Yoder-Wise's Leading and Managing in Canadian Nursing 3rd Edition Yoder-Wise Test Bank
NURSINGTB.COM
, Yoder-Wise's Leading and Managing in Canadian Nursing 3rd Edition Yoder-Wise Test Bank
Chapter 01: Leading, Managing, and Following
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Waddell/Walton: Yoder- zl
Wise’s Leading and Managing in Canadian Nursing, Third Edition
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MULTIPLE CHOICE zl
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 adapt t
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he unit to better meet the unique needs of older adult patients. According to complexity princip
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les, what would be the best approach to take in making this change?
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a. Leverage the hierarchical management position to get unit staff involved in as zl zl zl zl zl zl zl zl zl zl zl
sessment and planning. zl zl
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 en
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vironment.
d. Hire a geriatric specialist to oversee and control the project.
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ANS: B z l
Complexity theory suggests that systems interact and adapt and that decision making occurs thr
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oughout the systems, as opposed to being held in a hierarchy. In complexity theory, everybody
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’s opinion counts; therefore, all levels of staff would be involved in decision making.
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DIF: Cognitive Level: Apply zl zl
REF: Page 14 TOP: Nursing Process: Implementati
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on
U NSRING BT.CM O z
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2. A unit manager of a 25-bed medical/surgical area receives a phone call from a nurse who has
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called in sick five times in the past month. He tells the manager that he very much wants to com
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e to work when scheduled, but must often care for his wife, who is undergoing treatment for brea
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st cancer. In the practice of a strengths-
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based nursing leader, what would be the best approach to satisfying the needs of this nurse, oth
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er 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 m zl zl zl zl zl zl zl zl zl zl zl zl zl zl
ay be calling in frequently in the future.
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d. Work with the nurse, staffing office, and other nurses to arrange his scheduled da
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ys off around his wife’s treatments.
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ANS: D zl
Placing the nurse on unpaid leave may threaten physiologic needs and demotivate the nurse. Un
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satisfactory coverage of shifts on short notice could affect patient care and threaten staff memb
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ers’ sense of competence. Strengths-
zl zl zl zl
based nurse leaders honour the uniqueness of individuals, teams, systems, and organizations; t
zl zl zl zl zl zl zl zl zl zl zl zl
herefore arranging the schedule around the wife’s needs would result in a win-
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win situation, also creating a work environment that promotes the health of all the nurses and fa
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cilitates their development. zl zl
DIF: Cognitive Level: Analyze zl zl
REF: Page 6 TOP: Nursing Process: Implementati
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on
NURSINGTB.COM
,Yoder-Wise's Leading and Managing in Canadian Nursing 3rd Edition Yoder-Wise Test Bank
3. A grievance brought by a staff nurse against the unit manager requires mediation. At the first m
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
ediation session, the staff nurse repeatedly calls the unit manager’s actions unfair, and the unit
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
manager continues to reiterate the reasons for the actions. What would be the best course of actio
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
n 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 so as to clarify issues.zl zl zl zl zl zl zl zl zl zl zl
c. Ask each party to examine her 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 co zl zl zl zl zl zl zl zl zl zl zl zl zl
nflict.
ANS: C zl
Nurses and leaders must assess each situation as unique, determining appropriate actions accor
zl zl zl zl zl zl zl zl zl zl zl zl
dingly. Leaders must adapt their styles to complement specific issues being faced, such as confli
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ct. Examining motives and issues for the conflict in perceptions promotes equal representation
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of each point of view.
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DIF: Cognitive Level: Apply REF: Pages 11– zl zl zl zl
13 TOP: Nursing Process: Implementation
zl z l zl zl
4. Shortly after being informed of fetal death, a labouring woman asks why she is not able to hear h
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
er baby’s heartbeat on the monitor anymore. Although the monitor volume had been turned off s
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o that the patient would be able to sleep between contractions, the nurse responded that there was
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no heartbeat to hear because the baby had died in utero; then the nurse asked whether the patient
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would like to talk about how she was feeling. This response demonstrates:
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a. Lack of empathy. zl zl
b. Ethical leadership. zl
c. Complexity science. NURSINGTB.COM zl
d. A coercive relationship. zl zl
ANS: B zl
Ethical leadership is based on a willingness to identify and act on complex problems in an ethical
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manner. Leadership can be misused when coercive relationships form, and information and true
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goals are withheld. zl zl
DIF: Cognitive Level: Analyze zl zl
REF: Page 7 TOP: Nursing Process: Implementati
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on
5. The manager of a surgical area envisions a future that requires the addition of registered nurse (R
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
N) assistants or unlicensed persons to feed, bathe, and walk patients. The RNs on the staff have
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always practiced in a primary nursing-zl zl zl zl zl
delivery system and are very resistant to this idea. The best initial strategy in this situation would
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include:
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a. Exploring the values of the RNs in relation to this change. zl zl zl zl zl zl zl zl zl zl
b. Leaving the RNs alone for a time so they can think about the change before they are
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approached again. zl zl
c. Dropping the idea and trying for the change in another year or so. zl zl zl zl zl zl zl zl zl zl zl zl
d. Hiring the assistants and allowing the RNs to see what good additions they are.
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ANS: A zl
NURSINGTB.COM
, Yoder-Wise's Leading and Managing in Canadian Nursing 3rd Edition Yoder-Wise Test Bank
Leadership involves engaged decision making around a vision that is based on evidence and taci
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t knowledge. Influencing others requires emotional intelligence in domains such as empathy a
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nd handling relationships.
zl zl
DIF: Cognitive Level: Apply zl zl
REF: Page 5 TOP: Nursing Process: Implementati
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on
6. As the charge nurse on the night shift in a small long-
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term care facility, you have found that there is little turnover among your licensed practical nurs
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
e and nursing assistant (NA) staff members, but they are not very motivated to work beyond their
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job descriptions. Which of the following strategies might motivate the staff and lead to greater j
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ob satisfaction? zl
a. Ask the director of nursing to offer higher wages and bonuses for extra work for th
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e night licensed practical nurses and NAs.
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b. Allow the licensed practical nurses and NAs greater decision- zl zl zl zl zl zl zl zl
making power within the scope of their positions in the institution. zl zl zl zl zl zl zl zl zl zl
c. Help the licensed practical nurses and NAs with their work, whenever possible.
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d. Ask the director of nursing to increase job security for night staff by having them sig
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n contracts that guarantee work. zl zl zl zl
ANS: B zl
A nurse leader should provide an environment conducive to opinion sharing that involves staff in
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decision making at all levels. This approach is shown to increase job satisfaction. Decision maki
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ng and the corresponding actions taken are core tasks performed in engagement with coworkers.
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DIF: Cognitive Level: Apply
G B.C
emNentM
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REF: Page 7 TOP: Nursing Process: Impl
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Ra zl zl z l zl zl
ti onI
USNT zl zl zl O
7. As the nurse manager, you want to increase motivation by providing motivating factors. W
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hich action would you select? zl zl zl zl
a. Collaborate with the human resources/personnel department to develop on- zl zl zl zl zl zl zl zl
site daycare services. zl zl
b. Provide a hierarchical organizational structure. zl zl zl zl
c. Implement a model of shared governance. zl zl zl zl zl
d. Promote the development of a flexible benefits package. zl zl zl zl zl zl zl
ANS: C zl
Complexity theory suggests that systems interact and adapt and that decision making occurs thr
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oughout systems, as opposed to being made unilaterally by different levels of the organizationa
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l hierarchy. In complexity theory, every person’s opinion counts, and therefore all levels of staff
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would be involved in decision making. This principle underlies shared governance. Shared go
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vernance is an example of nurse decision making in which nurses at different organizational le
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vels engage in shaping policy and practices.
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DIF: Cognitive Level: Apply zl zl
REF: Page 5 TOP: Nursing Process: Implementati
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on
NURSINGTB.COM
NURSINGTB.COM
, Yoder-Wise's Leading and Managing in Canadian Nursing 3rd Edition Yoder-Wise Test Bank
Chapter 01: Leading, Managing, and Following
zl zl zl zl zl
Waddell/Walton: Yoder- zl
Wise’s Leading and Managing in Canadian Nursing, Third Edition
zl zl zl zl zl zl zl zl
MULTIPLE CHOICE zl
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 adapt t
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
he unit to better meet the unique needs of older adult patients. According to complexity princip
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
les, what would be the best approach to take in making this change?
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a. Leverage the hierarchical management position to get unit staff involved in as zl zl zl zl zl zl zl zl zl zl zl
sessment and planning. zl zl
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 en
zl zl zl zl zl zl zl zl zl zl zl zl
vironment.
d. Hire a geriatric specialist to oversee and control the project.
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ANS: B z l
Complexity theory suggests that systems interact and adapt and that decision making occurs thr
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oughout the systems, as opposed to being held in a hierarchy. In complexity theory, everybody
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’s opinion counts; therefore, all levels of staff would be involved in decision making.
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DIF: Cognitive Level: Apply zl zl
REF: Page 14 TOP: Nursing Process: Implementati
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on
U NSRING BT.CM O z
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l z
l z
l z
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2. A unit manager of a 25-bed medical/surgical area receives a phone call from a nurse who has
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called in sick five times in the past month. He tells the manager that he very much wants to com
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e to work when scheduled, but must often care for his wife, who is undergoing treatment for brea
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st cancer. In the practice of a strengths-
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based nursing leader, what would be the best approach to satisfying the needs of this nurse, oth
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
er 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 m zl zl zl zl zl zl zl zl zl zl zl zl zl zl
ay be calling in frequently in the future.
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d. Work with the nurse, staffing office, and other nurses to arrange his scheduled da
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ys off around his wife’s treatments.
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ANS: D zl
Placing the nurse on unpaid leave may threaten physiologic needs and demotivate the nurse. Un
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
satisfactory coverage of shifts on short notice could affect patient care and threaten staff memb
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
ers’ sense of competence. Strengths-
zl zl zl zl
based nurse leaders honour the uniqueness of individuals, teams, systems, and organizations; t
zl zl zl zl zl zl zl zl zl zl zl zl
herefore arranging the schedule around the wife’s needs would result in a win-
zl zl zl zl zl zl zl zl zl zl zl zl
win situation, also creating a work environment that promotes the health of all the nurses and fa
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cilitates their development. zl zl
DIF: Cognitive Level: Analyze zl zl
REF: Page 6 TOP: Nursing Process: Implementati
zl zl zl z l zl zl
on
NURSINGTB.COM
,Yoder-Wise's Leading and Managing in Canadian Nursing 3rd Edition Yoder-Wise Test Bank
3. A grievance brought by a staff nurse against the unit manager requires mediation. At the first m
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
ediation session, the staff nurse repeatedly calls the unit manager’s actions unfair, and the unit
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
manager continues to reiterate the reasons for the actions. What would be the best course of actio
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
n 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 so as to clarify issues.zl zl zl zl zl zl zl zl zl zl zl
c. Ask each party to examine her 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 co zl zl zl zl zl zl zl zl zl zl zl zl zl
nflict.
ANS: C zl
Nurses and leaders must assess each situation as unique, determining appropriate actions accor
zl zl zl zl zl zl zl zl zl zl zl zl
dingly. Leaders must adapt their styles to complement specific issues being faced, such as confli
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
ct. Examining motives and issues for the conflict in perceptions promotes equal representation
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of each point of view.
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DIF: Cognitive Level: Apply REF: Pages 11– zl zl zl zl
13 TOP: Nursing Process: Implementation
zl z l zl zl
4. Shortly after being informed of fetal death, a labouring woman asks why she is not able to hear h
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
er baby’s heartbeat on the monitor anymore. Although the monitor volume had been turned off s
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
o that the patient would be able to sleep between contractions, the nurse responded that there was
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no heartbeat to hear because the baby had died in utero; then the nurse asked whether the patient
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would like to talk about how she was feeling. This response demonstrates:
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a. Lack of empathy. zl zl
b. Ethical leadership. zl
c. Complexity science. NURSINGTB.COM zl
d. A coercive relationship. zl zl
ANS: B zl
Ethical leadership is based on a willingness to identify and act on complex problems in an ethical
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manner. Leadership can be misused when coercive relationships form, and information and true
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goals are withheld. zl zl
DIF: Cognitive Level: Analyze zl zl
REF: Page 7 TOP: Nursing Process: Implementati
zl zl zl z l zl zl
on
5. The manager of a surgical area envisions a future that requires the addition of registered nurse (R
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
N) assistants or unlicensed persons to feed, bathe, and walk patients. The RNs on the staff have
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always practiced in a primary nursing-zl zl zl zl zl
delivery system and are very resistant to this idea. The best initial strategy in this situation would
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include:
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a. Exploring the values of the RNs in relation to this change. zl zl zl zl zl zl zl zl zl zl
b. Leaving the RNs alone for a time so they can think about the change before they are
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approached again. zl zl
c. Dropping the idea and trying for the change in another year or so. zl zl zl zl zl zl zl zl zl zl zl zl
d. Hiring the assistants and allowing the RNs to see what good additions they are.
zl zl zl zl zl zl zl zl zl zl zl zl zl
ANS: A zl
NURSINGTB.COM
, Yoder-Wise's Leading and Managing in Canadian Nursing 3rd Edition Yoder-Wise Test Bank
Leadership involves engaged decision making around a vision that is based on evidence and taci
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
t knowledge. Influencing others requires emotional intelligence in domains such as empathy a
zl zl zl zl zl zl zl zl zl zl zl zl
nd handling relationships.
zl zl
DIF: Cognitive Level: Apply zl zl
REF: Page 5 TOP: Nursing Process: Implementati
zl zl zl z l zl zl
on
6. As the charge nurse on the night shift in a small long-
zl zl zl zl zl zl zl zl zl zl zl
term care facility, you have found that there is little turnover among your licensed practical nurs
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
e and nursing assistant (NA) staff members, but they are not very motivated to work beyond their
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
job descriptions. Which of the following strategies might motivate the staff and lead to greater j
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ob satisfaction? zl
a. Ask the director of nursing to offer higher wages and bonuses for extra work for th
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e night licensed practical nurses and NAs.
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b. Allow the licensed practical nurses and NAs greater decision- zl zl zl zl zl zl zl zl
making power within the scope of their positions in the institution. zl zl zl zl zl zl zl zl zl zl
c. Help the licensed practical nurses and NAs with their work, whenever possible.
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d. Ask the director of nursing to increase job security for night staff by having them sig
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
n contracts that guarantee work. zl zl zl zl
ANS: B zl
A nurse leader should provide an environment conducive to opinion sharing that involves staff in
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decision making at all levels. This approach is shown to increase job satisfaction. Decision maki
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ng and the corresponding actions taken are core tasks performed in engagement with coworkers.
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ti onI
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7. As the nurse manager, you want to increase motivation by providing motivating factors. W
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hich action would you select? zl zl zl zl
a. Collaborate with the human resources/personnel department to develop on- zl zl zl zl zl zl zl zl
site daycare services. zl zl
b. Provide a hierarchical organizational structure. zl zl zl zl
c. Implement a model of shared governance. zl zl zl zl zl
d. Promote the development of a flexible benefits package. zl zl zl zl zl zl zl
ANS: C zl
Complexity theory suggests that systems interact and adapt and that decision making occurs thr
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oughout systems, as opposed to being made unilaterally by different levels of the organizationa
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l hierarchy. In complexity theory, every person’s opinion counts, and therefore all levels of staff
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would be involved in decision making. This principle underlies shared governance. Shared go
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vernance is an example of nurse decision making in which nurses at different organizational le
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vels engage in shaping policy and practices.
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on
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