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TEST BANK FOR LEADING AND MANAGING IN NURSING 7TH EDITION BY YODER WISE ALL CHAPTERS.
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TEST BANK FOR LEADING AND MANAGING IN NURSING 7TH EDITION BY YODER WISE ALL CHAPTERS.
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Test Bank For Leading and Managing in Nursing, 7th Edition by Yoder-Wise
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TEST BANK FOR LEADING AND MANAGININ NURSING 7TH EDITION BY YODER WIS
ALL CHAPTERS.
,Chapter 01: Leading, Managing, and Following
Yoder-Wise: Leading and Managing in Nursing, 7th Edition
MULTIPLE CHOICE
• A nurse manager of a 20-bed medical unit finds that 80% of the clients are older adults. She is asked to
assess and adapt the unit to better meet the unique needs ofthe older adult client. Using complexity principles
would be the best approach to take for implementation of this change?
• Leverage the hierarchical management position to get unit staff involved inassessment and planning.
• Engage involved staff at all levels in the decision-making process.
• Focus the assessment on the unit and omit the hospital and community environment.
• Hire a geriatric specialist to oversee and control the project.
ANS: B
Complexity theory suggests that systems interact and adapt and that decision making occurs througho
systems, as opposed to being held in a hierarchy. In complexity theory, every voice counts, and therefore, all
of staff would be involved in decision making.
TOP: AONE competency: Communication and Relationship-Building
• A unit manager of a 25-bed medical/surgical area receives a phone call from a nurse who has called
five times in the past month. He tells the manager that he very much wants to
come to work when scheduled but must often care for his wife, who is undergoing tre forbreast cancer. Accord
Maslow’s need hierarchy theory, what would be the best
atment approach to satisfying the needs of this nurse, other staff,
and clients?
• Line up agency nurses who can be called in to work on short notice.
• Place the nurse on unpaid leave for the remainder of his wife’s treatment.
• Sympathize with the nurse’s dilemma and let the charge nurse know that this nurse may be calling in
frequently in the future.
• Work with the nurse, staffing office, and other nurses to arrange his scheduled days offaround his wife
treatments.
ANS: D
Placing the nurse on unpaid leave may threaten the nurse’s capacity to meet physiologic needs and demotivat
nurse. Unsatisfactory coverage of shifts on short notice could affect client care and threaten the needs of staff
,competent. Arranging the schedule around the wife’s needs meets the needs of the staff and of clients while
satisfying the nurse’s need for affiliation.
TOP: AONE competency: Communication and Relationship-Building
• A grievance brought by a staff nurse against the unit manager requires mediation. At the first mediatio
session, the staff nurse repeatedly calls the unit manager’s actions unfair, and the unit manager continues to re
the reasons for the actions. What would be the best course of action at this time?
• Send the two disputants away to reach their own resolution.
• Involve another staff nurse in the discussion for clarity issues.
• Ask each party to examine their own motives and issues in the conflict.
• Continue to listen as the parties repeat their thoughts and feelings about the conflict.
ANS: C
For resolution of conflict, one should address the interests and involvement of participants in the conflict by
examining the real issues of all parties.
TOP: AONE competency: Communication and Relationship-Building
• At a second negotiation session, the unit manager and staff nurse are unable to reach a resolution. Wha
the appropriate next step?
• Arrange another meeting in a week’s time so as to allow a cooling-off period.
• Elevate the next negation session to the next manager, one level above.
• Insist that participants continue to talk until a resolution has been reached.
• Back the unit manager’s actions and end the dispute.
ANS: B
Part of leadership is understanding conflict resolution and ability to negotiate and manage forresolution of iss
and concerns. This situation has failed a second negotiation session, elevation to a manager with additional tr
to facilitate conflict resolution is important at this point.
TOP: AONE competency: Communication and Relationship-Building
• The manager of a surgical area has a vision for the future that requires the addition of RN assistants or
unlicensed persons to feed, bathe, and ambulate clients. The RNs on the staff
have always practiced in a primary nursingWhat would be the best initial strategy for implementation of this
change?
delivery system and are very resistant to this idea.
• Exploring the values and feelings of the RN group in relationship to this change
• Leaving the RNs alone for a time so they can think about the change before it is implemented
• Dropping the idea and trying for the change in a year or so when some of the present RNs have retired
• Hiring the assistants and allowing the RNs to see what good additions they are
, ANS: A
Influencing others requires emotional intelligence in domains such as empathy, handling relationships, deepe
self-awareness in self and others, motivating others, and managing emotions. Motivating others recognizes th
values are powerful forces that influence acceptance of change. Leaving the RNs alone for a period of time be
implementation doesnot provide opportunity to explore different perspectives and values. Avoiding discussio
the team changes may not promote adoption of the change until there is opportunity to explore perspectives a
values related to the change. Hiring of the assistants demonstrates lack of empathy for the perspectives of the
staff.
TOP: AONE competency: Knowledge of the Health Care Environment
• As the RN charge nurse on the night shift in a small long-term care facility, you’ve found that there is
turnover among your LPN and nursing assistant (NA) staff members, but they are not very motivated to go be
their job descriptions in their work. Which of the following strategies might motivate the staff and lead to gre
job satisfaction?
• Ask the director of nursing to offer higher wages and bonuses for extra work for the night LPNs and N
• Allow the LPNs and NAs greater decision-making power within the scope of their positions in the
institution.
• Hire additional staff so that there are more staff available for enhanced care, and individual workloads
lessened.
• Ask the director of nursing to increase job security for night staff by having them sign contracts that
guarantee work.
ANS: B
Hygiene factors such as salary, working conditions, and security are consistent with Herzberg’s two-factor th
of motivation; meeting these needs avoids job dissatisfaction. Motivator factors such as recognition and satisf
with work promote a satisfying and enriched work environment. Transformational leaders use motivator facto
liberally to inspirework performance and increase job satisfaction.
TOP: AONE competency: Communication and Relationship-Building
• The nurse manager wants to increase motivation by providing motivating factors for the nurse on the u
What action would be appropriate to motivate the staff?
• Collaborate with the human resource/personnel department to develop on-site daycareservices.
b.c. Provide a hierarchical organizational structure.Implement a model of shared governance.
d. Promote the development of a flexible benefits package.
ANS: C
Complexity theory suggests that systems interact and adapt and that decision making occurs throughout system
opposed to being held in a hierarchy. In complexity theory, every voice counts, and therefore all levels of staf
would be involved in decision making. This principle is the foundation of shared governance.
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