Test Bank For Yoder-Wises Leading and Managing in
Canadian Nursing, 2nd Edition (Waddell, 2020), Chapter 1-32 |
9781771721677 | All Chapters with Answers and Rationals
Two staff nurses on a unit disagree with one another over certain key aspects of providing client care.
The nurse manager of the unit arranges a meeting with the charge nurse and the two staff nurses at a
mutually agreed-upon time to discuss this situation. This activity is most accurately described as
what? - ANSWER: Conflict resolution
A nurse manager is trying to resolve a conflict between the day and night shifts. The nurse manager
wants to convince the involved persons to set aside their differences, determine a priority common
goal having to do with improved client care, and accept mutual responsibility for achieving this goal.
The nurse manager is using which type of conflict resolution? - ANSWER: Collaborating
The registered nurse (RN) has received orders to perform an unsafe practice on a client. The RN voices
concern with the physician who gave the order, but the physician refuses to change the order. Whom
should the nurse consult next regarding the order? - ANSWER: The charge nurse
A nurse leader is working with a client with hypertension who needs to learn about a low-sodium diet.
The nurse recognizes that the client is in the unfreezing stage of Lewin's Change theory with which
client statement? - ANSWER: "I understand why I need to eat a low-sodium diet."
To help staff nurses who are resistant to change adapt to the use of a new medication administration
system, the nurse manager should take which action? - ANSWER: Describe the evaluation process
with use of the new system.
Discuss the potential for a decrease in medication errors with the new system.
Encourage feedback by the nursing staff with use of the new system.
A nurse manager of a physician's office uses the laissez-faire style of leadership with the staff. Which
nursing actions reflect this management style? Select all that apply. - ANSWER: The nurse manager
allows self-scheduling.
The nurse manager allows dominant staff members to direct the group activities.
Manager and staff work independently, making task accomplishment difficult.
After a nurse manager implements a solution to the problem of delays in obtaining supplies, the first
task for the manager is to: - ANSWER: assess whether the desired results have occurred.
A nurse is successful in promoting change on the nursing division. This nurse would be considered a: -
ANSWER: leader.
The registered nurse on a busy telemetry floor is delegating tasks to an unlicensed assistive person
(UAP). Which task is appropriate for the UAP to complete? - ANSWER: Bathing a combative client
A staff nurse works on a medical unit where staff retention is very high. There is a sense of equality
between the leader and the staff nurses. The unit decisions and activities are shared between the
leader and the group. The designated nurse leader practices which leadership style? - ANSWER:
Democratic
Two nurse managers working on different units in a hospital are planning for a major change to occur
on both units. One nurse manager reports to the other having identified a key power player on the
unit. Which description most applies to a key power player in this context? - ANSWER: A regular
employee who is a natural leader
The nurse is advising a client about health problems related to being overweight. The client
acknowledges the need to lose weight. The nurse provides education on how to count calories in food
, and the importance of daily exercise. The client states an intention to begin counting calories with the
next meal. The client also states an intention to begin an exercise program with friends. Which
statement associated with this scenario illustrates Lewin's stage of unfreezing? - ANSWER: The client
acknowledges the need to lose weight.
The case manager works in a facility that supports a participative leadership style. Which action
should the nurse recognize as an example of democratic leadership style? - ANSWER: The
interdisciplinary health care team collectively developing plans of care for clients
Two nurses have requested that the nurse manager allow them to plan in-service education with
creative, new education techniques. Which leadership style would be best for the nurse manager to
use to get the new project completed? - ANSWER: Laissez-faire
Two new nurses are requesting the same preceptor for unit orientation. Both new nurses have been
very vocal about being unhappy if they do not receive their choice of preceptor. Which illustrates the
nurses using a compromise approach to conflict resolution? - ANSWER: The nurses agree to have the
preceptor precept one nurse at the beginning of the orientation and the other at the end.
The registered nurse (RN) wants to delegate a task to an unlicensed assistive personnel (UAP) but is
unsure if the task can be delegated. What is the best resource for the RN to use in determining if the
task is appropriate? - ANSWER: The nurse practice act or facility's policy and procedures
The nurse has recently been promoted to nurse manager on an oncology unit and has decided to be
the sole decision maker regarding issues that concern the unit. Which type of leadership style is the
nurse embodying? - ANSWER: Autocratic
The nurse has recently been promoted to nurse manager on a pediatric unit and has decided to
accept input from staff regarding changes they would like to see on the unit. Which type of leadership
style is the nurse embodying? - ANSWER: Democratic
A nursing facility has recently implemented new policies regarding nurse-to-patient ratios. The
nursing staff seems very resistant to the change. How can the nurse manager help the staff accept the
change? - ANSWER: Hold a unit meeting to discuss how the changes will benefit staff.
A nurse manager best demonstrates effective leadership characteristic by which action? - ANSWER:
Sharing a vision for the unit and enlisting support
The registered nurse (RN) wants to delegate measuring a client's urinary output to an unlicensed
assistive personnel (UAP). Which factors should the nurse consider before delegating the task? -
ANSWER: The stability of the patient's condition, potential for harm, and complexity of the activity
Which of these statements regarding a nurse manager role is accurate? - ANSWER: To effectively
manage the nursing unit, the nurse manager should also be a leader.
The older client tells the nurse that the client needs to use the restroom. Which safety intervention
must the nurse perform first? - ANSWER: Assess the need for assistance with ambulation.
A nurse is caring for a client with pneumonia. Which task is most appropriate for the nurse to
delegate to an experienced unlicensed assistive personnel (UAP)? - ANSWER: Obtaining vital signs
every 4 hours
A nurse on a telemetry unit is admitting a client and has an unlicensed assistive person (UAP) helping
with the admission process. Which task can the nurse delegate to the UAP? - ANSWER: Obtaining an
admission weight for the client utilizing the client's bed scale
Canadian Nursing, 2nd Edition (Waddell, 2020), Chapter 1-32 |
9781771721677 | All Chapters with Answers and Rationals
Two staff nurses on a unit disagree with one another over certain key aspects of providing client care.
The nurse manager of the unit arranges a meeting with the charge nurse and the two staff nurses at a
mutually agreed-upon time to discuss this situation. This activity is most accurately described as
what? - ANSWER: Conflict resolution
A nurse manager is trying to resolve a conflict between the day and night shifts. The nurse manager
wants to convince the involved persons to set aside their differences, determine a priority common
goal having to do with improved client care, and accept mutual responsibility for achieving this goal.
The nurse manager is using which type of conflict resolution? - ANSWER: Collaborating
The registered nurse (RN) has received orders to perform an unsafe practice on a client. The RN voices
concern with the physician who gave the order, but the physician refuses to change the order. Whom
should the nurse consult next regarding the order? - ANSWER: The charge nurse
A nurse leader is working with a client with hypertension who needs to learn about a low-sodium diet.
The nurse recognizes that the client is in the unfreezing stage of Lewin's Change theory with which
client statement? - ANSWER: "I understand why I need to eat a low-sodium diet."
To help staff nurses who are resistant to change adapt to the use of a new medication administration
system, the nurse manager should take which action? - ANSWER: Describe the evaluation process
with use of the new system.
Discuss the potential for a decrease in medication errors with the new system.
Encourage feedback by the nursing staff with use of the new system.
A nurse manager of a physician's office uses the laissez-faire style of leadership with the staff. Which
nursing actions reflect this management style? Select all that apply. - ANSWER: The nurse manager
allows self-scheduling.
The nurse manager allows dominant staff members to direct the group activities.
Manager and staff work independently, making task accomplishment difficult.
After a nurse manager implements a solution to the problem of delays in obtaining supplies, the first
task for the manager is to: - ANSWER: assess whether the desired results have occurred.
A nurse is successful in promoting change on the nursing division. This nurse would be considered a: -
ANSWER: leader.
The registered nurse on a busy telemetry floor is delegating tasks to an unlicensed assistive person
(UAP). Which task is appropriate for the UAP to complete? - ANSWER: Bathing a combative client
A staff nurse works on a medical unit where staff retention is very high. There is a sense of equality
between the leader and the staff nurses. The unit decisions and activities are shared between the
leader and the group. The designated nurse leader practices which leadership style? - ANSWER:
Democratic
Two nurse managers working on different units in a hospital are planning for a major change to occur
on both units. One nurse manager reports to the other having identified a key power player on the
unit. Which description most applies to a key power player in this context? - ANSWER: A regular
employee who is a natural leader
The nurse is advising a client about health problems related to being overweight. The client
acknowledges the need to lose weight. The nurse provides education on how to count calories in food
, and the importance of daily exercise. The client states an intention to begin counting calories with the
next meal. The client also states an intention to begin an exercise program with friends. Which
statement associated with this scenario illustrates Lewin's stage of unfreezing? - ANSWER: The client
acknowledges the need to lose weight.
The case manager works in a facility that supports a participative leadership style. Which action
should the nurse recognize as an example of democratic leadership style? - ANSWER: The
interdisciplinary health care team collectively developing plans of care for clients
Two nurses have requested that the nurse manager allow them to plan in-service education with
creative, new education techniques. Which leadership style would be best for the nurse manager to
use to get the new project completed? - ANSWER: Laissez-faire
Two new nurses are requesting the same preceptor for unit orientation. Both new nurses have been
very vocal about being unhappy if they do not receive their choice of preceptor. Which illustrates the
nurses using a compromise approach to conflict resolution? - ANSWER: The nurses agree to have the
preceptor precept one nurse at the beginning of the orientation and the other at the end.
The registered nurse (RN) wants to delegate a task to an unlicensed assistive personnel (UAP) but is
unsure if the task can be delegated. What is the best resource for the RN to use in determining if the
task is appropriate? - ANSWER: The nurse practice act or facility's policy and procedures
The nurse has recently been promoted to nurse manager on an oncology unit and has decided to be
the sole decision maker regarding issues that concern the unit. Which type of leadership style is the
nurse embodying? - ANSWER: Autocratic
The nurse has recently been promoted to nurse manager on a pediatric unit and has decided to
accept input from staff regarding changes they would like to see on the unit. Which type of leadership
style is the nurse embodying? - ANSWER: Democratic
A nursing facility has recently implemented new policies regarding nurse-to-patient ratios. The
nursing staff seems very resistant to the change. How can the nurse manager help the staff accept the
change? - ANSWER: Hold a unit meeting to discuss how the changes will benefit staff.
A nurse manager best demonstrates effective leadership characteristic by which action? - ANSWER:
Sharing a vision for the unit and enlisting support
The registered nurse (RN) wants to delegate measuring a client's urinary output to an unlicensed
assistive personnel (UAP). Which factors should the nurse consider before delegating the task? -
ANSWER: The stability of the patient's condition, potential for harm, and complexity of the activity
Which of these statements regarding a nurse manager role is accurate? - ANSWER: To effectively
manage the nursing unit, the nurse manager should also be a leader.
The older client tells the nurse that the client needs to use the restroom. Which safety intervention
must the nurse perform first? - ANSWER: Assess the need for assistance with ambulation.
A nurse is caring for a client with pneumonia. Which task is most appropriate for the nurse to
delegate to an experienced unlicensed assistive personnel (UAP)? - ANSWER: Obtaining vital signs
every 4 hours
A nurse on a telemetry unit is admitting a client and has an unlicensed assistive person (UAP) helping
with the admission process. Which task can the nurse delegate to the UAP? - ANSWER: Obtaining an
admission weight for the client utilizing the client's bed scale
