B.COM
Downloaded by: Lectmarcus | by: headen16 |
,Yoder-Wise: Leading and Managing in Nursing, 7th Edition
s1 s1 s1 s1 s1 s1 s1
MULTIPLE CHOICE s1
1. A nurse manager of a 20-bed medical unit finds that 80% of the patients are older
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
adults. She is asked to assess and adapt the unit to better meet the unique needs of
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
the older adult patient. Using complexity principles, what would be the best approach
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
to take for implementation of this change?
s1 s1 s1 s1 s1 s1 s1
a. Leverage the hierarchical management position to get unit staff involved in
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
assessment and planning.
s1 s1 s1
b. Engage involved staff at all levels in the decision-making process.
s1 s1 s1 s1 s1 s1 s1 s1 s1
c. Focus the assessment on the unit and omit the hospital and community environment.
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
d. Hire a geriatric specialist to oversee and control the project.
s1 s1 s1 s1 s1 s1 s1 s1 s1
ANS: B s1
Complexity theory suggests that systems interact and adapt and that decision making
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
occurs throughout the systems, as opposed to being held in a hierarchy. In complexity
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
theory, every voice counts, and therefore, all levels of staff would be involved in
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
decision making.
s1 s1
TOP: AONE competency: Communication and Relationship-Building
s1 s1 s1 s1 s1
2. A unit manager of a 25-bed medical/surgical area receives a phone call from a
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
nurse who has called in sick five times in the past month. He tells the manager
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
that he very much wants to
s1 s1 s1 s1 s1 s1
come to work when scheduled but must often care for his wife, who is undergoing treatment
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
for breast cancer. According to Maslow‘s need hierarchy theory, what would be the best
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
NURSINGTB.COM s1 approach to satisfying the needs of this nurse, other staff, and
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
patients?
a. Line up agency nurses who can be called in to work on short notice.
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
b. Place the nurse on unpaid leave for the remainder of his wife‘s treatment.
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
c. Sympathize with the nurse‘s dilemma and let the charge nurse know that s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
s1 this nurse may be calling in frequently in the future.
s1 s1 s1 s1 s1 s1 s1 s1 s1
d. Work with the nurse, staffing office, and other nurses to arrange his
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
s1 scheduled days off around his wife‘s treatments. s1 s1 s1 s1 s1 s1
, lOMoARcPSD| 14447089
Leading and Managing in Nursing 7th Edition Yoder-Wise Test Bank
ANS: D s1
Placing the nurse on unpaid leave may threaten the nurse‘s capacity to meet physiologic
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
needs and demotivate the nurse. Unsatisfactory coverage of shifts on short notice could
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
affect patient care and threaten the needs of staff to feel competent. Arranging the
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
schedule around the wife‘s needs meets the needs of the staff and of patients while
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
satisfying the nurse‘s need for affiliation.
s1 s1 s1 s1 s1 s1
TOP: AONE competency: Communication and Relationship-Building
s1 s1 s1 s1 s1
3. A grievance brought by a staff nurse against the unit manager requires mediation.
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
At the first mediation session, the staff nurse repeatedly calls the unit manager‘s
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
actions unfair, and the unit manager continues to reiterate the reasons for the
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
actions. What would be the best course of action at this time?
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
a. Send the two disputants away to reach their own resolution.
s1 s1 s1 s1 s1 s1 s1 s1 s1
b. Involve another staff nurse in the discussion for clarity issues. s1 s1 s1 s1 s1 s1 s1 s1 s1
c. Ask each party to examine their own motives and issues in the conflict.
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
d. Continue to listen as the parties repeat their thoughts and feelings about s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
the conflict. s1 s1
ANS: C s1
For resolution of conflict, one should address the interests and involvement of participants
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
in the conflict by examining the real issues of all parties.
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
TOP: AONE competency: Communication and Relationship-Building
s1 s1 s1 s1 s1
4. At a second negotiation session, the unit manager and staff nurse are unable to
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
reach a resolution. What is the appropriate next step?
s1 s1 s1 s1 s1 s1 s1 s1 s1
a. Arrange another meeting in a week‘s time so as to allow a cooling-off period.
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
b. Elevate the next negation session to the next manager, one level above.
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
c. Insist that participants continue to talk until a resolution has been reached.
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
d. Back the unit manager‘s actions and end the dispute. s1 s1 s1 s1 s1 s1 s1 s1
ANS: B s1
Part of leadership is understanding conflict resolution and ability to negotiate and manage
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
for resolution of issues and concerns. This situation has failed a second negotiation
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
session, elevation to a manager with additional training to facilitate conflict resolution is
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
important at this point.
s1 s1 s1 s1
TOP: AONE competency: Communication and Relationship-Building
s1 s1 s1 s1 s1
5. The manager of a surgical area has a vision for the future that requires the
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
addition of RN assistants or unlicensed persons to feed, bathe, and ambulate
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
patients. The RNs on the staff
s1 s1 s1 s1 s1 s1
B.COM
Downloaded by: Lectmarcus | by: headen16 |
, lOMoARcPSD| 14447089
Leading and Managing in Nursing 7th Edition Yoder-Wise Test Bank
Stuvia.com - The Marketplace to Buy and Sell your Study Material
have always practiced in a primary nursing-delivery system and are very resistant to this
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
idea.
s1
What would be the best initial strategy for implementation of this change?
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
NURSINGTB.COM
a. Exploring the values and feelings of the RN group in relationship to
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
this change s1 s1
b. Leaving the RNs alone for a time so they can think about the change before
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
it is implemented s1 s1 s1
c. Dropping the idea and trying for the change in a year or so when some of
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
the present RNs have retired
s1 s1 s1 s1 s1
d. Hiring the assistants and allowing the RNs to see what good additions they
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
are s1
ANS: A s1
Influencing others requires emotional intelligence in domains such as empathy, handling
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
relationships, deepening self-awareness in self and others, motivating others, and
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
managing emotions. Motivating others recognizes that values are powerful forces that
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
influence acceptance of change. Leaving the RNs alone for a period of time before
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
implementation does not provide opportunity to explore different perspectives and
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
values. Avoiding discussion until the team changes may not promote adoption of the
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
change until there is opportunity to explore perspectives and values related to the
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
change. Hiring of the assistants demonstrates lack of empathy for the perspectives of
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
the RN staff.
s1 s1 s1
TOP: AONE competency: Knowledge of the Health Care Environment
s1 s1 s1 s1 s1 s1 s1 s1
NURSINGTB.COM
Downloaded by: Lectmarcus | by: headen16 | headen16@ gmail.com m
Distribution of this document is ille gal
Downloaded by Sally Wink ()
Downloaded by: Lectmarcus | by: headen16 |
,Yoder-Wise: Leading and Managing in Nursing, 7th Edition
s1 s1 s1 s1 s1 s1 s1
MULTIPLE CHOICE s1
1. A nurse manager of a 20-bed medical unit finds that 80% of the patients are older
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
adults. She is asked to assess and adapt the unit to better meet the unique needs of
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
the older adult patient. Using complexity principles, what would be the best approach
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
to take for implementation of this change?
s1 s1 s1 s1 s1 s1 s1
a. Leverage the hierarchical management position to get unit staff involved in
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
assessment and planning.
s1 s1 s1
b. Engage involved staff at all levels in the decision-making process.
s1 s1 s1 s1 s1 s1 s1 s1 s1
c. Focus the assessment on the unit and omit the hospital and community environment.
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
d. Hire a geriatric specialist to oversee and control the project.
s1 s1 s1 s1 s1 s1 s1 s1 s1
ANS: B s1
Complexity theory suggests that systems interact and adapt and that decision making
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
occurs throughout the systems, as opposed to being held in a hierarchy. In complexity
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
theory, every voice counts, and therefore, all levels of staff would be involved in
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
decision making.
s1 s1
TOP: AONE competency: Communication and Relationship-Building
s1 s1 s1 s1 s1
2. A unit manager of a 25-bed medical/surgical area receives a phone call from a
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
nurse who has called in sick five times in the past month. He tells the manager
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
that he very much wants to
s1 s1 s1 s1 s1 s1
come to work when scheduled but must often care for his wife, who is undergoing treatment
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
for breast cancer. According to Maslow‘s need hierarchy theory, what would be the best
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
NURSINGTB.COM s1 approach to satisfying the needs of this nurse, other staff, and
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
patients?
a. Line up agency nurses who can be called in to work on short notice.
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
b. Place the nurse on unpaid leave for the remainder of his wife‘s treatment.
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
c. Sympathize with the nurse‘s dilemma and let the charge nurse know that s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
s1 this nurse may be calling in frequently in the future.
s1 s1 s1 s1 s1 s1 s1 s1 s1
d. Work with the nurse, staffing office, and other nurses to arrange his
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
s1 scheduled days off around his wife‘s treatments. s1 s1 s1 s1 s1 s1
, lOMoARcPSD| 14447089
Leading and Managing in Nursing 7th Edition Yoder-Wise Test Bank
ANS: D s1
Placing the nurse on unpaid leave may threaten the nurse‘s capacity to meet physiologic
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
needs and demotivate the nurse. Unsatisfactory coverage of shifts on short notice could
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
affect patient care and threaten the needs of staff to feel competent. Arranging the
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
schedule around the wife‘s needs meets the needs of the staff and of patients while
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
satisfying the nurse‘s need for affiliation.
s1 s1 s1 s1 s1 s1
TOP: AONE competency: Communication and Relationship-Building
s1 s1 s1 s1 s1
3. A grievance brought by a staff nurse against the unit manager requires mediation.
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
At the first mediation session, the staff nurse repeatedly calls the unit manager‘s
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
actions unfair, and the unit manager continues to reiterate the reasons for the
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
actions. What would be the best course of action at this time?
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
a. Send the two disputants away to reach their own resolution.
s1 s1 s1 s1 s1 s1 s1 s1 s1
b. Involve another staff nurse in the discussion for clarity issues. s1 s1 s1 s1 s1 s1 s1 s1 s1
c. Ask each party to examine their own motives and issues in the conflict.
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
d. Continue to listen as the parties repeat their thoughts and feelings about s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
the conflict. s1 s1
ANS: C s1
For resolution of conflict, one should address the interests and involvement of participants
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
in the conflict by examining the real issues of all parties.
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
TOP: AONE competency: Communication and Relationship-Building
s1 s1 s1 s1 s1
4. At a second negotiation session, the unit manager and staff nurse are unable to
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
reach a resolution. What is the appropriate next step?
s1 s1 s1 s1 s1 s1 s1 s1 s1
a. Arrange another meeting in a week‘s time so as to allow a cooling-off period.
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
b. Elevate the next negation session to the next manager, one level above.
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
c. Insist that participants continue to talk until a resolution has been reached.
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
d. Back the unit manager‘s actions and end the dispute. s1 s1 s1 s1 s1 s1 s1 s1
ANS: B s1
Part of leadership is understanding conflict resolution and ability to negotiate and manage
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
for resolution of issues and concerns. This situation has failed a second negotiation
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
session, elevation to a manager with additional training to facilitate conflict resolution is
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
important at this point.
s1 s1 s1 s1
TOP: AONE competency: Communication and Relationship-Building
s1 s1 s1 s1 s1
5. The manager of a surgical area has a vision for the future that requires the
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
addition of RN assistants or unlicensed persons to feed, bathe, and ambulate
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
patients. The RNs on the staff
s1 s1 s1 s1 s1 s1
B.COM
Downloaded by: Lectmarcus | by: headen16 |
, lOMoARcPSD| 14447089
Leading and Managing in Nursing 7th Edition Yoder-Wise Test Bank
Stuvia.com - The Marketplace to Buy and Sell your Study Material
have always practiced in a primary nursing-delivery system and are very resistant to this
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
idea.
s1
What would be the best initial strategy for implementation of this change?
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
NURSINGTB.COM
a. Exploring the values and feelings of the RN group in relationship to
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
this change s1 s1
b. Leaving the RNs alone for a time so they can think about the change before
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
it is implemented s1 s1 s1
c. Dropping the idea and trying for the change in a year or so when some of
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
the present RNs have retired
s1 s1 s1 s1 s1
d. Hiring the assistants and allowing the RNs to see what good additions they
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
are s1
ANS: A s1
Influencing others requires emotional intelligence in domains such as empathy, handling
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
relationships, deepening self-awareness in self and others, motivating others, and
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
managing emotions. Motivating others recognizes that values are powerful forces that
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
influence acceptance of change. Leaving the RNs alone for a period of time before
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
implementation does not provide opportunity to explore different perspectives and
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
values. Avoiding discussion until the team changes may not promote adoption of the
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
change until there is opportunity to explore perspectives and values related to the
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
change. Hiring of the assistants demonstrates lack of empathy for the perspectives of
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
the RN staff.
s1 s1 s1
TOP: AONE competency: Knowledge of the Health Care Environment
s1 s1 s1 s1 s1 s1 s1 s1
NURSINGTB.COM
Downloaded by: Lectmarcus | by: headen16 | headen16@ gmail.com m
Distribution of this document is ille gal
Downloaded by Sally Wink ()
