TEST BANK For Leading and Managing in Nursing, 8th Edition by Patricia S. Yoder-Wise, Susan Sportsman| Verified Chapter's 1 - 30 | Complete

,Chapter 01: Leading, Managing, and Following
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Yoder-Wise: Leading and Managing in Nursing, 8th Edition
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MULTIPLE CHOICE fy




1. A nurse manager of a 20-
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bed medical unit finds that 80% of the patients are older adults. She is asked to assess and ad
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apt the unit to better meet the unique needs of the older adult patient. Using complexity princ
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iples, what would be the best approach to take for implementation of this change?
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a. Leverage the hierarchical management position to get unit staff involved in fy fy fy fy fy fy fy fy fy fy fy


assessment and planning. fy fy


b. Engage involved staff at all levels in the decision-making process.
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c. Focus the assessment on the unit and omit the hospital and community
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environment.
d. Hire a geriatric specialist to oversee and control the project.
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ANS: B f y


Complexity theory suggests that systems interact and adapt and that decision making occurs
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throughout the systems, as opposed to being held in a hierarchy. In complexity theory, ever
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y voice counts, and therefore, all levels of staff would be involved in decision making.
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TOP: AONE competency: Communication and Relationship-Building
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2. A unit manager of a 25-
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bed medical/surgical area receives a phone call from a nurse whohas called in sick five time
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s in the past month. He tells the manager that he very much wants to come to work when s
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cheduled but must often care for his wife, who is undergoing treatment for breast cancer. A
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ccording to Maslow‘s need hierarchy theory, what would be the best approach to satisfying
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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.
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b. Place the nurse on unpaid leave for the remainder of his wife‘s treatment.
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c. Sympathize with the nurse‘s dilemma and let the charge nurse know that this nurse fy fy fy fy fy fy fy fy fy fy fy fy yf f


may be calling in frequently in the future.
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d. Work with the nurse, staffing office, and other nurses to arrange hisscheduled
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days off around his wife‘s treatments.
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ANS: D f y


Placing the nurse on unpaid leave may threaten the nurse‘s capacity to meet physiologic needs
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and demotivate the nurse. Unsatisfactory coverage of shifts on short notice could affect pati
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ent care and threaten the needs of staff to feel competent. Arranging the schedule around the
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wife‘s needs meets the needs of the staff and of patients while satisfying the nurse‘s need fo
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r affiliation.
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TOP: AONE competency: Communication and Relationship-Building
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3. A grievance brought by a staff nurse against the unit manager requires mediation. At the first
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mediation session, the staff nurse repeatedly calls the unit manager‘s actions unfair, and th
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e unit manager continues to reiterate the reasons for the actions. What would be the best cour
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se of action at this time?
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a. Send the two disputants away to reach their own resolution.
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b. Involve another staff nurse in the discussion for clarity issues. fy fy fy fy fy fy fy fy fy

, c. Ask each party to examine their own motives and issues in the conflict.
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d. Continue to listen as the parties repeat their thoughts and feelings about the
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conflict.
ANS: C fy


For resolution of conflict, one should address the interests and involvement of participants in t
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he conflict by examining the real issues of all parties.
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TOP: AONE competency: Communication and Relationship-Building
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4. At a second negotiation session, the unit manager and staff nurse are unable to reach a
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yresolution. What is the appropriate next step? fy fy fy fy fy f y


a. Arrange another meeting in a week‘s time so as to allow a cooling-off period.
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b. Elevate the next negation session to the next manager, one level above.
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c. Insist that participants continue to talk until a resolution has been reached.
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d. Back the unit manager‘s actions and end the dispute.
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ANS: B fy


Part of leadership is understanding conflict resolution and ability to negotiate and manage for
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resolution of issues and concerns. This situation has failed a second negotiation session, elev
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ation to a manager with additional training to facilitate conflict resolution is important at this
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point.
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TOP: AONE competency: Communication and Relationship-Building
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5. The manager of a surgical area has a vision for the future that requires the addition of RN as
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sistants or unlicensed persons to feed, bathe, and ambulate patients. The RNs on the staff ha
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ve always practiced in a primary nursing-
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delivery system and are very resistant to this idea. What would be the best initial strategy for
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implementation of this change?
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a. Exploring the values and feelings of the RN group in relationship to this change
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b. Leaving the RNs alone for a time so they can think about the change before it is
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implemented y


c. Dropping the idea and trying for the change in a year or so when some of the
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present RNs have retired
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d. Hiring the assistants and allowing the RNs to see what good additions they are
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ANS: A fy


Influencing others requires emotional intelligence in domains such as empathy, handling rela
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tionships, deepening self- fy fy


awareness in self and others, motivating others, and managing emotions. Motivating others r
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ecognizes that values are powerful forces that influence acceptance of change. Leaving the R
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Ns alone for a period of time before implementation does not provide opportunity to explore
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different perspectives and values. Avoiding discussion until the team changes may not prom
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ote adoption of the change until there is opportunity to explore perspectives and values relate
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d to the change. Hiring of the assistants demonstrates lack of empathy for the perspectives of
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the RN staff.
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TOP: AONE competency: Knowledge of the Health Care Environment
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, 6. As the RN charge nurse on the night shift in a small long-
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term care facility, you‘ve found that there is little turnover among your LPN and nursing ass
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istant (NA) staff members, but they are not very motivated to go beyond their job descriptio
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ns in their work. Which of the following strategies might motivate the staff and lead to grea
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ter job satisfaction?
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a. Ask the director of nursing to offer higher wages and bonuses for extra work for
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the night LPNs and NAs.
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b. Allow the LPNs and NAs greater decision- fy fy fy fy fy fy


making power within the scope of their positions in the institution.
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c. Hire additional staff so that there are more staff available for enhanced care,and
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individual workloads are lessened.
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d. Ask the director of nursing to increase job security for night staff by having them
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sign contracts that guarantee work.
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ANS: B fy


Hygiene factors such as salary, working conditions, and security are consistent with Herzber
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g‘s two- fy


factor theory of motivation; meeting these needs avoids job dissatisfaction. Motivator factors
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such as recognition and satisfaction with work promote a satisfying and enriched work envir
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onment. Transformational leaders use motivator factors liberally to inspire work performance
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and increase job satisfaction.
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TOP: AONE competency: Communication and Relationship-Building
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7. The nurse manager wants to increase motivation by providing motivating factors for thenurse
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on the unit. What action would be appropriate to motivate the staff?
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a. Collaborate with the human resource/personnel department to develop on- fy fy fy fy fy fy fy fy


site daycare services. fy fy


b. Provide a hierarchical organizational structure. fy fy fy fy


c. Implement a model of shared governance. fy fy fy fy fy


d. Promote the development of a flexible benefits package. fy fy fy fy fy fy fy




ANS: C fy


Complexity theory suggests that systems interact and adapt and that decision making occurs th
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roughout systems, as opposed to being held in a hierarchy. In complexity theory, every voice
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counts, and therefore all levels of staff would be involved in decision making. This principl
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e is the foundation of shared governance.
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TOP: AONE competency: Communication and Relationship-Building
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8. The nurse manager has been asked to implement an evidence-
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based approach to teach ostomy patients self-
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management skills postoperatively. The program is to be implemented across the entire facili
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ty. What illustrates effective leadership in this situation?
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a. The training modules are left in the staff room for times when staff are available.
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b. The current approach is continued because it is also evidence-
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based and is more familiar to staff. fy fy fy fy fy fy


c. You decide to implement the approach at a later date because of feedback from the
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RNs that the new approach takes too much time.
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d. An RN who is already familiar with the new approach of volunteers to take the
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lead in mentoring and teaching others how to implement it.
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ANS: D fy