https://www.stuvia.com/user/lectkeshi
TESTBANK FOR LEADING AND MANAGING IN
NURSING 8TH EDITION EXAM TEST QUESTIONS AND
ANSWERS VERIFIED
Chapter 01: Leading, Managing, and Following Yoder-Wise:
Leading and Managing in Nursing, 8th Edition
MULTIPLE CHOICE
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.
https://www.stuvia.com/user/lectkeshi
,https://www.stuvia.com/user/lectkeshi
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.
https://www.stuvia.com/user/lectkeshi
,https://www.stuvia.com/user/lectkeshi
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
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.
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.
https://www.stuvia.com/user/lectkeshi
, https://www.stuvia.com/user/lectkeshi
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.
https://www.stuvia.com/user/lectkeshi
TESTBANK FOR LEADING AND MANAGING IN
NURSING 8TH EDITION EXAM TEST QUESTIONS AND
ANSWERS VERIFIED
Chapter 01: Leading, Managing, and Following Yoder-Wise:
Leading and Managing in Nursing, 8th Edition
MULTIPLE CHOICE
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.
https://www.stuvia.com/user/lectkeshi
,https://www.stuvia.com/user/lectkeshi
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.
https://www.stuvia.com/user/lectkeshi
,https://www.stuvia.com/user/lectkeshi
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
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.
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.
https://www.stuvia.com/user/lectkeshi
, https://www.stuvia.com/user/lectkeshi
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.
https://www.stuvia.com/user/lectkeshi
