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Test bank; Leading and Managing in Nursing
by Patricia S. Yoder-Wise RN EdD NEA-BC ANEF FAAN (Author), Susan Sportsman RN PhD ANEF FAAN
(Author)
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Comprehensive Test Bank
Chapter 01: Leading, Managing, and Following
Textbook: 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 in making 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
Rationale: Complexity theory emphasizes that systems interact and adapt continuously. Decision-making is
distributed throughout the organization rather than concentrated in a hierarchy. Involving staff at all levels
ensures that multiple perspectives contribute to successful change implementation.
REF: Page 8
DIF: Application/Applying
TOP: AONE Competency – Communication and Relationship-Building
MSC: Leadership and Organizational Change
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.
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ANS: D
Rationale: Maslow's hierarchy emphasizes meeting human needs while promoting belonging and affiliation.
Collaborative scheduling supports the nurse's family responsibilities while maintaining staffing stability and quality
patient care.
REF: Page 10
DIF: Application/Applying
TOP: AONE Competency – Communication and Relationship-Building
MSC: Motivation and Staff Management
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 her 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 so as to clarify issues.
c. Ask each party to examine her own motives and issues in the conflict.
d. Continue to listen as the parties repeat their thoughts and feelings about the conflict.
ANS: C
Rationale: Effective conflict mediation requires participants to identify underlying interests and concerns.
Examining motives helps uncover the actual issues that require resolution.
REF: Page 16
DIF: Application/Applying
TOP: AONE Competency – Communication and Relationship-Building
MSC: Conflict Resolution
4.
At a second negotiation session, the unit manager and staff nurse are unable to reach a resolution. It
would now be best to:
a. Arrange another meeting in a week's time so as to allow a cooling-off period.
b. Turn the dispute over to the director of nursing.
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
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