Leading and Managing in Nursing 6th Edition Yoder-Wise Test Bank
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NURSINGTB.COM
, Leading and Managing in Nursing 6th Edition Yoder-Wise Test Bank ss ss ss ss ss ss ss ss ss
Chapter 01: Leading, Managing, and Following
ss ss ss ss ss
Yoder-Wise: Leading and Managing in Nursing, 6th Edition ss ss ss ss ss ss ss
MULTIPLE CHOICE ss
1. A nurse manager of a 20-bed medical unit finds that 80% of the patients are older adults. She is
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
asked to assess and adapt the unit to better meet the unique needs of the older adult patient.
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
Using complexity principles, what would be the best approach to take in making this change?
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
a. Leverage the hierarchical management position to get unit staff involved in assessment and
ss ss ss ss ss ss ss ss ss ss ss ss
planning.
ss
b. Engage involved staff at all levels in the decision-making process. ss ss ss ss ss ss ss ss ss
c. Focus the assessment on the unit, and omit the hospital and community environment.
ss ss ss ss ss ss ss ss ss ss ss ss
d. Hire a geriatric specialist to oversee and control the project.
ss ss ss ss ss ss ss ss ss
ANS: B ss
Complexity theory suggests that systems interact and adapt and that decision making occurs
ss ss ss ss ss ss ss ss ss ss ss ss
throughout the systems, as opposed to being held in a hierarchy. In complexity theory, every
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
voice counts, and therefore, all levels of staff would be involved in decision making.
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
REF: Page 8 ss ss TOP: AONE competency: Communication and Relationship-Building
ss ss ss ss ss
2. A unit manager of a 25-bed medical/surgical area receives a phone call from a nurse who has
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ss called in sick five times in the past month. He tells the manager that he very much wants to come
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ss to work when scheduled but must often care for his wife, who is undergoing treatment
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
for breast cancer. According to Maslow‘s need hierarchy theory, what would be the best
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
approach to ss
the needs of this nurse, other staff, and patients?
ss ss ss ss ss ss ss ss
ss satisfying ss
a. Line up agency nurses who can be called in to work on short notice.
ss ss ss ss ss ss ss ss ss ss ss ss ss
b. Place the nurse on unpaid leave for the remainder of his wife‘s treatment.
ss ss ss ss ss ss ss ss ss ss ss ss
c. Sympathize with the nurse‘s dilemma and let the charge nurse know that this nurse may be ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
calling in frequently in the future.
ss ss ss ss ss ss
d. Work with the nurse, staffing office, and other nurses to arrange his scheduled days off
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
around his wife‘s treatments.
ss ss ss ss
ANS: D ss
Placing the nurse on unpaid leave may threaten the nurse‘s capacity to meet physiologic needs
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
and demotivate the nurse. Unsatisfactory coverage of shifts on short notice could affect
ss ss ss ss ss ss ss ss ss ss ss ss ss
patient care and threaten the needs of staff to feel competent. Arranging the schedule around
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
the wife‘s needs meets the needs of the staff and of patients while satisfying the nurse‘s need
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
for affiliation.
ss ss
REF: Page 10 ss ss TOP: AONE competency: Communication and Relationship-Building
ss ss ss ss ss
NURSINGTB.COM
, Leading and Managing in Nursing 6th Edition Yoder-Wise Test Bank ss ss ss ss ss ss ss ss ss
3. A grievance brought by a staff nurse against the unit manager requires mediation. At the first
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ss mediation session, the staff nurse repeatedly calls the unit manager‘s actions unfair, and the unit
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ss manager continues to reiterate the reasons for her actions. What would be the best course of
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ss action at this time? ss ss ss
a. Send the two disputants away to reach their own resolution.
ss ss ss ss ss ss ss ss ss
b. Involve another staff nurse in the discussion so as to clarify issues. ss ss ss ss ss ss ss ss ss ss ss
c. Ask each party to examine her own motives and issues in the conflict.
ss ss ss ss ss ss ss ss ss ss ss ss
d. Continue to listen as the parties repeat their thoughts and feelings about the conflict. ss ss ss ss ss ss ss ss ss ss ss ss ss
ANS: C ss
Ury, Brett, and Goldberg outline steps to restoring unity, the first of which is to address the
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
interests and involvement of participants in the conflict by examining the real issues of
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
all parties.
ss ss
REF: Page 16 ss ss TOP: AONE competency: Communication and Relationship-Building
ss ss ss ss ss
4. At a second negotiation session, the unit manager and staff nurse are unable to reach a resolution.
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ss It would now be best to:
ss ss ss ss ss
a. Arrange another meeting in a week‘s time so as to allow a cooling-off period. ss ss ss ss ss ss ss ss ss ss ss ss ss
b. Turn the dispute over to the director of nursing. ss ss ss ss ss ss ss ss
c. Insist that participants continue to talk until a resolution has been reached.
ss ss ss ss ss ss ss ss ss ss ss
d. Back the unit manager‘s actions and end the dispute. ss ss ss ss ss ss ss ss
ANS: B ss
According to the principles outlined by Ury, Brett, and Goldberg, a ―cooling-off‖ period is
ss ss ss ss ss ss ss ss ss ss ss ss ss
recommended if resolution fails.
ss ss ss ss
REF: Page 16 ss ss TOP: AONE competency: Communication and Relationship-Building
ss ss ss ss ss
5. The manager of a surgical area has a vision for the future that requires the addition of RN
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ss assistants or unlicensed persons to feed, bathe, and walk patients. The RNs on the staff have
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ss always practiced in a primary nursing–delivery system and are very resistant to this idea. The
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ss best initial strategy in this situation would include:
ss ss ss ss ss ss ss
a. Exploring the values and feelings of the RN group in relationship to this change. ss ss ss ss ss ss ss ss ss ss ss ss ss
b. Leaving the RNs alone for a time so they can think about the change before it is
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
implemented. ss
c. Dropping the idea and trying for the change in a year or so when some of the present RNs ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
have retired. ss ss
d. Hiring the assistants and allowing the RNs to see what good additions they are.
ss ss ss ss ss ss ss ss ss ss ss ss ss
NURSINGTB.COM
, Leading and Managing in Nursing 6th Edition Yoder-Wise Test Bank ss ss ss ss ss ss ss ss ss
ANS: A ss
Influencing others requires emotional intelligence in domains such as empathy, handling
ss ss ss ss ss ss ss ss ss ss
relationships, deepening self-awareness in self and others, motivating others, and managing
ss ss ss ss ss ss ss ss ss ss ss
emotions. Motivating others recognizes that values are powerful forces that influence
ss ss ss ss ss ss ss ss ss ss ss
acceptance of change. Leaving the RNs alone for a period of time before implementation does
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
not provide opportunity to explore different perspectives and values. Avoiding discussion until
ss ss ss ss ss ss ss ss ss ss ss ss
the team changes may not promote adoption of the change until there is opportunity to explore
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
perspectives and values related to the change. Hiring of the assistants demonstrates lack of
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
empathy for the perspectives of the RN staff.
ss ss ss ss ss ss ss ss
REF: Page 7 | Page 15 ss ss ss ss ss
TOP: AONE competency: Knowledge of the Health Care Environment
ss ss ss ss ss ss ss ss
6. As the RN charge nurse on the night shift in a small long-term care facility, you‘ve found that
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ss there is little turnover among your LPN and nursing assistant (NA) staff members, but they are
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ss not very motivated to go beyond their job descriptions in their work. Which of the following
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ss strategies might motivate the staff and lead to greater job satisfaction?
ss ss ss ss ss ss ss ss ss ss
a. Ask the director of nursing to offer higher wages and bonuses for extra work for the night
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
LPNs and NAs.
ss ss ss
b. Allow the LPNs and NAs greater decision-making power within the scope of their
ss ss ss ss ss ss ss ss ss ss ss ss
positions in the institution.
ss ss ss ss
c. Hire additional staff so that there are more staff available for enhanced care and individual
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
workloads are lessened.
ss ss ss
d. Ask the director of nursing to increase job security for night staff by having them sign
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
contracts that guarantee work.
ss ss ss ss
ANS: B ss
Hygiene factors such as salary, working conditions, and security are consistent with
ss ss ss ss ss ss ss ss ss ss ss
Herzberg‘s two-factor theory of motivation; meeting these needs avoids job dissatisfaction.
ss ss ss ss ss ss ss ss ss ss ss
Motivator factors such as recognition and satisfaction with work promote a satisfying and
ss ss ss ss ss ss ss ss ss ss ss ss ss
enriched work environment. Transformational leaders use motivator factors liberally to inspire
ss ss ss ss ss ss ss ss ss ss ss
work performance and increase job satisfaction.
ss ss ss ss ss ss
REF: Page 9 | Page 10ss ss ss ss ss
TOP: AONE competency: Communication and Relationship-Building
ss ss ss ss ss
7. As the nurse manager who wants to increase motivation by providing motivating factors, which
ss ss ss ss ss ss ss ss ss ss ss ss ss
ss action would you select?
ss ss ss
a. Collaborate with the human resource/personnel department to develop on-site daycare ss ss ss ss ss ss ss ss ss
services. ss
b. Provide a hierarchical organizational structure. ss ss ss ss
c. Implement a model of shared governance. ss ss ss ss ss
d. Promote the development of a flexible benefits package. ss ss ss ss ss ss ss
NURSINGTB.COM
ss ss ss ss ss ss ss ss ss
NURSINGTB.COM
, Leading and Managing in Nursing 6th Edition Yoder-Wise Test Bank ss ss ss ss ss ss ss ss ss
Chapter 01: Leading, Managing, and Following
ss ss ss ss ss
Yoder-Wise: Leading and Managing in Nursing, 6th Edition ss ss ss ss ss ss ss
MULTIPLE CHOICE ss
1. A nurse manager of a 20-bed medical unit finds that 80% of the patients are older adults. She is
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
asked to assess and adapt the unit to better meet the unique needs of the older adult patient.
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
Using complexity principles, what would be the best approach to take in making this change?
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
a. Leverage the hierarchical management position to get unit staff involved in assessment and
ss ss ss ss ss ss ss ss ss ss ss ss
planning.
ss
b. Engage involved staff at all levels in the decision-making process. ss ss ss ss ss ss ss ss ss
c. Focus the assessment on the unit, and omit the hospital and community environment.
ss ss ss ss ss ss ss ss ss ss ss ss
d. Hire a geriatric specialist to oversee and control the project.
ss ss ss ss ss ss ss ss ss
ANS: B ss
Complexity theory suggests that systems interact and adapt and that decision making occurs
ss ss ss ss ss ss ss ss ss ss ss ss
throughout the systems, as opposed to being held in a hierarchy. In complexity theory, every
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
voice counts, and therefore, all levels of staff would be involved in decision making.
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
REF: Page 8 ss ss TOP: AONE competency: Communication and Relationship-Building
ss ss ss ss ss
2. A unit manager of a 25-bed medical/surgical area receives a phone call from a nurse who has
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ss called in sick five times in the past month. He tells the manager that he very much wants to come
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ss to work when scheduled but must often care for his wife, who is undergoing treatment
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
for breast cancer. According to Maslow‘s need hierarchy theory, what would be the best
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
approach to ss
the needs of this nurse, other staff, and patients?
ss ss ss ss ss ss ss ss
ss satisfying ss
a. Line up agency nurses who can be called in to work on short notice.
ss ss ss ss ss ss ss ss ss ss ss ss ss
b. Place the nurse on unpaid leave for the remainder of his wife‘s treatment.
ss ss ss ss ss ss ss ss ss ss ss ss
c. Sympathize with the nurse‘s dilemma and let the charge nurse know that this nurse may be ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
calling in frequently in the future.
ss ss ss ss ss ss
d. Work with the nurse, staffing office, and other nurses to arrange his scheduled days off
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
around his wife‘s treatments.
ss ss ss ss
ANS: D ss
Placing the nurse on unpaid leave may threaten the nurse‘s capacity to meet physiologic needs
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
and demotivate the nurse. Unsatisfactory coverage of shifts on short notice could affect
ss ss ss ss ss ss ss ss ss ss ss ss ss
patient care and threaten the needs of staff to feel competent. Arranging the schedule around
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
the wife‘s needs meets the needs of the staff and of patients while satisfying the nurse‘s need
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
for affiliation.
ss ss
REF: Page 10 ss ss TOP: AONE competency: Communication and Relationship-Building
ss ss ss ss ss
NURSINGTB.COM
, Leading and Managing in Nursing 6th Edition Yoder-Wise Test Bank ss ss ss ss ss ss ss ss ss
3. A grievance brought by a staff nurse against the unit manager requires mediation. At the first
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ss mediation session, the staff nurse repeatedly calls the unit manager‘s actions unfair, and the unit
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ss manager continues to reiterate the reasons for her actions. What would be the best course of
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ss action at this time? ss ss ss
a. Send the two disputants away to reach their own resolution.
ss ss ss ss ss ss ss ss ss
b. Involve another staff nurse in the discussion so as to clarify issues. ss ss ss ss ss ss ss ss ss ss ss
c. Ask each party to examine her own motives and issues in the conflict.
ss ss ss ss ss ss ss ss ss ss ss ss
d. Continue to listen as the parties repeat their thoughts and feelings about the conflict. ss ss ss ss ss ss ss ss ss ss ss ss ss
ANS: C ss
Ury, Brett, and Goldberg outline steps to restoring unity, the first of which is to address the
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
interests and involvement of participants in the conflict by examining the real issues of
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
all parties.
ss ss
REF: Page 16 ss ss TOP: AONE competency: Communication and Relationship-Building
ss ss ss ss ss
4. At a second negotiation session, the unit manager and staff nurse are unable to reach a resolution.
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ss It would now be best to:
ss ss ss ss ss
a. Arrange another meeting in a week‘s time so as to allow a cooling-off period. ss ss ss ss ss ss ss ss ss ss ss ss ss
b. Turn the dispute over to the director of nursing. ss ss ss ss ss ss ss ss
c. Insist that participants continue to talk until a resolution has been reached.
ss ss ss ss ss ss ss ss ss ss ss
d. Back the unit manager‘s actions and end the dispute. ss ss ss ss ss ss ss ss
ANS: B ss
According to the principles outlined by Ury, Brett, and Goldberg, a ―cooling-off‖ period is
ss ss ss ss ss ss ss ss ss ss ss ss ss
recommended if resolution fails.
ss ss ss ss
REF: Page 16 ss ss TOP: AONE competency: Communication and Relationship-Building
ss ss ss ss ss
5. The manager of a surgical area has a vision for the future that requires the addition of RN
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ss assistants or unlicensed persons to feed, bathe, and walk patients. The RNs on the staff have
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ss always practiced in a primary nursing–delivery system and are very resistant to this idea. The
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ss best initial strategy in this situation would include:
ss ss ss ss ss ss ss
a. Exploring the values and feelings of the RN group in relationship to this change. ss ss ss ss ss ss ss ss ss ss ss ss ss
b. Leaving the RNs alone for a time so they can think about the change before it is
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
implemented. ss
c. Dropping the idea and trying for the change in a year or so when some of the present RNs ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
have retired. ss ss
d. Hiring the assistants and allowing the RNs to see what good additions they are.
ss ss ss ss ss ss ss ss ss ss ss ss ss
NURSINGTB.COM
, Leading and Managing in Nursing 6th Edition Yoder-Wise Test Bank ss ss ss ss ss ss ss ss ss
ANS: A ss
Influencing others requires emotional intelligence in domains such as empathy, handling
ss ss ss ss ss ss ss ss ss ss
relationships, deepening self-awareness in self and others, motivating others, and managing
ss ss ss ss ss ss ss ss ss ss ss
emotions. Motivating others recognizes that values are powerful forces that influence
ss ss ss ss ss ss ss ss ss ss ss
acceptance of change. Leaving the RNs alone for a period of time before implementation does
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
not provide opportunity to explore different perspectives and values. Avoiding discussion until
ss ss ss ss ss ss ss ss ss ss ss ss
the team changes may not promote adoption of the change until there is opportunity to explore
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
perspectives and values related to the change. Hiring of the assistants demonstrates lack of
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
empathy for the perspectives of the RN staff.
ss ss ss ss ss ss ss ss
REF: Page 7 | Page 15 ss ss ss ss ss
TOP: AONE competency: Knowledge of the Health Care Environment
ss ss ss ss ss ss ss ss
6. As the RN charge nurse on the night shift in a small long-term care facility, you‘ve found that
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ss there is little turnover among your LPN and nursing assistant (NA) staff members, but they are
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ss not very motivated to go beyond their job descriptions in their work. Which of the following
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ss strategies might motivate the staff and lead to greater job satisfaction?
ss ss ss ss ss ss ss ss ss ss
a. Ask the director of nursing to offer higher wages and bonuses for extra work for the night
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
LPNs and NAs.
ss ss ss
b. Allow the LPNs and NAs greater decision-making power within the scope of their
ss ss ss ss ss ss ss ss ss ss ss ss
positions in the institution.
ss ss ss ss
c. Hire additional staff so that there are more staff available for enhanced care and individual
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
workloads are lessened.
ss ss ss
d. Ask the director of nursing to increase job security for night staff by having them sign
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
contracts that guarantee work.
ss ss ss ss
ANS: B ss
Hygiene factors such as salary, working conditions, and security are consistent with
ss ss ss ss ss ss ss ss ss ss ss
Herzberg‘s two-factor theory of motivation; meeting these needs avoids job dissatisfaction.
ss ss ss ss ss ss ss ss ss ss ss
Motivator factors such as recognition and satisfaction with work promote a satisfying and
ss ss ss ss ss ss ss ss ss ss ss ss ss
enriched work environment. Transformational leaders use motivator factors liberally to inspire
ss ss ss ss ss ss ss ss ss ss ss
work performance and increase job satisfaction.
ss ss ss ss ss ss
REF: Page 9 | Page 10ss ss ss ss ss
TOP: AONE competency: Communication and Relationship-Building
ss ss ss ss ss
7. As the nurse manager who wants to increase motivation by providing motivating factors, which
ss ss ss ss ss ss ss ss ss ss ss ss ss
ss action would you select?
ss ss ss
a. Collaborate with the human resource/personnel department to develop on-site daycare ss ss ss ss ss ss ss ss ss
services. ss
b. Provide a hierarchical organizational structure. ss ss ss ss
c. Implement a model of shared governance. ss ss ss ss ss
d. Promote the development of a flexible benefits package. ss ss ss ss ss ss ss
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