lOMoAR cPSD| 11881637
Testn Bankn forn Leadingn andn Managingn inn Nursingn 7thn Editionn byn Yodern Wise(chaptersn 1-30)n complete
Chapter 01: Leading, Managing, and Following
n n n n n
Yoder-Wise: Leading and Managing in Nursing, 7th Edition
n n n n n n n
MULTIPLE n
CHOICE
1. n A nurse manager of a 20-bed medical unit finds that 80% of the
n n n n n n n n n n n n n
patients are older adults. Sheis asked to assess and adapt the unit to
n n n n n n n n n n n n n n
better meet the unique needs of the older adult patient.Using
n n n n n n n n n n n
complexity principles, what would be the best approach to take for
n n n n n n n n n n n
implementation of this change? n n n
a. Leverage the hierarchical management position to get
n n n n n n n
unit staff involved inassessment and planning.
n n n n n n
b. Engage involved staff at all levels in the decision-making process.
n n n n n n n n n
c. Focus the assessment on the unit and omit the
n n n n n n n n n
hospital and communityenvironment. n n n
d. Hire a geriatric specialist to oversee and control the project.
n n n n n n n n n
ANS: B n
Complexity theory suggests that systems interact and adapt and that
n n n n n n n n n n
decision making occurs throughout the systems, as opposed to being
n n n n n n n n n n
held in a hierarchy. In complexity theory, every voice counts, and
n n n n n n n n n n n
therefore, all levels of staff would be involved in decision making.
n n n n n n n n n n
TOP: AONE competency: Communication and Relationship-Building
n n n n n
Test Bank for Leading and Managing in Nursing 7th Edition by
n n n n n n n n n n n
Yoder Wise(chapters 1-30) complete n n n
, lOMoAR cPSD| 11881637
Testn Bankn forn Leadingn andn Managingn inn Nursingn 7thn Editionn byn Yodern Wise(chaptersn 1-30)n complete
2. A unit manager of a 25-bed medical/surgical area receives a phone
n n n n n n n n n n n
call from a nurse whoNhas
n
RIcalled
G B.Cin Msick five times in the past month.
n n n n
n n
n
n n
n
n
n n n n n n n n
He tells the manager that he very much wants to come to work when
n n n n n n n n n n n n n n
scheduled but must often care for his wife, who is undergoing
n n n n n n n n n n n
treatment
for breast cancer. According toUMaSslow
n N’s Tneed hiO
erarchy theory, what
n n n n n n n n
would be the best n n n
approach to satisfying the needs of this nurse, other staff, and patients?
n n n n n n n n n n n
a. Line up agency nurses who can be called in to work on short notice.
n n n n n n n n n n n n n
b. Place the nurse on unpaid leave for the remainder of his wife’s
n n n n n n n n n n n n
treatment.
c. Sympathize with the nurse’s dilemma and let the charge nurse know n n n n n n n n n n n
that this nurse n n
may be calling in frequently in the future.
n n n n n n n
d. Work with the nurse, staffing office, and other nurses to arrange his
n n n n n n n n n n n n
scheduled
days off around his wife’s treatments.
n n n n n
ANS: D n
Placing the nurse on unpaid leave may threaten the nurse’s capacity to
n n n n n n n n n n n n
meet physiologic needsand demotivate the nurse. Unsatisfactory
n n n n n n n n
coverage of shifts on short notice could affect patient care and
n n n n n n n n n n n
threaten the needs of staff to feel competent. Arranging the schedule
n n n n n n n n n n n
around
the wife’s needs meets the needs of the staff and of patients while
n n n n n n n n n n n n n
satisfying the nurse’s need n n n
for affiliation.
n
Test Bank for Leading and Managing in Nursing 7th Edition by
n n n n n n n n n n n
Yoder Wise(chapters 1-30) complete n n n
, lOMoAR cPSD| 11881637
Testn Bankn forn Leadingn andn Managingn inn Nursingn 7thn Editionn byn Yodern Wise(chaptersn 1-30)n complete
TOP: AONE competency: Communication and Relationship-Building
n n n n n
3. A grievance brought by a staff nurse against the unit manager
n n n n n n n n n n n
requires mediation. At the firstmediation session, the staff nurse
n n n n n n n n n n
repeatedly calls the unit manager’s actions unfair, and the unit
n n n n n n n n n n
manager continues to reiterate the reasons for the actions. What
n n n n n n n n n n
would be the best courseof action at this time?
n n n n n n n n n
a. Send the two disputants away to reach their own resolution.
n n n n n n n n n
b. Involve another staff nurse in the discussion for clarity issues.Ask each
n n n n n n n n n n n
party to examine their own motives and issues in the conflict.
n n n n n n n n n n
c. Continue to listen as the parties repeat their thoughts
n n n n n n n n n
and feelings about theconflict.
n n n n
ANS: C n
For resolution of conflict, one should address the interests and
n n n n n n n n n n
involvement of participants inthe conflict by examining the real n n n n n n n n n n
issues of all parties. n n n
TOP: AONE competency: Communication and Relationship-Building
n n n n n
4. At a second negotiation session, the unit manager and staff
n n n n n n n n n n
nurse are unable to reach aresolution. What is the appropriate
n n n n n n n n n n n
next step? n
a. Arrange another meeting in a week’s time so as to allow a cooling-off
n n n n n n n n n n n n n
period.
b. Elevate the next negation session to the next manager, one level above.
n n n n n n n n n n n
Test Bank for Leading and Managing in Nursing 7th Edition by
n n n n n n n n n n n
Yoder Wise(chapters 1-30) complete n n n
, lOMoAR cPSD| 11881637
Testn Bankn forn Leadingn andn Managingn inn Nursingn 7thn Editionn byn Yodern Wise(chaptersn 1-30)n complete
c. Insist that participants continue to talk until a resolution has been
n n n n n n n n n n n
reached.
d. Back the unit manager’s actions and end the dispute.
n n n n n n n n
ANS: B n
Part of leadership is understanding conflict resolution and ability to
n n n n n n n n n n
negotiate and manage forresolution of issues and concerns. This
n n n n n n n n n n
situation has failed a second negotiation session, elevation to a
n n n n n n n n n n
manager with additional training to facilitate conflict resolution is
n n n n n n n n n
important at this point. n n n
TOP: AONE competency: Communication and Relationship-Building
n n n n n
5. The manager of a surgical area has a vision for the future that requires
n n n n n n n n n n n n n n
the addition of RN assistants
n
USNT or unlicensed
O persons to feed, bathe, and
n n n
n n
n
n
n n n n n n n
ambulate patients. The RNs on the staff have always practiced in a
n n n n n n n n n n n n
prNimaRry nIursiGng-B
de.liC
veryMsystem and are very resistant to this idea.
n n n n n n n n
What would be the best initial strategy for implementation of this change?
n n n n n n n n n n n
a. Exploring the values and feelings of the RN group in relationship to
n n n n n n n n n n n n
this change n
b. Leaving the RNs alone for a time so they can think about
n n n n n n n n n n n n
the change before it isimplemented
n n n n n
c. Dropping the idea and trying for the change in a year or
n n n n n n n n n n n n
so when some of thepresent RNs have retired
n n n n n n n n
d. Hiring the assistants and allowing the RNs to see what good additions
n n n n n n n n n n n n
they are n
ANS: A n
Test Bank for Leading and Managing in Nursing 7th Edition by
n n n n n n n n n n n
Yoder Wise(chapters 1-30) complete n n n
Testn Bankn forn Leadingn andn Managingn inn Nursingn 7thn Editionn byn Yodern Wise(chaptersn 1-30)n complete
Chapter 01: Leading, Managing, and Following
n n n n n
Yoder-Wise: Leading and Managing in Nursing, 7th Edition
n n n n n n n
MULTIPLE n
CHOICE
1. n A nurse manager of a 20-bed medical unit finds that 80% of the
n n n n n n n n n n n n n
patients are older adults. Sheis asked to assess and adapt the unit to
n n n n n n n n n n n n n n
better meet the unique needs of the older adult patient.Using
n n n n n n n n n n n
complexity principles, what would be the best approach to take for
n n n n n n n n n n n
implementation of this change? n n n
a. Leverage the hierarchical management position to get
n n n n n n n
unit staff involved inassessment and planning.
n n n n n n
b. Engage involved staff at all levels in the decision-making process.
n n n n n n n n n
c. Focus the assessment on the unit and omit the
n n n n n n n n n
hospital and communityenvironment. n n n
d. Hire a geriatric specialist to oversee and control the project.
n n n n n n n n n
ANS: B n
Complexity theory suggests that systems interact and adapt and that
n n n n n n n n n n
decision making occurs throughout the systems, as opposed to being
n n n n n n n n n n
held in a hierarchy. In complexity theory, every voice counts, and
n n n n n n n n n n n
therefore, all levels of staff would be involved in decision making.
n n n n n n n n n n
TOP: AONE competency: Communication and Relationship-Building
n n n n n
Test Bank for Leading and Managing in Nursing 7th Edition by
n n n n n n n n n n n
Yoder Wise(chapters 1-30) complete n n n
, lOMoAR cPSD| 11881637
Testn Bankn forn Leadingn andn Managingn inn Nursingn 7thn Editionn byn Yodern Wise(chaptersn 1-30)n complete
2. A unit manager of a 25-bed medical/surgical area receives a phone
n n n n n n n n n n n
call from a nurse whoNhas
n
RIcalled
G B.Cin Msick five times in the past month.
n n n n
n n
n
n n
n
n
n n n n n n n n
He tells the manager that he very much wants to come to work when
n n n n n n n n n n n n n n
scheduled but must often care for his wife, who is undergoing
n n n n n n n n n n n
treatment
for breast cancer. According toUMaSslow
n N’s Tneed hiO
erarchy theory, what
n n n n n n n n
would be the best n n n
approach to satisfying the needs of this nurse, other staff, and patients?
n n n n n n n n n n n
a. Line up agency nurses who can be called in to work on short notice.
n n n n n n n n n n n n n
b. Place the nurse on unpaid leave for the remainder of his wife’s
n n n n n n n n n n n n
treatment.
c. Sympathize with the nurse’s dilemma and let the charge nurse know n n n n n n n n n n n
that this nurse n n
may be calling in frequently in the future.
n n n n n n n
d. Work with the nurse, staffing office, and other nurses to arrange his
n n n n n n n n n n n n
scheduled
days off around his wife’s treatments.
n n n n n
ANS: D n
Placing the nurse on unpaid leave may threaten the nurse’s capacity to
n n n n n n n n n n n n
meet physiologic needsand demotivate the nurse. Unsatisfactory
n n n n n n n n
coverage of shifts on short notice could affect patient care and
n n n n n n n n n n n
threaten the needs of staff to feel competent. Arranging the schedule
n n n n n n n n n n n
around
the wife’s needs meets the needs of the staff and of patients while
n n n n n n n n n n n n n
satisfying the nurse’s need n n n
for affiliation.
n
Test Bank for Leading and Managing in Nursing 7th Edition by
n n n n n n n n n n n
Yoder Wise(chapters 1-30) complete n n n
, lOMoAR cPSD| 11881637
Testn Bankn forn Leadingn andn Managingn inn Nursingn 7thn Editionn byn Yodern Wise(chaptersn 1-30)n complete
TOP: AONE competency: Communication and Relationship-Building
n n n n n
3. A grievance brought by a staff nurse against the unit manager
n n n n n n n n n n n
requires mediation. At the firstmediation session, the staff nurse
n n n n n n n n n n
repeatedly calls the unit manager’s actions unfair, and the unit
n n n n n n n n n n
manager continues to reiterate the reasons for the actions. What
n n n n n n n n n n
would be the best courseof action at this time?
n n n n n n n n n
a. Send the two disputants away to reach their own resolution.
n n n n n n n n n
b. Involve another staff nurse in the discussion for clarity issues.Ask each
n n n n n n n n n n n
party to examine their own motives and issues in the conflict.
n n n n n n n n n n
c. Continue to listen as the parties repeat their thoughts
n n n n n n n n n
and feelings about theconflict.
n n n n
ANS: C n
For resolution of conflict, one should address the interests and
n n n n n n n n n n
involvement of participants inthe conflict by examining the real n n n n n n n n n n
issues of all parties. n n n
TOP: AONE competency: Communication and Relationship-Building
n n n n n
4. At a second negotiation session, the unit manager and staff
n n n n n n n n n n
nurse are unable to reach aresolution. What is the appropriate
n n n n n n n n n n n
next step? n
a. Arrange another meeting in a week’s time so as to allow a cooling-off
n n n n n n n n n n n n n
period.
b. Elevate the next negation session to the next manager, one level above.
n n n n n n n n n n n
Test Bank for Leading and Managing in Nursing 7th Edition by
n n n n n n n n n n n
Yoder Wise(chapters 1-30) complete n n n
, lOMoAR cPSD| 11881637
Testn Bankn forn Leadingn andn Managingn inn Nursingn 7thn Editionn byn Yodern Wise(chaptersn 1-30)n complete
c. Insist that participants continue to talk until a resolution has been
n n n n n n n n n n n
reached.
d. Back the unit manager’s actions and end the dispute.
n n n n n n n n
ANS: B n
Part of leadership is understanding conflict resolution and ability to
n n n n n n n n n n
negotiate and manage forresolution of issues and concerns. This
n n n n n n n n n n
situation has failed a second negotiation session, elevation to a
n n n n n n n n n n
manager with additional training to facilitate conflict resolution is
n n n n n n n n n
important at this point. n n n
TOP: AONE competency: Communication and Relationship-Building
n n n n n
5. The manager of a surgical area has a vision for the future that requires
n n n n n n n n n n n n n n
the addition of RN assistants
n
USNT or unlicensed
O persons to feed, bathe, and
n n n
n n
n
n
n n n n n n n
ambulate patients. The RNs on the staff have always practiced in a
n n n n n n n n n n n n
prNimaRry nIursiGng-B
de.liC
veryMsystem and are very resistant to this idea.
n n n n n n n n
What would be the best initial strategy for implementation of this change?
n n n n n n n n n n n
a. Exploring the values and feelings of the RN group in relationship to
n n n n n n n n n n n n
this change n
b. Leaving the RNs alone for a time so they can think about
n n n n n n n n n n n n
the change before it isimplemented
n n n n n
c. Dropping the idea and trying for the change in a year or
n n n n n n n n n n n n
so when some of thepresent RNs have retired
n n n n n n n n
d. Hiring the assistants and allowing the RNs to see what good additions
n n n n n n n n n n n n
they are n
ANS: A n
Test Bank for Leading and Managing in Nursing 7th Edition by
n n n n n n n n n n n
Yoder Wise(chapters 1-30) complete n n n
