lOMoARcPSD|11881637
Test Bank for Leading and Managing in Nursing 7th Edition by Yoder Wise(chapters 1-30) complete
Chapter 01: Leading, Managing, and Following
Yoder-Wise: Leading and Managing in Nursing, 7th Edition
MULTIPLE
CHOICE
1. A nurse manager of a 20-bed medical unit finds that 80% of the
patients are older adults. Sheis 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 inassessment 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 communityenvironment.
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
Test Bank for Leading and Managing in Nursing 7th Edition by
Yoder Wise(chapters 1-30) complete
, lOMoARcPSD|11881637
Test Bank for Leading and Managing in Nursing 7th Edition by Yoder Wise(chapters 1-30) complete
2. A unit manager of a 25-bed medical/surgical area receives a phone
call from a nurse whoNhascalled
R I G in sickMfive times in the past month.
B.C
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 toUMaSslow
N’s Tneed hiO
erarchy 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 needsand 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.
Test Bank for Leading and Managing in Nursing 7th Edition by
Yoder Wise(chapters 1-30) complete
, lOMoARcPSD|11881637
Test Bank for Leading and Managing in Nursing 7th Edition by Yoder Wise(chapters 1-30) complete
TOP: AONE competency: Communication and Relationship-Building
3. A grievance brought by a staff nurse against the unit manager
requires mediation. At the firstmediation 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 courseof 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.Ask each
party to examine their own motives and issues in the conflict.
c. Continue to listen as the parties repeat their thoughts
and feelings about theconflict.
ANS: C
For resolution of conflict, one should address the interests and
involvement of participants inthe 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 aresolution. 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.
Test Bank for Leading and Managing in Nursing 7th Edition by
Yoder Wise(chapters 1-30) complete
, lOMoARcPSD|11881637
Test Bank for Leading and Managing in Nursing 7th Edition by Yoder Wise(chapters 1-30) complete
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 forresolution 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
U S NorTunlicensed
O persons to feed, bathe, and
ambulate patients. The RNs on the staff have always practiced in a
prNimaRry nIursiGng-B
de.liC
veryMsystem and are very resistant to this idea.
What would be the best initial strategy for implementation of this change?
a. Exploring the values and feelings of the RN group in relationship to
this change
b. Leaving the RNs alone for a time so they can think about
the change before it isimplemented
c. Dropping the idea and trying for the change in a year or
so when some of thepresent RNs have retired
d. Hiring the assistants and allowing the RNs to see what good additions
they are
ANS: A
Test Bank for Leading and Managing in Nursing 7th Edition by
Yoder Wise(chapters 1-30) complete
Test Bank for Leading and Managing in Nursing 7th Edition by Yoder Wise(chapters 1-30) complete
Chapter 01: Leading, Managing, and Following
Yoder-Wise: Leading and Managing in Nursing, 7th Edition
MULTIPLE
CHOICE
1. A nurse manager of a 20-bed medical unit finds that 80% of the
patients are older adults. Sheis 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 inassessment 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 communityenvironment.
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
Test Bank for Leading and Managing in Nursing 7th Edition by
Yoder Wise(chapters 1-30) complete
, lOMoARcPSD|11881637
Test Bank for Leading and Managing in Nursing 7th Edition by Yoder Wise(chapters 1-30) complete
2. A unit manager of a 25-bed medical/surgical area receives a phone
call from a nurse whoNhascalled
R I G in sickMfive times in the past month.
B.C
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 toUMaSslow
N’s Tneed hiO
erarchy 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 needsand 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.
Test Bank for Leading and Managing in Nursing 7th Edition by
Yoder Wise(chapters 1-30) complete
, lOMoARcPSD|11881637
Test Bank for Leading and Managing in Nursing 7th Edition by Yoder Wise(chapters 1-30) complete
TOP: AONE competency: Communication and Relationship-Building
3. A grievance brought by a staff nurse against the unit manager
requires mediation. At the firstmediation 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 courseof 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.Ask each
party to examine their own motives and issues in the conflict.
c. Continue to listen as the parties repeat their thoughts
and feelings about theconflict.
ANS: C
For resolution of conflict, one should address the interests and
involvement of participants inthe 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 aresolution. 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.
Test Bank for Leading and Managing in Nursing 7th Edition by
Yoder Wise(chapters 1-30) complete
, lOMoARcPSD|11881637
Test Bank for Leading and Managing in Nursing 7th Edition by Yoder Wise(chapters 1-30) complete
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 forresolution 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
U S NorTunlicensed
O persons to feed, bathe, and
ambulate patients. The RNs on the staff have always practiced in a
prNimaRry nIursiGng-B
de.liC
veryMsystem and are very resistant to this idea.
What would be the best initial strategy for implementation of this change?
a. Exploring the values and feelings of the RN group in relationship to
this change
b. Leaving the RNs alone for a time so they can think about
the change before it isimplemented
c. Dropping the idea and trying for the change in a year or
so when some of thepresent RNs have retired
d. Hiring the assistants and allowing the RNs to see what good additions
they are
ANS: A
Test Bank for Leading and Managing in Nursing 7th Edition by
Yoder Wise(chapters 1-30) complete
