lOMoARcPSD|118 816 37
Test !!Bank !!for !!Leading !!and !!Managing !!in !!Nursing !!7th !!Edition !!by !!Yoder !!Wise(chapters !!1-30) !!complete
Chapter 01: Leading, Managing, and Following
!! !! !! !! !!
Yoder-Wise: Leading and Managing in Nursing, 7th Edition !! !! !! !! !! !! !!
MULTIPLE
!! CHOICE
1. A nurse manager of a 20-bed medical unit finds that 80% of the
!! !! !! !! !! !! !! !! !! !! !! !!
!! patients are older adults. Sheis 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 inassessment 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 communityenvironment. !! !! !
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 occursthroughout the systems, as opposed to
!! !! !! ! !! !! !! !! !!
!! being held in a hierarchy. In complexity theory, everyvoice counts,
!! !! !! !! !! !! !! !! ! !!
!! and therefore, all levels of staff would be involved in decision
!! !! !! !! !! !! !! !! !! !!
!! making.
TOP: AONE competency: Communication and Relationship-Building
! ! !! !! !! !!
Test Bank for Leading and Managing in Nursing 7th Edition
!! !! !! !! !! !! !! !! !!
!! by Yoder Wise(chapters 1-30) complete
!! !! !! !!
, lOMoARcPSD|118 816 37
Test !!Bank !!for !!Leading !!and !!Managing !!in !!Nursing !!7th !!Edition !!by !!Yoder !!Wise(chapters !!1-30) !!complete
2. A unit manager of a 25-bed medical/surgical area receives a phone
!! !! !! !! !! !! !! !! !! !!
!! call from a nurse who
!!
N Rhas
IcG
alled
B.Cin Msick 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 toUMaSslow
!! N’s Tneed hiO
erarchy 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.
!! !! !! !! !!
ANS: D !!
Placing the nurse on unpaid leave may threaten the nurse’s capacity
!! !! !! !! !! !! !! !! !! !!
!! to meet physiologic needsand 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
!! !! !! !! !! !! !! !! !! !! !! !!
Test Bank for Leading and Managing in Nursing 7th Edition
!! !! !! !! !! !! !! !! !!
!! by Yoder Wise(chapters 1-30) complete
!! !! !! !!
, lOMoARcPSD|118 816 37
Test !!Bank !!for !!Leading !!and !!Managing !!in !!Nursing !!7th !!Edition !!by !!Yoder !!Wise(chapters !!1-30) !!complete
!! 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 firstmediation 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 courseof 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.Ask
!! !! !! !! !! !! !! !! !!
!! each party to examine their own motives and issues in the conflict.
!! !! !! !! !! !! !! !! !! !! !!
c. Continue to listen as the parties repeat their thoughts !! !! !! !! !! !! !! !!
!! and feelings about theconflict.
!! !! !! !
ANS: C !!
For resolution of conflict, one should address the interests and
!! !! !! !! !! !! !! !! !!
!! involvement of participants inthe conflict by examining the real !! !! !! ! !! !! !! !! !!
!! issues of all parties. !! !! !!
TOP: AONE competency: Communication and Relationship-Building
! ! !! !! !! !!
4. At a second negotiation session, the unit manager and staff
!! !! !! !! !! !! !! !! !!
!! nurse are unable to reach aresolution. What is the appropriate
!! !! !! !! !! ! !! !! !! !!
!! next step? !!
a. Arrange another meeting in a week’s time so as to allow a cooling-
!! !! !! !! !! !! !! !! !! !! !! !!
Test Bank for Leading and Managing in Nursing 7th Edition
!! !! !! !! !! !! !! !! !!
!! by Yoder Wise(chapters 1-30) complete
!! !! !! !!
, lOMoARcPSD|118 816 37
Test !!Bank !!for !!Leading !!and !!Managing !!in !!Nursing !!7th !!Edition !!by !!Yoder !!Wise(chapters !!1-30) !!complete
off period. !!
b. Elevate the next negation session to the next manager, one level
!! !! !! !! !! !! !! !! !! !!
!! above.
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 !!
Part of leadership is understanding conflict resolution and ability to
!! !! !! !! !! !! !! !! !!
!! negotiate and manage forresolution of issues and concerns. This
!! !! !! ! !! !! !! !! !!
!! situation has failed a second negotiation session, elevation to a
!! !! !! !! !! !! !! !! !!
!! manager with additional training to facilitate conflict resolution is
!! !! !! !! !! !! !! !!
!! important at this point. !! !! !!
TOP: AONE competency: Communication and Relationship-Building
! ! !! !! !! !!
5. The manager of a surgical area has a vision for the future that
!! !! !! !! !! !! !! !! !! !! !! !!
!! requires the addition of
U SRNN assistants
T O or unlicensed persons to
!! !! !! !!
!! !!
!!
!!
!! !! !! !!
!! feed, bathe, and ambulate patients. The RNs on the staff have
!! !! !! !! !! !! !! !! !! !!
!! always practiced in a prNimaRry nIursiGng-B
!! de.liC
veryMsystem and are very !! !! !! !! !! !! !!
!! resistant to this idea. !! !! !!
What would be the best initial strategy for implementation of this
!! !! !! !! !! !! !! !! !! !!
!! change?
a. Exploring the values and feelings of the RN group in relationship to!! !! !! !! !! !! !! !! !! !! !!
!! this change !!
b. Leaving the RNs alone for a time so they can think !! !! !! !! !! !! !! !! !! !!
!! about the change before it isimplemented
!! !! !! !! !! !
Test Bank for Leading and Managing in Nursing 7th Edition
!! !! !! !! !! !! !! !! !!
!! by Yoder Wise(chapters 1-30) complete
!! !! !! !!
Test !!Bank !!for !!Leading !!and !!Managing !!in !!Nursing !!7th !!Edition !!by !!Yoder !!Wise(chapters !!1-30) !!complete
Chapter 01: Leading, Managing, and Following
!! !! !! !! !!
Yoder-Wise: Leading and Managing in Nursing, 7th Edition !! !! !! !! !! !! !!
MULTIPLE
!! CHOICE
1. A nurse manager of a 20-bed medical unit finds that 80% of the
!! !! !! !! !! !! !! !! !! !! !! !!
!! patients are older adults. Sheis 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 inassessment 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 communityenvironment. !! !! !
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 occursthroughout the systems, as opposed to
!! !! !! ! !! !! !! !! !!
!! being held in a hierarchy. In complexity theory, everyvoice counts,
!! !! !! !! !! !! !! !! ! !!
!! and therefore, all levels of staff would be involved in decision
!! !! !! !! !! !! !! !! !! !!
!! making.
TOP: AONE competency: Communication and Relationship-Building
! ! !! !! !! !!
Test Bank for Leading and Managing in Nursing 7th Edition
!! !! !! !! !! !! !! !! !!
!! by Yoder Wise(chapters 1-30) complete
!! !! !! !!
, lOMoARcPSD|118 816 37
Test !!Bank !!for !!Leading !!and !!Managing !!in !!Nursing !!7th !!Edition !!by !!Yoder !!Wise(chapters !!1-30) !!complete
2. A unit manager of a 25-bed medical/surgical area receives a phone
!! !! !! !! !! !! !! !! !! !!
!! call from a nurse who
!!
N Rhas
IcG
alled
B.Cin Msick 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 toUMaSslow
!! N’s Tneed hiO
erarchy 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.
!! !! !! !! !!
ANS: D !!
Placing the nurse on unpaid leave may threaten the nurse’s capacity
!! !! !! !! !! !! !! !! !! !!
!! to meet physiologic needsand 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
!! !! !! !! !! !! !! !! !! !! !! !!
Test Bank for Leading and Managing in Nursing 7th Edition
!! !! !! !! !! !! !! !! !!
!! by Yoder Wise(chapters 1-30) complete
!! !! !! !!
, lOMoARcPSD|118 816 37
Test !!Bank !!for !!Leading !!and !!Managing !!in !!Nursing !!7th !!Edition !!by !!Yoder !!Wise(chapters !!1-30) !!complete
!! 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 firstmediation 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 courseof 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.Ask
!! !! !! !! !! !! !! !! !!
!! each party to examine their own motives and issues in the conflict.
!! !! !! !! !! !! !! !! !! !! !!
c. Continue to listen as the parties repeat their thoughts !! !! !! !! !! !! !! !!
!! and feelings about theconflict.
!! !! !! !
ANS: C !!
For resolution of conflict, one should address the interests and
!! !! !! !! !! !! !! !! !!
!! involvement of participants inthe conflict by examining the real !! !! !! ! !! !! !! !! !!
!! issues of all parties. !! !! !!
TOP: AONE competency: Communication and Relationship-Building
! ! !! !! !! !!
4. At a second negotiation session, the unit manager and staff
!! !! !! !! !! !! !! !! !!
!! nurse are unable to reach aresolution. What is the appropriate
!! !! !! !! !! ! !! !! !! !!
!! next step? !!
a. Arrange another meeting in a week’s time so as to allow a cooling-
!! !! !! !! !! !! !! !! !! !! !! !!
Test Bank for Leading and Managing in Nursing 7th Edition
!! !! !! !! !! !! !! !! !!
!! by Yoder Wise(chapters 1-30) complete
!! !! !! !!
, lOMoARcPSD|118 816 37
Test !!Bank !!for !!Leading !!and !!Managing !!in !!Nursing !!7th !!Edition !!by !!Yoder !!Wise(chapters !!1-30) !!complete
off period. !!
b. Elevate the next negation session to the next manager, one level
!! !! !! !! !! !! !! !! !! !!
!! above.
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 !!
Part of leadership is understanding conflict resolution and ability to
!! !! !! !! !! !! !! !! !!
!! negotiate and manage forresolution of issues and concerns. This
!! !! !! ! !! !! !! !! !!
!! situation has failed a second negotiation session, elevation to a
!! !! !! !! !! !! !! !! !!
!! manager with additional training to facilitate conflict resolution is
!! !! !! !! !! !! !! !!
!! important at this point. !! !! !!
TOP: AONE competency: Communication and Relationship-Building
! ! !! !! !! !!
5. The manager of a surgical area has a vision for the future that
!! !! !! !! !! !! !! !! !! !! !! !!
!! requires the addition of
U SRNN assistants
T O or unlicensed persons to
!! !! !! !!
!! !!
!!
!!
!! !! !! !!
!! feed, bathe, and ambulate patients. The RNs on the staff have
!! !! !! !! !! !! !! !! !! !!
!! always practiced in a prNimaRry nIursiGng-B
!! de.liC
veryMsystem and are very !! !! !! !! !! !! !!
!! resistant to this idea. !! !! !!
What would be the best initial strategy for implementation of this
!! !! !! !! !! !! !! !! !! !!
!! change?
a. Exploring the values and feelings of the RN group in relationship to!! !! !! !! !! !! !! !! !! !! !!
!! this change !!
b. Leaving the RNs alone for a time so they can think !! !! !! !! !! !! !! !! !! !!
!! about the change before it isimplemented
!! !! !! !! !! !
Test Bank for Leading and Managing in Nursing 7th Edition
!! !! !! !! !! !! !! !! !!
!! by Yoder Wise(chapters 1-30) complete
!! !! !! !!
