C HAPTER 01: L EADING , M ANAGING , AND
F OLLOWING
Yoder-Wise: Leading and Managing in Nursing, 8th Edition
MULTIPLE CHOICE
1. Chart audits have revealed significant omissions of data that could have
legal and financial guideline ramifications. The unit manager meets with
the staff to discuss audit findings and to find approaches that will address
the gaps in charting and achieve desired goals. What is the manager
demonstrating?
a. Leadership
b. Management
c. Decision making
d. Vision
ANS: B
The process of guiding others to meet established goals, outcomes, and
procedures is management. This can require collaborative decision
making to determine how best to reach predetermined goals and follow
established practices.
TOP: AONE competency: Knowledge of the Health Care
Environment
,2. A famil y is keeping vigil at a criticall y ill patient‘s bedside. Distant
famil y members call the unit continuousl y asking for updates and
expressing concern. The nurse speaks with the distant famil y member s and
states she is referring them to the hospital social worker, whose role is to
work with famil y in this situation. What role is the nurse assuming
through this action?
a. Manager
b. Leader
c. Follower
d. Laissez -faire
ANS: A
As a manager, you are concerned with managing and coordinating
resources to achieve outcomes in accordance with established clinical
processes. Referral to a social worker alleviates demand on staff time
and is consistent with hospital procedures.
TOP: AONE competency: Communication and Rela tionship-
Building
3. A famil y is keeping vigil at a criticall y ill patient‘s bedside. The nurse
approaches the unit manager with concern over the famil y dynamics for
the patient concerned there are patient -famil y conflicts based on patient‘s
wishes. The nurs e suggests that the patient‘s provider may need to discuss
the treatment plan with the famil y. The unit manager states he will arrange
a discussion with the patient‘s provider and ask the nurse to support the
provider‘s decisions. What is the role of the n urse in this situation?
a. Leadership
b. Management
c. Follower
, d. Evidence-based
ANS: C
In the followership role, you bring to the manager your concerns about
concerns for patients and the outcomes and accept the direction given
by the manager in response to your c oncerns.
TOP: AONE competency: Knowledge of the Health Care
Environment
4. The manager calls the staff together to assess a situation in which the
famil y of a seriousl y ill patient is anxious and is absorbing a great deal of
staff time in consultation, disc ussion, and questioning of treatment
decisions. Staff members are becoming distanced from the famil y. After
inviting the concerns of staff, the manager explains that the organization
values patient -centered care and that evidence supports that acting as an
advocate and a listener is helpful to families. The manager asks the staff
for ideas and strategies that are effectively patient -centered in dealing
with families in similar situations. What is the role of the nurse manager
in this situation?
a. Leadership
b. Management
c. Follower
d. Visionary
ANS: A
As a leader, the manager is providing and communicating vision and
direction based on evidence and experience. The manager is engaging
F OLLOWING
Yoder-Wise: Leading and Managing in Nursing, 8th Edition
MULTIPLE CHOICE
1. Chart audits have revealed significant omissions of data that could have
legal and financial guideline ramifications. The unit manager meets with
the staff to discuss audit findings and to find approaches that will address
the gaps in charting and achieve desired goals. What is the manager
demonstrating?
a. Leadership
b. Management
c. Decision making
d. Vision
ANS: B
The process of guiding others to meet established goals, outcomes, and
procedures is management. This can require collaborative decision
making to determine how best to reach predetermined goals and follow
established practices.
TOP: AONE competency: Knowledge of the Health Care
Environment
,2. A famil y is keeping vigil at a criticall y ill patient‘s bedside. Distant
famil y members call the unit continuousl y asking for updates and
expressing concern. The nurse speaks with the distant famil y member s and
states she is referring them to the hospital social worker, whose role is to
work with famil y in this situation. What role is the nurse assuming
through this action?
a. Manager
b. Leader
c. Follower
d. Laissez -faire
ANS: A
As a manager, you are concerned with managing and coordinating
resources to achieve outcomes in accordance with established clinical
processes. Referral to a social worker alleviates demand on staff time
and is consistent with hospital procedures.
TOP: AONE competency: Communication and Rela tionship-
Building
3. A famil y is keeping vigil at a criticall y ill patient‘s bedside. The nurse
approaches the unit manager with concern over the famil y dynamics for
the patient concerned there are patient -famil y conflicts based on patient‘s
wishes. The nurs e suggests that the patient‘s provider may need to discuss
the treatment plan with the famil y. The unit manager states he will arrange
a discussion with the patient‘s provider and ask the nurse to support the
provider‘s decisions. What is the role of the n urse in this situation?
a. Leadership
b. Management
c. Follower
, d. Evidence-based
ANS: C
In the followership role, you bring to the manager your concerns about
concerns for patients and the outcomes and accept the direction given
by the manager in response to your c oncerns.
TOP: AONE competency: Knowledge of the Health Care
Environment
4. The manager calls the staff together to assess a situation in which the
famil y of a seriousl y ill patient is anxious and is absorbing a great deal of
staff time in consultation, disc ussion, and questioning of treatment
decisions. Staff members are becoming distanced from the famil y. After
inviting the concerns of staff, the manager explains that the organization
values patient -centered care and that evidence supports that acting as an
advocate and a listener is helpful to families. The manager asks the staff
for ideas and strategies that are effectively patient -centered in dealing
with families in similar situations. What is the role of the nurse manager
in this situation?
a. Leadership
b. Management
c. Follower
d. Visionary
ANS: A
As a leader, the manager is providing and communicating vision and
direction based on evidence and experience. The manager is engaging
