A Grievance Brought By A Staff Nurse Against The Unit Manager Requires
Mediation. At The First Mediation Session, The Staff Nurse Repeatedly Calls
The Unit Manager’s Actions Unfair, And The Unit Manager Continues To
Reiterate The Reasons For The Actions. What Would Be The Best Course Of
Action At This Time?
a. Send The Two Disputants Away To Reach Their Own Resolution.
b. Involve Another Staff Nurse In The Discussion For Clarity Issues.
3|Page
, lOMoARcPSD|14447089
Leading And Managing In Nursing 8th Edition Yoder-Wise Test Bank
c. Ask Each Party To Examine Their Own Motives And Issues In The Conflict.
d. Continue To Listen As The Parties Repeat Their Thoughts
And Feelings About The Conflict.
ANS: C
For Resolution Of Conflict, One Should Address The Interests And Involvement Of
Participants In The Conflict By Examining The Real Issues Of All Parties.
TOP: AONE Competency: Communication And Relationship-Building
4. At A Second Negotiation Session, The Unit Manager And Staff Nurse
Are Unable To Reach A Resolution. What Is The Appropriate Next Step?
a. Arrange Another Meeting In A Week’s Time So As To Allow A Cooling-Off Period.
b. Elevate The Next Negation Session To The Next Manager, One Level Above.
c. Insist That Participants Continue To Talk Until A Resolution Has Been Reached.
d. Back The Unit Manager’s Actions And End The Dispute.
ANS: B
Part Of Leadership Is Understanding Conflict Resolution And Ability To Negotiate
And Manage For Resolution Of Issues And Concerns. This Situation Has Failed A
Second Negotiation Session, Elevation To A Manager With Additional Training
To Facilitate Conflict Resolution Is Important At This Point.
TOP: AONE Competency: Communication And Relationship-Building
5. The Manager Of A Surgical Area Has A Vision For The Future That Requires
The Addition Of RN Assistants Or Unlicensed Persons To Feed, Bathe, And
Ambulate Patients. The Rns On The Staff
Have Always Practiced In A Primary Nursing-Delivery System And Are Very Resistant
To This Idea.
a. W hat w ou l d be the b t initial strateg y f o ri mpl em e nta ti o n o f t h is c h a ng e?
e x plo ri ng The v alues a d feeli ngs of Th e Rn g rou p i n r e la ti o nsh Ip t o th iS
Change
b. Leaving The Rns Alone For A Time So They Can Think About
The Change Before It Is Implemented
c. Dropping The Idea And Trying For The Change In A Year Or
So When Some Of The Present Rns Have Retired
d. Hiring The Assistants And Allowing The Rns To See What Good Additions They
Are
ANS: A
Influencing Others Requires Emotional Intelligence In Domains Such As Empathy,
Handling Relationships, Deepening Self-Awareness In Self And Others, Motivating
Others, And Managing Emotions. Motivating Others Recognizes That Values Are
Powerful Forces That Influence Acceptance Of Change. Leaving The Rns Alone
4|Page
8th Edition Author:Yoder Wise All Chapters 1-
30 Covered 100% Complete A+ Study Guide
Latest Version
FULL TEST BANK!!!
1|Page
, lOMoARcPSD|14447089
1. A Nurse Manager Of A 20-Bed Medical Unit Finds That 80% Of The Patients
Are Older Adults. She Is Asked To Assess And Adapt The Unit To Better Meet
The Unique Needs Of The Older Adult Patient. Using Complexity Principles, What
Would Be The Best Approach To Take For Implementation Of This Change?
a. Leverage The Hierarchical Management Position To Get
Unit Staff Involved In Assessment And Planning.
b. Engage Involved Staff At All Levels In The Decision-Making Process.
c. Focus The Assessment On The Unit And Omit The
Hospital And Community Environment.
d. Hire A Geriatric Specialist To Oversee And Control The Project.
ANS: B
Complexity Theory Suggests That Systems Interact And Adapt And That
Decision Making Occurs Throughout The Systems, As Opposed To Being Held
In A Hierarchy. In Complexity Theory, Every Voice Counts, And Therefore, All
Levels Of Staff Would Be Involved In Decision Making.
TOP: AONE Competency: Communication And Relationship-Building
2. A Unit Manager Of A 25-Bed Medical/Surgical Area Receives A Phone Call
From A Nurse Who Has Called In Sick Five Times In The Past Month. He Tells
The Manager That He Very Much Wants To Come To Work When Scheduled
But Must Often Care For His Wife, Who Is Undergoing Treatment For Breast
Cancer. According To Maslow’s Need Hierarchy Theory, What Would Be The
Best
Approach To Satisfying The Needs Of This Nurse, Other Staff, And Patients?
a. Line Up Agency Nurses Who Can Be Called In To Work On Short Notice.
b. Place The Nurse On Unpaid Leave For The Remainder Of His Wife’s Treatment.
c. Sympathize With The Nurse’s Dilemma And Let The Charge Nurse
Know That This Nurse May Be Calling In Frequently In The Future.
d. Work With The Nurse, Staffing Office, And Other Nurses To
Arrange His Scheduled Days Off Around His Wife’s
Treatments.
ANS: D
Placing The Nurse On Unpaid Leave May Threaten The Nurse’s Capacity To
Meet Physiologic Needs And Demotivate The Nurse. Unsatisfactory Coverage Of
Shifts On Short Notice Could Affect Patient Care And Threaten The Needs Of
Staff To Feel Competent.
Arranging The Schedule Around The Wife’s Needs Meets The Needs Of The
Staff And Of Patients While Satisfying The Nurse’s Need For Affiliation.
TOP: AONE Competency: Communication And Relationship-Building
2|Page
, lOMoARcPSD|14447089
3. A Grievance Brought By A Staff Nurse Against The Unit Manager Requires
Mediation. At The First Mediation Session, The Staff Nurse Repeatedly Calls
The Unit Manager’s Actions Unfair, And The Unit Manager Continues To
Reiterate The Reasons For The Actions. What Would Be The Best Course Of
Action At This Time?
a. Send The Two Disputants Away To Reach Their Own Resolution.
b. Involve Another Staff Nurse In The Discussion For Clarity Issues.
3|Page
, lOMoARcPSD|14447089
Leading And Managing In Nursing 8th Edition Yoder-Wise Test Bank
c. Ask Each Party To Examine Their Own Motives And Issues In The Conflict.
d. Continue To Listen As The Parties Repeat Their Thoughts
And Feelings About The Conflict.
ANS: C
For Resolution Of Conflict, One Should Address The Interests And Involvement Of
Participants In The Conflict By Examining The Real Issues Of All Parties.
TOP: AONE Competency: Communication And Relationship-Building
4. At A Second Negotiation Session, The Unit Manager And Staff Nurse
Are Unable To Reach A Resolution. What Is The Appropriate Next Step?
a. Arrange Another Meeting In A Week’s Time So As To Allow A Cooling-Off Period.
b. Elevate The Next Negation Session To The Next Manager, One Level Above.
c. Insist That Participants Continue To Talk Until A Resolution Has Been Reached.
d. Back The Unit Manager’s Actions And End The Dispute.
ANS: B
Part Of Leadership Is Understanding Conflict Resolution And Ability To Negotiate
And Manage For Resolution Of Issues And Concerns. This Situation Has Failed A
Second Negotiation Session, Elevation To A Manager With Additional Training
To Facilitate Conflict Resolution Is Important At This Point.
TOP: AONE Competency: Communication And Relationship-Building
5. The Manager Of A Surgical Area Has A Vision For The Future That Requires
The Addition Of RN Assistants Or Unlicensed Persons To Feed, Bathe, And
Ambulate Patients. The Rns On The Staff
Have Always Practiced In A Primary Nursing-Delivery System And Are Very Resistant
To This Idea.
a. W hat w ou l d be the b t initial strateg y f o ri mpl em e nta ti o n o f t h is c h a ng e?
e x plo ri ng The v alues a d feeli ngs of Th e Rn g rou p i n r e la ti o nsh Ip t o th iS
Change
b. Leaving The Rns Alone For A Time So They Can Think About
The Change Before It Is Implemented
c. Dropping The Idea And Trying For The Change In A Year Or
So When Some Of The Present Rns Have Retired
d. Hiring The Assistants And Allowing The Rns To See What Good Additions They
Are
ANS: A
Influencing Others Requires Emotional Intelligence In Domains Such As Empathy,
Handling Relationships, Deepening Self-Awareness In Self And Others, Motivating
Others, And Managing Emotions. Motivating Others Recognizes That Values Are
Powerful Forces That Influence Acceptance Of Change. Leaving The Rns Alone
4|Page
