, Test Bank for Leading and Managing in Nursing, 8th Edition Patricia S. Yoder-Wi
TABLE OF CONTENTS
• The Concept of Stress Adaptation
• Mental Health and Mental Illness
• Biological Implications
• Ethical and Legal Issues
• Cultural and Spiritual Concepts Relevant to Psychiatric/Mental Health Nursing
• Relationship Development and Therapeutic Communication
• Therapeutic Groups
• Milieu Therapy – The Therapeutic Community
• Intervening in Crises
• Psychopharmacology
• Psychiatric/Mental Health Nursing Process
• Schizophrenia Spectrum and Other Psychotic Disorders
• Depressive Disorders
• Bipolar and Related Disorders
• Anxiety and Related Disorders
• Obsessive-Compulsive and Related Disorders
• Trauma- and Stressor-Related Disorders
• Somatic Symptom and Dissociative Disorders
• Feeding, Eating, and Elimination Disorders
• Sexual Dysfunctions, Gender Dysphoria, and Paraphilic Disorders
• Sleep–Wake Disorders
,• Neurocognitive Disorders
• Personality Disorders
• Disruptive, Impulse-Control, and Conduct Disorders
• Addiction Disorders
• Therapeutic Approaches in Psychiatric Nursing Care
, 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 m a nwa g re im t t een nt p b
o sition
y to get unit staff
involved in assessment 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
for breast cancer. According tNoUR M aSIs l G
o wN’ s Tneed hiOerarchy 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 needs
and 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.
by Collins Mwaniki ()
TABLE OF CONTENTS
• The Concept of Stress Adaptation
• Mental Health and Mental Illness
• Biological Implications
• Ethical and Legal Issues
• Cultural and Spiritual Concepts Relevant to Psychiatric/Mental Health Nursing
• Relationship Development and Therapeutic Communication
• Therapeutic Groups
• Milieu Therapy – The Therapeutic Community
• Intervening in Crises
• Psychopharmacology
• Psychiatric/Mental Health Nursing Process
• Schizophrenia Spectrum and Other Psychotic Disorders
• Depressive Disorders
• Bipolar and Related Disorders
• Anxiety and Related Disorders
• Obsessive-Compulsive and Related Disorders
• Trauma- and Stressor-Related Disorders
• Somatic Symptom and Dissociative Disorders
• Feeding, Eating, and Elimination Disorders
• Sexual Dysfunctions, Gender Dysphoria, and Paraphilic Disorders
• Sleep–Wake Disorders
,• Neurocognitive Disorders
• Personality Disorders
• Disruptive, Impulse-Control, and Conduct Disorders
• Addiction Disorders
• Therapeutic Approaches in Psychiatric Nursing Care
, 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 m a nwa g re im t t een nt p b
o sition
y to get unit staff
involved in assessment 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
for breast cancer. According tNoUR M aSIs l G
o wN’ s Tneed hiOerarchy 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 needs
and 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.
by Collins Mwaniki ()
