lOMoAR cPSD| 14447089
Test Bank for Leading and Managing inNursing 7th Ed
s s s s s s s s s
ition by Yoder Wise (chapters 1-30) complete. s s s s s s
Chapter 01: Leading, Managing, and Following
s s s s s
Yoder-Wise: Leading and Managing in Nursing, 7th Edition s s s s s s s
A nurse manager of a 20-
s s s s s
bed medical unit finds that 80% of the patients are older adults. Sheis asked to assess
s s s s s s s s s s s s s s s s
and adapt the unit to better meet the unique needs of the older adult patient.Using c
s s s s s s s s s s s s s s s s s
omplexity principles, what would be the best approach to take for implementation o
s s s s s s s s s s s s
f this change?
s s
a. Leverage the hierarchical management position to get unit staf
s s s s s s s s
f involved inassessment and planning.
s s s s s
b. Engage involved staff at all levels in the decision-making process.
s s s s s s s s s
c. Focus the assessment on the unit and omit the hospital and c
s s s s s s s s s s s
ommunityenvironment. s
d. Hire a geriatric specialist to oversee and control the project.
s s s s s s s s s
ANS: B s
Complexity theory suggests that systems interact and adapt and that decisio
s s s s s s s s s s
n making occursthroughout the systems, as opposed to being held in a hierar
s s s s s s s s s s s s s
chy. In complexity theory, everyvoice counts, and therefore, all levels of staff
s s s s s s s s s s s s s
would be involved in decision making.
s s s s s
TOP: AONE competency: Communication and Relationship-Building
s s s s s
A unit manager of a 25-
s s s s s
bed medical/surgical area receives a phone call from a nurse who hascalled in sick fi
N R I G B.C M
s s s s s s s s s s s s s s s
s s s s s
ve times in the past month. He tells the manager that he very much wants to come to
s s s s s s s s s s s s s s s s s s
work when scheduled but must often care for his wife, who is undergoing treatment
s s s s s s s s s s s s s
for breast cancer. According toUMaSslow
s N’sT
need hiO
erarchy theory, what would be t
s s s s s s s s s s
Test Bank for Leading and Managing inNursing 7th Ed
s s s s s s s s s
ition by Yoder Wise (chapters 1-30) complete. s s s s s s
, lOMoAR cPSD| 14447089
Test Bank for Leading and Managing inNursing 7th Ed
s s s s s s s s s
ition by Yoder Wise (chapters 1-30) complete.
s s s s s s
he best
s
approach to satisfying the needs of this nurse, other staff, and patients?
s s s s s s s s s s s
a. Line up agency nurses who can be called in to work on short notice.
s s s s s s s s s s s s s
b. Place the nurse on unpaid leave for the remainder of his wife’s treatment.
s s s s s s s s s s s s
c. Sympathize with the nurse’s dilemma and let the charge nurse know that this s s s s s s s s s s s s s
nurse
may be calling in frequently in the future.
s s s s s s s
d. Work with the nurse, staffing office, and other nurses to arrange his schedule
s s s s s s s s s s s s
d
days off around his wife’s treatments.
s s s s s
ANS: D s
Placing the nurse on unpaid leave may threaten the nurse’s capacity to meet ph
s s s s s s s s s s s s s
ysiologic needsand demotivate the nurse. Unsatisfactory coverage of shifts on
s s s s s s s s s s s
short notice could affect patient care and threaten the needs of staff to feel com
s s s s s s s s s s s s s s
petent. Arranging the schedule around
s s s s
the wife’s needs meets the needs of the staff and of patients while satisfying the n
s s s s s s s s s s s s s s s
urse’s need s
for affiliation.
s
TOP: AONE competency: Communication and Relationship-Building
s s s s s
The charge nurse walks into Mr. Smith’s room and finds him yelling at the LPN. H
s s s s s s s s s s s s s s s
e is obviously very upset. The charge nurse determines that he has not slept for thr
s s s s s s s s s s s s s s s
ee nights because of unrelieved pain levels. The LPN is very upset and calls Mr. Sm
s s s s s s s s s s s s s s s
ith an “ugly, old
s s s
man.” The charge nurse acknowledges the LPN’s feelings and concerns and th
s s s s s s s s s s s
en suggests thatMr. Smith’s behavior was aggressive but was related to lack of
s s s s s s s s s s s s s s
sleep and to pain. The charge nurse asks, “Can you, together with Mr. Smith, d
s s s s s s s s s s s s s s
etermine triggers for the pain and effective approaches to controlling his pain?
s s s s s s s s s s s
Test Bank for Leading and Managing inNursing 7th Ed
s s s s s s s s s
ition by Yoder Wise (chapters 1-30) complete.
s s s s s s
, lOMoAR cPSD| 14447089
Test Bank for Leading and Managing inNursing 7th Ed
s s s s s s s s s
ition by Yoder Wise (chapters 1-30) complete.
s s s s s s
” This situation is an example of what?
s s s s s s s
a. Lack of empathy and undNerstR
s andI
ingG
for M
B .isC
s JoM
s nes s s s s s
b. Concern with placating MrU
. SmSithN T O s s s s
ss
c. Leadership behavior s
d. Management behavior s
ANS: C s
The situation between Mr. Smith and Miss Jones is a complex situation involv
s s s s s s s s s s s s
ing unrelievedpatient symptoms and aggressiveness toward a staff member.
s s s s s s s s s s
Providing engaged, collaborative guidance and decision making in a complex
s s s s s s s s s
situation where there is no standardized solution reflects leadership.
s s s s s s s s s
TOP: AONE competency: Leadership
s s s
After assessing an older adult patient in long-
s s s s s s s
term care who has been slowly deteriorating forweeks, the nurse manager calls the f
s s s s s s s s s s s s s s
amily and asks them to come in, as the patient is dying. What is the most likely basis f
s s s s s s s s s s s s s s s s s s
or the nurse manager’s request?
s s s s
a. An established clinical pathway
s s s
b. Confirmatory scientific evidence s s
c. Unit protocol s
d. Experience
ANS: D s
The nurse manager is employing knowledge and experience in determining t
s s s s s s s s s s
hat the patient isdying, because the course of dying is not standardized and ca
s s s s s s s s s s s s s s
nnot be determined by clinical pathways.
s s s s s
Test Bank for Leading and Managing inNursing 7th Ed
s s s s s s s s s
ition by Yoder Wise (chapters 1-30) complete.
s s s s s s
, lOMoAR cPSD| 14447089
Test Bank for Leading and Managing inNursing 7th Ed
s s s s s s s s s
ition by Yoder Wise (chapters 1-30) complete.
s s s s s s
TOP: AONE competency: Knowledge of the Health Care Environment
s s s s s s s s
Chart audits have revealed significant omissions of data that could have legal and fin
s s s s s s s s s s s s s
ancial guideline ramifications. The unit manager meets with the staff to discuss audit
s s s s s s s s s s s s
findings and tofind approaches that will address the gaps in charting and achieve des
s s s s s s s s s s s s s s s
ired goals. What is the manager demonstrating?
s s s s s s
a. Leadership
b. Management
Decision making s
c. Vision
ANS: B s
The process of guiding others to meet established goals, outcomes, and proce
s s s s s s s s s s s
dures is management. This can require collaborative decision making to dete
s s s s s s s s s s
rmine how best to reachpredetermined goals and follow established practice
s s s s s s s s s s
s.
TOP: AONE competency: Knowledge of the Health Care Environment
s s s s s s s s
A family is keeping vigil at a critically ill patient’s bedside. Distant family members
s s s s s s s s s s s s s s
call theunit continuously asking for updates and expressing concern. The nurse spe
s s s s s s s s s s s s
aks with the distant family members and states she is referring them to the hospital
s s s s s s s s s s s s s s s
social worker, whoserole is to work with family in this situation. What role is the nu
s s s s s s s s s s s s s s s s
rse assuming through this action?
s s s s
a. Manager
b. Leader
c. Follower
ANS: A s
d. Laissez-
faire
Test Bank for Leading and Managing inNursing 7th Ed
s s s s s s s s s
ition by Yoder Wise (chapters 1-30) complete.
s s s s s s
Test Bank for Leading and Managing inNursing 7th Ed
s s s s s s s s s
ition by Yoder Wise (chapters 1-30) complete. s s s s s s
Chapter 01: Leading, Managing, and Following
s s s s s
Yoder-Wise: Leading and Managing in Nursing, 7th Edition s s s s s s s
A nurse manager of a 20-
s s s s s
bed medical unit finds that 80% of the patients are older adults. Sheis asked to assess
s s s s s s s s s s s s s s s s
and adapt the unit to better meet the unique needs of the older adult patient.Using c
s s s s s s s s s s s s s s s s s
omplexity principles, what would be the best approach to take for implementation o
s s s s s s s s s s s s
f this change?
s s
a. Leverage the hierarchical management position to get unit staf
s s s s s s s s
f involved inassessment and planning.
s s s s s
b. Engage involved staff at all levels in the decision-making process.
s s s s s s s s s
c. Focus the assessment on the unit and omit the hospital and c
s s s s s s s s s s s
ommunityenvironment. s
d. Hire a geriatric specialist to oversee and control the project.
s s s s s s s s s
ANS: B s
Complexity theory suggests that systems interact and adapt and that decisio
s s s s s s s s s s
n making occursthroughout the systems, as opposed to being held in a hierar
s s s s s s s s s s s s s
chy. In complexity theory, everyvoice counts, and therefore, all levels of staff
s s s s s s s s s s s s s
would be involved in decision making.
s s s s s
TOP: AONE competency: Communication and Relationship-Building
s s s s s
A unit manager of a 25-
s s s s s
bed medical/surgical area receives a phone call from a nurse who hascalled in sick fi
N R I G B.C M
s s s s s s s s s s s s s s s
s s s s s
ve times in the past month. He tells the manager that he very much wants to come to
s s s s s s s s s s s s s s s s s s
work when scheduled but must often care for his wife, who is undergoing treatment
s s s s s s s s s s s s s
for breast cancer. According toUMaSslow
s N’sT
need hiO
erarchy theory, what would be t
s s s s s s s s s s
Test Bank for Leading and Managing inNursing 7th Ed
s s s s s s s s s
ition by Yoder Wise (chapters 1-30) complete. s s s s s s
, lOMoAR cPSD| 14447089
Test Bank for Leading and Managing inNursing 7th Ed
s s s s s s s s s
ition by Yoder Wise (chapters 1-30) complete.
s s s s s s
he best
s
approach to satisfying the needs of this nurse, other staff, and patients?
s s s s s s s s s s s
a. Line up agency nurses who can be called in to work on short notice.
s s s s s s s s s s s s s
b. Place the nurse on unpaid leave for the remainder of his wife’s treatment.
s s s s s s s s s s s s
c. Sympathize with the nurse’s dilemma and let the charge nurse know that this s s s s s s s s s s s s s
nurse
may be calling in frequently in the future.
s s s s s s s
d. Work with the nurse, staffing office, and other nurses to arrange his schedule
s s s s s s s s s s s s
d
days off around his wife’s treatments.
s s s s s
ANS: D s
Placing the nurse on unpaid leave may threaten the nurse’s capacity to meet ph
s s s s s s s s s s s s s
ysiologic needsand demotivate the nurse. Unsatisfactory coverage of shifts on
s s s s s s s s s s s
short notice could affect patient care and threaten the needs of staff to feel com
s s s s s s s s s s s s s s
petent. Arranging the schedule around
s s s s
the wife’s needs meets the needs of the staff and of patients while satisfying the n
s s s s s s s s s s s s s s s
urse’s need s
for affiliation.
s
TOP: AONE competency: Communication and Relationship-Building
s s s s s
The charge nurse walks into Mr. Smith’s room and finds him yelling at the LPN. H
s s s s s s s s s s s s s s s
e is obviously very upset. The charge nurse determines that he has not slept for thr
s s s s s s s s s s s s s s s
ee nights because of unrelieved pain levels. The LPN is very upset and calls Mr. Sm
s s s s s s s s s s s s s s s
ith an “ugly, old
s s s
man.” The charge nurse acknowledges the LPN’s feelings and concerns and th
s s s s s s s s s s s
en suggests thatMr. Smith’s behavior was aggressive but was related to lack of
s s s s s s s s s s s s s s
sleep and to pain. The charge nurse asks, “Can you, together with Mr. Smith, d
s s s s s s s s s s s s s s
etermine triggers for the pain and effective approaches to controlling his pain?
s s s s s s s s s s s
Test Bank for Leading and Managing inNursing 7th Ed
s s s s s s s s s
ition by Yoder Wise (chapters 1-30) complete.
s s s s s s
, lOMoAR cPSD| 14447089
Test Bank for Leading and Managing inNursing 7th Ed
s s s s s s s s s
ition by Yoder Wise (chapters 1-30) complete.
s s s s s s
” This situation is an example of what?
s s s s s s s
a. Lack of empathy and undNerstR
s andI
ingG
for M
B .isC
s JoM
s nes s s s s s
b. Concern with placating MrU
. SmSithN T O s s s s
ss
c. Leadership behavior s
d. Management behavior s
ANS: C s
The situation between Mr. Smith and Miss Jones is a complex situation involv
s s s s s s s s s s s s
ing unrelievedpatient symptoms and aggressiveness toward a staff member.
s s s s s s s s s s
Providing engaged, collaborative guidance and decision making in a complex
s s s s s s s s s
situation where there is no standardized solution reflects leadership.
s s s s s s s s s
TOP: AONE competency: Leadership
s s s
After assessing an older adult patient in long-
s s s s s s s
term care who has been slowly deteriorating forweeks, the nurse manager calls the f
s s s s s s s s s s s s s s
amily and asks them to come in, as the patient is dying. What is the most likely basis f
s s s s s s s s s s s s s s s s s s
or the nurse manager’s request?
s s s s
a. An established clinical pathway
s s s
b. Confirmatory scientific evidence s s
c. Unit protocol s
d. Experience
ANS: D s
The nurse manager is employing knowledge and experience in determining t
s s s s s s s s s s
hat the patient isdying, because the course of dying is not standardized and ca
s s s s s s s s s s s s s s
nnot be determined by clinical pathways.
s s s s s
Test Bank for Leading and Managing inNursing 7th Ed
s s s s s s s s s
ition by Yoder Wise (chapters 1-30) complete.
s s s s s s
, lOMoAR cPSD| 14447089
Test Bank for Leading and Managing inNursing 7th Ed
s s s s s s s s s
ition by Yoder Wise (chapters 1-30) complete.
s s s s s s
TOP: AONE competency: Knowledge of the Health Care Environment
s s s s s s s s
Chart audits have revealed significant omissions of data that could have legal and fin
s s s s s s s s s s s s s
ancial guideline ramifications. The unit manager meets with the staff to discuss audit
s s s s s s s s s s s s
findings and tofind approaches that will address the gaps in charting and achieve des
s s s s s s s s s s s s s s s
ired goals. What is the manager demonstrating?
s s s s s s
a. Leadership
b. Management
Decision making s
c. Vision
ANS: B s
The process of guiding others to meet established goals, outcomes, and proce
s s s s s s s s s s s
dures is management. This can require collaborative decision making to dete
s s s s s s s s s s
rmine how best to reachpredetermined goals and follow established practice
s s s s s s s s s s
s.
TOP: AONE competency: Knowledge of the Health Care Environment
s s s s s s s s
A family is keeping vigil at a critically ill patient’s bedside. Distant family members
s s s s s s s s s s s s s s
call theunit continuously asking for updates and expressing concern. The nurse spe
s s s s s s s s s s s s
aks with the distant family members and states she is referring them to the hospital
s s s s s s s s s s s s s s s
social worker, whoserole is to work with family in this situation. What role is the nu
s s s s s s s s s s s s s s s s
rse assuming through this action?
s s s s
a. Manager
b. Leader
c. Follower
ANS: A s
d. Laissez-
faire
Test Bank for Leading and Managing inNursing 7th Ed
s s s s s s s s s
ition by Yoder Wise (chapters 1-30) complete.
s s s s s s
