Test Bank for Leading and Managing in Nursing, 8th Edition (Yoder-Wise, 2024) Chapter 1-25 | All Chapters

Test Bank for Leading and Managing in
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Nursing 8th Edition by Yoder Wise (
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chapters 1-30) complete.
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Chapter 01: Leading, Managing, and Following
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,Leading and Managing in Nursing 7th Edition Yoder-Wise Test Bank
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Yoder-Wise: Leading and Managing in Nursing, 8th Edition
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MULTIPLE CHOICE v




A nurse manager of a 20-bed medical unit finds that 80% of the patients are older
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adults. She is asked to assess and adapt the unit to better meet the unique needs of
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the older adult patient. Using complexity principles, what would be the best
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approach to take for implementation of this change?
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a. Leverage the hierarchical management position to get unit staff involved in
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assessment and planning.
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b. Engage involved staff at all levels in the decision-making process.
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c. Focus the assessment on the unit and omit the hospital and community environment.
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d. Hire a geriatric specialist to oversee and control the project.
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ANS: B v


Complexity theory suggests that systems interact and adapt and that decision making occurs
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throughout the systems, as opposed to being held in a hierarchy. In complexity theory, every
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voice counts, and therefore, all levels of staff would be involved in decision making.
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TOP: AONE competency: Communication and Relationship-Building
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2. A unit manager of a 25-bed medical/surgical area receives a phone call from a nurse
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who has called in sick five times in the past month. He tells the manager that he very
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much wants to
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come to work when scheduled but must often care for his wife, who is undergoing trefor
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breast cancer. According to Maslow‘s need hierarchy theory, what would be the best
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NURSINGTB.COMatment approach to satisfying the needs of this nurse, other staff, v v v v v v v v v v v




and patients?
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a. Line up agency nurses who can be called in to work on short notice.
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b. Place the nurse on unpaid leave for the remainder of his wife‘s treatment.
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c. Sympathize with the nurse‘s dilemma and let the charge nurse know that this nurse v v v v v v v v v v v v v


v may be calling in frequently in the future.
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d. Work with the nurse, staffing office, and other nurses to arrange his scheduled days off
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v around his wife‘s treatments. v v v




ANS: D v


Placing the nurse on unpaid leave may threaten the nurse‘s capacity to meet physiologic
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needs and demotivate the nurse. Unsatisfactory coverage of shifts on short notice could affect
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patient care and threaten the needs of staff to feel competent. Arranging the schedule around
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the wife‘s needs meets the needs of the staff and of patients while satisfying the nurse‘s need
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for affiliation.
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TOP: AONE competency: Communication and Relationship-Building
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,Leading and Managing in Nursing 7th Edition Yoder-Wise Test Bank
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Stuvia.com v- vThe vMarketplace vto vBuy vand vSell vyour vStudy vMaterial
A grievance brought by a staff nurse against the unit manager requires mediation. At
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the first mediation session, the staff nurse repeatedly calls the unit manager‘s actions
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unfair, and the unit manager continues to reiterate the reasons for the actions. What
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would be the best course of action at this time?
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a. Send the two disputants away to reach their own resolution.
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b. Involve another staff nurse in the discussion for clarity issues.
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c. Ask each party to examine their own motives and issues in the conflict.
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d. Continue to listen as the parties repeat their thoughts and feelings about the conflict.
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ANS: C v


For resolution of conflict, one should address the interests and involvement of participants in
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the conflict by examining the real issues of all parties.
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TOP: AONE competency: Communication and Relationship-Building
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4.At a second negotiation session, the unit manager and staff nurse are unable to reach
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a resolution. What is the appropriate next step?
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a. Arrange another meeting in a week‘s time so as to allow a cooling-off period.
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b. Elevate the next negation session to the next manager, one level above.
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c. Insist that participants continue to talk until a resolution has been reached.
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d. Back the unit manager‘s actions and end the dispute.
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ANS: B v


Part of leadership is understanding conflict resolution and ability to negotiate and manage for
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resolution of issues and concerns. This situation has failed a second negotiation session,
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elevation to a manager with additional training to facilitate conflict resolution is important at
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this point.
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TOP: AONE competency: Communication and Relationship-Building
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5. The manager of a surgical area has a vision for the future that requires the addition
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of RN assistants or unlicensed persons to feed, bathe, and ambulate patients. The
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RNs on the staff
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have always practiced in a primary nursingWhat would be the best initial strategy for
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implementation of this change? NURSINGT-Bdelivery system and are very resistant to
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vthis idea. .COM
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a. Exploring the values and feelings of the RN group in relationship to this change
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b. Leaving the RNs alone for a time so they can think about the change before it is
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implemented
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c. Dropping the idea and trying for the change in a year or so when some of the present RNs
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have retired
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d. Hiring the assistants and allowing the RNs to see what good additions they are
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ANS: A v




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, Leading and Managing in Nursing 7th Edition Yoder-Wise Test Bank
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Influencing others requires emotional intelligence in domains such as empathy, handling
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relationships, deepening self-awareness in self and others, motivating others, and managing
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emotions. Motivating others recognizes that values are powerful forces that influence
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acceptance of change. Leaving the RNs alone for a period of time before implementation does
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not provide opportunity to explore different perspectives and values. Avoiding discussion
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until the team changes may not promote adoption of the change until there is opportunity to
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explore perspectives and values related to the change. Hiring of the assistants demonstrates
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lack of empathy for the perspectives of the RN staff.
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TOP: AONE competency: Knowledge of the Health Care Environment
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