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YODER WISE TEST BANK FOR Leading and Managing in Nursing 7
m m m m m m m m m m
th Edition byYoder Wise (chapter 1-
m m m m m
30) COMPLETE GUIDE UPDATED 2023
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Yoder-Wise:mLeading mandmManaging minmNursing,m7thmEdition
MULTIPLEmCHOICE
1. Amnursemmanagermof mam20-
bed mmedicalmunit mfindsmthat m80%mof mthempatientsmaremoldermadults.mShemismasked mtomassessma
nd madapt mthemunit mtombettermmeet mthemuniquemneedsmof mthemoldermadult mpatient.mUsingmcompl
exitymprinciples,mwhat mwould mbemthembest mapproachmtomtakemformimplementationmof mthismcha
nge?
a. Leveragemthemhierarchicalmmanagement mpositionmtomget munit mstaff minvolved minmassessme
nt mand mplanning.
b. Engageminvolved mstaff mat mallmlevelsminmthemdecision-makingmprocess.
c. Focusmthemassessment monmthemunit mand momit mthemhospitalmand mcommunitymenvironment.
d. Hiremamgeriatricmspecialist mtomoverseemand mcontrolmthemproject.
ANS:mB
Complexitymtheorymsuggestsmthat msystemsminteract mand madapt mand mthat mdecisionmmakingmoccu
rsmthroughout mthemsystems,masmopposed mtombeingmheld minmamhierarchy.mInmcomplexitymtheory,m
everymvoice mcounts,mand mtherefore,mallmlevels mof mstaff mwould mbeminvolved minmdecisionmmakin
g.
TOP:mAONEmcompetency:mCommunication mand mRelationship-Building
2. Amunit mmanagermof mam25-
bed mmedical/surgicalmareamreceivesmamphonemcall mfrommamnursemwhomhasmcalled minmsic
kmfivemtimesminmthempast mmonth.mHemtellsmthemmanagermthat mhemverymmuchmwantsmto
comemtomworkmwhenmscheduled mbut mmust moftenmcaremformhismwife,mwhomismundergoingmtreatment
formbreast mcancer.mAccordingmtomMaslow‘smneed mhierarchymtheory,mwhat mwould mbemthembest map
proachmtomsatisfyingmthemneedsmof mthismnurse,mothermstaff,mand
patients?
a. Linemupmagencymnursesmwhomcanmbemcalled minmtomworkmonmshort mnotice.
b. Placemthemnursemonmunpaid mleavemformthemremaindermof mhismwife‘smtreatment.
c. Sympathizemwithmthemnurse‘smdilemmamand mlet mthemchargemnursemknow mthat mt
hismnursemmaymbemcallingminmfrequentlym inmthemfuture.
d. Workmwithmthemnurse,mstaffingmoffice,mand mothermnursesmtomarrangemhismschedul
ed mdaysmoff maround mhismwife‘smtreatments.
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ANS:mD
Placingmthemnursemonmunpaid mleavemmaymthreatenmthemnurse‘smcapacitymtommeet mphysiologicmne
edsmand mdemotivatemthemnurse.mUnsatisfactorymcoveragemof mshiftsmonmshort mnoticemcould maffect
mpatient mcaremand mthreatenmthemneedsmof mstaff mtomfeelmcompetent.mArrangingmthemschedulemarou
nd mthemwife‘smneedsmmeetsmthemneedsmof mthemstaffmand mofmpatientsmwhilemsatisfyingmthemnurse‘s
mneed mformaffiliation.
TOP:mAONEmcompetency:mCommunication mand mRelationship-Building
3. Amgrievancembrought mbymamstaff mnursemagainst mthemunit mmanagermrequiresmmediation.m
At mthemfirst mmediationmsession,mthemstaff mnursemrepeatedlymcallsmthemunit mmanager‘sma
ctionsmunfair,mand mthemunit mmanagermcontinuesmtomreiteratemthemreasonsmformthemaction
s.mWhat mwould mbemthembest mcoursemof mactionmat mthismtime?
a. Send mthemtwomdisputantsmawaymtomreachmtheirmownmresolution.
b. Involvemanothermstaff mnurseminmthemdiscussionmformclaritymissues.
c. Askmeachmpartymtomexaminemtheirmownmmotivesmand missuesminmthemconflict.
d. Continuemtomlistenmasmthempartiesmrepeat mtheirmthoughtsmand mfeelingsmabout mt
hemconflict.
ANS:mC
Formresolutionmof mconflict,monemshould maddressmtheminterestsmand minvolvement mof mparticipantsmi
nmthemconflict mbymexaminingmthemrealmissuesmof mallmparties.
TOP:mAONEmcompetency:mCommunication mand mRelationship-Building
4. At mamsecond mnegotiationmsession,mthemunit mmanagermand mstaff mnursemaremunablemtomrea
chmamresolution.mWhat mismthemappropriatemnext mstep?
a. Arrangemanothermmeetingminmamweek‘smtimemsomasmtomallow mamcooling-off mperiod.
b. Elevatemthemnext mnegationmsessionmtomthemnext mmanager,monemlevelmabove.
c. Insist mthat mparticipantsmcontinuemtomtalkmuntilmamresolutionmhasmbeenmreached.
d. Backmthemunit mmanager‘smactionsmand mend mthemdispute.
ANS:mB
Part mof mleadershipmismunderstandingmconflict mresolutionmand mabilitymtomnegotiatemand mmanagemf
ormresolutionmof missuesmand mconcerns.mThismsituationmhas mfailed mamsecond mnegotiationmsession,
melevationmtomammanagermwithmadditionalmtrainingmtomfacilitatemconflict mresolutionmismimportant
mat mthismpoint.
TOP:mAONEmcompetency:mCommunication mand mRelationship-Building
5. Themmanagermof mamsurgicalmareamhasmamvisionmformthemfuturemthat mrequiresmthemadditi
onmof mRNmassistantsmormunlicensed mpersonsmtomfeed,mbathe,mand mambulatempatients.m
ThemRNsmonmthemstaff
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havemalwaysmpracticed minmamprimarymnursing-
deliverymsystemmand maremverymresistant mtomthismidea.mWhat mwould mbemthembest minitialmstrategymform
implementationmof mthismchange?
a. Exploringmthemvaluesmand mfeelingsmof mthemRN mgroupminmrelationshipmtomt
hismchange
b. LeavingmthemRNsmalonemformamtimemsomtheymcanmthinkmabout mthemchangembeforemit
mismimplemented
c. Droppingmthemideamand mtryingmformthemchangeminmamyearmormsomwhenmsomemof m
thempresent mRNsmhavemretired
d. Hiringmthemassistantsmand mallowingmthemRNsmtomseemwhat mgood madditionsmtheymare
ANS:mA
Influencingmothersmrequiresmemotionalmintelligencem inmdomainsmsuchmasmempathy,mhandlingmr
elationships,mdeepeningmself-
awarenessminmself mand mothers,mmotivatingmothers,mand mmanagingmemotions.mMotivatingmother
smrecognizesmthat mvaluesmarempowerfulmforcesmthat minfluencemacceptancemof mchange.mLeavingm
themRNsmalonemformamperiod mof mtimembeforemimplementationmdoesmnot mprovidemopportunitymto
mexploremdifferent mperspectivesmand mvalues.mAvoidingmdiscussionmuntilmthemteammchangesmma
ymnot mpromotemadoptionmof mthemchangemuntilmtheremismopportunitymtomexploremperspectivesman
d mvaluesmrelated mtomthemchange.mHiringmof mthemassistantsmdemonstratesmlackmof mempathymformt
hemperspectivesmof mthemRNmstaff.
TOP:mAONEmcompetency:mKnowledge mof mthemHealth mCaremEnvironment