Chapter 01: Leading, Managing, and Following
Yoder-Wise: Leading and Managing in Nursing, 7th 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 t
to better meet the unique needs of the older adult patient. Using complexity principles, what would be
implementation of this change?
a. Leverage the hierarchical management position 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 throughou
being held in a hierarchy. In complexity theory, every voice counts, and therefore, all levels of staff wo
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
month. He tells the manager that he very much wants to come to work when scheduled but must often
undergoing treatment for breast cancer. According to Maslow’s need hierarchy theory, what would be
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 dem
Unsatisfactory coverage of shifts on short notice could affect patient care and threaten the needs of staf
Arranging the schedule around the wife’s needs meets the needs of the staff and of patients while satisf
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
repeatedly calls the unit manager’s actions unfair, and the unit manager continues to reiterate the reaso
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.
c. Ask each party to examine their own motives and issues in the conflict.
d. Continue to listen as the parties repeat their thoughts and feelings about the
conflict.
ANS: C
For resolution of conflict, one should address the interests and involvement of participants in the confli
issues of all parties.
TOP: AONE competency: Communication and Relationship-Building
4. At a second negotiation session, the unit manager and staff nurse are unable to reach a resolution. Wha
step?
a. Arrange another meeting in a week’s time so as to allow a cooling-off period.
, 5. The manager of a surgical area has a vision for the future that requires the addition of RN assistants or
bathe, and ambulate patients. The RNs on the staff have always practiced in a primary nursing-delivery
resistant to this idea. What would be the best initial strategy for implementation of this change?
a. Exploring the values and feelings of the RN group in relationship to this change
b. Leaving the RNs alone for a time so they can think about the change before it is
implemented
c. Dropping the idea and trying for the change in a year or so when some of the
present RNs have retired
d. Hiring the assistants and allowing the RNs to see what good additions they are
ANS: A
Influencing others requires emotional intelligence in domains such as empathy, handling relationships,
self and others, motivating others, and managing emotions. Motivating others recognizes that values ar
influence acceptance of change. Leaving the RNs alone for a period of time before implementation doe
explore different perspectives and values. Avoiding discussion until the team changes may not promote
until there is opportunity to explore perspectives and values related to the change. Hiring of the assistan
empathy for the perspectives of the RN staff.
TOP: AONE competency: Knowledge of the Health Care Environment
6. As the RN charge nurse on the night shift in a small long-term care facility, you’ve found that there is l
LPN and nursing assistant (NA) staff members, but they are not very motivated to go beyond their job
Which of the following strategies might motivate the staff and lead to greater job satisfaction?
a. Ask the director of nursing to offer higher wages and bonuses for extra work for
the night LPNs and NAs.
b. Allow the LPNs and NAs greater decision-making power within the scope of their
positions in the institution.
c. Hire additional staff so that there are more staff available for enhanced care, and
individual workloads are lessened.
d. Ask the director of nursing to increase job security for night staff by having them
sign contracts that guarantee work.
ANS: B
Hygiene factors such as salary, working conditions, and security are consistent with Herzberg’s two-fa
meeting these needs avoids job dissatisfaction. Motivator factors such as recognition and satisfaction w
satisfying and enriched work environment. Transformational leaders use motivator factors liberally to i
and increase job satisfaction.
TOP: AONE competency: Communication and Relationship-Building
7. The nurse manager wants to increase motivation by providing motivating factors for the nurse on the u
appropriate to motivate the staff?
a. Collaborate with the human resource/personnel department to develop on-site
daycare services.
b. Provide a hierarchical organizational structure.
c. Implement a model of shared governance.
d. Promote the development of a flexible benefits package.
ANS: C
Complexity theory suggests that systems interact and adapt and that decision making occurs throughou
being held in a hierarchy. In complexity theory, every voice counts, and therefore all levels of staff wo
making. This principle is the foundation of shared governance.
TOP: AONE competency: Communication and Relationship-Building
8. A charge nurse on a busy 40-bed medical/surgical unit is approached by a family member who begins
quality of care his mother is receiving. His behavior is so disruptive that it is overheard by staff, physic
family member leaves the unit abruptly, and the nurse is left feeling frustrated. Which behavior by the
refined leadership skills in an emotionally intelligent practitioner?
a. Reflect to gain insight into how the situation could be handled differently in the
Yoder-Wise: Leading and Managing in Nursing, 7th 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 t
to better meet the unique needs of the older adult patient. Using complexity principles, what would be
implementation of this change?
a. Leverage the hierarchical management position 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 throughou
being held in a hierarchy. In complexity theory, every voice counts, and therefore, all levels of staff wo
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
month. He tells the manager that he very much wants to come to work when scheduled but must often
undergoing treatment for breast cancer. According to Maslow’s need hierarchy theory, what would be
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 dem
Unsatisfactory coverage of shifts on short notice could affect patient care and threaten the needs of staf
Arranging the schedule around the wife’s needs meets the needs of the staff and of patients while satisf
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
repeatedly calls the unit manager’s actions unfair, and the unit manager continues to reiterate the reaso
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.
c. Ask each party to examine their own motives and issues in the conflict.
d. Continue to listen as the parties repeat their thoughts and feelings about the
conflict.
ANS: C
For resolution of conflict, one should address the interests and involvement of participants in the confli
issues of all parties.
TOP: AONE competency: Communication and Relationship-Building
4. At a second negotiation session, the unit manager and staff nurse are unable to reach a resolution. Wha
step?
a. Arrange another meeting in a week’s time so as to allow a cooling-off period.
, 5. The manager of a surgical area has a vision for the future that requires the addition of RN assistants or
bathe, and ambulate patients. The RNs on the staff have always practiced in a primary nursing-delivery
resistant to this idea. What would be the best initial strategy for implementation of this change?
a. Exploring the values and feelings of the RN group in relationship to this change
b. Leaving the RNs alone for a time so they can think about the change before it is
implemented
c. Dropping the idea and trying for the change in a year or so when some of the
present RNs have retired
d. Hiring the assistants and allowing the RNs to see what good additions they are
ANS: A
Influencing others requires emotional intelligence in domains such as empathy, handling relationships,
self and others, motivating others, and managing emotions. Motivating others recognizes that values ar
influence acceptance of change. Leaving the RNs alone for a period of time before implementation doe
explore different perspectives and values. Avoiding discussion until the team changes may not promote
until there is opportunity to explore perspectives and values related to the change. Hiring of the assistan
empathy for the perspectives of the RN staff.
TOP: AONE competency: Knowledge of the Health Care Environment
6. As the RN charge nurse on the night shift in a small long-term care facility, you’ve found that there is l
LPN and nursing assistant (NA) staff members, but they are not very motivated to go beyond their job
Which of the following strategies might motivate the staff and lead to greater job satisfaction?
a. Ask the director of nursing to offer higher wages and bonuses for extra work for
the night LPNs and NAs.
b. Allow the LPNs and NAs greater decision-making power within the scope of their
positions in the institution.
c. Hire additional staff so that there are more staff available for enhanced care, and
individual workloads are lessened.
d. Ask the director of nursing to increase job security for night staff by having them
sign contracts that guarantee work.
ANS: B
Hygiene factors such as salary, working conditions, and security are consistent with Herzberg’s two-fa
meeting these needs avoids job dissatisfaction. Motivator factors such as recognition and satisfaction w
satisfying and enriched work environment. Transformational leaders use motivator factors liberally to i
and increase job satisfaction.
TOP: AONE competency: Communication and Relationship-Building
7. The nurse manager wants to increase motivation by providing motivating factors for the nurse on the u
appropriate to motivate the staff?
a. Collaborate with the human resource/personnel department to develop on-site
daycare services.
b. Provide a hierarchical organizational structure.
c. Implement a model of shared governance.
d. Promote the development of a flexible benefits package.
ANS: C
Complexity theory suggests that systems interact and adapt and that decision making occurs throughou
being held in a hierarchy. In complexity theory, every voice counts, and therefore all levels of staff wo
making. This principle is the foundation of shared governance.
TOP: AONE competency: Communication and Relationship-Building
8. A charge nurse on a busy 40-bed medical/surgical unit is approached by a family member who begins
quality of care his mother is receiving. His behavior is so disruptive that it is overheard by staff, physic
family member leaves the unit abruptly, and the nurse is left feeling frustrated. Which behavior by the
refined leadership skills in an emotionally intelligent practitioner?
a. Reflect to gain insight into how the situation could be handled differently in the
