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nursing 7t
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Foundations of Nursing Practice (Daytona State College)
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Chapter 01: Leading, Managing, and Following
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Yoder-Wise: Leading and Managing in Nursing, 7th Edition
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MULTIPLEkCHOICE
1. Aknursekmanagerkofkak20-
bedkmedicalkunitkfindskthatk80%kofkthekpatientskarekolderkadults.kShekiskaskedktokassesskandkadap
tkthekunitktokbetterkmeetkthekuniquekneedskofkthekolderkadultkpatient.kUsingkcomplexitykprinciple
s,kwhatkwouldkbekthekbestkapproachktoktakekforkimplementationkofkthiskchange?
a. Leveragekthekhierarchicalkmanagementkpositionktokgetkunitkstaffkinvolvedkink
assessmentkandkplanning.
b. Engagekinvolvedkstaffkatkallklevelskinkthekdecision-makingkprocess.
c. Focuskthekassessmentkonkthekunitkandkomitkthekhospitalkandkcommunityk
environment.
d. Hirekakgeriatrickspecialistktokoverseekandkcontrolkthekproject.
ANS:k B
Complexityktheoryksuggestskthatksystemskinteractkandkadaptkandkthatkdecisionkmakingkoccurskt
hroughoutktheksystems,kaskopposedktokbeingkheldkinkakhierarchy.kInkcomplexityktheory,keverykv
oicekcounts,kandktherefore,kallklevelskofkstaffkwouldkbekinvolvedkinkdecisionkmaking.
TOP:k AONEkcompetency:kCommunicationkandkRelationship-Building
2. Akunitkmanagerkofkak25-
bedkmedical/surgicalkareakreceiveskakphonekcallkfromkaknursekwhokhaskcalledkinksickkfivektimeski
nkthekpastkmonth.kHektellskthekmanagerkthatkhekverykmuchkwantsktokcomektokworkkwhenkschedul
Nk Rk Ik Gk B.Ck M
edkbutkmustkoftenkcarekforkhiskwife,kwhokiskundergoingktreatment
forkbreastkcancer.kAccordingkt oUM aSs l o w
N’ s kTneed khiO
erarchyktheory,kwhatkwouldkbekthekbest
approachktoksatisfyingkthekneedskofkthisknurse,kotherkstaff,kandkpatients?
a. Linekupkagencyknurseskwhokcankbekcalledkinktokworkkonkshortknotice.
b. Placektheknursekonkunpaidkleavekforkthekremainderkofkhiskwife’sktreatment.
c. Sympathizekwithktheknurse’skdilemmakandkletkthekchargeknursekknowkthatkthisknurse
maykbekcallingkinkfrequentlykinkthekfuture.
d. Workkwithktheknurse,kstaffingkoffice,kandkotherknursesktokarrangekhiskscheduled
dayskoffkaroundkhiskwife’sktreatments.
ANS:k D
Placingktheknursekonkunpaidkleavekmaykthreatenktheknurse’skcapacityktokmeetkphysiologickneedska
ndkdemotivatektheknurse.kUnsatisfactorykcoveragekofkshiftskonkshortknoticekcouldkaffectk patientkc
arekandkthreatenkthekneedskofkstaffktokfeelkcompetent.kArrangingkthekschedulekaround
thekwife’skneedskmeetskthekneedskofkthekstaffkandkofkpatientskwhileksatisfyingktheknurse’skneed
forkaffiliation.
TOP:k AONEkcompetency:kCommunicationkandkRelationship-Building
3. Akgrievancekbroughtkbykakstaffknursekagainstkthekunitkmanagerkrequireskmediation.kAtkthekfirstk
mediationksession,kthekstaffknursekrepeatedlykcallskthekunitkmanager’skactionskunfair,kandkthekun
itkmanagerkcontinuesktokreiteratekthekreasonskforkthekactions.kWhatkwouldkbekthekbestkcoursekofka
ctionkatkthisktime?
a. Sendkthektwokdisputantskawayktokreachktheirkownkresolution.
b. Involvekanotherkstaffknursekinkthekdiscussionkforkclaritykissues.
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