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Test Bank for Leading and Managing in Nursing 7th Edition by Patricia S. Yoder-Wise ISBN 9780323449137 Chapter 1-31 |Complete Guide A+$17.99
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Test Bank for Leading and Managing in Nursing 7th Edition by Yoder Wise (chapters 1-30) complete Chapter 01: Leading, Managing, and Following Yoder-Wise: Leading and Managing in Nursing, 7th Edition MULTIPLE CHOICE 1. A nurse manager of a 20-bed medical unit finds that 80% of the patients are older...
Chapter 01: Leading, Managing, and Following
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,Leading and Managing in Nursing 7th Edition Yoder-Wise Test
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Bank
Yoder-Wise: Leading and Managing in Nursing, 7th Edition
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MULTIPLE CHOICE zx
1. A nurse manager of a 20-bed medical unit finds that 80% of the patients are
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older adults. She is asked to assess and adapt the unit to better meet the
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unique needs of the older adult patient. Using complexity principles, what
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would be the best approach to take for implementation of this change?
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a. Leverage the hierarchical management position to get unit staff involved
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in assessment and planning.
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b. Engage involved staff at all levels in the decision-making process.
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c. Focus the assessment on the unit and omit the hospital and community environment.
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d. Hire a geriatric specialist to oversee and control the project.
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ANS: B zx
Complexity theory suggests that systems interact and adapt and that decision making
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occurs throughout the systems, as opposed to being held in a hierarchy. In complexity
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theory, every voice counts, and therefore, all levels of staff would be involved in
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decision making.
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TOP: AONE competency: Communication and Relationship-Building
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2. A unit manager of a 25-bed medical/surgical area receives a phone call from a
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nurse who has called in sick five times in the past month. He tells the manager
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that he very much wants to
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come to work when scheduled but must often care for his wife, who is undergoing trefor
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breast cancer. According to Maslow‘s need hierarchy theory, what would be the best
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NURSINGTB.COMatment approach to satisfying the needs of this nurse, other staff, x
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and patients?
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a. Line up agency nurses who can be called in to work on short notice.
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b. Place the nurse on unpaid leave for the remainder of his wife‘s treatment.
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c. Sympathize with the nurse‘s dilemma and let the charge nurse know that this
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nurse may be calling in frequently in the future.
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d. Work with the nurse, staffing office, and other nurses to arrange his scheduled days
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off around his wife‘s treatments.
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ANS: D zx
Placing the nurse on unpaid leave may threaten the nurse‘s capacity to meet physiologic
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needs and demotivate the nurse. Unsatisfactory coverage of shifts on short notice could
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affect patient care and threaten the needs of staff to feel competent. Arranging the
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schedule around the wife‘s needs meets the needs of the staff and of patients while
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satisfying the nurse‘s need for affiliation.
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TOP: AONE competency: Communication and Relationship-Building
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NURSINGTB.COM
,Leading and Managing in Nursing 7th Edition Yoder-Wise Test
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Bank Stuvia.com - The Marketplace to Buy and Sell your Study Material
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3. A grievance brought by a staff nurse against the unit manager requires
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mediation. At the first mediation session, the staff nurse repeatedly calls the unit
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manager‘s actions unfair, and the unit manager continues to reiterate the
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reasons for the actions. What would be the best course of action at this time?
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a. Send the two disputants away to reach their own resolution.
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b. Involve another staff nurse in the discussion for clarity issues.
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c. Ask each party to examine their own motives and issues in the conflict.
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d. Continue to listen as the parties repeat their thoughts and feelings about the conflict.
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ANS: C zx
For resolution of conflict, one should address the interests and involvement of participants
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in the conflict by examining the real issues of all parties.
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TOP: AONE competency: Communication and Relationship-Building
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4. At a second negotiation session, the unit manager and staff nurse are unable to
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reach a resolution. What is the appropriate next step?
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a. Arrange another meeting in a week‘s time so as to allow a cooling-off period.
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b. Elevate the next negation session to the next manager, one level above.
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c. Insist that participants continue to talk until a resolution has been reached.
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d. Back the unit manager‘s actions and end the dispute.
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ANS: B zx
Part of leadership is understanding conflict resolution and ability to negotiate and manage
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for resolution of issues and concerns. This situation has failed a second negotiation
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session, elevation to a manager with additional training to facilitate conflict resolution is
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important at this point.
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TOP: AONE competency: Communication and Relationship-Building
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5. The manager of a surgical area has a vision for the future that requires the
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addition of RN assistants or unlicensed persons to feed, bathe, and ambulate
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patients. The RNs on the staff
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have always practiced in a primary nursingWhat would be the best initial strategy for
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implementation of this change? NURSINGT-Bdelivery system and are very resistant
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to this idea.
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a. Exploring the values and feelings of the RN group in relationship to this change
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b. Leaving the RNs alone for a time so they can think about the change before
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it is implemented
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c. Dropping the idea and trying for the change in a year or so when some of the present
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RNs have retired
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d. Hiring the assistants and allowing the RNs to see what good additions they are
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ANS: A zx
NURSINGTB.COM
, Leading and Managing in Nursing 7th Edition Yoder-Wise Test
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Bank Influencing others requires emotional intelligence in domains such as empathy, handling
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relationships, deepening self-awareness in self and others, motivating others, and
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managing emotions. Motivating others recognizes that values are powerful forces that
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influence acceptance of change. Leaving the RNs alone for a period of time before
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implementation does not provide opportunity to explore different perspectives and
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values. Avoiding discussion until the team changes may not promote adoption of the
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change until there is opportunity to explore perspectives and values related to the
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change. Hiring of the assistants demonstrates lack of empathy for the perspectives of the
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RN staff.
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TOP: AONE competency: Knowledge of the Health Care Environment
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NURSINGTB.COM
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