Test Bank Leading and Managing in Nursing 7th Edition by Patricia S. Yoder-Wise | Test Bank | Chapter 1-31 | Complete Guide

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Test xxBank xxfor xxLeading xxand xxManaging xxin xxNursing xx7th xxEdition xxby xxYoder xxWise(chapters xx1-30) xxcomplete


Chapter 01: Leading, Managing, and Following
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Yoder-Wise: Leading and Managing in Nursing, 7th Edition
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MULTIPLE
xx CHOICE


1. A nurse manager of a 20-bed medical unit finds that 80% of
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xx the patients are older adults. Sheis asked to assess and adapt
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xx the unit to better meet the unique needs of the older adult
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xx patient.Using complexity principles, what would be the best
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xx approach to take for implementation of this change?
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a. Leverage the hierarchical management position to
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get unit staff involved inassessment and planning.
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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
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hospital and communityenvironment.
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d. Hire a geriatric specialist to oversee and control the project.
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ANS: B xx




Complexity theory suggests that systems interact and adapt and
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xx that decision making occursthroughout the systems, as opposed
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xx to being held in a hierarchy. In complexity theory, everyvoice
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xx counts, and therefore, all levels of staff would be involved in
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xx decision making. xx




TOP: AONE competency: Communication and Relationship-Building
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Test Bank for Leading and Managing in Nursing 7th Edition
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xx by Yoder Wise(chapters 1-30) complete
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, lOMoARcPSD|118 816 37




Test xxBank xxfor xxLeading xxand xxManaging xxin xxNursing xx7th xxEdition xxby xxYoder xxWise(chapters xx1-30) xxcomplete




2. A unit manager of a 25-bed medical/surgical area receives a
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xx phone call from a nurse
N R Iwho
xx hascMalled in sick five times in the
G B.C xx xx xx
xx xx
xx
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xx x
xx
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xx past month. He tells the manager that he very much wants to
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xx come to work when scheduled but must often care for his wife,
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xx who is undergoing treatment
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for breast cancer. According toUMaSslow
xx N’s Tneed hiO
xxerarchy theory, what xx xx xx xx xx xx




xx would be the best xx xx xx




approach to satisfying the needs of this nurse, other staff, and
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xx patients?
a. Line up agency nurses who can be called in to work on short
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notice.
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b. Place the nurse on unpaid leave for the remainder of his wife’s
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xx treatment.
c. Sympathize with the nurse’s dilemma and let the charge nurse
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know that this nurse
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may be calling in frequently in the future.
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d. Work with the nurse, staffing office, and other nurses to arrange
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his scheduled
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days off around his wife’s treatments.
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ANS: D xx




Placing the nurse on unpaid leave may threaten the nurse’s
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xx capacity to meet physiologic needsand demotivate the nurse.
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xx Unsatisfactory coverage of shifts on short notice could affect xx xx xx xx xx xx xx xx




xx patient care and threaten the needs of staff to feel competent.
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xx Arranging the schedule around xx xx xx




Test Bank for Leading and Managing in Nursing 7th Edition
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xx by Yoder Wise(chapters 1-30) complete
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Test xxBank xxfor xxLeading xxand xxManaging xxin xxNursing xx7th xxEdition xxby xxYoder xxWise(chapters xx1-30) xxcomplete

the wife’s needs meets the needs of the staff and of patients while
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xx satisfying the nurse’s need xx xx xx




for 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
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xx requires mediation. At the firstmediation session, the staff nurse
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xx repeatedly calls the unit manager’s actions unfair, and the unit
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xx manager continues to reiterate the reasons for the actions. What
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xx would be the best courseof 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.Ask
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xx each party to examine their own motives and issues in the
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xx conflict.
c. Continue to listen as the parties repeat their
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xx thoughts and feelings about theconflict.xx xx xx xx x




ANS: C xx




For resolution of conflict, one should address the interests and
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xx involvement of participants inthe conflict by examining the real
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xx issues of all parties.xx xx xx




TOP: AONE competency: Communication and Relationship-Building
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4. At a second negotiation session, the unit manager and staff
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xx nurse are unable to reach aresolution. What is the
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Test Bank for Leading and Managing in Nursing 7th Edition
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xx by Yoder Wise(chapters 1-30) complete
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, lOMoARcPSD|118 816 37




Test xxBank xxfor xxLeading xxand xxManaging xxin xxNursing xx7th xxEdition xxby xxYoder xxWise(chapters xx1-30) xxcomplete

xx appropriate next step? xx xx




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




Part of leadership is understanding conflict resolution and ability
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xx to negotiate and manage forresolution of issues and concerns.
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xx This situation has failed a second negotiation session, elevation
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xx to a manager with additional training to facilitate conflict
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xx resolution is important at this point. xx xx xx xx xx




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
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xx requires the addition UofSRN
N Tassistants
xx
O or unlicensed persons to
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xx
xx
xx xx
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xx feed, bathe, and ambulate patients. The RNs on the staff have
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xx always practiced in a prNimaRry nIursiGng-B
xx de.liC
veryMsystem and are xx xx xx xx xx xx




xx very resistant to this idea.
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What would be the best initial strategy for implementation of this
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xx change?
a. Exploring the values and feelings of the RN group in relationship
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xx to this change
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Test Bank for Leading and Managing in Nursing 7th Edition
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xx by Yoder Wise(chapters 1-30) complete
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