Leadingmand mManagingminmNursingm6thmEditionmYoder-
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Chapter m01:mLeading,mManaging,mandmFollowing
Yoder-Wise:mLeading mandmManaging minmNursing,m6thmEdition
MULTIPLEmCHOICE
1. A mnursemmanagermof mam20-
bed mmedicalmunit mfindsmthat m80%mof mthempatientsmaremoldermadults.mShemismasked mtomassessmand ma
dapt mthemunit mtombettermmeet mthemuniquemneedsmof mthemoldermadult mpatient.mUsingmcomplexitympri
nciples,mwhat mwould mbemthembest mapproachmtomtakeminmmakingmthismchange?
a. Leveragemthemhierarchicalmmanagement mpositionmtomget munit mstaff minvolved minmassessment ma
nd mplanning.
b. Engageminvolved mstaff mat mallmlevelsminmthemdecision-makingmprocess.
c. Focusmthemassessment monmthemunit,mand momit mthemhospitalmand mcommunitymenvironment.
d. Hiremamgeriatricmspecialist mtomoverseemand mcontrolmthemproject.
ANS:mB
Complexitymtheorymsuggestsmthat msystemsminteract mand madapt mand mthat mdecisionmmakingmoccu
rsmthroughout mthemsystems,masmopposed mtombeingmheld minmamhierarchy.mInmcomplexitymtheory,m
everymvoice mcounts,mand mtherefore,mallmlevels mof mstaff mwould mbeminvolved minmdecisionmmakin
g.
REF:mPagem8 TOP:mAONEmcompetency:mCommunication mand mRelationship-Building
2. A munit mmanagermof mam25-
bed mmedical/surgicalmareamreceivesmamphonemcall mfrommamnursemwhomhasmcalled minmsickmfivemtimes
minmthempast mmonth.mHemtellsmthemmanagermthat mhemverymmuchmwantsmtomcomemtomworkmwhenmsche
duled mbut mmust moftenmcaremformhismwife,mwhomismundergoingmtreatment
formbreast mcancer.mAccordingmtomMaslow’smneed mhierarchymtheory,mwhat mwould mbemthembest m
approachmtom
satisfyingmthemneedsmof mthismnurse,mothermstaff,mand mpatients?
a. Linemupmagencymnursesmwhomcanmbemcalled minmtomworkmonmshort mnotice.
b. Placemthemnursemonmunpaid mleavemformthemremaindermof mhismwife’smtreatment.
c. Sympathizemwithmthemnurse’smdilemmamand mlet mthemchargemnursemknow mthat mthismnursemmaym
bemcallingminmfrequentlyminmthemfuture.
d. Workmwithmthemnurse,mstaffingmoffice,mand mothermnursesmtomarrangemhismscheduled mdaysm
off maround mhismwife’smtreatments.
ANS:mD
Placingmthemnursemonmunpaid mleavemmaymthreatenmthemnurse’smcapacitymtommeet mphysiologicmnee
dsmand mdemotivatemthemnurse.mUnsatisfactorymcoveragemof mshiftsmonmshort mnoticemcould maffect m
patient mcaremand mthreatenmthemneedsmof mstaff mtomfeelmcompetent.mArrangingmthemschedulemaroun
d mthemwife’smneedsmmeetsmthemneedsmof mthemstaff mand mof mpatientsmwhilemsatisfyingmthemnurse’sm
need mformaffiliation.
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REF:mPagem10 TOP:mAONEmcompetency:mCommunication mand mRelationship-Building
3. A mgrievancembrought mbymamstaff mnursemagainst mthemunit mmanagermrequiresmmediation.mAt mthemfirst
mmediationmsession,mthemstaff mnursemrepeatedlymcallsmthemunit mmanager’smactionsmunfair,mand mthem
unit mmanagermcontinuesmtomreiteratemthemreasonsmformhermactions.mWhat mwould mbemthembest mcours
emof mactionmat mthismtime?
a. Send mthemtwomdisputantsmawaymtomreachmtheirmownmresolution.
b. Involvemanothermstaff mnurseminmthemdiscussionmsomasmtomclarifymissues.
c. Askmeachmpartymtomexaminemhermownmmotivesmand missuesminmthemconflict.
d. Continuemtomlistenmasmthempartiesmrepeat mtheirmthoughtsmand mfeelingsmabout mthemconflict.
ANS:mC
Ury,mBrett,mand mGoldbergmoutlinemstepsmtomrestoringmunity,mthemfirst mof mwhichmismtomaddressmthe
minterestsmand minvolvement mof mparticipantsminmthemconflict mbymexaminingmthemrealmissuesmof mallm
parties.
REF:mPagem16 TOP:mAONEmcompetency:mCommunication mand mRelationship-Building
4. At mamsecond mnegotiationmsession,mthemunit mmanagermand mstaff mnursemaremunablemtomreachmamresoluti
on.mIt mwould mnowmbembest mto:
a. Arrangemanothermmeetingminmamweek’smtimemsomasmtomallow mamcooling-off mperiod.
b. Turnmthemdisputemovermtomthemdirectormof mnursing.
c. Insist mthat mparticipantsmcontinuemtomtalkmuntilmamresolutionmhasmbeenmreached.
d. Backmthemunit mmanager’smactionsmand mend mthemdispute.
ANS:mB
Accordingmtomthemprinciplesmoutlined mbymUry,mBrett,mand mGoldberg,mam“cooling-
off”mperiod mismrecommended mif mresolutionmfails.
REF:mPagem16 TOP:mAONEmcompetency:mCommunication mand mRelationship-Building
5. Themmanagermof mamsurgicalmareamhasm amvisionmformthemfuturemthat mrequiresmthemadditionmof mRN
massistantsmormunlicensed mpersonsmtomfeed,mbathe,mand mwalkmpatients.mThemRNsmonmthemstaff mha
vemalwaysmpracticed minmamprimarymnursing–
deliverymsystemmand maremverymresistant mtomthismidea.mThembest minitialmstrategyminmthismsituationm
would minclude:
a. Exploringmthemvaluesmand mfeelingsmof mthemRN mgroupminmrelationshipmtomthismchange.
b. LeavingmthemRNsmalonemformamtimemsomtheymcanmthinkmabout mthemchangembeforemi
t mismimplemented.
c. Droppingmthemideamand mtryingmformthemchangeminmamyearmormsomwhenmsomemof mthempresent m
RNsmhavemretired.
d. Hiringmthemassistantsmand mallowingmthemRNsmtomseemwhat mgood madditionsmtheymare.
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ANS:mA
Influencingmothersmrequiresmemotionalmintelligencem inmdomainsmsuchmasmempathy,mhandlingmrel
ationships,mdeepeningmself-
awarenessminmself mand mothers,mmotivatingmothers,mand mmanagingmemotions.mMotivatingmothersm
recognizesmthat mvaluesmarempowerfulmforcesmthat minfluencemacceptancemof mchange.mLeavingmthe
mRNsmalonemformamperiod mof mtimembeforemimplementationmdoesmnot mprovidemopportunitymtomexpl
oremdifferent mperspectivesmand mvalues.mAvoidingmdiscussionmuntilmthemteammchangesmmaymnot m
promotemadoptionmof mthemchangemuntilmtheremismopportunitymtomexploremperspectivesmand mvalue
smrelated mtomthemchange.mHiringmof mthemassistantsmdemonstratesmlackmof mempathymformthempersp
ectivesmof mthemRNmstaff.
REF:mPagem7 m|mPagem15
TOP:mAONEmcompetency:mKnowledge mof mthemHealth mCaremEnvironment
6. AsmthemRN mchargemnursemonmthemnight mshift minmamsmallmlong-
termmcaremfacility,myou’vemfound mthat mtheremismlittlemturnovermamongmyourmLPN mand mnursingmas
sistant m(NA)mstaff mmembers,mbut mtheymaremnot mverymmotivated mtomgombeyond mtheirmjobmdescripti
onsminmtheirmwork.mWhichmof mthemfollowingmstrategiesmmight mmotivatemthemstaff mand mlead mtomgre
atermjobmsatisfaction?
a. Askmthemdirectormof mnursingmtomoffermhighermwagesmand mbonusesmformextramworkmformthemni
ght mLPNsmand mNAs.
b. Allow mthemLPNsmand mNAsmgreatermdecision-
makingmpowermwithinmthemscopemof mtheirmpositionsminmtheminstitution.
c. Hiremadditionalmstaff msomthat mtheremaremmoremstaff mavailablemformenhanced mcaremand mindivid
ualmworkloadsmaremlessened.
d. Askmthemdirectormof mnursingmtomincreasemjobmsecuritymformnight mstaff mbymhavingmthemmsi
gnmcontractsmthat mguaranteemwork.
ANS:mB
Hygienemfactorsmsuchmasmsalary,mworkingmconditions,mand msecuritymaremconsistent mwithmHerzbe
rg’smtwo-
factormtheorymof mmotivation;mmeetingmthesemneedsmavoidsmjobmdissatisfaction.mMotivatormfactor
smsuchmasmrecognitionmand msatisfactionmwithmworkmpromotemamsatisfyingmand menriched mworkmen
vironment.mTransformationalmleadersmusemmotivatormfactorsmliberally mtominspiremworkmperforma
ncemand mincreasemjobmsatisfaction.
REF:mPagem9 m|mPagem10
TOP:mAONEmcompetency:mCommunication mand mRelationship-Building
7. Asmthemnursemmanagermwhomwantsmtomincreasemmotivationmbymprovidingmmotivatingmfactors,mwhi
chmactionmwould myoumselect?
a. Collaboratemwithmthemhumanmresource/personnelmdepartment mtomdevelopmon-
sitemdaycaremservices.
b. Providemamhierarchicalmorganizationalmstructure.
c. Implement mammodelmof mshared mgovernance.
d. Promotemthemdevelopment mof mamflexiblembenefitsmpackage.
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WisemTest mBank
ANS:mC
Complexitymtheorymsuggestsmthat msystemsminteract mand madapt mand mthat mdecisionmmakingmoccu
rsmthroughout msystems,masmopposed mtombeingmheld minmamhierarchy.mInmcomplexitymtheory,meve
rymvoicemcounts,mand mthereforemallmlevelsmof mstaff mwould mbeminvolved minmdecisionmmaking.mT
hismprinciplemismthemfoundationmof mshared mgovernance.
REF:mPagesm8-11 TOP:mAONEmcompetency:mCommunication mand mRelationship-Building
8. Amchargemnursemonmambusym40-
bed mmedical/surgicalmunit mismapproached mbymamfamilymmembermwhombeginsmtomcomplainm loudlym
about mthemqualitymof mcaremhismmothermismreceiving.mHismbehaviorm ismsomdisruptivemthat mit mismoverh
eard mbymstaff,mphysicians,mand mothermvisitors.mThemfamilymmembermrejectsmanymattempt mtominterve
nemtherapeuticallymtomresolvemthemissue.mHemleavesmthemunit mabruptly,mand mthemnursemismleft mfeelin
gmfrustrated.mWhichmbehaviormbymthemchargemnursembest millustratesmrefined mleadershipmskillsm inma
nmemotionallymintelligent mpractitioner?
a. Reflect mtomgainminsight mintomhow mthemsituationmcould mbemhandled mdifferentlyminmthemfuture.
b. Trymtomcatchmupmwithmthemangrymfamilymmembermtomresolvemthemconcern.
c. Discussmthemconcernmwithmthempatient maftermthemfamilymmembermhasmleft.
d. Notifymnursingmadministrationmof mthemsituation.
ANS:mA
Golemanmsuggestsmthat memotionalmintelligenceminvolvesminsight mand mbeingmablemtomstepmoutsi
demof mthemsituationmtomenvisionmthemcontext mof mwhat mismhappeningmasmwellmasmbeingmablemtomm
anagememotionsmsuchmasmfrustrationmeffectively.
REF:mPagem7 m|mPagem8 TOP:mAONEmcompetency:mLeadership
9. Themchief mnursingmofficermhasmasked mthemstaff mdevelopment mcoordinatormtomfacilitatemthemdev
elopment mof mamclinicalmcompetencymprogrammformthemfacility.mWhilemmakingmroundsmonmthem
units,mthemstaff mdevelopment mcoordinatormoverhearsmRN mstaff mcomplainingmthat mtheymfeelmit mi
sminsultingmtombemrequired mtomparticipateminmamcompetencymprogram.mWhichmbehaviormbymthem
staff mdevelopment mcoordinatormismmost mappropriateminmthismsituation?
a. Disregard mstaff mconcernsmand mcontinuemwithmdevelopment mof mthemprogram.
b. Informmthemnursesmthat mthismprogrammismamrequirement mformJCAHO maccreditation.
c. Schedulemammeetingmwithmthemchief mnursemexecutivemtomapprisemhermof mthemsituation.
d. Facilitatemammeetingmsomnursesmcanmarticulatemtheirmvaluesmand mconcernsmabout mamcompeten
cymprogram.
ANS:mD
Themmanagermroleminvolvesmguidingmothersmthroughmamset mof mderived mpracticesmthat maremevidence-
mbased mand mknownmtomsatisfympreestablished moutcomesmsuchmasmparticipationminmamcompetencympro
gram.mThisminvolvesmengagement mof mstaff mthroughmsharingmof mconcernsmand mideas.mA mclosemanalysi
smof mthemIOMmreport mand mthemsummarymof mthemPPACA msuggestsmthat mnomhealthmreformmcanmunfold m
without mactivemnursingmengagement.mEachmdocument memphasizesmthat mnursesmmust mlead,
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Chapter m01:mLeading,mManaging,mandmFollowing
Yoder-Wise:mLeading mandmManaging minmNursing,m6thmEdition
MULTIPLEmCHOICE
1. A mnursemmanagermof mam20-
bed mmedicalmunit mfindsmthat m80%mof mthempatientsmaremoldermadults.mShemismasked mtomassessmand ma
dapt mthemunit mtombettermmeet mthemuniquemneedsmof mthemoldermadult mpatient.mUsingmcomplexitympri
nciples,mwhat mwould mbemthembest mapproachmtomtakeminmmakingmthismchange?
a. Leveragemthemhierarchicalmmanagement mpositionmtomget munit mstaff minvolved minmassessment ma
nd mplanning.
b. Engageminvolved mstaff mat mallmlevelsminmthemdecision-makingmprocess.
c. Focusmthemassessment monmthemunit,mand momit mthemhospitalmand mcommunitymenvironment.
d. Hiremamgeriatricmspecialist mtomoverseemand mcontrolmthemproject.
ANS:mB
Complexitymtheorymsuggestsmthat msystemsminteract mand madapt mand mthat mdecisionmmakingmoccu
rsmthroughout mthemsystems,masmopposed mtombeingmheld minmamhierarchy.mInmcomplexitymtheory,m
everymvoice mcounts,mand mtherefore,mallmlevels mof mstaff mwould mbeminvolved minmdecisionmmakin
g.
REF:mPagem8 TOP:mAONEmcompetency:mCommunication mand mRelationship-Building
2. A munit mmanagermof mam25-
bed mmedical/surgicalmareamreceivesmamphonemcall mfrommamnursemwhomhasmcalled minmsickmfivemtimes
minmthempast mmonth.mHemtellsmthemmanagermthat mhemverymmuchmwantsmtomcomemtomworkmwhenmsche
duled mbut mmust moftenmcaremformhismwife,mwhomismundergoingmtreatment
formbreast mcancer.mAccordingmtomMaslow’smneed mhierarchymtheory,mwhat mwould mbemthembest m
approachmtom
satisfyingmthemneedsmof mthismnurse,mothermstaff,mand mpatients?
a. Linemupmagencymnursesmwhomcanmbemcalled minmtomworkmonmshort mnotice.
b. Placemthemnursemonmunpaid mleavemformthemremaindermof mhismwife’smtreatment.
c. Sympathizemwithmthemnurse’smdilemmamand mlet mthemchargemnursemknow mthat mthismnursemmaym
bemcallingminmfrequentlyminmthemfuture.
d. Workmwithmthemnurse,mstaffingmoffice,mand mothermnursesmtomarrangemhismscheduled mdaysm
off maround mhismwife’smtreatments.
ANS:mD
Placingmthemnursemonmunpaid mleavemmaymthreatenmthemnurse’smcapacitymtommeet mphysiologicmnee
dsmand mdemotivatemthemnurse.mUnsatisfactorymcoveragemof mshiftsmonmshort mnoticemcould maffect m
patient mcaremand mthreatenmthemneedsmof mstaff mtomfeelmcompetent.mArrangingmthemschedulemaroun
d mthemwife’smneedsmmeetsmthemneedsmof mthemstaff mand mof mpatientsmwhilemsatisfyingmthemnurse’sm
need mformaffiliation.
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REF:mPagem10 TOP:mAONEmcompetency:mCommunication mand mRelationship-Building
3. A mgrievancembrought mbymamstaff mnursemagainst mthemunit mmanagermrequiresmmediation.mAt mthemfirst
mmediationmsession,mthemstaff mnursemrepeatedlymcallsmthemunit mmanager’smactionsmunfair,mand mthem
unit mmanagermcontinuesmtomreiteratemthemreasonsmformhermactions.mWhat mwould mbemthembest mcours
emof mactionmat mthismtime?
a. Send mthemtwomdisputantsmawaymtomreachmtheirmownmresolution.
b. Involvemanothermstaff mnurseminmthemdiscussionmsomasmtomclarifymissues.
c. Askmeachmpartymtomexaminemhermownmmotivesmand missuesminmthemconflict.
d. Continuemtomlistenmasmthempartiesmrepeat mtheirmthoughtsmand mfeelingsmabout mthemconflict.
ANS:mC
Ury,mBrett,mand mGoldbergmoutlinemstepsmtomrestoringmunity,mthemfirst mof mwhichmismtomaddressmthe
minterestsmand minvolvement mof mparticipantsminmthemconflict mbymexaminingmthemrealmissuesmof mallm
parties.
REF:mPagem16 TOP:mAONEmcompetency:mCommunication mand mRelationship-Building
4. At mamsecond mnegotiationmsession,mthemunit mmanagermand mstaff mnursemaremunablemtomreachmamresoluti
on.mIt mwould mnowmbembest mto:
a. Arrangemanothermmeetingminmamweek’smtimemsomasmtomallow mamcooling-off mperiod.
b. Turnmthemdisputemovermtomthemdirectormof mnursing.
c. Insist mthat mparticipantsmcontinuemtomtalkmuntilmamresolutionmhasmbeenmreached.
d. Backmthemunit mmanager’smactionsmand mend mthemdispute.
ANS:mB
Accordingmtomthemprinciplesmoutlined mbymUry,mBrett,mand mGoldberg,mam“cooling-
off”mperiod mismrecommended mif mresolutionmfails.
REF:mPagem16 TOP:mAONEmcompetency:mCommunication mand mRelationship-Building
5. Themmanagermof mamsurgicalmareamhasm amvisionmformthemfuturemthat mrequiresmthemadditionmof mRN
massistantsmormunlicensed mpersonsmtomfeed,mbathe,mand mwalkmpatients.mThemRNsmonmthemstaff mha
vemalwaysmpracticed minmamprimarymnursing–
deliverymsystemmand maremverymresistant mtomthismidea.mThembest minitialmstrategyminmthismsituationm
would minclude:
a. Exploringmthemvaluesmand mfeelingsmof mthemRN mgroupminmrelationshipmtomthismchange.
b. LeavingmthemRNsmalonemformamtimemsomtheymcanmthinkmabout mthemchangembeforemi
t mismimplemented.
c. Droppingmthemideamand mtryingmformthemchangeminmamyearmormsomwhenmsomemof mthempresent m
RNsmhavemretired.
d. Hiringmthemassistantsmand mallowingmthemRNsmtomseemwhat mgood madditionsmtheymare.
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ANS:mA
Influencingmothersmrequiresmemotionalmintelligencem inmdomainsmsuchmasmempathy,mhandlingmrel
ationships,mdeepeningmself-
awarenessminmself mand mothers,mmotivatingmothers,mand mmanagingmemotions.mMotivatingmothersm
recognizesmthat mvaluesmarempowerfulmforcesmthat minfluencemacceptancemof mchange.mLeavingmthe
mRNsmalonemformamperiod mof mtimembeforemimplementationmdoesmnot mprovidemopportunitymtomexpl
oremdifferent mperspectivesmand mvalues.mAvoidingmdiscussionmuntilmthemteammchangesmmaymnot m
promotemadoptionmof mthemchangemuntilmtheremismopportunitymtomexploremperspectivesmand mvalue
smrelated mtomthemchange.mHiringmof mthemassistantsmdemonstratesmlackmof mempathymformthempersp
ectivesmof mthemRNmstaff.
REF:mPagem7 m|mPagem15
TOP:mAONEmcompetency:mKnowledge mof mthemHealth mCaremEnvironment
6. AsmthemRN mchargemnursemonmthemnight mshift minmamsmallmlong-
termmcaremfacility,myou’vemfound mthat mtheremismlittlemturnovermamongmyourmLPN mand mnursingmas
sistant m(NA)mstaff mmembers,mbut mtheymaremnot mverymmotivated mtomgombeyond mtheirmjobmdescripti
onsminmtheirmwork.mWhichmof mthemfollowingmstrategiesmmight mmotivatemthemstaff mand mlead mtomgre
atermjobmsatisfaction?
a. Askmthemdirectormof mnursingmtomoffermhighermwagesmand mbonusesmformextramworkmformthemni
ght mLPNsmand mNAs.
b. Allow mthemLPNsmand mNAsmgreatermdecision-
makingmpowermwithinmthemscopemof mtheirmpositionsminmtheminstitution.
c. Hiremadditionalmstaff msomthat mtheremaremmoremstaff mavailablemformenhanced mcaremand mindivid
ualmworkloadsmaremlessened.
d. Askmthemdirectormof mnursingmtomincreasemjobmsecuritymformnight mstaff mbymhavingmthemmsi
gnmcontractsmthat mguaranteemwork.
ANS:mB
Hygienemfactorsmsuchmasmsalary,mworkingmconditions,mand msecuritymaremconsistent mwithmHerzbe
rg’smtwo-
factormtheorymof mmotivation;mmeetingmthesemneedsmavoidsmjobmdissatisfaction.mMotivatormfactor
smsuchmasmrecognitionmand msatisfactionmwithmworkmpromotemamsatisfyingmand menriched mworkmen
vironment.mTransformationalmleadersmusemmotivatormfactorsmliberally mtominspiremworkmperforma
ncemand mincreasemjobmsatisfaction.
REF:mPagem9 m|mPagem10
TOP:mAONEmcompetency:mCommunication mand mRelationship-Building
7. Asmthemnursemmanagermwhomwantsmtomincreasemmotivationmbymprovidingmmotivatingmfactors,mwhi
chmactionmwould myoumselect?
a. Collaboratemwithmthemhumanmresource/personnelmdepartment mtomdevelopmon-
sitemdaycaremservices.
b. Providemamhierarchicalmorganizationalmstructure.
c. Implement mammodelmof mshared mgovernance.
d. Promotemthemdevelopment mof mamflexiblembenefitsmpackage.
NURSINGTB.COM
, Leadingmand mManagingminmNursingm6thmEditionmYoder-
WisemTest mBank
ANS:mC
Complexitymtheorymsuggestsmthat msystemsminteract mand madapt mand mthat mdecisionmmakingmoccu
rsmthroughout msystems,masmopposed mtombeingmheld minmamhierarchy.mInmcomplexitymtheory,meve
rymvoicemcounts,mand mthereforemallmlevelsmof mstaff mwould mbeminvolved minmdecisionmmaking.mT
hismprinciplemismthemfoundationmof mshared mgovernance.
REF:mPagesm8-11 TOP:mAONEmcompetency:mCommunication mand mRelationship-Building
8. Amchargemnursemonmambusym40-
bed mmedical/surgicalmunit mismapproached mbymamfamilymmembermwhombeginsmtomcomplainm loudlym
about mthemqualitymof mcaremhismmothermismreceiving.mHismbehaviorm ismsomdisruptivemthat mit mismoverh
eard mbymstaff,mphysicians,mand mothermvisitors.mThemfamilymmembermrejectsmanymattempt mtominterve
nemtherapeuticallymtomresolvemthemissue.mHemleavesmthemunit mabruptly,mand mthemnursemismleft mfeelin
gmfrustrated.mWhichmbehaviormbymthemchargemnursembest millustratesmrefined mleadershipmskillsm inma
nmemotionallymintelligent mpractitioner?
a. Reflect mtomgainminsight mintomhow mthemsituationmcould mbemhandled mdifferentlyminmthemfuture.
b. Trymtomcatchmupmwithmthemangrymfamilymmembermtomresolvemthemconcern.
c. Discussmthemconcernmwithmthempatient maftermthemfamilymmembermhasmleft.
d. Notifymnursingmadministrationmof mthemsituation.
ANS:mA
Golemanmsuggestsmthat memotionalmintelligenceminvolvesminsight mand mbeingmablemtomstepmoutsi
demof mthemsituationmtomenvisionmthemcontext mof mwhat mismhappeningmasmwellmasmbeingmablemtomm
anagememotionsmsuchmasmfrustrationmeffectively.
REF:mPagem7 m|mPagem8 TOP:mAONEmcompetency:mLeadership
9. Themchief mnursingmofficermhasmasked mthemstaff mdevelopment mcoordinatormtomfacilitatemthemdev
elopment mof mamclinicalmcompetencymprogrammformthemfacility.mWhilemmakingmroundsmonmthem
units,mthemstaff mdevelopment mcoordinatormoverhearsmRN mstaff mcomplainingmthat mtheymfeelmit mi
sminsultingmtombemrequired mtomparticipateminmamcompetencymprogram.mWhichmbehaviormbymthem
staff mdevelopment mcoordinatormismmost mappropriateminmthismsituation?
a. Disregard mstaff mconcernsmand mcontinuemwithmdevelopment mof mthemprogram.
b. Informmthemnursesmthat mthismprogrammismamrequirement mformJCAHO maccreditation.
c. Schedulemammeetingmwithmthemchief mnursemexecutivemtomapprisemhermof mthemsituation.
d. Facilitatemammeetingmsomnursesmcanmarticulatemtheirmvaluesmand mconcernsmabout mamcompeten
cymprogram.
ANS:mD
Themmanagermroleminvolvesmguidingmothersmthroughmamset mof mderived mpracticesmthat maremevidence-
mbased mand mknownmtomsatisfympreestablished moutcomesmsuchmasmparticipationminmamcompetencympro
gram.mThisminvolvesmengagement mof mstaff mthroughmsharingmof mconcernsmand mideas.mA mclosemanalysi
smof mthemIOMmreport mand mthemsummarymof mthemPPACA msuggestsmthat mnomhealthmreformmcanmunfold m
without mactivemnursingmengagement.mEachmdocument memphasizesmthat mnursesmmust mlead,
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