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CHAPTERg01:gLEADING,gMANAGING,gANDgFOLLOWING
YODER-
WISE:gLEADINGgANDgMANAGINGgINgNURSING,g7THgEDITIONg2024gLATESTgUP
DATEDgANDgGRADEDgA+
MULTIPLEgCHOICE
1. Agnursegmanagergofgag20-
bedgmedicalgunitgfindsgthatg80%gofgthegpatientsgaregoldergadults.gShegisgaskedgtogassessgandga
daptgthegunitgtogbettergmeetgtheguniquegneedsgofgthegoldergadultgpatient.gUsinggcomplexitygpri
nciples,gwhatgwouldgbegthegbestgapproachgtogtakegforgimplementationgofgthisgchange?
a. Leveragegtheghierarchicalgmanagementgpositiongtoggetgunitgstaffginvolvedgi
ngassessmentgandgplanning.
b. Engageginvolvedgstaffgatgallglevelsgingthegdecision-makinggprocess.
c. Focusgthegassessmentgongthegunitgandgomitgtheghospitalgandgcommunit
ygenvironment.
d. Hiregaggeriatricgspecialistgtogoverseegandgcontrolgthegproject.
SOLUTION:g B
Complexitygtheorygsuggestsgthatgsystemsginteractgandgadaptgandgthatgdecisiongmakinggoccur
sgthroughoutgthegsystems,gasgopposedgtogbeinggheldgingaghierarchy.gIngcomplexitygtheory,gev
erygvoicegcounts,gandgtherefore,gallglevelsgofgstaffgwouldgbeginvolvedgingdecisiongmaking.
TOP:g AONEgcompetency:gCommunicationgandgRelationship-Building
2. Agunitgmanagergofgag25-
bedgmedical/surgicalgareagreceivesgagphonegcallgfromgagnursegwhoghasgcalledgingsickgfivegtim
esgingthegpastgmonth.gHegtellsgthegmanagergthatghegverygmuchgwantsgtogcomegtogworkgwheng
scheduledgbutgmustgoftengcareNggfor
RgIghis
gGgB.C
gwife,gwhogisgundergoinggtreatment
forgbreastgcancer.gAccordinggtoUMaS slow N’sgTneedghiO
erarchygtheory,gwhatgwouldgbegthegbest
approachgtogsatisfyinggthegneedsgofgthisgnurse,gothergstaff,gandgpatients?
a. Linegupgagencygnursesgwhogcangbegcalledgingtogworkgongshortgnotice.
b. Placegthegnursegongunpaidgleavegforgthegremaindergofghisgwife’sgtreatment.
c. Sympathizegwithgthegnurse’sgdilemmagandgletgthegchargegnursegknowgthatgthisgnurs
egmaygbegcallinggingfrequentlygingthegfuture.
d. Workgwithgthegnurse,gstaffinggoffice,gandgothergnursesgtogarrangeghisgschedule
dgdaysgoffgaroundghisgwife’sgtreatments.
SOLUTION:g D
Placinggthegnursegongunpaidgleavegmaygthreatengthegnurse’sgcapacitygtogmeetgphysiologicgnee
dsgandgdemotivategthegnurse.gUnsatisfactorygcoveragegofgshiftsgongshortgnoticegcouldgaffectgpa
tientgcaregandgthreatengthegneedsgofgstaffgtogfeelgcompetent.gArranginggthegschedulegaroundgth
egwife’sgneedsgmeetsgthegneedsgofgthegstaffgandgofgpatientsgwhilegsatisfyinggthegnurse’sgneedgf
orgaffiliation.
TOP:g AONEgcompetency:gCommunicationgandgRelationship-Building
3. Aggrievancegbroughtgbygagstaffgnursegagainstgthegunitgmanagergrequiresgmediation.gAtgthegfir
stgmediationgsession,gthegstaffgnursegrepeatedlygcallsgthegunitgmanager’sgactionsgunfair,gandgt
hegunitgmanagergcontinuesgtogreiterategthegreasonsgforgthegactions.gWhatgwouldgbegthegbestgc
oursegofgactiongatgthisgtime?
a. Sendgthegtwogdisputantsgawaygtogreachgtheirgowngresolution.
b. Involveganothergstaffgnursegingthegdiscussiongforgclaritygissues.
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c. Askgeachgpartygtogexaminegtheirgowngmotivesgandgissuesgingthegconflict.
d. Continuegtoglistengasgthegpartiesgrepeatgtheirgthoughtsgandgfeelingsgaboutgt
hegconflict.
SOLUTION:g C
Forgresolutiongofgconflict,gonegshouldgaddressgtheginterestsgandginvolvementgofgparticipantsgi
ngthegconflictgbygexamininggthegrealgissuesgofgallgparties.
TOP:g AONEgcompetency:gCommunicationgandgRelationship-Building
4. Atgagsecondgnegotiationgsession,gthegunitgmanagergandgstaffgnursegaregunablegtogreach
a resolution.gWhatgisgthegappropriategnextgstep?
g g
a. Arrangeganothergmeetinggingagweek’sgtimegsogasgtogallowgagcooling-offgperiod.
b. Elevategthegnextgnegationgsessiongtogthegnextgmanager,goneglevelgabove.
c. Insistgthatgparticipantsgcontinuegtogtalkguntilgagresolutionghasgbeengreached.
d. Backgthegunitgmanager’sgactionsgandgendgthegdispute.
SOLUTION:g B
Partgofgleadershipgisgunderstandinggconflictgresolutiongandgabilitygtognegotiategandgmanagegf
orgresolutiongofgissuesgandgconcerns.gThisgsituationghasgfailedgagsecondgnegotiationgsession,ge
levationgtogagmanagergwithgadditionalgtraininggtogfacilitategconflictgresolutiongisgimportantgat
gthisgpoint.
TOP:g AONEgcompetency:gCommunicationgandgRelationship-Building
5. ThegmanagergofgagsurgicalgareaghasgagvisiongforgthegfuturegthatgrequiresgthegadditiongofgR
Ngassistantsgorgunlicensedgpersonsgtogfeed,gbathe,gandgambulategpatients.gThegRNsgongtheg
staff
havegalwaysgpracticedgingagprNimaR nI
ursiG
B
de.liC
Ugry
SggN gT
ng-
veryMsystemgandgaregverygresistantgtogthisgidea.gWhatgwouldgbegthegbestginitialgstrategygforgi
mplementationgofgthisgchange?
a. ExploringgthegvaluesgandgfeelingsgofgthegRNggroupgingrelationshipgtogthisgchange
b. LeavinggthegRNsgalonegforgagtimegsogtheygcangthinkgaboutgthegchangegbeforegitg
isgimplemented
c. Droppinggthegideagandgtryinggforgthegchangegingagyeargorgsogwhengsomegofgt
hegpresentgRNsghavegretired
d. HiringgthegassistantsgandgallowinggthegRNsgtogseegwhatggoodgadditionsgtheygare
SOLUTION:g A
Influencinggothersgrequiresgemotionalgintelligencegingdomainsgsuchgasgempathy,ghandlinggrela
tionships,gdeepeninggself-
awarenessgingselfgandgothers,gmotivatinggothers,gandgmanaginggemotions.gMotivatinggothersgr
ecognizesgthatgvaluesgaregpowerfulgforcesgthatginfluencegacceptancegofgchange.gLeavinggtheg
RNsgalonegforgagperiodgofgtimegbeforegimplementationgdoesgnotgprovidegopportunitygtogexplor
egdifferentgperspectivesgandgvalues.gAvoidinggdiscussionguntilgthegteamgchangesgmaygnotgpro
motegadoptiongofgthegchangeguntilgtheregisgopportunitygtogexploregperspectivesgandgvaluesgrel
atedgtogthegchange.gHiringgofgthegassistantsgdemonstratesglackgofgempathygforgthegperspective
sgofgthegRNgstaff.
TOP:g AONEgcompetency:gKnowledgegofgthegHealthgCaregEnvironment
.COM
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lOM oA R cP S D|
g 11 88 163 7
CHAPTERg01:gLEADING,gMANAGING,gANDgFOLLOWING
YODER-
WISE:gLEADINGgANDgMANAGINGgINgNURSING,g7THgEDITIONg2024gLATESTgUP
DATEDgANDgGRADEDgA+
MULTIPLEgCHOICE
1. Agnursegmanagergofgag20-
bedgmedicalgunitgfindsgthatg80%gofgthegpatientsgaregoldergadults.gShegisgaskedgtogassessgandga
daptgthegunitgtogbettergmeetgtheguniquegneedsgofgthegoldergadultgpatient.gUsinggcomplexitygpri
nciples,gwhatgwouldgbegthegbestgapproachgtogtakegforgimplementationgofgthisgchange?
a. Leveragegtheghierarchicalgmanagementgpositiongtoggetgunitgstaffginvolvedgi
ngassessmentgandgplanning.
b. Engageginvolvedgstaffgatgallglevelsgingthegdecision-makinggprocess.
c. Focusgthegassessmentgongthegunitgandgomitgtheghospitalgandgcommunit
ygenvironment.
d. Hiregaggeriatricgspecialistgtogoverseegandgcontrolgthegproject.
SOLUTION:g B
Complexitygtheorygsuggestsgthatgsystemsginteractgandgadaptgandgthatgdecisiongmakinggoccur
sgthroughoutgthegsystems,gasgopposedgtogbeinggheldgingaghierarchy.gIngcomplexitygtheory,gev
erygvoicegcounts,gandgtherefore,gallglevelsgofgstaffgwouldgbeginvolvedgingdecisiongmaking.
TOP:g AONEgcompetency:gCommunicationgandgRelationship-Building
2. Agunitgmanagergofgag25-
bedgmedical/surgicalgareagreceivesgagphonegcallgfromgagnursegwhoghasgcalledgingsickgfivegtim
esgingthegpastgmonth.gHegtellsgthegmanagergthatghegverygmuchgwantsgtogcomegtogworkgwheng
scheduledgbutgmustgoftengcareNggfor
RgIghis
gGgB.C
gwife,gwhogisgundergoinggtreatment
forgbreastgcancer.gAccordinggtoUMaS slow N’sgTneedghiO
erarchygtheory,gwhatgwouldgbegthegbest
approachgtogsatisfyinggthegneedsgofgthisgnurse,gothergstaff,gandgpatients?
a. Linegupgagencygnursesgwhogcangbegcalledgingtogworkgongshortgnotice.
b. Placegthegnursegongunpaidgleavegforgthegremaindergofghisgwife’sgtreatment.
c. Sympathizegwithgthegnurse’sgdilemmagandgletgthegchargegnursegknowgthatgthisgnurs
egmaygbegcallinggingfrequentlygingthegfuture.
d. Workgwithgthegnurse,gstaffinggoffice,gandgothergnursesgtogarrangeghisgschedule
dgdaysgoffgaroundghisgwife’sgtreatments.
SOLUTION:g D
Placinggthegnursegongunpaidgleavegmaygthreatengthegnurse’sgcapacitygtogmeetgphysiologicgnee
dsgandgdemotivategthegnurse.gUnsatisfactorygcoveragegofgshiftsgongshortgnoticegcouldgaffectgpa
tientgcaregandgthreatengthegneedsgofgstaffgtogfeelgcompetent.gArranginggthegschedulegaroundgth
egwife’sgneedsgmeetsgthegneedsgofgthegstaffgandgofgpatientsgwhilegsatisfyinggthegnurse’sgneedgf
orgaffiliation.
TOP:g AONEgcompetency:gCommunicationgandgRelationship-Building
3. Aggrievancegbroughtgbygagstaffgnursegagainstgthegunitgmanagergrequiresgmediation.gAtgthegfir
stgmediationgsession,gthegstaffgnursegrepeatedlygcallsgthegunitgmanager’sgactionsgunfair,gandgt
hegunitgmanagergcontinuesgtogreiterategthegreasonsgforgthegactions.gWhatgwouldgbegthegbestgc
oursegofgactiongatgthisgtime?
a. Sendgthegtwogdisputantsgawaygtogreachgtheirgowngresolution.
b. Involveganothergstaffgnursegingthegdiscussiongforgclaritygissues.
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c. Askgeachgpartygtogexaminegtheirgowngmotivesgandgissuesgingthegconflict.
d. Continuegtoglistengasgthegpartiesgrepeatgtheirgthoughtsgandgfeelingsgaboutgt
hegconflict.
SOLUTION:g C
Forgresolutiongofgconflict,gonegshouldgaddressgtheginterestsgandginvolvementgofgparticipantsgi
ngthegconflictgbygexamininggthegrealgissuesgofgallgparties.
TOP:g AONEgcompetency:gCommunicationgandgRelationship-Building
4. Atgagsecondgnegotiationgsession,gthegunitgmanagergandgstaffgnursegaregunablegtogreach
a resolution.gWhatgisgthegappropriategnextgstep?
g g
a. Arrangeganothergmeetinggingagweek’sgtimegsogasgtogallowgagcooling-offgperiod.
b. Elevategthegnextgnegationgsessiongtogthegnextgmanager,goneglevelgabove.
c. Insistgthatgparticipantsgcontinuegtogtalkguntilgagresolutionghasgbeengreached.
d. Backgthegunitgmanager’sgactionsgandgendgthegdispute.
SOLUTION:g B
Partgofgleadershipgisgunderstandinggconflictgresolutiongandgabilitygtognegotiategandgmanagegf
orgresolutiongofgissuesgandgconcerns.gThisgsituationghasgfailedgagsecondgnegotiationgsession,ge
levationgtogagmanagergwithgadditionalgtraininggtogfacilitategconflictgresolutiongisgimportantgat
gthisgpoint.
TOP:g AONEgcompetency:gCommunicationgandgRelationship-Building
5. ThegmanagergofgagsurgicalgareaghasgagvisiongforgthegfuturegthatgrequiresgthegadditiongofgR
Ngassistantsgorgunlicensedgpersonsgtogfeed,gbathe,gandgambulategpatients.gThegRNsgongtheg
staff
havegalwaysgpracticedgingagprNimaR nI
ursiG
B
de.liC
Ugry
SggN gT
ng-
veryMsystemgandgaregverygresistantgtogthisgidea.gWhatgwouldgbegthegbestginitialgstrategygforgi
mplementationgofgthisgchange?
a. ExploringgthegvaluesgandgfeelingsgofgthegRNggroupgingrelationshipgtogthisgchange
b. LeavinggthegRNsgalonegforgagtimegsogtheygcangthinkgaboutgthegchangegbeforegitg
isgimplemented
c. Droppinggthegideagandgtryinggforgthegchangegingagyeargorgsogwhengsomegofgt
hegpresentgRNsghavegretired
d. HiringgthegassistantsgandgallowinggthegRNsgtogseegwhatggoodgadditionsgtheygare
SOLUTION:g A
Influencinggothersgrequiresgemotionalgintelligencegingdomainsgsuchgasgempathy,ghandlinggrela
tionships,gdeepeninggself-
awarenessgingselfgandgothers,gmotivatinggothers,gandgmanaginggemotions.gMotivatinggothersgr
ecognizesgthatgvaluesgaregpowerfulgforcesgthatginfluencegacceptancegofgchange.gLeavinggtheg
RNsgalonegforgagperiodgofgtimegbeforegimplementationgdoesgnotgprovidegopportunitygtogexplor
egdifferentgperspectivesgandgvalues.gAvoidinggdiscussionguntilgthegteamgchangesgmaygnotgpro
motegadoptiongofgthegchangeguntilgtheregisgopportunitygtogexploregperspectivesgandgvaluesgrel
atedgtogthegchange.gHiringgofgthegassistantsgdemonstratesglackgofgempathygforgthegperspective
sgofgthegRNgstaff.
TOP:g AONEgcompetency:gKnowledgegofgthegHealthgCaregEnvironment
.COM
, g
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y: yc:t s |g | sk y tt .
