lOMoAR cPSD| 14447089
Leading And Managing In Nursing 8th Edition Yoder Wise Test Bank , All
Chapters LATEST UPDATE 2023 Test Bank for Leading and Managing in
Nursing 8th Edition by Yoder Wise (chapters 1-30) complete.
Chapter 01: Leading, Managing, and Following
Yoder-Wise: Leading and Managing in Nursing, 7th Edition
• 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 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 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
• 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
N R I G B.C M
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 toUMaSslow
N’s T
need hiO
erarchy theory, what would
be the best
, lOMoAR cPSD| 14447089
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
• The charge nurse walks into Mr. Smith’s room and finds him yelling at the
LPN. He is obviously very upset. The charge nurse determines that he has not
slept for three nights because of unrelieved pain levels. The LPN is very upset
and calls Mr. Smith an “ugly, old
man.” The charge nurse acknowledges the LPN’s feelings and concerns and
then suggests that Mr. Smith’s behavior was aggressive but was related to
lack of sleep and to pain. The charge nurse asks, “Can you, together with
Mr. Smith, determine triggers for the pain and effective approaches to
controlling his pain?” This situation is an example of what?
a. Lack of empathy and undNerstR
andI
ing G
for M
B .isC
s JoM
nes
b. Concern with placating MrU
. SmSithN T O
, lOMoAR cPSD| 14447089
c. Leadership behavior
d. Management behavior
ANS: C
The situation between Mr. Smith and Miss Jones is a complex situation
involving unrelieved patient symptoms and aggressiveness toward a staff
member. Providing engaged, collaborative guidance and decision making
in a complex situation where there is no standardized solution reflects
leadership.
TOP: AONE competency: Leadership
• After assessing an older adult patient in long-term care who has been slowly
deteriorating for weeks, the nurse manager calls the family and asks them to
come in, as the patient is dying. What is the most likely basis for the nurse
manager’s request?
a. An established clinical pathway
b. Confirmatory scientific evidence
c. Unit protocol
d. Experience
ANS: D
The nurse manager is employing knowledge and experience in determining
that the patient is dying, because the course of dying is not standardized
and cannot be determined by clinical pathways.
, lOMoAR cPSD| 14447089
TOP: AONE competency: Knowledge of the Health Care Environment
• Chart audits have revealed significant omissions of data that could have legal and
financial guideline ramifications. The unit manager meets with the staff to discuss
audit findings and to find approaches that will address the gaps in charting and
achieve desired goals. What is the manager demonstrating?
a. Leadership
b. Management
Decision making
c. Vision
ANS: B
The process of guiding others to meet established goals, outcomes, and
procedures is management. This can require collaborative decision
making to determine how best to reach predetermined goals and follow
established practices.
TOP: AONE competency: Knowledge of the Health Care Environment
• A family is keeping vigil at a critically ill patient’s bedside. Distant family
members call the unit continuously asking for updates and expressing concern.
The nurse speaks with the distant family members and states she is referring
them to the hospital social worker, whose role is to work with family in this
situation. What role is the nurse assuming through this action?
a. Manager
b. Leader
c. Follower
d. Laissez-
faire
ANS: A
As a manager, you are concerned with managing and coordinating
resources to achieve outcomes in accordance with established clinical
Leading And Managing In Nursing 8th Edition Yoder Wise Test Bank , All
Chapters LATEST UPDATE 2023 Test Bank for Leading and Managing in
Nursing 8th Edition by Yoder Wise (chapters 1-30) complete.
Chapter 01: Leading, Managing, and Following
Yoder-Wise: Leading and Managing in Nursing, 7th Edition
• 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 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 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
• 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
N R I G B.C M
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 toUMaSslow
N’s T
need hiO
erarchy theory, what would
be the best
, lOMoAR cPSD| 14447089
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
• The charge nurse walks into Mr. Smith’s room and finds him yelling at the
LPN. He is obviously very upset. The charge nurse determines that he has not
slept for three nights because of unrelieved pain levels. The LPN is very upset
and calls Mr. Smith an “ugly, old
man.” The charge nurse acknowledges the LPN’s feelings and concerns and
then suggests that Mr. Smith’s behavior was aggressive but was related to
lack of sleep and to pain. The charge nurse asks, “Can you, together with
Mr. Smith, determine triggers for the pain and effective approaches to
controlling his pain?” This situation is an example of what?
a. Lack of empathy and undNerstR
andI
ing G
for M
B .isC
s JoM
nes
b. Concern with placating MrU
. SmSithN T O
, lOMoAR cPSD| 14447089
c. Leadership behavior
d. Management behavior
ANS: C
The situation between Mr. Smith and Miss Jones is a complex situation
involving unrelieved patient symptoms and aggressiveness toward a staff
member. Providing engaged, collaborative guidance and decision making
in a complex situation where there is no standardized solution reflects
leadership.
TOP: AONE competency: Leadership
• After assessing an older adult patient in long-term care who has been slowly
deteriorating for weeks, the nurse manager calls the family and asks them to
come in, as the patient is dying. What is the most likely basis for the nurse
manager’s request?
a. An established clinical pathway
b. Confirmatory scientific evidence
c. Unit protocol
d. Experience
ANS: D
The nurse manager is employing knowledge and experience in determining
that the patient is dying, because the course of dying is not standardized
and cannot be determined by clinical pathways.
, lOMoAR cPSD| 14447089
TOP: AONE competency: Knowledge of the Health Care Environment
• Chart audits have revealed significant omissions of data that could have legal and
financial guideline ramifications. The unit manager meets with the staff to discuss
audit findings and to find approaches that will address the gaps in charting and
achieve desired goals. What is the manager demonstrating?
a. Leadership
b. Management
Decision making
c. Vision
ANS: B
The process of guiding others to meet established goals, outcomes, and
procedures is management. This can require collaborative decision
making to determine how best to reach predetermined goals and follow
established practices.
TOP: AONE competency: Knowledge of the Health Care Environment
• A family is keeping vigil at a critically ill patient’s bedside. Distant family
members call the unit continuously asking for updates and expressing concern.
The nurse speaks with the distant family members and states she is referring
them to the hospital social worker, whose role is to work with family in this
situation. What role is the nurse assuming through this action?
a. Manager
b. Leader
c. Follower
d. Laissez-
faire
ANS: A
As a manager, you are concerned with managing and coordinating
resources to achieve outcomes in accordance with established clinical
