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Test Bank For Leading and Managing in
Nursing, 8th Edition by Patricia S. Yoder-Wise, Susan Sportsman Chapter
1-25
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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.
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?
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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
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.
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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.
Test Bank For Leading and Managing in
Nursing, 8th Edition by Patricia S. Yoder-Wise, Susan Sportsman Chapter
1-25
written by
DNM TESTBANKS
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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.
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?
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Distribution of this document is illegal extra per year?
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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
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.
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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.
