Test Bank for Leading and Managing
inNursing 7th Edition by Yoder Wise (
chapters 1-30) complete.
Chapter 01: Leading, Managing, and Following
s s s s s s s s s s
,Leading and Managing in Nursing 7th Edition Yoder-Wise
s s s s s s s s s s s s s s
Yoder-Wise:
Test Leading and Managing in Nursing, 7th Edition
s s s s s s s s s s s s s s
MULTIPLE CHOICE s s
1. A nurse manager of a 20-bed medical unit finds that 80% of the
s s s s s s s s s s s s s s s s s s s s s s s s
patients are olderadults. She is asked to assess and adapt the unit
s s s s ss s s s s s s s s s s s s s s s s s s
to better meet the unique needs ofthe older adult patient. Using
s s s s s s s s ss s s s s s s s s s s s s
complexity principles, what would be the best approach to take for
s s s s s s ss s s s s s s s s s s s s s s
implementation of this change?
s s s s s s s s
a. Leverage the hierarchical management position to get unit
ss s s s s s s s s s s s s
staff involved inassessment and planning.
s s ss s s s s s s
b. Engage involved staff at all levels in the decision-making process.
s s s s s s s s s s s s s s s s s s
c. Focus the assessment on the unit and omit the hospital and community
s s s s s s s s s s s s s s s s s s s s s s
environment.
s s
d. Hire a geriatric specialist to oversee and control the project.
s s s s s s s s s s s s s s s s s s
ANS: B s s
Complexity theory suggests that systems interact and adapt and that decision
ss s s s s s s s s s s s s s s s s s s
making occurs throughout the systems, as opposed to being held in a hierarchy. In
s s ss ss ss ss ss ss ss ss ss ss ss ss ss
complexity theory, every voice counts, and therefore, all levels of staff would
ss ss s s ss s s s s s s s s s s s s s s s s
be involved in decision making.
s s s s s s ss s s
TOP: AONE competency: Communication and Relationship-Building
s s s s s s ss s s
2. A unit manager of a 25-bed medical/surgical area receives a phone call
ss s s s s s s s s s s s s s s s s ss s s
from a nurse who has called in sick five times in the past month.
s s s s ss s s s s s s s s s s s s s s s s s s s s s s
He tells the manager that he verymuch wants to
s s s s s s s s s s s s s s s s s s
come to work when scheduled but must often care for his wife, who is
s s s s s s s s s s s s s s s s s s s s s s s s s s
s s undergoing treforbreast cancer. According to Maslow‘s need hierarchy theory,
ss s s s s s s s s s s s s ss
s s what would be the best s s s s ss ss
NURSINGTB.COM atment d s s approach to satisfying the needs of this nurse, other s s s s ss s s s s s s s s s s
s s staff,
and patients? s s
a. Line up agency nurses who can be called in to work on short notice.
s s s s ss s s s s s s s s s s s s s s s s s s s s
b. Place the nurse on unpaid leave for the remainder of his wife‘s treatment.
s s s s s s s s s s s s s s s s s s s s s s s s
c. Sympathize with the nurse‘s dilemma and let the charge nurse know s s s s s s s s s s s s s s s s s s s s
that this nursemay be calling in frequently in the future.
s s s s ss ss s s s s s s ss s s s s
d. Work with the nurse, staffing office, and other nurses to arrange his
s s s s s s s s ss s s s s s s s s s s s s
scheduled days offaround his wife‘s treatments.
s s ss s s s s s s s s
ANS: D s s
Placing the nurse on unpaid leave may threaten the nurse‘s capacity to meet
s s s s s s s s s s s s s s s s s s s s s s s s
physiologic needs and demotivate the nurse. Unsatisfactory coverage of shifts
s s ss s s s s s s s s s s s s s s s s
on short notice could affect patient care and threaten the needs of staff to
s s s s s s s s ss dd s s s s s s s s s s s s s s s s
feel competent. Arranging the schedule around the wife‘s needs meets the
s s s s s s s s ss s s s s s s s s s s s s
needs of the staff and of patients while satisfying the nurse‘s need for
s s s s s s s s s s s s s s s s ss s s s s s s s s
affiliation.
s s
NURSINGTB.COM
,Leading and Managing in Nursing 7th Edition Yoder-Wise
s s s s s s s s s s s s s s
Test TOP: AONE competency: Communication and Relationship-Building
s s s s s s ss s s
NURSINGTB.COM
, Leading and Managing in Nursing 7th Edition Yoder-Wise
s s s s s s s s s s s s s s
Test Stuvia.com - The Marketplace to Buy and Sell your Study Material
s s s s s s s s s s s s s s s s s s s s
3. A grievance brought by a staff nurse against the unit manager
s s s s s s s s s s s s s s s s s s s s
requires mediation. Atthe first mediation session, the staff nurse
s s ss s s s s s s s s s s s s s s
repeatedly calls the unit manager‘s actions unfair, and the unit
s s s s s s ss s s s s dd s s s s s s
manager continues to reiterate the reasons for the actions. What
s s s s s s s s s s ss s s s s s s s s
would be the best course of action at this time?
s s s s s s s s s s s s s s s s s s s s
a. Send the two disputants away to reach their own resolution.
s s s s s s s s ss s s s s s s s s
b. Involve another staff nurse in the discussion for clarity issues.
s s s s s s s s s s s s s s s s ss
c. Ask each party to examine their own motives and issues in the conflict.
s s s s ss s s s s s s s s s s s s s s s s s s
d. Continue to listen as the parties repeat their thoughts and feelings about the
s s s s s s s s s s s s s s s s s s s s s s s s
conflict.
s s
ANS: C s s
For resolution of conflict, one should address the interests and involvement
s s s s s s s s s s s s s s s s s s s s
of participants in the conflict by examining the real issues of all parties.
s s ss s s dd s s s s ss s s s s s s s s s s s s
TOP: AONE competency: Communication and Relationship-Building
s s s s s s ss s s
4. At a second negotiation session, the unit s s s s s s s s s s s s s s manager and staff nurse are s s s s s s s s
unable to reacha resolution. What is the
s s s s ss s s s s s s s s s s appropriate next step? s s s s
a. Arrange another meeting in a week‘s time so s s s s s s s s s s s s s s s s as to allow a cooling-off period.
s s s s s s s s s s
b. Elevate the next negation session to the next s s s s s s s s s s s s s s s s manager, one level above. s s s s s s
c. Insist that participants continue to talk until a
s s s s s s s s s s s s s s s s resolution has been reached. s s s s s s
d. Back the unit manager‘s actions and end the
s s s s s s s s s s s s s s s s dispute.
ANS: B s s
Part of leadership is understanding conflict resolution and ability to negotiate
s s s s s s s s s s s s s s s s s s s s
and manage forresolution of issues and concerns. This situation has failed a
s s ss s s s s s s s s s s s s s s s s s s s s
second negotiation session, elevation to a manager with additional training to
s s ss s s s s s s s s s s s s s s s s s s
facilitate conflict resolution is important at this point.
s s s s ss s s s s s s dd s s
TOP: AONE competency: Communication and Relationship-Building
s s s s s s ss s s
5. The manager of a surgical area has a vision for the future that
s s s s s s s s s s s s s s s s s s s s s s s s
requires the addition of RN assistants or unlicensed persons to feed,
s s s s ss dd s s s s s s s s s s s s s s
bathe, and ambulate patients. The RNs on the staff
s s s s s s ss s s s s s s s s s s
have always practiced in a primary nursingWhat would be the best initial
s s s s s s s s s s s s s s s s s s s s s s
strategy for implementation of this change? NURSINGT-Bdelivery system
s s s s ss s s s s s s s s s s
s s and are very resistant to this idea.
s s s s ss s s dd s s s s .COM
a. Exploring the values and feelings of the RN group in relationship to this
ss s s s s s s s s s s s s s s s s s s s s s s
change
s s
b. Leaving the RNs alone for a time so they can think about s s s s s s s s s s s s s s s s s s s s s s
the change before it is implemented
s s s s ss s s s s dd
c. Dropping the idea and trying for the change in a year or so when s s s s s s s s s s s s s s s s s s s s s s s s s s
some of the present RNs have retired
s s s s s s ss s s dd s s
d. Hiring the assistants and allowing the RNs to see what good additions they are
s s s s s s s s s s s s s s s s s s s s s s s s s s
ANS: A s s
NURSINGTB.COM
inNursing 7th Edition by Yoder Wise (
chapters 1-30) complete.
Chapter 01: Leading, Managing, and Following
s s s s s s s s s s
,Leading and Managing in Nursing 7th Edition Yoder-Wise
s s s s s s s s s s s s s s
Yoder-Wise:
Test Leading and Managing in Nursing, 7th Edition
s s s s s s s s s s s s s s
MULTIPLE CHOICE s s
1. A nurse manager of a 20-bed medical unit finds that 80% of the
s s s s s s s s s s s s s s s s s s s s s s s s
patients are olderadults. She is asked to assess and adapt the unit
s s s s ss s s s s s s s s s s s s s s s s s s
to better meet the unique needs ofthe older adult patient. Using
s s s s s s s s ss s s s s s s s s s s s s
complexity principles, what would be the best approach to take for
s s s s s s ss s s s s s s s s s s s s s s
implementation of this change?
s s s s s s s s
a. Leverage the hierarchical management position to get unit
ss s s s s s s s s s s s s
staff involved inassessment and planning.
s s ss s s s s s s
b. Engage involved staff at all levels in the decision-making process.
s s s s s s s s s s s s s s s s s s
c. Focus the assessment on the unit and omit the hospital and community
s s s s s s s s s s s s s s s s s s s s s s
environment.
s s
d. Hire a geriatric specialist to oversee and control the project.
s s s s s s s s s s s s s s s s s s
ANS: B s s
Complexity theory suggests that systems interact and adapt and that decision
ss s s s s s s s s s s s s s s s s s s
making occurs throughout the systems, as opposed to being held in a hierarchy. In
s s ss ss ss ss ss ss ss ss ss ss ss ss ss
complexity theory, every voice counts, and therefore, all levels of staff would
ss ss s s ss s s s s s s s s s s s s s s s s
be involved in decision making.
s s s s s s ss s s
TOP: AONE competency: Communication and Relationship-Building
s s s s s s ss s s
2. A unit manager of a 25-bed medical/surgical area receives a phone call
ss s s s s s s s s s s s s s s s s ss s s
from a nurse who has called in sick five times in the past month.
s s s s ss s s s s s s s s s s s s s s s s s s s s s s
He tells the manager that he verymuch wants to
s s s s s s s s s s s s s s s s s s
come to work when scheduled but must often care for his wife, who is
s s s s s s s s s s s s s s s s s s s s s s s s s s
s s undergoing treforbreast cancer. According to Maslow‘s need hierarchy theory,
ss s s s s s s s s s s s s ss
s s what would be the best s s s s ss ss
NURSINGTB.COM atment d s s approach to satisfying the needs of this nurse, other s s s s ss s s s s s s s s s s
s s staff,
and patients? s s
a. Line up agency nurses who can be called in to work on short notice.
s s s s ss s s s s s s s s s s s s s s s s s s s s
b. Place the nurse on unpaid leave for the remainder of his wife‘s treatment.
s s s s s s s s s s s s s s s s s s s s s s s s
c. Sympathize with the nurse‘s dilemma and let the charge nurse know s s s s s s s s s s s s s s s s s s s s
that this nursemay be calling in frequently in the future.
s s s s ss ss s s s s s s ss s s s s
d. Work with the nurse, staffing office, and other nurses to arrange his
s s s s s s s s ss s s s s s s s s s s s s
scheduled days offaround his wife‘s treatments.
s s ss s s s s s s s s
ANS: D s s
Placing the nurse on unpaid leave may threaten the nurse‘s capacity to meet
s s s s s s s s s s s s s s s s s s s s s s s s
physiologic needs and demotivate the nurse. Unsatisfactory coverage of shifts
s s ss s s s s s s s s s s s s s s s s
on short notice could affect patient care and threaten the needs of staff to
s s s s s s s s ss dd s s s s s s s s s s s s s s s s
feel competent. Arranging the schedule around the wife‘s needs meets the
s s s s s s s s ss s s s s s s s s s s s s
needs of the staff and of patients while satisfying the nurse‘s need for
s s s s s s s s s s s s s s s s ss s s s s s s s s
affiliation.
s s
NURSINGTB.COM
,Leading and Managing in Nursing 7th Edition Yoder-Wise
s s s s s s s s s s s s s s
Test TOP: AONE competency: Communication and Relationship-Building
s s s s s s ss s s
NURSINGTB.COM
, Leading and Managing in Nursing 7th Edition Yoder-Wise
s s s s s s s s s s s s s s
Test Stuvia.com - The Marketplace to Buy and Sell your Study Material
s s s s s s s s s s s s s s s s s s s s
3. A grievance brought by a staff nurse against the unit manager
s s s s s s s s s s s s s s s s s s s s
requires mediation. Atthe first mediation session, the staff nurse
s s ss s s s s s s s s s s s s s s
repeatedly calls the unit manager‘s actions unfair, and the unit
s s s s s s ss s s s s dd s s s s s s
manager continues to reiterate the reasons for the actions. What
s s s s s s s s s s ss s s s s s s s s
would be the best course of action at this time?
s s s s s s s s s s s s s s s s s s s s
a. Send the two disputants away to reach their own resolution.
s s s s s s s s ss s s s s s s s s
b. Involve another staff nurse in the discussion for clarity issues.
s s s s s s s s s s s s s s s s ss
c. Ask each party to examine their own motives and issues in the conflict.
s s s s ss s s s s s s s s s s s s s s s s s s
d. Continue to listen as the parties repeat their thoughts and feelings about the
s s s s s s s s s s s s s s s s s s s s s s s s
conflict.
s s
ANS: C s s
For resolution of conflict, one should address the interests and involvement
s s s s s s s s s s s s s s s s s s s s
of participants in the conflict by examining the real issues of all parties.
s s ss s s dd s s s s ss s s s s s s s s s s s s
TOP: AONE competency: Communication and Relationship-Building
s s s s s s ss s s
4. At a second negotiation session, the unit s s s s s s s s s s s s s s manager and staff nurse are s s s s s s s s
unable to reacha resolution. What is the
s s s s ss s s s s s s s s s s appropriate next step? s s s s
a. Arrange another meeting in a week‘s time so s s s s s s s s s s s s s s s s as to allow a cooling-off period.
s s s s s s s s s s
b. Elevate the next negation session to the next s s s s s s s s s s s s s s s s manager, one level above. s s s s s s
c. Insist that participants continue to talk until a
s s s s s s s s s s s s s s s s resolution has been reached. s s s s s s
d. Back the unit manager‘s actions and end the
s s s s s s s s s s s s s s s s dispute.
ANS: B s s
Part of leadership is understanding conflict resolution and ability to negotiate
s s s s s s s s s s s s s s s s s s s s
and manage forresolution of issues and concerns. This situation has failed a
s s ss s s s s s s s s s s s s s s s s s s s s
second negotiation session, elevation to a manager with additional training to
s s ss s s s s s s s s s s s s s s s s s s
facilitate conflict resolution is important at this point.
s s s s ss s s s s s s dd s s
TOP: AONE competency: Communication and Relationship-Building
s s s s s s ss s s
5. The manager of a surgical area has a vision for the future that
s s s s s s s s s s s s s s s s s s s s s s s s
requires the addition of RN assistants or unlicensed persons to feed,
s s s s ss dd s s s s s s s s s s s s s s
bathe, and ambulate patients. The RNs on the staff
s s s s s s ss s s s s s s s s s s
have always practiced in a primary nursingWhat would be the best initial
s s s s s s s s s s s s s s s s s s s s s s
strategy for implementation of this change? NURSINGT-Bdelivery system
s s s s ss s s s s s s s s s s
s s and are very resistant to this idea.
s s s s ss s s dd s s s s .COM
a. Exploring the values and feelings of the RN group in relationship to this
ss s s s s s s s s s s s s s s s s s s s s s s
change
s s
b. Leaving the RNs alone for a time so they can think about s s s s s s s s s s s s s s s s s s s s s s
the change before it is implemented
s s s s ss s s s s dd
c. Dropping the idea and trying for the change in a year or so when s s s s s s s s s s s s s s s s s s s s s s s s s s
some of the present RNs have retired
s s s s s s ss s s dd s s
d. Hiring the assistants and allowing the RNs to see what good additions they are
s s s s s s s s s s s s s s s s s s s s s s s s s s
ANS: A s s
NURSINGTB.COM
