Test Bank for Leading and Managing in Nursing 7th Edition by Yoder Wise (Chapters 1-30) Complete. As the RN charge nurse on the night shift in a small long-term care facility, you’ve found that there is little turnover among your LPN and nursing assistant (NA) staff members, but they are not ve...
Test Bank for Leading and Managing
in Nursing 7th Edition by Yoder Wise
(Chapters 1-30) Complete.LATEST
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, lOMoAR cPSD| 14447089
Test Bank for Leading and Managing inNursing 7th
Edition by Yoder Wise (chapters 1-30) complete.
Chapter 01: Leading, Managing, and Following
Yoder-Wise: Leading and Managing in Nursing, 7th Edition
A nurse manager of a 20-bed medical unit finds that 80% of the patients are
older adults. She is asked to assess and adapt the unit to better meet the unique
needs of the older adult patient. 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.
ANS: B
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
A unit manager of a 25-bed medical/surgical area receives a phone call from a
nurse who has called in sick five times in the past month. He tells the manager
N R I G B.C M
that he very much wants to come to work when scheduled but must often care
for his wife, who is undergoing treatment
for breast cancer. According toUMaSslow
N’s T
need hiO
erarchy theory, what would
be the best
Test Bank for Leading and Managing inNursing 7th
Edition by Yoder Wise (chapters 1-30) complete.
, lOMoAR cPSD| 14447089
Test Bank for Leading and Managing inNursing 7th
Edition by Yoder Wise (chapters 1-30) complete.
approach to satisfying the needs of this nurse, other staff, and patients?
a. Line up agency nurses who can be called in to work on short notice.
b. Place the nurse on unpaid leave for the remainder of his wife’s treatment.
c. Sympathize with the nurse’s dilemma and let the charge nurse know that
this nurse
may be calling in frequently in the future.
d. Work with the nurse, staffing office, and other nurses to arrange his
scheduled
days off around his wife’s treatments.
ANS: D
Placing the nurse on unpaid leave may threaten the nurse’s capacity to
meet physiologic needs and demotivate the nurse. Unsatisfactory coverage
of shifts on short notice could affect patient 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 patients while satisfying
the nurse’s need
for affiliation.
TOP: AONE competency: Communication and Relationship-Building
The charge nurse walks into Mr. Smith’s room and finds him yelling at the
LPN. He is obviously very upset. The charge nurse determines that he has not
slept for three nights because of unrelieved pain levels. The LPN is very upset
and calls Mr. Smith an “ugly, old
man.” The charge nurse acknowledges the LPN’s feelings and concerns and
then suggests that Mr. Smith’s behavior was aggressive but was related to
lack of sleep and to pain. The charge nurse asks, “Can you, together with
Mr. Smith, determine triggers for the pain and effective approaches to
controlling his pain?” This situation is an example of what?
Test Bank for Leading and Managing inNursing 7th
Edition by Yoder Wise (chapters 1-30) complete.
, lOMoAR cPSD| 14447089
Test Bank for Leading and Managing inNursing 7th
Edition by Yoder Wise (chapters 1-30) complete.
a. Lack of empathy and undNerstR
andI
ing G
for M
B .isC
s JoM
nes
b. Concern with placating MrU
. SmSithN T O
c. Leadership behavior
d. Management behavior
ANS: C
The situation between Mr. Smith and Miss Jones is a complex situation
involving unrelieved patient symptoms and aggressiveness toward a staff
member. Providing engaged, collaborative guidance and decision making
in a complex situation where there is no standardized solution reflects
leadership.
TOP: AONE competency: Leadership
After assessing an older adult patient in long-term care who has been slowly
deteriorating for weeks, the nurse manager calls the family and asks them to
come in, as the patient is dying. What is the most likely basis for the nurse
manager’s request?
a. An established clinical pathway
b. Confirmatory scientific evidence
c. Unit protocol
d. Experience
ANS: D
The nurse manager is employing knowledge and experience in determining
that the patient is dying, because the course of dying is not standardized
and cannot be determined by clinical pathways.
Test Bank for Leading and Managing inNursing 7th
Edition by Yoder Wise (chapters 1-30) complete.
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