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8th Edition by Patricia S. Yoder-
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Wise, Susan Sportsman
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Chapter 01: Leading, Managing, and Following
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Yoder-Wise: Leading and Managing in Nursing, 8th Edition
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MULTIPLElCHOICE
1. Alunitlmanagerloflal25-
bedlmedical/surgicallarealreceiveslalphonelcalllfromlalnurselwholhaslcalledlinlsicklfiveltimeslinlth
elpastlmonth.lHeltellslthelmanagerlthatlhelverylmuchlwantsltolcomeltolworklwhenlscheduledlbutl
mustloftenlcarelforlhislwife,lwho NllR
isllI lGlB.C ltreatment
undergoing
forlbreastlcancer.lAccordingltloUMlaSslllolw N’lslTnle edl hiO
erarchyltheory,lwhatlwouldlbelthelbest
approachltolsatisfyinglthelneedsloflthislnurse,lotherlstaff,landlpatients?
a. Lineluplagencylnurseslwholcanlbelcalledlinltolworklonlshortlnotice.
b. Placelthelnurselonlunpaidlleavelforlthelremainderloflhislwife’sltreatment.
c. Sympathizelwithlthelnurse’sldilemmalandlletlthelchargelnurselknowlthatlthislnurselmay
lbelcallingl inlfrequentlyl inlthelfuture.
d. Worklwithlthelnurse,lstaffingloffice,landlotherlnursesltolarrangelhislscheduledlday
slofflaroundlhislwife’sltreatments.
ANS:l D
Placinglthelnurselonlunpaidlleavelmaylthreatenlthelnurse’slcapacityltolmeetlphysiologiclneedslandl
demotivatelthelnurse.lUnsatisfactorylcoverageloflshiftslonlshortlnoticelcouldlaffectlpatientlcarelan
dlthreatenlthelneedsloflstaffltolfeellcompetent.lArranginglthelschedulelaround
thelwife’slneedslmeetslthelneedsloflthelstafflandloflpatientslwhilelsatisfyinglthelnurse’slneedlforlaff
iliation.
TOP:l AONElcompetency:lCommunicationlandlRelationship-Building
2. Algrievancelbroughtlbylalstafflnurselagainstlthelunitlmanagerlrequireslmediation.lAtlthelfirstlmedi
ationlsession,lthelstafflnurselrepeatedlylcallslthelunitlmanager’slactionslunfair,landlthelunitlmana
gerlcontinuesltolreiteratelthelreasonslforlthelactions.lWhatlwouldlbelthelbestlcourseloflactionlatlthisl
time?
a. Sendltheltwoldisputantslawayltolreachltheirlownlresolution.
b. Involvelanotherlstafflnurselinltheldiscussionlforlclaritylissues.
NURSINGTB.COM
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ybyanyanylcollegceollegelororluniversityuniversity
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c. Askleachlpartyltolexamineltheirlownlmotiveslandlissueslinlthelconflict.
d. Continueltollistenlaslthelpartieslrepeatltheirlthoughtslandlfeelingslaboutlthelcon
flict.
ANS:l C
Forlresolutionloflconflict,lonelshouldladdresslthelinterestslandlinvolvementloflparticipantslinlthelco
nflictlbylexamininglthelreallissuesloflalllparties.
TOP:l AONElcompetency:lCommunicationlandlRelationship-Building
3. Atlalsecondlnegotiationlsession,lthelunitlmanagerlandlstafflnurselarelunableltolreachlalresol
ution.lWhatlislthelappropriatelnextlstep?
a. Arrangelanotherlmeetinglinlalweek’sltimelsolasltolallowlalcooling-offlperiod.
b. Elevatelthelnextlnegationlsessionltolthelnextlmanager,lonellevellabove.
c. Insistlthatlparticipantslcontinueltoltalkluntillalresolutionlhaslbeenlreached.
d. Backlthelunitlmanager’slactionslandlendltheldispute.
ANS:l B
Partloflleadershiplislunderstandinglconflictlresolutionlandlabilityltolnegotiatelandlmanagelforlresol
utionloflissueslandlconcerns.lThislsituationlhaslfailedlalsecondlnegotiationlsession,lelevationltolal
managerlwithladditionalltrainingltolfacilitatelconflictlresolutionlislimportantlatlthislpoint.
TOP:l AONElcompetency:lCommunicationlandlRelationship-Building
4. ThelmanagerloflalsurgicallarealhaslalvisionlforlthelfuturelthatlrequiresltheladditionloflRNlassista
ntslorlunlicensedlpersonsltolfeed,lbathe,landlambulatelpatients.lThelRNslonlthelstaff
havelalwayslpracticedlinlalprNimaR rlyl nIulrlsliGngl-
UlSlN
Bdle.liCverlyMslyst e ml andlarelverylresistantltolthislidea.lWhatlwouldlbelthelbestlinitiallstrategylforlimplem
entationloflthislchange?
a. ExploringlthelvalueslandlfeelingsloflthelRNlgrouplinlrelationshipltolthislchange
b. LeavinglthelRNslalonelforlaltimelsoltheylcanlthinklaboutlthelchangelbeforelitlislimpl
emented
c. Droppinglthelidealandltryinglforlthelchangelinlalyearlorlsolwhenlsomeloflthelprese
ntlRNslhavelretired
d. HiringlthelassistantslandlallowinglthelRNsltolseelwhatlgoodladditionsltheylare
ANS:l A
Influencinglotherslrequireslemotionallintelligencelinldomainslsuchlaslempathy,lhandlinglrelation
ships,ldeepeninglself-
awarenesslinlselflandlothers,lmotivatinglothers,landlmanaginglemotions.lMotivatinglotherslrecog
nizeslthatlvalueslarelpowerfullforceslthatlinfluencelacceptanceloflchange.lLeavinglthelRNslalonelf
orlalperiodlofltimelbeforelimplementationldoeslnotlprovidelopportunityltolexploreldifferentlperspe
ctiveslandlvalues.lAvoidingldiscussionluntillthelteamlchangeslmaylnotlpromoteladoptionloflthelch
angeluntilltherelislopportunityltolexplorelperspectiveslandlvalueslrelatedltolthelchange.lHiringloflt
helassistantsldemonstratesllackloflempathylforlthelperspectivesloflthelRNlstaff.
TOP:l AONElcompetency:lKnowledgeloflthelHealthlCarelEnvironment
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5. AslthelRNlchargelnurselonlthelnightlshiftlinlalsmallllong-
termlcarelfacility,lyou’velfoundlthatltherelisllittlelturnoverlamonglyourlLPNlandlnursinglassistantl(
NA)lstafflmembers,lbutltheylarelnotlverylmotivatedltolgolbeyondltheirljobldescriptionslinltheirlwo
rk.lWhichloflthelfollowinglstrategieslmightlmotivatelthelstafflandlleadltolgreaterljoblsatisfaction?
a. Askltheldirectorloflnursingltolofferlhigherlwageslandlbonuseslforlextralworklforltheln
ightlLPNslandlNAs.
b. AllowlthelLPNslandlNAslgreaterldecision-
makinglpowerlwithinlthelscopelofltheirlpositionslinlthelinstitution.
c. Hireladditionallstafflsolthatltherelarelmorelstafflavailablelforlenhancedlcare,landlindi
viduallworkloadslarellessened.
d. Askltheldirectorloflnursingltolincreaseljoblsecuritylforlnightlstafflbylhavinglthemlsignl
contractslthatlguaranteelwork.
ANS:l B
Hygienelfactorslsuchlaslsalary,lworkinglconditions,landlsecuritylarelconsistentlwithlHerzberg’sltw
o-
factorltheoryloflmotivation;lmeetingltheselneedslavoidsljobldissatisfaction.lMotivatorlfactorslsuch
laslrecognitionlandlsatisfactionlwithlworklpromotelalsatisfyinglandlenrichedlworklenvironment.lTr
ansformationallleadersluselmotivatorlfactorslliberallyltolinspirelworklperformancelandlincreaseljo
blsatisfaction.
TOP:l AONElcompetency:lCommunicationlandlRelationship-Building
6. Thelnurselmanagerlwantsltolincreaselmotivationlbylprovidinglmotivatinglfactorslforlthelnurselonlt
helunit.lWhatlactionlwouldlbelappropriateltolmotivatelthel staff?
a. Collaboratelwithlthelhumanlresource/personnelldepartmentltoldeveloplon-
siteldaycarelservices.
b. Providelalhierarchicallo rgNaln iR
zatliI
oln a G
ll stlr uBc.tluCrlel.l M
c. ImplementlalmodelloflshareUdl gS olv eN rln alnTc el.lO
d. Promoteltheldevelopmentloflalflexiblelbenefitslpackage.
ANS:l C
Complexityltheorylsuggestslthatlsystemslinteractlandladaptlandlthatldecisionlmakingloccurslthro
ughoutlsystems,laslopposedltolbeinglheldlinlalhierarchy.lInlcomplexityltheory,leverylvoicelcoun
ts,landlthereforelallllevelsloflstafflwouldlbelinvolvedlinldecisionlmaking.lThislprinciplelislthelfo
undationloflsharedlgovernance.
TOP:l AONElcompetency:lCommunicationlandlRelationship-Building
7. Alchargelnurselonlalbusyl40-
bedlmedical/surgicallunitlislapproachedlbylalfamilylmemberlwholbeginsltolcomplainlloudlylabout
lthelqualityloflcarelhislmotherlislreceiving.lHislbehaviorlislsoldisruptivelthatlitlisloverheardlbylstaff,l
physicians,landlotherlvisitors.lThelfamilylmemberlleaveslthelunitlabruptly,landlthelnurselislleftlfeel
inglfrustrated.lWhichlbehaviorlbylthelchargelnurselbestlillustrateslrefinedlleadershiplskillslinlanle
motionallylintelligentlpractitioner?
a. Reflectltolgainlinsightlintolhowlthelsituationlcouldlbelhandledldifferentlylinlthelfutu
re.
b. Tryltol catchluplwithlthelangrylfamilylmemberltolresolvelthelconcern.
c. Discusslthelconcernlwithlthelpatientlafterlthelfamilylmemberlhaslleft.
d. Notifylnursingladministrationloflthelsituation.
ANS:l A