TEST BANK FOR
LEADING AND
MANAGING IN
NURSING, 8TH EDITION
BY PATRICIA S.
YODER-WISE, SUSAN
SPORTSMAN CHAPTER
1
-25.
, Chapter 01: Leading, Managing, And Following
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 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
Community Environment.
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
Occurs Throughout The Systems, As Opposed To Being Held In A Hierarchy. In
Complexity Theory, Every Voice Counts, And Therefore, All Levels Of Staff Would Be
Involved In Decision Making.
Top: Aone Competency: Communication And Relationship-Building
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
N R I G B.C M
For Breast Cancer. According Toumas n‘s T
slow need 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 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 First Mediation 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 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 For Clarity Issues.
, Leading and Managing in Nursing 8th Edition Yoder-Wise Test Bank
c. Ask Each Party To Examine Their Own Motives And Issues In The Conflict.
d. Continue To Listen As The Parties Repeat Their Thoughts And Feelings
About The Conflict.
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 A Resolution. What Is The Appropriate Next Step?
a. Arrange Another Meeting In A Week‘s Time So As To Allow A Cooling-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 Rn Assistants Or Unlicensed Persons To Feed, Bathe, And Ambulate Patients. The Rns
On The Staff Have Always Practiced
U S In N ATPrn
imaryONiursig
ng-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 Is Implemented
c. Dropping The Idea And Trying For The Change In A Year Or So When
Some Of The Present Rns Have Retired
d. Hiring The Assistants And Allowing The Rns To See What Good Additions They Are
ANS: A
Influencing Others Requires Emotional Intelligence In Domains Such As Empathy, Handling
Relationships, Deepening Self-Awareness In Self And Others, Motivating Others, And
Managing Emotions. Motivating Others Recognizes That Values Are Powerful Forces That
Influence Acceptance Of Change. Leaving The Rns Alone For A Period Of Time Before
Implementation Does Not Provide Opportunity To Explore Different Perspectives And
Values. Avoiding Discussion Until The Team Changes May Not Promote Adoption Of The
Change Until There Is Opportunity To Explore Perspectives And Values Related To The
Change. Hiring Of The Assistants Demonstrates Lack Of Empathy For The Perspectives Of
The Rn Staff.
LEADING AND
MANAGING IN
NURSING, 8TH EDITION
BY PATRICIA S.
YODER-WISE, SUSAN
SPORTSMAN CHAPTER
1
-25.
, Chapter 01: Leading, Managing, And Following
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 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
Community Environment.
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
Occurs Throughout The Systems, As Opposed To Being Held In A Hierarchy. In
Complexity Theory, Every Voice Counts, And Therefore, All Levels Of Staff Would Be
Involved In Decision Making.
Top: Aone Competency: Communication And Relationship-Building
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
N R I G B.C M
For Breast Cancer. According Toumas n‘s T
slow need 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 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 First Mediation 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 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 For Clarity Issues.
, Leading and Managing in Nursing 8th Edition Yoder-Wise Test Bank
c. Ask Each Party To Examine Their Own Motives And Issues In The Conflict.
d. Continue To Listen As The Parties Repeat Their Thoughts And Feelings
About The Conflict.
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 A Resolution. What Is The Appropriate Next Step?
a. Arrange Another Meeting In A Week‘s Time So As To Allow A Cooling-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 Rn Assistants Or Unlicensed Persons To Feed, Bathe, And Ambulate Patients. The Rns
On The Staff Have Always Practiced
U S In N ATPrn
imaryONiursig
ng-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 Is Implemented
c. Dropping The Idea And Trying For The Change In A Year Or So When
Some Of The Present Rns Have Retired
d. Hiring The Assistants And Allowing The Rns To See What Good Additions They Are
ANS: A
Influencing Others Requires Emotional Intelligence In Domains Such As Empathy, Handling
Relationships, Deepening Self-Awareness In Self And Others, Motivating Others, And
Managing Emotions. Motivating Others Recognizes That Values Are Powerful Forces That
Influence Acceptance Of Change. Leaving The Rns Alone For A Period Of Time Before
Implementation Does Not Provide Opportunity To Explore Different Perspectives And
Values. Avoiding Discussion Until The Team Changes May Not Promote Adoption Of The
Change Until There Is Opportunity To Explore Perspectives And Values Related To The
Change. Hiring Of The Assistants Demonstrates Lack Of Empathy For The Perspectives Of
The Rn Staff.
