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TEST BANK LEADING AND MANAGING IN NURSING 7TH EDITION YODER-WISE

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TEST BANK LEADING AND MANAGING IN NURSING 7TH EDITION YODER-WISE

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LeadingnandnManagingninnNursingn6thnEditionnYoder-WisenTestnBank



Chapter 01: Leading, Managing, and Following
n n n n n


Yoder-Wise: Leading and Managing in Nursing, 6th Edition
n n n n n n n




MULTIPLEnCHOICE

1. Annursenmanagernofnan20-
bednmedicalnunitnfindsnthatn80%nofnthenpatientsnarenoldernadults.nShenisnaskedntonassessnandnadaptnt
henunitntonbetternmeetnthenuniquenneedsnofnthenoldernadultnpatient.nUsingncomplexitynprinciples,nw
hatnwouldnbenthenbestnapproachntontakeninnmakingnthisnchange?
a. Leveragenthenhierarchicalnmanagementnpositionntongetnunitnstaffninvolvedninnassessmentnandnp
lanning.
b. Engageninvolvednstaffnatnallnlevelsninnthendecision-makingnprocess.
c. Focusnthenassessmentnonnthenunit,nandnomitnthenhospitalnandncommunitynenvironment.
d. Hirenangeriatricnspecialistntonoverseenandncontrolnthenproject.


ANS:nB
Complexityntheorynsuggestsnthatnsystemsninteractnandnadaptnandnthatndecisionnmakingnoccursnt
hroughoutnthensystems,nasnopposedntonbeingnheldninnanhierarchy.nInncomplexityntheory,neverynv
oicencounts,nandntherefore,nallnlevelsnofnstaffnwouldnbeninvolvedninndecisionnmaking.

REF:nPagen8 TOP:nAONEncompetency:nCommunicationnandnRelationship-Building

2. Anunitnmanagernofnan25-
bednmedical/surgicalnareanreceivesnanphonencallnfromnannursenwhonhasncalledninnsicknfiventimesninnth
enpastnmonth.nHentellsnthenmanagernthatnhenverynmuchnwantsntoncomentonworknwhennschedulednbutnm
ustnoftenncarenfornhisnwife,nwhonisnundergoingntreatment

fornbreastncancer.nAccordingntonMaslow’snneednhierarchyntheory,nwhatnwouldnbenthenbestnapproachntosn
atisfyingnthenneedsnofnthisnnurse,nothernstaff,nandnpatients?
a. Linenupnagencynnursesnwhoncannbencalledninntonworknonnshortnnotice.
b. Placenthennursenonnunpaidnleavenfornthenremaindernofnhisnwife’sntreatment.
c. Sympathizenwithnthennurse’sndilemmanandnletnthenchargennursenknownthatnthisnnursenmaynbenc
allingninnfrequentlyninnthenfuture.
d. Worknwithnthennurse,nstaffingnoffice,nandnothernnursesntonarrangenhisnscheduledndaysnoffna
roundnhisnwife’sntreatments.



ANS:nD
Placingnthennursenonnunpaidnleavenmaynthreatennthennurse’sncapacityntonmeetnphysiologicnneedsna
ndndemotivatenthennurse.nUnsatisfactoryncoveragen ofnshiftsnonnshortnnoticencouldnaffectnpatientnc
arenandnthreatennthenneedsnofnstaffntonfeelncompetent.nArrangingnthenschedulenaroundnthenwife’sn
needsnmeetsnthenneedsnofnthenstaffnandnofnpatientsnwhilensatisfyingnthennurse’snneednfornaffiliatio
n.




NURSINGTB.COM

, LeadingnandnManagingninnNursingn6thnEditionnYoder-WisenTestnBank

REF:nPagen10 TOP:nAONEncompetency:nCommunicationnandnRelationship-Building

3. Angrievancenbroughtnbynanstaffnnursenagainstnthenunitnmanagernrequiresnmediation.nAtnthenfirstnme
diationnsession,nthenstaffnnursenrepeatedlyncallsnthenunitnmanager’snactionsnunfair,nandnthenunitnman
agerncontinuesntonreiteratenthenreasonsnfornhernactions.nWhatnwouldnbenthenbestncoursenofnactionnatn
thisntime?
a. Sendnthentwondisputantsnawayntonreachntheirnownnresolution.
b. Involvenanothernstaffnnurseninnthendiscussionnsonasntonclarifynissues.
c. Askneachnpartyntonexaminenhernownnmotivesnandnissuesninnthenconflict.
d. Continuentonlistennasnthenpartiesnrepeatntheirnthoughtsnandnfeelingsnaboutnthenconflict.



ANS:nC
Ury,nBrett,nandnGoldbergnoutlinenstepsntonrestoringnunity,nthenfirstnofnwhichnisntonaddressntheni
nterestsnandninvolvementnofnparticipantsninnthenconflictnbynexaminingnthenrealnissuesnofnallnpa
rties.

REF:nPagen16 TOP:nAONEncompetency:nCommunicationnandnRelationship-Building

4. Atnansecondnnegotiationnsession,nthenunitnmanagernandnstaffnnursenarenunablentonreachnanresolution.nIt
n wouldnnownbenbestnto:
a. Arrangenanothernmeetingninnanweek’sntimensonasntonallownancooling-offnperiod.
b. Turnnthendisputenoverntonthendirectornofnnursing.
c. Insistnthatnparticipantsncontinuentontalknuntilnanresolutionnhasnbeennreached.
d. Backnthenunitnmanager’snactionsnandnendnthendispute.



ANS:nB
AccordingntonthenprinciplesnoutlinednbynUry,nBrett,nandnGoldberg,nan“cooling-
off”nperiodnisnrecommendednifnresolutionnfails.

REF:nPagen16 TOP:nAONEncompetency:nCommunicationnandnRelationship-Building

5. ThenmanagernofnansurgicalnareanhasnanvisionnfornthenfuturenthatnrequiresnthenadditionnofnRNnassis
tantsnornunlicensednpersonsntonfeed,nbathe,nandnwalknpatients.nThenRNsnonnthenstaffnhavenalways
npracticedninnanprimarynnursing–

deliverynsystemnandnarenverynresistantntonthisnidea.nThenbestninitialnstrategyninnthisnsituationnwou
ldninclude:
a. ExploringnthenvaluesnandnfeelingsnofnthenRNngroupninnrelationshipntonthisnchange.
b. LeavingnthenRNsnalonenfornantimensontheyncannthinknaboutnthenchangenbeforenitnisni
mplemented.
c. Droppingnthenideanandntryingnfornthenchangeninnan yearnornsonwhennsomenofnthenpresentnRNsnh
avenretired.
d. HiringnthenassistantsnandnallowingnthenRNsntonseenwhatngoodnadditionsntheynare.




NURSINGTB.COM

, LeadingnandnManagingninnNursingn6thnEditionnYoder-WisenTestnBank

ANS:nA
Influencingnothersnrequiresnemotionalnintelligenceninndomainsnsuchnasnempathy,nhandlingnrelati
onships,ndeepeningnself-
awarenessninnselfnandnothers,nmotivatingnothers,nandnmanagingnemotions.nMotivatingnothersnrec
ognizesnthatnvaluesnarenpowerfulnforcesnthatninfluencenacceptancenofnchange.nLeavingnthenRNsna
lonenfornanperiodnofntimenbeforenimplementationndoesnnotnprovidenopportunityntonexplorendiffere
ntnperspectivesnandnvalues.nAvoidingndiscussionnuntilnthenteamnchangesnmaynnotnpromotenadopti
onnofnthenchangenuntilntherenisnopportunityntonexplorenperspectivesnandnvaluesnrelatedntonthencha
nge.nHiringnofnthenassistantsndemonstratesnlacknofnempathynfornthenperspectivesnofnthenRNnstaff.

REF:nPagen7n|nPagen15
TOP:nAONEncompetency:nKnowledgenofnthenHealthnCarenEnvironment

6. AsnthenRNnchargennursenonnthennightnshiftninnansmallnlong-
termncarenfacility,nyou’venfoundnthatntherenisnlittlenturnovernamongnyournLPNnandnnursingnassista
ntn(NA)nstaffnmembers,nbutntheynarennotnverynmotivatedntongonbeyondntheirnjobndescriptionsninnthe
irnwork.nWhichnofnthenfollowingnstrategiesnmightnmotivatenthenstaffnandnleadntongreaternjobnsatisf
action?
a. AsknthendirectornofnnursingntonoffernhighernwagesnandnbonusesnfornextranworknfornthennightnL
PNsnandnNAs.
b. AllownthenLPNsnandnNAsngreaterndecision-
makingnpowernwithinnthenscopenofntheirnpositionsninntheninstitution.
c. Hirenadditionalnstaffnsonthatntherenarenmorenstaffnavailablenfornenhancedncarenandnindividualn
workloadsnarenlessened.
d. Asknthendirectornofnnursingntonincreasenjobnsecuritynfornnightnstaffnbynhavingnthemnsignnc
ontractsnthatnguaranteenwork.



ANS:nB
Hygienenfactorsnsuchnasnsalary,nworkingnconditions,nandnsecuritynarenconsistentnwithnHerzberg’sn
two-
factorntheorynofnmotivation;nmeetingnthesenneedsnavoidsnjobndissatisfaction.nMotivatornfactorsnsu
chnasnrecognitionnandnsatisfactionnwithnworknpromotenansatisfyingnandnenrichednworknenvironme
nt.nTransformationalnleadersnusenmotivatornfactorsnliberallyntoninspirenworknperformancenandninc
reasenjobnsatisfaction.

REF:nPagen9n|nPagen10
TOP:nAONEncompetency:nCommunicationnandnRelationship-Building

7. Asnthennursenmanagernwhonwantsntonincreasenmotivationnbynprovidingnmotivatingnfactors,nwhichna
ctionnwouldnyounselect?
a. Collaboratenwithnthenhumannresource/personnelndepartmentntondevelopnon-
sitendaycarenservices.
b. Providenanhierarchicalnorganizationalnstructure.
c. Implementnanmodelnofnsharedngovernance.
d. Promotenthendevelopmentnofnanflexiblenbenefitsnpackage.




NURSINGTB.COM

, LeadingnandnManagingninnNursingn6thnEditionnYoder-WisenTestnBank

ANS:nC
Complexityntheorynsuggestsnthatnsystemsninteractnandnadaptnandnthatndecisionnmakingnoccursnt
hroughoutnsystems,nasnopposedntonbeingnheldninnanhierarchy.nInncomplexityntheory,neverynvoic
encounts,nandnthereforenallnlevelsnofnstaffnwouldnbeninvolvedninndecisionnmaking.nThisnprincipl
enisnthenfoundationnofnsharedngovernance.

REF:nPagesn8-11 TOP:nAONEncompetency:nCommunicationnandnRelationship-Building

8. Anchargennursenonnanbusyn40-
bednmedical/surgicalnunitnisnapproachednbynanfamilynmembernwhonbeginsntoncomplainnloudlynabo
utnthenqualitynofncarenhisnmothernisnreceiving.nHisnbehaviornisnsondisruptiventhatnitnisnoverheardnbyns
taff,nphysicians,nandnothernvisitors.nThenfamilynmembernrejectsnanynattemptntonintervenentherapeuti
callyntonresolventhenissue.nHenleavesnthenunitnabruptly,nandnthennursenisnleftnfeelingnfrustrated.nWhic
hnbehaviornbynthenchargennursenbestnillustratesnrefinednleadershipnskillsninnannemotionallynintellige
ntnpractitioner?
a. Reflectntongainninsightnintonhownthensituationncouldnbenhandledndifferentlyninnthenfuture.
b. Tryntoncatchnupnwithnthenangrynfamilynmemberntonresolventhenconcern.
c. Discussnthenconcernnwithnthenpatientnafternthenfamilynmembernhasnleft.
d. Notifynnursingnadministrationnofnthensituation.



ANS:nA
Golemannsuggestsnthatnemotionalnintelligenceninvolvesninsightnandnbeingnablentonstepnoutsideno
fnthensituationntonenvisionnthencontextnofnwhatnisnhappeningnasnwellnasnbeingnablentonmanagenem
otionsnsuchnasnfrustrationneffectively.

REF:nPagen7n|nPagen8 TOP:nAONEncompetency:nLeadership

9. Thenchiefnnursingnofficernhasnaskednthenstaffndevelopmentncoordinatorntonfacilitatenthendevelo
pmentnofnanclinicalncompetencynprogramnfornthenfacility.nWhilenmakingnroundsnonnthenunits,nth
enstaffndevelopmentncoordinatornoverhearsnRNnstaffncomplainingnthatntheynfeelnitnisninsultingnt
onbenrequiredntonparticipateninnancompetencynprogram.nWhichnbehaviornbynthenstaffndevelopme
ntncoordinatornisnmostnappropriateninnthisnsituation?
a. Disregardnstaffnconcernsnandncontinuenwithndevelopmentnofnthenprogram.
b. InformnthennursesnthatnthisnprogramnisnanrequirementnfornJCAHOnaccreditation.
c. Schedulenanmeetingnwithnthenchiefnnursenexecutiventonapprisenhernofnthensituation.
d. Facilitatenanmeetingnsonnursesncannarticulatentheirnvaluesnandnconcernsnaboutnancompetencynp
rogram.



ANS:nD
Thenmanagernroleninvolvesnguidingnothersnthroughnansetnofnderivednpracticesnthatnarenevidence-
nbasednandnknownntonsatisfynpreestablishednoutcomesnsuchnasnparticipationninnancompetencynprog

ram.nThisninvolvesnengagementnofnstaffnthroughnsharingnofnconcernsnandnideas.nAnclosenanalysis
nofnthenIOMnreportnandnthensummarynofnthenPPACAnsuggestsnthatnnonhealthnreformncannunfoldnwi

thoutnactivennursingnengagement.nEachndocumentnemphasizesnthatnnursesnmustnlead,




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