Test Bank For
d d
Leading and Managing in Nursing
d d d d
8th Edition b
d d
y
Patricia S. Yoder-Wise, Susan Sportsman
d d d d
,Chapter 01: Leading, Managing, and Following
d d d d d
Yoder-Wise: Leading and Managing in Nursing, 8th Edition
d d d d d d d
MULTIPLEdCHOICE
1. Adnursedmanagerdofdad20-
beddmedicaldunitdfindsdthatd80%dofdthedpatientsdaredolderdadults.dShedisdaskeddtodassessdanddadaptdt
hedunitdtodbetterdmeetdtheduniquedneedsdofdthedolderdadultdpatient.dUsingdcomplexitydprinciples,dw
hatdwoulddbedthedbestdapproachdtodtakedindmakingdthisdchange?
a. Leveragedthedhierarchicaldmanagementdpositiondtodgetdunitdstaffdinvolveddindassessmentdandd
planning.
b. Engagedinvolveddstaffdatdalldlevelsdindtheddecision-makingdprocess.
c. Focusdthedassessmentdondthedunit,danddomitdthedhospitaldanddcommunitydenvironment.
d. Hiredadgeriatricdspecialistdtodoverseedanddcontroldthedproject.
ANS:dB
Complexitydtheorydsuggestsdthatdsystemsdinteractdanddadaptdanddthatddecisiondmakingdoccursdt
hroughoutdthedsystems,dasdopposeddtodbeingdhelddindadhierarchy.dIndcomplexitydtheory,deverydv
oicedcounts,danddtherefore,dalldlevelsdofdstaffdwoulddbedinvolveddinddecisiondmaking.
REF:dPaged8 TOP:dAONEdcompetency:d CommunicationdanddRelationship-Building
2. Adunitdmanagerdofdad25-
beddmedical/surgicaldareadreceivesdadphonedcalldfromdadnursedwhodhasdcalleddindsickdfivedtimesdindth
edpastdmonth.dHedtellsdthedmanagerdthatdhedverydmuchdwantsdtodcomedtodworkdwhendscheduleddbutd
mustdoftendcaredfordhisdwife,dwhodisdundergoingdtreatment
fordbreastdcancer.dAccordingdtodMaslow‘sdneeddhierarchydtheory,dwhatdwoulddbedthedbestd th
approachdtodsatisfyingd
edneedsdofdthisdnurse,dotherdstaff,danddpatients?
a. Linedupdagencydnursesdwhodcandbedcalleddindtodworkdondshortdnotice.
b. Placedthednursedondunpaiddleavedfordthedremainderdofdhisdwife‘sdtreatment.
c. Sympathizedwithdthednurse‘sddilemmadanddletdthedchargednursedknowdthatdthisdnursedmaydbedc
allingdindfrequentlydindthedfuture.
d. Workdwithdthednurse,dstaffingdoffice,danddotherdnursesdtodarrangedhisdscheduledddaysdoffda
rounddhisdwife‘sdtreatments.
ANS:dD
Placingdthednursedondunpaiddleavedmaydthreatendthednurse‘sdcapacitydtodmeetdphysiologicdneedsda
ndddemotivatedthednurse.dUnsatisfactorydcoveragedofdshiftsdondshortdnoticedcoulddaffectdpatientdc
aredanddthreatendthedneedsdofdstaffdtodfeeldcompetent.dArrangingdthedscheduledaround
thedwife‘sdneedsdmeetsdthedneedsdofdthedstaffdanddofdpatientsdwhiledsatisfyingdthednurse‘sdneeddfor
daffiliation.
REF:dPaged10 TOP:dAONEdcompetency:d CommunicationdanddRelationship-Building
,3. Adgrievancedbroughtdbydadstaffdnursedagainstdthedunitdmanagerdrequiresdmediation.dAtdthedfirstdme
diationdsession,dthedstaffdnursedrepeatedlydcallsdthedunitdmanager‘sdactionsdunfair,danddthedunitdman
agerdcontinuesdtodreiteratedthedreasonsdfordherdactions.dWhatdwoulddbedthedbestdcoursedofdactiondatd
thisdtime?
a. Senddthedtwoddisputantsdawaydtodreachdtheirdowndresolution.
b. Involvedanotherdstaffdnursedindtheddiscussiondsodasdtodclarifydissues.
c. Askdeachdpartydtodexaminedherdowndmotivesdanddissuesdindthedconflict.
d. Continuedtodlistendasdthedpartiesdrepeatdtheirdthoughtsdanddfeelingsdaboutdthedconflict.
ANS:dC
Ury,dBrett,danddGoldbergdoutlinedstepsdtodrestoringdunity,dthedfirstdofdwhichdisdtodaddressdthedi
nterestsdanddinvolvementdofdparticipantsdindthedconflictdbydexaminingdthedrealdissuesdofdalldpa
rties.
REF:dPaged16 TOP:dAONEdcompetency:d CommunicationdanddRelationship-Building
4. Atdadseconddnegotiationdsession,dthedunitdmanagerdanddstaffdnursedaredunabledtodreachdadresolution.dIt
d woulddnowdbedbestdto:
a. Arrangedanotherdmeetingdindadweek‘sdtimedsodasdtodallowdadcooling-offdperiod.
b. Turndtheddisputedoverdtodtheddirectordofdnursing.
c. Insistdthatdparticipantsdcontinuedtodtalkduntildadresolutiondhasdbeendreached.
d. Backdthedunitdmanager‘sdactionsdanddenddtheddispute.
ANS:dB
AccordingdtodthedprinciplesdoutlineddbydUry,dBrett,danddGoldberg,dad―cooling-
off‖dperioddisdrecommendeddifdresolutiondfails.
REF:dPaged16 TOP:dAONEdcompetency:d CommunicationdanddRelationship-Building
5. ThedmanagerdofdadsurgicaldareadhasdadvisiondfordthedfuturedthatdrequiresdthedadditiondofdRNdassis
tantsdordunlicenseddpersonsdtodfeed,dbathe,danddwalkdpatients.dThedRNsdondthedstaffdhavedalway
sdpracticeddindadprimarydnursing–
deliverydsystemdanddaredverydresistantdtodthisdidea.dThedbestdinitialdstrategydindthisdsituationdwou
lddinclude:
a. ExploringdthedvaluesdanddfeelingsdofdthedRNdgroupdindrelationshipdtodthisdchange.
b. LeavingdthedRNsdalonedfordadtimedsodtheydcandthinkdaboutdthedchangedbeforeditdisdi
mplemented.
c. DroppingdthedideadanddtryingdfordthedchangedindadyeardordsodwhendsomedofdthedpresentdRNsdh
avedretired.
d. HiringdthedassistantsdanddallowingdthedRNsdtodseedwhatdgooddadditionsdtheydare.
, ANS:dA
Influencingdothersdrequiresdemotionaldintelligencedinddomainsdsuchdasdempathy,dhandlingdrelatio
nships,ddeepeningdself-
awarenessdindselfdanddothers,dmotivatingdothers,danddmanagingdemotions.dMotivatingdothersdrec
ognizesdthatdvaluesdaredpowerfuldforcesdthatdinfluencedacceptancedofdchange.dLeavingdthedRNsdal
onedfordadperioddofdtimedbeforedimplementationddoesdnotdprovidedopportunitydtodexploreddifferen
tdperspectivesdanddvalues.dAvoidingddiscussionduntildthedteamdchangesdmaydnotdpromotedadoptio
ndofdthedchangeduntildtheredisdopportunitydtodexploredperspectivesdanddvaluesdrelateddtodthedchang
e.dHiringdofdthedassistantsddemonstratesdlackdofdempathydfordthedperspectivesdofdthedRNdstaff.
REF:dPaged7d|dPaged15
TOP:dAONEdcompetency:dKnowledgedofdthedHealthdCaredEnvironment
6. AsdthedRNdchargednursedondthednightdshiftdindadsmalldlong-
termdcaredfacility,dyou‘vedfounddthatdtheredisdlittledturnoverdamongdyourdLPNdanddnursingdassista
ntd(NA)dstaffdmembers,dbutdtheydarednotdverydmotivateddtodgodbeyonddtheirdjobddescriptionsdindth
eirdwork.dWhichdofdthedfollowingdstrategiesdmightdmotivatedthedstaffdanddleaddtodgreaterdjobdsatis
faction?
a. AskdtheddirectordofdnursingdtodofferdhigherdwagesdanddbonusesdfordextradworkdfordthednightdL
PNsdanddNAs.
b. AllowdthedLPNsdanddNAsdgreaterddecision-
makingdpowerdwithindthedscopedofdtheirdpositionsdindthedinstitution.
c. Hiredadditionaldstaffdsodthatdtheredaredmoredstaffdavailabledfordenhanceddcaredanddindividuald
workloadsdaredlessened.
d. Askdtheddirectordofdnursingdtodincreasedjobdsecuritydfordnightdstaffdbydhavingdthemdsigndc
ontractsdthatdguaranteedwork.
ANS:dB
Hygienedfactorsdsuchdasdsalary,dworkingdconditions,danddsecuritydaredconsistentdwith
Herzberg‘sdtwo-
factordtheorydofdmotivation;dmeetingdthesedneedsdavoidsdjobddissatisfaction.dMotivatordfactorsdsuc
hdasdrecognitiondanddsatisfactiondwithdworkdpromotedadsatisfyingdanddenricheddworkdenvironment.d
Transformationaldleadersdusedmotivatordfactorsdliberallydtodinspiredworkdperformancedanddincrease
djobdsatisfaction.
REF:dPaged9d|dPaged10
TOP:dAONEdcompetency:dCommunicationdanddRelationship-Building
7. Asdthednursedmanagerdwhodwantsdtodincreasedmotivationdbydprovidingdmotivatingdfactors,dwhichda
ctiondwoulddyoudselect?
a. Collaboratedwithdthedhumandresource/personnelddepartmentdtoddevelopdon-
siteddaycaredservices.
b. Providedadhierarchicaldorganizationaldstructure.
c. Implementdadmodeldofdshareddgovernance.
d. Promotedtheddevelopmentdofdadflexibledbenefitsdpackage.
d d
Leading and Managing in Nursing
d d d d
8th Edition b
d d
y
Patricia S. Yoder-Wise, Susan Sportsman
d d d d
,Chapter 01: Leading, Managing, and Following
d d d d d
Yoder-Wise: Leading and Managing in Nursing, 8th Edition
d d d d d d d
MULTIPLEdCHOICE
1. Adnursedmanagerdofdad20-
beddmedicaldunitdfindsdthatd80%dofdthedpatientsdaredolderdadults.dShedisdaskeddtodassessdanddadaptdt
hedunitdtodbetterdmeetdtheduniquedneedsdofdthedolderdadultdpatient.dUsingdcomplexitydprinciples,dw
hatdwoulddbedthedbestdapproachdtodtakedindmakingdthisdchange?
a. Leveragedthedhierarchicaldmanagementdpositiondtodgetdunitdstaffdinvolveddindassessmentdandd
planning.
b. Engagedinvolveddstaffdatdalldlevelsdindtheddecision-makingdprocess.
c. Focusdthedassessmentdondthedunit,danddomitdthedhospitaldanddcommunitydenvironment.
d. Hiredadgeriatricdspecialistdtodoverseedanddcontroldthedproject.
ANS:dB
Complexitydtheorydsuggestsdthatdsystemsdinteractdanddadaptdanddthatddecisiondmakingdoccursdt
hroughoutdthedsystems,dasdopposeddtodbeingdhelddindadhierarchy.dIndcomplexitydtheory,deverydv
oicedcounts,danddtherefore,dalldlevelsdofdstaffdwoulddbedinvolveddinddecisiondmaking.
REF:dPaged8 TOP:dAONEdcompetency:d CommunicationdanddRelationship-Building
2. Adunitdmanagerdofdad25-
beddmedical/surgicaldareadreceivesdadphonedcalldfromdadnursedwhodhasdcalleddindsickdfivedtimesdindth
edpastdmonth.dHedtellsdthedmanagerdthatdhedverydmuchdwantsdtodcomedtodworkdwhendscheduleddbutd
mustdoftendcaredfordhisdwife,dwhodisdundergoingdtreatment
fordbreastdcancer.dAccordingdtodMaslow‘sdneeddhierarchydtheory,dwhatdwoulddbedthedbestd th
approachdtodsatisfyingd
edneedsdofdthisdnurse,dotherdstaff,danddpatients?
a. Linedupdagencydnursesdwhodcandbedcalleddindtodworkdondshortdnotice.
b. Placedthednursedondunpaiddleavedfordthedremainderdofdhisdwife‘sdtreatment.
c. Sympathizedwithdthednurse‘sddilemmadanddletdthedchargednursedknowdthatdthisdnursedmaydbedc
allingdindfrequentlydindthedfuture.
d. Workdwithdthednurse,dstaffingdoffice,danddotherdnursesdtodarrangedhisdscheduledddaysdoffda
rounddhisdwife‘sdtreatments.
ANS:dD
Placingdthednursedondunpaiddleavedmaydthreatendthednurse‘sdcapacitydtodmeetdphysiologicdneedsda
ndddemotivatedthednurse.dUnsatisfactorydcoveragedofdshiftsdondshortdnoticedcoulddaffectdpatientdc
aredanddthreatendthedneedsdofdstaffdtodfeeldcompetent.dArrangingdthedscheduledaround
thedwife‘sdneedsdmeetsdthedneedsdofdthedstaffdanddofdpatientsdwhiledsatisfyingdthednurse‘sdneeddfor
daffiliation.
REF:dPaged10 TOP:dAONEdcompetency:d CommunicationdanddRelationship-Building
,3. Adgrievancedbroughtdbydadstaffdnursedagainstdthedunitdmanagerdrequiresdmediation.dAtdthedfirstdme
diationdsession,dthedstaffdnursedrepeatedlydcallsdthedunitdmanager‘sdactionsdunfair,danddthedunitdman
agerdcontinuesdtodreiteratedthedreasonsdfordherdactions.dWhatdwoulddbedthedbestdcoursedofdactiondatd
thisdtime?
a. Senddthedtwoddisputantsdawaydtodreachdtheirdowndresolution.
b. Involvedanotherdstaffdnursedindtheddiscussiondsodasdtodclarifydissues.
c. Askdeachdpartydtodexaminedherdowndmotivesdanddissuesdindthedconflict.
d. Continuedtodlistendasdthedpartiesdrepeatdtheirdthoughtsdanddfeelingsdaboutdthedconflict.
ANS:dC
Ury,dBrett,danddGoldbergdoutlinedstepsdtodrestoringdunity,dthedfirstdofdwhichdisdtodaddressdthedi
nterestsdanddinvolvementdofdparticipantsdindthedconflictdbydexaminingdthedrealdissuesdofdalldpa
rties.
REF:dPaged16 TOP:dAONEdcompetency:d CommunicationdanddRelationship-Building
4. Atdadseconddnegotiationdsession,dthedunitdmanagerdanddstaffdnursedaredunabledtodreachdadresolution.dIt
d woulddnowdbedbestdto:
a. Arrangedanotherdmeetingdindadweek‘sdtimedsodasdtodallowdadcooling-offdperiod.
b. Turndtheddisputedoverdtodtheddirectordofdnursing.
c. Insistdthatdparticipantsdcontinuedtodtalkduntildadresolutiondhasdbeendreached.
d. Backdthedunitdmanager‘sdactionsdanddenddtheddispute.
ANS:dB
AccordingdtodthedprinciplesdoutlineddbydUry,dBrett,danddGoldberg,dad―cooling-
off‖dperioddisdrecommendeddifdresolutiondfails.
REF:dPaged16 TOP:dAONEdcompetency:d CommunicationdanddRelationship-Building
5. ThedmanagerdofdadsurgicaldareadhasdadvisiondfordthedfuturedthatdrequiresdthedadditiondofdRNdassis
tantsdordunlicenseddpersonsdtodfeed,dbathe,danddwalkdpatients.dThedRNsdondthedstaffdhavedalway
sdpracticeddindadprimarydnursing–
deliverydsystemdanddaredverydresistantdtodthisdidea.dThedbestdinitialdstrategydindthisdsituationdwou
lddinclude:
a. ExploringdthedvaluesdanddfeelingsdofdthedRNdgroupdindrelationshipdtodthisdchange.
b. LeavingdthedRNsdalonedfordadtimedsodtheydcandthinkdaboutdthedchangedbeforeditdisdi
mplemented.
c. DroppingdthedideadanddtryingdfordthedchangedindadyeardordsodwhendsomedofdthedpresentdRNsdh
avedretired.
d. HiringdthedassistantsdanddallowingdthedRNsdtodseedwhatdgooddadditionsdtheydare.
, ANS:dA
Influencingdothersdrequiresdemotionaldintelligencedinddomainsdsuchdasdempathy,dhandlingdrelatio
nships,ddeepeningdself-
awarenessdindselfdanddothers,dmotivatingdothers,danddmanagingdemotions.dMotivatingdothersdrec
ognizesdthatdvaluesdaredpowerfuldforcesdthatdinfluencedacceptancedofdchange.dLeavingdthedRNsdal
onedfordadperioddofdtimedbeforedimplementationddoesdnotdprovidedopportunitydtodexploreddifferen
tdperspectivesdanddvalues.dAvoidingddiscussionduntildthedteamdchangesdmaydnotdpromotedadoptio
ndofdthedchangeduntildtheredisdopportunitydtodexploredperspectivesdanddvaluesdrelateddtodthedchang
e.dHiringdofdthedassistantsddemonstratesdlackdofdempathydfordthedperspectivesdofdthedRNdstaff.
REF:dPaged7d|dPaged15
TOP:dAONEdcompetency:dKnowledgedofdthedHealthdCaredEnvironment
6. AsdthedRNdchargednursedondthednightdshiftdindadsmalldlong-
termdcaredfacility,dyou‘vedfounddthatdtheredisdlittledturnoverdamongdyourdLPNdanddnursingdassista
ntd(NA)dstaffdmembers,dbutdtheydarednotdverydmotivateddtodgodbeyonddtheirdjobddescriptionsdindth
eirdwork.dWhichdofdthedfollowingdstrategiesdmightdmotivatedthedstaffdanddleaddtodgreaterdjobdsatis
faction?
a. AskdtheddirectordofdnursingdtodofferdhigherdwagesdanddbonusesdfordextradworkdfordthednightdL
PNsdanddNAs.
b. AllowdthedLPNsdanddNAsdgreaterddecision-
makingdpowerdwithindthedscopedofdtheirdpositionsdindthedinstitution.
c. Hiredadditionaldstaffdsodthatdtheredaredmoredstaffdavailabledfordenhanceddcaredanddindividuald
workloadsdaredlessened.
d. Askdtheddirectordofdnursingdtodincreasedjobdsecuritydfordnightdstaffdbydhavingdthemdsigndc
ontractsdthatdguaranteedwork.
ANS:dB
Hygienedfactorsdsuchdasdsalary,dworkingdconditions,danddsecuritydaredconsistentdwith
Herzberg‘sdtwo-
factordtheorydofdmotivation;dmeetingdthesedneedsdavoidsdjobddissatisfaction.dMotivatordfactorsdsuc
hdasdrecognitiondanddsatisfactiondwithdworkdpromotedadsatisfyingdanddenricheddworkdenvironment.d
Transformationaldleadersdusedmotivatordfactorsdliberallydtodinspiredworkdperformancedanddincrease
djobdsatisfaction.
REF:dPaged9d|dPaged10
TOP:dAONEdcompetency:dCommunicationdanddRelationship-Building
7. Asdthednursedmanagerdwhodwantsdtodincreasedmotivationdbydprovidingdmotivatingdfactors,dwhichda
ctiondwoulddyoudselect?
a. Collaboratedwithdthedhumandresource/personnelddepartmentdtoddevelopdon-
siteddaycaredservices.
b. Providedadhierarchicaldorganizationaldstructure.
c. Implementdadmodeldofdshareddgovernance.
d. Promotedtheddevelopmentdofdadflexibledbenefitsdpackage.
