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TEST BANK FOR LEADING AND MANAGING IN NURSING 8TH EDITION BY YODER WISE (CHAPTERS 1-30) COMPLETE GUIDE
TEST BANK FOR LEADING AND MANAGING IN NURSING 8TH EDITION BY YODER WISE (CHAPTERS 1-30) COMPLETE GUIDE
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lOMoARcPSD|156 930 97Leading and Managing in Nursing 8th Edition Yoder-Wise Test Bank
TEST BANK FOR LEADING AND MANAGING IN NURSING 8TH
EDITION BY YODER WISE (CHAPTERS 1-30) COMPLETE.
Chapter 01: Leading, Managing, and Following
, lOMoARcPSD|156 930 97
Leading and Managing in Nursing 8th Edition Yoder-Wise Test Bank
Yoder-Wise: Leading and Managing in Nursing, 8th Edition
MULTIPLE CHOICE
1. A caregiver 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 of the older adult
client. Using complexity principles, what would be the best approach to take for
implementation of this change?
a. Leverage the hierarchical management position to get unit staff involved in
assessment and planning.
b. Engage involved staff at all levels in the decision-making process.
c. Focus the assessment on the unit and omit the hospital and community
environment.
d. Hire a geriatric specialist to oversee and control the project.
CORRECT CHOICE:->> B
Rationale:->>>Complexity theory suggests that systems interact and adapt and that
decision making occurs throughout the systems, as opposed to being held in a hierarchy. In
complexity theory, every voice counts, and therefore, all levels of staff would be involved in
decision making.
TOP: AONE competency: Communication and Relationship-Building
2. A unit manager of a 25-bed medical/surgical area receives a phone call from a caregiver who
hascalled in sick 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
treatment
N R I G B.C M
for breast cancer. According toUMaS N’s Tneed hiO
slow erarchy theory, what would be the best
approach to satisfying the needs of this caregiver, other staff, and clients?
a. Line up agency caregivers who can be called in to work on short notice.
b. Place the caregiver on unpaid leave for the remainder of his wife’s treatment.
c. Sympathize with the caregiver’s dilemma and let the charge caregiver know that this caregiver
may be calling in frequently in the future.
d. Work with the caregiver, staffing office, and other caregivers to arrange his scheduled
days off around his wife’s treatments.
CORRECT CHOICE:->> D
Rationale:->>>Placing the caregiver on unpaid leave may threaten the caregiver’s capacity to
meet physiologic needsand demotivate the caregiver. Unsatisfactory coverage of shifts on
short notice could affect client care and threaten the needs of staff to feel competent.
Arranging the schedule around
the wife’s needs meets the needs of the staff and of clients while satisfying the caregiver’s need
for affiliation.
TOP: AONE competency: Communication and Relationship-Building
3. A grievance brought by a staff caregiver against the unit manager requires mediation. At the
first mediation session, the staff caregiver repeatedly calls the unit manager’s actions unfair,
and the unit manager continues to reiterate the reasons for the actions. What would be the
best courseof action at this time?
a. Send the two disputants away to reach their own resolution.
b. Involve another staff caregiver in the discussion for clarity issues.
c. Ask each party to examine their own motives and issues in the conflict.
, lOMoARcPSD|156 930 97
Leading and Managing in Nursing 8th Edition Yoder-Wise Test Bank
d. Continue to listen as the parties repeat their thoughts and feelings about the
conflict.
CORRECT CHOICE:->> C
Rationale:->>>For resolution of conflict, one should address the interests and involvement
of participants inthe conflict by examining the real issues of all parties.
TOP: AONE competency: Communication and Relationship-Building
4. At a second negotiation session, the unit manager and staff caregiver are unable to
reach aresolution. What is the appropriate next step?
a. Arrange another meeting in a week’s time so as to allow a cooling-off period.
b. Elevate the next negation session to the next manager, one level above.
c. Insist that participants continue to talk until a resolution has been reached.
d. Back the unit manager’s actions and end the dispute.
CORRECT CHOICE:->> B
Rationale:->>>Part of leadership is understanding conflict resolution and ability to negotiate
and manage for resolution of issues and concerns. This situation has failed a second
negotiation session, elevation to a manager with additional training to facilitate conflict
resolution is important at this point.
TOP: AONE competency: Communication and Relationship-Building
5. 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 prNimaR
U rySnIursi
NGng-
TBde.
liC
veryMsystem and are very resistant to this idea.
O
What would be the best initial strategy for implementation of this change?
a. Exploring the values and feelings of the RN group in relationship to this change
b. Leaving the RNs alone for a time so they can think about the change before it is
implemented
c. Dropping the idea and trying for the change in a year or so when some of the
present RNs have retired
d. Hiring the assistants and allowing the RNs to see what good additions they are
CORRECT CHOICE:->> A
Rationale:->>>Influencing others requires emotional intelligence in domains such as
empathy, handling relationships, deepening self-awareness in self and others, motivating
others, and managing emotions. Motivating others recognizes that values are powerful forces
that influence acceptance of change. Leaving the RNs alone for a period of time before
implementation doesnot provide opportunity to explore different perspectives and values.
Avoiding discussion until the team changes may not promote adoption of the change until
there is opportunity to explore perspectives and values related to the change. Hiring of the
assistants demonstrates lack of empathy for the perspectives of the RN staff.
TOP: AONE competency: Knowledge of the Health Care Environment
, lOMoARcPSD|156 930 97
Leading and Managing in Nursing 8th Edition Yoder-Wise Test Bank
6. As the RN charge caregiver on the night shift in a small long-term care facility, you’ve found
thatthere is little turnover among your LPN and nursing assistant (NA) staff members, but
they are not very motivated to go beyond their job descriptions in their work. Which of the
following strategies might motivate the staff and lead to greater job satisfaction?
a. Ask the director of nursing to offer higher wages and bonuses for extra work for
the night LPNs and NAs.
b. Allow the LPNs and NAs greater decision-making power within the scope of their
positions in the institution.
c. Hire additional staff so that there are more staff available for enhanced care, and
individual workloads are lessened.
d. Ask the director of nursing to increase job security for night staff by having them
sign contracts that guarantee work.
CORRECT CHOICE:->> B
Rationale:->>>Hygiene factors such as salary, working conditions, and security are consistent
with Herzberg’s two-factor theory of motivation; meeting these needs avoids job
dissatisfaction. Motivator factors such as recognition and satisfaction with work promote a
satisfying and enriched work environment. Transformational leaders use motivator factors
liberally to inspirework performance and increase job satisfaction.
TOP: AONE competency: Communication and Relationship-Building
7. The caregiver manager wants to increase motivation by providing motivating factors for the
caregiver on the unit. What action would be appropriate to motivate the staff?
a. Collaborate with the human resource/personnel department to develop on-site
daycare services.
b. Provide a hierarchical organizational structure.
N RSINGTB.COM
c. Implement a model of sharU ed governance.
d. Promote the development of a flexible benefits package.
CORRECT CHOICE:->> C
Rationale:->>>Complexity theory suggests that systems interact and adapt and that
decision making occursthroughout systems, as opposed to being held in a hierarchy. In
complexity theory, every voice counts, and therefore all levels of staff would be involved in
decision making. This principle is the foundation of shared governance.
TOP: AONE competency: Communication and Relationship-Building
8. A charge caregiver on a busy 40-bed medical/surgical unit is approached by a family member
who begins to complain loudly about the quality of care his mother is receiving. His behavior
is so disruptive that it is overheard by staff, physicians, and other visitors. The family member
leaves the unit abruptly, and the caregiver is left feeling frustrated. Which behavior by the
charge caregiver best illustrates refined leadership skills in an emotionally intelligent
practitioner?
a. Reflect to gain insight into how the situation could be handled differently in the
future.
b. Try to catch up with the angry family member to resolve the concern.
c. Discuss the concern with the client after the family member has left.
d. Notify nursing administration of the situation.
CORRECT CHOICE:->> A
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